Scribeamerica test - Study guides, Class notes & Summaries

ScribeAmerica Final Exam ED 100% Correct (2022 – 2023) Actual Test

ScribeAmerica OP Course 3, ScribeAmerica OP Course 2, ScribeAmerica OP Course 1 Questions and Answers 2023 SOAP Subjective, Objective, Assessment, Plan Subjective Based on the patient's feeling (HPI,ROS) objective Factual information from provider (PE) History of Present Illness The story of the patient's chief complaint Review of Systems Head-to-toe checklist of patient's symptoms Intermittent comes and goes waxing and waning always present b...

ScribeAmerica Outpatient Course 4, ScribeAmerica OP Course 3, ScribeAmerica OP Course 2, ScribeAmerica OP Course 1 Questions and Answers 2023 auscultation Listening, usually with a stethoscope palpation The act of pressing on an area of the body cachectic Emaciated, malnourished anterior toward the front of the body posterior toward the back of the body medial closer to the midline of the body lateral further from the midline of the body d...

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 Extremities BM - Bowel Movement BP - Blood Pressure CA - Cancer, Carcinoma CABG - Coronary Artery Bypass Graft, "open heart surgery" CAD - Coronary Artery Disease, "heart dis...

* 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 assigned to the case. - False ** A patient underwent brain surgery to treat bleeding in the brain from a stroke. What PSHx would you record into the chart? - craniotomy A patient's PCP is on v...

"Heart Disease" is also known as: - Coronary Artery Disease A 92 year old male presented to the ED without a heart rate and not breathing. He was successfully resuscitated in the Emergency Department, but he required a breathing tube (intubation) and is receiving oxygen through a ventilator. Where do you think he will go next? - Inpatient A gastrointestinal perforation (also known as ruptured bowel) is a highly emergent condition that occurs when there is a hole in the wall of part of the...

ScribeAmerica Outpatient Final: Practice Questions and Answers 2023 What will the scribe document for the outpatient visit? 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 placed in the room? Nurse or MA What are the meaningful use requirements the nurse or MA will obtain? Vital Signs (BP, RR, HR, T), C...

ScribeAmerica Final Exam ED Questions and Answers 2023 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 information? objective If a physician told you a patient's abdomen was non tender, where would you document this? PE What section foc...

scribeamerica Outpatient Final exam Questions and Answers What does "PHI" stand for? Expand the abbreviation protected health information What medical term describes the surgical removal of the gallbladder? cholecystectomy T/F. Sharing information about a case with family is allowed, as long as you are scribing with the physician assigned to the case False A patient's PCP is on vacation. The patient is scheduling to see the NP who is covering for the PCP during this ...

ScribeAmerica Outpatient Course 4 Questions and Answers 2023 Auscultation listening with a stethoscope palpation the act of pressing on an area of the body Cachectic emaciated, malnourished Anterior located towards the front of the body posterior towards the back of the body Medial closer to the midline of the body Lateral further from the midline of the body Diffuse widespread (opposite of localized) objective information comes di...