SCRIBEAMERICA OUTPATIENT 2026 LATEST EXAM
ACTUAL QUESTIONS AND ANSWERS SURE A+
✔✔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? - ✔✔Chronologic structure
✔✔Which of the following would be valid complications for CAD? - ✔✔MI
✔✔* 57 year old male patient presented with RLQ abdominal pain, which began 5 days
ago. He states that he was mowing the lawn when the pain began. Patient reports he
took OTC Tylenol yesterday without relief. There has been no nausea, vomiting or
diarrhea. - ✔✔Yes, the HPI meets Level 4 billing criteria.
✔✔What are the possible consequences of a HIPAA violation? (select all that apply) -
✔✔- 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. Remember, do not include
any spaces before or after the term/phrase. e.g. Correct way "Good luck" vs incorrect "
good luck ". - ✔✔Health Insurance Portability and Accountability Act
✔✔What chronic condition would require diagnosis through fasting blood glucose level
or HbA1c? HINT: two words. Expand abbreviations. - ✔✔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
✔✔* Which of the following would be documented in the Objective section of the SOAP
note? (select all that apply.) - ✔✔- Orders
- Interpretations/results
- Treatments (that may involve medication or procedures)
- Physical exam
✔✔HIPAA is a set of laws designed to _______. (Select the best option.) - ✔✔maintain
patient privacy and confidentiality
, ✔✔What condition correctly describes "blood clot in the lungs"? (Use the abbreviation
form of the condition) - ✔✔PE
✔✔* MACRA - ✔✔government healthcare initiative that focuses on quality of care to
improve patient outcomes.
✔✔* MIPS - ✔✔system of payment in which government funding is released if specific
quality measures are tracked
✔✔Quality Measures - ✔✔site specific health criteria that are tracked
✔✔High Risk - ✔✔
✔✔Moderate Risk - ✔✔
✔✔Low Risk - ✔✔
✔✔What chronic condition would require diagnosis through a lipid panel? Use the
abbreviation form. - ✔✔HLD
✔✔* Which of the following are considered non-reimbursable chief complaints? - ✔✔-
Follow-up
- Check-up
- Medication refill
- Lab results
✔✔CP - ✔✔chest pain
✔✔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. - ✔✔F
✔✔What condition correctly describes "dangerous infection of the appendix"? (Do not
use abbreviations. - ✔✔appendicitis
✔✔An elderly male patient has a history of an enlarged prostate. What PMHx would you
record into the chart? - ✔✔BPH
✔✔* 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. -
✔✔Coronary Artery Disease
ACTUAL QUESTIONS AND ANSWERS SURE A+
✔✔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? - ✔✔Chronologic structure
✔✔Which of the following would be valid complications for CAD? - ✔✔MI
✔✔* 57 year old male patient presented with RLQ abdominal pain, which began 5 days
ago. He states that he was mowing the lawn when the pain began. Patient reports he
took OTC Tylenol yesterday without relief. There has been no nausea, vomiting or
diarrhea. - ✔✔Yes, the HPI meets Level 4 billing criteria.
✔✔What are the possible consequences of a HIPAA violation? (select all that apply) -
✔✔- 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. Remember, do not include
any spaces before or after the term/phrase. e.g. Correct way "Good luck" vs incorrect "
good luck ". - ✔✔Health Insurance Portability and Accountability Act
✔✔What chronic condition would require diagnosis through fasting blood glucose level
or HbA1c? HINT: two words. Expand abbreviations. - ✔✔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
✔✔* Which of the following would be documented in the Objective section of the SOAP
note? (select all that apply.) - ✔✔- Orders
- Interpretations/results
- Treatments (that may involve medication or procedures)
- Physical exam
✔✔HIPAA is a set of laws designed to _______. (Select the best option.) - ✔✔maintain
patient privacy and confidentiality
, ✔✔What condition correctly describes "blood clot in the lungs"? (Use the abbreviation
form of the condition) - ✔✔PE
✔✔* MACRA - ✔✔government healthcare initiative that focuses on quality of care to
improve patient outcomes.
✔✔* MIPS - ✔✔system of payment in which government funding is released if specific
quality measures are tracked
✔✔Quality Measures - ✔✔site specific health criteria that are tracked
✔✔High Risk - ✔✔
✔✔Moderate Risk - ✔✔
✔✔Low Risk - ✔✔
✔✔What chronic condition would require diagnosis through a lipid panel? Use the
abbreviation form. - ✔✔HLD
✔✔* Which of the following are considered non-reimbursable chief complaints? - ✔✔-
Follow-up
- Check-up
- Medication refill
- Lab results
✔✔CP - ✔✔chest pain
✔✔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. - ✔✔F
✔✔What condition correctly describes "dangerous infection of the appendix"? (Do not
use abbreviations. - ✔✔appendicitis
✔✔An elderly male patient has a history of an enlarged prostate. What PMHx would you
record into the chart? - ✔✔BPH
✔✔* 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. -
✔✔Coronary Artery Disease
