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Scribe America Final Exam Questions and Answers 100% Correct

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medical decision making -ANSWER- the physician's thought process distress -ANSWER- the doctor's judgement of discomfort baseline -ANSWER- an individual's normal state of being Unit Secretary -ANSWER- places physician's orders, answers calls, pages for other specialists, organizes pt. paper...

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  • August 8, 2024
  • 15
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Scribe America
  • Scribe America
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IMORA
Scribe America Final Exam Questions and
Answers 100% Correct


medical decision making -ANSWER- the physician's thought process

distress -ANSWER- the doctor's judgement of discomfort

baseline -ANSWER- an individual's normal state of being

Unit Secretary -ANSWER- places physician's orders, answers calls, pages for other
specialists, organizes pt. paperwork

mid level provider -ANSWER- LNP or PA; works under supervision of physician to
diagnose and treat patients

ED Nurse -ANSWER- records medical histories, symptoms, monitors the pt., starts IVs,
administers meds, assists with procedures

ED Flow -ANSWER- Walk in/EMS, Triage (CC, Vitals, Level of Acuity), Vital Signs (HR,
BP, RR, T, SaO2), Bed Placement, Nurse Assessment, History and Physical, Physician
Orders, Results and ED Course, Final Dx, Disposition

Documentation -ANSWER- HPI, ROS, Past History, PE, ED Course, Disposition

Hyperlipidemia -ANSWER- HLD

Episodes of abnormally fast/ racing heartbeat -ANSWER- Supraventricular Tachycardia
(SVT)

Emphysema/ Chronic Bronchitis -ANSWER- COPD

Ulcer -ANSWER- Gastric Ulcer or Peptic Ulcer Disease

Kidney Infection -ANSWER- Pyelonephritis

I'm on Dialysis -ANSWER- Chronic Renal Failure (CRF) or End Stage Renal Disease
(ESRD)

Pregnancies, births, and abortions -ANSWER- Para is number of live births, Gravida is
total number of times pt has been pregnant, a is the number of miscarriages or elective
abortions

Patient says I had a balloon -ANSWER- Angioplasty, PMHx CAD

, Patient says I have a hole in my neck -ANSWER- tracheostomy

Part of lung removed -ANSWER- partial lobectomy

bag to collect stool -ANSWER- colostomy

hernia repair -ANSWER- herniorrhaphy

kidney removed -ANSWER- nephrectomy

ovary removed -ANSWER- oophorectomy

tubes tied -ANSWER- tubal ligation (female) or Vasectomy (male)

uterus removed -ANSWER- hysterectomy

brain surgery -ANSWER- carniotomy

stents -ANSWER- coronary stents, PMHx CAD

Social History -ANSWER- Drug Use, Alcohol Use, Occupation, Living Circumstances,
Smoking

Differential Diagnoses -ANSWER- Diseases being considered

Coronary Artery Disease (CAD) -ANSWER- Chest pain with physical exertion, improved
by rest or NTG, diagnosed by Cardiac Catheterization or stress test, should be given
324 mg. Aspirin (Single Greatest risk factor for MI)

Atrial Fibrillation -ANSWER- Electrical abnormality. CC is palpitations.

MI -ANSWER- Chest pressure with diaphoresis, N/V, and SOB, diagnosed by EKG
(Stemi) or Troponin (non Stemi) (STEMI pts must get to Cath lab within 90 min of
arrival)

CHF -ANSWER- heart becomes enlarged, inefficient, and congested with excess fluid.
CC is SOB with associated pedal edema and orthopnea. Diagnosed by CXR or
elevated BNP. Rales, JVD and edema seen on PE. Meds are diuretics

Pericarditis -ANSWER- inflammation of the sac surrounding the heart causing CP

Angina -ANSWER- Symptom of CAD. Diagnosed by exertional CP with history of CAD

Pulmonary Embolism -ANSWER- blood clot in pulmonary artery that blocks blood flow
to the lungs. Symptoms are pleuritic chest pain (worse w/ deep breaths), SOB,
tachycardia and hypoxia. diagnosed by CTA Chest (w/ IV Contrast) or VQ Scan. D
Dimer aids in detecting clots but can't diagnose it

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