Scribe Exam Questions with All
Correct Answers
What ROS system would include Dyspepsia, the medical term for indigestion? -
Answer-gastrointestinal
Which of the following would NOT be considered an example of PHI? - Answer-none of
the above
George is employed with SA as a scribe. He was off today and accidentally cut his
cheek while practicing his sword swallowing skills. He goes to the Emergency
Department and is seen by a doctor and another scribe. The Emergency Department is
extremely busy, and so George decides to help out the doctor by scribing his own note
using the computer in the room. Has George taken the appropriate steps in this
situation? - Answer-No, because George accessed his own medical record using his
EMR login
What are the possible consequences of a HIPAA violations? - Answer-Monetary fines to
you and the hospital
Scribe program cancellation
Violator is blacklisted from medical programs
Lawsuit against you and the hospital
Prison time
Termination
If a patient signs a waiver giving you permission to capture photo of their unique rash,
would you be committing a HIPAA violation by using your cellphone to capture the
photo? (Select the best option.) - Answer-Yes because the phone is not an approved
hospital device and it is not encrypted.
A 45 year old male presents to ED with a constant ripping, tearing pain to his central
chest radiating to his back associated with nausea that began 1 hour ago. What
element is constant ? - Answer-Timing
Among the following diseases listed, select the ones that qualify for CCT. - Answer-DKA
Sepsis
PTX
ACS
Acute MI
, A-fib with RVR
CVA
PE
What term describes "the patient destination is home"? - Answer-Discharge
What abbreviation describes the scenario in which a patient declines a hospital stay and
decides to go home instead? - Answer-AMA
A 13 y/o male patient was riding his bike earlier today and accidentally fell off after
traveling on an uneven patch of sidewalk. He landed onto his outstretched right hand
and subsequently experienced localized pain and swelling to the his right wrist. An x-ray
of the right wrist shows a distal radial fracture. Now that the results are back, the
physician will be ready to discharge the patient home. Which of the following would
need to go into this patient's disposition note? - Answer-F/U with specialist or PCP,
Specific conditions for return to the ED, Condition at time of disposition, Time period for
f/u, Timing of disposition, patient mental capacity
What do you need to make sure to document for every admitted patient. - Answer-A
consultation note indicating the admitting physician
An ED technician informs the provider that they have just finished applying a splint and
sling for the patient with the wrist fracture. What PE finding is important for your provider
to assess and include in the procedure note before the patient can be discharged
home? - Answer-CSMT
You've just caught up on all you're charting. What are some things you can do to
increase your provider's efficiency? - Answer-Preparing charts for patients that are
assign to provider
Tracking results
Accompanying your provider on revels
Preparing for dispositions
What does AMS stand for? - Answer-altered mental status
What does GCS stand for? - Answer-Glasgow Coma Scale
What does AAA stand for? - Answer-abdominal aortic aneurysm
What does PE stand for in the diagnosis section of the chart? - Answer-pulmonary
embolism
What does DP stand for in "DP pulse"? - Answer-dorsalis pedis
What does DVT stand for? - Answer-deep vein thrombosis
Correct Answers
What ROS system would include Dyspepsia, the medical term for indigestion? -
Answer-gastrointestinal
Which of the following would NOT be considered an example of PHI? - Answer-none of
the above
George is employed with SA as a scribe. He was off today and accidentally cut his
cheek while practicing his sword swallowing skills. He goes to the Emergency
Department and is seen by a doctor and another scribe. The Emergency Department is
extremely busy, and so George decides to help out the doctor by scribing his own note
using the computer in the room. Has George taken the appropriate steps in this
situation? - Answer-No, because George accessed his own medical record using his
EMR login
What are the possible consequences of a HIPAA violations? - Answer-Monetary fines to
you and the hospital
Scribe program cancellation
Violator is blacklisted from medical programs
Lawsuit against you and the hospital
Prison time
Termination
If a patient signs a waiver giving you permission to capture photo of their unique rash,
would you be committing a HIPAA violation by using your cellphone to capture the
photo? (Select the best option.) - Answer-Yes because the phone is not an approved
hospital device and it is not encrypted.
A 45 year old male presents to ED with a constant ripping, tearing pain to his central
chest radiating to his back associated with nausea that began 1 hour ago. What
element is constant ? - Answer-Timing
Among the following diseases listed, select the ones that qualify for CCT. - Answer-DKA
Sepsis
PTX
ACS
Acute MI
, A-fib with RVR
CVA
PE
What term describes "the patient destination is home"? - Answer-Discharge
What abbreviation describes the scenario in which a patient declines a hospital stay and
decides to go home instead? - Answer-AMA
A 13 y/o male patient was riding his bike earlier today and accidentally fell off after
traveling on an uneven patch of sidewalk. He landed onto his outstretched right hand
and subsequently experienced localized pain and swelling to the his right wrist. An x-ray
of the right wrist shows a distal radial fracture. Now that the results are back, the
physician will be ready to discharge the patient home. Which of the following would
need to go into this patient's disposition note? - Answer-F/U with specialist or PCP,
Specific conditions for return to the ED, Condition at time of disposition, Time period for
f/u, Timing of disposition, patient mental capacity
What do you need to make sure to document for every admitted patient. - Answer-A
consultation note indicating the admitting physician
An ED technician informs the provider that they have just finished applying a splint and
sling for the patient with the wrist fracture. What PE finding is important for your provider
to assess and include in the procedure note before the patient can be discharged
home? - Answer-CSMT
You've just caught up on all you're charting. What are some things you can do to
increase your provider's efficiency? - Answer-Preparing charts for patients that are
assign to provider
Tracking results
Accompanying your provider on revels
Preparing for dispositions
What does AMS stand for? - Answer-altered mental status
What does GCS stand for? - Answer-Glasgow Coma Scale
What does AAA stand for? - Answer-abdominal aortic aneurysm
What does PE stand for in the diagnosis section of the chart? - Answer-pulmonary
embolism
What does DP stand for in "DP pulse"? - Answer-dorsalis pedis
What does DVT stand for? - Answer-deep vein thrombosis
