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Scribe America Final Outpatient Exam*
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Scribe America Final Outpatient Exam*
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Scribe America Final Outpatient ExamHTN 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
How do you diagnose HLD? - Check blood work for LDL levels
How do you diagnose CAD? - Cardiac Catheterization by cardiologist
How do you diagnose asthma? - Peak Flow Testing
How is Peak Flow measured? - Liters/Minute
In what quadrant is the appendix located? - RLQ
In what quadrant is the gallbladder located? - RUQ
In what quadrant is the diverticuli located? - LLQ
What do you test to find out if person has pancreatitis? - Lipase
Weakness - Peristesia
Co morbidity - The presence of two or more chronic conditions
,Etiology - The cause of a disease
The relaxed phase of the heartbeat? - Diastolic
Excessive Thirst? - Polydipsia
Anticoagulant - A drug that prevents blood clotting
How long must a patient have a disease for it to be considered chronic? - 3
months
Explain why patients with comorbidities are complex and give an example?
- The treatment of one disease may contradict the treatment of the second,
such as one medicine making their other illness worse.
Complex patients often bill to a HIGHER or LOWER level? - Higher
100/70 BP reading. What is this? - Normal
150/95 BP reading. What is this? - Hypertensive
130/85 BP reading. What is this? - Pre-Hypertensive
Patients with HTN often become symptomatic when the HTN is chronic and
worsening. Name two symptoms a patient with severe HTN may experience?
- Vision Loss, Epistaxis
Give three examples of non-pharmacological HTN management - low
sodium diet, decreased EtOH intake and exercise
What is the abbreviation for hydrochlorothiazide - HCTZ
The majority of diabetes patients have Type I or II diabetes? - Type II
What are three common symptoms of diabetes? - Polyuria, Polydipsia,
Fatigue
Name one disease that can be caused by diabetes and explain how chronic
hyperglycemia contributes to it's etiology? - Diabetic Retinopathy, damage
, to the small vessels of the eyes can cause them to hemorrhage, leading to
blurred vision.
Both Type I and Type II diabetes can be treated with insulin. Which type can
also be treated with oral medication? - Type II
Which mediation is preferred for someone with mild, new onset, type II DM:
Metformin or Humalog? Why? - Metformin. Sometimes Type II diabetes
can be treated with just oral medication
Name 3 risk factors of HLD - Obesity, physical inactivity, FHx
Why is HDL considered good cholesterol? - It's able to remove cholesterol
from artery plaques and recycle it back to the liver.
CAD and MI can be caused the HLD due to atherosclerosis of the _________
arteries - coronary
TIA and CVA can be caused by HLD due to atherosclerosis of the __________
arteries - carotid
What is the name of the drug group used to treat HLD? What is one brand
name? - Statin, Lipitor
What are five risk factors of CAD? - HTN, HLD, DM, FHx, Smoking
The study that diagnoses CAD is? - Cardiac Catheterization
What are 2 non pharmacological treatments for CAD? - Weight Loss,
Exercise
Order the following surgeries based on invasiveness:
Angioplasty
CABG
Cardiac Catheterization
Stent - Cardiac Catheterization, Angioplasty, Stent, CABG
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