Scribe America Outpatient Course 5 Assessment and Plan Test Questions With Correct Answers

Follow-up - Answer (an) establishment of consistent contact with healthcare providers to address an ongoing health concern Subq - Answer medication injected under the skin Prognosis - Answer (a) (the) forecast of the likely course of a disease (or ailment) The assessment provides ______________ and includes the patient's ______________ - Answer a brief review of the visit, diagnoses Before seeing a patient, the doctor typically reviews _________________ - Answer the assessment from the previous visit The assessment always includes the - Answer diagnosis (Dx) (and/or differential) The assessment may also include: (4) - Answer 1. Brief summary of the HPI 2. Brief summary of physical exam (only pertinent) 3. Summary of orders/results 4. Prognosis and justification for further testing Assessment structure (3 types) - Answer 1. Simple statement 2. Brief summary 3. Comprehensive summary Assessment Structure The simple statement only includes (3) - Answer 1. age and sex 2. PMHx if relevant 3. Diagnosis Assessment Structure form a simple statement with this information: -age: 78 -sex: male -Dx: acute exacerbation -PMHx: chronic COPD - Answer The pt is a 78 y/o male with chronic COPD in acute exacerbation today. Assessment Structure form a simple statement with this information: -age: 56 -sex: female -Dx: well-controlled HTN and DM - Answer The pt is a 56 y/o female with HTN and DM that is well-controlled today.