ScribeAmerica: Final Exam Review 2022/2023 with 100% correct answers ScribeAmerica Outpatient Final Exam 2022/2023 with 100% correct ainpatient scribe america final exam 2022/2023 nswers
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High blood pressure layman's Hypertension Hypertension (abbv) HTN High cholesterol layman's Hyperlipidemia Hyperlipidemia (abbv) HLD Diabetes layman's Diabetes mellitus Diabetes mellitus (abbv) DM "I only take pills for my diabetes" NIDDM (Type...
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In winkelwagenHigh blood pressure layman's Hypertension Hypertension (abbv) HTN High cholesterol layman's Hyperlipidemia Hyperlipidemia (abbv) HLD Diabetes layman's Diabetes mellitus Diabetes mellitus (abbv) DM "I only take pills for my diabetes" NIDDM (Type...
AAA Abdominal Aortic Aneurysm A Fib Atrial Fibrillation Abd Abdomen, Abdominal Abx Antibiotics AMA Against Medical Advice AMS Altered Mental Status ASA Acetylsalicylic Acid (Aspirin) BID Twice Daily Bilat LE Bilateral Lower Extremiti...
Voorbeeld 3 van de 21 pagina's
In winkelwagenAAA Abdominal Aortic Aneurysm A Fib Atrial Fibrillation Abd Abdomen, Abdominal Abx Antibiotics AMA Against Medical Advice AMS Altered Mental Status ASA Acetylsalicylic Acid (Aspirin) BID Twice Daily Bilat LE Bilateral Lower Extremiti...
A patient is seen in the emergency department complaining of dysuria and tells you that she is 23 weeks pregnant. Your doctor diagnoses her with a UTI. Which of the following would be the best diagnosis? acute urinary tract infection in pregnancy, 2nd trimester A patient cut his left foot on...
Voorbeeld 3 van de 24 pagina's
In winkelwagenA patient is seen in the emergency department complaining of dysuria and tells you that she is 23 weeks pregnant. Your doctor diagnoses her with a UTI. Which of the following would be the best diagnosis? acute urinary tract infection in pregnancy, 2nd trimester A patient cut his left foot on...
What are the 3 types of dispositions? Discharge, Admit, Transfer What does HPI stand for? history of present illness What does ROS stand for? review of systems The HPI and ROS are considered what type of information? subjective The physical exam is what type of info...
Voorbeeld 3 van de 23 pagina's
In winkelwagenWhat are the 3 types of dispositions? Discharge, Admit, Transfer What does HPI stand for? history of present illness What does ROS stand for? review of systems The HPI and ROS are considered what type of information? subjective The physical exam is what type of info...
What is the standard template for charting? HPI, ROS, Past History, PE, ED Course, Disposition What are some general PMHx? Hypertension (HTN), Hyperlipidemia, Cancer, Diabetes Mellitus (IDDM, NIDDM) What are some cardiac PMHx? Myocardial Infarction, Coronary Artery Disease, Conges...
Voorbeeld 3 van de 24 pagina's
In winkelwagenWhat is the standard template for charting? HPI, ROS, Past History, PE, ED Course, Disposition What are some general PMHx? Hypertension (HTN), Hyperlipidemia, Cancer, Diabetes Mellitus (IDDM, NIDDM) What are some cardiac PMHx? Myocardial Infarction, Coronary Artery Disease, Conges...
What does "IDDM" stand for? Do not include any hyphenations for your answer. Insulin Dependent Diabetes Mellitus What does "AMS" stand for? Altered Mental Status A patient states she has had a productive cough for 4 days, and yesterday she developed a fever. Would her fever be ...
Voorbeeld 2 van de 13 pagina's
In winkelwagenWhat does "IDDM" stand for? Do not include any hyphenations for your answer. Insulin Dependent Diabetes Mellitus What does "AMS" stand for? Altered Mental Status A patient states she has had a productive cough for 4 days, and yesterday she developed a fever. Would her fever be ...
What are the 5 vital signs? Heart Rate, Blood Pressure, Respiratory Rate, Temperature, Oxygen Saturation The HPI and ROS are what type of information? subjective The Physical Exam is what type of information? objective What is the difference between the HPI and ROS? HPI fo...
Voorbeeld 2 van de 8 pagina's
In winkelwagenWhat are the 5 vital signs? Heart Rate, Blood Pressure, Respiratory Rate, Temperature, Oxygen Saturation The HPI and ROS are what type of information? subjective The Physical Exam is what type of information? objective What is the difference between the HPI and ROS? HPI fo...
* What medical term describes the surgical removal of the gallbladder? cholecystectomy What does "PHI" stand for? Expand the abbreviation. Protected Health Information T/F. Sharing information about a case with family is allowed, as long as you are scribing with the physician assig...
Voorbeeld 2 van de 13 pagina's
In winkelwagen* What medical term describes the surgical removal of the gallbladder? cholecystectomy What does "PHI" stand for? Expand the abbreviation. Protected Health Information T/F. Sharing information about a case with family is allowed, as long as you are scribing with the physician assig...
What does ROS stand for? Review of symptoms, head to toe checklist of symptoms The HPI and ROS are considered what type of information? Subjective The physical exam is what type of information? Objective If a physician told you a patients abdomen was nontender or the patients...
Voorbeeld 4 van de 48 pagina's
In winkelwagenWhat does ROS stand for? Review of symptoms, head to toe checklist of symptoms The HPI and ROS are considered what type of information? Subjective The physical exam is what type of information? Objective If a physician told you a patients abdomen was nontender or the patients...
pain vs tenderness patient's feeling vs physician's assessment acute vs chronic new onset vs long standing Meaningful Use (MU) a set of government mandated criteria that must be obtained for every patient Medical decision making the physician's thought process Mi...
Voorbeeld 3 van de 17 pagina's
In winkelwagenpain vs tenderness patient's feeling vs physician's assessment acute vs chronic new onset vs long standing Meaningful Use (MU) a set of government mandated criteria that must be obtained for every patient Medical decision making the physician's thought process Mi...
Abrasion Scrape of the skin due to something abrasive. Abscess Pus underneath the skin Antipyretic Fever reducing medication Acute New,Rapid onset Afebrile W/O a fever (temp less than 100.4) Anterior Front of the body Appendicitis Infection of the a...
Voorbeeld 2 van de 14 pagina's
In winkelwagenAbrasion Scrape of the skin due to something abrasive. Abscess Pus underneath the skin Antipyretic Fever reducing medication Acute New,Rapid onset Afebrile W/O a fever (temp less than 100.4) Anterior Front of the body Appendicitis Infection of the a...
Chief Complaint the main reason for the pt's ED visit pain vs tenderness pt's feelings (subjective) vs physician's assessment (objective) distress the doctor's judgement of discomfort baseline an individual's normal state of being What CAN scribes do? -Documen...
Voorbeeld 3 van de 18 pagina's
In winkelwagenChief Complaint the main reason for the pt's ED visit pain vs tenderness pt's feelings (subjective) vs physician's assessment (objective) distress the doctor's judgement of discomfort baseline an individual's normal state of being What CAN scribes do? -Documen...
Which of the following would belong in a psychiatric exam? Affect Certain words or phrases act as "red flags" to grab your provider's attention to let them know that a patient may require timely and comprehensive medical action. Which of the following words or phrases are NOT considered ...
Voorbeeld 2 van de 13 pagina's
In winkelwagenWhich of the following would belong in a psychiatric exam? Affect Certain words or phrases act as "red flags" to grab your provider's attention to let them know that a patient may require timely and comprehensive medical action. Which of the following words or phrases are NOT considered ...
Abrasion Scrape of the skin due to something abrasive Acute New, usually of rapid onset and of concern, opposite of chronic Benign Normal, or no danger to health Bradycardia Slow heart-rate (less than 60bpm) Cardiomegaly Enlarged heart Chronic Long-standing, ...
Voorbeeld 4 van de 126 pagina's
In winkelwagenAbrasion Scrape of the skin due to something abrasive Acute New, usually of rapid onset and of concern, opposite of chronic Benign Normal, or no danger to health Bradycardia Slow heart-rate (less than 60bpm) Cardiomegaly Enlarged heart Chronic Long-standing, ...
HTN CC asymptomatic HLD CC asymptomatic DM CC polyuria, polydipsia CAD CC CP or pressure Asthma CC SOB, wheezing How do you diagnose HTN? Check BP How do you diagnose HLD? Check bloodwork How do you diagnose DM? Fasting blood glucose, HA1C ...
Voorbeeld 3 van de 19 pagina's
In winkelwagenHTN CC asymptomatic HLD CC asymptomatic DM CC polyuria, polydipsia CAD CC CP or pressure Asthma CC SOB, wheezing How do you diagnose HTN? Check BP How do you diagnose HLD? Check bloodwork How do you diagnose DM? Fasting blood glucose, HA1C ...
associated dz for epigastric region GERD, Mi 5 vital signs HR BP RR temp O2 Sat what is the difference between HPI and ROS ROS-- head to toe checklist of sx (includes chirf complaint, associated sx, and other complaints patient may have HPI--focuses on the details related to...
Voorbeeld 3 van de 25 pagina's
In winkelwagenassociated dz for epigastric region GERD, Mi 5 vital signs HR BP RR temp O2 Sat what is the difference between HPI and ROS ROS-- head to toe checklist of sx (includes chirf complaint, associated sx, and other complaints patient may have HPI--focuses on the details related to...
If a physician told you a patient's abdomen was nontender or the patient's skin was pale, where would you document these pieces of information?
Voorbeeld 2 van de 9 pagina's
In winkelwagenIf a physician told you a patient's abdomen was nontender or the patient's skin was pale, where would you document these pieces of information?
4 actions of typical PE 1) assessing pt's external appearance and mental status 2) auscultating the pt's heart and lungs 3) palpating the abd 4) examining the pt's legs Extra exam: Examines the throat pharyngeal erythema or exudates Extra exam: examines the inner ear TM eryt...
Voorbeeld 2 van de 9 pagina's
In winkelwagen4 actions of typical PE 1) assessing pt's external appearance and mental status 2) auscultating the pt's heart and lungs 3) palpating the abd 4) examining the pt's legs Extra exam: Examines the throat pharyngeal erythema or exudates Extra exam: examines the inner ear TM eryt...
general h&p template 1. HPI 2. ROS 3. Past History 4. PE 5. Hospital Course 6. A/P when is H&P completed Day 1 of admission Progress Note Template 1. Subjective Summary 2. PE 3. Hospital Course 4. A/P when is progress note completed documented daily starting with d...
Voorbeeld 2 van de 5 pagina's
In winkelwagengeneral h&p template 1. HPI 2. ROS 3. Past History 4. PE 5. Hospital Course 6. A/P when is H&P completed Day 1 of admission Progress Note Template 1. Subjective Summary 2. PE 3. Hospital Course 4. A/P when is progress note completed documented daily starting with d...
Past Medical History PMHx High Blood Pressure Hypertension (HTN) Abbreviation for Hypertension HTN High cholesterol Hyperlipidemia (HLD) Abbreviation for Hyperlipidemia HLD Thyroid Problem Usually Hypothyroidism, sometimes Hyperthyroidism Diabetes D...
Voorbeeld 4 van de 42 pagina's
In winkelwagenPast Medical History PMHx High Blood Pressure Hypertension (HTN) Abbreviation for Hypertension HTN High cholesterol Hyperlipidemia (HLD) Abbreviation for Hyperlipidemia HLD Thyroid Problem Usually Hypothyroidism, sometimes Hyperthyroidism Diabetes D...
subjective vs objective feeling vs fact pain vs tenderness patients feeling vs physicians assessment benign normal, nothing of concern acute vs chronic new onset vs long standing baseline an individuals normal state of being ausculation listening to sound wit...
Voorbeeld 3 van de 23 pagina's
In winkelwagensubjective vs objective feeling vs fact pain vs tenderness patients feeling vs physicians assessment benign normal, nothing of concern acute vs chronic new onset vs long standing baseline an individuals normal state of being ausculation listening to sound wit...
4 actions of typical PE 1) assessing pt's external appearance and mental status 2) auscultating the pt's heart and lungs 3) palpating the abd 4) examining the pt's legs Extra exam: Examines the throat pharyngeal erythema or exudates Extra exam: examines the inner ear TM erythe...
Voorbeeld 2 van de 9 pagina's
In winkelwagen4 actions of typical PE 1) assessing pt's external appearance and mental status 2) auscultating the pt's heart and lungs 3) palpating the abd 4) examining the pt's legs Extra exam: Examines the throat pharyngeal erythema or exudates Extra exam: examines the inner ear TM erythe...
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