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VCRT FINAL EXAM STUDY GUIDE WITH COMPLETE SOLUTIONS!!
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VCRT FINAL EXAM STUDY GUIDE WITH COMPLETE SOLUTIONS!!
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VCRT FINAL EXAMSTUDY GUIDE WITH
COMPLETE
SOLUTIONS!!
VCRT
Evatee 9/3/24 VCRT
,VCRT FINAL EXAM STUDY GUIDE WITH
COMPLETE SOLUTIONS!!
Subjective vs. objective Answer - Feeling vs. fact
Pain vs. tenderness Answer - Patient's feeling vs. physician's assessment
Benign Answer - Normal, nothing of concern
Acute vs. chronic Answer - New onset vs. long standing
Baseline Answer - An individual's normal state of being
Auscultation Answer - Listening with a stethoscope
Palpation Answer - The act of pressing on an area (by the physician)
Inpatient Answer - Admitted to the hospital overnight
Outpatient Answer - Seen and sent home the same day
Chief complaint Answer - The main reason for the patient's visit
,Meaningful use Answer - A set of government mandated criteria that must be
obtained for every patient
Medical decision making Answer - The physician's thought process
Mid-level providers Answer - Nurse Practitioner (LNP) or Physician's Assistant
(PA) that works under the supervision of a physician to diagnose and treat
patients
Nurse or Medical Assistant Answer - Records medical histories and symptoms,
monitors the patient, completes meaningful use requirements, administers
medications, assists with procedures
Scribe Answer - Documents the patient's visit on behalf of the physician; an
unlicensed person performing documentation and other non-clinical tasks
under the direction of a healthcare provider
New patient Answer - No previous records, longer visit, detailed chart
Established patient Answer - Previous records available, shorter visit, concise
chart
Diagnostic visit Answer - New problem, chief complaint = new symptom, goal
is to determine cause of the problem and appropriate treatment
Health maintenance visit Answer - Check-up, chief complaint = management of
a chronic problem, goal is to assess progress of ongoing/chronic medical
problems
, Lucy has been seen by Dr. Heart for the past 2 years. She is here today for a
routine appointment with Dr. Heart. Is Lucy a new or established patient?
Answer - Established
A patient made an appointment because she developed a rash a few days ago.
What type of visit would this be? Answer - Diagnostic
A patient has an appointment for management of her diabetes. What type of
visit would this be? Answer - Health maintenance
Clinic flow Answer - Check-in -> physician evaluation -> orders & results ->
assessment & plan -> check-out
Who obtains meaningful use information? Answer - Nurse/MA
Meaningful use information Answer - Chief complaint, vital signs (HR, temp.,
BP, RR), height, weight, BMI, smoking status
Differential diagnosis Answer - DDx; ONLY for a diagnostic visit; possible Dx
that may be causing symptoms
Who is the first person to speak with the patient after s/he is placed in a room?
Answer - Nurse/MA
What doe H&P abbreviate and who performs this evaluation? Answer - History
& physical; the physician
Is a differential diagnosis necessary for a health maintenance visit? Answer -
No; only for a diagnostic visit
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