SCRIBEAMERICA OP FINAL EXAM newest actual 2025/2026
QUESTIONS AND ANSWERS verified | GRADED A+
T/F. It is acceptable to look up your own medical information
while working in the clinic. - ------Answers-----F
* What condition correctly describes "mini-stroke"? (Use the
abbreviation form of the condition.) - ------Answers-----TIA
A patient requires a "balloon" to treat a heart attack. What
PSHx would you record into the chart? (HINT: one word only.) -
------Answers-----angioplasty
Which of the following are considered to be cardiac risk
factors for CP patients? (select all that apply) - ------
Answers------ HTN
- HLD
- Family hx of
CAD <55 y/o
- PSHx of CABG, angioplasty, and stent
- DM (can cause severe bleeding. Have to know DM for my
clinic)
- CAD
- tobacco use
,What is the medical term for "slow heart rate"? (Remember,
when typing your answer, do not include any spaces before or
after the term/phrase) - ------Answers-----bradycaridia
What medical term can be used to describe "having multiple
chronic conditions"? - ------Answers-----comorbidities
A patient requires partial removal of the lung to treat lung
cancer. What PSHx would you record into the chart? (HINT: two
words) - ------Answers-----partial lobectomy
What can scribes in the clinic do to help accomplish MACRA
and MIPS goals? - ------Answers------ Document quality
measures that are met by the physician during the visit.
- Prompt the provider to perform a quality measure.
- Use a trackingsheet to keep a track of patients that meet
criteria for quality measures.
Determine which structure best fits the following Assessment.
"Patient is a 34 y/o female with Acute Pharyngitis. Post nasal
drip on exam with no visible signs of tonsilar exudate. Rapid
strep negative." - ------Answers-----Brief summary
You see the physician check the patient's pulses in four places;
the right wrist, the top of the right foot, the back of the right
, foot and the left neck. The doctor states "The pulses are fine".
Match the location with the appropriate pulse that you would
document in the physical exam? - ------Answers------ wrist
2+ radial pulse
- top of foot
2+ DP pulse
- neck
2+ carotid pulse
- back of foot
2+ PT pulse
What condition correctly describes "A blood clot in the
extremities"? (HINT: Use the abbreviation form of the
condition) - ------Answers-----DVT
1) ICD code
2) E&M code
3) HCC code - ------Answers-----1) codes for diagnosis
2) codes for reimbursement
3) code for risk
* Determine which structure best fits the following
Assessment.
"Patient is a 56 y/o male with CRF first diagnosed 3 years ago
in acute exacerbation today. He reports decreased urinary
output that has progressively worsened since onset 5 days
QUESTIONS AND ANSWERS verified | GRADED A+
T/F. It is acceptable to look up your own medical information
while working in the clinic. - ------Answers-----F
* What condition correctly describes "mini-stroke"? (Use the
abbreviation form of the condition.) - ------Answers-----TIA
A patient requires a "balloon" to treat a heart attack. What
PSHx would you record into the chart? (HINT: one word only.) -
------Answers-----angioplasty
Which of the following are considered to be cardiac risk
factors for CP patients? (select all that apply) - ------
Answers------ HTN
- HLD
- Family hx of
CAD <55 y/o
- PSHx of CABG, angioplasty, and stent
- DM (can cause severe bleeding. Have to know DM for my
clinic)
- CAD
- tobacco use
,What is the medical term for "slow heart rate"? (Remember,
when typing your answer, do not include any spaces before or
after the term/phrase) - ------Answers-----bradycaridia
What medical term can be used to describe "having multiple
chronic conditions"? - ------Answers-----comorbidities
A patient requires partial removal of the lung to treat lung
cancer. What PSHx would you record into the chart? (HINT: two
words) - ------Answers-----partial lobectomy
What can scribes in the clinic do to help accomplish MACRA
and MIPS goals? - ------Answers------ Document quality
measures that are met by the physician during the visit.
- Prompt the provider to perform a quality measure.
- Use a trackingsheet to keep a track of patients that meet
criteria for quality measures.
Determine which structure best fits the following Assessment.
"Patient is a 34 y/o female with Acute Pharyngitis. Post nasal
drip on exam with no visible signs of tonsilar exudate. Rapid
strep negative." - ------Answers-----Brief summary
You see the physician check the patient's pulses in four places;
the right wrist, the top of the right foot, the back of the right
, foot and the left neck. The doctor states "The pulses are fine".
Match the location with the appropriate pulse that you would
document in the physical exam? - ------Answers------ wrist
2+ radial pulse
- top of foot
2+ DP pulse
- neck
2+ carotid pulse
- back of foot
2+ PT pulse
What condition correctly describes "A blood clot in the
extremities"? (HINT: Use the abbreviation form of the
condition) - ------Answers-----DVT
1) ICD code
2) E&M code
3) HCC code - ------Answers-----1) codes for diagnosis
2) codes for reimbursement
3) code for risk
* Determine which structure best fits the following
Assessment.
"Patient is a 56 y/o male with CRF first diagnosed 3 years ago
in acute exacerbation today. He reports decreased urinary
output that has progressively worsened since onset 5 days
