Scribe Exam Questions And Correct
Answers 100% Verified.
Surgical removal of the gallbladder - Answer✔cholecystectomy
PHI stands for - Answer✔Protected Health Information
T/F sharing info about a case with family is allowed as long as you are scribing with the
physician assigned to the case - Answer✔False
Pt underwent brain surgery to treat bleeding in the brain from a stroke. What is the PSHx you
would record? - Answer✔craniotomy
term for likely course or outcome of a disease - Answer✔prognosis
"what medical problems do you have" is charted where? - Answer✔PHx
Pt who presented for hyperlipidemia mngmt. In middle of visit complains of UT problems.
Which HPI structure would best fit? - Answer✔Multiple complains structure
What are not the purposes of HITECH? - Answer✔To require govn. accountability on health
insurance plans available in the market place. To require patient accountability in paying for
their health care visit. To require equal access, opportunity, and affordability for health insurance
planes by screening pt health information.
Medical term for pt with a h/o infection or inflammation of the liver - Answer✔hepatitis
You're writing an HPI for a complex pt with multiple recent hospital visits for lung cancer. The
HPI structure would be? - Answer✔Chronological structure
Which of the following would be valid complications for CAD? - Answer✔MI
Does this meet level 4 billing?
57 y/o male pt presented with RLQ abd pain that began 5 days ago. He states he was mowing the
lawn when pain began. Pt repots he took OTC tylenol yesterday w/o relief. There is no N/V/D. -
Answer✔no
HIPAA stands for - Answer✔Health Insurance Portability and Accountability Act
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