SCRIBEAMERICA OUTPATIENT FINAL EXAM WITH VERIFIED ANSWERS
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Course
SCRIBEAMERICA OUTPATIENT
Institution
SCRIBEAMERICA OUTPATIENT
SCRIBEAMERICA OUTPATIENT FINAL EXAM WITH VERIFIED ANSWERS
protected health in-
formation
cholecystectomy
False
Established
GERD
prognosis
PHx
multiple complaints
structure
chronological
structure
MI
What does "PHI" stand for? Expand the abbreviation
What medical term describes the su...
SCRIBEAMERICA OUTPATIENT FINAL EXAM WITH VERIFIED ANSWERS
1. protected health in- What does "PHI" stand for? Expand the abbreviation
formation
2. cholecystectomy What medical term describes the surgical removal of
the gallbladder?
3. False T/F. Sharing information about a case with family is
allowed, as long as you are scribing with the physician
assigned to the case
4. Established A patient's PCP is on vacation. The patient is schedul-
ing 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?
5. GERD What is the medical abbreviation for the condition com-
monly described as "reflux"
6. prognosis What medical term would best describe "the likely
course or outcome of a disease?"
7. PHx Which section of the chart should you document when
you hear the following cue "what medical problems do
you have?"
8. multiple complaints You are writing an HPI for a patient who presented for
structure 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?
9. chronological You are writing an HPI for a very complex patient who
structure has had multiple recent hospital admissions for lung
cancer. Which HPI structure would be the best to use
in this scenario?
10. MI Which of the following would be valid complications for
CAD? (Select all that apply)
, SCRIBEAMERICA OUTPATIENT FINAL EXAM WITH VERIFIED ANSWERS
11. *termination 11. What are the possible consequences of a HIPAA
*monetary fines to violation? (Select all that apply)
you and the hospital
*prison time
*lawsuit against you
and the hospital
*violator is black-
listed from med-
ical programs like
medical, PA, or NP
school
*scribe program
cancellation
12. Health Insurance What does HIPAA stand for? Expand the abbreviation.
Portability and Ac-
countability Act
13. diabetes mellitus What chronic condition would require diagnosis
through fasting blood glucose level or HbA1c? Two
words, expand the abbreviation.
14. Yes, because the A patient states she has had a productive cough for 4
fever started soon days, and yesterday she developed a fever. Would her
after the cough fever be considered an associated symptom for her
productive cough? Why or why not?
15. *Orders 15. Which of the following would be documented in the
*Interpretations/Re- Objective section of the SOAP note? (select all that
sults apply)
*Physical Exam
16. maintain patient pri- HIPAA is a set of laws designed to . (select
vacy and confiden- the best option)
tiality
17. PE What is the medical abbreviation for the condition de-
scribed as "blood clot in the lungs"? (Use the abbrevi-
ation form of the condition)
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