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What medical term describes the surgical removal of the gallbladder? Correct Answer cholecystectomy What does "PHI" stand for? Expand the abbreviation. Correct Answer Protected Health Information T/F. Sharing information about a case with family is allowed, as long as you are scribing with the physician assigned to the case. Correct Answer False ** A patient underwent brain surgery to treat bleeding in the brain from a stroke. What PSHx would you record into the chart? Correct Answer ...

SOAP Correct Answer subjective, objective, assessment, plan Subjective Correct Answer based on the patient's feeling (HPI and ROS) Objective Correct Answer Factual information from provider (PE) History of Present Illness (1 simple def) Correct Answer The story of the patient's chief complaint Review of Systems Correct Answer Head to toe checklist of patient's symptoms Intermittent Correct Answer comes and goes Waxing and waning Correct Answer always present but changing ...

1.1 What is the role of each person in the clinic and the scope of scribe? Mid-Level? Nurse/MA? Receptionist? Scribe? Correct Answer MID-LEVEL: (PA/NP) works under the supervision of the physician to diagnose and treat patients NURSE/MA: records medical histories and sx; monitors the patient; completes meaningful use requirements; administers medication; assists with procedures RECEPTIONIST: answers phones; schedules patient appointments; answers patient questions; provides patient with summar...