Page 1 of 44
SCRIBEAMERICA OUTPATIENT FINAL EXAM ALL 150+
QUESTIONS AND CORRECT VERIFIED ANSWERS JUST
RELEASED THIS YEAR
QUESTION: 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? -
ANSWER✔✔chronological structure
QUESTION: Which of the following would be valid complications for CAD? (Select all that apply) -
ANSWER✔✔MI
QUESTION: 11. What are the possible consequences of a HIPAA violation? (Select all that apply) -
ANSWER✔✔*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
QUESTION: What does HIPAA stand for? Expand the abbreviation. - ANSWER✔✔Health Insurance
Portability and Accountability Act
, Page 2 of 44
QUESTION: What chronic condition would require diagnosis through fasting blood glucose level or
HbA1c? Two words, expand the abbreviation. - ANSWER✔✔diabetes mellitus
QUESTION: 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?
- ANSWER✔✔Yes, because the fever started soon after the cough
What does "PHI" stand for? Expand the abbreviation - ANSWER✔✔protected health information
QUESTION: What medical term describes the surgical removal of the gallbladder? -
ANSWER✔✔cholecystectomy
QUESTION: T/F. Sharing information about a case with family is allowed, as long as you are scribing with
the physician assigned to the case - ANSWER✔✔False
QUESTION: 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? - ANSWER✔✔Established
QUESTION: What is the medical abbreviation for the condition commonly described as "reflux" -
ANSWER✔✔GERD
QUESTION: What medical term would best describe "the likely course or outcome of a disease?" -
ANSWER✔✔prognosis
, Page 3 of 44
QUESTION: Which section of the chart should you document when you hear the following cue "what
medical problems do you have?" - ANSWER✔✔PHx
QUESTION: 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? - ANSWER✔✔multiple complaints structure
QUESTION: 15. Which of the following would be documented in the Objective section of the SOAP note?
(select all that apply) - ANSWER✔✔*Orders
*Interpretations/Results
*Physical Exam
QUESTION: HIPAA is a set of laws designed to__________. (select the best option) -
ANSWER✔✔maintain patient privacy and confidentiality
QUESTION: What is the medical abbreviation for the condition described as "blood clot in the lungs"?
(Use the abbreviation form of the condition) - ANSWER✔✔PE
QUESTION: What chronic condition would require diagnosis through a lipid panel? Use the abbreviation
form. - ANSWER✔✔HLD
, Page 4 of 44
QUESTION: Which of the following are considered non-reimbursable chief complaints? (Select all that
apply) - ANSWER✔✔*follow-up
*check-up
*medication refill
*lab results
QUESTION: T/F. A family friend was recently evaluated for IDDM and lost his paperwork and does not
know what medications he should be taking at home. He asks you to look up his medical record when
you go to your shift today, giving you verbal permission to access his information. In this scenario, it is
justifiable for you to use your EMR login to look up the important patient information. -
ANSWER✔✔False
QUESTION: A patient is s/p angioplasty with stent and quadruple cardiac bypass. What chronic condition
should be included in their diagnosis today? Expand the abbreviation? - ANSWER✔✔coronary artery
disease
QUESTION: A patient states that he has been having abdominal pain for the last three days, and it varies
between mild and severe. Which of the following would best describe the Timing? - ANSWER✔✔Waxing
and waning
QUESTION: The patient reports a tenderness in their right upper abdomen that began 2 weeks ago.
Based on that information, do you document RUQ tenderness under the physical exam? -
ANSWER✔✔No
SCRIBEAMERICA OUTPATIENT FINAL EXAM ALL 150+
QUESTIONS AND CORRECT VERIFIED ANSWERS JUST
RELEASED THIS YEAR
QUESTION: 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? -
ANSWER✔✔chronological structure
QUESTION: Which of the following would be valid complications for CAD? (Select all that apply) -
ANSWER✔✔MI
QUESTION: 11. What are the possible consequences of a HIPAA violation? (Select all that apply) -
ANSWER✔✔*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
QUESTION: What does HIPAA stand for? Expand the abbreviation. - ANSWER✔✔Health Insurance
Portability and Accountability Act
, Page 2 of 44
QUESTION: What chronic condition would require diagnosis through fasting blood glucose level or
HbA1c? Two words, expand the abbreviation. - ANSWER✔✔diabetes mellitus
QUESTION: 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?
- ANSWER✔✔Yes, because the fever started soon after the cough
What does "PHI" stand for? Expand the abbreviation - ANSWER✔✔protected health information
QUESTION: What medical term describes the surgical removal of the gallbladder? -
ANSWER✔✔cholecystectomy
QUESTION: T/F. Sharing information about a case with family is allowed, as long as you are scribing with
the physician assigned to the case - ANSWER✔✔False
QUESTION: 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? - ANSWER✔✔Established
QUESTION: What is the medical abbreviation for the condition commonly described as "reflux" -
ANSWER✔✔GERD
QUESTION: What medical term would best describe "the likely course or outcome of a disease?" -
ANSWER✔✔prognosis
, Page 3 of 44
QUESTION: Which section of the chart should you document when you hear the following cue "what
medical problems do you have?" - ANSWER✔✔PHx
QUESTION: 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? - ANSWER✔✔multiple complaints structure
QUESTION: 15. Which of the following would be documented in the Objective section of the SOAP note?
(select all that apply) - ANSWER✔✔*Orders
*Interpretations/Results
*Physical Exam
QUESTION: HIPAA is a set of laws designed to__________. (select the best option) -
ANSWER✔✔maintain patient privacy and confidentiality
QUESTION: What is the medical abbreviation for the condition described as "blood clot in the lungs"?
(Use the abbreviation form of the condition) - ANSWER✔✔PE
QUESTION: What chronic condition would require diagnosis through a lipid panel? Use the abbreviation
form. - ANSWER✔✔HLD
, Page 4 of 44
QUESTION: Which of the following are considered non-reimbursable chief complaints? (Select all that
apply) - ANSWER✔✔*follow-up
*check-up
*medication refill
*lab results
QUESTION: T/F. A family friend was recently evaluated for IDDM and lost his paperwork and does not
know what medications he should be taking at home. He asks you to look up his medical record when
you go to your shift today, giving you verbal permission to access his information. In this scenario, it is
justifiable for you to use your EMR login to look up the important patient information. -
ANSWER✔✔False
QUESTION: A patient is s/p angioplasty with stent and quadruple cardiac bypass. What chronic condition
should be included in their diagnosis today? Expand the abbreviation? - ANSWER✔✔coronary artery
disease
QUESTION: A patient states that he has been having abdominal pain for the last three days, and it varies
between mild and severe. Which of the following would best describe the Timing? - ANSWER✔✔Waxing
and waning
QUESTION: The patient reports a tenderness in their right upper abdomen that began 2 weeks ago.
Based on that information, do you document RUQ tenderness under the physical exam? -
ANSWER✔✔No
