ScribeAmerica Scribe University midterm Exam |
Comprehensive Practice QUESTIONs, Answers & Detailed
Explanations 2026/2027
QUESTION 1 In the Review of Systems (ROS), which of the following
symptoms belongs strictly to the Constitutional category?
• A. Palpitations and chest pain
• B. Fever, chills, and unintended weight loss
• C. Dysuria and urinary frequency
• D. Numbness and tingling in extremities
Correct Answer: B. Fever, chills, and unintended weight loss
Detailed Rationale: Constitutional symptoms capture general systemic
indicators of health, including fever, chills, fatigue, weight changes, and
night sweats, rather than localized organ-system pathology.
QUESTION 2 What does the outpatient E&M (Evaluation and
Management) coding component MDM stand for?
• A. Medical Director Manual
• B. Maximum Diagnostic Medication
• C. Medical Decision Making
• D. Minimum Documentation Mandate
Correct Answer: C. Medical Decision Making
Detailed Rationale: Medical Decision Making (MDM) is one of the core
elements used to determine outpatient and inpatient E&M coding
,levels, based on the complexity of problems addressed, data reviewed,
and risk of complications.
QUESTION 3 What is the primary clinical purpose of appending
Modifier -25 to an outpatient evaluation and management (E&M)
code?
• A. To indicate that a procedure was performed bilaterally
• B. To denote a significant, separately identifiable E&M service
performed by the same physician on the same day as a procedure
• C. To signify critical care time lasting over 25 minutes
• D. To code for an emergency room visit occurring after 25:00
hours
Correct Answer: B. To denote a significant, separately identifiable E&M
service performed by the same physician on the same day as a
procedure
Detailed Rationale: Modifier -25 tells insurance payers that the
provider evaluated a condition above and beyond the usual pre-
procedural or post-procedural care associated with a minor procedure
done on the same day.
QUESTION 4 What does the medical root word "nephr-" refer to?
• A. Liver
• B. Kidney
• C. Stomach
• D. Lungs
Correct Answer: B. Kidney
,Detailed Rationale: "Nephr-" (derived from Greek) refers to the kidney
(e.g., nephrology, nephrectomy). "Ren-" is the Latin root with the same
meaning.
QUESTION 5 What does the medical root word "hepat-" signify?
• A. Spleen
• B. Liver
• C. Pancreas
• D. Gallbladder
Correct Answer: B. Liver
Detailed Rationale: "Hepat-" refers to the liver (e.g., hepatitis,
hepatomegaly).
QUESTION 6 What does the medical suffix "-megaly" mean?
• A. Surgical removal
• B. Abnormal enlargement or hypertrophy
• C. Narrowing or stricture
• D. Inflammation
Correct Answer: B. Abnormal enlargement or hypertrophy
Detailed Rationale: "-megaly" indicates abnormal organ enlargement,
such as splenomegaly (enlarged spleen) or cardiomegaly (enlarged
heart).
QUESTION 7 What does the medical suffix "-itis" indicate?
• A. Degenerative breakdown
, • B. Tumor or mass formation
• C. Inflammation or infection
• D. Surgical opening
Correct Answer: C. Inflammation or infection
Detailed Rationale: "-itis" is the standard suffix for inflammatory
conditions, such as appendicitis, bronchitis, or arthritis.
QUESTION 8 What does the medical suffix "-osis" generally signify in
pathology?
• A. Acute bleeding
• B. Abnormal condition, disease, or increase
• C. Surgical repair
• D. Paralysis
Correct Answer: B. Abnormal condition, disease, or increase
Detailed Rationale: "-osis" denotes a process, condition, or state, often
abnormal or diseased (e.g., nephrosis, leukocytosis).
QUESTION 9 What does the medical suffix "-pathy" mean?
• A. Surgical incision
• B. Disease process or disorder
• C. Painful sensation
• D. Visual examination
Correct Answer: B. Disease process or disorder
Comprehensive Practice QUESTIONs, Answers & Detailed
Explanations 2026/2027
QUESTION 1 In the Review of Systems (ROS), which of the following
symptoms belongs strictly to the Constitutional category?
• A. Palpitations and chest pain
• B. Fever, chills, and unintended weight loss
• C. Dysuria and urinary frequency
• D. Numbness and tingling in extremities
Correct Answer: B. Fever, chills, and unintended weight loss
Detailed Rationale: Constitutional symptoms capture general systemic
indicators of health, including fever, chills, fatigue, weight changes, and
night sweats, rather than localized organ-system pathology.
QUESTION 2 What does the outpatient E&M (Evaluation and
Management) coding component MDM stand for?
• A. Medical Director Manual
• B. Maximum Diagnostic Medication
• C. Medical Decision Making
• D. Minimum Documentation Mandate
Correct Answer: C. Medical Decision Making
Detailed Rationale: Medical Decision Making (MDM) is one of the core
elements used to determine outpatient and inpatient E&M coding
,levels, based on the complexity of problems addressed, data reviewed,
and risk of complications.
QUESTION 3 What is the primary clinical purpose of appending
Modifier -25 to an outpatient evaluation and management (E&M)
code?
• A. To indicate that a procedure was performed bilaterally
• B. To denote a significant, separately identifiable E&M service
performed by the same physician on the same day as a procedure
• C. To signify critical care time lasting over 25 minutes
• D. To code for an emergency room visit occurring after 25:00
hours
Correct Answer: B. To denote a significant, separately identifiable E&M
service performed by the same physician on the same day as a
procedure
Detailed Rationale: Modifier -25 tells insurance payers that the
provider evaluated a condition above and beyond the usual pre-
procedural or post-procedural care associated with a minor procedure
done on the same day.
QUESTION 4 What does the medical root word "nephr-" refer to?
• A. Liver
• B. Kidney
• C. Stomach
• D. Lungs
Correct Answer: B. Kidney
,Detailed Rationale: "Nephr-" (derived from Greek) refers to the kidney
(e.g., nephrology, nephrectomy). "Ren-" is the Latin root with the same
meaning.
QUESTION 5 What does the medical root word "hepat-" signify?
• A. Spleen
• B. Liver
• C. Pancreas
• D. Gallbladder
Correct Answer: B. Liver
Detailed Rationale: "Hepat-" refers to the liver (e.g., hepatitis,
hepatomegaly).
QUESTION 6 What does the medical suffix "-megaly" mean?
• A. Surgical removal
• B. Abnormal enlargement or hypertrophy
• C. Narrowing or stricture
• D. Inflammation
Correct Answer: B. Abnormal enlargement or hypertrophy
Detailed Rationale: "-megaly" indicates abnormal organ enlargement,
such as splenomegaly (enlarged spleen) or cardiomegaly (enlarged
heart).
QUESTION 7 What does the medical suffix "-itis" indicate?
• A. Degenerative breakdown
, • B. Tumor or mass formation
• C. Inflammation or infection
• D. Surgical opening
Correct Answer: C. Inflammation or infection
Detailed Rationale: "-itis" is the standard suffix for inflammatory
conditions, such as appendicitis, bronchitis, or arthritis.
QUESTION 8 What does the medical suffix "-osis" generally signify in
pathology?
• A. Acute bleeding
• B. Abnormal condition, disease, or increase
• C. Surgical repair
• D. Paralysis
Correct Answer: B. Abnormal condition, disease, or increase
Detailed Rationale: "-osis" denotes a process, condition, or state, often
abnormal or diseased (e.g., nephrosis, leukocytosis).
QUESTION 9 What does the medical suffix "-pathy" mean?
• A. Surgical incision
• B. Disease process or disorder
• C. Painful sensation
• D. Visual examination
Correct Answer: B. Disease process or disorder
