1
Scribe America Final Exam Questions
and Correct Answers
What is the role of each person in the clinic? Answer:
Mid-level: works under the supervision of the physician
to diagnose and treat patients
Nurse/MA: records medical histories and sx; monitors
the patients, completes meaningful use requirements,
administers medication, assists with procedures.
Receptionist: answers phone, schedules patient
appointments, answers patients questions, provides
patient with summary of visit with instructions from
provider at checkout; organizes the patients
paperwork's
Scribe: documents the patients visit on behalf of the
physician.
What is the scope of a scribe? Answer: An unlicensed
person performing documentation and other non-
clinical tasks under the direction of a healthcare
provider.
Pretest - Stuvia US
,2
Are physician assistants and nurse practitioners
considered medical providers? Answer: No, they are
mid-level provider.
T/F: The scribe can listen to a patient's heart and lungs
as long as it is for learning purposes and under
supervision of the physician. Answer: FALSE
What will the scribe document for the outpatient visit?
Answer: Document the history, physical exam,
results, procedures, assessment, and plan.
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 a new or established patient? Answer:
Established
A patient made an appointment because she developed
a rash a few days ago. What type of visit would this
be? Answer: Diagnostic
A patient has an appointment for management of her
diabetes. What type of visit would this be? Answer:
Health Management
Pretest - Stuvia US
, 3
Who is the first person to speak with the patient after
is he/she is placed in a room? Answer: Physician
What are the meaningful use requirements the
nurse/MA will obtain? Answer: Chief complaint, vital
signs (HR, BP, T, RR), height, weight, BMI, smoking
status
What does H&P abbreviate and who perform this
evaluation? Answer: History and physical, physician
evaluation
Is a differential diagnosis necessary for a health
management visit? Answer: No, only for diagnostic
visit. (Possible Dx that may be causing the symptoms)
What information will be included in the patient's plan?
Give three examples. Answer: Follow-up with
specialist if necessary, instructions for lifestyle and
preventative care, and follow-up for next routine
appointment.
Pretest - Stuvia US
Scribe America Final Exam Questions
and Correct Answers
What is the role of each person in the clinic? Answer:
Mid-level: works under the supervision of the physician
to diagnose and treat patients
Nurse/MA: records medical histories and sx; monitors
the patients, completes meaningful use requirements,
administers medication, assists with procedures.
Receptionist: answers phone, schedules patient
appointments, answers patients questions, provides
patient with summary of visit with instructions from
provider at checkout; organizes the patients
paperwork's
Scribe: documents the patients visit on behalf of the
physician.
What is the scope of a scribe? Answer: An unlicensed
person performing documentation and other non-
clinical tasks under the direction of a healthcare
provider.
Pretest - Stuvia US
,2
Are physician assistants and nurse practitioners
considered medical providers? Answer: No, they are
mid-level provider.
T/F: The scribe can listen to a patient's heart and lungs
as long as it is for learning purposes and under
supervision of the physician. Answer: FALSE
What will the scribe document for the outpatient visit?
Answer: Document the history, physical exam,
results, procedures, assessment, and plan.
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 a new or established patient? Answer:
Established
A patient made an appointment because she developed
a rash a few days ago. What type of visit would this
be? Answer: Diagnostic
A patient has an appointment for management of her
diabetes. What type of visit would this be? Answer:
Health Management
Pretest - Stuvia US
, 3
Who is the first person to speak with the patient after
is he/she is placed in a room? Answer: Physician
What are the meaningful use requirements the
nurse/MA will obtain? Answer: Chief complaint, vital
signs (HR, BP, T, RR), height, weight, BMI, smoking
status
What does H&P abbreviate and who perform this
evaluation? Answer: History and physical, physician
evaluation
Is a differential diagnosis necessary for a health
management visit? Answer: No, only for diagnostic
visit. (Possible Dx that may be causing the symptoms)
What information will be included in the patient's plan?
Give three examples. Answer: Follow-up with
specialist if necessary, instructions for lifestyle and
preventative care, and follow-up for next routine
appointment.
Pretest - Stuvia US
