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Get Certified: Clinical Procedures

Quiz by Amanda Desuacido

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40 questions
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  • Q1
    The 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
  • Q2
    Chronological description of the patient’s symptoms or clinical problems from the onset and/or how it has developed.
    History of Present Illness
    Past, Family and/or Social History
    Review of System
    Chief Complaint
    30s
  • Q3
    This refers to how often the prescription medication is taken.
    Route Taken
    Frequency
    Amount Dispensed
    Dosage
    30s
  • Q4
    Means three times daily
    BiD
    qD
    TiD
    QiD
    30s
  • Q5
    These codes have descriptors that correspond to a procedure or service.
    Category III
    Category II
    Proprietary Laboratory Analyses (PLA) codes
    Category I
    30s
  • Q6
    This 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 Complaint
    Modifying factor
    Review of System
    Severity
    30s
  • Q7
    What the patient has done to alleviate or try to fix the symptoms.
    Modifying factor
    Duration
    Context
    Timing
    30s
  • Q8
    These are lab specimens that are typically collected in a sterile cup.
    Naturally eliminated fluids
    External body tissues
    Swabs
    Internal body fluids and tissues
    30s
  • Q9
    Nephr/o-
    Tongue
    Kidney
    Muscle
    Lymph
    30s
  • Q10
    These are diagnostic codes that create a uniform vocabulary for describing the causes of injury, illness and death.
    HCPC
    ICD
    Modifier
    CPT
    30s
  • Q11
    This denotes the surrounding events or what the patient was doing at the time the symptom or problem began.
    Context
    Quality
    Severity
    Duration
    30s
  • Q12
    This 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 Care
    Disposition
    Urgent Care
    Continuity of Care
    30s
  • Q13
    While 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
  • Q14
    While 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
  • Q15
    While 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

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