Vituity Scribe Training Pre-Classroom
Training Exam Latest 2022 100% Pass
ALOC ✔✔Altered Level of Consciousness
BM ✔✔bowel movement
DOE ✔✔Dyspnea on exertion
EOMI ✔✔Extraocular Movement Intact (Appropriate function
...
Vituity Scribe Training Pre-Classroom
Training Exam Latest 2022 100% Pass
ALOC ✔✔Altered Level of Consciousness
BM ✔✔bowel movement
DOE ✔✔Dyspnea on exertion
EOMI ✔✔Extraocular Movement Intact (Appropriate function of the extra ocular muscles,
tested with "follow my finger")
HA ✔✔headache
MI ✔✔Myocardial infarction
NAD ✔✔no acute distress
NSR ✔✔Normal Sinus Rhythm
PNA ✔✔pneumonia
UTI ✔✔Urinary Tract Infection
ASA ✔✔Aspirin
CA ✔✔Cancer
PCN ✔✔Penicillin
DM ✔✔Diabetes Mellitus
PTX ✔✔Pneumothorax
SOB ✔✔Shortness of breath
FB ✔✔Foreign Body
CVA ✔✔Cerebral Vascular Accident (Stroke) - Can be ischemic or hemorrhagic)
TIA ✔✔transient ischemic attack (mini stroke)
TX ✔✔treatment
earwax ✔✔cerumen
runny nose ✔✔rhinorrhea
Vomiting blood ✔✔hematemesis
fainting ✔✔syncope
Sweating ✔✔diaphoresis
bruising ✔✔ecchymosis
itchiness ✔✔pruritus
cardiac bypass ✔✔CABG (coronary artery bypass graft)
Hernia repair ✔✔herniorrhaphy
Removal of gallbladder ✔✔cholecystectomy
Removal of uterus ✔✔hysterectomy
Rales ✔✔wet, crackling sound with respirations (aka crackles)
Four main components of the medical chart you are responsible for? ✔✔1. HPI
2. ROS
3. PMhxFhxShx
4. PE
Name the 8 elements of the HPI ✔✔1. Location
2. Quality
3. Severity
4. Context
5. Timing
6. Duration
7. associated signs and symptoms
8. modifying factors
True or False: The HPI and ROS are subjective ✔✔True: these are from the patient's perspective
True or False: Patient's past surgeries should be documented in the Physical Exam (PE)?
✔✔False: Should be in past medical history
True or False: Whether a patient smokes or not should be documented in the PMFSH? ✔✔True:
This is social history
True or False: The physical exam is objective ✔✔True: From the doctor's point of view
Fever ✔✔febrile
vomiting ✔✔emesis
pain with urination ✔✔dysuria
RRR ✔✔Regular Rate and Rhythm (cardio finding)
CVAT ✔✔Costal Vertebral Angle Tenderness (Back finding sometimes GU)
BS present ✔✔bowel sounds present
SNF ✔✔Skilled Nursing Facility
BIBA ✔✔brought in by ambulance
CP ✔✔chest pain, cerebral palsy
ATX ✔✔atelectasis
Pregnancy ✔✔Gravid
oophorectomy ✔✔surgical removal of one of both ovaries
Tubal pregnancy ✔✔Ectopic
Tying of tubes ✔✔tubal ligation
clipping of vas deferens ✔✔vasectomy
tonsil removal ✔✔tonsillectomy
CAD ✔✔Coronary Artery Disease
DVT ✔✔Deep Vein Thrombosis
PE ✔✔Pulmonary Embolism
PUD ✔✔Peptic Ulcer Disease
PTA ✔✔Prior to Arrival
NTG ✔✔Nitroglycerin
FS ✔✔Fingerstick (blood sugar)
AMS ✔✔Altered Mental Status
a-fib ✔✔atrial fibrillation
abnormal heart rhythm ✔✔Arrhythmia
blood in urine ✔✔hematuria
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