ScribeAmerica Final Exam ED (New 2026/
2027 Update) Questions & Answers {Grade
A} 100% Correct (Verified Solutions)
Difference between AMS and FND - Correct answer AMS is typically generalized and
involves the whole brain while FND's are localized weakness/numbness is one specific
area
Horizontal nystagmus - Correct answer Back and forth eye movement
Is a hemorrhagic CVA eligible for tPA? What about an ischemic CVA? - Correct answer
Hemorrhagic CVA: tPA ineligibility
Ischemic CVA: tPA eligibility
Murphy's point tenderness - Correct answer Cholecystitis
McBurney's point tenderness - Correct answer Appendicitis
Periumbilical tenderness - Correct answer SBO (small bowel obstruction)
,LUQ tenderness - Correct answer Pancreatitis
Epigastric tenderness/pain - Correct answer MI, GERD
Suprapubic tenderness - Correct answer Ovarian cyst, ovarian torsion, UTI
R or L flank tenderness - Correct answer Pyelonephritis, renal calculi
How to diagnose appendicitis? - Correct answer CT A/P (abdomen/pelvis) w/ PO
contrast
SBO chief complaint - Correct answer Abdominal pain, vomiting, constipation
How to diagnose a SBO? - Correct answer CT A/P w/ PO contrast, acute abdominal
series (AAS)
"Gallstones" - Correct answer Cholecystitis, cholelithiasis
,How to diagnose cholecystitis? - Correct answer Abdominal US (Ultrasound) RUQ
GI bleed chief complaint - Correct answer Hematemesis (bright, upper), coffee ground
emesis (dark, lower), hematochezia (bright, lower), melena (dark, upper)
How to diagnose a GI bleed? - Correct answer Heme positive stool (Guaiac positive)
during a rectal exam
Diverticulitis - Correct answer Acute inflammation and infection of abnormal pockets
of the large intestine known as diverticuli
Diverticulitis chief complaint - Correct answer LLQ pain, nausea, fever, diarrhea
How to diagnose diverticulitis? - Correct answer CT A/P with PO contrast
Pancreatitis chief complaint - Correct answer LUQ pain, epigastric pain, N/V
, How to diagnose pancreatitis? - Correct answer Elevated lipase lab test
GERD chief complaint - Correct answer Epigastric pain (burning) improved with
antacids
How to diagnose a UTI? - Correct answer Urine dip or urinalysis
Pyelonephritis - Correct answer Infection of tissue in the kidneys, usually spread from
a UTI
Pyelonephritis chief complaint - Correct answer Flank pain with dysuria, pain may
refer to back
How to diagnose pyelonephritis? - Correct answer CT Abd/Pel without contrast or
confirmed UTI with CVA tenderness on exam
Kidney stone layman's - Correct answer Renal calculi, nephrolithiasis, urolithiasis
2027 Update) Questions & Answers {Grade
A} 100% Correct (Verified Solutions)
Difference between AMS and FND - Correct answer AMS is typically generalized and
involves the whole brain while FND's are localized weakness/numbness is one specific
area
Horizontal nystagmus - Correct answer Back and forth eye movement
Is a hemorrhagic CVA eligible for tPA? What about an ischemic CVA? - Correct answer
Hemorrhagic CVA: tPA ineligibility
Ischemic CVA: tPA eligibility
Murphy's point tenderness - Correct answer Cholecystitis
McBurney's point tenderness - Correct answer Appendicitis
Periumbilical tenderness - Correct answer SBO (small bowel obstruction)
,LUQ tenderness - Correct answer Pancreatitis
Epigastric tenderness/pain - Correct answer MI, GERD
Suprapubic tenderness - Correct answer Ovarian cyst, ovarian torsion, UTI
R or L flank tenderness - Correct answer Pyelonephritis, renal calculi
How to diagnose appendicitis? - Correct answer CT A/P (abdomen/pelvis) w/ PO
contrast
SBO chief complaint - Correct answer Abdominal pain, vomiting, constipation
How to diagnose a SBO? - Correct answer CT A/P w/ PO contrast, acute abdominal
series (AAS)
"Gallstones" - Correct answer Cholecystitis, cholelithiasis
,How to diagnose cholecystitis? - Correct answer Abdominal US (Ultrasound) RUQ
GI bleed chief complaint - Correct answer Hematemesis (bright, upper), coffee ground
emesis (dark, lower), hematochezia (bright, lower), melena (dark, upper)
How to diagnose a GI bleed? - Correct answer Heme positive stool (Guaiac positive)
during a rectal exam
Diverticulitis - Correct answer Acute inflammation and infection of abnormal pockets
of the large intestine known as diverticuli
Diverticulitis chief complaint - Correct answer LLQ pain, nausea, fever, diarrhea
How to diagnose diverticulitis? - Correct answer CT A/P with PO contrast
Pancreatitis chief complaint - Correct answer LUQ pain, epigastric pain, N/V
, How to diagnose pancreatitis? - Correct answer Elevated lipase lab test
GERD chief complaint - Correct answer Epigastric pain (burning) improved with
antacids
How to diagnose a UTI? - Correct answer Urine dip or urinalysis
Pyelonephritis - Correct answer Infection of tissue in the kidneys, usually spread from
a UTI
Pyelonephritis chief complaint - Correct answer Flank pain with dysuria, pain may
refer to back
How to diagnose pyelonephritis? - Correct answer CT Abd/Pel without contrast or
confirmed UTI with CVA tenderness on exam
Kidney stone layman's - Correct answer Renal calculi, nephrolithiasis, urolithiasis
