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OSC OPHTHALMIC SCRIB E TEST | 100
QUESTIONS WITH 100% CORRECT
ANSWERS | VERIFIED | LATEST UPDATE
Question : what is the primary function of a medical scribe?
Correct answer: create the medical note
Question : what is the preferred format for the creation of the
medical note?
Correct answer: subjective, pbjective, assessment, plan (soap)
Question : "present time" pt details are summarized by using
what format
Correct answer: OPQRST
Question : all current procedural terminology (CPT) codes must
be justified by what appropiate coding mechanisms
Correct answer: international classification of disease (ICD)
Question : what patient history is outlined in the PMHx
Correct answer: medical history
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Question : what scribing include: blood pressure, heart rate, and respiratory rate
Correct answer: vital signs
Question : the chief complaint (CC) history of present illness
(HPI) adn review of systems (ROS) are listed in what category of the medical note?
Correct answer: subjective
Question : the physical examination (PE) imaging and
Laboratory results are listed in what category of the medical note?
Correct answer: objective
Question : pt allergies and medications are listed under what
category in the medical note?
Correct answer: subjective
Question : where does a scribe record the pt's comments
regarding vision problems?
Correct answer: chief complaint (CC)
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Question : which of the following statements is true regarding
taking ocular history?
Correct answer: the pt's systematic drug therapy may produce
ocular systems
Question : name three important things to document in the
history of an ocular injury
Correct answer: 1. how the injury occurred
- the time the injury occurred
- the treatment received since the injury occurred.
Question : in obtaining the past medical history for a pt about to
have eye sx, what is MOST important?
Correct answer: allergies to medications
Question : when taking the pt's history, it is important to inquire
about hypertension and anti-hypertensive medications because they may be a factor in determining whether to...
Correct answer: administer dilating drops
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Question : what is the most important entry a scribe can make in
the pt chart?
Correct answer: what the physician finds in the course of the
exam
Question : abbreviation for antibiotics?
Correct answer: ABX
Question : abbreviation for discharge?
Correct answer: D/C
Question : giant papillary conjuctivitis is noted on the pt's chart
as
