Scribe Study Guide Question 2025/2026 Graded A+
How would you diagnose Hemorrhagic CVA? - LP and Head CT
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? - F/U with specialist or PCP, Specific
conditions for return to the ED, Condition at time of disposition, Time period for f/u,
Timing of disposition, patient mental capacity
What abbreviation describes the scenario in which a patient declines a hospital stay and
decides to go home instead? - AMA
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? - location in the hospital,
name of the accepting facility, consultation note, condition at time of admission, name of
accepting physician, specific conditions for return to the ED,
What term describes "the patient destination is home"? - discharge
LBBB - Left bundle branch block
CVA - costovertebral angle
Match each critical care dx with its associated procedure. - cardiac rest- CPR
sepsis- central line placement
respiratory failure- Intubation
acute exacerbation- CPAP/BiPAP
abnormal herat rhythm- Cardioversion
PTX- Chest tube
Which of these procedures qualify as critical care procedures and would indicate that
critical care time must be documented on a patient? - Cardioversion, Central line
placement, CPAP/BiPAP, chest tube, CPR, intubation
Among the following diseases listed, select the ones that qualify for CCT - ACS, CVA,
Afib, acute MI, DKA, PTX, PE, sepsis NOT pleuritis, stable angina, or costochondritis
What condition correctly describes "fertilized egg develops outside the uterus? - ectopic
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? - BPV
Which of the following are not valid DDx for a patient with CC of HA? - syncope, vertigo,
Bell's palsy
Match the following Dx with it's patient presentation - CHF- SOB+wheezing on
exam+Shx of 3 ppd
Asthma- SOB +wheezing on exam
PE- SOB _ unilateral pedal edema +pleuritic CP
COPD- SOB+bilateral pedal edema+CP
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
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?" - chest pain in a 45
year old female, tearing pain in the central chest going straight through to the back in a
40 year old female
Which section of the chart would you find AKA? - PMHx, PSHx, PE
Which of the following would be documented in ED Course? - re-evals, disposition
What FHx/SHx information is usually asked for pediatric patients? (Select all that apply.)
- immunization 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? - AAA, aortic dissection, and MI
What ROS system would include Dyspepsia, the medical term for indigestion? -
gastrointestinal
What is the medical term for "bright red blood in stools"? (Remember, when typing your
answer, do not include any spaces before or after the term/phrase. e.g. Correct way
"Good luck" vs incorrect " good luck ".) - Hematochezia
Which of the following would NOT be considered an example of PHI? - none 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? - no
How would you diagnose Hemorrhagic CVA? - LP and Head CT
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? - F/U with specialist or PCP, Specific
conditions for return to the ED, Condition at time of disposition, Time period for f/u,
Timing of disposition, patient mental capacity
What abbreviation describes the scenario in which a patient declines a hospital stay and
decides to go home instead? - AMA
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? - location in the hospital,
name of the accepting facility, consultation note, condition at time of admission, name of
accepting physician, specific conditions for return to the ED,
What term describes "the patient destination is home"? - discharge
LBBB - Left bundle branch block
CVA - costovertebral angle
Match each critical care dx with its associated procedure. - cardiac rest- CPR
sepsis- central line placement
respiratory failure- Intubation
acute exacerbation- CPAP/BiPAP
abnormal herat rhythm- Cardioversion
PTX- Chest tube
Which of these procedures qualify as critical care procedures and would indicate that
critical care time must be documented on a patient? - Cardioversion, Central line
placement, CPAP/BiPAP, chest tube, CPR, intubation
Among the following diseases listed, select the ones that qualify for CCT - ACS, CVA,
Afib, acute MI, DKA, PTX, PE, sepsis NOT pleuritis, stable angina, or costochondritis
What condition correctly describes "fertilized egg develops outside the uterus? - ectopic
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? - BPV
Which of the following are not valid DDx for a patient with CC of HA? - syncope, vertigo,
Bell's palsy
Match the following Dx with it's patient presentation - CHF- SOB+wheezing on
exam+Shx of 3 ppd
Asthma- SOB +wheezing on exam
PE- SOB _ unilateral pedal edema +pleuritic CP
COPD- SOB+bilateral pedal edema+CP
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
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?" - chest pain in a 45
year old female, tearing pain in the central chest going straight through to the back in a
40 year old female
Which section of the chart would you find AKA? - PMHx, PSHx, PE
Which of the following would be documented in ED Course? - re-evals, disposition
What FHx/SHx information is usually asked for pediatric patients? (Select all that apply.)
- immunization 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? - AAA, aortic dissection, and MI
What ROS system would include Dyspepsia, the medical term for indigestion? -
gastrointestinal
What is the medical term for "bright red blood in stools"? (Remember, when typing your
answer, do not include any spaces before or after the term/phrase. e.g. Correct way
"Good luck" vs incorrect " good luck ".) - Hematochezia
Which of the following would NOT be considered an example of PHI? - none 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? - no
