Ophthalmic Scribe Certification OSC
Exam Questions And Verified Answers
what is the primary function of a medical scribe?
create the medical note
what is the preferred format for the creation of the medical note?
"SOAP"
Subjective, Objective, Assessment, Plan
"present time" pt details are summarized by using what format?
OPQRST
all current procedural terminology (CPT) codes must be justified by what
appropriate coding mechanisms?
international classification of disease (ICD)
what patient history is outlined in the PMHx?
medical history
vital signs
blood pressure, heart rate, respiratory rate
, the chief complaint (CC) history of present illness (HPI) and review of systems
(ROS) are listed in what category of the medical note?
Subjective
Pt allergies and Medications are listed under what category in the medical note?
Subjective
the Physical Examination (PE), Imaging, and Laboratory Results are listed in what
category of the medical note?
Objective
where does a scribe record the pt's comments regarding vision problems?
chief complaint (CC)
which of the following statements is true regarding taking ocular history?
the pt's systematic drug therapy may produce ocular systems
three important things to document in the history of an ocular injury
1. how the injury occurred
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?
allergies to medications
Exam Questions And Verified Answers
what is the primary function of a medical scribe?
create the medical note
what is the preferred format for the creation of the medical note?
"SOAP"
Subjective, Objective, Assessment, Plan
"present time" pt details are summarized by using what format?
OPQRST
all current procedural terminology (CPT) codes must be justified by what
appropriate coding mechanisms?
international classification of disease (ICD)
what patient history is outlined in the PMHx?
medical history
vital signs
blood pressure, heart rate, respiratory rate
, the chief complaint (CC) history of present illness (HPI) and review of systems
(ROS) are listed in what category of the medical note?
Subjective
Pt allergies and Medications are listed under what category in the medical note?
Subjective
the Physical Examination (PE), Imaging, and Laboratory Results are listed in what
category of the medical note?
Objective
where does a scribe record the pt's comments regarding vision problems?
chief complaint (CC)
which of the following statements is true regarding taking ocular history?
the pt's systematic drug therapy may produce ocular systems
three important things to document in the history of an ocular injury
1. how the injury occurred
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?
allergies to medications
