SCRIBEAMERICA OUTPATIENT ED
FINAL EXAM WITH VERIFIED
SOLUTIONS/A+ GRADE ASSURED
What does "PHI" stand for? Expand the abbreviation - ✔✔protected health
information
What medical term describes the surgical removal of the gallbladder? -
✔✔cholecystectomy
T/F. Sharing information about a case with family is allowed, as long as you are
scribing with the physician assigned to the case - ✔✔False
A patient's PCP is on vacation. The patient is scheduling to see the NP who is
covering for the PCP during this time. The patient has never been seen by the
NP before. Is the patient considered a new patient or an established patient? -
✔✔Established
What is the medical abbreviation for the condition commonly described as
"reflux" - ✔✔GERD
What medical term would best describe "the likely course or outcome of a
disease?" - ✔✔prognosis
1|Page
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
,Which section of the chart should you document when you hear the following
cue "what medical problems do you have?" - ✔✔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? - ✔✔multiple complaints structure
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? - ✔✔chronological structure
Which of the following would be valid complications for CAD? (Select all that
apply) - ✔✔MI
11. What are the possible consequences of a HIPAA violation? (Select all that
apply) - ✔✔*termination
*monetary fines to you and the hospital
*prison time
*lawsuit against you and the hospital
*violator is blacklisted from medical programs like medical, PA, or NP school
*scribe program cancellation
2|Page
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
, What does HIPAA stand for? Expand the abbreviation. - ✔✔Health Insurance
Portability and Accountability Act
What chronic condition would require diagnosis through fasting blood glucose
level or HbA1c? Two words, expand the abbreviation. - ✔✔diabetes mellitus
A patient states she has had a productive cough for 4 days, and yesterday she
developed a fever. Would her fever be considered an associated symptom for
her productive cough? Why or why not? - ✔✔Yes, because the fever started
soon after the cough
15. Which of the following would be documented in the Objective section of the
SOAP note? (select all that apply) - ✔✔*Orders
*Interpretations/Results
*Physical Exam
HIPAA is a set of laws designed to__________. (select the best option) -
✔✔maintain patient privacy and confidentiality
What is the medical abbreviation for the condition described as "blood clot in
the lungs"? (Use the abbreviation form of the condition) - ✔✔PE
What chronic condition would require diagnosis through a lipid panel? Use the
abbreviation form. - ✔✔HLD
3|Page
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
FINAL EXAM WITH VERIFIED
SOLUTIONS/A+ GRADE ASSURED
What does "PHI" stand for? Expand the abbreviation - ✔✔protected health
information
What medical term describes the surgical removal of the gallbladder? -
✔✔cholecystectomy
T/F. Sharing information about a case with family is allowed, as long as you are
scribing with the physician assigned to the case - ✔✔False
A patient's PCP is on vacation. The patient is scheduling to see the NP who is
covering for the PCP during this time. The patient has never been seen by the
NP before. Is the patient considered a new patient or an established patient? -
✔✔Established
What is the medical abbreviation for the condition commonly described as
"reflux" - ✔✔GERD
What medical term would best describe "the likely course or outcome of a
disease?" - ✔✔prognosis
1|Page
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
,Which section of the chart should you document when you hear the following
cue "what medical problems do you have?" - ✔✔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? - ✔✔multiple complaints structure
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? - ✔✔chronological structure
Which of the following would be valid complications for CAD? (Select all that
apply) - ✔✔MI
11. What are the possible consequences of a HIPAA violation? (Select all that
apply) - ✔✔*termination
*monetary fines to you and the hospital
*prison time
*lawsuit against you and the hospital
*violator is blacklisted from medical programs like medical, PA, or NP school
*scribe program cancellation
2|Page
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
, What does HIPAA stand for? Expand the abbreviation. - ✔✔Health Insurance
Portability and Accountability Act
What chronic condition would require diagnosis through fasting blood glucose
level or HbA1c? Two words, expand the abbreviation. - ✔✔diabetes mellitus
A patient states she has had a productive cough for 4 days, and yesterday she
developed a fever. Would her fever be considered an associated symptom for
her productive cough? Why or why not? - ✔✔Yes, because the fever started
soon after the cough
15. Which of the following would be documented in the Objective section of the
SOAP note? (select all that apply) - ✔✔*Orders
*Interpretations/Results
*Physical Exam
HIPAA is a set of laws designed to__________. (select the best option) -
✔✔maintain patient privacy and confidentiality
What is the medical abbreviation for the condition described as "blood clot in
the lungs"? (Use the abbreviation form of the condition) - ✔✔PE
What chronic condition would require diagnosis through a lipid panel? Use the
abbreviation form. - ✔✔HLD
3|Page
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
