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SCRIBEAMERICA OUTPATIENT FINAL EXAM
2025| BRAND NEW ACTUAL EXAM WITH 100%
VERIFIED QUESTIONS AND CORRECT
SOLUTIONS| GUARANTEED VALUE PACK| ACE
YOUR GRADES.
1. What does "PHI" stand for? Expand the abbreviation - correct answer -
protected health information
2. What medical term describes the surgical removal of the gallbladder? -
correct answer - cholecystectomy
3. 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
4. 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? - correct answer - Established
5. What is the medical abbreviation for the condition commonly described
as "reflux" - correct answer - GERD
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6. What medical term would best describe "the likely course or outcome of
a disease?" - correct answer - prognosis
7. Which section of the chart should you document when you hear the
following cue "what medical problems do you have?" - correct answer -
PHx
8. 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
9. 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 - chronological
structure
10. Which of the following would be valid complications for CAD? (Select
all that apply) - correct answer - MI
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11. What are the possible consequences of a HIPAA violation? (Select all
that apply) - correct answer - *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
12. What does HIPAA stand for? Expand the abbreviation. - correct
answer - Health Insurance Portability and Accountability Act
13. What chronic condition would require diagnosis through fasting blood
glucose level or HbA1c? Two words, expand the abbreviation. - correct
answer - diabetes mellitus
14. 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? -
correct answer - Yes, because the fever started soon after the cough
15. 15. Which of the following would be documented in the Objective
section of the SOAP note? (select all that apply) - correct answer -
*Orders
*Interpretations/Results
*Physical Exam
SCRIBEAMERICA OUTPATIENT FINAL EXAM
2025| BRAND NEW ACTUAL EXAM WITH 100%
VERIFIED QUESTIONS AND CORRECT
SOLUTIONS| GUARANTEED VALUE PACK| ACE
YOUR GRADES.
1. What does "PHI" stand for? Expand the abbreviation - correct answer -
protected health information
2. What medical term describes the surgical removal of the gallbladder? -
correct answer - cholecystectomy
3. 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
4. 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? - correct answer - Established
5. What is the medical abbreviation for the condition commonly described
as "reflux" - correct answer - GERD
, Page |2
6. What medical term would best describe "the likely course or outcome of
a disease?" - correct answer - prognosis
7. Which section of the chart should you document when you hear the
following cue "what medical problems do you have?" - correct answer -
PHx
8. 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
9. 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 - chronological
structure
10. Which of the following would be valid complications for CAD? (Select
all that apply) - correct answer - MI
, Page |3
11. What are the possible consequences of a HIPAA violation? (Select all
that apply) - correct answer - *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
12. What does HIPAA stand for? Expand the abbreviation. - correct
answer - Health Insurance Portability and Accountability Act
13. What chronic condition would require diagnosis through fasting blood
glucose level or HbA1c? Two words, expand the abbreviation. - correct
answer - diabetes mellitus
14. 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? -
correct answer - Yes, because the fever started soon after the cough
15. 15. Which of the following would be documented in the Objective
section of the SOAP note? (select all that apply) - correct answer -
*Orders
*Interpretations/Results
*Physical Exam
