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ScribeAmerica Final Exam Quetions Correct 100% Answers

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What is the ED Flow? - ANSWER-Walk-in > Triage > Bed > Physician Assessment > Lab/Rad/Meds > Results ? MDM > Diagnosis > Consults > Disposition What are the 5 vital signs? - ANSWER-blood pressure, pulse, repsiratory rate, temperature, O2 Saturation The HPI and ROS are what kind of information? - ANSWER-subjective The physical exam is what type of information? - ANSWER-objective While evaluating a patient complaining of chest pain, your physcian tells you that the heart sounds are normal. Where would you document it? - ANSWER-PE Would you be contradicting yourself if you wrote "the patient has abdominal pain" in the HPI but then later in the physical exam documented "the abdomen is non-tender?" - ANSWER-no becuase the patient info is subjective and dr findings are objective What is the difference between the HPI and ROS? - ANSWER-the HPI is about the CC and the associated symptoms ROS is a checklist of all sympotms, related and not related to the CC What does disposition mean? - ANSWER-the pt's destiantion after they leave the ED; admit, discharge, or transfer What subcategories are included in the Past Hx section> - ANSWER-PMHx, PSHx, FHx, SHx What is the abbreviation for cardiac bypass? - ANSWER-CABG - coronary artery bypass graft What is the abbreviation for high blood pressure? - ANSWER-HTN - hypertension What is the medical term for acid reflux? - ANSWER-GERD - gastro esophageal reflux disease What is the medical term for stroke? - ANSWER-CVA - cerebral vascular accident What is the term for gallbladder removal? - ANSWER-Cholecystectomy What does NKDA stand for? - ANSWER-no known drug allergies

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2024/2025
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ScribeAmerica Final Exam Quetions Correct
100% Answers

What is the ED Flow? - ANSWER-Walk-in > Triage > Bed > Physician Assessment >
Lab/Rad/Meds > Results ? MDM > Diagnosis > Consults > Disposition

What are the 5 vital signs? - ANSWER-blood pressure, pulse, repsiratory rate,
temperature, O2 Saturation

The HPI and ROS are what kind of information? - ANSWER-subjective

The physical exam is what type of information? - ANSWER-objective

While evaluating a patient complaining of chest pain, your physcian tells you that the
heart sounds are normal. Where would you document it? - ANSWER-PE

Would you be contradicting yourself if you wrote "the patient has abdominal pain" in the
HPI but then later in the physical exam documented "the abdomen is non-tender?" -
ANSWER-no becuase the patient info is subjective and dr findings are objective

What is the difference between the HPI and ROS? - ANSWER-the HPI is about the CC
and the associated symptoms
ROS is a checklist of all sympotms, related and not related to the CC

What does disposition mean? - ANSWER-the pt's destiantion after they leave the ED;
admit, discharge, or transfer

What subcategories are included in the Past Hx section> - ANSWER-PMHx, PSHx,
FHx, SHx

What is the abbreviation for cardiac bypass? - ANSWER-CABG - coronary artery
bypass graft

What is the abbreviation for high blood pressure? - ANSWER-HTN - hypertension

What is the medical term for acid reflux? - ANSWER-GERD - gastro esophageal reflux
disease

What is the medical term for stroke? - ANSWER-CVA - cerebral vascular accident

What is the term for gallbladder removal? - ANSWER-Cholecystectomy

What does NKDA stand for? - ANSWER-no known drug allergies

What is the medical term for redness? - ANSWER-erythema

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