ScribeAmerica OP Final Exam Questions With
Correct Answers
* |What |medical |term |describes |the |surgical |removal |of |the |gallbladder? |- |CORRECT |
ANSWER✔✔-cholecystectomy
What |does |"PHI" |stand |for? |Expand |the |abbreviation. |- |CORRECT |ANSWER✔✔-Protected |
Health |Information
T/F. |Sharing |information |about |a |case |with |family |is |allowed, |as |long |as |you |are |scribing |with |
the |physician |assigned |to |the |case. |- |CORRECT |ANSWER✔✔-False
** |A |patient |underwent |brain |surgery |to |treat |bleeding |in |the |brain |from |a |stroke. |What |PSHx |
would |you |record |into |the |chart? |- |CORRECT |ANSWER✔✔-craniotomy
A |patient's |PCP |is |on |vacation. |The |patient |is |scheduled |to |see |the |NP |who |is |covering |for |the |
PCP |during |this |time. |The |patient |has |never |been |seen |by |the |NP |before. |Is |this |patient |
considered |a |new |patient |or |an |established |patient? |- |CORRECT |ANSWER✔✔-Established
A |patient |is |diagnosed |with |back |strain |caused |by |heavy |lifting. |As |part |of |the |treatment, |the |
physician |discusses |4-5 |different |back |stretching |exercises |that |the |patient |can |perform |every |
morning |and |before |doing |any |heavy |lifting. |The |discussion |only |takes |10 |minutes |of |a |15 |
minute |Established |Patient |visit. |Would |your |physician |be |able |to |bill |counseling |time |on |this |
patient? |- |CORRECT |ANSWER✔✔-Yes
What |medical |term |would |best |describe |"the |likely |course |or |outcome |of |a |disease"? |- |
CORRECT |ANSWER✔✔-Prognosis
, Which |section |of |the |chart |should |you |document |when |you |hear |the |following |cue |"what |
medical |problems |do |you |have"? |- |CORRECT |ANSWER✔✔-PHx
You |are |writing |an |HPI |for |a |patient |who |presented |for |hyperlipidemia |management. |In |the |
middle |of |the |visit, |your |patient |also |reports |having |recently |experienced |urinary |symptoms. |
Which |HPI |structure |would |be |the |best |to |use |in |this |scenario? |- |CORRECT |ANSWER✔✔-
Multiple |complaints |structure
Which |of |the |following |is |NOT |a |purpose |of |HITECH? |- |CORRECT |ANSWER✔✔-- |To |require |
patient |accountability |in |paying |for |their |health |care |visit
- |To |require |government |accountability |on |health |insurance |plans |available |in |the |market |place
-To |require |equal |access, |opportunity, |and |affordability |for |health |insurance |plans |by |screening
|patient |health |information
What |medical |term |would |describe |a |patient |with |a |history |of |infection |or |inflammation |of |the
|liver? |- |CORRECT |ANSWER✔✔-Hepatitis
For |correct |billing |and |reimbursement |to |go |through, |a |counseling |note |requires |
documentation |of |the |following: |- |CORRECT |ANSWER✔✔-- |Total |time |with |the |patient
- |Percentage |of |time |spent |counseling
You |are |writing |an |HPI |for |a |very |complex |patient |who |has |had |multiple |recent |hospital |
admissions |for |lung |cancer. |Which |HPI |structure |would |be |the |best |to |use |in |this |scenario? |- |
CORRECT |ANSWER✔✔-Chronologic |structure
Which |of |the |following |would |be |valid |complications |for |CAD? |- |CORRECT |ANSWER✔✔-MI
* |57 |year |old |male |patient |presented |with |RLQ |abdominal |pain, |which |began |5 |days |ago. |He |
states |that |he |was |mowing |the |lawn |when |the |pain |began. |Patient |reports |he |took |OTC |
Correct Answers
* |What |medical |term |describes |the |surgical |removal |of |the |gallbladder? |- |CORRECT |
ANSWER✔✔-cholecystectomy
What |does |"PHI" |stand |for? |Expand |the |abbreviation. |- |CORRECT |ANSWER✔✔-Protected |
Health |Information
T/F. |Sharing |information |about |a |case |with |family |is |allowed, |as |long |as |you |are |scribing |with |
the |physician |assigned |to |the |case. |- |CORRECT |ANSWER✔✔-False
** |A |patient |underwent |brain |surgery |to |treat |bleeding |in |the |brain |from |a |stroke. |What |PSHx |
would |you |record |into |the |chart? |- |CORRECT |ANSWER✔✔-craniotomy
A |patient's |PCP |is |on |vacation. |The |patient |is |scheduled |to |see |the |NP |who |is |covering |for |the |
PCP |during |this |time. |The |patient |has |never |been |seen |by |the |NP |before. |Is |this |patient |
considered |a |new |patient |or |an |established |patient? |- |CORRECT |ANSWER✔✔-Established
A |patient |is |diagnosed |with |back |strain |caused |by |heavy |lifting. |As |part |of |the |treatment, |the |
physician |discusses |4-5 |different |back |stretching |exercises |that |the |patient |can |perform |every |
morning |and |before |doing |any |heavy |lifting. |The |discussion |only |takes |10 |minutes |of |a |15 |
minute |Established |Patient |visit. |Would |your |physician |be |able |to |bill |counseling |time |on |this |
patient? |- |CORRECT |ANSWER✔✔-Yes
What |medical |term |would |best |describe |"the |likely |course |or |outcome |of |a |disease"? |- |
CORRECT |ANSWER✔✔-Prognosis
, Which |section |of |the |chart |should |you |document |when |you |hear |the |following |cue |"what |
medical |problems |do |you |have"? |- |CORRECT |ANSWER✔✔-PHx
You |are |writing |an |HPI |for |a |patient |who |presented |for |hyperlipidemia |management. |In |the |
middle |of |the |visit, |your |patient |also |reports |having |recently |experienced |urinary |symptoms. |
Which |HPI |structure |would |be |the |best |to |use |in |this |scenario? |- |CORRECT |ANSWER✔✔-
Multiple |complaints |structure
Which |of |the |following |is |NOT |a |purpose |of |HITECH? |- |CORRECT |ANSWER✔✔-- |To |require |
patient |accountability |in |paying |for |their |health |care |visit
- |To |require |government |accountability |on |health |insurance |plans |available |in |the |market |place
-To |require |equal |access, |opportunity, |and |affordability |for |health |insurance |plans |by |screening
|patient |health |information
What |medical |term |would |describe |a |patient |with |a |history |of |infection |or |inflammation |of |the
|liver? |- |CORRECT |ANSWER✔✔-Hepatitis
For |correct |billing |and |reimbursement |to |go |through, |a |counseling |note |requires |
documentation |of |the |following: |- |CORRECT |ANSWER✔✔-- |Total |time |with |the |patient
- |Percentage |of |time |spent |counseling
You |are |writing |an |HPI |for |a |very |complex |patient |who |has |had |multiple |recent |hospital |
admissions |for |lung |cancer. |Which |HPI |structure |would |be |the |best |to |use |in |this |scenario? |- |
CORRECT |ANSWER✔✔-Chronologic |structure
Which |of |the |following |would |be |valid |complications |for |CAD? |- |CORRECT |ANSWER✔✔-MI
* |57 |year |old |male |patient |presented |with |RLQ |abdominal |pain, |which |began |5 |days |ago. |He |
states |that |he |was |mowing |the |lawn |when |the |pain |began. |Patient |reports |he |took |OTC |
