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Examen

Scribe America Final Exam – Verified Questions & Correct Detailed Answers | 2025/2026 A+ Grade

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Subido en
18-12-2025
Escrito en
2025/2026

The Scribe America Final Exam is the comprehensive assessment for medical scribes completing their training program. It ensures mastery of the essential skills needed to work effectively in both outpatient and emergency clinical settings. The exam covers: Medical Terminology – Prefixes, suffixes, abbreviations, and root words across specialties. Clinical Documentation – SOAP notes, HPI, ROS, physical exam findings, assessment, and plan. Electronic Health Records (EHR) – Chart navigation, compliance, and documentation standards. HIPAA & Legal Compliance – Patient privacy, confidentiality, and adherence to documentation rules. Workflow & Team Dynamics – Provider–scribe interaction, efficiency, and accuracy in clinical environments. Basic Anatomy & Physiology – Knowledge of body systems and common conditions relevant to patient care.

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Subido en
18 de diciembre de 2025
Número de páginas
14
Escrito en
2025/2026
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Examen
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Scribe America Final questions and answers
2025\2026 A+ Grade


What does "PHI" stand for? Expand the abbreviation. (Remember: do not include any extra spaces
before or after the term/phrase)
- correct answer Protected Health Information



What medical term describes the surgical removal of the gallbladder? (Remember: when typing your
answer, do not include any extra spaces before or after the term/phrase. For example: Correct way
"Good luck" vs incorrect " good luck ".)
- correct answer 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.
- correct answer False



A patient's PCP is on vacation. The patient is scheduled to see the NP who is covering for the PCP during
this time. The patient has never been seen by the NP before. Is this patient considered a new patient or
an established patient?
- correct answer Established



What is the medical abbreviation for the condition commonly described as, "reflux"?
- correct answer GERD



What medical term would best describe "the likely course or outcome of a disease"? (Remember do not
include spaces before or after your answer.)
- correct answer prognosis



Which section of the chart should you document when you hear the following cue "what medical
problems do you have"?
- correct answer PHx

, 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?
- correct answer 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?
- correct answer Chronologic Structure



Which of the following would be valid complications for CAD? (Select all that apply)
- correct answer MI



What are the possible consequences of a HIPAA violation? (select all that apply)
- correct 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



What does HIPAA stand for? Expand the abbreviation.
- correct answer Health Insurance Portability and Accountability Act



What chronic condition would require diagnosis through fasting blood glucose level or HbA1c? HINT:
two words. Expand abbreviations. (Remember do not include spaces before or after your answer.)
- correct answer 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?
- correct answer Yes, because the fever started soon after the cough
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