The Medical Scribe Certificate Examination questions and answers
2026\2027 A+ Grade
HPI
- correct answer history of present illness
ROS
- correct answer Review of Systems
PE
- correct answer Physical Examination
A/P
- correct answer acssessment and planning
CC
- correct answer Chief Complaint
Chief Complaint
- correct answer statement or reason for the patient encounter
History of present illness
- correct answer detailed description of development of the patients present disease presented as a
chronological story
Factors in a HPI
- correct answer 1. Location on body
2. Quality
3. Severity
4. Duration and Timing
,5. Modifying Factors
6.Associated Symptoms
7. Context
8. Chief Complaint
Context
- correct answer the situation around the chief complaint
Duration
- correct answer how long the main complaint has been going on
Timing
- correct answer "constant, coming and going"
Location
- correct answer where on the body is the complaint
Quality
- correct answer what the chief complaint feels like "dull sharp"
Severity
- correct answer 1-10 Scale
Modifying Factors
- correct answer anything that makes the chief complaint better or worse
Associated Symptoms
- correct answer any symptoms described by the patient that are directly related to the chief complaint
"no"
- correct answer record as patient denies
, Bowel Sounds
- correct answer intestinal sounds heard from auscultating over the abdomen
Diffuse
- correct answer generalized not localized
Distention
- correct answer enlarged or swollen due to internal pressure
Femoral Pulse Deficit
- correct answer pulse is either skipped or absent over the femoral artery
Gaurding
- correct answer tensing of the abdominal wall muscles
Hepatomegaly
- correct answer enlarged liver
Mass
- correct answer any abd enlargement
McBurneys Point
- correct answer 1/3 of the way from ASIS to the umbilicus (appendicitis)
Murphys Sign
- correct answer Tests for tenderness of the gallbladder (cholecystitis)
Organomegaly
- correct answer enlarged organ
Peritoneal Signs
- correct answer rebound tenderness, guarding, indicates peritonitis
2026\2027 A+ Grade
HPI
- correct answer history of present illness
ROS
- correct answer Review of Systems
PE
- correct answer Physical Examination
A/P
- correct answer acssessment and planning
CC
- correct answer Chief Complaint
Chief Complaint
- correct answer statement or reason for the patient encounter
History of present illness
- correct answer detailed description of development of the patients present disease presented as a
chronological story
Factors in a HPI
- correct answer 1. Location on body
2. Quality
3. Severity
4. Duration and Timing
,5. Modifying Factors
6.Associated Symptoms
7. Context
8. Chief Complaint
Context
- correct answer the situation around the chief complaint
Duration
- correct answer how long the main complaint has been going on
Timing
- correct answer "constant, coming and going"
Location
- correct answer where on the body is the complaint
Quality
- correct answer what the chief complaint feels like "dull sharp"
Severity
- correct answer 1-10 Scale
Modifying Factors
- correct answer anything that makes the chief complaint better or worse
Associated Symptoms
- correct answer any symptoms described by the patient that are directly related to the chief complaint
"no"
- correct answer record as patient denies
, Bowel Sounds
- correct answer intestinal sounds heard from auscultating over the abdomen
Diffuse
- correct answer generalized not localized
Distention
- correct answer enlarged or swollen due to internal pressure
Femoral Pulse Deficit
- correct answer pulse is either skipped or absent over the femoral artery
Gaurding
- correct answer tensing of the abdominal wall muscles
Hepatomegaly
- correct answer enlarged liver
Mass
- correct answer any abd enlargement
McBurneys Point
- correct answer 1/3 of the way from ASIS to the umbilicus (appendicitis)
Murphys Sign
- correct answer Tests for tenderness of the gallbladder (cholecystitis)
Organomegaly
- correct answer enlarged organ
Peritoneal Signs
- correct answer rebound tenderness, guarding, indicates peritonitis
