10/14/2024 11:14 PM
EPIC Scribe Training Exam Questions And
Correct Answers
Parts of the record - answer✔HPI
POS
PMH
FMH
SH
Outside Records
subjective - answer✔HPI
ROS
PMH
FMH
SH
Objective - answer✔Physical Exam
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10/14/2024 11:14 PM
Diagnostic Results
Outside hospital results
Assessment (MDM) - answer✔Summary of important data and physician conclusions
Plan - answer✔disposition, admission, discharge, or transfer instructions
HPI - answer✔- location (of the complaint)
- quality (description of pain)
- severity (level of pain 1-10)
- duration (how long)
- timing (onset of symptoms, patterns)
- context (details, how it happened)
- modifying factors
- exacerbating (what makes it worse)
- alleviating (what makes it better)
- associated symptoms
12 Systems of ROS - answer✔- constitutional
- eyes
- HENT
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10/14/2024 11:14 PM
- CV
- Respiratory
- GI
- GU
- MSK
- Neuro
- Psych
- Heme
Physical Exam - answer✔- palpation (feeling)
- percussion (tapping)
- auscultation (listening)
- positive findings (abnormal)
- negative findings (normal)
MDM - answer✔- Differential Diagnosis (DDx)
- testing
- procedures
- ongoing reassessments