SCRIBEAMERICA OUTPATIENT FINAL EXAM 2025 QUESTIONS AND ANSWERS
What does "PHI" stand for? Expand the abbreviation - (answer)protected health information
What medical term describes the surgical removal of the gallbladder? - (answer)cholecystectomy
T/F. Sharing information about a case with family is allowed, as long as you are scribing with the
physician assigned to the case - (answer)False
A patient's PCP is on 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? - (answer)Established
What is the medical abbreviation for the condition commonly described as "reflux" - (answer)GERD
What medical term would best describe "the likely course or outcome of a disease?" -
(answer)prognosis
Which section of the chart should you document when you hear the following cue "what medical
problems do you have?" - (answer)PHx
You are writing an HPI for 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? - (answer)multiple complaints structure
You are writing an HPI for 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? - (answer)chronological
structure
Which of the following would be valid complications for CAD? (Select all that apply) - (answer)MI
, SCRIBEAMERICA OUTPATIENT FINAL EXAM 2025 QUESTIONS AND ANSWERS
11. What are the possible consequences of a HIPAA violation? (Select all that apply) -
(answer)*termination
*monetary fines to you and the hospital
*prison time
*lawsuit against you and the hospital
*violator is blacklisted from medical programs like medical, PA, or NP school
*scribe program cancellation
What does HIPAA stand for? Expand the abbreviation. - (answer)Health Insurance Portability and
Accountability Act
What chronic condition would require diagnosis through fasting blood glucose level or HbA1c? Two
words, expand the abbreviation. - (answer)diabetes mellitus
A patient states she has 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? -
(answer)Yes, because the fever started soon after the cough
15. Which of the following would be documented in the Objective section of the SOAP note? (select
all that apply) - (answer)*Orders
*Interpretations/Results
*Physical Exam
HIPAA is a set of laws designed to__________. (select the best option) - (answer)maintain patient
privacy and confidentiality
What is the medical abbreviation for the condition described as "blood clot in the lungs"? (Use the
abbreviation form of the condition) - (answer)PE
What does "PHI" stand for? Expand the abbreviation - (answer)protected health information
What medical term describes the surgical removal of the gallbladder? - (answer)cholecystectomy
T/F. Sharing information about a case with family is allowed, as long as you are scribing with the
physician assigned to the case - (answer)False
A patient's PCP is on 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? - (answer)Established
What is the medical abbreviation for the condition commonly described as "reflux" - (answer)GERD
What medical term would best describe "the likely course or outcome of a disease?" -
(answer)prognosis
Which section of the chart should you document when you hear the following cue "what medical
problems do you have?" - (answer)PHx
You are writing an HPI for 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? - (answer)multiple complaints structure
You are writing an HPI for 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? - (answer)chronological
structure
Which of the following would be valid complications for CAD? (Select all that apply) - (answer)MI
, SCRIBEAMERICA OUTPATIENT FINAL EXAM 2025 QUESTIONS AND ANSWERS
11. What are the possible consequences of a HIPAA violation? (Select all that apply) -
(answer)*termination
*monetary fines to you and the hospital
*prison time
*lawsuit against you and the hospital
*violator is blacklisted from medical programs like medical, PA, or NP school
*scribe program cancellation
What does HIPAA stand for? Expand the abbreviation. - (answer)Health Insurance Portability and
Accountability Act
What chronic condition would require diagnosis through fasting blood glucose level or HbA1c? Two
words, expand the abbreviation. - (answer)diabetes mellitus
A patient states she has 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? -
(answer)Yes, because the fever started soon after the cough
15. Which of the following would be documented in the Objective section of the SOAP note? (select
all that apply) - (answer)*Orders
*Interpretations/Results
*Physical Exam
HIPAA is a set of laws designed to__________. (select the best option) - (answer)maintain patient
privacy and confidentiality
What is the medical abbreviation for the condition described as "blood clot in the lungs"? (Use the
abbreviation form of the condition) - (answer)PE
