SCRIBE CERTIFICATION EXAM STUDY
GUIDE (COMPREHENSIVE) - SAMC ER
SCRIBE QUESTIONS AND ANSWERS
Ecchymosis (contusion) - Answer-Bruising
Dyspnea - Answer-Shortness of breath
Dysuria - Answer-Painful urination
Epistaxis - Answer-Nose bleed
Mastectomy - Answer-Removal of the breast
Pallor - Answer-Pale
Rhinorrhea - Answer-Runny nose
Onset,
Location,
Duration,
Characteristics,
Aggravating factors,
Relieving factors,
Treatment - Answer-OLDCART
HPI: 4
ROS: 10
PFSH: 2
PE: 8 - Answer-Level 5 Billing requirements
Smoking, HTN, HLD (Obesity, DM, Family Hx esp <55, prior cardiac disease) - Answer-
CAD risk factors
Smoking, HTN, HLD (DM, Family Hx clotting disease, personal Hx or family Hx
DVT/PE, recent
long travel, immobility, pregnancy, birth control pills, hormone therapy) -
Answer-PE/DVT factors
Medications/Prescriptions, discharge care instructions, follow up, referrals - Answer-At
least two common components of discharge instructions:
GUIDE (COMPREHENSIVE) - SAMC ER
SCRIBE QUESTIONS AND ANSWERS
Ecchymosis (contusion) - Answer-Bruising
Dyspnea - Answer-Shortness of breath
Dysuria - Answer-Painful urination
Epistaxis - Answer-Nose bleed
Mastectomy - Answer-Removal of the breast
Pallor - Answer-Pale
Rhinorrhea - Answer-Runny nose
Onset,
Location,
Duration,
Characteristics,
Aggravating factors,
Relieving factors,
Treatment - Answer-OLDCART
HPI: 4
ROS: 10
PFSH: 2
PE: 8 - Answer-Level 5 Billing requirements
Smoking, HTN, HLD (Obesity, DM, Family Hx esp <55, prior cardiac disease) - Answer-
CAD risk factors
Smoking, HTN, HLD (DM, Family Hx clotting disease, personal Hx or family Hx
DVT/PE, recent
long travel, immobility, pregnancy, birth control pills, hormone therapy) -
Answer-PE/DVT factors
Medications/Prescriptions, discharge care instructions, follow up, referrals - Answer-At
least two common components of discharge instructions:
