Scribe America Final Exam UPDATED ACTUAL QUESTIONS AND CORRECT ANSWERS

Scribe America Final Exam UPDATED ACTUAL QUESTIONS AND CORRECT
ANSWERS

What should scribes NOT do Do NOT touch patients
Write orders or scripts
Give Verbal Orders
Sign or authenticate ANY chart


Subjective Patient Feeling


Objective Factual finding from the provider


Tenderness Doctors Finding of REPRODUCIBLE pain


Acute New Onset


Chronic Long standing


Diagnostic Visit New Problem
Chief Complaint
Determine cause of problem


Health Management Visit Check Up
Chief Complain is routine physical or chronic issues
Preventative Care

, Clinic Flow Check in & Chief Complaint
History
Orders
Results
Assessment
Plan
Check out


HPI History of Present Illness


ROS Review of systems


PE Physical Exam


DDx Only for diagnostic visits


LIST OF POSSIBLE CAUSES (Differential Diagnosis)


Assessment includes Summary of Visit and list of CURRENT diagnosis


Plan includes Bulleted list of lifestyle changes, medications, and follow ups


What are the two subjective complaints HPI
ROS


Parts of Past History Medical
Surgical
Social
Family


Two parts of Objective Evaluation PE
Orders/Results


PMHx Past Medical History


HTN Hypertension


HLD Hyperlipidemia


DM Diabetes Mellitus


NIDDM Non Insulin Dependent Diabetes Mellitus


IDDM Insulin Dependent Diabetes Mellitus


CAD Coronary Artery Disease or Heart Disease


MI Myocardial Infarction