GVSU SCRIBE ACADEMY FINAL EXAM
QUESTIONS WITH CORRECT ANSWERS
What does BMP stand for? - Answer-Basic Metabolic Panel
The CT scan gives the clinician a less detailed image of the structures of the body than
the x-ray - Answer-False
A patient presents with pain of their right leg, primarily behind the knee, with swilling and
redness. A provider is concerned for DVT, what test would be ordered? - Answer-
Doppler ultrasound of right lower extremity
MRI's are contraindicated in pregnancy - Answer-False
What is the most common diagnostic test used in the emergency department to
diagnose pneumonia - Answer-Chest x-ray
Ultrasound uses high frequency sound waves to make images of internal body
structures - Answer-true
"The patient is a 23 year old female who presents to the ED for cough. She states her
symptoms started 3 days ago and have gradually become worse, prompting her to
come to the EF for further evaluation. She notes associated fevers up to 101.4 F, chills,
myalgia, rhinorrhea or congestion. The patient has been taking Motrin and Tylenol,
which has been reducing her fever, however, she states she does not feel any better.
The patient denies any shortness of breath or chest pain. She has had no known ill
contacts. Patient admits social alcohol use, but denies any tobacco or drug use."
What is the patients chief complaint? - Answer-cough
What diagnostic testing is pertinent for this case? - Answer-A and B (flu swab, chest
XR)
What is another word or phrase for myalgia? - Answer-body aches
The patient is diagnosed with influenza. What is the treatment for home? - Answer-
Symptomatic care (Motrin, Tylenol , and fluids)
What social history is not pertinent for this case? - Answer-Patient works at Denso
"The patient is a 28 year old male who presents to the ED with a chief complaint of
abdominal pain for the past 2 days. He states his pain is constant and located around
his epigastric region. The patient also notes nausea, vomiting, and diarrhea of the same
duration. He has been taking Tylenol, but denies any relief and further denies any
alleviating or aggravating factors. The patient states his wife was recently ill with similar
,symptoms, which resolved on their own. No fevers, chills, urinary symptoms, or back
pain. Patient denies any tobacco, drug, or alcohol use."
What is the patients chief complain? - Answer-abdominal pain
What diagnostic testing is pertinent for this case? - Answer-A and B (abdominal XR and
blood work)
What is one medication a patient would be administered in the ED? - Answer-Zofran
(anti-nausea medication)
All of the patients imaging and lab work is normal. What is likely the patients diagnosis?
- Answer-viral GI illness
What medication would the patient be discharged home with? - Answer-A and C
(Tylenol and Zofran)
You and your provider are seeing a female patient who is needing a refill on her
fibromyalgia pain medication. From her profile, you recognize that it is likely which one
of the following? - Answer-Lyrica (pregabalin)
Match the following neurology medical terms with their definitions.
Patient performs series of movements to test function of the 12 cranial nerves. -
Answer-12 cranial nerve exam
blood vessel such as the cerebral artery breaks and bleeding occurs in the brain -
Answer-hemorrhagic CVA
altered state of consciousness after an epileptic seizure; state of confusion following a
seizure - Answer-postictal
A loss of consciousness due to reduced blood flow to the brain - Answer-syncope
difficulty controlling or coordinating muscles used to speak - Answer-dysarthria
Your provider is discussing ordered tPA for one of the patients in the ED. From your
knowledge about tPA, you know that this patient has which of the following conditions? -
Answer-stroke
You and your provider are seeing a patient new to the area who says their neurologist
started them on a new drug for seizures. They forgot the name of it but brought their
prescription bottles with them to review. You and your provider determine that it is which
of the following? - Answer-Lamictal (lamotrigine)
, A female patient received the drug combination in the Migraine Cocktail. Your provider
orders a discharge prescription for which of the following medications to try to stop
future migraines. - Answer-Imitrex (sumatriptan)
You are meeting a patient with chief complain of a migraine headache. She says that
the "new drug" she was taking to try to prevent them must not be working. As you look
through her medication listing, which of the following could be the new drug she was
taking to try to prevent migraines? - Answer-Topamax (topiramate)
"A 24 year old male presents with complaints of a sudden onset, severe headache that
started 1 day ago. He states the pain occurred like a thunderclap and is so "severe" it
makes him vomit. He has increasing pain with light and sound. The patient denies fever
or chills. He has never had the headaches prior to this and has tried Tylenol at home
without improvement. He drinks alcohol on weekends."
What is the test choice to make the diagnosis in this patient? - Answer-CT scan of the
brain
What is the most important in this patient to evaluate for life threatening headache? -
Answer-Thunderclap nature of onset
What physical exam findings would be common for this patient? - Answer-none of the
above
The patient is diagnosed with a SAH as a cause for his headache. What is the
disposition? - Answer-Admit to the hospital
What additional history is important to document for this patient? Select all that apply -
Answer-Family history of similar symptoms, History of illicit drugs use
You and your provider are seeing a patient who said she was taking a medication she
bought without a prescription to help improve her chest congestion. You recognize that
it could be which of the following? - Answer-Mucinex (guaifenesin)
Match the following lesson relevant medical terms with their definitions.
Pink eye; inflammation or infection of the conjunctiva - Answer-conjunctivitis
inflammation of the inner ear - Answer-labyrinthitis
ear wax - Answer-cerumen
to form a new opening in the trachea - Answer-tracheostomy
condition where the whites of the eyes turn yellowish; common association with liver
failure - Answer-scleral icterus
QUESTIONS WITH CORRECT ANSWERS
What does BMP stand for? - Answer-Basic Metabolic Panel
The CT scan gives the clinician a less detailed image of the structures of the body than
the x-ray - Answer-False
A patient presents with pain of their right leg, primarily behind the knee, with swilling and
redness. A provider is concerned for DVT, what test would be ordered? - Answer-
Doppler ultrasound of right lower extremity
MRI's are contraindicated in pregnancy - Answer-False
What is the most common diagnostic test used in the emergency department to
diagnose pneumonia - Answer-Chest x-ray
Ultrasound uses high frequency sound waves to make images of internal body
structures - Answer-true
"The patient is a 23 year old female who presents to the ED for cough. She states her
symptoms started 3 days ago and have gradually become worse, prompting her to
come to the EF for further evaluation. She notes associated fevers up to 101.4 F, chills,
myalgia, rhinorrhea or congestion. The patient has been taking Motrin and Tylenol,
which has been reducing her fever, however, she states she does not feel any better.
The patient denies any shortness of breath or chest pain. She has had no known ill
contacts. Patient admits social alcohol use, but denies any tobacco or drug use."
What is the patients chief complaint? - Answer-cough
What diagnostic testing is pertinent for this case? - Answer-A and B (flu swab, chest
XR)
What is another word or phrase for myalgia? - Answer-body aches
The patient is diagnosed with influenza. What is the treatment for home? - Answer-
Symptomatic care (Motrin, Tylenol , and fluids)
What social history is not pertinent for this case? - Answer-Patient works at Denso
"The patient is a 28 year old male who presents to the ED with a chief complaint of
abdominal pain for the past 2 days. He states his pain is constant and located around
his epigastric region. The patient also notes nausea, vomiting, and diarrhea of the same
duration. He has been taking Tylenol, but denies any relief and further denies any
alleviating or aggravating factors. The patient states his wife was recently ill with similar
,symptoms, which resolved on their own. No fevers, chills, urinary symptoms, or back
pain. Patient denies any tobacco, drug, or alcohol use."
What is the patients chief complain? - Answer-abdominal pain
What diagnostic testing is pertinent for this case? - Answer-A and B (abdominal XR and
blood work)
What is one medication a patient would be administered in the ED? - Answer-Zofran
(anti-nausea medication)
All of the patients imaging and lab work is normal. What is likely the patients diagnosis?
- Answer-viral GI illness
What medication would the patient be discharged home with? - Answer-A and C
(Tylenol and Zofran)
You and your provider are seeing a female patient who is needing a refill on her
fibromyalgia pain medication. From her profile, you recognize that it is likely which one
of the following? - Answer-Lyrica (pregabalin)
Match the following neurology medical terms with their definitions.
Patient performs series of movements to test function of the 12 cranial nerves. -
Answer-12 cranial nerve exam
blood vessel such as the cerebral artery breaks and bleeding occurs in the brain -
Answer-hemorrhagic CVA
altered state of consciousness after an epileptic seizure; state of confusion following a
seizure - Answer-postictal
A loss of consciousness due to reduced blood flow to the brain - Answer-syncope
difficulty controlling or coordinating muscles used to speak - Answer-dysarthria
Your provider is discussing ordered tPA for one of the patients in the ED. From your
knowledge about tPA, you know that this patient has which of the following conditions? -
Answer-stroke
You and your provider are seeing a patient new to the area who says their neurologist
started them on a new drug for seizures. They forgot the name of it but brought their
prescription bottles with them to review. You and your provider determine that it is which
of the following? - Answer-Lamictal (lamotrigine)
, A female patient received the drug combination in the Migraine Cocktail. Your provider
orders a discharge prescription for which of the following medications to try to stop
future migraines. - Answer-Imitrex (sumatriptan)
You are meeting a patient with chief complain of a migraine headache. She says that
the "new drug" she was taking to try to prevent them must not be working. As you look
through her medication listing, which of the following could be the new drug she was
taking to try to prevent migraines? - Answer-Topamax (topiramate)
"A 24 year old male presents with complaints of a sudden onset, severe headache that
started 1 day ago. He states the pain occurred like a thunderclap and is so "severe" it
makes him vomit. He has increasing pain with light and sound. The patient denies fever
or chills. He has never had the headaches prior to this and has tried Tylenol at home
without improvement. He drinks alcohol on weekends."
What is the test choice to make the diagnosis in this patient? - Answer-CT scan of the
brain
What is the most important in this patient to evaluate for life threatening headache? -
Answer-Thunderclap nature of onset
What physical exam findings would be common for this patient? - Answer-none of the
above
The patient is diagnosed with a SAH as a cause for his headache. What is the
disposition? - Answer-Admit to the hospital
What additional history is important to document for this patient? Select all that apply -
Answer-Family history of similar symptoms, History of illicit drugs use
You and your provider are seeing a patient who said she was taking a medication she
bought without a prescription to help improve her chest congestion. You recognize that
it could be which of the following? - Answer-Mucinex (guaifenesin)
Match the following lesson relevant medical terms with their definitions.
Pink eye; inflammation or infection of the conjunctiva - Answer-conjunctivitis
inflammation of the inner ear - Answer-labyrinthitis
ear wax - Answer-cerumen
to form a new opening in the trachea - Answer-tracheostomy
condition where the whites of the eyes turn yellowish; common association with liver
failure - Answer-scleral icterus
