SCRIBE FINAL REVIEW QUIZ
QUESTIONS AND ANSWERS
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? - Answer-AAA, aortic dissection, and MI
What ROS system would include Dyspepsia, the medical term for indigestion? -
Answer-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 ".) - Answer-Hematochezia
Which of the following would NOT be considered an example of PHI? - Answer-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? - Answer-no
Read through the PE and decide if this meets Level 5 billing criteria.
Genera/Constitutional: NC, AT
Eyes: PERRL, EOMI
ENT: moist oral mucosa
Cardiac: irregularly irregular rhythm, tachycardic, no murmurs, no rubs, no gallops
Respiratory: Lungs clear, no respiratory distress, no wheezing, no rales, no rhonchi
Neurological: A&O x 4
Psychiatric: normal affect - Answer-no
A patient cut his left foot on a piece of glass two hours ago and is seen in the
emergency department to have sutures placed. Â The doctor tells you there is no
tendon injury and circulatory, sensory and motor is intact. What is the best diagnosis for
his complaint? - Answer-uncomplicated laceration of the left foot- initial encounter
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
AAA - Answer-abdominal aortic aneurysm
, DNR - Answer-do not resuscitate
DOE - Answer-dyspnea on exertion
TIA - Answer-transient ischemic attack
COPD - Answer-chronic obstructive pulmonary disease
EOMI - Answer-extraocular moments intact
CSF - Answer-cerebrospinal fluid
AMS - Answer-altered mental status
GCS - Answer-glasgow coma state
NTG - Answer-nitroglycerin
GERD - Answer-gastroesophageal reflux disease
DVT - Answer-deep vein thrombosis
IDDM - Answer-Insulin dependent diabetes mellitus
CHF - Answer-congestive heart failure
PNA - Answer-pneumonia
s/p - Answer-status post
DP stand for in DP pulse - Answer-dorsalis pedis
CBC - Answer-complete blood count
PTX - Answer-pneumothorax
URI - Answer-upper respiratory infection
PE - Answer-pulmonary embolism
How would you diagnose Haemorrhagic CVA? - Answer-LP and Head CT
Which of the following lab results need to be monitored closely for efficiency? - Answer-
d-dimer, troponin
QUESTIONS AND ANSWERS
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? - Answer-AAA, aortic dissection, and MI
What ROS system would include Dyspepsia, the medical term for indigestion? -
Answer-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 ".) - Answer-Hematochezia
Which of the following would NOT be considered an example of PHI? - Answer-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? - Answer-no
Read through the PE and decide if this meets Level 5 billing criteria.
Genera/Constitutional: NC, AT
Eyes: PERRL, EOMI
ENT: moist oral mucosa
Cardiac: irregularly irregular rhythm, tachycardic, no murmurs, no rubs, no gallops
Respiratory: Lungs clear, no respiratory distress, no wheezing, no rales, no rhonchi
Neurological: A&O x 4
Psychiatric: normal affect - Answer-no
A patient cut his left foot on a piece of glass two hours ago and is seen in the
emergency department to have sutures placed. Â The doctor tells you there is no
tendon injury and circulatory, sensory and motor is intact. What is the best diagnosis for
his complaint? - Answer-uncomplicated laceration of the left foot- initial encounter
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
AAA - Answer-abdominal aortic aneurysm
, DNR - Answer-do not resuscitate
DOE - Answer-dyspnea on exertion
TIA - Answer-transient ischemic attack
COPD - Answer-chronic obstructive pulmonary disease
EOMI - Answer-extraocular moments intact
CSF - Answer-cerebrospinal fluid
AMS - Answer-altered mental status
GCS - Answer-glasgow coma state
NTG - Answer-nitroglycerin
GERD - Answer-gastroesophageal reflux disease
DVT - Answer-deep vein thrombosis
IDDM - Answer-Insulin dependent diabetes mellitus
CHF - Answer-congestive heart failure
PNA - Answer-pneumonia
s/p - Answer-status post
DP stand for in DP pulse - Answer-dorsalis pedis
CBC - Answer-complete blood count
PTX - Answer-pneumothorax
URI - Answer-upper respiratory infection
PE - Answer-pulmonary embolism
How would you diagnose Haemorrhagic CVA? - Answer-LP and Head CT
Which of the following lab results need to be monitored closely for efficiency? - Answer-
d-dimer, troponin
