Show:
Vocabulary
Clinic Roles
Patients and Visits
Clinic Flow
Documentation
Past Medical History and
Family History
Past Surgical History
100
Definition of Subjective
What is patients feeling
100
True or false: Scribes cannot sign a doctors chart.
True
100
Who typically obtains meaningful use requirements during patient check-in?
MA
100
Abbreviation for " I have a mini-stroke last year"
What is TIA
100
Name and correctly spell the following surgery: heart bypass
What is coronary artery bypass graft (CABG)
200
Definition of auscultation
What is listening with a stethoscope
200
True or false: Scribes can help a patient from his wheelchair to the exam chair
False
200
What does H&P stand for and is it apart of the providers or nurses evaluation?
History and physical. Providers evaluation
200
Name two common general family histories
Any of these: HTN, DM, cancer
200
Name and correctly spell the following surgery for: uterus removed
What is hysterectomy
300
Term for a person who is seen a sent home the same day
What is outpatient
300
Give two examples of mid-level providers
What is MA and NP
300
Where would you document "the lungs are clear" in the chart?
Physical exam section
300
Abbreviation for "I have acid reflux"
What is GERD
300
Name and correctly spell the following surgery for: gallbladder removed
What is cholecystectomy
400
Definition of baseline
What is an individuals normal state of being
400
True or false: A chart for an established patient will be longer than the chart for a new patient.
False, it will be shorter
400
Label the following as either subjective or objective: 1.) History of present illness 2.) Review of systems 3.) Physical exam
1.) Subjective 2.) Subjective 3.) Objective
400
Abbreviation for "My doctor says my heart is failing"
What is CHF
400
Name and correctly spell the following surgery: breast removal
What is mastectomy
500
Definition of chief complaint
What is the main reasons for a patients visit
500
True or false: In a diagnostic visit, the patient has a new complaint
True
500
Name two items you will include in a patients plan
Any of the following: Follow up with specialist, Instructions for lifestyle and preventative care or Follow up for next routine appointment
500
How would you document G, P, A of "I am pregnant. I have 3 children at home, but I miscarried my first pregnancy"
G: 5 P: 3 A:1
500
Name and correctly spell the abbreviation for: neck artery cleaned
What is carotid endarterectomy