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ScribeAmerica Final Exam Top Ranked Study Materials(A+ GRADE)
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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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  • August 7, 2024
  • 12
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • scribeamerica final exam top ranked study material
  • scribeamerica final exam top ranked stuvia
  • soap answer subjective objective assessment p

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ScribeAmerica Final Exam Top Ranked Study
Materials(A+ GRADE)


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 - ANSWER-Electronic Medical Record/Electronic Health Record

Subjective - ANSWER-Feeling

Objective - ANSWER-Factual information from provider

Pain - ANSWER-Feeling of discomfort

Tenderness - ANSWER-Doctor's finding of reproducible pain

Acute - ANSWER-New onset, likely concerning

Chronic - ANSWER-Long-standing, not of direct concern

Diagnostic Visit - ANSWER-New problem, chief complaint: new symptom, goal is to
determine the cause of the problem and appropriate treatment

Health Management Visit - ANSWER-Check-up, Chief Complaint: Routine physical or
management of chronic problem(s), and Goal is preventative care and/or assessing
progress of ongoing medical problems

Clinic Flow - ANSWER-1. Check-in
2. Physician Evaluation
3. Orders & Results
4. Assessment & Plan
5. Check-out

Laboratory Studies - ANSWER-Bloodwork, Urainalysis, Microscopy, Cultures

Imaging Studies - ANSWER-EKG, X-Ray, CT, Ultrasound

Procedures - ANSWER-Sutures, Joint Reduction, Splints

, What are 3 things you should known about each disease? - ANSWER-Layman's term,
medical term, abbreviation

Hypertension - ANSWER-HTN

high cholesterol - ANSWER-Hyperlipidemia (HLD)

Diabetes - ANSWER-Diabetes Mellitus (DM)

Pill consumption for insulin - ANSWER-Non-Insulin Dependent Mellitus (NIDDM)

Shots of insulin - ANSWER-Insulin Dependent Diabetes Mellitus (IDDM)

Heart Disease - ANSWER-Coronary Artery Disease (CAD)

Heart Attack - ANSWER-Myocardial Infarction (MI)

Heart failure - ANSWER-Congestive Heart Failure (CHF)

Irregular heartbeat - ANSWER-arrhythmia

Emphysema or Chronic Bronchitis - ANSWER-Chronic Obstructive Pulmonary Disease
(COPD)

Blood Clot in Lung - ANSWER-Pulmonary Embolism (PE)

Pnuemonia or lung infection - ANSWER-PNA

Reflux - ANSWER-Gastroesophageal Reflux Disease (GERD)

Ulcers - ANSWER-Gastric or Peptic Ulcer Disease (PUD)

Irritable bowel - ANSWER-Irritable Bowel Syndrome (IBS)

Bladder infection - ANSWER-Urinary Tract Infection (UTI)

Kidney Infection - ANSWER-Pyelonephritis (Pyelo)

Dialysis helps treat - ANSWER-Chronic Kidney Disease (CKD)

Enlarged prostate - ANSWER-Benign Prostate Hypertrophy (BPH)

Stroke - ANSWER-Cerebrovascular Accident (CVA)

Blood clot in brain - ANSWER-ischemic stroke

Brain bleed - ANSWER-Hemorrhagic CVA

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