SCRIBE U FINAL EXAM QUESTIONS
WITH COMPLETE SOLUTIONS
What does DOE stand for? - Answer-Dyspnea on Exertion
A 43-year-old male presents to the ED with vomiting that began 5 hours ago. He has a
history of Type II DM and is s/p right BKA. On objective evaluation it is found that he is
hyperglycemic and has elevated ketones and so he will be admitted for DKA. Match the
details to the correct section of the chart - Answer-PSHx: Right BKA
ED Course: Hyperglycemia and elevated ketones
Diagnosis : DKA
CC: Vomiting
Onset: 5 hours ago
Disposition: Admit
PMHx: Type II DM
A patient is seen in the emergency department complaining of dysuria and tells you that
she is 23 weeks pregnant. Â Your doctor diagnoses her with a UTI. Â Which of the
following would be the best diagnosis? - Answer-Acute urinary tract infection in
pregnancy, 2nd trimester
Medical terminology. What is the medical term for infection of the gall bladder? -
Answer-Cholecystitis
You see the physician check the patient's pulses in four places; the right wrist, the top of
the right foot, the back of the right foot and the left neck. The doctor states "The pulses
are fine". Match the location with the appropriate pulse that you would document in the
physical exam? - Answer-Wrist: 2+ radial pulse
Top of foot: 2+ DDP
Neck: 2+ Carotid
Back of foot: 2+ PTP
What do you need to make sure to document for every admitted patient? (select the
best option.) - Answer-A consultation note indicating the admitting physician
Quality is an important descriptor that can paint a picture for concerning DDx. Match the
following HPI detail with the corresponding DDx. - Answer-Chest pains when taking a
deep breath: PTX
Sharp, stabbing pains that alternately becomes a dull heavy pressure like an elephant
sitting on the chest, but regardless of quality, pain is always brought on by exertion:
CAD/MI
Burning Chest pain: GERD
, Medical terminology. What is the medical term for stones in the gallbladder? - Answer-
Cholelithiasis
A 45 year old male presents to the ED with a constant, ripping, tearing pain to his
central chest radiating straight to his back with associated nausea that began 1 hour
ago. What element is constant? - Answer-Timing
You are starting your shift and your physician immediately picks up 3 patients. The first
patient is presenting with a productive cough steadily worsening since onset 4 weeks
ago. The second patient has had abdominal discomfort slowly localizing into the right
lower abdomen with accompanying fever over the last 6 hours and on PE, the patient
has RLQ tenderness on palpation. The third patient has urinary sx and urinedip has
already resulted and is positive for leukocytes and bacteria. Given the information, what
might the most likely diagnoses' end up being for these patients? - Answer-PNA,
Appendicitis, UTI
What does "PE" stand for in the Diagnosis section of the chart? - Answer-Pulmonary
Embolism
What are the possible consequences of a HIPAA violation? (select all that apply) -
Answer-- Termination
- Violator is blacklisted from medical programs like Medical, PA, or NP school
- Monetary fines to you and the hospital
- Prison time
- Lawsuit against you and the hospital
- Scribe program cancellation
You've just caught up on all of your charting. What are some things you can do to
increase your providers efficiency? (Select all that apply.) - Answer-- Accompanying
your provider on re-evals
- Preparing for dispositions
- Preparing charts for patients that are assigned to your provider
- Tracking results
Match the following results with the corresponding diagnosis. - Answer-combination of
(+) EKG and (+) blood work : STEMI
combination of (-) EKG and (-) blood work : No MI
combination of (-) EKG and (+) blood work : NSTEMI
An 23-year-old female is brought in by EMS for a motor vehicle crash. Your physician
verbalizes outloud that the patient appears to be on a backboard and her cervical spine
is stabilized with a hard collar. The patient also appears to be lethargic with obvious
lacerations above her right eyebrow, left hand, and left thigh. Match the following exam
findings with the appropriate organ system. - Answer-- Patient lethargic: Neurological
- Patient with a c-collar: Neck
WITH COMPLETE SOLUTIONS
What does DOE stand for? - Answer-Dyspnea on Exertion
A 43-year-old male presents to the ED with vomiting that began 5 hours ago. He has a
history of Type II DM and is s/p right BKA. On objective evaluation it is found that he is
hyperglycemic and has elevated ketones and so he will be admitted for DKA. Match the
details to the correct section of the chart - Answer-PSHx: Right BKA
ED Course: Hyperglycemia and elevated ketones
Diagnosis : DKA
CC: Vomiting
Onset: 5 hours ago
Disposition: Admit
PMHx: Type II DM
A patient is seen in the emergency department complaining of dysuria and tells you that
she is 23 weeks pregnant. Â Your doctor diagnoses her with a UTI. Â Which of the
following would be the best diagnosis? - Answer-Acute urinary tract infection in
pregnancy, 2nd trimester
Medical terminology. What is the medical term for infection of the gall bladder? -
Answer-Cholecystitis
You see the physician check the patient's pulses in four places; the right wrist, the top of
the right foot, the back of the right foot and the left neck. The doctor states "The pulses
are fine". Match the location with the appropriate pulse that you would document in the
physical exam? - Answer-Wrist: 2+ radial pulse
Top of foot: 2+ DDP
Neck: 2+ Carotid
Back of foot: 2+ PTP
What do you need to make sure to document for every admitted patient? (select the
best option.) - Answer-A consultation note indicating the admitting physician
Quality is an important descriptor that can paint a picture for concerning DDx. Match the
following HPI detail with the corresponding DDx. - Answer-Chest pains when taking a
deep breath: PTX
Sharp, stabbing pains that alternately becomes a dull heavy pressure like an elephant
sitting on the chest, but regardless of quality, pain is always brought on by exertion:
CAD/MI
Burning Chest pain: GERD
, Medical terminology. What is the medical term for stones in the gallbladder? - Answer-
Cholelithiasis
A 45 year old male presents to the ED with a constant, ripping, tearing pain to his
central chest radiating straight to his back with associated nausea that began 1 hour
ago. What element is constant? - Answer-Timing
You are starting your shift and your physician immediately picks up 3 patients. The first
patient is presenting with a productive cough steadily worsening since onset 4 weeks
ago. The second patient has had abdominal discomfort slowly localizing into the right
lower abdomen with accompanying fever over the last 6 hours and on PE, the patient
has RLQ tenderness on palpation. The third patient has urinary sx and urinedip has
already resulted and is positive for leukocytes and bacteria. Given the information, what
might the most likely diagnoses' end up being for these patients? - Answer-PNA,
Appendicitis, UTI
What does "PE" stand for in the Diagnosis section of the chart? - Answer-Pulmonary
Embolism
What are the possible consequences of a HIPAA violation? (select all that apply) -
Answer-- Termination
- Violator is blacklisted from medical programs like Medical, PA, or NP school
- Monetary fines to you and the hospital
- Prison time
- Lawsuit against you and the hospital
- Scribe program cancellation
You've just caught up on all of your charting. What are some things you can do to
increase your providers efficiency? (Select all that apply.) - Answer-- Accompanying
your provider on re-evals
- Preparing for dispositions
- Preparing charts for patients that are assigned to your provider
- Tracking results
Match the following results with the corresponding diagnosis. - Answer-combination of
(+) EKG and (+) blood work : STEMI
combination of (-) EKG and (-) blood work : No MI
combination of (-) EKG and (+) blood work : NSTEMI
An 23-year-old female is brought in by EMS for a motor vehicle crash. Your physician
verbalizes outloud that the patient appears to be on a backboard and her cervical spine
is stabilized with a hard collar. The patient also appears to be lethargic with obvious
lacerations above her right eyebrow, left hand, and left thigh. Match the following exam
findings with the appropriate organ system. - Answer-- Patient lethargic: Neurological
- Patient with a c-collar: Neck
