2026 SCRIBEAMERICA OP EXAMS PAPER
UPDATED QUESTIONS AND ANSWERS SURE A+
✔✔HLD risk factors - ✔✔obesity, high lipid diet, physical inactivity, FHx, DM, ETOH use
✔✔HLD CC - ✔✔asymptomatic, typically diagnosed during routine bloodwork
✔✔HLD Dx by - ✔✔Bloodwork measuring cholesterol and triglyceride levels - elevated
LDL
✔✔HDL cholesterol - ✔✔good cholesterol
✔✔LDL cholesterol - ✔✔bad cholesterol
✔✔Diseases cause by HLD - ✔✔arterial atherosclerosis, CAD/MI, CVA/TIA, pancreatitis
✔✔HLD non-pharmacological management - ✔✔Decrease ETOH intake, lose weight,
close follow-up, exercise, change diet
✔✔HLD pharmacological management - ✔✔statin (lipitor, crestor, zocor)
, ✔✔CAD etiology - ✔✔narrowing of the coronary arteries limits blood supply to the heart
muscle causing ischemia
✔✔CAD risk factors - ✔✔HTN, HLD, DM, smoking, FHx <55 y/o
✔✔CAD CC - ✔✔chest pain or pressure, worse with exertion, improved with rest or
nitroglycerin (NTG)
✔✔CAD associated medications - ✔✔ASA, NTG (anticoagulants - blood thinning
medications)
✔✔CAD Dx by - ✔✔Cardiac catheterization by cardiologist
✔✔CAD non-pharmacological management - ✔✔control risk factors, weight loss,
manage stress and depression, smoking cessation, exercise
✔✔CAD pharmacological management - ✔✔ASA (aspirin)
NTG (nitroglycerin)
✔✔CAD surgical management - ✔✔cardiac cath, angioplasty, stent, CABG
✔✔Asthma Etiology - ✔✔constriction of the airway due to inflammation and muscular
contraction of the bronchioles, known as "bronchospasm"
✔✔Asthma risk factors - ✔✔FHx of asthma, obesity, allergic rhinitis
✔✔Asthma CC - ✔✔shortness of breath, wheezing (improved with nebulizer treatments)
✔✔Asthma PE - ✔✔Wheezes (inspiratory or expiratory)
✔✔Dx by - ✔✔peak flow testing
✔✔Asthma assessing severity - ✔✔1. Do you have a
home nebulizer?
2. Have you been
prescribed
steroids
recently?
3. Have you
previously been
hospitalized for
asthma?
UPDATED QUESTIONS AND ANSWERS SURE A+
✔✔HLD risk factors - ✔✔obesity, high lipid diet, physical inactivity, FHx, DM, ETOH use
✔✔HLD CC - ✔✔asymptomatic, typically diagnosed during routine bloodwork
✔✔HLD Dx by - ✔✔Bloodwork measuring cholesterol and triglyceride levels - elevated
LDL
✔✔HDL cholesterol - ✔✔good cholesterol
✔✔LDL cholesterol - ✔✔bad cholesterol
✔✔Diseases cause by HLD - ✔✔arterial atherosclerosis, CAD/MI, CVA/TIA, pancreatitis
✔✔HLD non-pharmacological management - ✔✔Decrease ETOH intake, lose weight,
close follow-up, exercise, change diet
✔✔HLD pharmacological management - ✔✔statin (lipitor, crestor, zocor)
, ✔✔CAD etiology - ✔✔narrowing of the coronary arteries limits blood supply to the heart
muscle causing ischemia
✔✔CAD risk factors - ✔✔HTN, HLD, DM, smoking, FHx <55 y/o
✔✔CAD CC - ✔✔chest pain or pressure, worse with exertion, improved with rest or
nitroglycerin (NTG)
✔✔CAD associated medications - ✔✔ASA, NTG (anticoagulants - blood thinning
medications)
✔✔CAD Dx by - ✔✔Cardiac catheterization by cardiologist
✔✔CAD non-pharmacological management - ✔✔control risk factors, weight loss,
manage stress and depression, smoking cessation, exercise
✔✔CAD pharmacological management - ✔✔ASA (aspirin)
NTG (nitroglycerin)
✔✔CAD surgical management - ✔✔cardiac cath, angioplasty, stent, CABG
✔✔Asthma Etiology - ✔✔constriction of the airway due to inflammation and muscular
contraction of the bronchioles, known as "bronchospasm"
✔✔Asthma risk factors - ✔✔FHx of asthma, obesity, allergic rhinitis
✔✔Asthma CC - ✔✔shortness of breath, wheezing (improved with nebulizer treatments)
✔✔Asthma PE - ✔✔Wheezes (inspiratory or expiratory)
✔✔Dx by - ✔✔peak flow testing
✔✔Asthma assessing severity - ✔✔1. Do you have a
home nebulizer?
2. Have you been
prescribed
steroids
recently?
3. Have you
previously been
hospitalized for
asthma?