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EPIC Scribe Training Exam Practice Questions and Answers parts of the record - Ans:-HPI POS PMH FMH SH Outside Records subjective - Ans:-HPI ROS PMH FMH SH ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/24 Obje

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EPIC Scribe Training Exam Practice Questions and Answers parts of the record - Ans:-HPI POS PMH FMH SH Outside Records subjective - Ans:-HPI ROS PMH FMH SH ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/24 Objective - Ans:-Physical Exam Diagnostic Results Outside hospital results Assessment (MDM) - Ans:-Summary of important data and physician conclusions Plan - Ans:-disposition, admission, discharge, or transfer instructions HPI - Ans:-- location (of the complaint) - quality (description of pain) - severity (level of pain 1-10) - duration (how long) - timing (onset of symptoms, patterns) - context (details, how it happened) - modifying factors - exacerbating (what makes it worse) - alleviating (what makes it better) ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/24 - associated symptoms 12 Systems of ROS - Ans:-- constitutional - eyes - HENT - CV - Respiratory - GI - GU - MSK - Neuro - Psych - Heme Physical Exam - Ans:-- palpation (feeling) - percussion (tapping) ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/24 - auscultation (listening) - positive findings (abnormal) - negative findings (normal) MDM - Ans:-- Differential Diagnosis (DDx) - testing - procedures - ongoing reassessments - consults - review of old records - radiology results abduction - Ans:-away from middle adduction - Ans:-towards middle (adding) distal - Ans:-further from body proximal - Ans:-closer to body

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©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




EPIC Scribe Training Exam Practice Questions and
Answers


parts of the record - Ans:✔✔-HPI


POS


PMH


FMH


SH


Outside Records


subjective - Ans:✔✔-HPI


ROS


PMH


FMH


SH



Page 1/24

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




Objective - Ans:✔✔-Physical Exam


Diagnostic Results


Outside hospital results


Assessment (MDM) - Ans:✔✔-Summary of important data and physician conclusions


Plan - Ans:✔✔-disposition, admission, discharge, or transfer instructions


HPI - Ans:✔✔-- location (of the complaint)


- quality (description of pain)


- severity (level of pain 1-10)


- duration (how long)


- timing (onset of symptoms, patterns)


- context (details, how it happened)


- modifying factors


- exacerbating (what makes it worse)


- alleviating (what makes it better)



Page 2/24

, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




- associated symptoms


12 Systems of ROS - Ans:✔✔-- constitutional


- eyes


- HENT


- CV


- Respiratory


- GI


- GU


- MSK


- Neuro


- Psych


- Heme


Physical Exam - Ans:✔✔-- palpation (feeling)


- percussion (tapping)




Page 3/24
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