OSC Ophthalmic Scribe Exam Questions With Complete Solutions
what is the primary function of a medical scribe? - (ANSWER)create the medical note
what is the preferred format for the creation of the medical note? - (ANSWER)subjective, objective,
assessment, plan (soap)
"present time" pt details are summarized by using what format - (ANSWER)OPQRST
all current procedural terminology (CPT) codes must be justified by what appropiate coding mechanisms
- (ANSWER)international classification of disease (ICD)
what patient history is outlined in the PMHx - (ANSWER)medical history
what scribing include: blood pressure, heart rate, and respiratory rate - (ANSWER)vital signs
the chief complaint (CC) history of present illness (HPI) adn review of systems (ROS) are listed in what
category of the medical note? - (ANSWER)subjective
the physical examination (PE) imaging and Laboratory results are listed in what category of the medical
note? - (ANSWER)objective
pt allergies and medications are listed under what category in the medical note? - (ANSWER)subjective
where does a scribe record the pt's comments regarding vision problems? - (ANSWER)chief complaint
(CC)
which of the following statements is true regarding taking ocular history? - (ANSWER)the pt's systematic
drug therapy may produce ocular systems
name three important things to document in the history of an ocular injury - (ANSWER)1. how the injury
occurred
, OSC Ophthalmic Scribe Exam Questions With Complete Solutions
2. the time the injury occurred
3. the treatment received since the injury occurred.
in obtaining the past medical history for a pt about to have eye sx, what is MOST important? -
(ANSWER)allergies to medications
when taking the pt's history, it is important to inquire about hypertension and anti-hypertensive
medications because they may be a factor in determining whether to... - (ANSWER)administer dilating
drops
what is the most important entry a scribe can make in the pt chart? - (ANSWER)what the physician finds
in the course of the exam
abbreviation for antibiotics? - (ANSWER)ABX
abbreviation for discharge? - (ANSWER)D/C
giant papillary conjuctivitis is noted on the pt's chart as - (ANSWER)GPC
how is a fine needle aspiration noted in the pts chart/? - (ANSWER)FNA
acronym for axial length? - (ANSWER)AL
acronym for BC - (ANSWER)base curve
what does BI indicate on a spectacle prescription? - (ANSWER)Base in prism
what does BUT stand for on a pt's chart regarding tear film? - (ANSWER)break up time
what is the primary function of a medical scribe? - (ANSWER)create the medical note
what is the preferred format for the creation of the medical note? - (ANSWER)subjective, objective,
assessment, plan (soap)
"present time" pt details are summarized by using what format - (ANSWER)OPQRST
all current procedural terminology (CPT) codes must be justified by what appropiate coding mechanisms
- (ANSWER)international classification of disease (ICD)
what patient history is outlined in the PMHx - (ANSWER)medical history
what scribing include: blood pressure, heart rate, and respiratory rate - (ANSWER)vital signs
the chief complaint (CC) history of present illness (HPI) adn review of systems (ROS) are listed in what
category of the medical note? - (ANSWER)subjective
the physical examination (PE) imaging and Laboratory results are listed in what category of the medical
note? - (ANSWER)objective
pt allergies and medications are listed under what category in the medical note? - (ANSWER)subjective
where does a scribe record the pt's comments regarding vision problems? - (ANSWER)chief complaint
(CC)
which of the following statements is true regarding taking ocular history? - (ANSWER)the pt's systematic
drug therapy may produce ocular systems
name three important things to document in the history of an ocular injury - (ANSWER)1. how the injury
occurred
, OSC Ophthalmic Scribe Exam Questions With Complete Solutions
2. the time the injury occurred
3. the treatment received since the injury occurred.
in obtaining the past medical history for a pt about to have eye sx, what is MOST important? -
(ANSWER)allergies to medications
when taking the pt's history, it is important to inquire about hypertension and anti-hypertensive
medications because they may be a factor in determining whether to... - (ANSWER)administer dilating
drops
what is the most important entry a scribe can make in the pt chart? - (ANSWER)what the physician finds
in the course of the exam
abbreviation for antibiotics? - (ANSWER)ABX
abbreviation for discharge? - (ANSWER)D/C
giant papillary conjuctivitis is noted on the pt's chart as - (ANSWER)GPC
how is a fine needle aspiration noted in the pts chart/? - (ANSWER)FNA
acronym for axial length? - (ANSWER)AL
acronym for BC - (ANSWER)base curve
what does BI indicate on a spectacle prescription? - (ANSWER)Base in prism
what does BUT stand for on a pt's chart regarding tear film? - (ANSWER)break up time
