DOCUMENTATION COURSE 2025/2026 | VERIFIED
QUESTIONS AND ANSWERS GRADED A+ | EMR, PATIENT
ASSESSMENT & DOCUMENTATION STUDY GUIDE |
GUARANTEED SUCCESS
Supraventricular tachycardia (abbv) - CORRECT ANSWER - SVT
Emphysema or chronic bronchitis layman's - CORRECT ANSWER - Chronic
obstructive pulmonary disease (COPD)
Blood clot in lung layman's - CORRECT ANSWER - Pulmonary embolism
(PE)
Pneumonia (abbv) - CORRECT ANSWER - PNA
Reflux layman's - CORRECT ANSWER - Gastroesophageal reflux disease
(GERD)
Gastroesophageal reflux disease (abbv) - CORRECT ANSWER - GERD
Ulcer layman's - CORRECT ANSWER - Gastric ulcer or Peptic ulcer disease
Crohn's or UC layman's - CORRECT ANSWER - Crohn's disease or
Ulcerative colitis
High blood pressure layman's - CORRECT ANSWER - Hypertension
Hypertension (abbv) - CORRECT ANSWER - HTN
,High cholesterol layman's - CORRECT ANSWER - Hyperlipidemia
Hyperlipidemia (abbv) - CORRECT ANSWER - HLD
Diabetes layman's - CORRECT ANSWER - Diabetes mellitus
Diabetes mellitus (abbv) - CORRECT ANSWER - DM
"I only take pills for my diabetes" - CORRECT ANSWER - NIDDM (Type 2)
"I take insulin for my diabetes" - CORRECT ANSWER - IDDM (Type 1)
Heart disease layman's - CORRECT ANSWER - Usually coronary artery
disease
Coronary artery disease (abbv) - CORRECT ANSWER - CAD
Heart failure layman's - CORRECT ANSWER - Congestive heart failure
Congestive heart failure (abbv) - CORRECT ANSWER - CHF
Irregular heartbeat layman's - CORRECT ANSWER - Atrial fibrillation (A-
fib)
Murmur layman's - CORRECT ANSWER - Heart murmur
Episodes of abnormally fast/racing heartbeat - CORRECT ANSWER -
Supraventricular tachycardia
, Irritable bowel layman's - CORRECT ANSWER - Irritable bowel syndrome
(IBS)
Irritable bowel syndrome (abbv) - CORRECT ANSWER - IBS
Bladder infection layman's - CORRECT ANSWER - Urinary tract infection
(UTI)
Kidney infection layman's - CORRECT ANSWER - Pyelonephritis (Pyelo)
Kidney stones layman's - CORRECT ANSWER - Renal calculi
"I'm on dialysis" - CORRECT ANSWER - Chronic renal failure (CRF) or End
stage renal disease (ESRD) on dialysis
Enlarged prostate layman's - CORRECT ANSWER - Benign prostate
hypertrophy (BPH)
Document GPA for a pt who is currently pregnant, has been pregnant 3 times in
the past, and has 2 kids at home. - CORRECT ANSWER - G: 4 P:2 A:1
Stroke layman's - CORRECT ANSWER - Ischemic cerebrovascular accident
(CVA)
"Mini-stroke" layman's - CORRECT ANSWER - Transient ischemic attack
(TIA)
Seizures layman's - CORRECT ANSWER - Seizure disorder / Epilepsy
Brain bleed layman's - CORRECT ANSWER - Hemorrhagic CVA