Scribe America Final Exam Questions With
Correctly SOLVED Answers
Subjective - ANSWER-feeling; based on conversation with patient
objective - ANSWER-fact; based on findings made by physician
benign - ANSWER-nothing of concern; no danger to health
acute - ANSWER-new onset
chronic - ANSWER-long standing
baseline - ANSWER-individual's normal standard of being
auscultation - ANSWER-listening with a stethoscope
palpation - ANSWER-act of pressing on an area (by the physician)
Inpatient - ANSWER-admitted to the hospital overnight
outpatient - ANSWER-seen and sent home the same day
chief complaint - ANSWER-main reason for the patient's visit
meaningful use - ANSWER-set of government mandated criteria that must be obtained
for every patient
medical decision making - ANSWER-the physician's thought process
results or assessment - ANSWER-where in chart: "CBC shows anemia"
results or assessment - ANSWER-where in chart: "EKG shows NSR"
HPI - ANSWER-where in chart: "pt came to clinic for chest pain"
ROS - ANSWER-where in chart: "pt also stubbed his toe last week"
PE - ANSWER-where in chart: "pt is in no acute distress"
PMHx - ANSWER-where in chart: "pt has suffered from HTN for many years"
PE - ANSWER-where in chart: "there is tenderness of the RUQ"
, FHx - ANSWER-where in chart: "pt's mother has heart disease"
assessment - ANSWER-where in chart: "the diagnosis is URI"
plan - ANSWER-where in chart: "pt will be prescribed penicillin"
55 or younger - ANSWER-at what age would a family member's cardiac disease
indicate an increased risk for heart disease in the patient?
HTN, DM, CA - ANSWER-what are the three common general family histories your
physician may ask about?
yes - ANSWER-would PMHx of chronic alcoholism belong in the SHx section as well as
the PMHx section?
meaningful use - ANSWER-why must smoking status be documented on every patient
13 years and older?
1. inhale 2. inject 3. oral - ANSWER-name the three most common routes of
administration of illicit drugs
comorbidity - ANSWER-simultaneous presence of two chronic diseases or conditions in
a patient
etiology - ANSWER-cause of a disease
systole - ANSWER-phase of heartbeat during which the muscle contracts, pumping
blood to the body
diastolic - ANSWER-phase of the heartbeat in which muscle is relaxed and the heart
fills with blood
diuretic - ANSWER-substance that promotes the production of urine
paresthesia - ANSWER-sensation of tingling or numbness
polydipsia - ANSWER-excessive thirst
ischemia - ANSWER-loss of blood supply to tissue
anticoagulant - ANSWER-drug that prevents blood clotting
infarct - ANSWER-tissue death due to ischemia
hydrochlorothiazide, diuretic - ANSWER-what does HCTZ stand for and what type of
drug is it?
Correctly SOLVED Answers
Subjective - ANSWER-feeling; based on conversation with patient
objective - ANSWER-fact; based on findings made by physician
benign - ANSWER-nothing of concern; no danger to health
acute - ANSWER-new onset
chronic - ANSWER-long standing
baseline - ANSWER-individual's normal standard of being
auscultation - ANSWER-listening with a stethoscope
palpation - ANSWER-act of pressing on an area (by the physician)
Inpatient - ANSWER-admitted to the hospital overnight
outpatient - ANSWER-seen and sent home the same day
chief complaint - ANSWER-main reason for the patient's visit
meaningful use - ANSWER-set of government mandated criteria that must be obtained
for every patient
medical decision making - ANSWER-the physician's thought process
results or assessment - ANSWER-where in chart: "CBC shows anemia"
results or assessment - ANSWER-where in chart: "EKG shows NSR"
HPI - ANSWER-where in chart: "pt came to clinic for chest pain"
ROS - ANSWER-where in chart: "pt also stubbed his toe last week"
PE - ANSWER-where in chart: "pt is in no acute distress"
PMHx - ANSWER-where in chart: "pt has suffered from HTN for many years"
PE - ANSWER-where in chart: "there is tenderness of the RUQ"
, FHx - ANSWER-where in chart: "pt's mother has heart disease"
assessment - ANSWER-where in chart: "the diagnosis is URI"
plan - ANSWER-where in chart: "pt will be prescribed penicillin"
55 or younger - ANSWER-at what age would a family member's cardiac disease
indicate an increased risk for heart disease in the patient?
HTN, DM, CA - ANSWER-what are the three common general family histories your
physician may ask about?
yes - ANSWER-would PMHx of chronic alcoholism belong in the SHx section as well as
the PMHx section?
meaningful use - ANSWER-why must smoking status be documented on every patient
13 years and older?
1. inhale 2. inject 3. oral - ANSWER-name the three most common routes of
administration of illicit drugs
comorbidity - ANSWER-simultaneous presence of two chronic diseases or conditions in
a patient
etiology - ANSWER-cause of a disease
systole - ANSWER-phase of heartbeat during which the muscle contracts, pumping
blood to the body
diastolic - ANSWER-phase of the heartbeat in which muscle is relaxed and the heart
fills with blood
diuretic - ANSWER-substance that promotes the production of urine
paresthesia - ANSWER-sensation of tingling or numbness
polydipsia - ANSWER-excessive thirst
ischemia - ANSWER-loss of blood supply to tissue
anticoagulant - ANSWER-drug that prevents blood clotting
infarct - ANSWER-tissue death due to ischemia
hydrochlorothiazide, diuretic - ANSWER-what does HCTZ stand for and what type of
drug is it?
