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Final Exam Scribe America.
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Final Exam Scribe AmericaWhat does "IDDM" stand for? Do not include any hyphenations for your answer. -
ANS-Insulin Dependent Diabetes Mellitus
What does "AMS" stand for? - ANS-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 considered an associated symptom for her
productive cough? Why or why not? - ANS-Yes, because the fever started soon after
the cough
Match each critical care dx with it's associated procedure. - ANS-Respiratory Failure:
Intubation
Acute exacerbation: CPAP/BiPAP
Cardiac arrest: CPR
PTX: Chest Tube
Sepsis: central line placement
Abnormal heart rhythm: cardioversion
What does "GCS" stand for? - ANS-Glasgow Coma Scale
What does "PE" stand for in the Diagnosis section of the chart? - ANS-Pulmonary
Embolism
What does "DVT" stand for? - ANS-Deep vein thrombosis
Among the following diseases listed, select the ones that qualify for CCT. - ANS-ACS
CVA
Afib
acute MI
DKA
PTX
PE
sepsis
What is the medical term for "coughing up blood"? - ANS-Hemoptysis
, Which of these procedures qualify as critical care procedures and would indicate that
critical care time must be documented on a patient? (select all that apply) - ANS-?
If a patient signs a waiver giving you permission to capture photo of their unique rash,
would you be committing a HIPAA violation by using your cellphone to capture the
photo? (Select the best option.) - ANS-Yes because the phone is not an approved
hospital device and it is not encrypted.
What procedure would be used to diagnose Meningitis? Expand the medical
abbreviation into the full medical term. - ANS-Lumbar puncture
A female patient has been pregnant four times in the past, is currently pregnant, and
has two children at home. Calculate the G, P and A, respectively. (Type your answer
using the following format: "G,P,A" "#,#,#"; so for example you woud type 0,0,0 with no
spaces before or after the answer) - ANS-5,2,2
What does "AAA" stand for? - ANS-Abdominal Aortic Aneurysm
George is employed with SA as a scribe. He was off today and accidentally cut his
cheek while practicing his sword swallowing skills. He goes to the Emergency
Department and is seen by a doctor and another scribe. The Emergency Department is
extremely busy, and so George decides to help out the doctor by scribing his own note
using the computer in the room. Has George taken the appropriate steps in this
situation? - ANS-No, because George accessed his own medical record using his EMR
login.
What FHx/SHx information is usually asked for pediatric patients? (Select all that apply.)
- ANS-Second hand smoke exposure, immunization records
Which of the following would be ordered to investigate thyroid disease? - ANS-THS, T3,
T4
What does "DOE" stand for? - ANS-dyspnea on exertion
You are writing an HPI for a very complex patient who has had multiple recent hospital
admissions and several significant complaints; what is the best way to organize the
information in your HPI? - ANS-Chronological order
What does "PNA" stand for? - ANS-pneumonia
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