City MD Scribe Latest Already Graded A
Question : Phase 1
CORRECT ANSWER : 1.assign 2.verify & vitals 3.Past
medical History 4.Chief complaint 5.HIP (history of present illness) 6.ROS (review of systems)
Question : Rapid strep
CORRECT ANSWER: Sore throat
Question : rapid flu
CORRECT ANSWER : flu like symptoms
Question : Urine test
CORRECT ANSWER : Urine complaints, abdominal
complaints (if female)
Question : Visual acuity
CORRECT ANSWER : eye complaints
Question : Past medical history (in order)
CORRECT ANSWER : 1. current medication 2.Medical
conditions 3.Allergies 4.Surgical history 5. family history 6.social history
Question : HPI (in order)
CORRECT ANSWER : Onset severity nature Pertinent
findings
Question : ROS (established vs. complex vs. New)
CORRECT ANSWER : Established pt. 3 systems New PT.
gets 10 systems Complex case: 10 systems
Question : Phase 2
CORRECT ANSWER : 1) present the case 2)update the HPI
3)physical exam 4) procedures 5)Assessment 6) Post diagnostic orders 7)Treatment (Rx) 8) preventative medicine
Question : What to show and ask the provider
CORRECT ANSWER : -assessment -prescriptions -possible
drug interactions -treatment -post diagnostic orders -referrals - ENM code if you are unsure
Question : Phase 3
CORRECT ANSWER : 1) Other procedures (if you need to
contact other team members 2) Billing code 3)Send Rx 4)Discharge
Question : Stat orders (who to inform)
CORRECT ANSWER : Stat lab- MA and manager Stat
Advance imaging- PCR and Manager Stat Refferal- PCR and manager Stat X-ray- X-ray tec and Manager *inform them at the beginning of phase 3
Question : Types of Forms in scribe binder
CORRECT ANSWER : Uninsured super bill (USB) Non-
covered service waiver (NCS) HIV consent form HSV handout PPD reading form Against medical Advice (AMA) Occupational medicine Self-pay Super bill Physicians Procedure Consent form
Question : Symptomatic STD testing
CORRECT ANSWER : HPI 1- Primary Complaint HPI2 -
STD questionnaire
Question : Asymptomatic STD testing
CORRECT ANSWER : HPI 1- STD testing/counseling HPI
2- STD questionnaire
Question : Work related injury/Workers Compensation
CORRECT ANSWER : HPI 1- Primary complaint HPI 2-
Work related injury IN assessment put "Y99.0 work related injury"
Question : MVA/ No fault Insurance
CORRECT ANSWER : HPI 1-Primary complaint HPI 2-
MVA -In additional diagnosis put "motor vehicle accident - should be indicated on office page