ScribeAmerica Outpatient Final exam ACTUAL EXAM
QUESTIONS WITH COMPLETE SOLUTION GUIDE (A+
GRADED 100% VERIFIED) LATEST VERSION 2025!!
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
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 chronic condition would require diagnosis through a lipid panel? Use the
abbreviation form. - (ANSWER)HLD
Which of the following are considered non-reimbursable chief complaints? (Select
all that apply) - (ANSWER)*follow-up
QUESTIONS WITH COMPLETE SOLUTION GUIDE (A+
GRADED 100% VERIFIED) LATEST VERSION 2025!!
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
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 chronic condition would require diagnosis through a lipid panel? Use the
abbreviation form. - (ANSWER)HLD
Which of the following are considered non-reimbursable chief complaints? (Select
all that apply) - (ANSWER)*follow-up
