OPHTHALMIC SCRIBE CERTIFICATION
OSC STUDY GUIDE EXAM QUESTIONS
AND ANSWERS. VERIFIED 2026.
What is the primary function of a medical scribe? - ANS create the medical note
what is the preferred format for the creation of the medical note? - ANS subjective,
objective, assessment, plan (soap)
"present time" pt details are summarized by using what format - ANS OPQRST
all current procedural terminology (CPT) codes must be justified by what appropiate coding
mechanisms - ANS international classification of disease (ICD)
what patient history is outlined in the PMHx - ANS medical history
what scribing include: blood pressure, heart rate, and respiratory rate - ANS vital signs
the chief complaint (CC) history of present illness (HPI) adn review of systems (ROS) are listed in
what category of the medical note? - ANS subjective
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, the physical examination (PE) imaging and Laboratory results are listed in what category of the
medical note? - ANS objective
pt allergies and medications are listed under what category in the medical note? -
ANS subjective
where does a scribe record the pt's comments regarding vision problems? - ANS chief
complaint (CC)
which of the following statements is true regarding taking ocular history? - ANS the pt's
systematic drug therapy may produce ocular systems
name three important things to document in the history of an ocular injury - ANS 1. how the
injury occurred
2. the time the injury occurred
3. the treatment received since the injury occurred.
in obtaining the past medical history for a pt about to have eye sx, what is MOST important? -
ANS allergies to medications
when taking the pt's history, it is important to inquire about hypertension and anti-hypertensive
medications because they may be a factor in determining whether to... - ANS administer
dilating drops
what is the most important entry a scribe can make in the pt chart? - ANS what the physician
finds in the course of the exam
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
OSC STUDY GUIDE EXAM QUESTIONS
AND ANSWERS. VERIFIED 2026.
What is the primary function of a medical scribe? - ANS create the medical note
what is the preferred format for the creation of the medical note? - ANS subjective,
objective, assessment, plan (soap)
"present time" pt details are summarized by using what format - ANS OPQRST
all current procedural terminology (CPT) codes must be justified by what appropiate coding
mechanisms - ANS international classification of disease (ICD)
what patient history is outlined in the PMHx - ANS medical history
what scribing include: blood pressure, heart rate, and respiratory rate - ANS vital signs
the chief complaint (CC) history of present illness (HPI) adn review of systems (ROS) are listed in
what category of the medical note? - ANS subjective
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, the physical examination (PE) imaging and Laboratory results are listed in what category of the
medical note? - ANS objective
pt allergies and medications are listed under what category in the medical note? -
ANS subjective
where does a scribe record the pt's comments regarding vision problems? - ANS chief
complaint (CC)
which of the following statements is true regarding taking ocular history? - ANS the pt's
systematic drug therapy may produce ocular systems
name three important things to document in the history of an ocular injury - ANS 1. how the
injury occurred
2. the time the injury occurred
3. the treatment received since the injury occurred.
in obtaining the past medical history for a pt about to have eye sx, what is MOST important? -
ANS allergies to medications
when taking the pt's history, it is important to inquire about hypertension and anti-hypertensive
medications because they may be a factor in determining whether to... - ANS administer
dilating drops
what is the most important entry a scribe can make in the pt chart? - ANS what the physician
finds in the course of the exam
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
