SCRIBE AMERICA FINAL OUTPATIENT 2026
PRACTICE TEST PAPER PATIENT ENCOUNTER
CHARTING REVIEW SHEET FULL SOLUTIONS
◉ 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 ".) 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.
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? Answer: Established
◉ What is the medical abbreviation for the condition commonly
described as, "reflux"? 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.) Answer: prognosis
◉ Which section of the chart should you document when you hear
the following cue "what medical problems do you have"? 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? 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? Answer:
Chronologic Structure
◉ Which of the following would be valid complications for CAD?
(Select all that apply) Answer: MI
◉ 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
◉ What does HIPAA stand for? Expand the abbreviation. 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.) 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?
Answer: Yes, because the fever started soon after the cough
◉ 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
PRACTICE TEST PAPER PATIENT ENCOUNTER
CHARTING REVIEW SHEET FULL SOLUTIONS
◉ 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 ".) 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.
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? Answer: Established
◉ What is the medical abbreviation for the condition commonly
described as, "reflux"? 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.) Answer: prognosis
◉ Which section of the chart should you document when you hear
the following cue "what medical problems do you have"? 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? 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? Answer:
Chronologic Structure
◉ Which of the following would be valid complications for CAD?
(Select all that apply) Answer: MI
◉ 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
◉ What does HIPAA stand for? Expand the abbreviation. 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.) 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?
Answer: Yes, because the fever started soon after the cough
◉ 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
