Get Certified: Clinical Procedures
Quiz by Amanda Desuacido
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40 questions
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- Q1The ICD-10 is owned and copyrighted by which authority?World Health Organization (WHO)American Medical Association (AMA)Food and Drug Administration (FDA)Centers for Medicare & Medicaid Services (CMS)30s
- Q2Chronological description of the patient’s symptoms or clinical problems from the onset and/or how it has developed.History of Present IllnessPast, Family and/or Social HistoryReview of SystemChief Complaint30s
- Q3This refers to how often the prescription medication is taken.Route TakenFrequencyAmount DispensedDosage30s
- Q4Means three times dailyBiDqDTiDQiD30s
- Q5These codes have descriptors that correspond to a procedure or service.Category IIICategory IIProprietary Laboratory Analyses (PLA) codesCategory I30s
- Q6This section consists of a series of questions used to elicit information about additional signs, symptoms or problems currently or previously experienced by the patient.Chief ComplaintModifying factorReview of SystemSeverity30s
- Q7What the patient has done to alleviate or try to fix the symptoms.Modifying factorDurationContextTiming30s
- Q8These are lab specimens that are typically collected in a sterile cup.Naturally eliminated fluidsExternal body tissuesSwabsInternal body fluids and tissues30s
- Q9Nephr/o-TongueKidneyMuscleLymph30s
- Q10These are diagnostic codes that create a uniform vocabulary for describing the causes of injury, illness and death.HCPCICDModifierCPT30s
- Q11This denotes the surrounding events or what the patient was doing at the time the symptom or problem began.ContextQualitySeverityDuration30s
- Q12This is often used to describe the destination of the patient after hospital discharge. It can also describe the destination within the care pathway following early assessment and treatment in the ED.Transition of CareDispositionUrgent CareContinuity of Care30s
- Q13While live scribing for a physician, you have to handle multiple tasks simultaneously, including answering phone calls, managing patient charts, and documenting the physician's notes. How will you prioritize your tasks?Prioritize managing patient charts first, since it helped keep the physician organized.Randomly chose tasks to complete without prioritizing anything.Focus on answering phone calls first.Prioritize documenting the physician's notes first, since they were time-sensitive.30s
- Q14While scribing for a physician, you encountered a challenging situation with a patient who was non-compliant and refused to follow the physician's treatment plan. How will you handle the situation?You became frustrated and confrontational with the patient.You ignored the patient's concerns and documented the physician's orders as given, regardless of the patient's compliance.You tried to convince the patient to follow the physician's orders, but ultimately gave up and moved on to the next patient.Listened to the patient's concerns and tried to understand why they were hesitant to follow the treatment plan, and then communicated this information to the physician.30s
- Q15While scribing for a physician, you made an error in documenting a patient's medical history. How did you address the situation, and what steps did you take to prevent similar errors from happening in the future?You tried to cover up the error and did not inform the physician or other members of the healthcare team.You corrected the error yourself and did not inform the physician or other members of the healthcare team.You waited until the end of the day to inform the physician, as you were afraid of their reaction.You informed the physician immediately and together you reviewed the patient's chart to correct the error.30s