scribeamerica Outpatient Final exam 2025
update|comprehensive questions and verified
answers (complete solutions) Exam|GRADE A+!!
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Terms in this set (100)
What does "PHI" stand protected health information
for? Expand the
abbreviation
What medical term cholecystectomy
describes the surgical
removal of the
gallbladder?
T/F. Sharing information False
about a case with family
is allowed, as long as you
are scribing with the
physician assigned to the
case
A patient's PCP is on Established
vacation. The patient is
scheduling to see the NP
who is covering for the
PCP during this time. The
patient has never been
seen by the NP before. Is
the patient considered a
new patient or an
established patient?
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What is the medical GERD
abbreviation for the
condition commonly
described as "reflux"
What medical term would prognosis
best describe "the likely
course or outcome of a
disease?"
Which section of the PHx
chart should you
document when you hear
the following cue "what
medical problems do you
have?"
You are writing an HPI for multiple complaints structure
a patient who presented
for hyperlipidemia
management. In the
middle of the visit, your
patient also reports
having recently
experienced urinary
symptoms. Which HPI
structure would be the
best to use in this
scenario?
You are writing an HPI for chronological structure
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?
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Which of the following MI
would be valid
complications for CAD?
(Select all that apply)
*termination
*monetary fines to you and the hospital
11. What are the possible
*prison time
consequences of a
*lawsuit against you and the hospital
HIPAA violation? (Select
*violator is blacklisted from medical programs like
all that apply)
medical, PA, or NP school
*scribe program cancellation
What does HIPAA stand Health Insurance Portability and Accountability Act
for? Expand the
abbreviation.
What chronic condition diabetes mellitus
would require diagnosis
through fasting blood
glucose level or HbA1c?
Two words, expand the
abbreviation.
A patient states she has Yes, because the fever started soon after the cough
had a productive cough
for 4 days, and yesterday
she developed a fever.
Would her fever be
considered an associated
symptom for her
productive cough? Why
or why not?
15. Which of the following *Orders
would be documented in *Interpretations/Results
the Objective section of *Physical Exam
the SOAP note? (select
all that apply)
HIPAA is a set of laws maintain patient privacy and confidentiality
designed to__________.
(select the best option)
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