Scribe Exam Questions and Answers
100% Pass
Are physicians assistants and nurse practitioners considered medical providers? -
✔✔Yes
Lucy has been seen by Dr. Heart for the past 2 years. She is here today for a routine
appointment with Dr. Heart. Is Lucy new or an established patient? - ✔✔Established
A patient made an appointment because she developed a rash a few days ago. What
type of visit would this be? - ✔✔Diagnostic
A patient has an appointment for management of her diabetes. What type of visit
would this be? - ✔✔Health Maintenance
What are the two types of clinical visits? - ✔✔Diagnostic and Health Maintenance
H&P - ✔✔History and Physical
What does the H&P include? - ✔✔HPI, ROS, PE
Who is the first person to speak with the patient after he/she is placed in a room? -
✔✔Nurse/MA
Emily Charlene, All Rights Reserved © 2025 1
,What are the meaningful use requirements the nurse/MA will obtain? - ✔✔Chief
complaint, vital signs, height, weight, BMI, smoking status
Who performs the H&P? - ✔✔The Medical Provider
Is a differential diagnosis necessary for a health maintenance visit? - ✔✔No. Only for
diagnostic visit
What information will be included in the patient's plan? give three examples. -
✔✔Follow-up with specialist, instructions for lifestyle, and follow-up for next routine
appointment.
The complete blood count shows anemia: - ✔✔Results
The EKG shows normal sinus rhythm: - ✔✔Results
The patient came to the clinic for chest pain: - ✔✔History of Present Illness (HPI)
The patient also stubbed his toe last week: - ✔✔Review of Systems
The patient is in no acute distress: - ✔✔...
The patient has suffered from HTN for many years: - ✔✔Past History
There is tenderness of the RUQ: - ✔✔Physical Exam
The patient's mother has heart disease: - ✔✔Past History
The diagnosis is upper respiratory infection: - ✔✔...
Emily Charlene, All Rights Reserved © 2025 2
, The patient will be prescribed penicillin today: - ✔✔Assessment and Plan
What should you write if the patient says he has high blood pressure? -
✔✔Hypertension (HTN)
What should you write if the patient says he has Diabetes "takes pills"? - ✔✔Non-
insulin dependent diabetes mellitus (NIDDM)
What should you write if the patient says he has heart attack? - ✔✔Coronary Artery
Disease (CAD) and Myocardial Infarction (MI)
What should you write if the patient says he has reflux? - ✔✔Gastroesophageal Reflux
Disease (GERD)
What should you write if the patient says he has stroke? - ✔✔Cerebrovascular Accident
(CVA)
What should you write if the patient says she has breast cancer and they found a mass
in my brain? - ✔✔Breast CA with metastasis to the brain
What should you write if the patient says he has had stents? - ✔✔Coronary Stents
What should you write if the patient says he has had gallbladder removed? -
✔✔Cholecystectomy
What should you write if the patient says he has had tubes tied? - ✔✔Tubal ligation
(female) or vasectomy (male)
Emily Charlene, All Rights Reserved © 2025 3
100% Pass
Are physicians assistants and nurse practitioners considered medical providers? -
✔✔Yes
Lucy has been seen by Dr. Heart for the past 2 years. She is here today for a routine
appointment with Dr. Heart. Is Lucy new or an established patient? - ✔✔Established
A patient made an appointment because she developed a rash a few days ago. What
type of visit would this be? - ✔✔Diagnostic
A patient has an appointment for management of her diabetes. What type of visit
would this be? - ✔✔Health Maintenance
What are the two types of clinical visits? - ✔✔Diagnostic and Health Maintenance
H&P - ✔✔History and Physical
What does the H&P include? - ✔✔HPI, ROS, PE
Who is the first person to speak with the patient after he/she is placed in a room? -
✔✔Nurse/MA
Emily Charlene, All Rights Reserved © 2025 1
,What are the meaningful use requirements the nurse/MA will obtain? - ✔✔Chief
complaint, vital signs, height, weight, BMI, smoking status
Who performs the H&P? - ✔✔The Medical Provider
Is a differential diagnosis necessary for a health maintenance visit? - ✔✔No. Only for
diagnostic visit
What information will be included in the patient's plan? give three examples. -
✔✔Follow-up with specialist, instructions for lifestyle, and follow-up for next routine
appointment.
The complete blood count shows anemia: - ✔✔Results
The EKG shows normal sinus rhythm: - ✔✔Results
The patient came to the clinic for chest pain: - ✔✔History of Present Illness (HPI)
The patient also stubbed his toe last week: - ✔✔Review of Systems
The patient is in no acute distress: - ✔✔...
The patient has suffered from HTN for many years: - ✔✔Past History
There is tenderness of the RUQ: - ✔✔Physical Exam
The patient's mother has heart disease: - ✔✔Past History
The diagnosis is upper respiratory infection: - ✔✔...
Emily Charlene, All Rights Reserved © 2025 2
, The patient will be prescribed penicillin today: - ✔✔Assessment and Plan
What should you write if the patient says he has high blood pressure? -
✔✔Hypertension (HTN)
What should you write if the patient says he has Diabetes "takes pills"? - ✔✔Non-
insulin dependent diabetes mellitus (NIDDM)
What should you write if the patient says he has heart attack? - ✔✔Coronary Artery
Disease (CAD) and Myocardial Infarction (MI)
What should you write if the patient says he has reflux? - ✔✔Gastroesophageal Reflux
Disease (GERD)
What should you write if the patient says he has stroke? - ✔✔Cerebrovascular Accident
(CVA)
What should you write if the patient says she has breast cancer and they found a mass
in my brain? - ✔✔Breast CA with metastasis to the brain
What should you write if the patient says he has had stents? - ✔✔Coronary Stents
What should you write if the patient says he has had gallbladder removed? -
✔✔Cholecystectomy
What should you write if the patient says he has had tubes tied? - ✔✔Tubal ligation
(female) or vasectomy (male)
Emily Charlene, All Rights Reserved © 2025 3
