OSC Ophthalmic Scribe Test | 200 Questions with 100% Correct
Answers | Verified | Latest Update 2026
Questions 1–200
Domain 1: Medical Documentation & SOAP Format (Questions 1–
30)
1. What is the primary function of a medical scribe?
A) Perform eye examinations independently
B) Create the medical note (documentation) in real-time
C) Diagnose eye diseases
D) Prescribe medications for eye conditions
Answer B: Create the medical note (documentation) in real-time
,Rationale: The primary function of a medical scribe is to create the
medical note in real-time as the physician evaluates the patient.
Scribes do not perform examinations, diagnose, or prescribe; they
document the physician's findings and patient history.
2. What is the preferred format for the creation of the medical
note?
A) PQRST
B) Subjective, Objective, Assessment, Plan (SOAP)
C) CC, HPI, ROS, PE
D) OPQRST and PMHx
Answer B: Subjective, Objective, Assessment, Plan (SOAP)
Rationale: The SOAP format is the standard for medical
documentation. Subjective includes patient-reported information;
Objective includes measurable findings; Assessment is the diagnosis;
Plan is the treatment plan.
3. "Present time" patient details are summarized by using which
format?
,A) SOAP
B) OPQRST (Onset, Provocation, Quality, Region/Radiation, Severity,
Time)
C) CC and HPI
D) ROS and PMHx
Answer B: OPQRST (Onset, Provocation, Quality, Region/Radiation,
Severity, Time)
Rationale: OPQRST characterizes the history of present illness: Onset,
Provocation/Palliation, Quality, Region/Radiation, Severity, Time.
4. Where does a scribe record the patient's comments regarding
vision problems?
A) Past Medical History (PMHx)
B) Chief Complaint (CC)
C) Review of Systems (ROS)
D) Physical Examination (PE)
Answer B: Chief Complaint (CC)
Rationale: The chief complaint (CC) records the patient's own words
regarding their primary reason for the visit, including vision problems.
, 5. The chief complaint (CC), history of present illness (HPI), and
review of systems (ROS) are listed in what category of the medical
note?
A) Subjective
B) Objective
C) Assessment
D) Plan
Answer A: Subjective
Rationale: The Subjective section of SOAP includes all patient-
reported information, including CC, HPI, and ROS.
6. The physical examination (PE), imaging, and laboratory results
are listed in what category of the medical note?
A) Subjective
B) Objective
C) Assessment
D) Plan
Answer B: Objective
Answers | Verified | Latest Update 2026
Questions 1–200
Domain 1: Medical Documentation & SOAP Format (Questions 1–
30)
1. What is the primary function of a medical scribe?
A) Perform eye examinations independently
B) Create the medical note (documentation) in real-time
C) Diagnose eye diseases
D) Prescribe medications for eye conditions
Answer B: Create the medical note (documentation) in real-time
,Rationale: The primary function of a medical scribe is to create the
medical note in real-time as the physician evaluates the patient.
Scribes do not perform examinations, diagnose, or prescribe; they
document the physician's findings and patient history.
2. What is the preferred format for the creation of the medical
note?
A) PQRST
B) Subjective, Objective, Assessment, Plan (SOAP)
C) CC, HPI, ROS, PE
D) OPQRST and PMHx
Answer B: Subjective, Objective, Assessment, Plan (SOAP)
Rationale: The SOAP format is the standard for medical
documentation. Subjective includes patient-reported information;
Objective includes measurable findings; Assessment is the diagnosis;
Plan is the treatment plan.
3. "Present time" patient details are summarized by using which
format?
,A) SOAP
B) OPQRST (Onset, Provocation, Quality, Region/Radiation, Severity,
Time)
C) CC and HPI
D) ROS and PMHx
Answer B: OPQRST (Onset, Provocation, Quality, Region/Radiation,
Severity, Time)
Rationale: OPQRST characterizes the history of present illness: Onset,
Provocation/Palliation, Quality, Region/Radiation, Severity, Time.
4. Where does a scribe record the patient's comments regarding
vision problems?
A) Past Medical History (PMHx)
B) Chief Complaint (CC)
C) Review of Systems (ROS)
D) Physical Examination (PE)
Answer B: Chief Complaint (CC)
Rationale: The chief complaint (CC) records the patient's own words
regarding their primary reason for the visit, including vision problems.
, 5. The chief complaint (CC), history of present illness (HPI), and
review of systems (ROS) are listed in what category of the medical
note?
A) Subjective
B) Objective
C) Assessment
D) Plan
Answer A: Subjective
Rationale: The Subjective section of SOAP includes all patient-
reported information, including CC, HPI, and ROS.
6. The physical examination (PE), imaging, and laboratory results
are listed in what category of the medical note?
A) Subjective
B) Objective
C) Assessment
D) Plan
Answer B: Objective
