CITY MD SCRIBE WRITTEN & PRACTICAL NEWEST EXAM
PREPARATION WITH COMPLETE QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES | ALREADY GRADED A+|
|BRAND NEW VERSION!!
DOMAIN 1 – PATIENT INTAKE & CHECK-IN PROCESS (Questions 1–40)
1. What is the correct check-in process for a new patient at CityMD?
A. Bring patient to room, clean room, prepare chart, assign provider
B. Clean the room, check post flags, check in the patient, prepare the chart
(assign scribe and provider), bring patient in the room
C. Check in patient, clean room, bring patient to room, prepare chart
D. Prepare chart, check in patient, clean room, bring patient to room
Correct Answer: B
Rationale: The workflow must ensure a clean environment and a properly
assigned
chart before the patient enters. Checking post flags first prevents overlooking
critical alerts. Assigning the scribe and provider before the visit ensures the
electronic record is correctly linked to the care team.
2. How should a scribe introduce themselves to a patient who has been waiting?
A. "Are you ready to be seen now?"
B. "Sorry for the wait, we'll be able to help you very soon! I just need to
collect a little information to make the process with the doctor smoother"
C. "The doctor will be with you shortly"
D. "Please fill out these forms while you wait"
Correct Answer: B
Rationale: Acknowledging the patient's wait with a sincere apology builds
trust and reduces frustration. Explaining that the scribe is there to help the
doctor streamlines care reassures the patient that their time is valued and the
team is organized.
1
,3. How do you set up the outside of the chart in eCW?
A. Click the lock, assign yourself to the case, click the carrot to assign the
provider, click check in/out, check in the patient, set up vitals
B. Click check in/out, assign provider, set up vitals
C. Assign provider, click lock, check in patient
D. Click the carrot, check in patient, set up vitals
Correct Answer: A
Rationale: The outside‑chart setup follows a logical sequence: locking the case
to prevent duplicate edits, assigning the scribe to document, linking the
correct provider, officially checking the patient in, and finally preparing the
vital signs section. This order prevents missing any critical assignment step.
4. How do you set up the inside of the chart?
A. Merge over physical, add scribe statement, set up preventative medicine with
general discharge instructions, set up stars in notes, and set up treatment
B. Merge over physical only
C. Set up treatment only
D. Add scribe statement only
Correct Answer: A
Rationale: The inside chart must contain all core documentation components:
the merged physical exam template, a scribe statement to clarify the scribe's
role, preventative medicine defaults, pre‑populated discharge instructions,
starred critical notes, and a treatment plan section. This ensures the provider
has a complete template to work from.
5. Where do you find the ARR (Assigned Risk Rate/ARR) of the patient?
A. Inside the chart
B. The outside of the chart
C. In the vitals section
D. In the patient's insurance card
Correct Answer: B
2
,Rationale: The ARR is a front‑screen indicator displayed on the patient's
summary outside the chart. It gives the care team an immediate glance at the
patient's assigned risk category before opening the full record, which helps
with prioritization and resource allocation.
6. What should be known about consent if the patient is under 18?
A. Parental consent is not needed
B. You need their consent for anyone other than mom or dad to be in the room
C. Only the patient's consent is needed
D. No consent is required for minors
Correct Answer: B
Rationale: For minors, parents or legal guardians have the authority to
accompany them. Anyone else (grandparents, older siblings, family friends)
requires explicit consent from the parent or guardian before they can stay in
the examination room, to protect the minor's privacy and adhere to guardianship
rights.
7. What is the flow for taking vital signs?
A. Purell, confirm name and DOB, estimate height/weight, gloves on, check BP,
wipe down and use pulse/ox
B. Confirm name, check BP, Purell, gloves on
C. Gloves on, check BP, confirm name
D. Purell, gloves on, check BP, confirm name
Correct Answer: A
Rationale: Hand hygiene comes first to prevent cross‑contamination. Confirming
identity ensures you are measuring the right patient. Estimating height/weight
is needed for BMI and medication dosing. Gloves are put on before touching the
patient, and the blood pressure is taken before the pulse oximetry to allow the
patient to rest briefly after cuff inflation.
3
, 8. What is a spacer and what should be remembered about it for the notepad?
A. It's the fourth option down. Select "device" and fill out notepad as if it
were an inhaler. Remember "aerochamber"
B. It's an inhaler accessory that doesn't need documentation
C. It's a breathing treatment device
D. It's a medication
Correct Answer: A
Rationale: A spacer (aerochamber) is a device that attaches to an inhaler to
improve medication delivery. In documentation, it is treated like a prescribed
device – you must select the "device" category and document the brand and
instructions just as you would for an inhaler, because it is part of the
patient's respiratory treatment plan.
9. What should you do if the patient does not know their height and weight?
A. Guess based on appearance
B. Leave it blank and ask the provider to estimate
C. Ask the patient to estimate, and if they cannot, leave it blank
D. Ask the patient to step on the scale and measure height with the wall ruler
Correct Answer: D
Rationale: Vital signs must be objective. If the patient does not know their
height or weight, the correct action is to physically measure them using the
available scale and wall‑mounted stadiometer. Guessing or leaving it blank
compromises clinical accuracy for BMI, medication dosing, and hydration status.
10. What is the first step when entering an examination room with a patient?
A. Close the door for privacy
B. Turn on the computer
C. Wash your hands or use hand sanitizer
D. Ask the patient why they are here
Correct Answer: C
4
PREPARATION WITH COMPLETE QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES | ALREADY GRADED A+|
|BRAND NEW VERSION!!
DOMAIN 1 – PATIENT INTAKE & CHECK-IN PROCESS (Questions 1–40)
1. What is the correct check-in process for a new patient at CityMD?
A. Bring patient to room, clean room, prepare chart, assign provider
B. Clean the room, check post flags, check in the patient, prepare the chart
(assign scribe and provider), bring patient in the room
C. Check in patient, clean room, bring patient to room, prepare chart
D. Prepare chart, check in patient, clean room, bring patient to room
Correct Answer: B
Rationale: The workflow must ensure a clean environment and a properly
assigned
chart before the patient enters. Checking post flags first prevents overlooking
critical alerts. Assigning the scribe and provider before the visit ensures the
electronic record is correctly linked to the care team.
2. How should a scribe introduce themselves to a patient who has been waiting?
A. "Are you ready to be seen now?"
B. "Sorry for the wait, we'll be able to help you very soon! I just need to
collect a little information to make the process with the doctor smoother"
C. "The doctor will be with you shortly"
D. "Please fill out these forms while you wait"
Correct Answer: B
Rationale: Acknowledging the patient's wait with a sincere apology builds
trust and reduces frustration. Explaining that the scribe is there to help the
doctor streamlines care reassures the patient that their time is valued and the
team is organized.
1
,3. How do you set up the outside of the chart in eCW?
A. Click the lock, assign yourself to the case, click the carrot to assign the
provider, click check in/out, check in the patient, set up vitals
B. Click check in/out, assign provider, set up vitals
C. Assign provider, click lock, check in patient
D. Click the carrot, check in patient, set up vitals
Correct Answer: A
Rationale: The outside‑chart setup follows a logical sequence: locking the case
to prevent duplicate edits, assigning the scribe to document, linking the
correct provider, officially checking the patient in, and finally preparing the
vital signs section. This order prevents missing any critical assignment step.
4. How do you set up the inside of the chart?
A. Merge over physical, add scribe statement, set up preventative medicine with
general discharge instructions, set up stars in notes, and set up treatment
B. Merge over physical only
C. Set up treatment only
D. Add scribe statement only
Correct Answer: A
Rationale: The inside chart must contain all core documentation components:
the merged physical exam template, a scribe statement to clarify the scribe's
role, preventative medicine defaults, pre‑populated discharge instructions,
starred critical notes, and a treatment plan section. This ensures the provider
has a complete template to work from.
5. Where do you find the ARR (Assigned Risk Rate/ARR) of the patient?
A. Inside the chart
B. The outside of the chart
C. In the vitals section
D. In the patient's insurance card
Correct Answer: B
2
,Rationale: The ARR is a front‑screen indicator displayed on the patient's
summary outside the chart. It gives the care team an immediate glance at the
patient's assigned risk category before opening the full record, which helps
with prioritization and resource allocation.
6. What should be known about consent if the patient is under 18?
A. Parental consent is not needed
B. You need their consent for anyone other than mom or dad to be in the room
C. Only the patient's consent is needed
D. No consent is required for minors
Correct Answer: B
Rationale: For minors, parents or legal guardians have the authority to
accompany them. Anyone else (grandparents, older siblings, family friends)
requires explicit consent from the parent or guardian before they can stay in
the examination room, to protect the minor's privacy and adhere to guardianship
rights.
7. What is the flow for taking vital signs?
A. Purell, confirm name and DOB, estimate height/weight, gloves on, check BP,
wipe down and use pulse/ox
B. Confirm name, check BP, Purell, gloves on
C. Gloves on, check BP, confirm name
D. Purell, gloves on, check BP, confirm name
Correct Answer: A
Rationale: Hand hygiene comes first to prevent cross‑contamination. Confirming
identity ensures you are measuring the right patient. Estimating height/weight
is needed for BMI and medication dosing. Gloves are put on before touching the
patient, and the blood pressure is taken before the pulse oximetry to allow the
patient to rest briefly after cuff inflation.
3
, 8. What is a spacer and what should be remembered about it for the notepad?
A. It's the fourth option down. Select "device" and fill out notepad as if it
were an inhaler. Remember "aerochamber"
B. It's an inhaler accessory that doesn't need documentation
C. It's a breathing treatment device
D. It's a medication
Correct Answer: A
Rationale: A spacer (aerochamber) is a device that attaches to an inhaler to
improve medication delivery. In documentation, it is treated like a prescribed
device – you must select the "device" category and document the brand and
instructions just as you would for an inhaler, because it is part of the
patient's respiratory treatment plan.
9. What should you do if the patient does not know their height and weight?
A. Guess based on appearance
B. Leave it blank and ask the provider to estimate
C. Ask the patient to estimate, and if they cannot, leave it blank
D. Ask the patient to step on the scale and measure height with the wall ruler
Correct Answer: D
Rationale: Vital signs must be objective. If the patient does not know their
height or weight, the correct action is to physically measure them using the
available scale and wall‑mounted stadiometer. Guessing or leaving it blank
compromises clinical accuracy for BMI, medication dosing, and hydration status.
10. What is the first step when entering an examination room with a patient?
A. Close the door for privacy
B. Turn on the computer
C. Wash your hands or use hand sanitizer
D. Ask the patient why they are here
Correct Answer: C
4
