SCRIBE U UPDATED EXAMS SCRIPT QUESTIONS AND
SOLUTIONS GUARANTEE A+
✔✔what fhx/shx information is usually asked for pediatric patients? - ✔✔second hand
smoke exposure, immunization status
✔✔what is the medical term for "pass-out"? - ✔✔syncope
✔✔which symptoms would a pt most likely present with if they had HLD? -
✔✔asymptomatic
✔✔t/f: scribes should complete all chart by entering a scribe attestation before leaving
the shift - ✔✔t
✔✔a 45 year old male presents to the clinic with a constant, ripping, tearing pain to his
central chest radiating straight to his back with associated nausea that began 1 hour
ago. he denies any accompanying dyspnea or diaphoresis. what elements are missing?
- ✔✔severity
modifying factor
relevant context
✔✔a female pt underwent surgery to have her ovary removed. what pshx would you
record into the chart? - ✔✔oophorectomy
✔✔a pt comes into the clinic for a well woman exam. what type of clinic visit is this? -
✔✔health management visit
✔✔a pt has an E&M code of 99215. what information does this code give? -
✔✔established patient, LOS 5
✔✔HTN treatment - ✔✔low sodium diet, decrease EtOH intake, increase physical
activity
✔✔DM treatment - ✔✔low carb diet, increase physical activity
✔✔HLD treatment - ✔✔low fat diet, increase physical activity
✔✔what are scribes NOT allowed to do? - ✔✔touch patients, perform clinical tasks (e.g.
taking vitals), sign off on orders or prescriptions, authenticate the chart, transport patient
specimens to the laboratory, give verbal orders, give CPR
, ✔✔t/f: one of your co-workers is having difficulty printing a CT report and ask you to
look up the report for them. you can look up the report as long as you do not read it. -
✔✔false
✔✔a female pt underwent surgery to have an ovary and fallopian tube removed. what
pshx would you record into the chart? - ✔✔Salpingo-oophorectomy
✔✔a modifier code usually gives information about which type of code? - ✔✔procedure
code
✔✔what three details should be included in a sentences summarizing results in the
assessment section? - ✔✔name of test, results of test, reason to why test was ordered
✔✔which of the following details could be categorized as he HPI element context? -
✔✔information regarding prior episodes, information regarding prior evaluations,
information regarding risk factors
✔✔which symptoms would a patient most likely present with if they had asthma? -
✔✔dyspnea
✔✔a patient comes into the clinic for 3 weeks of a productive cough. what type of clinic
visit is this? - ✔✔diagnostic visit
✔✔which two codes should always be included on every superbill? - ✔✔ICD code, E&M
code
✔✔which of the following would be valid complication for HTN? - ✔✔CHF, MI, CRF,
impaired vision, CAD
✔✔what condition correctly describes "a bacterial lung infection"?
HINT: use the abbreviation form of the condition - ✔✔PNA
✔✔a female pt underwent surgery to have her uterus removed. what pshx would you
record into the chart? - ✔✔hysterectomy
✔✔t/f: the physician asks scribe sally to hold a patient's arm down so that she can finish
suturing the patient. sally is allowed to help because she is not interfering with the
procedure. - ✔✔false
✔✔mid level provider - ✔✔NP or PA that works under the supervision of a physician to
diagnose and treat patients
SOLUTIONS GUARANTEE A+
✔✔what fhx/shx information is usually asked for pediatric patients? - ✔✔second hand
smoke exposure, immunization status
✔✔what is the medical term for "pass-out"? - ✔✔syncope
✔✔which symptoms would a pt most likely present with if they had HLD? -
✔✔asymptomatic
✔✔t/f: scribes should complete all chart by entering a scribe attestation before leaving
the shift - ✔✔t
✔✔a 45 year old male presents to the clinic with a constant, ripping, tearing pain to his
central chest radiating straight to his back with associated nausea that began 1 hour
ago. he denies any accompanying dyspnea or diaphoresis. what elements are missing?
- ✔✔severity
modifying factor
relevant context
✔✔a female pt underwent surgery to have her ovary removed. what pshx would you
record into the chart? - ✔✔oophorectomy
✔✔a pt comes into the clinic for a well woman exam. what type of clinic visit is this? -
✔✔health management visit
✔✔a pt has an E&M code of 99215. what information does this code give? -
✔✔established patient, LOS 5
✔✔HTN treatment - ✔✔low sodium diet, decrease EtOH intake, increase physical
activity
✔✔DM treatment - ✔✔low carb diet, increase physical activity
✔✔HLD treatment - ✔✔low fat diet, increase physical activity
✔✔what are scribes NOT allowed to do? - ✔✔touch patients, perform clinical tasks (e.g.
taking vitals), sign off on orders or prescriptions, authenticate the chart, transport patient
specimens to the laboratory, give verbal orders, give CPR
, ✔✔t/f: one of your co-workers is having difficulty printing a CT report and ask you to
look up the report for them. you can look up the report as long as you do not read it. -
✔✔false
✔✔a female pt underwent surgery to have an ovary and fallopian tube removed. what
pshx would you record into the chart? - ✔✔Salpingo-oophorectomy
✔✔a modifier code usually gives information about which type of code? - ✔✔procedure
code
✔✔what three details should be included in a sentences summarizing results in the
assessment section? - ✔✔name of test, results of test, reason to why test was ordered
✔✔which of the following details could be categorized as he HPI element context? -
✔✔information regarding prior episodes, information regarding prior evaluations,
information regarding risk factors
✔✔which symptoms would a patient most likely present with if they had asthma? -
✔✔dyspnea
✔✔a patient comes into the clinic for 3 weeks of a productive cough. what type of clinic
visit is this? - ✔✔diagnostic visit
✔✔which two codes should always be included on every superbill? - ✔✔ICD code, E&M
code
✔✔which of the following would be valid complication for HTN? - ✔✔CHF, MI, CRF,
impaired vision, CAD
✔✔what condition correctly describes "a bacterial lung infection"?
HINT: use the abbreviation form of the condition - ✔✔PNA
✔✔a female pt underwent surgery to have her uterus removed. what pshx would you
record into the chart? - ✔✔hysterectomy
✔✔t/f: the physician asks scribe sally to hold a patient's arm down so that she can finish
suturing the patient. sally is allowed to help because she is not interfering with the
procedure. - ✔✔false
✔✔mid level provider - ✔✔NP or PA that works under the supervision of a physician to
diagnose and treat patients