Package deal
ScribeAmerica Final Bundled Exams 2023 with 100% correct solutions
ScribeAmerica Final Exam 2023 with 100% correct solutions ScribeAmerica Outpatient Final Exam 2023 with accurate solutions
[Show more]ScribeAmerica Final Exam 2023 with 100% correct solutions ScribeAmerica Outpatient Final Exam 2023 with accurate solutions
[Show more]AAA 
Abdominal Aortic Aneurysm 
 
 
 
A Fib 
Atrial Fibrillation 
 
 
 
 
Abd 
Abdomen, Abdominal 
 
 
 
Abx 
Antibiotics 
 
 
 
AMA 
Against Medical Advice 
 
 
 
AMS 
Altered Mental Status 
 
 
 
ASA 
Acetylsalicylic Acid (Aspirin) 
 
 
 
BID 
Twice Daily 
 
 
 
Bilat LE 
Bilateral Lower Extremiti...
Preview 3 out of 21 pages
Add to cartAAA 
Abdominal Aortic Aneurysm 
 
 
 
A Fib 
Atrial Fibrillation 
 
 
 
 
Abd 
Abdomen, Abdominal 
 
 
 
Abx 
Antibiotics 
 
 
 
AMA 
Against Medical Advice 
 
 
 
AMS 
Altered Mental Status 
 
 
 
ASA 
Acetylsalicylic Acid (Aspirin) 
 
 
 
BID 
Twice Daily 
 
 
 
Bilat LE 
Bilateral Lower Extremiti...
High blood pressure layman's 
Hypertension 
 
 
 
Hypertension (abbv) 
HTN 
 
 
 
 
 
 
00:45 
 
01:29 
High cholesterol layman's 
Hyperlipidemia 
 
 
 
Hyperlipidemia (abbv) 
HLD 
 
 
 
Diabetes layman's 
Diabetes mellitus 
 
 
 
Diabetes mellitus (abbv) 
DM 
 
 
 
"I only take pills for my dia...
Preview 3 out of 24 pages
Add to cartHigh blood pressure layman's 
Hypertension 
 
 
 
Hypertension (abbv) 
HTN 
 
 
 
 
 
 
00:45 
 
01:29 
High cholesterol layman's 
Hyperlipidemia 
 
 
 
Hyperlipidemia (abbv) 
HLD 
 
 
 
Diabetes layman's 
Diabetes mellitus 
 
 
 
Diabetes mellitus (abbv) 
DM 
 
 
 
"I only take pills for my dia...
A patient is seen in the emergency department complaining of dysuria and tells you that she is 23 weeks pregnant. Your doctor diagnoses her with a UTI. Which of the following would be the best diagnosis? 
acute urinary tract infection in pregnancy, 2nd trimester 
 
 
 
A patient cut his left foot on...
Preview 3 out of 24 pages
Add to cartA patient is seen in the emergency department complaining of dysuria and tells you that she is 23 weeks pregnant. Your doctor diagnoses her with a UTI. Which of the following would be the best diagnosis? 
acute urinary tract infection in pregnancy, 2nd trimester 
 
 
 
A patient cut his left foot on...
What does "IDDM" stand for? Do not include any hyphenations for your answer. 
Insulin Dependent Diabetes Mellitus 
 
 
 
What does "AMS" stand for? 
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 co...
Preview 2 out of 13 pages
Add to cartWhat does "IDDM" stand for? Do not include any hyphenations for your answer. 
Insulin Dependent Diabetes Mellitus 
 
 
 
What does "AMS" stand for? 
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 co...
What are the 3 types of dispositions? 
Discharge, Admit, Transfer 
 
 
 
What does HPI stand for? 
history of present illness 
 
 
 
What does ROS stand for? 
review of systems 
 
 
 
The HPI and ROS are considered what type of information? 
subjective 
 
 
 
The physical exam is what type of inform...
Preview 3 out of 23 pages
Add to cartWhat are the 3 types of dispositions? 
Discharge, Admit, Transfer 
 
 
 
What does HPI stand for? 
history of present illness 
 
 
 
What does ROS stand for? 
review of systems 
 
 
 
The HPI and ROS are considered what type of information? 
subjective 
 
 
 
The physical exam is what type of inform...
Abrasion 
Scrape of the skin due to something abrasive. 
 
 
 
Acute 
New, usually of rapid onset and of concern, opposite of chronic. 
 
 
 
Anterior 
Located towards the front of the body. 
 
 
 
Benign 
Normal, of no danger to health. 
 
 
 
Bradycardia 
Slow heart-rate (less than 60bpm) 
 
 
 
C...
Preview 2 out of 13 pages
Add to cartAbrasion 
Scrape of the skin due to something abrasive. 
 
 
 
Acute 
New, usually of rapid onset and of concern, opposite of chronic. 
 
 
 
Anterior 
Located towards the front of the body. 
 
 
 
Benign 
Normal, of no danger to health. 
 
 
 
Bradycardia 
Slow heart-rate (less than 60bpm) 
 
 
 
C...
What is the standard template for charting? 
HPI, ROS, Past History, PE, ED Course, Disposition 
 
 
 
What are some general PMHx? 
Hypertension (HTN), Hyperlipidemia, Cancer, Diabetes Mellitus (IDDM, NIDDM) 
 
 
 
What are some cardiac PMHx? 
Myocardial Infarction, Coronary Artery Disease, Congesti...
Preview 3 out of 24 pages
Add to cartWhat is the standard template for charting? 
HPI, ROS, Past History, PE, ED Course, Disposition 
 
 
 
What are some general PMHx? 
Hypertension (HTN), Hyperlipidemia, Cancer, Diabetes Mellitus (IDDM, NIDDM) 
 
 
 
What are some cardiac PMHx? 
Myocardial Infarction, Coronary Artery Disease, Congesti...
* What medical term describes the surgical removal of the gallbladder? 
cholecystectomy 
 
 
 
What does "PHI" stand for? Expand the abbreviation. 
Protected Health Information 
 
 
 
T/F. Sharing information about a case with family is allowed, as long as you are scribing with the physician assig...
Preview 2 out of 13 pages
Add to cart* What medical term describes the surgical removal of the gallbladder? 
cholecystectomy 
 
 
 
What does "PHI" stand for? Expand the abbreviation. 
Protected Health Information 
 
 
 
T/F. Sharing information about a case with family is allowed, as long as you are scribing with the physician assig...
What does ROS stand for? 
Review of symptoms, head to toe checklist of symptoms 
 
 
 
The HPI and ROS are considered what type of information? 
Subjective 
 
 
 
The physical exam is what type of information? 
Objective 
 
 
 
If a physician told you a patients abdomen was nontender or the patients...
Preview 4 out of 48 pages
Add to cartWhat does ROS stand for? 
Review of symptoms, head to toe checklist of symptoms 
 
 
 
The HPI and ROS are considered what type of information? 
Subjective 
 
 
 
The physical exam is what type of information? 
Objective 
 
 
 
If a physician told you a patients abdomen was nontender or the patients...
HTN CC 
asymptomatic 
 
 
 
HLD CC 
asymptomatic 
 
 
 
 
 
 
00:34 
 
01:29 
DM CC 
polyuria, polydipsia 
 
 
 
CAD CC 
CP or pressure 
 
 
 
Asthma CC 
SOB, wheezing 
 
 
 
How do you diagnose HTN? 
Check BP 
 
 
 
How do you diagnose HLD? 
Check bloodwork 
 
 
 
How do you diagnose DM? 
Fasting b...
Preview 3 out of 19 pages
Add to cartHTN CC 
asymptomatic 
 
 
 
HLD CC 
asymptomatic 
 
 
 
 
 
 
00:34 
 
01:29 
DM CC 
polyuria, polydipsia 
 
 
 
CAD CC 
CP or pressure 
 
 
 
Asthma CC 
SOB, wheezing 
 
 
 
How do you diagnose HTN? 
Check BP 
 
 
 
How do you diagnose HLD? 
Check bloodwork 
 
 
 
How do you diagnose DM? 
Fasting b...
What types of things are included in objective observations? 
Symptoms that can be measured, seen, heard, touched, felt, or smelled. Also, vital signs such as temperature, pulse, and respiration, physical exam findings, and the results of diagnostic tests 
 
 
 
True or False; The physician is perfo...
Preview 2 out of 7 pages
Add to cartWhat types of things are included in objective observations? 
Symptoms that can be measured, seen, heard, touched, felt, or smelled. Also, vital signs such as temperature, pulse, and respiration, physical exam findings, and the results of diagnostic tests 
 
 
 
True or False; The physician is perfo...
Past Medical History 
PMHx 
 
 
 
High Blood Pressure 
Hypertension (HTN) 
 
 
 
 
 
 
00:25 
 
01:29 
Abbreviation for Hypertension 
HTN 
 
 
 
High cholesterol 
Hyperlipidemia (HLD) 
 
 
 
Abbreviation for Hyperlipidemia 
HLD 
 
 
 
Thyroid Problem 
Usually Hypothyroidism, sometimes Hyperthyroidis...
Preview 4 out of 42 pages
Add to cartPast Medical History 
PMHx 
 
 
 
High Blood Pressure 
Hypertension (HTN) 
 
 
 
 
 
 
00:25 
 
01:29 
Abbreviation for Hypertension 
HTN 
 
 
 
High cholesterol 
Hyperlipidemia (HLD) 
 
 
 
Abbreviation for Hyperlipidemia 
HLD 
 
 
 
Thyroid Problem 
Usually Hypothyroidism, sometimes Hyperthyroidis...
Terms in this set (72) 
 
Original 
4 actions of typical PE 
1) assessing pt's external appearance and mental status 
2) auscultating the pt's heart and lungs 
3) palpating the abd 
4) examining the pt's legs 
 
 
 
Extra exam: Examines the throat 
pharyngeal erythema or exudates 
 
 
 
Extra exa...
Preview 2 out of 9 pages
Add to cartTerms in this set (72) 
 
Original 
4 actions of typical PE 
1) assessing pt's external appearance and mental status 
2) auscultating the pt's heart and lungs 
3) palpating the abd 
4) examining the pt's legs 
 
 
 
Extra exam: Examines the throat 
pharyngeal erythema or exudates 
 
 
 
Extra exa...
subjective vs objective 
feeling vs fact 
 
 
 
pain vs tenderness 
patients feeling vs physicians assessment 
 
 
 
benign 
normal, nothing of concern 
 
 
 
acute vs chronic 
new onset vs long standing 
 
 
 
baseline 
an individuals normal state of being 
 
 
 
ausculation 
listening to sound wit...
Preview 3 out of 23 pages
Add to cartsubjective vs objective 
feeling vs fact 
 
 
 
pain vs tenderness 
patients feeling vs physicians assessment 
 
 
 
benign 
normal, nothing of concern 
 
 
 
acute vs chronic 
new onset vs long standing 
 
 
 
baseline 
an individuals normal state of being 
 
 
 
ausculation 
listening to sound wit...
If physician examines the throat, they are looking for what? 
pharyngeal erythema or exudates 
 
 
 
If physician examines the inner ear, they are looking for what? 
TM erythema or bulging 
 
 
 
If physician auscultates the abdomen, they are looking for what? 
Hyperactive/hypoactive bowel sounds 
 ...
Preview 2 out of 10 pages
Add to cartIf physician examines the throat, they are looking for what? 
pharyngeal erythema or exudates 
 
 
 
If physician examines the inner ear, they are looking for what? 
TM erythema or bulging 
 
 
 
If physician auscultates the abdomen, they are looking for what? 
Hyperactive/hypoactive bowel sounds 
 ...
If physician examines the throat, they are looking for what? 
pharyngeal erythema or exudates 
 
 
 
If physician examines the inner ear, they are looking for what? 
TM erythema or bulging 
 
 
 
If physician auscultates the abdomen, they are looking for what? 
Hyperactive/hypoactive bowel sounds 
 ...
Preview 2 out of 10 pages
Add to cartIf physician examines the throat, they are looking for what? 
pharyngeal erythema or exudates 
 
 
 
If physician examines the inner ear, they are looking for what? 
TM erythema or bulging 
 
 
 
If physician auscultates the abdomen, they are looking for what? 
Hyperactive/hypoactive bowel sounds 
 ...
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Stuvia is a marketplace, so you are not buying this document from us, but from seller QUILLSKY. Stuvia facilitates payment to the seller.
No, you only buy these notes for $30.99. You're not tied to anything after your purchase.
4.6 stars on Google & Trustpilot (+1000 reviews)
75632 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now