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SCRIBEAMERICA OUTPATIENT FINAL EXAM
QUESTIONS WITH 100% VERIFIED ANSWERS
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. - correct-answer-
False
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? -
correct-answer-coronary artery disease
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? - correct-answer-Waxing and waning
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? - correct-answer-No
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What condition correctly describes "heart attack"? Use the abbreviated form of
the condition. - correct-answer-MI
A patient reportedly had their tonsils removed as a child. What PSHx would you
record into the chart? - correct-answer-tonsillectomy
What is the medical term for an elevated heart rate (over 100 beats per minute)? -
correct-answer-tachycardia
27. Identify what details are included in the following Assessment. (Select all that
apply.)
"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 ago. Creatinine and BUN elevated and worsening
compared to last visit 3 weeks ago. Patient recommended emergency dialysis
today and warned that he may be at risk for death and other complications if he
does not seek further urgent medical attention. Patient understands and agrees to
be transferred to the ED." - correct-answer-*Age and sex
*PHx, if relevant
*Diagnosis
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*Results
*HPI
*Prognosis/Plan
T/F. All symptoms documented in the ROS are also documented in the HPI. -
correct-answer-False
What is the medical term for "open heart surgery"? Expand the abbreviation -
correct-answer-coronary artery bypass graft
30. Identify which of these PE systems contains contradictory findings: - correct-
answer-Respiratory: No respiratory distress, tachypnea, lungs clear to auscultation
bilaterally
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 best - correct-answer-Yes because the phone is not an
approved hospital device and it is not encrypted
SCRIBEAMERICA OUTPATIENT FINAL EXAM
QUESTIONS WITH 100% VERIFIED ANSWERS
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. - correct-answer-
False
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? -
correct-answer-coronary artery disease
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? - correct-answer-Waxing and waning
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? - correct-answer-No
,2|Page
What condition correctly describes "heart attack"? Use the abbreviated form of
the condition. - correct-answer-MI
A patient reportedly had their tonsils removed as a child. What PSHx would you
record into the chart? - correct-answer-tonsillectomy
What is the medical term for an elevated heart rate (over 100 beats per minute)? -
correct-answer-tachycardia
27. Identify what details are included in the following Assessment. (Select all that
apply.)
"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 ago. Creatinine and BUN elevated and worsening
compared to last visit 3 weeks ago. Patient recommended emergency dialysis
today and warned that he may be at risk for death and other complications if he
does not seek further urgent medical attention. Patient understands and agrees to
be transferred to the ED." - correct-answer-*Age and sex
*PHx, if relevant
*Diagnosis
, 3|Page
*Results
*HPI
*Prognosis/Plan
T/F. All symptoms documented in the ROS are also documented in the HPI. -
correct-answer-False
What is the medical term for "open heart surgery"? Expand the abbreviation -
correct-answer-coronary artery bypass graft
30. Identify which of these PE systems contains contradictory findings: - correct-
answer-Respiratory: No respiratory distress, tachypnea, lungs clear to auscultation
bilaterally
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 best - correct-answer-Yes because the phone is not an
approved hospital device and it is not encrypted
