SCRIBEAMERICA OUTPATIENT FINAL EXAM REAL EXAM 100
QAUESTIONS AND ANSWERS WITH DETAILED ANSWERS
LATEST UPDATE 2024/2025
What chronic condition would require diagnosis through fasting blood
glucose level or HbA1c? Two words, expand the abbreviation.
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
15. Which of the following would be documented in the Objective
section of the SOAP note? (select all that apply)
*Orders
*Interpretations/Results
*Physical Exam
HIPAA is a set of laws designed to . (select the best
option) 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)
PE
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?
(Select all that apply)
*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
,SCRIBEAMERICA OUTPATIENT FINAL EXAM REAL EXAM 100
QAUESTIONS AND ANSWERS WITH DETAILED ANSWERS
LATEST UPDATE 2024/2025
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.
False
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
A patient states that he has been having abdominal pain for the last
three days, and it varies between mild and severe. Which of the
following would best describe the Timing?
Waxing and waning
The patient reports a tenderness in their right upper abdomen that began
2 weeks ago. Based on that information, do you document RUQ
tenderness under the physical exam?
No
What condition correctly describes "heart attack"? Use the
abbreviated form of the condition. MI
A patient reportedly had their tonsils removed as a child. What PSHx
would you record into the chart?
tonsillectomy
What is the medical term for an elevated heart rate (over
100 beats per minute)? tachycardia
27. Identify what details are included in the following Assessment. (Select
all that apply.)
"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
, SCRIBEAMERICA OUTPATIENT FINAL EXAM REAL EXAM 100
QAUESTIONS AND ANSWERS WITH DETAILED ANSWERS
LATEST UPDATE 2024/2025
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
*Prognosis/Plan
QAUESTIONS AND ANSWERS WITH DETAILED ANSWERS
LATEST UPDATE 2024/2025
What chronic condition would require diagnosis through fasting blood
glucose level or HbA1c? Two words, expand the abbreviation.
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
15. Which of the following would be documented in the Objective
section of the SOAP note? (select all that apply)
*Orders
*Interpretations/Results
*Physical Exam
HIPAA is a set of laws designed to . (select the best
option) 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)
PE
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?
(Select all that apply)
*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
,SCRIBEAMERICA OUTPATIENT FINAL EXAM REAL EXAM 100
QAUESTIONS AND ANSWERS WITH DETAILED ANSWERS
LATEST UPDATE 2024/2025
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.
False
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
A patient states that he has been having abdominal pain for the last
three days, and it varies between mild and severe. Which of the
following would best describe the Timing?
Waxing and waning
The patient reports a tenderness in their right upper abdomen that began
2 weeks ago. Based on that information, do you document RUQ
tenderness under the physical exam?
No
What condition correctly describes "heart attack"? Use the
abbreviated form of the condition. MI
A patient reportedly had their tonsils removed as a child. What PSHx
would you record into the chart?
tonsillectomy
What is the medical term for an elevated heart rate (over
100 beats per minute)? tachycardia
27. Identify what details are included in the following Assessment. (Select
all that apply.)
"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
, SCRIBEAMERICA OUTPATIENT FINAL EXAM REAL EXAM 100
QAUESTIONS AND ANSWERS WITH DETAILED ANSWERS
LATEST UPDATE 2024/2025
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
*Prognosis/Plan
