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ScribeAmerica OP Final exam with complete solutions
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[Show more]* What medical term describes the surgical removal of the gallbladder? 
cholecystectomy 
 
 
 
What does "PHI" stand for? Expand the abbreviation. 
Protected Health Information 
 
 
 
 
 
 
00:19 
01:33 
T/F. Sharing information about a case with family is allowed, as long as you are scribing with...
Preview 2 out of 13 pages
Add to cart* What medical term describes the surgical removal of the gallbladder? 
cholecystectomy 
 
 
 
What does "PHI" stand for? Expand the abbreviation. 
Protected Health Information 
 
 
 
 
 
 
00:19 
01:33 
T/F. Sharing information about a case with family is allowed, as long as you are scribing with...
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 
 
 
 
Mid-...
Preview 3 out of 17 pages
Add to cartpain 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 
 
 
 
Mid-...
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? 
 
 
 
 
 
 
00:05 
01:33 
Sunday 
the work week starts on what day of the week? 
 
 
 
subjective 
feeling (from patient) 
 
 
 
objective 
fact (from provider) 
 
 
...
Preview 2 out of 12 pages
Add to cartlast 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? 
 
 
 
 
 
 
00:05 
01:33 
Sunday 
the work week starts on what day of the week? 
 
 
 
subjective 
feeling (from patient) 
 
 
 
objective 
fact (from provider) 
 
 
...
New Patient 
No previous records, longer visit, detailed chart 
 
 
 
established patient 
Previous records available from last 3 years, shorter visit, concise chart 
 
 
 
 
 
 
00:24 
01:33 
Diagnostic visit 
New problem, chief complaint: new symptom, goal is to determine the cause of the problem ...
Preview 2 out of 5 pages
Add to cartNew Patient 
No previous records, longer visit, detailed chart 
 
 
 
established patient 
Previous records available from last 3 years, shorter visit, concise chart 
 
 
 
 
 
 
00:24 
01:33 
Diagnostic visit 
New problem, chief complaint: new symptom, goal is to determine the cause of the problem ...
abscess 
collection of pus underneath the skin 
 
 
 
acute 
new, usually rapid onset, opposite of chronic 
 
 
 
 
 
 
00:35 
01:33 
afebrile 
without a fever (less than 100.4) 
 
 
 
anterior 
located towards the front of body 
 
 
 
appendicitis 
infection of the appendix 
 
 
 
auscultation 
lis...
Preview 2 out of 8 pages
Add to cartabscess 
collection of pus underneath the skin 
 
 
 
acute 
new, usually rapid onset, opposite of chronic 
 
 
 
 
 
 
00:35 
01:33 
afebrile 
without a fever (less than 100.4) 
 
 
 
anterior 
located towards the front of body 
 
 
 
appendicitis 
infection of the appendix 
 
 
 
auscultation 
lis...
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