A patient is seen in the emergency department complaining of dysuria and tells you that

A patient is seen in the emergency department complaining of dysuria and tells you that she is 23 weeks pregnant. Your doctor diagnoses her with a UTI. Which of the following would be the best diagnosis? - ANS acute urinary tract infection in pregnancy, 2nd trimester

A patient cut his left foot on a piece of glass two hours ago and is seen in the emergency department to have sutures placed. The doctor tells you there is no tendon injury and circulatory, sensory and motor is intact. What is the best diagnosis for his complaint? - ANS Uncomplicated laceration of the left foot - initial encounter

What does AMS stand for? - ANS altered mental status

What does GCS stand for? - ANS glasgow coma scale

What does DNR stand for? - ANS do not resuscitate

What does AAA stand for? - ANS abdominal aortic aneurysm

What does PE stand for in the diagnosis section of the chart? - ANS pulmonary embolism

What does DP stand for in "DP pulse"? - ANS dorsalis pedis

What does DVT stand for? - ANS deep vein thrombosis

What does NTG stand for? - ANS nitroglycerin

What does URI stand for? - ANS upper respiratory infection

What does CHF stand for? - ANS congestive heart failure

What does s/p stand for? - ANS status post

What does GERD stand for? - ANS gastroesophageal reflux disease

What does EOMI stand for? - ANS extraocular movements intact

SCRIBE AMERICA FINAL EXAM 100 ACTUAL WRITTEN

EXAM QUESTIONS AND ANSWERS ALL DONE

COURSE

What does DOE stand for? - ANS dyspnea on exertion

What does LBBB stand for? - ANS left bundle branch block

What does CVA stand for? - ANS costovertebral angle

What does CSF stand for? - ANS cerebrospinal fluid

What does PTX stand for? - ANS pneumothorax

What does COPD stand for? - ANS chronic obstructive pulmonary disease

What does PNA stand for? - ANS pneumonia

What does CBC stand for? - ANS complete blood count

What does IDDM stand for? - ANS insulin dependent diabetes mellitus

What does TIA stand for? - ANS transient ischemic attack

A 43 y/o male presents to the ED with vomiting that began 5 hours ago. He has a history of Type II DM and is s/p right BKA. On objective evaluation it is found that he is hyperglycemic and has elevated ketones and so he will be admitted for DKA. Match the details to the correct section of the chart.

• hours ago, DKA, vomiting, admit, Type II DM, right BKA, hyperglycemia & elevated

ketones,

Onset:

Disposition:

ED Course:

CC:

PMHx:

Diagnosis:

PSHx: - ANS Onset: 5 hours ago

Disposition: admit

ED Course: hyperglycemia and elevated ketones

CC: vomiting

PMHx: Type II DM

Diagnosis: DKA

PSHx: right BKA

Match the following description to the appropriate team member.

Unit Secretary, ED tech, Scribe, Mid-level Provider, charge nurse, RT, ED nurse

: Documents the patient's visits on behalf of the physician

: Answers phone calls, pages other specialists/ doctors, and organizes the

patient's paperwork

: Records medical histories, symptoms, monitors the patient, starts IVs,

administers mediations, and assists with procedures

: Helps the nurse and assists with procedures

: Administers "breathing treatments" and assists with managing a patient's airway

: NP or PA that works under the supervision of a physician to diagnose and

treat patients

: Manages the ED patient flow - ANS Scribe: Documents the patient's visits on behalf of the physician

Unit Secretary: Answers phone calls, pages other specialists/ doctors, and organizes the patient's paperwork

ED Nurse: Records medical histories, symptoms, monitors the patient, starts IVs, administers mediations, and assists with procedures

ED Tech: Helps the nurse and assists with procedures

RT: Administers "breathing treatments" and assists with managing a patient's airway

Mid-Level Provider: NP or PA that works under the supervision of a physician to

diagnose and treat patients

Charge Nurse: Manages the ED patient flow

T/F. It is the middle of the day. Your provider is busy dealing with a critical ill patient and during this time the ED Strats to pick up tase as more patients arrive. While your provider is prepping the critical patient for a procedure, she asks you to look up the CBC result on another patient. You quickly look up the information on your laptop and tell the physician that the labs came back normal except for a blood glucose level of 356, so your provider subsequently asks you to tell the nurse to start that patient on an insulin drip. You locate the nurse and relay the message. This scenario is acceptable and within the bounds of your scribe scope. - ANS False

Which section of the chart would you find AKA?

• PSHx

• PMHx
• SHx
• Disposition
• FHx
• PE - ANS PSHx

PE

Which of the following would be documented in ED Course?

• Physical Exam
• HPI
• Family History
• Re-evals
• Interpretations
• Orders
• Treatments
• Disposition note - ANS Re-evals

Treatments Orders Interpretations

An ROS has marked positive for head trauma with accompanying LOC. What DDx would your provider be concerned about? - ANS Hemorrhagic CVA

What condition is correctly describes "A vascular change that temporarily deprives a part of the brain of oxygen but does not result in any long lasting deficits"? - ANS TIA

Certain words or phrases act as "red flags" to grab your providers attention to let them know a patient may require timely and comprehensive medical action. Which of the following words or phrases are NOT considered "red flags"? - ANS "nocturne" in a 65 y/o male

Match the following Dx with it's patient presentation

Asthma, COPD, PE, CHF

SOB & wheezing on exam

SOB & bilateral pedal edema & CP

SOB & wheezing & SHx of 3ppd

SOB & unilateral pedal edema & pleuritic CP - ANS COPD: SOB + wheezing +SHx of 3 ppd

PE: SOB + unilateral pedal edema + pleuritic CP

CHF: SOB + bilateral pedal edema + CP