ScribeAmerica OP5: Assessment and Plan
latest updated questions with expert
solutions.
2 components of an assessment - answer 1) patient's diagnoses
2) comprehensive summary of the visit
T/F: when reviewing a previous visit, the physician is more likely to
review the HPI than the assessment because the HPI is more
comprehensive - answer F
what must an assessment ALWAYS include (2) - answer 1) age and sex of
the patient
2) diagnosis (differential diagnoses)
what an assessment MAY include (4) - answer 1) HPI elements
2) summary of physical exam
3) summary of lab/imaging results
4) prognosis
basic structure for an assessment (3) - answer 1) age and sex
, 2) PMHx (if relevant)
3) diagnoses
"the pt is a 78 y/o male with chronic COPD in acute exacerbation today"
is an example of... - answer an assessment
T/F: an assessment may include a summary of both the relevant
subjective and objective info from the chart - answer T; esp for complex
patients
which of the following must be included in the assessment?
a. summary of the PE
b. Dx or DDx
c. summary of the PMHx - answer B
when writing the assessment, is it better to copy and paste sections of
the chart or focus on summarizing the relevant info? - answer
summarize
what are 2 requirements for a result to be included in the assessment? -
answer 1) new (since the patient's last visit)
2) relevant (to today's diagnoses)
latest updated questions with expert
solutions.
2 components of an assessment - answer 1) patient's diagnoses
2) comprehensive summary of the visit
T/F: when reviewing a previous visit, the physician is more likely to
review the HPI than the assessment because the HPI is more
comprehensive - answer F
what must an assessment ALWAYS include (2) - answer 1) age and sex of
the patient
2) diagnosis (differential diagnoses)
what an assessment MAY include (4) - answer 1) HPI elements
2) summary of physical exam
3) summary of lab/imaging results
4) prognosis
basic structure for an assessment (3) - answer 1) age and sex
, 2) PMHx (if relevant)
3) diagnoses
"the pt is a 78 y/o male with chronic COPD in acute exacerbation today"
is an example of... - answer an assessment
T/F: an assessment may include a summary of both the relevant
subjective and objective info from the chart - answer T; esp for complex
patients
which of the following must be included in the assessment?
a. summary of the PE
b. Dx or DDx
c. summary of the PMHx - answer B
when writing the assessment, is it better to copy and paste sections of
the chart or focus on summarizing the relevant info? - answer
summarize
what are 2 requirements for a result to be included in the assessment? -
answer 1) new (since the patient's last visit)
2) relevant (to today's diagnoses)
