FINAL EXAM SCRIBE AMERICA LATEST 2023-2024
EXAM 180 REAL EXAM QUESTIONS AND CORRECT
ANSWERS | VERIFIED ANSWERS
What is the standard template for charting? - ANSWER-HPI, ROS, Past History, PE, ED Course, Disposition
What are some general PMHx? - ANSWER-Hypertension (HTN), Hyperlipidemia, Cancer, Diabetes
Mellitus (IDDM, NIDDM)
What are some cardiac PMHx? - ANSWER-Myocardial Infarction, Coronary Artery Disease, Congestive
Heart Failure, Atrial Fibrillation
What are some pulmonary PMHx? - ANSWER-Pulmonary Embolism, Pneumonia, Chronic Obstructive
Pulmonary Disease, Asthma
What are some abdominal PMx? - ANSWER-GERD, AAA, Pancreatitis, Hepatitis, Diverticulitis
What are some GU PMHx? - ANSWER-UTI, Kidney Stones, Chronic Renal Failure
What are some neuro PMHx? - ANSWER-CVA, TIA, Sz
What are some psych PMHx? - ANSWER-Bipolar, Schizophrenia
What are some "other" PMHx? - ANSWER-DVT, MRSA, RA, CBP, Osteoporosis, DJD, DDD
What are some ENT PSHx? - ANSWER-Tonsillectomy, Adenoidectomy, Myringotomy
What are some cardiac PSHx? - ANSWER-CABG
What are some abd PSHx? - ANSWER-Appendectomy, Cholecystectomy, Colectomy
,What are some GU PSHx? - ANSWER-Hysterectomy, Salpingo-oophorectomy, Tubal Ligation
What are some ortho PSHx? - ANSWER-AKA, BKA
What are some neuro PSHx? - ANSWER-Carotid Endarterectomy
What are some other PSHx? - ANSWER-Mastectomy
True or False: A patient has CAD if they have a PMHx of Angina, MI, CABG, Cardiac Stents, or Angioplasty
- ANSWER-True
What is CAD? - ANSWER-Narrowing of the coronary arteries limits blood supply to the heart muscle
causing angina
What is a MI? - ANSWER-Acute blockage of the coronary arteries results in ischemia and infarct of the
heart muscle.
What is the ScribeAlert for CAD? - ANSWER-MI patients must get to Cath-lab within 90 minutes of arrival
What are the risk factors for MI? - ANSWER-CAD, HTN, DM, Smoker, Hyperlididemia, PHx of CAD < 55 yo
What is CHF? - ANSWER-The heart becomes enlarged, inefficient, and congested with excess fluid.
What are the catch phrases for CHF? - ANSWER-SOB, pedal edema, and orthopnea
What are the CC of CHF? - ANSWER-SOB
- Orthopnea
- Paroxysmal Nocturnal Dyspnea (PND)
- Dyspnea on Exertion (DOE)
, What is the PE of CHF like? - ANSWER-Rales and JVD
What is CHF Dx by? - ANSWER-CXR or elevated BNP
What is A Fib? - ANSWER-Electrical abnormalities in the wiring of the heart causes the atria to quiver
abnormally
What is the PE of A Fib like? - ANSWER-Irregularly irregular rhythm, tachycardia
What is A Fib Dx by? - ANSWER-EKG
What is the ScribeAlert for A Fib? - ANSWER-ED concern is Rapid Ventricular Response. These pts will
often be cardioverted which means they are put back into a regular rhythm known as NSR
What is MI Dx by? - ANSWER-EKG or elevated troponin
What is A Fib Dx by? - ANSWER-EKG
What is CHF Dx by? - ANSWER-CXR or BNP
What is CAD Dx by? - ANSWER-positive heart cath
What is angina Dx by? - ANSWER-Exertional Cp with Hx of CAD
What is a PE? - ANSWER-A blood cot becomes lodged in the pulmonary artery and blocks blood flow to
the lungs
What are the risk factors for PE? - ANSWER-DVT, PMHx of DVT or PE, FHx, Recent Surgery, Cancer, A Fib,
Immobility, Pregnancy, BCP, Smoking
