Scribe America OP Final Exam 2025
last day of the month - get paid on what day for hours worked 10th-24th?
16th - get paid on what day for hours worked 25th-9th?
Sunday - the work week starts on what day of the week?
subjective - feeling (from patient)
objective - fact (from provider)
pain - patient's feeling, subjective
tenderness - physician's observation, objective
benign - normal, nothing of conern
acute - of new onset, less than 3 months
chronic - long standing, more than 3 months
baseline - an individual's normal state of being
auscultation - listening with a stethoscope
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palpation - the act of pressing on an area by the physician
inpatient - admitted to the hospital overnight
outpatient - seen and sent home the same day
chief complaint - the main reason for the patient's visit
mid-level provider - NP or PA; works under the supervision of a physician to diagnose and treat
patients
medical assistant - MA or nurse who records medical histories and symptoms, monitors patient,
administers medications, assists with procedures
scribe - documents the patient's visit on behalf of the physician
new patient - individual who has not been seen in the clinic in the past 3 years, regardless of
being seen prior to 3 year absence; no previous records, longer visit, detailed chart
established patient - individual who has been seen in the clinic within the past 3 years; previous
records available, shorter visit, concise chart
diagnostic - a clinic visit is __ if there is a new problem, CC is a new symptom, and goal is to
determine the cause of the problem and appropriate treatment
health management - a clinic visit is __ if it is a check-up, CC is routine physical or management
of chronic problems, goal is preventative care or assessing progress of ongoing medical problems
subjective - HPI, ROS, PMSHx, SHx, FHx
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