SCRIBE AMERICA FINAL EXAM 2024-2025 NEWEST!!! ACTUAL
COMPLETE EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS ) ALREADY GRADED A+.
A patient is seen in the emergency department complaining of dysuria
and tells you that she is 23 weeks pregnant. Your doctor diagnoses
her with a UTI. Which of the following would be the best diagnosis? -
ANSWER-acute urinary tract infection in pregnancy, 2nd trimester
A patient cut his left foot on a piece of glass two hours ago and is
seen in the emergency department to have sutures placed. The doctor
tells you there is no tendon injury and circulatory, sensory and motor
is intact. What is the best diagnosis for his complaint? - ANSWER-
Uncomplicated laceration of the left foot - initial encounter
What is the role of each person in the clinic? - ANSWER-Mid-level:
works under the supervision of the physician to diagnose and treat
patients
Nurse/MA: records medical histories and sx; monitors the patients,
completes meaningful use requirements, administers medication,
assists with procedures.
Receptionist: answers phone, schedules patient appointments,
answers patients questions, provides patient with summary of visit
with instructions from provider at checkout; organizes the patients
paperwork's
Scribe: documents the patients visit on behalf of the physician.
,What is the scope of a scribe? - ANSWER-An unlicensed person
performing documentation and other non-clinical tasks under the
direction of a healthcare provider.
Are physician assistants and nurse practitioners considered medical
providers? - ANSWER-No, they are mid-level provider.
T/F: The scribe can listen to a patient's heart and lungs as long as it is
for learning purposes and under supervision of the physician. -
ANSWER-FALSE
What will the scribe document for the outpatient visit? – ANSWER-
Document the history, physical exam, results, procedures,
assessment, and plan.
Lucy has been seen by Dr. Heart for the past 2 years. She is here
today for a routine appointment with Dr. Heart. Is Lucy a new or
established patient? - ANSWER-Established
A patient made an appointment because she developed a rash a few
days ago. What type of visit would this be? - ANSWER-Diagnostic
A patient has an appointment for management of her diabetes. What
type of visit would this be? - ANSWER-Health Management
,Who is the first person to speak with the patient after is he/she is
placed in a room? - ANSWER-Physician
What are the meaningful use requirements the nurse/MA will obtain? -
ANSWER-Chief complaint, vital signs (HR, BP, T, RR), height, weight,
BMI, smoking status
What does H&P abbreviate and who perform this evaluation? -
ANSWER-History and physical, physician evaluation
Is a differential diagnosis necessary for a health management visit? -
ANSWER-No, only for diagnostic visit. (Possible Dx that may be
causing the symptoms)
What information will be included in the patient's plan? Give three
examples. - ANSWER-Follow-up with specialist if necessary,
instructions for lifestyle and preventative care, and follow-up for next
routine appointment.
At what age would a family member's cardiac disease indicate an
increased risk for similar heart disease in the patient? - ANSWER-
MI/CAD less than 55 y/o
What are three common general family histories your physician may
ask about? - ANSWER-HTN, DM, CA
, Would PMHx of chronic alcoholism belong in the SHx section as well
as the PMHx section? - ANSWER-Social History (SHx)
Why must smoking status be documented on every patient 13 years
and older? - ANSWER-Meaningful use requirement.
Name the three most common routes of administration of illicit drugs.
- ANSWER-oral, inhaled, injection
The patient's mother states, "The daycare called me to pick up Angela
and her brother because Angela had a fever." What are three items
you can document under social history for Angela? – ANSWER-
Mother (brought in and caretaker), goes to Daycare, has a brother.
If a patient has had respiratory symptoms for the past 5 weeks, are
the symptoms considered chronic? - ANSWER-No. An illness is
typically classified as chronic when it lasts longer than 3months.
What is a comorbidity? - ANSWER-Patients with comorbidities are
complex in a number of ways: The treatment of one disease may
affect or contradict the treatment of the second; adverse drug
interactions; compounding symptoms may lead to poor compliance
with treatment plan; if both illnesses affect a specific organ system,
the patient is at increased risk of organ failure.
Having multiple comorbidities increases the _________ of patient
care. - ANSWER-
COMPLETE EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS ) ALREADY GRADED A+.
A patient is seen in the emergency department complaining of dysuria
and tells you that she is 23 weeks pregnant. Your doctor diagnoses
her with a UTI. Which of the following would be the best diagnosis? -
ANSWER-acute urinary tract infection in pregnancy, 2nd trimester
A patient cut his left foot on a piece of glass two hours ago and is
seen in the emergency department to have sutures placed. The doctor
tells you there is no tendon injury and circulatory, sensory and motor
is intact. What is the best diagnosis for his complaint? - ANSWER-
Uncomplicated laceration of the left foot - initial encounter
What is the role of each person in the clinic? - ANSWER-Mid-level:
works under the supervision of the physician to diagnose and treat
patients
Nurse/MA: records medical histories and sx; monitors the patients,
completes meaningful use requirements, administers medication,
assists with procedures.
Receptionist: answers phone, schedules patient appointments,
answers patients questions, provides patient with summary of visit
with instructions from provider at checkout; organizes the patients
paperwork's
Scribe: documents the patients visit on behalf of the physician.
,What is the scope of a scribe? - ANSWER-An unlicensed person
performing documentation and other non-clinical tasks under the
direction of a healthcare provider.
Are physician assistants and nurse practitioners considered medical
providers? - ANSWER-No, they are mid-level provider.
T/F: The scribe can listen to a patient's heart and lungs as long as it is
for learning purposes and under supervision of the physician. -
ANSWER-FALSE
What will the scribe document for the outpatient visit? – ANSWER-
Document the history, physical exam, results, procedures,
assessment, and plan.
Lucy has been seen by Dr. Heart for the past 2 years. She is here
today for a routine appointment with Dr. Heart. Is Lucy a new or
established patient? - ANSWER-Established
A patient made an appointment because she developed a rash a few
days ago. What type of visit would this be? - ANSWER-Diagnostic
A patient has an appointment for management of her diabetes. What
type of visit would this be? - ANSWER-Health Management
,Who is the first person to speak with the patient after is he/she is
placed in a room? - ANSWER-Physician
What are the meaningful use requirements the nurse/MA will obtain? -
ANSWER-Chief complaint, vital signs (HR, BP, T, RR), height, weight,
BMI, smoking status
What does H&P abbreviate and who perform this evaluation? -
ANSWER-History and physical, physician evaluation
Is a differential diagnosis necessary for a health management visit? -
ANSWER-No, only for diagnostic visit. (Possible Dx that may be
causing the symptoms)
What information will be included in the patient's plan? Give three
examples. - ANSWER-Follow-up with specialist if necessary,
instructions for lifestyle and preventative care, and follow-up for next
routine appointment.
At what age would a family member's cardiac disease indicate an
increased risk for similar heart disease in the patient? - ANSWER-
MI/CAD less than 55 y/o
What are three common general family histories your physician may
ask about? - ANSWER-HTN, DM, CA
, Would PMHx of chronic alcoholism belong in the SHx section as well
as the PMHx section? - ANSWER-Social History (SHx)
Why must smoking status be documented on every patient 13 years
and older? - ANSWER-Meaningful use requirement.
Name the three most common routes of administration of illicit drugs.
- ANSWER-oral, inhaled, injection
The patient's mother states, "The daycare called me to pick up Angela
and her brother because Angela had a fever." What are three items
you can document under social history for Angela? – ANSWER-
Mother (brought in and caretaker), goes to Daycare, has a brother.
If a patient has had respiratory symptoms for the past 5 weeks, are
the symptoms considered chronic? - ANSWER-No. An illness is
typically classified as chronic when it lasts longer than 3months.
What is a comorbidity? - ANSWER-Patients with comorbidities are
complex in a number of ways: The treatment of one disease may
affect or contradict the treatment of the second; adverse drug
interactions; compounding symptoms may lead to poor compliance
with treatment plan; if both illnesses affect a specific organ system,
the patient is at increased risk of organ failure.
Having multiple comorbidities increases the _________ of patient
care. - ANSWER-
