scribeamerica Outpatient Final exam
with answers 2024 complete update
What does "PHI" stand for? Expand the abbreviation - answer protected health
information
What medical term describes the surgical removal of the gallbladder? - 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 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? - 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?" -
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 chronological structure
, Which of the following would be valid complications for CAD? (Select all that apply) -
answer MI
11. 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? Two words, expand the abbreviation. - 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
15. 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
HIPAA is a set of laws designed to__________. (select the best option) - answer
maintain patient privacy and confidentiality
What is the medical abbreviation for the condition described as "blood clot in the
lungs"? (Use the abbreviation form of the condition) - answer PE
What chronic condition would require diagnosis through a lipid panel? Use the
abbreviation form. - answer HLD
Which of the following are considered non-reimbursable chief complaints? (Select all
that apply) - answer *follow-up
*check-up
*medication refill
*lab results
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
with answers 2024 complete update
What does "PHI" stand for? Expand the abbreviation - answer protected health
information
What medical term describes the surgical removal of the gallbladder? - 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 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? - 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?" -
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 chronological structure
, Which of the following would be valid complications for CAD? (Select all that apply) -
answer MI
11. 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? Two words, expand the abbreviation. - 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
15. 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
HIPAA is a set of laws designed to__________. (select the best option) - answer
maintain patient privacy and confidentiality
What is the medical abbreviation for the condition described as "blood clot in the
lungs"? (Use the abbreviation form of the condition) - answer PE
What chronic condition would require diagnosis through a lipid panel? Use the
abbreviation form. - answer HLD
Which of the following are considered non-reimbursable chief complaints? (Select all
that apply) - answer *follow-up
*check-up
*medication refill
*lab results
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
