SCRIBEAMERICA OUTPATIENT UPDATED EXAM TEST
PAPER 2026 QUESTIONS AND ANSWERS SURE A+
✔✔* "Patient is a 56 y/o male with CRF first diagnosed 3 years ago in acute
exacerbation today. He reports decreased urinary output that has progressively
worsened since onset 5 days ago. Creatinine and BUN elevated and worsening
compared to last visit 3 weeks ago. Patient recommended emergency dialysis today
and warned that he may be at risk for death and other complications if he does not seek
further urgent medical attention. Patient understands and agrees to be transferred to the
ED." - ✔✔- Age and Sex
- PHx, if relevant
- Diagnosis
- Results
- HPI ( first two sentences)
- Prognosis/Plan
✔✔T/F. All symptoms documented in the ROS are also documented in the HPI. - ✔✔F
✔✔What is the medical term for "open heart surgery"? HINT: expand the abbreviation. -
✔✔Coronary Artery Bypass Graft
✔✔Identify which of these PE systems contains contradictory findings: - ✔✔Respiratory:
No respiratory distress, tachypnea, lungs are clear to auscultation bilaterally
✔✔If a patient signs a waiver giving you permission to capture photo of their unique
rash, would you be committing a HIPAA violation by using your cellphone to capture the
photo? (Select the best option.) - ✔✔Yes because the phone is not an approved
hospital device and it is not encrypted.
✔✔What condition correctly describes "Narrowing of the coronary arteries limits blood
supply to the heart muscle causing ischemia"? HINT: Use the abbreviation form of the
condition. - ✔✔CAD
✔✔An elderly female patient has a history of brittle bone disease and is at risk for
developing bone fractures. What PMHx would you record into the chart? -
✔✔osteoporosis
✔✔What medical term is used to describe the physician examining the patient by
touch? - ✔✔palpation
✔✔Organize the parts of the chart in order from top (1) to bottom (7). - ✔✔1. HPI
2. ROS
3. PHx
4. PE
, 5. Orders/Results
6. Assessment
7. Plan
✔✔What ROS system would include dysphagia, the medical term for difficult or painful
swallowing? - ✔✔ENT
✔✔T/F. The ROS does not contain the CC and its associated symptoms because they
are already listed in the HPI. - ✔✔F (bc anything in hpi will be in ros)
✔✔48 - ✔✔
✔✔* A patient requires a heart bypass to treat a heart attack. What PSHx would you
record into the chart? (HINT: Expand the medical abbreviation.) - ✔✔coronary artery
bypass graft
✔✔A female patient has been pregnant four times in the past, is currently pregnant, and
has two children at home. Calculate the G, P and A, respectively. (Type your answer
using the following format: "G,P,A" "#,#,#"; so for example you woud type 0,0,0 with no
spaces before or after the answer) - ✔✔5,2,2
✔✔What body system would the exam finding PERRL be documented in? - ✔✔Eyes
✔✔T/F. It is acceptable to look up your own medical information while working in the
clinic. - ✔✔F
✔✔* What condition correctly describes "mini-stroke"? (Use the abbreviation form of the
condition.) - ✔✔TIA
✔✔A patient requires a "balloon" to treat a heart attack. What PSHx would you record
into the chart? (HINT: one word only.) - ✔✔angioplasty
✔✔Which of the following are considered to be cardiac risk factors for CP patients?
(select all that apply) - ✔✔- HTN
- HLD
- Family hx of
CAD <55 y/o
- PSHx of CABG, angioplasty, and stent
- DM (can cause severe bleeding. Have to know DM for my clinic)
- CAD
- tobacco use
PAPER 2026 QUESTIONS AND ANSWERS SURE A+
✔✔* "Patient is a 56 y/o male with CRF first diagnosed 3 years ago in acute
exacerbation today. He reports decreased urinary output that has progressively
worsened since onset 5 days ago. Creatinine and BUN elevated and worsening
compared to last visit 3 weeks ago. Patient recommended emergency dialysis today
and warned that he may be at risk for death and other complications if he does not seek
further urgent medical attention. Patient understands and agrees to be transferred to the
ED." - ✔✔- Age and Sex
- PHx, if relevant
- Diagnosis
- Results
- HPI ( first two sentences)
- Prognosis/Plan
✔✔T/F. All symptoms documented in the ROS are also documented in the HPI. - ✔✔F
✔✔What is the medical term for "open heart surgery"? HINT: expand the abbreviation. -
✔✔Coronary Artery Bypass Graft
✔✔Identify which of these PE systems contains contradictory findings: - ✔✔Respiratory:
No respiratory distress, tachypnea, lungs are clear to auscultation bilaterally
✔✔If a patient signs a waiver giving you permission to capture photo of their unique
rash, would you be committing a HIPAA violation by using your cellphone to capture the
photo? (Select the best option.) - ✔✔Yes because the phone is not an approved
hospital device and it is not encrypted.
✔✔What condition correctly describes "Narrowing of the coronary arteries limits blood
supply to the heart muscle causing ischemia"? HINT: Use the abbreviation form of the
condition. - ✔✔CAD
✔✔An elderly female patient has a history of brittle bone disease and is at risk for
developing bone fractures. What PMHx would you record into the chart? -
✔✔osteoporosis
✔✔What medical term is used to describe the physician examining the patient by
touch? - ✔✔palpation
✔✔Organize the parts of the chart in order from top (1) to bottom (7). - ✔✔1. HPI
2. ROS
3. PHx
4. PE
, 5. Orders/Results
6. Assessment
7. Plan
✔✔What ROS system would include dysphagia, the medical term for difficult or painful
swallowing? - ✔✔ENT
✔✔T/F. The ROS does not contain the CC and its associated symptoms because they
are already listed in the HPI. - ✔✔F (bc anything in hpi will be in ros)
✔✔48 - ✔✔
✔✔* A patient requires a heart bypass to treat a heart attack. What PSHx would you
record into the chart? (HINT: Expand the medical abbreviation.) - ✔✔coronary artery
bypass graft
✔✔A female patient has been pregnant four times in the past, is currently pregnant, and
has two children at home. Calculate the G, P and A, respectively. (Type your answer
using the following format: "G,P,A" "#,#,#"; so for example you woud type 0,0,0 with no
spaces before or after the answer) - ✔✔5,2,2
✔✔What body system would the exam finding PERRL be documented in? - ✔✔Eyes
✔✔T/F. It is acceptable to look up your own medical information while working in the
clinic. - ✔✔F
✔✔* What condition correctly describes "mini-stroke"? (Use the abbreviation form of the
condition.) - ✔✔TIA
✔✔A patient requires a "balloon" to treat a heart attack. What PSHx would you record
into the chart? (HINT: one word only.) - ✔✔angioplasty
✔✔Which of the following are considered to be cardiac risk factors for CP patients?
(select all that apply) - ✔✔- HTN
- HLD
- Family hx of
CAD <55 y/o
- PSHx of CABG, angioplasty, and stent
- DM (can cause severe bleeding. Have to know DM for my clinic)
- CAD
- tobacco use
