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scribeamerica Outpatient Final exam
Questions and Correct Detailed
Answers (Verified Answers)
Q: What does "PHI" stand for? Expand the abbreviation
Ans: protected health information
Q: What medical term describes the surgical removal of the
gallbladder?
Ans: cholecystectomy
Q: T/F. Sharing information about a case with family is allowed,
as long as you are scribing with the physician assigned to the case
Ans: False
Q: 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
Master01 | 2025/2026 | Latest update
, 2
has never been seen by the NP before. Is the patient considered a
new patient or an established patient?
Ans: Established
Q: What is the medical abbreviation for the condition commonly
described as "reflux"
Ans: GERD
Q: What medical term would best describe "the likely course or
outcome of a disease?"
Ans: prognosis
Q: Which section of the chart should you document when you
hear the following cue "what medical problems do you have?"
Ans: PHx
Q: You are writing an HPI for a patient who presented for
hyperlipidemia management. In the middle of the visit, your patient
Master01 | 2025/2026 | Latest update
, 3
also reports having recently experienced urinary symptoms. Which
HPI structure would be the best to use in this scenario?
Ans: multiple complaints structure
Q: 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?
Ans: chronological structure
Q: Which of the following would be valid complications for CAD?
(Select all that apply)
Ans: MI
Q: 11. What are the possible consequences of a HIPAA violation?
(Select all that apply)
Master01 | 2025/2026 | Latest update
scribeamerica Outpatient Final exam
Questions and Correct Detailed
Answers (Verified Answers)
Q: What does "PHI" stand for? Expand the abbreviation
Ans: protected health information
Q: What medical term describes the surgical removal of the
gallbladder?
Ans: cholecystectomy
Q: T/F. Sharing information about a case with family is allowed,
as long as you are scribing with the physician assigned to the case
Ans: False
Q: 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
Master01 | 2025/2026 | Latest update
, 2
has never been seen by the NP before. Is the patient considered a
new patient or an established patient?
Ans: Established
Q: What is the medical abbreviation for the condition commonly
described as "reflux"
Ans: GERD
Q: What medical term would best describe "the likely course or
outcome of a disease?"
Ans: prognosis
Q: Which section of the chart should you document when you
hear the following cue "what medical problems do you have?"
Ans: PHx
Q: You are writing an HPI for a patient who presented for
hyperlipidemia management. In the middle of the visit, your patient
Master01 | 2025/2026 | Latest update
, 3
also reports having recently experienced urinary symptoms. Which
HPI structure would be the best to use in this scenario?
Ans: multiple complaints structure
Q: 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?
Ans: chronological structure
Q: Which of the following would be valid complications for CAD?
(Select all that apply)
Ans: MI
Q: 11. What are the possible consequences of a HIPAA violation?
(Select all that apply)
Master01 | 2025/2026 | Latest update
