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[Show more]What are the 3 types of dispositions? - ANSWER-Discharge, Admit, Transfer 
 
What does HPI stand for? - ANSWER-history of present illness 
 
What does ROS stand for? - ANSWER-review of systems 
 
The HPI and ROS are considered what type of information? - ANSWER-subjective 
 
The physical exam is wha...
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Add to cartWhat are the 3 types of dispositions? - ANSWER-Discharge, Admit, Transfer 
 
What does HPI stand for? - ANSWER-history of present illness 
 
What does ROS stand for? - ANSWER-review of systems 
 
The HPI and ROS are considered what type of information? - ANSWER-subjective 
 
The physical exam is wha...
What does "PHI" stand for? Expand the abbreviation - ANSWER-protected health information 
 
What medical term describes the surgical removal of the gallbladder? - ANSWER-cholecystectomy 
 
T/F. Sharing information about a case with family is allowed, as long as you are scribing with the physician ...
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Add to cartWhat does "PHI" stand for? Expand the abbreviation - ANSWER-protected health information 
 
What medical term describes the surgical removal of the gallbladder? - ANSWER-cholecystectomy 
 
T/F. Sharing information about a case with family is allowed, as long as you are scribing with the physician ...
AAA - ANSWER-Abdominal Aortic Aneurysm 
 
A Fib - ANSWER-Atrial Fibrillation 
 
Abd - ANSWER-Abdomen, Abdominal 
 
Abx - ANSWER-Antibiotics 
 
AMA - ANSWER-Against Medical Advice 
 
AMS - ANSWER-Altered Mental Status 
 
ASA - ANSWER-Acetylsalicylic Acid (Aspirin) 
 
BID - ANSWER-Twice Daily 
 
Bilat...
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Add to cartAAA - ANSWER-Abdominal Aortic Aneurysm 
 
A Fib - ANSWER-Atrial Fibrillation 
 
Abd - ANSWER-Abdomen, Abdominal 
 
Abx - ANSWER-Antibiotics 
 
AMA - ANSWER-Against Medical Advice 
 
AMS - ANSWER-Altered Mental Status 
 
ASA - ANSWER-Acetylsalicylic Acid (Aspirin) 
 
BID - ANSWER-Twice Daily 
 
Bilat...
What does ROS stand for? - ANSWER-Review of Systems 
 
The HPI and ROS are considered what type of information? - ANSWER-Subjective 
 
The physical exam (PE) is what type of information? - ANSWER-Objective 
 
If a physician told you a patient's abdomen was nontender or the patient's skin was pale,...
Preview 2 out of 7 pages
Add to cartWhat does ROS stand for? - ANSWER-Review of Systems 
 
The HPI and ROS are considered what type of information? - ANSWER-Subjective 
 
The physical exam (PE) is what type of information? - ANSWER-Objective 
 
If a physician told you a patient's abdomen was nontender or the patient's skin was pale,...
Who does the care team revolve around? - ANSWER-The client and his/her condition, treatment, and progress 
 
If an activity is not listed on the care plan, what should a HHA do? - ANSWER-The HHA should not perform the activity if it's not listed on the care plan 
 
Why is reporting a client's change...
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Add to cartWho does the care team revolve around? - ANSWER-The client and his/her condition, treatment, and progress 
 
If an activity is not listed on the care plan, what should a HHA do? - ANSWER-The HHA should not perform the activity if it's not listed on the care plan 
 
Why is reporting a client's change...
AAA - ANSWER-Abdominal Aortic Aneurysm 
 
A Fib - ANSWER-Atrial Fibrillation 
 
Abd - ANSWER-Abdomen, Abdominal 
 
Abx - ANSWER-Antibiotics 
 
AMA - ANSWER-Against Medical Advice 
 
AMS - ANSWER-Altered Mental Status 
 
ASA - ANSWER-Acetylsalicylic Acid (Aspirin) 
 
BID - ANSWER-Twice Daily 
 
Bilat...
Preview 2 out of 13 pages
Add to cartAAA - ANSWER-Abdominal Aortic Aneurysm 
 
A Fib - ANSWER-Atrial Fibrillation 
 
Abd - ANSWER-Abdomen, Abdominal 
 
Abx - ANSWER-Antibiotics 
 
AMA - ANSWER-Against Medical Advice 
 
AMS - ANSWER-Altered Mental Status 
 
ASA - ANSWER-Acetylsalicylic Acid (Aspirin) 
 
BID - ANSWER-Twice Daily 
 
Bilat...
Subjective - ANSWER-Feeling (patient) 
 
Objective - ANSWER-Fact (provider) 
 
Benign - ANSWER-Normal, nothing of concern 
 
Acute - ANSWER-New onset 
 
Chronic - ANSWER-Long-standing 
 
Baseline - ANSWER-An individual's normal state of being 
 
Auscultation - ANSWER-Listening with a stethoscope 
 ...
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Add to cartSubjective - ANSWER-Feeling (patient) 
 
Objective - ANSWER-Fact (provider) 
 
Benign - ANSWER-Normal, nothing of concern 
 
Acute - ANSWER-New onset 
 
Chronic - ANSWER-Long-standing 
 
Baseline - ANSWER-An individual's normal state of being 
 
Auscultation - ANSWER-Listening with a stethoscope 
 ...
subjective vs objective - ANSWER-feeling vs fact 
 
pain vs tenderness - ANSWER-patients feeling vs physicians assessment 
 
benign - ANSWER-normal, nothing of concern 
 
acute vs chronic - ANSWER-new onset vs long standing 
 
baseline - ANSWER-an individuals normal state of being 
 
ausculation - A...
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Add to cartsubjective vs objective - ANSWER-feeling vs fact 
 
pain vs tenderness - ANSWER-patients feeling vs physicians assessment 
 
benign - ANSWER-normal, nothing of concern 
 
acute vs chronic - ANSWER-new onset vs long standing 
 
baseline - ANSWER-an individuals normal state of being 
 
ausculation - A...
What does HPI stand for? - ANSWER-history of present illness 
 
ROS stands for - ANSWER-review of systems 
 
What section focuses directly on the chief complaint? - ANSWER-HPI 
 
Write the full medical term for the following past medical history term: 
 
High blood pressure - ANSWER-Hypertension 
 
...
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Add to cartWhat does HPI stand for? - ANSWER-history of present illness 
 
ROS stands for - ANSWER-review of systems 
 
What section focuses directly on the chief complaint? - ANSWER-HPI 
 
Write the full medical term for the following past medical history term: 
 
High blood pressure - ANSWER-Hypertension 
 
...
New Patient - ANSWER-No previous records, longer visit, detailed chart 
 
established patient - ANSWER-Previous records available from last 3 years, shorter visit, concise chart 
 
Diagnostic visit - ANSWER-New problem, chief complaint: new symptom, goal is to determine the cause of the problem and ...
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Add to cartNew Patient - ANSWER-No previous records, longer visit, detailed chart 
 
established patient - ANSWER-Previous records available from last 3 years, shorter visit, concise chart 
 
Diagnostic visit - ANSWER-New problem, chief complaint: new symptom, goal is to determine the cause of the problem and ...
What will the scribe document for the outpatient visit? - ANSWER-Important notes for past medical records 
History and Physical 
Laboratory and radiology results 
Physician Interpretation of XRs and EKGs 
Assessment and Plan 
 
Who is the first person to speak with the patient after he/she is place...
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Add to cartWhat will the scribe document for the outpatient visit? - ANSWER-Important notes for past medical records 
History and Physical 
Laboratory and radiology results 
Physician Interpretation of XRs and EKGs 
Assessment and Plan 
 
Who is the first person to speak with the patient after he/she is place...
Past Medical History - ANSWER-PMHx 
 
High Blood Pressure - ANSWER-Hypertension (HTN) 
 
Abbreviation for Hypertension - ANSWER-HTN 
 
High cholesterol - ANSWER-Hyperlipidemia (HLD) 
 
Abbreviation for Hyperlipidemia - ANSWER-HLD 
 
Thyroid Problem - ANSWER-Usually Hypothyroidism, sometimes Hyperthy...
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Add to cartPast Medical History - ANSWER-PMHx 
 
High Blood Pressure - ANSWER-Hypertension (HTN) 
 
Abbreviation for Hypertension - ANSWER-HTN 
 
High cholesterol - ANSWER-Hyperlipidemia (HLD) 
 
Abbreviation for Hyperlipidemia - ANSWER-HLD 
 
Thyroid Problem - ANSWER-Usually Hypothyroidism, sometimes Hyperthy...
What does the physical exam finding "CVA" stand for? - ANSWER-Cerebrovascular Accident 
 
What does "AAA" stand for? - ANSWER-Abdominal Aortic Aneurysm 
 
What does "PNA" stand for? - ANSWER-Pneumonia 
 
What does "CAD" stand for? - ANSWER-Coronary Artery Disease 
 
What does "BKA" stand f...
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Add to cartWhat does the physical exam finding "CVA" stand for? - ANSWER-Cerebrovascular Accident 
 
What does "AAA" stand for? - ANSWER-Abdominal Aortic Aneurysm 
 
What does "PNA" stand for? - ANSWER-Pneumonia 
 
What does "CAD" stand for? - ANSWER-Coronary Artery Disease 
 
What does "BKA" stand f...
SOAP - ANSWER-subjective, objective, assessment, plan 
 
Examples of subjective data - ANSWER-HPI, ROS, PHx (medical, surgical, social, family 
 
Examples of objective data - ANSWER-Physical exams, orders and results 
 
Chief Complaint - ANSWER-The main reason for the patient's visit 
 
EMR/EHR - A...
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Add to cartSOAP - ANSWER-subjective, objective, assessment, plan 
 
Examples of subjective data - ANSWER-HPI, ROS, PHx (medical, surgical, social, family 
 
Examples of objective data - ANSWER-Physical exams, orders and results 
 
Chief Complaint - ANSWER-The main reason for the patient's visit 
 
EMR/EHR - A...
What does "IDDM" stand for? Do not include any hyphenations for your answer. - ANSWER-Insulin Dependent Diabetes Mellitus 
 
What does "AMS" stand for? - ANSWER-Altered Mental Status 
 
A patient states she has had a productive cough for 4 days, and yesterday she developed a fever. Would her fev...
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Add to cartWhat does "IDDM" stand for? Do not include any hyphenations for your answer. - ANSWER-Insulin Dependent Diabetes Mellitus 
 
What does "AMS" stand for? - ANSWER-Altered Mental Status 
 
A patient states she has had a productive cough for 4 days, and yesterday she developed a fever. Would her fev...
Do any patient complaints belong in the physical exam? - ANSWER-NO 
 
If a patient states that their abdomen is very painful, does that mean it will be tender upon exam? - ANSWER-No. subjective info vs objective 
 
Which of these two physical exam findings can a physician appreciate without ausculta...
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Add to cartDo any patient complaints belong in the physical exam? - ANSWER-NO 
 
If a patient states that their abdomen is very painful, does that mean it will be tender upon exam? - ANSWER-No. subjective info vs objective 
 
Which of these two physical exam findings can a physician appreciate without ausculta...
Subjective - ANSWER-feeling; based on conversation with patient 
 
objective - ANSWER-fact; based on findings made by physician 
 
benign - ANSWER-nothing of concern; no danger to health 
 
acute - ANSWER-new onset 
 
chronic - ANSWER-long standing 
 
baseline - ANSWER-individual's normal standard ...
Preview 2 out of 7 pages
Add to cartSubjective - ANSWER-feeling; based on conversation with patient 
 
objective - ANSWER-fact; based on findings made by physician 
 
benign - ANSWER-nothing of concern; no danger to health 
 
acute - ANSWER-new onset 
 
chronic - ANSWER-long standing 
 
baseline - ANSWER-individual's normal standard ...
Abrasion - ANSWER-Scrape of the skin due to something abrasive. 
 
Acute - ANSWER-New, usually of rapid onset and of concern, opposite of chronic. 
 
Anterior - ANSWER-Located towards the front of the body. 
 
Benign - ANSWER-Normal, of no danger to health. 
 
Bradycardia - ANSWER-Slow heart-rate (l...
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Add to cartAbrasion - ANSWER-Scrape of the skin due to something abrasive. 
 
Acute - ANSWER-New, usually of rapid onset and of concern, opposite of chronic. 
 
Anterior - ANSWER-Located towards the front of the body. 
 
Benign - ANSWER-Normal, of no danger to health. 
 
Bradycardia - ANSWER-Slow heart-rate (l...
Fill in the blanks for ED Flow: Walk in > *Blank 1* > Bed > Physician Assessment > Lab/Rad/Meds > Results > MDM > Diagnosis > Consults > *Blank 2* - ANSWER-Triage, Disposition 
 
What are the 3 disposition options? - ANSWER-Discharge, Admit, Transfer 
 
What are the 5 vita...
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Add to cartFill in the blanks for ED Flow: Walk in > *Blank 1* > Bed > Physician Assessment > Lab/Rad/Meds > Results > MDM > Diagnosis > Consults > *Blank 2* - ANSWER-Triage, Disposition 
 
What are the 3 disposition options? - ANSWER-Discharge, Admit, Transfer 
 
What are the 5 vita...
What is the ED Flow? - ANSWER-Walk-in > Triage > Bed > Physician Assessment > Lab/Rad/Meds > Results ? MDM > Diagnosis > Consults > Disposition 
 
What are the 5 vital signs? - ANSWER-blood pressure, pulse, repsiratory rate, temperature, O2 Saturation 
 
The HPI and ROS are w...
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Add to cartWhat is the ED Flow? - ANSWER-Walk-in > Triage > Bed > Physician Assessment > Lab/Rad/Meds > Results ? MDM > Diagnosis > Consults > Disposition 
 
What are the 5 vital signs? - ANSWER-blood pressure, pulse, repsiratory rate, temperature, O2 Saturation 
 
The HPI and ROS are w...
Abrasion -ANSWER- Scratch to skin 
 
Acute -ANSWER- Serious, rapid onset 
 
Anterior -ANSWER- Towards the front of body 
 
Benign -ANSWER- Not serious 
 
Chronic -ANSWER- Constant, opposite of acute 
 
Congenital -ANSWER- Anomaly you are born with 
 
Deformation -ANSWER- Normal structure pushed out ...
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Add to cartAbrasion -ANSWER- Scratch to skin 
 
Acute -ANSWER- Serious, rapid onset 
 
Anterior -ANSWER- Towards the front of body 
 
Benign -ANSWER- Not serious 
 
Chronic -ANSWER- Constant, opposite of acute 
 
Congenital -ANSWER- Anomaly you are born with 
 
Deformation -ANSWER- Normal structure pushed out ...
Abrasion -ANSWER-Scrape of the skin due to something abrasive. 
 
Abscess -ANSWER-Pus underneath the skin 
 
Antipyretic -ANSWER-Fever reducing medication 
 
Acute -ANSWER-New,Rapid onset 
 
Afebrile -ANSWER-W/O a fever (temp less than 100.4) 
 
Anterior -ANSWER-Front of the body 
 
Appendicitis -AN...
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Add to cartAbrasion -ANSWER-Scrape of the skin due to something abrasive. 
 
Abscess -ANSWER-Pus underneath the skin 
 
Antipyretic -ANSWER-Fever reducing medication 
 
Acute -ANSWER-New,Rapid onset 
 
Afebrile -ANSWER-W/O a fever (temp less than 100.4) 
 
Anterior -ANSWER-Front of the body 
 
Appendicitis -AN...
1. CAD: - ANSWER-Coronary Artery Disease 
 
2. HTN: - ANSWER-Hypertension 
 
3. DM - ANSWER-Diabetes Mellitus 
 
4. MI: - ANSWER-Myocardial infarction 
 
5. CHF: - ANSWER-Congestive heart failure 
 
6. AFIB: - ANSWER-Atrial fibrillation 
 
7. PE: - ANSWER-Physical exam or pulmonary embolism 
 
8. DV...
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Add to cart1. CAD: - ANSWER-Coronary Artery Disease 
 
2. HTN: - ANSWER-Hypertension 
 
3. DM - ANSWER-Diabetes Mellitus 
 
4. MI: - ANSWER-Myocardial infarction 
 
5. CHF: - ANSWER-Congestive heart failure 
 
6. AFIB: - ANSWER-Atrial fibrillation 
 
7. PE: - ANSWER-Physical exam or pulmonary embolism 
 
8. DV...
What does ROS stand for? - ANSWER-Review of Systems 
 
The HPI and ROS are considered what type of information? - ANSWER-Subjective 
 
The physical exam (PE) is what type of information? - ANSWER-Objective 
 
If a physician told you a patient's abdomen was nontender or the patient's skin was pale,...
Preview 2 out of 7 pages
Add to cartWhat does ROS stand for? - ANSWER-Review of Systems 
 
The HPI and ROS are considered what type of information? - ANSWER-Subjective 
 
The physical exam (PE) is what type of information? - ANSWER-Objective 
 
If a physician told you a patient's abdomen was nontender or the patient's skin was pale,...
What does "PHI" stand for? Expand the abbreviation. (Remember: do not include any extra spaces before or after the term/phrase) - ANSWER-Protected Health Information 
 
What medical term describes the surgical removal of the gallbladder? (Remember: when typing your answer, do not include any extra...
Preview 2 out of 10 pages
Add to cartWhat does "PHI" stand for? Expand the abbreviation. (Remember: do not include any extra spaces before or after the term/phrase) - ANSWER-Protected Health Information 
 
What medical term describes the surgical removal of the gallbladder? (Remember: when typing your answer, do not include any extra...
medical decision making -ANSWER- the physician's thought process 
 
distress -ANSWER- the doctor's judgement of discomfort 
 
baseline -ANSWER- an individual's normal state of being 
 
Unit Secretary -ANSWER- places physician's orders, answers calls, pages for other specialists, organizes pt. pa...
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Add to cartmedical decision making -ANSWER- the physician's thought process 
 
distress -ANSWER- the doctor's judgement of discomfort 
 
baseline -ANSWER- an individual's normal state of being 
 
Unit Secretary -ANSWER- places physician's orders, answers calls, pages for other specialists, organizes pt. pa...
Abrasion - ANSWER-Scrape of the skin due to something abrasive. 
 
Acute - ANSWER-New, usually of rapid onset and of concern, opposite of chronic. 
 
Ambulate - ANSWER-To walk from place to place 
 
Anisocoria - ANSWER-Unequal Pupils 
 
Anterior - ANSWER-Located towards the front of the body. 
 
Aor...
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Add to cartAbrasion - ANSWER-Scrape of the skin due to something abrasive. 
 
Acute - ANSWER-New, usually of rapid onset and of concern, opposite of chronic. 
 
Ambulate - ANSWER-To walk from place to place 
 
Anisocoria - ANSWER-Unequal Pupils 
 
Anterior - ANSWER-Located towards the front of the body. 
 
Aor...
Different components of the SOAP note and what belongs in each section - ANSWER-Subjective includes 
- Chief Complaint (CC) 
- History of Present Illness (HPI) 
- Review of Systems (ROS) 
In between subjective and objective is the Past history (PMHx, PSHx, SHx, FHx) 
Objective include 
- Vital Signs...
Preview 2 out of 9 pages
Add to cartDifferent components of the SOAP note and what belongs in each section - ANSWER-Subjective includes 
- Chief Complaint (CC) 
- History of Present Illness (HPI) 
- Review of Systems (ROS) 
In between subjective and objective is the Past history (PMHx, PSHx, SHx, FHx) 
Objective include 
- Vital Signs...
Cerumen - ANSWER-Earwax 
 
Dentition - ANSWER-Teeth 
 
Dry mucosa - ANSWER-Dry tongue, mouth, and lips, indicating significant dehydration 
 
Edentulous - ANSWER-Without teeth 
 
Epistaxis - ANSWER-Nose bleed 
 
Gingiva - ANSWER-Gums 
 
Nare - ANSWER-Nostril 
 
Oropharynx - ANSWER-The back of the mo...
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Add to cartCerumen - ANSWER-Earwax 
 
Dentition - ANSWER-Teeth 
 
Dry mucosa - ANSWER-Dry tongue, mouth, and lips, indicating significant dehydration 
 
Edentulous - ANSWER-Without teeth 
 
Epistaxis - ANSWER-Nose bleed 
 
Gingiva - ANSWER-Gums 
 
Nare - ANSWER-Nostril 
 
Oropharynx - ANSWER-The back of the mo...
A&O - ANSWER-Alert and oriented 
 
A fib - ANSWER-Atrial fibrillation 
 
ABC - ANSWER-Airway, breathing, circulation 
 
ABG - ANSWER-Arterial blood pressure 
 
abnl - ANSWER-abnormal 
 
ACLS - ANSWER-Advanced cardiac life support 
 
ADH - ANSWER-Antidiuretic hormone 
 
ADLs - ANSWER-Activities of da...
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Add to cartA&O - ANSWER-Alert and oriented 
 
A fib - ANSWER-Atrial fibrillation 
 
ABC - ANSWER-Airway, breathing, circulation 
 
ABG - ANSWER-Arterial blood pressure 
 
abnl - ANSWER-abnormal 
 
ACLS - ANSWER-Advanced cardiac life support 
 
ADH - ANSWER-Antidiuretic hormone 
 
ADLs - ANSWER-Activities of da...
Aneurysm - ANSWER-Localized ballooning of a vessel due to a weakened vessel wall 
 
Arrhythmia - ANSWER-Irregular heartbeat 
 
Artery - ANSWER-Blood vessel carrying blood away from the heart, muscular, contractile 
 
Bradycardia - ANSWER-Slow heart rate (HR<60) 
 
Cardiomegaly - ANSWER-Enlarged h...
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Add to cartAneurysm - ANSWER-Localized ballooning of a vessel due to a weakened vessel wall 
 
Arrhythmia - ANSWER-Irregular heartbeat 
 
Artery - ANSWER-Blood vessel carrying blood away from the heart, muscular, contractile 
 
Bradycardia - ANSWER-Slow heart rate (HR<60) 
 
Cardiomegaly - ANSWER-Enlarged h...
What happens if you do not complete the course in 15 days and/or fail the final exam twice? - ANSWER-On the 15th day after passing the initial quiz, my course progress will be reset back to 0%. I will then be able to re-progress through the course. 
 
When does my certificate for passing Scribe101 e...
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Add to cartWhat happens if you do not complete the course in 15 days and/or fail the final exam twice? - ANSWER-On the 15th day after passing the initial quiz, my course progress will be reset back to 0%. I will then be able to re-progress through the course. 
 
When does my certificate for passing Scribe101 e...
PHI - ANSWER-Protected Health Information 
 
Cholecystectomy - ANSWER-What medical term describes the surgical removal of the gallbladder? 
 
False - ANSWER-T/F: Sharing information about a case with family is allowed, as long as you are scribing with the physician assigned to the case. 
 
Establish...
Preview 2 out of 9 pages
Add to cartPHI - ANSWER-Protected Health Information 
 
Cholecystectomy - ANSWER-What medical term describes the surgical removal of the gallbladder? 
 
False - ANSWER-T/F: Sharing information about a case with family is allowed, as long as you are scribing with the physician assigned to the case. 
 
Establish...
2x sold
crc - ANSWER-colorectal cancer 
 
sbo - ANSWER-small bowel obstruction 
 
-iasis - ANSWER-condition of 
 
-meate - ANSWER-opening 
 
vesi- - ANSWER-bladder 
 
-ptosis - ANSWER-drooping 
 
-tripsy - ANSWER-surgical crushing 
 
c/o - ANSWER-complains of 
 
h/o - ANSWER-history of 
 
ttp - ANSWER-tende...
Preview 1 out of 4 pages
Add to cartcrc - ANSWER-colorectal cancer 
 
sbo - ANSWER-small bowel obstruction 
 
-iasis - ANSWER-condition of 
 
-meate - ANSWER-opening 
 
vesi- - ANSWER-bladder 
 
-ptosis - ANSWER-drooping 
 
-tripsy - ANSWER-surgical crushing 
 
c/o - ANSWER-complains of 
 
h/o - ANSWER-history of 
 
ttp - ANSWER-tende...
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