SCRIBEAMERICA OUTPATIENT
CERTIFICATION TEST 2026 FULL QUESTION
BANK WITH SOLUTIONS
⫸ A 23 y/o female is brought in by EMS for a motor vehicle crash.
Your physician verbalized outlaid that the patient appears to be on a
backboard and her cervical spine is stabilized with a hand collar. The
patient also appears to be lethargic with obvious lacerations above her
right eyebrow, left hand, and left thigh. Match the following exam
findings with he appropriate organ system. Answer: Neck: patient with a
c-collar
Back: patient back-boarded
Integumentary: lacerations to the right eyebrow, left hand, and left thigh
Neurological: patient lethargic
⫸ A 43 y/o male presents to the ED with vomiting that began 5 hours
ago. He has a history of Type II DM and is s/p right BKA. On objective
evaluation it is found that he is hyperglycemic and has elevated ketones
and so he will be admitted for DKA. Match the details to the correct
section of the chart. Answer: Onset: 5 hours ago
Disposition: admit
ED Course: hyperglycemia and elevated ketones
CC: vomiting
,PMHx: Type II DM
Diagnosis: DKA
PSHx: right BKA
⫸ A 45 year old male presents to the ED with a constant ripping, tearing
pain to his central chest radiating strait to his back with associated
nausea that began 1 hour ago. What element in constant? Answer:
timing
⫸ A 45 year old male presents to the ED with a ripping, tearing pain to
his central chest radiating strait to his back with associated nausea and
begun 1 hours ago. What emergency conditions from the following list
may explain the patients symptoms? Answer: MI and Aortic Dissection
⫸ A female patient has been pregnant four times in the past, is currently
pregnant, and has two children at home. Calculate the G, P, and A.
Answer: 5,2,2
⫸ A patient cut his left foot on a piece of glass two hours ago and is
seen in the emergency department to have sutures placed. The doctor
tells you there is no tendon injury and circulatory, sensory and motor is
intact. What is the best diagnosis for his complaint? Answer:
Uncomplicated laceration of the left foot - initial encounter
⫸ A patient has the following history: breast CA s/p chemoradiation
therapy and mastectomy. Based on this, does the patient meet level 5
, billing criteria for this scenario of the chart? Answer: Yes, the PHx
meets level 5 billing criteria
⫸ A patient is seen in the emergency department complaining of
dysuria and tells you that she is 23 weeks pregnant. Your doctor
diagnoses her with a UTI. Which of the following would be the best
diagnosis? Answer: acute urinary tract infection in pregnancy, 2nd
trimester
⫸ A patient recently went on a boat trip 2 days ago and developed
dizziness which has continued to persist since onset. She describes her
dizziness as a room spinning and reports that it is accompanied by
tinnitus, nausea, and vomiting. Physical exam is positive for Romberg's
and Heat CT is negative. Based on this information which is the most
likely final diagnosis for the patient? Answer: BPV
⫸ A patient states she has had a productive cough for 4 days, and
yesterday she developed a fever. Would her fever be considered an
associates symptom for her productive cough? Why or why not?
Answer: Yes, because fever started soon after the cough
⫸ Among the following diseases listed, select the ones that qualify for
CCT. Answer: DKA
Sepsis
PTX
ACS
Acute MI
CERTIFICATION TEST 2026 FULL QUESTION
BANK WITH SOLUTIONS
⫸ A 23 y/o female is brought in by EMS for a motor vehicle crash.
Your physician verbalized outlaid that the patient appears to be on a
backboard and her cervical spine is stabilized with a hand collar. The
patient also appears to be lethargic with obvious lacerations above her
right eyebrow, left hand, and left thigh. Match the following exam
findings with he appropriate organ system. Answer: Neck: patient with a
c-collar
Back: patient back-boarded
Integumentary: lacerations to the right eyebrow, left hand, and left thigh
Neurological: patient lethargic
⫸ A 43 y/o male presents to the ED with vomiting that began 5 hours
ago. He has a history of Type II DM and is s/p right BKA. On objective
evaluation it is found that he is hyperglycemic and has elevated ketones
and so he will be admitted for DKA. Match the details to the correct
section of the chart. Answer: Onset: 5 hours ago
Disposition: admit
ED Course: hyperglycemia and elevated ketones
CC: vomiting
,PMHx: Type II DM
Diagnosis: DKA
PSHx: right BKA
⫸ A 45 year old male presents to the ED with a constant ripping, tearing
pain to his central chest radiating strait to his back with associated
nausea that began 1 hour ago. What element in constant? Answer:
timing
⫸ A 45 year old male presents to the ED with a ripping, tearing pain to
his central chest radiating strait to his back with associated nausea and
begun 1 hours ago. What emergency conditions from the following list
may explain the patients symptoms? Answer: MI and Aortic Dissection
⫸ A female patient has been pregnant four times in the past, is currently
pregnant, and has two children at home. Calculate the G, P, and A.
Answer: 5,2,2
⫸ A patient cut his left foot on a piece of glass two hours ago and is
seen in the emergency department to have sutures placed. The doctor
tells you there is no tendon injury and circulatory, sensory and motor is
intact. What is the best diagnosis for his complaint? Answer:
Uncomplicated laceration of the left foot - initial encounter
⫸ A patient has the following history: breast CA s/p chemoradiation
therapy and mastectomy. Based on this, does the patient meet level 5
, billing criteria for this scenario of the chart? Answer: Yes, the PHx
meets level 5 billing criteria
⫸ A patient is seen in the emergency department complaining of
dysuria and tells you that she is 23 weeks pregnant. Your doctor
diagnoses her with a UTI. Which of the following would be the best
diagnosis? Answer: acute urinary tract infection in pregnancy, 2nd
trimester
⫸ A patient recently went on a boat trip 2 days ago and developed
dizziness which has continued to persist since onset. She describes her
dizziness as a room spinning and reports that it is accompanied by
tinnitus, nausea, and vomiting. Physical exam is positive for Romberg's
and Heat CT is negative. Based on this information which is the most
likely final diagnosis for the patient? Answer: BPV
⫸ A patient states she has had a productive cough for 4 days, and
yesterday she developed a fever. Would her fever be considered an
associates symptom for her productive cough? Why or why not?
Answer: Yes, because fever started soon after the cough
⫸ Among the following diseases listed, select the ones that qualify for
CCT. Answer: DKA
Sepsis
PTX
ACS
Acute MI
