SCRIBEAMERICA OUTPATIENT FINAL
EXAM 2 LATEST VERSION (VERSION A
& B) ACTUAL EXAM 300 QUESTIONS
AND CORRECT DETAILED ANSWERS
What does "PHI" stand for? Expand the abbreviation - ✔✔protected health
information
What medical term describes the surgical removal of the gallbladder? -
✔✔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 - ✔✔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? - ✔✔Established
1
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
,What is the medical abbreviation for the condition commonly described as
"reflux" - ✔✔GERD
What medical term would best describe "the likely course or outcome of a
disease?" - ✔✔prognosis
Which section of the chart should you document when you hear the
following cue "what medical problems do you have?" - ✔✔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? - ✔✔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? - ✔✔chronological structure
Which of the following would be valid complications for CAD? (Select all
that apply) - ✔✔MI
11. What are the possible consequences of a HIPAA violation? (Select all
that apply) - ✔✔*termination
2
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
, *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. - ✔✔Health
Insurance Portability and Accountability Act
What chronic condition would require diagnosis through fasting blood
glucose level or HbA1c? Two words, expand the abbreviation. -
✔✔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? - ✔✔Yes, because
the fever started soon after the cough
15. Which of the following would be documented in the Objective section of
the SOAP note? (select all that apply) - ✔✔*Orders
3
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
EXAM 2 LATEST VERSION (VERSION A
& B) ACTUAL EXAM 300 QUESTIONS
AND CORRECT DETAILED ANSWERS
What does "PHI" stand for? Expand the abbreviation - ✔✔protected health
information
What medical term describes the surgical removal of the gallbladder? -
✔✔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 - ✔✔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? - ✔✔Established
1
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
,What is the medical abbreviation for the condition commonly described as
"reflux" - ✔✔GERD
What medical term would best describe "the likely course or outcome of a
disease?" - ✔✔prognosis
Which section of the chart should you document when you hear the
following cue "what medical problems do you have?" - ✔✔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? - ✔✔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? - ✔✔chronological structure
Which of the following would be valid complications for CAD? (Select all
that apply) - ✔✔MI
11. What are the possible consequences of a HIPAA violation? (Select all
that apply) - ✔✔*termination
2
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
, *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. - ✔✔Health
Insurance Portability and Accountability Act
What chronic condition would require diagnosis through fasting blood
glucose level or HbA1c? Two words, expand the abbreviation. -
✔✔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? - ✔✔Yes, because
the fever started soon after the cough
15. Which of the following would be documented in the Objective section of
the SOAP note? (select all that apply) - ✔✔*Orders
3
©NINJANERD 2025/2026. YEAR PUBLISHED 2025.
