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CITY MD SCRIBE WRITTE N AND PRACTICAL EXAM
NEWEST 2024-2025 ACTUAL EXAM COMPLETE 200
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
How do you set up the inside of the chart? - ANSWER- 1.Merge over physical
- Scribe statement
- Preventative medicine
- General discharge instructions
- Set up the stars in the notes
- Treatment
- Browse...
- A healthy lifestyle
How do you set up the outside of the chart? - ANSWER- 1.Click the lock, assign yourself to the case
- Click the carrot, use the provider option to assign the doctor
- Click the check in/out, and check in the patient
- Click status elipses, assign NS or SI, click ok
- Set up vitals 1 / 4
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- Make sure pop-up is checked off
- Hit windows + L
Where do you find the ARR of the patient? - ANSWER- The outside of the chart
What should be known about consent if the patient is under 18?
- ANSWER- You need their consent for anyone other than mom
or dad to be in the room
If the patient has been waiting, remember to say this: -
ANSWER- "Sorry for the wait, we'll be able to help you very soon! I just need to collect a little information to make the process with the doctor smoother"
What's the flow for taking vital signs? - ANSWER- 1. Purell
- Confirm name and date of birth
- If an adult, have them estimate their height and weight
- Gloves on
- Check blood pressure
- Wipe down and use pulse/ox
- Estimate breathing rate (16-18 if normal. If they are gasping
for breath or something, count for 30 seconds, then double it 2 / 4
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- Take their temperature
- Record all readings in chart
- Vitals taken checkbox
- Jot down BMI and BP
What is an appropriate score for a blood oxygen content? - ANSWER- Above 96%
What is the flow for current medications? - ANSWER- 1. First,
say: "Are you currently taking any prescription medications?"
- If you can't seem to spell the medication, ask, "What do you
- Use green checked medication listing
- Verify
take that medication for?"
What is the flow for past medical history? - ANSWER- 1. Say, now I'm going to ask you some questions about your past medical history.
- If you didn't already ask, ask "What do you take those
- List all conditions
- Click Keyword...
- Any other chronic conditions that we should know about? 3 / 4
medications for?"
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- Verify
What is the allergies flow? - ANSWER- 1. Do you have any allergies to prescription drugs?
- Browse Rx
- NOT "add"
- If they don't know, use, "unknown"
- If no allergies, click "NKDA"
- If they talk about their reaction, note that. If it's a true allergy,
it'll be on the list. If not, it's a side-effect
What's the flow for Surgical History? - ANSWER- 1. Now we'll talk about your surgical history. Have you ever had a surgery?
- Use "keyword..." or "+Add"
- For musculoskeletal surgeries, list the laterality
- If no surgeries, click "denies past surgical history"
- Verify
What is the flow for Hospitalization? - ANSWER- Trick question. Do not click on hospitalization
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