ScribeAmerica Final Exam ED Questions With Complete Answers 2024 update

What are the 3 types of dispositions? - Discharge, Admit, Transfer What does HPI stand for? - history of present illness What does ROS stand for? - review of systems The HPI and ROS are considered what type of information? - subjective The physical exam is what type of information? - objective If a physician told you a patient's abdomen was non tender, where would you document this? - PE What section focuses directly on the chief complaint? - HPI If someone has a hx of CABG or MI, what is something you can also always document in the PMHx section of the chart? - CAD Name an example of something you may write in the Social Hx portion of the chart. - smokes 1 pack/day Name an example of something you may write in the Family Hx portion of the chart. - Mother had Hx of CAD at age 46 What are the abbreviations for the following past medical history terms? Hypertension StrokeDiabetes Heart Attack High Cholesterol - HTN CVA (cerebrovascular accident) DM MI HLD What are the medical terms for the following past surgical terms? Removal of the appendix Removal of the gallbladder Removal of the uterus Removal of a fallopian tube Removal of the tonsils Removal of the breast - appendectomy cholecystectomy hysterectomy Salpingo-oophorectomy tonsillectomy mastectomy What are the five vital signs? - Blood pressure (BP), heart rate (HR), oxygen saturation (SaO2), respiratory rate (RR), temperature (C or F) What does NKDA stand for? - no known drug allergies What does LNMP stand for? - Last Normal Menstrual Period