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Exam (elaborations)

CityMD Questions and Correct Answers

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define pruritis ~ itching of the skin define macules ~ flat discolored spots on the skin surface define PPD ~ purified protein derivative define subungual hematoma ~ collection of blood beneath a nail resulting from trauma define paresis ~ partial or incomplete paralysis what are some symptoms a female patient might present with that might require a pelvic examination? ~ severe lower abdominal pain; vaginal: abnormal discharge, bleeding, irritation, discomfort, foreign body, lesions what materials are needed to set up for a pelvic exam? ~ gown chucks standard size speculum with large size ready speculum light lubricant swabs: affirm and/or aptima viral culture what does the aptima swab test for? ~ gonorrhea and chlamydia what does the affirm swab test for? ~ bacterial vaginosis, candida, and trichomonas what materials are needed to set up an IV hydration procedure? ~ IV pole IV bag prepackaged IV tubing IV catheter 20-22 gauge needle tourniquet alcohol wipes tegaderm tape gauze medications blood collection tube & vacutainer butterfly needle chuck pillow & blanket

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Institution
CityMD
Course
CityMD

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CityMD Questions and Correct
Answers

what are the 8 steps of phase 3?

✓✓~ 1. attend to all necessary orders

2. finish all documentation

3. link diagnosis to orders and procedures

4. address the visit code window

5. address the common send window

6. summarize discharge instructions

7. check out patient

8. usher patient out of exam room and direct them toward the front to collect

discharge papers




what does the black flag signify?

✓✓~ a patient workup is required




what are the 2 main functions of the treatment window?

✓✓~ 1. healthy lifestyles document

2. to make prescriptions for all medications being sent to the pharmacy

,what should the scribe include when presenting the patient case to the provider?

✓✓~ 1. demographic information

2. chief complaint with onset

3. all positive, abnormal findings/symptoms that accompany the chief complaint

4. important relevant negative findings

5. relevant supplemental findings




what are the 4 key elements of the preventive medicine section?

✓✓~ 1. encounter/visit specific instructions

2. diagnosis specific instructions

3. provider specific instructions

4. standardized, generic information instructions




what should be done before the provider leaves the room?

✓✓~ 1. a) verify the diagnosis

1. b) verify primary diagnosis (if multiple)

2. a) verify all prescriptions sent to pharmacy and/or given in house

2. b) show drug test alert if not shown before

3. verify all post-diagnostic orders

4. verify the E&M code

, what does the blue flag signify?

✓✓~ a medical scribe is in the room




what are the 6 tests of the standard STD panel?

✓✓~ 1. syphilis

2. hepatitis b

3. hepatitis c

4. trichomoniasis

5. gonorrhea

6. chlamydia




what are the 2 HPIs of a MVA patient?

✓✓~ 1. chief complaint

2. MVA/No fault




what does the red flag signify?

✓✓~ the next room the provider should go into




for what complaints/symptoms should the scribe initiate each of the scribe-initiated

procedures?

✓✓~ 1. sore throat --- rapid strep

2. flu-like symptoms --- rapid flu

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Institution
CityMD
Course
CityMD

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