SCRIBE FINAL TEST QUESTIONS WITH
COMPLETE ANSWERS
STEMI - Answer-ST elevation myocardial infarction
T/F : Physician assistants and nurse practitioners are considered medical providers -
Answer-True
T/F : The scribe can listen to a patient's heart and lungs as long as it is for learning
purposes and under supervision of the physician. - Answer-False
What will the scribe document for the outpatient visit? (Check all that apply)
Important notes for past medical records
History & physical
Laboratory and radiology results
Physician interpretation of XRs and EKGs
Assessment
Plan - Answer-All of these
Lucy has been seen by Dr. Jones for the past 2 years. She is here today for a routine
appointment with Dr. Jones. Is Lucy a new or established patient? - Answer-Established
A patient made an appointment because she developed a rash a few days ago. Is this a
diagnostic or health management visit? - Answer-diagnostic
A patient has an appointment for management of her diabetes. Is this a diagnostic or
health management visit? - Answer-health management
What does H&P abbreviate and who performs this evaluation? - Answer-History &
Physical: (HPI, ROS, PE) this is physician eval
Is a differential diagnosis necessary for a health management visit? - Answer-no it is
only for diagnostic visit
Give three examples of information included in the patient's plan. - Answer-•Follow-up
with specialist if necessary
•Instructions for lifestyle and preventative care
•Follow-up for next routine appointment
, In which sections of the chart do the following items belong?
1. The CBC shows anemia:
2. The pt came to the clinic for chest pain:
3. The pt also stubbed his toe last week:
4. The pt is in no acute distress:
5. The pt has had HTN for many years:
6. The pt's diagnosis is CHF:
7. The pt will be prescribed penicillin today: - Answer-1. results
2. HPI
3. ROS
4. ROS
5. Past History/HPI
6. Assessment
7. Plan
At what age would a family member's cardiac disease indicate an increased risk for
similar heart disease in the patient? - Answer-MI/CAD less than 55 y/o
What are three common general family histories your physician may ask? - Answer-
General: HTN, DM
Cardiac: MI/CAD if younger than 55 y/o
Neurological: History of CVA
Would PMHx of chronic alcoholism belong in the SHx section as well as the PMHx of
the chart? Why or why not? - Answer-Yes, because Alcoholism is a disease and any
alcohol consumption does belong in SHx
The patient's mother states, "The daycare called me to pick up Megan and her brother
because Megan had a fever." What are three items you can document under social
history for Angela? - Answer-1. Living Circumstances
2. Attends Daycare
3. Siblings
The patient has had respiratory symptoms for the past 3 weeks. Are the symptoms
considered acute or chronic? - Answer-no chronic is last longer than 3 months
What is comorbidity? - Answer-the simultaneous presence of two chronic diseases or
conditions in a patient
List two ways patient care is complicated by comorbidities. - Answer-1. treatment of one
disease could negatively impact another.
2.adverse drug reactions
Which of the following can be caused by HTN? (Check all that apply)
COMPLETE ANSWERS
STEMI - Answer-ST elevation myocardial infarction
T/F : Physician assistants and nurse practitioners are considered medical providers -
Answer-True
T/F : The scribe can listen to a patient's heart and lungs as long as it is for learning
purposes and under supervision of the physician. - Answer-False
What will the scribe document for the outpatient visit? (Check all that apply)
Important notes for past medical records
History & physical
Laboratory and radiology results
Physician interpretation of XRs and EKGs
Assessment
Plan - Answer-All of these
Lucy has been seen by Dr. Jones for the past 2 years. She is here today for a routine
appointment with Dr. Jones. Is Lucy a new or established patient? - Answer-Established
A patient made an appointment because she developed a rash a few days ago. Is this a
diagnostic or health management visit? - Answer-diagnostic
A patient has an appointment for management of her diabetes. Is this a diagnostic or
health management visit? - Answer-health management
What does H&P abbreviate and who performs this evaluation? - Answer-History &
Physical: (HPI, ROS, PE) this is physician eval
Is a differential diagnosis necessary for a health management visit? - Answer-no it is
only for diagnostic visit
Give three examples of information included in the patient's plan. - Answer-•Follow-up
with specialist if necessary
•Instructions for lifestyle and preventative care
•Follow-up for next routine appointment
, In which sections of the chart do the following items belong?
1. The CBC shows anemia:
2. The pt came to the clinic for chest pain:
3. The pt also stubbed his toe last week:
4. The pt is in no acute distress:
5. The pt has had HTN for many years:
6. The pt's diagnosis is CHF:
7. The pt will be prescribed penicillin today: - Answer-1. results
2. HPI
3. ROS
4. ROS
5. Past History/HPI
6. Assessment
7. Plan
At what age would a family member's cardiac disease indicate an increased risk for
similar heart disease in the patient? - Answer-MI/CAD less than 55 y/o
What are three common general family histories your physician may ask? - Answer-
General: HTN, DM
Cardiac: MI/CAD if younger than 55 y/o
Neurological: History of CVA
Would PMHx of chronic alcoholism belong in the SHx section as well as the PMHx of
the chart? Why or why not? - Answer-Yes, because Alcoholism is a disease and any
alcohol consumption does belong in SHx
The patient's mother states, "The daycare called me to pick up Megan and her brother
because Megan had a fever." What are three items you can document under social
history for Angela? - Answer-1. Living Circumstances
2. Attends Daycare
3. Siblings
The patient has had respiratory symptoms for the past 3 weeks. Are the symptoms
considered acute or chronic? - Answer-no chronic is last longer than 3 months
What is comorbidity? - Answer-the simultaneous presence of two chronic diseases or
conditions in a patient
List two ways patient care is complicated by comorbidities. - Answer-1. treatment of one
disease could negatively impact another.
2.adverse drug reactions
Which of the following can be caused by HTN? (Check all that apply)
