SCRIBEAMERICA OUTPATIENT FINAL
EXAM 2026 REVIEW SHEET WITH
COMPLETE SOLUTIONS
⫸ pain vs tenderness. Answer: patients feeling vs physicians assessment
⫸ benign. Answer: normal, nothing of concern
⫸ acute vs chronic. Answer: new onset vs long standing
⫸ baseline. Answer: an individuals normal state of being
⫸ ausculation. Answer: listening to sound with a stethoscope
⫸ palpation. Answer: 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: main reason for the patients visit
,⫸ meaningful use. Answer: set of government mandated criteria that
must be obtained for every patient
⫸ medical decision making. Answer: physicians though process
⫸ Scribes can.... Answer: document history, physician exam, results,
procedures. access and document laboratory and radiology findings.
locate and obtain PMHx, previous charts, past results.
⫸ Scribes cannot.... Answer: partake in any activity that may affect
patient health, touch patients, handle bodily fluids, sign any charts, give
verbal orders or submit electronic orders.
⫸ are physician assistants and nurse practitioners considered medical
providers?. Answer: YES
⫸ T/F: The scribe can listen to a patient's heart and lungs as long as it is
for learning purposes and under the supervision of the physician..
Answer: False
⫸ Lucy has been seen by Dr. Heart for the past 2 years. She is here
today for a routine appointment with Dr. Heart. Is Lucy a new or
established patient?. Answer: Established
,⫸ a patient made an appointment because she developed a rash a few
days ago. what type of visit would this be?. Answer: diagnostic
⫸ diagnostic visits consist of. Answer: new problems, new symptoms
⫸ health management visits consist of. Answer: check-ups,
management visits
⫸ a patient has an appointment for management of her diabetes. what
type of visit would this be?. Answer: health management
⫸ who is the first person to speak with the patient after he/she is place
in a room?. Answer: Nurse/MA
⫸ What are the meaningful use requirements the nurse/MA will obtain?.
Answer: Chief complaint; Vital signs (HR, BP, T, RR), Height, weight,
BMI; Smoking status
⫸ What does H&P abbreviate and who performs this evaluation?.
Answer: history and physical, performed by the provider
⫸ Is a differential diagnosis necessary for a health maintenance visit?.
Answer: nope.
, ⫸ what information will be included in the patient's plan? give 3
examples.. Answer: F/U for specialist, instructions for lifestyle, F/U for
next routine appointment
⫸ name the 8 elements of the HPI. Answer: Location, Quality, Severity,
Context, Timing, Duration, Associated signs and symptoms, Modifying
factors
⫸ polydipsia. Answer: excessive thirst
⫸ paresthesia. Answer: sensation of tingling or numbness
⫸ anticoagulant. Answer: a drug that prevents blood clotting
⫸ chronic illness. Answer: longer than 3 months
⫸ if a patient has had respiratory symptoms for the past 5 weeks, are the
symptoms considered chronic?. Answer: No
⫸ Having multiple comorbidities increases the __________ of patient
care. Answer: complexity
EXAM 2026 REVIEW SHEET WITH
COMPLETE SOLUTIONS
⫸ pain vs tenderness. Answer: patients feeling vs physicians assessment
⫸ benign. Answer: normal, nothing of concern
⫸ acute vs chronic. Answer: new onset vs long standing
⫸ baseline. Answer: an individuals normal state of being
⫸ ausculation. Answer: listening to sound with a stethoscope
⫸ palpation. Answer: 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: main reason for the patients visit
,⫸ meaningful use. Answer: set of government mandated criteria that
must be obtained for every patient
⫸ medical decision making. Answer: physicians though process
⫸ Scribes can.... Answer: document history, physician exam, results,
procedures. access and document laboratory and radiology findings.
locate and obtain PMHx, previous charts, past results.
⫸ Scribes cannot.... Answer: partake in any activity that may affect
patient health, touch patients, handle bodily fluids, sign any charts, give
verbal orders or submit electronic orders.
⫸ are physician assistants and nurse practitioners considered medical
providers?. Answer: YES
⫸ T/F: The scribe can listen to a patient's heart and lungs as long as it is
for learning purposes and under the supervision of the physician..
Answer: False
⫸ Lucy has been seen by Dr. Heart for the past 2 years. She is here
today for a routine appointment with Dr. Heart. Is Lucy a new or
established patient?. Answer: Established
,⫸ a patient made an appointment because she developed a rash a few
days ago. what type of visit would this be?. Answer: diagnostic
⫸ diagnostic visits consist of. Answer: new problems, new symptoms
⫸ health management visits consist of. Answer: check-ups,
management visits
⫸ a patient has an appointment for management of her diabetes. what
type of visit would this be?. Answer: health management
⫸ who is the first person to speak with the patient after he/she is place
in a room?. Answer: Nurse/MA
⫸ What are the meaningful use requirements the nurse/MA will obtain?.
Answer: Chief complaint; Vital signs (HR, BP, T, RR), Height, weight,
BMI; Smoking status
⫸ What does H&P abbreviate and who performs this evaluation?.
Answer: history and physical, performed by the provider
⫸ Is a differential diagnosis necessary for a health maintenance visit?.
Answer: nope.
, ⫸ what information will be included in the patient's plan? give 3
examples.. Answer: F/U for specialist, instructions for lifestyle, F/U for
next routine appointment
⫸ name the 8 elements of the HPI. Answer: Location, Quality, Severity,
Context, Timing, Duration, Associated signs and symptoms, Modifying
factors
⫸ polydipsia. Answer: excessive thirst
⫸ paresthesia. Answer: sensation of tingling or numbness
⫸ anticoagulant. Answer: a drug that prevents blood clotting
⫸ chronic illness. Answer: longer than 3 months
⫸ if a patient has had respiratory symptoms for the past 5 weeks, are the
symptoms considered chronic?. Answer: No
⫸ Having multiple comorbidities increases the __________ of patient
care. Answer: complexity
