2026 SCRIBEAMERICA OP EVALUATION TEST
QUESTIONS AND ANSWERS SURE A+
✔✔Patient says neck artery cleaned - ✔✔carotid endarterectomy
✔✔Patient says shunt - ✔✔cerebral shunt
✔✔Patient says brain surgery - ✔✔Craniotomy (brain bleed vs. brain CA)
✔✔Patient says dialysis fistula - ✔✔AV (arteriovenous) Fistula
✔✔Patient says dialysis graft - ✔✔AV graft
✔✔Patient says PICC line - ✔✔Peripherally Inserted Central Catheter (PICC)
✔✔Patient says Port - ✔✔Port-a-cath or Medi-Port
✔✔Patient says clot filter (lower abdomen) - ✔✔IVC (inferior vena cava) filter
✔✔Patient says leg amputated - ✔✔Above Knee Amputation (AKA)
Below Knee Amputation (BKA)
, ✔✔Patient says joint repair - ✔✔arthroplasty
✔✔Patient says metal plates/pins - ✔✔hardware
✔✔Patient says neck fused - ✔✔Cervical spinal fusion
✔✔Patient says back fused - ✔✔spinal fusion
✔✔Patient says new hip - ✔✔total hip replacement
✔✔True allergy symptoms - ✔✔rash, itching, swelling, difficulty breathing
✔✔Social History - ✔✔Tobacco use, alcohol use (ETOH), illicit drug use, occupation,
living circumstances
✔✔Drug administration routes - ✔✔Oral, Inhaled, Injected
✔✔Why are patients with comorbidities complex? - ✔✔1. Tx for different diseases can
contradict
2. Adverse drug interactions
3. Compounding Sx can affect compliance
4. Multiple illnesses affect a single organ and increase risk of organ failure
✔✔HTN etiology - ✔✔an increase in blood pressure causes excess force against the
arterial walls
✔✔HTN risk factors - ✔✔FHx of HTN, obesity, DM, high sodium diet, smoking, ETOH
✔✔HTN CC - ✔✔often asymptomatic, headache, chest pain, palpitations, blurred vision,
epistaxis
✔✔HTN PE - ✔✔lower extremity edema, carotid bruit, JVD, abnormal heart sounds
✔✔HTN Dx by - ✔✔BP check and monitoring with sphygmomanometer
✔✔systolic blood pressure - ✔✔measure the pressure in the arteries when the heart
contracts (beats)
✔✔Diastolic Blood Pressure - ✔✔measures the pressure in the arteries when relax
(between heart beats)
✔✔Hypotensive - ✔✔less than 90/60
✔✔Normal - ✔✔90/60 to 120/80
QUESTIONS AND ANSWERS SURE A+
✔✔Patient says neck artery cleaned - ✔✔carotid endarterectomy
✔✔Patient says shunt - ✔✔cerebral shunt
✔✔Patient says brain surgery - ✔✔Craniotomy (brain bleed vs. brain CA)
✔✔Patient says dialysis fistula - ✔✔AV (arteriovenous) Fistula
✔✔Patient says dialysis graft - ✔✔AV graft
✔✔Patient says PICC line - ✔✔Peripherally Inserted Central Catheter (PICC)
✔✔Patient says Port - ✔✔Port-a-cath or Medi-Port
✔✔Patient says clot filter (lower abdomen) - ✔✔IVC (inferior vena cava) filter
✔✔Patient says leg amputated - ✔✔Above Knee Amputation (AKA)
Below Knee Amputation (BKA)
, ✔✔Patient says joint repair - ✔✔arthroplasty
✔✔Patient says metal plates/pins - ✔✔hardware
✔✔Patient says neck fused - ✔✔Cervical spinal fusion
✔✔Patient says back fused - ✔✔spinal fusion
✔✔Patient says new hip - ✔✔total hip replacement
✔✔True allergy symptoms - ✔✔rash, itching, swelling, difficulty breathing
✔✔Social History - ✔✔Tobacco use, alcohol use (ETOH), illicit drug use, occupation,
living circumstances
✔✔Drug administration routes - ✔✔Oral, Inhaled, Injected
✔✔Why are patients with comorbidities complex? - ✔✔1. Tx for different diseases can
contradict
2. Adverse drug interactions
3. Compounding Sx can affect compliance
4. Multiple illnesses affect a single organ and increase risk of organ failure
✔✔HTN etiology - ✔✔an increase in blood pressure causes excess force against the
arterial walls
✔✔HTN risk factors - ✔✔FHx of HTN, obesity, DM, high sodium diet, smoking, ETOH
✔✔HTN CC - ✔✔often asymptomatic, headache, chest pain, palpitations, blurred vision,
epistaxis
✔✔HTN PE - ✔✔lower extremity edema, carotid bruit, JVD, abnormal heart sounds
✔✔HTN Dx by - ✔✔BP check and monitoring with sphygmomanometer
✔✔systolic blood pressure - ✔✔measure the pressure in the arteries when the heart
contracts (beats)
✔✔Diastolic Blood Pressure - ✔✔measures the pressure in the arteries when relax
(between heart beats)
✔✔Hypotensive - ✔✔less than 90/60
✔✔Normal - ✔✔90/60 to 120/80
