SCRIBEAMERICA OUTPATIENT
CERTIFICATION TEST 2026 FULL QUESTION
BANK WITH SOLUTIONS
⫸ Pain vs. tenderness Answer: Patient's feeling vs. physician's
assessment
⫸ Benign Answer: Normal, nothing of concern
⫸ Acute Answer: New onset, likely concerning
⫸ Chronic Answer: Long-standing, not of direct concern
⫸ Baseline Answer: An individual's normal state of being
⫸ Auscultation Answer: Listening with a stethoscope
⫸ Palpation Answer: The act of pressing on an area (by the physician)
⫸ Inpatient Answer: Admitted to the hospital overnight
⫸ Outpatient Answer: Seen and sent home the same day
⫸ Chief complaint Answer: The main reason for the patient's visit
,⫸ Mid-Level Provider Answer: Nurse Practitioner (LNP) or Physician
Assistant (PA) that works under the supervision of a physician to
diagnose and treat patients
⫸ Medical provider Answer: Mid-level provider that diagnoses and
treats patients
⫸ Nurse or Medical Assistant Answer: Records medical histories and
symptoms, monitors the patient, completes the meaningful use
requirements, administers medications, assists with procedures
⫸ Clinical provider Answer: Includes both the mid-level provider and
nurse or medical assistant that are direct patient care
⫸ Scribe Answer: Documents the patient's visit on behalf of the
physician
⫸ Clerical Answer: Receptionist and scribe that there is no patient care
and only documentation
⫸ Scribes CAN.... Answer: -Document the history, physical exam,
results, procedures, assessment, and plan
-Access and document laboratory results and radiology findings
-Locate and obtain PMHx, previous charts, past results, and recent
studies
, -Record physician interpretations of x-rays and EKGs
⫸ Assessment vs Plan Answer: Diagnosis vs Treatment
⫸ Scribes CANNOT... Answer: -Partake in any activity that may affect
patient health or outcome
-Touch patients
-Handle bodily fluids or specimens
-Sign or authenticate any chart or record
-Give verbal orders or submit electronic orders
-NO direct patient care, No patient samples, No using logins other than
your own
⫸ NEW Patient Answer: No previous records, Longer visit, and
Detailed chart
⫸ ESTABLISHED Patient Answer: Previous records available, Shorter
visit, and Concise chart
⫸ Diagnostic Visit Answer: New problem, Chief complaint: new
symptom, goal is to determine the cause of the problem and appropriate
treatment
⫸ Health Management Visit Answer: Check-up, Chief Complaint:
Routine physical or management of chronic problem(s), and Goal is
CERTIFICATION TEST 2026 FULL QUESTION
BANK WITH SOLUTIONS
⫸ Pain vs. tenderness Answer: Patient's feeling vs. physician's
assessment
⫸ Benign Answer: Normal, nothing of concern
⫸ Acute Answer: New onset, likely concerning
⫸ Chronic Answer: Long-standing, not of direct concern
⫸ Baseline Answer: An individual's normal state of being
⫸ Auscultation Answer: Listening with a stethoscope
⫸ Palpation Answer: The act of pressing on an area (by the physician)
⫸ Inpatient Answer: Admitted to the hospital overnight
⫸ Outpatient Answer: Seen and sent home the same day
⫸ Chief complaint Answer: The main reason for the patient's visit
,⫸ Mid-Level Provider Answer: Nurse Practitioner (LNP) or Physician
Assistant (PA) that works under the supervision of a physician to
diagnose and treat patients
⫸ Medical provider Answer: Mid-level provider that diagnoses and
treats patients
⫸ Nurse or Medical Assistant Answer: Records medical histories and
symptoms, monitors the patient, completes the meaningful use
requirements, administers medications, assists with procedures
⫸ Clinical provider Answer: Includes both the mid-level provider and
nurse or medical assistant that are direct patient care
⫸ Scribe Answer: Documents the patient's visit on behalf of the
physician
⫸ Clerical Answer: Receptionist and scribe that there is no patient care
and only documentation
⫸ Scribes CAN.... Answer: -Document the history, physical exam,
results, procedures, assessment, and plan
-Access and document laboratory results and radiology findings
-Locate and obtain PMHx, previous charts, past results, and recent
studies
, -Record physician interpretations of x-rays and EKGs
⫸ Assessment vs Plan Answer: Diagnosis vs Treatment
⫸ Scribes CANNOT... Answer: -Partake in any activity that may affect
patient health or outcome
-Touch patients
-Handle bodily fluids or specimens
-Sign or authenticate any chart or record
-Give verbal orders or submit electronic orders
-NO direct patient care, No patient samples, No using logins other than
your own
⫸ NEW Patient Answer: No previous records, Longer visit, and
Detailed chart
⫸ ESTABLISHED Patient Answer: Previous records available, Shorter
visit, and Concise chart
⫸ Diagnostic Visit Answer: New problem, Chief complaint: new
symptom, goal is to determine the cause of the problem and appropriate
treatment
⫸ Health Management Visit Answer: Check-up, Chief Complaint:
Routine physical or management of chronic problem(s), and Goal is
