Scribe America OP Final Exam 2025 UPDATE|
COMPREHENSIVE QUESTIONS AND VERIFIED
ANSWERS (COMPLETE SOLUTIONS)
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Terms in this set (157)
last day of the month get paid on what day for hours worked 10th-24th?
16th get paid on what day for hours worked 25th-9th?
Sunday the work week starts on what day of the week?
subjective feeling (from patient)
objective fact (from provider)
pain patient's feeling, subjective
tenderness physician's observation, objective
benign normal, nothing of conern
acute of new onset, less than 3 months
chronic long standing, more than 3 months
baseline an individual's normal state of being
auscultation listening with a stethoscope
palpation the act of pressing on an area by the physician
inpatient admitted to the hospital overnight
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, 5/20/25, 4:48 PM Scribe America OP Final Exam 2025 UPDATE| COMPREHENSIVE QUESTIONS AND VERIFIED ANSWERS (COMPLETE SOLU…
outpatient seen and sent home the same day
chief complaint the main reason for the patient's visit
NP or PA; works under the supervision of a physician
mid-level provider
to diagnose and treat patients
MA or nurse who records medical histories and
medical assistant symptoms, monitors patient, administers medications,
assists with procedures
documents the patient's visit on behalf of the
scribe
physician
individual who has not been seen in the clinic in the
past 3 years, regardless of being seen prior to 3 year
new patient
absence; no previous records, longer visit, detailed
chart
individual who has been seen in the clinic within the
established patient past 3 years; previous records available, shorter visit,
concise chart
a clinic visit is __ if there is a new problem, CC is a new
diagnostic symptom, and goal is to determine the cause of the
problem and appropriate treatment
a clinic visit is __ if it is a check-up, CC is routine
physical or management of chronic problems, goal is
health management
preventative care or assessing progress of ongoing
medical problems
subjective HPI, ROS, PMSHx, SHx, FHx
objective PE, orders and results
assessment current diagnoses
plan treatment and follow up
coronary artery disease if patient says heart disease, write
myocardial infarction and if patient says heart attack, write
CAD
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