42 Questions
Match the responsibilities of a scribe with their corresponding actions:
Record patient's symptoms and medical history = Seeing patients with the clinician Document the assessment and plan = Dictated by the clinician Look up old medical records = Miscellaneous tasks Perform the physical examination = Done by the clinician
Match the benefits of being a scribe with their corresponding descriptions:
Gain first-hand experience in medicine = Direct exposure to medicine Observe a variety of patients = Gain knowledge of medical terminology Learn clinician decision making = One-of-a-kind experience Become versed in medical terminology = Learn from clinicians
Match the scribe's tasks with their corresponding timings:
Prepare laptop and familiarize with patients = Before the clinician arrives See patients with the clinician = When the clinician arrives Document the assessment and plan = After the physical exam Get the patient ready for check-out = After the clinician's orders
Match the clinician's actions with their corresponding descriptions:
Asks the patient questions = During the physical examination Verbalizes the findings to the scribe = After the physical examination Performs the physical examination = Before dictating the assessment and plan Informs the scribe of orders = After the physical examination
Match the scribe's role with their corresponding benefits:
Lessen the clinician's burden of documentation = Improve the clinician's efficiency Function as the clinician's personal assistant = Gain first-hand experience in medicine Record the patient's symptoms and medical history = Learn clinician decision making Work one-on-one with a clinician = Gain knowledge of medical terminology
Match the scribe's tasks with their corresponding characteristics:
Recording the patient's symptoms and medical history = Done with the clinician Looking up old medical records = Miscellaneous task Documenting the assessment and plan = Done after the physical exam Transcribing instructions from the physician = Done with the clinician's orders
Match the work environment with its corresponding characteristics:
Fast-paced = Always new work to be done Bustling = Filled with miscellaneous tasks Intense = Filled with direct exposure to medicine Rewarding = Filled with excitement
Match the medical term with its definition:
Chronic = Long-standing, constant Acute on Chronic = New exacerbation of a chronic condition Resolved = Gone, no longer existing Transient = Resolving spontaneously after onset
Match the scribe's benefits with their corresponding outcomes:
Gain first-hand experience in medicine = Become versed in medical terminology Observe a variety of patients = Learn clinician decision making Learn clinician decision making = Gain knowledge of medical terminology Become versed in medical terminology = Gain first-hand experience in medicine
Match the medical term with its definition:
Intermittent = Symptoms that completely resolve at times, but continue to return repeatedly Paroxysmal = Occasional, sporadic, transient Fluctuating = Symptoms that are always present but changing in severity, never fully resolving Acute = Opposite of chronic
Match the medical chart section with its definition:
Family History (FHx) = A part of the medical chart that lists diseases and health conditions in your family Health Insurance Portability and Accountability Act (HIPAA) = Federal law that provides national standards to protect sensitive patient health information History of present illness (HPI) = A part of the medical chart describing the development of the illness Review of system (ROS) = A part of the medical chart that is a checklist of the symptoms the patient has or does not have
Match the medical abbreviation with its definition:
r/o = Rule Out (e.g.X-ray of the wrist to r/o fracture) s/p = Status Post (after) example: Headache s/p fall pt = Patient SHx = Social History (addressing substance use, occupation, diet exercise, living situation, etc.)
Match the medical term with its definition:
Acute = Opposite of chronic Chronic = Long-standing, constant Paroxysmal = Occasional, sporadic, transient Intermittent = Symptoms that completely resolve at times, but continue to return repeatedly
Match the medical chart section with its definition:
Review of system (ROS) = A part of the medical chart that is a checklist of the symptoms the patient has or does not have History of present illness (HPI) = A part of the medical chart describing the development of the illness Social History (SHx) = A part of the chart addresses substance use, occupation, diet exercise, living situation, etc. Family History (FHx) = A part of the medical chart that lists diseases and health conditions in your family
Match the medical term with its definition:
Fluctuating = Symptoms that are always present but changing in severity, never fully resolving Paroxysmal = Occasional, sporadic, transient Transient = Resolving spontaneously after onset Resolved = Gone, no longer existing
Match the medical abbreviation with its definition:
HIPAA = Federal law that provides national standards to protect sensitive patient health information FHx = Family History (lists diseases and health conditions in your family) pt = Patient HPI = History of present illness (describing the development of the illness)
Match the anatomical terms with their definitions:
Anatomical Position = To stand erect with arms at the sides and palms of the hands turned forward Anterior = Situated in front of or directed toward the front Inferior = Lower on the body, farther from the head Posterior or Dorsal = Rear or back
Match the anatomical terms with their definitions:
C-spine = Cervical spine (C1-C7) L-spine = Lumbar spine (L1-L5) T-spine = Thoracic spine (T1-T12) Fontanel = Anatomical feature of an infant’s skull, the “soft-spot”
Match the anatomical directions with their definitions:
Distal = Farther from the trunk of the body Medial = Nearer to the midline Palmar or Volar = Palm side of hand or body Plantar = Sole of foot
Match the anatomical quadrants with their definitions:
Left Lower Quadrant (LLQ) = Left Lower Quadrant Of the abdomen Left Upper Quadrant (LUQ) = Left Upper Quadrant of the abdomen Right Lower Quadrant (RLQ) = Right Lower Quadrant of the abdomen Right Upper Quadrant (RUQ) = Right Upper Quadrant of the abdomen
Match the anatomical terms with their definitions:
Prone = Body position lying face down with forearms and hands turned palm side down Supine = Body position lying face up Superficial = Nearer to the surface Suprapubic = Lower central region on the abdomen
Match the anatomical directions with their definitions:
Epigastric = Upper central region of the abdomen Inferior = Lower on the body, farther from the head Lateral = Farther from the midline Superior = Higher on the body, nearer to the head
Match the anatomical terms with their definitions:
Acute = New onset, likely concerning Diffuse = Generalized; not localized to any specific location Proximal = Nearer to the trunk of the body Left Lower Extremity (LLE) = Left leg
Match the anatomical terms with their definitions:
Right Upper Extremity (RUE) = Right arm Right Lower Extremity (RLE) = Right leg Left Upper Extremity (LUE) = Left arm Fontanel = Anatomical feature of an infant’s skull, the “soft-spot”
Match the following medical terms with their definitions:
Arthritis = Inflammation of the joints Cellulitis = Infection of skin cells Cirrhosis = Inflammation of the liver Cholelithiasis = Production of gallstones
Match the following medical terms with their definitions:
Atrial fibrillation = Irregular and often very rapid heart rhythm Bell’s Palsy = Localized facial nerve dysfunction Bronchitis = Inflammation/Infection of the bronchi Cancer = Carcinoma
Match the following medical terms with their definitions:
Cholecystitis = Inflammation of the gallbladder Chronic renal failure = Decrease in the kidneys' ability to filter waste Cerebrovascular accident = Blood supply to the brain is restricted or absent Congestive heart failure = Serious condition in which the heart doesn't pump blood efficiently
Match the following medical terms with their definitions:
Conjunctivitis = Infection of the outer layer of the eye Coronary artery disease = Buildup of plaque in the arteries that supply oxygen-rich blood Costochondritis = Inflammation of the rib cartilage Croup = Viral infection of the upper airway
Match the following medical terms with their definitions:
Deep venous thrombosis = Blood clot forms in a vein located deep inside the body Dermatitis = Inflammation of the skin Diverticulitis = Acute inflammation of the diverticula pouches Ectopic pregnancy = Egg developing outside the uterus
Match the following medical terms with their definitions:
Endometriosis = Presence of functioning endometrial tissue outside of the uterus Gastroenteritis = General term for inflammation of the GI tract Gastroesophageal reflux disease = Digestive disorder that occurs when acidic stomach juices back up Gout = Type of arthritis
Match the following medical terms with their definitions:
Hepatitis = Inflammation of the liver Hyperglycemia = High blood sugar due to diabetes Hyperlipidemia = High cholesterol Hypertension = High blood pressure
Match the following qualities with the requirement they fulfill in a ScribeAmerica job:
Commitment = Consistency in working a minimum of two shifts per week Reliability = Ability to work with a clinician during their full shift Critical thinking = Analyzing medical information accurately Excellent communication skills = Interacting with clinicians effectively
Match the following benefits with the outcome they provide for scribes:
Extensive medical knowledge = Gain valuable experience in the field of medicine Personal experience = Develop a strong understanding of medical practices Invaluable letters-of-reference = Enhance career opportunities First-hand exposure to the field of medicine = Increase confidence in medical settings
Match the following medical terms with their definitions:
Hypoglycemia = Low blood-sugar Hypotension = Low blood pressure Stroke = Blood supply to the brain is restricted or absent UTD = Up to Date
Match the following skills with the requirement they fulfill in a ScribeAmerica job:
Excellent computer skills = Efficiently using software for medical documentation Typing speed of 50 wpm = Quickly recording medical information Organization = Managing time effectively during shifts Diligent attentiveness = Maintaining focus during long clinical shifts
Match the following medical terms with their definitions:
Appendicitis = Dangerous infection of the appendix Abscess = Collection of pus beneath the skin Arthritis = Inflammation of the joints Cirrhosis = Inflammation of an organ
Match the following aspects with the characteristic they describe in a ScribeAmerica job:
Scribing = A strenuous and demanding job Training regime = Rigorous and demanding Work environment = Stressful at times Job outcome = Lucrative and fulfilling
Match the following medical terms with their definitions:
COPD = Chronic inflammatory lung disease CVA = Blood supply to the brain is restricted or absent GERD = Digestive disorder that occurs when acidic stomach juices back up WNL = Within Normal Limits
Match the following needs with the requirement they fulfill in a ScribeAmerica job:
Clinician's shift = A scribe during their full shift Training schedule = Consistency in working a minimum of two shifts per week Scribe's availability = Providing accurate times to work with clinicians Job commitment = Dedicating 1-2 years to working as a scribe
Match the following qualities with the outcome they provide for ScribeAmerica:
Motivation = Becoming a successful scribe Capability = Achieving benefits in the medical field Commitment = Participating in a rigorous training regime Professionalism = Demonstrating maturity in the workplace
Match the following aspects with the characteristic they describe in a ScribeAmerica job:
Scribing = A unique and demanding job Job requirements = Not like volunteer work Work environment = Genuinely difficult and stressful at times Job outcome = Not easily achieved
Match the following aspects with the characteristic they describe in a ScribeAmerica job:
Scribing = Fun and exciting Job requirements = Necessitating a strong work ethic Work environment = Providing direct exposure to medicine Job outcome = Increasing confidence in medical settings
Study Notes
Scribe Job Description
- As a scribe, you will work one-on-one with a clinician, functioning as their personal assistant.
- The scribe's role is to lessen the clinician's burden of documentation and organizational responsibility, improving their efficiency and allowing them to focus on caring for their patients.
Daily Responsibilities
- Arrive at scheduled shift, prepare laptop, and familiarize yourself with patients to be seen.
- See patients with the clinician, record symptoms and medical history, and document the assessment and plan as dictated by the clinician.
- Perform miscellaneous tasks, including looking up old medical records, radiology studies, placing phone calls, and transcribing instructions from the physician.
Required Qualities and Skills
- Commitment, reliability, critical thinking, adaptability, organization, excellent communication skills, unwavering work ethic, diligent attentiveness, and customer service focus.
- Excellent computer skills and typing speed of 50 wpm.
- Consistent availability to work a minimum of two shifts per week, with a preference for candidates who can commit 1-2 years of working.
Medical Vocabulary
- Anatomical Terms:
- Anatomical Position: standing erect with arms at the sides and palms of the hands turned forward.
- Anterior: situated in front of or directed toward the front.
- C-spine: Cervical spine (C1-C7).
- Diffuse: generalized; not localized to any specific location.
- Distal: farther from the trunk of the body.
- Epigastric: upper central region of the abdomen.
- Fontanel: anatomical feature of an infant's skull, the "soft-spot".
- Inferior: lower on the body, farther from the head.
- L-spine: Lumbar spine (L1-L5).
- Lateral: farther from the midline.
- Medial: nearer to the midline.
- Palmar or Volar: palm side of hand or body.
- Plantar: sole of foot.
- Posterior or Dorsal: rear or back.
- Prone: body position lying face down with forearms and hands turned palm side down.
- Proximal: nearer to the trunk of the body.
- Superior: higher on the body, nearer to the head.
- Supine: body position lying face up.
- Suprapubic: lower central region on the abdomen.
- T-spine: Thoracic spine (T1-T12).
Medical Terminology
- Acute: new onset, likely concerning.
- Acute on chronic: new exacerbation of a chronic condition.
- Chronic: long-standing, constant.
- Fluctuating: symptoms that are always present but changing in severity, never fully resolving.
- Intermittent: symptoms that completely resolve at times, but continue to return repeatedly.
- Paroxysmal: occasional, sporadic, transient.
- Resolved: gone, no longer existing.
- Transient: resolving spontaneously after onset.
Charting and Diagnosis
- Family History (FHx): part of the medical chart that lists diseases and health conditions in your family that may put the patient at an increased risk of also having.
- Health Insurance Portability and Accountability Act (HIPAA): federal law that provides national standards to protect sensitive patient health information from being disclosed without the patient's consent or knowledge.
- History of present illness (HPI): part of the medical chart describing the development of the illness.
- Review of system (ROS): part of the medical chart that is a checklist of the symptoms the patient has or does not have.
- Social History (SHx): part of the chart that addresses substance use, occupation, diet, exercise, living situation, marital status, etc.
Diagnosis (Dx)
- Abscess: collection of pus beneath the skin.
- Appendicitis: dangerous infection of the appendix.
- Arthritis: inflammation of the joints.
- Atrial fibrillation (A fib): irregular and often very rapid heart rhythm.
- Bell's Palsy: localized facial nerve dysfunction that causes facial droop and numbness.
- Bronchitis: inflammation/infection of the bronchi (upper airway).
- Cancer (CA): cancer, carcinoma.
- Cellulitis: infection of skin cells.
- Cerebrovascular accident (CVA): blood supply to the brain is restricted or absent due to hemorrhage or occlusion of a vessel resulting in neurological damage and dysfunction.
- Cholecystitis: inflammation of the gallbladder.
- Cholelithiasis: production of gallstones.
- Chronic obstructive pulmonary disease (COPD): chronic inflammatory lung disease that causes obstructed airflow from the lungs.
- Chronic renal failure (CRF): decrease in the kidneys' ability to filter waste and fluid from the blood.
- Cirrhosis: inflammation of an organ by degenerative changes, especially of the liver.
- Congestive heart failure (CHF): serious condition in which the heart doesn't pump blood as efficiently as it should.
- Conjunctivitis: infection of the outer layer of the eye.
- Coronary artery bypass graft (CABG): procedure used to treat coronary artery disease.
- Coronary artery disease (CAD): buildup of plaque in the arteries that supply oxygen-rich blood to your heart.
- Costochondritis: inflammation of the rib cartilage.
- Croup: viral infection of the upper airway with a barking cough and often stridor.
- Deep venous thrombosis (DVT): blood clot forms in a vein located deep inside your body, typically in the leg.
- Dermatitis: inflammation of the skin.
- Diverticulitis: acute inflammation of the diverticula pouches.
- Ectopic pregnancy: egg developing outside the uterus, extremely dangerous due to risk of rupture.
- Endometriosis: presence of functioning endometrial tissue outside of the uterus.
- Gastroenteritis: general term for inflammation of the GI tract.
- Gastroesophageal reflux disease (GERD): digestive disorder that occurs when acidic stomach juices, or food and fluids back up from the stomach into the esophagus.
- Gout: type of arthritis; diagnosed by ordering a uric acid level.
- Hepatitis: inflammation of the liver.
- Hyperglycemia: high blood sugar due to diabetes.
- Hyperlipidemia (HLD): high cholesterol.
- Hypertension (HTN): high blood pressure (typically >140/90).
- Hypoglycemia: low blood sugar.
- Hypotension: low blood pressure (typically <90/60).
A unique opportunity to gain hands-on experience in a healthcare setting as a medical scribe, working one-on-one with clinicians and learning medical terminology and decision-making.
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