©BRAINBARTER 2024/2025
Scribe America Final Exam Questions With
100% Verified Answers.
Expand PHI - answer✔protected health information
What is the purpose of HITECH? - answer✔-To require patient privacy and confidentiality
-To require encryption when using technology to transmit patient related information
What are the possible consequences of a HIPAA violation? - 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
Scribe program cancellation
(All of them)
HIPAA is a set of laws designed to _______. - answer✔maintain patient privacy and
confidentiality
Expand HIPAA - answer✔Health Insurance Portability and Accountability Act
Which of the following are considered to be cardiac risk factors for CP patients? - answer✔HTN
HLD
Family hx of CAD <55 y/o
PSHx of CABG, angioplasty, and stent
DM
CAD
tobacco use
, ©BRAINBARTER 2024/2025
(All of them)
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? -
answer✔Waxing and waning
All symptoms documented in the ROS are also documented in the HPI. - answer✔False
Surgical removal of the gallbladder - answer✔cholecystectomy
What is the medical term for "open heart surgery"? - answer✔coronary artery bypass graft
What is the medical term for "pass-out"? - answer✔syncope
What ROS system would include dysphagia, the medical term for difficult or painful
swallowing? - answer✔ENT
Which of the following would be documented in the Objective section of the SOAP note? -
answer✔-Orders
-Interpretations/results
-Treatments (that may involve medication or procedures)
-Physical exam
Read the following HPI and verify whether this HPI meets Level 4 billing criteria for a NEW
patient:
57 year old male patient presented with RLQ abdominal pain, which began 5 days ago. He states
that he was mowing the lawn when the pain began. Patient reports he took OTC Tylenol
yesterday without relief. There has been no nausea, vomiting or diarrhea. - answer✔Yes, the HPI
meets Level 4 billing criteria.
What condition correctly describes "blood clot in the lungs"? - answer✔Pulmonary Embolism
(pe)
What condition correctly describes "dangerous infection of the appendix"? -
answer✔appendicitis
What condition correctly describes "heart attack"? - answer✔Myocardial Infarction (MI)
What condition correctly describes "Narrowing of the coronary arteries limits blood supply to the
heart muscle causing ischemia"? - answer✔coronary artery disease (CAD)
Scribe America Final Exam Questions With
100% Verified Answers.
Expand PHI - answer✔protected health information
What is the purpose of HITECH? - answer✔-To require patient privacy and confidentiality
-To require encryption when using technology to transmit patient related information
What are the possible consequences of a HIPAA violation? - 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
Scribe program cancellation
(All of them)
HIPAA is a set of laws designed to _______. - answer✔maintain patient privacy and
confidentiality
Expand HIPAA - answer✔Health Insurance Portability and Accountability Act
Which of the following are considered to be cardiac risk factors for CP patients? - answer✔HTN
HLD
Family hx of CAD <55 y/o
PSHx of CABG, angioplasty, and stent
DM
CAD
tobacco use
, ©BRAINBARTER 2024/2025
(All of them)
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? -
answer✔Waxing and waning
All symptoms documented in the ROS are also documented in the HPI. - answer✔False
Surgical removal of the gallbladder - answer✔cholecystectomy
What is the medical term for "open heart surgery"? - answer✔coronary artery bypass graft
What is the medical term for "pass-out"? - answer✔syncope
What ROS system would include dysphagia, the medical term for difficult or painful
swallowing? - answer✔ENT
Which of the following would be documented in the Objective section of the SOAP note? -
answer✔-Orders
-Interpretations/results
-Treatments (that may involve medication or procedures)
-Physical exam
Read the following HPI and verify whether this HPI meets Level 4 billing criteria for a NEW
patient:
57 year old male patient presented with RLQ abdominal pain, which began 5 days ago. He states
that he was mowing the lawn when the pain began. Patient reports he took OTC Tylenol
yesterday without relief. There has been no nausea, vomiting or diarrhea. - answer✔Yes, the HPI
meets Level 4 billing criteria.
What condition correctly describes "blood clot in the lungs"? - answer✔Pulmonary Embolism
(pe)
What condition correctly describes "dangerous infection of the appendix"? -
answer✔appendicitis
What condition correctly describes "heart attack"? - answer✔Myocardial Infarction (MI)
What condition correctly describes "Narrowing of the coronary arteries limits blood supply to the
heart muscle causing ischemia"? - answer✔coronary artery disease (CAD)
