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Scribe America Outpatient Final exam (Answered) 100% Correct 100 Q&A. 2024/2025.
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Scribe America Outpatient Final exam(Answered) 100% Correct 100 Q&A.
2024/2025.
What does "PHI" stand for? Expand the abbreviation
protected health information
What medical term describes the surgical removal of the gallbladder?
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
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?
Established
What is the medical abbreviation for the condition commonly described as "reflux"
GERD
What medical term would best describe "the likely course or outcome of a disease?"
prognosis
Which section of the chart should you document when you hear the following cue "what medical
problems do you have?"
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?
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?
chronological structure
, Which of the following would be valid complications for CAD? (Select all that apply)
MI
11. What are the possible consequences of a HIPAA violation? (Select all that apply)
*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
What does HIPAA stand for? Expand the abbreviation.
Health Insurance Portability and Accountability Act
What chronic condition would require diagnosis through fasting blood glucose level or HbA1c? Two
words, expand the abbreviation.
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?
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)
*Orders
*Interpretations/Results
*Physical Exam
HIPAA is a set of laws designed to__________. (select the best option)
maintain patient privacy and confidentiality
What is the medical abbreviation for the condition described as "blood clot in the lungs"? (Use the
abbreviation form of the condition)
PE
What chronic condition would require diagnosis through a lipid panel? Use the abbreviation form.
HLD
Which of the following are considered non-reimbursable chief complaints? (Select all that apply)
*follow-up
*check-up
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