SCRIBEAMERICA OUTPATIENT
FINAL EXAM 2025 QUESTIONS AND
ANSWERS
What does "PHI" stand for? Expand the abbreviation - ANS protected health information
What medical term describes the surgical removal of the gallbladder? - ANS 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 - ANS 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? - ANS Established
What is the medical abbreviation for the condition commonly described as "reflux" -
ANS GERD
What medical term would best describe "the likely course or outcome of a disease?" -
ANS prognosis
Which section of the chart should you document when you hear the following cue "what
medical problems do you have?" - ANS PHx
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, 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? - ANS 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? -
ANS chronological structure
Which of the following would be valid complications for CAD? (Select all that apply) - ANS MI
11. What are the possible consequences of a HIPAA violation? (Select all that apply) -
ANS *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. - ANS Health Insurance Portability and
Accountability Act
What chronic condition would require diagnosis through fasting blood glucose level or HbA1c?
Two words, expand the abbreviation. - ANS 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? - ANS Yes, because the fever started soon after the cough
COPYRIGHT © 2025 BRAINBARTER ALL RIGHTS RESERVED 2
FINAL EXAM 2025 QUESTIONS AND
ANSWERS
What does "PHI" stand for? Expand the abbreviation - ANS protected health information
What medical term describes the surgical removal of the gallbladder? - ANS 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 - ANS 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? - ANS Established
What is the medical abbreviation for the condition commonly described as "reflux" -
ANS GERD
What medical term would best describe "the likely course or outcome of a disease?" -
ANS prognosis
Which section of the chart should you document when you hear the following cue "what
medical problems do you have?" - ANS PHx
COPYRIGHT © 2025 BRAINBARTER ALL RIGHTS RESERVED 1
, 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? - ANS 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? -
ANS chronological structure
Which of the following would be valid complications for CAD? (Select all that apply) - ANS MI
11. What are the possible consequences of a HIPAA violation? (Select all that apply) -
ANS *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. - ANS Health Insurance Portability and
Accountability Act
What chronic condition would require diagnosis through fasting blood glucose level or HbA1c?
Two words, expand the abbreviation. - ANS 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? - ANS Yes, because the fever started soon after the cough
COPYRIGHT © 2025 BRAINBARTER ALL RIGHTS RESERVED 2
