SCRIBE AMERICA FINAL EXAM
ED/ACTUAL EXAM QUESTIONS AND
ANSWERS 2026
What are the 3 types of dispositions? - Correct answer-Discharge, Admit, Transfer
What does HPI stand for? - Correct answer-history of present illness
What does ROS stand for? - Correct answer-review of systems
The HPI and ROS are considered what type of information? - Correct answer-
subjective
The physical exam is what type of information? - Correct answer-objective
If a physician told you a patient's abdomen was non tender, where would you
document this? - Correct answer-PE
What section focuses directly on the chief complaint? - Correct answer-HPI
If someone has a hx of CABG or MI, what is something you can also always
document in the PMHx section of the chart? - Correct answer-CAD
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,Name an example of something you may write in the Social Hx portion of the
chart. - Correct answer-smokes 1 pack/day
Name an example of something you may write in the Family Hx portion of the
chart. - Correct answer-Mother had Hx of CAD at age 46
What are the abbreviations for the following past medical history terms?
Hypertension
Stroke
Diabetes
Heart Attack
High Cholesterol - Correct answer-HTN
CVA (cerebrovascular accident)
DM
MI
HLD
What are the medical terms for the following past surgical terms?
Removal of the appendix
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,Removal of the gallbladder
Removal of the uterus
Removal of a fallopian tube
Removal of the tonsils
Removal of the breast - Correct answer-appendectomy
cholecystectomy
hysterectomy
Salpingo-oophorectomy
tonsillectomy
mastectomy
What are the five vital signs? - Correct answer-Blood pressure (BP), heart rate
(HR), oxygen saturation (SaO2), respiratory rate (RR), temperature (C or F)
What does NKDA stand for? - Correct answer-no known drug allergies
What does LNMP stand for? - Correct answer-Last Normal Menstrual Period
If the doctor said the exam was "benign", what does this mean? - Correct answer-
this means that the exam was normal and of no concern
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, Explain acute vs chronic. - Correct answer-acute: serious, new condition, that
could potentially be life-threatening
chronic: not of much concern, long-lasting condition, typically not a death threat
What are the medical terms for the following pathophysiology abbreviations?
CAD
AAA
COPD
PNA
URI - Correct answer-coronary artery disease
abdominal aortic aneurysm
chronic obstructive pulmonary disease
pneumonia
upper respiratory disease
How are the following diseases diagnosed?
-CHF (two answers)
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
ED/ACTUAL EXAM QUESTIONS AND
ANSWERS 2026
What are the 3 types of dispositions? - Correct answer-Discharge, Admit, Transfer
What does HPI stand for? - Correct answer-history of present illness
What does ROS stand for? - Correct answer-review of systems
The HPI and ROS are considered what type of information? - Correct answer-
subjective
The physical exam is what type of information? - Correct answer-objective
If a physician told you a patient's abdomen was non tender, where would you
document this? - Correct answer-PE
What section focuses directly on the chief complaint? - Correct answer-HPI
If someone has a hx of CABG or MI, what is something you can also always
document in the PMHx section of the chart? - Correct answer-CAD
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
,Name an example of something you may write in the Social Hx portion of the
chart. - Correct answer-smokes 1 pack/day
Name an example of something you may write in the Family Hx portion of the
chart. - Correct answer-Mother had Hx of CAD at age 46
What are the abbreviations for the following past medical history terms?
Hypertension
Stroke
Diabetes
Heart Attack
High Cholesterol - Correct answer-HTN
CVA (cerebrovascular accident)
DM
MI
HLD
What are the medical terms for the following past surgical terms?
Removal of the appendix
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
,Removal of the gallbladder
Removal of the uterus
Removal of a fallopian tube
Removal of the tonsils
Removal of the breast - Correct answer-appendectomy
cholecystectomy
hysterectomy
Salpingo-oophorectomy
tonsillectomy
mastectomy
What are the five vital signs? - Correct answer-Blood pressure (BP), heart rate
(HR), oxygen saturation (SaO2), respiratory rate (RR), temperature (C or F)
What does NKDA stand for? - Correct answer-no known drug allergies
What does LNMP stand for? - Correct answer-Last Normal Menstrual Period
If the doctor said the exam was "benign", what does this mean? - Correct answer-
this means that the exam was normal and of no concern
©COPYRIGHT 2025, ALL RIGHTS RESERVED 3
, Explain acute vs chronic. - Correct answer-acute: serious, new condition, that
could potentially be life-threatening
chronic: not of much concern, long-lasting condition, typically not a death threat
What are the medical terms for the following pathophysiology abbreviations?
CAD
AAA
COPD
PNA
URI - Correct answer-coronary artery disease
abdominal aortic aneurysm
chronic obstructive pulmonary disease
pneumonia
upper respiratory disease
How are the following diseases diagnosed?
-CHF (two answers)
©COPYRIGHT 2025, ALL RIGHTS RESERVED 4
