Scribe Final Exam Questions and Answers Rated A

Scribe Final Exam Questions and Answers Rated A SOAP Subjective-HPI, ROS, Past Med, Fam, and Social Hx (Patient's point of view) Objective-Physical exam, Medical Decision Making (labs, x-rays, etc.) Assessment-Diagnosis (determined by combining subjective/objective info) Plan-Disposition (Admission, Discharge, Transfer instructions) 7 Parts of the HPI 1. Context 2. Time/Duration; time = course of symptoms (improving, worsening, constant, intermittent, etc.); duration = total time symptoms have been present 3. Location 4. Quality 5. Severity 6. Modifying Factors 7. Pertinent positive and negatives Level 5 Chart HPI: 4-7 ROS: 10+ PFSH: 2+ PEx: 8+ systems Supination Turning the hand so that the palm faces upward. Volar Pertaining to the palm of the hand or the sole of the foot. Inferior Situated below or further away from the head. Midline Line that divides the body into right and left halves.