ScribeAmerica ED Course Final Exam Updated 2023/2024

How would you diagnose Hemmorrhagic CVA? correct answerLP or Head CT Which of the following lab results need to be monitored closely for efficiency? correct answerD-Dimer Troponin Creatinine (from BMP) Which of the following tests would likely be immediately ordered for a Cardiac Workup in the ED? correct answerCBC, BMP, Troponin, EKG, CXR What procedure would be used to diagnose Meningitis? Expand the abbreviation. correct answerLumbar Puncture Which of the following would be ordered to investigate thyroid disease? correct answerT3, T4, TSH How would you diagnose AFIB? Use the abbreviation to answer the question. correct answerEKG Which of the following diseases may be diagnosed using a CXR? correct answerPNA, PTX, widened mediastinum (Dissection), Pleural effusion, CHF How would you diagnose an AAA? correct answerCTA chest How would you diagnose a pneumothorax? correct answerCXR Consent should be documented any time a procedure is performed, but there maybe certain situations in which consent is unobtainable. In that case, consent is precluded by clinical urgency. During which of the following procedures would consent usually be unobtainable? correct answerCPR Select the EKG interpretation documentation guidelines. correct answerRate, rhythm, and at least two other findings. Select terms you might find on an x-ray interpretation. correct answerPNA PTX Widened mediastinum (dissection) Free air (rupture) SBO Constipation Large Kidney Stones fracture dislocation joint effusion An ED technician informs the provider that they have just finished applying a splint and sling for the patient with the wrist fracture. What PE finding is important for your provider to assess and include in the procedure note before the patient can be discharged home? correct answerCSMT Match the Oxygen Administration Route to the corresponding definition correct answer1. NBR nonrebreather mask- a facial mask with a reservoir bag attached 2. RA- this means the patient is not on oxygen 3. NC- a plastic tube placed into the patient's nostrils 4. BVM- a large facial mask held in place by hand and attached to an Ambu-bag used to manually inflate the patient's lungs Endotracheal tube (Intubation)- an EET goes through the patient's mouth and down the trachea 6. FM- a plastic mask fit over the nose and mouth 7. CPAP- A large mask is strapped to the pt's face, delivering continuous air pressure 8. BIPAP- a large mask is strapped to the pt's face and the machine alternates pushing air in and letting it out A 13 y/o male patient was riding his bike earlier today and accidentally fell off after traveling on an uneven patch of sidewalk. He landed onto his outstretched right hand and subsequently experienced localized pain and swelling to the his right wrist. An x-ray of the right wrist shows a distal radial fracture. Now that the results are back, the physician will be ready to discharge the patient home. Which of the following would need to go into this patient's disposition note? correct answerF/u with specialist or PCP Condition at time of disposition Time of disposition Time period for f/u Specific conditions for return to the ED What abbreviation describes the scenario in which a patient declines a hospital stay and decides to go home instead? correct answerAMA Which of the following would need to go into a consult note for a patient that will be admitted to the hospital for treatment of bacterial meningitis? correct answerName of admitting physician Time of consult with admitting physician Pt condition Admission location Admission time What term describes "the patient destination is home"? correct answerdischarged LBBB correct answerleft bundle branch block CVA correct answercostovertebral angle Match each critical care dx with its associated procedure. correct answerCardiac arrest- CPR Sepsis- central line placement Respiratory failure- Intubation Acute exacerbation- CPAP/BIPAP Abnormal Heart Rhythm- cardioversion PTX- chest tube Among the following diseases listed, select the ones that qualify for CCT correct answerACS, CVA, Afib, acute MI, DKA, PTX, PE What condition correctly describes "fertilized egg develops outside the uterus? correct answerectopic pregnancy A patient recently went on a boat trip 2 days ago and developed dizziness which has continued to persist since onset. She describes her dizziness as a room spinning and reports that it is accompanied by tinnitus, nausea, and vomiting. Physical exam is positive for Romberg's and Head CT is negative. Based on this information which is the most likely final diagnosis for the patient? correct answerBPV Which of the following are not valid DDx for a patient with CC of HA? correct answerSyncopy, Bell's Palsy, Vertigo Match the following Dx with it's patient presentation correct answerCOPD: SOB + wheezing +SHx of 3 ppd PE: SOB + unilateral pedal edema + pleuritic CP CHF: SOB + bilateral pedal edema + CP asthma: SOB + wheezing on exam What condition correctly describes "A vascular change that temporarily deprives a part of the brain of oxygen but does not result in any long lasting deficits"? TIA correct answerTIA Certain words or phrases act as "red flags" to grab your provider's attention to let let them know that a patient may require timely and comprehensive medical action. Which of the following words or phrases are NOT considered a "red flag?" correct answer"nocturia" in a 65 y/o male Which section of the chart would you find AKA? correct answerPSHx PE Which of the following would be documented in ED Course? correct answerre-evals, disposition What FHx/SHx information is usually asked for pediatric patients? (Select all that apply.) correct answerImmunization status Second hand smoke exposure A 45 year old male presents to the ED with a ripping, tearing pain to his central chest radiating straight to his back with associated nausea that began 1 hour ago. What emergency conditions (ideally from what you have learned in CRT) from the following list may explain the patient's symptoms? correct answerMI and aortic dissection What ROS system would include Dyspepsia, the medical term for indigestion? correct answerGastrointestinal What is the medical term for "bright red blood in stools"? correct answerhematochezia Which of the following would NOT be considered an example of PHI? correct answerNone of the Above A patient has the following history: breast CA s/p chemoradiation therapy and mastectomy. Based on this, does the patient meet Level 5 billing criteria for this section of the chart? correct answerYes Read through the PE and decide if this meets Level 5 billing criteria. Genera/Constitutional: NC, AT Eyes: PERRL, EOMI ENT: moist oral mucosa Cardiac: irregularly irregular rhythm, tachycardic, no murmurs, no rubs, no gallops Respiratory: Lungs clear, no respiratory distress, no wheezing, no rales, no rhonchi Neurological: A&O x 4 Psychiatric: normal affect correct answerNo A patient cut his left foot on a piece of glass two hours ago and is seen in the emergency department to have sutures placed. Â The doctor tells you there is no tendon injury and circulatory, sensory and motor is intact. What is the best diagnosis for his complaint? correct answerUncomplicated laceration of the left foot - initial encounter A patient is seen in the emergency department complaining of dysuria and tells you that she is 23 weeks pregnant. Your doctor diagnoses her with a UTI. Which of the following would be the best diagnosis? correct answeracute urinary tract infection in pregnancy, 2nd trimester AAA correct answerabdominal aortic aneurysm DNR correct answerdo not resuscitate DOE correct answerdyspnea on exertion TIA correct answertransient ischemic attack COPD correct answerchronic obstructive pulmonary disease EOMI correct answerextraocular movements intact CSF correct answercerebrospinal fluid AMS correct answeraltered mental status GCS correct answerGlasgow Coma Scale NTG correct answernitroglycerin