Scribeamerica Outpatient Final exam 2024 | 100
Questions And Correct Detailed Answers 100%
Verified
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
, Scribeamerica Outpatient Final exam 2024 | 100
Questions And Correct Detailed Answers 100%
Verified
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
, Scribeamerica Outpatient Final exam 2024 | 100
Questions And Correct Detailed Answers 100%
Verified
*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
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