Scribeamerica Final Exam LATEST
VERSION 540 QUESTIONS AND
ANSWERS WITH STUDY GUIDE,
DETAILED AND VERIFIED FOR
GUARANTEED PASS, LATEST UPDATE
2025
What are the three common general family histories your physician may ask about? -
CORRECT ANSWER Hypertension (HTN)
Diabetes Mellitus (DM)
Cancer (CA)
Two pulmonary FHx - CORRECT ANSWER PE and Asthma
Two Gastrointestinal FHx - CORRECT ANSWER Crohn's and IBS
Three Neurological FHx - CORRECT ANSWER CVA, Aneurysm, Seizures
Two Miscellaneous FHx - CORRECT ANSWER Sickle Cell Anemia and DVT
Social History list... - CORRECT ANSWER Tobacco use, Drug use, Alcohol use,
living circumstances, occupation
Smoking status (Current) - CORRECT ANSWER #ppd or #yr
Smoking status (Former) - CORRECT ANSWER year quit
Second hand exposure - CORRECT ANSWER (pediatrics)
If Chronic alcoholic need.. - CORRECT ANSWER Number of drinks/day and type
of alcohol
Illicit Drug Use need... - CORRECT ANSWER Which Drug, Route of
Administration, Date of last use
,Social History for pediatrics - CORRECT ANSWER Need Caretaker, attends
daycare, attends school, siblings, second hand smoke exposure, immunizations
Why must smoking status be documented on every patient 13 yrs and older? -
CORRECT ANSWER Government standard require this
Would PMHx of chronic alcoholism belong in the SHx section as well as the PMHx
section? - CORRECT ANSWER Yes
Name the three most common routes of administration of illicit drug use - CORRECT
ANSWER Oral, Intravenous, Inhaled
Living Circumstances - CORRECT ANSWER Doc will ask if pt: lives alone, with
family/friends, nursing home/assisted living, hospice, homeless/shelter
Occupation - CORRECT ANSWER Employed, Unemployed, On disability, Retired
If physician asks specifically about type of work, be sure to document it
Identify ED flow: - CORRECT ANSWER Walk-in > Triage > Bed > Physician
Assessment > Lab/Rad/Meds > Results > MDM/ED Course > Diagnosis > Consults >
Disposition
What are the 5 vital signs? - CORRECT ANSWER Blood Pressure, Respiratory
Rate, Temperature, Heart Rate, Oxygen Saturation
What does disposition (dispo) mean? - CORRECT ANSWER Destination of the
patient following the ED evaluation. Admitted to the hospital, discharged or transferred
to another facility.
What subcategories are included in the Past History section of the template? -
CORRECT ANSWER PMx: Past Medical History
PSHx: Past Surgical History
FHx: Family History
SHx: Social History
What is the term for gallbladder removal? - CORRECT ANSWER
Cholesystectomy
What is the medical term for redness? - CORRECT ANSWER
Erythema/Erythematous
That is the medical term for bruising? - CORRECT ANSWER Eccymosis
,Pertinent Positives - CORRECT ANSWER present symptoms that point to a
diagnosis
Catch Phase for CAD - CORRECT ANSWER Chest pain with physical exertion
Nitroglycerin - CORRECT ANSWER NTG
sublingual - CORRECT ANSWER put meds under tongue
Chief Complaint of CAD - CORRECT ANSWER CP (worse with exertion, better
with rest/NTG)
CAD diagnosed by.. - CORRECT ANSWER Cardiac Catheterization or stress test
(not diagnosed in ED)
PMHx signs for a CAD - CORRECT ANSWER MI, Angina, CABG, Cardiac stents,
or Angioplasty
Single greatest risk for an MI - CORRECT ANSWER CAD
Meds given to patients with CP - CORRECT ANSWER 324 mg Aspirin PO
.4 mg NTG SL
Stemi patients must... - CORRECT ANSWER go to cath lab within 90 minutes of
arrival
CHF - CORRECT ANSWER heart becomes enlarged, inefficient, and congested
with fluid
Catch phrase for CHF - CORRECT ANSWER SOB with pedal edema and
orthopnea
Orthopnea - CORRECT ANSWER SOB when lying flat
Pedal edema - CORRECT ANSWER swelling of ankles and feet
PND - CORRECT ANSWER Paroxysmal Nocturnal Dyspnea
DOE - CORRECT ANSWER Dyspnea on Exertion
How to diagnose CHF - CORRECT ANSWER CXR or elevated BNP
, BNP - CORRECT ANSWER B type natriuretic peptide
PE of CHF - CORRECT ANSWER JVD, Rales in lungs, pedal edema
JVD - CORRECT ANSWER Jugular Vein Distention
Atrial Fibrillation - CORRECT ANSWER top of heart (atria) quivers abnormally
Atrial Fibrillation diagnosed by... - CORRECT ANSWER EKG
Meds for Atrial Fibrillation - CORRECT ANSWER Coumadin (blood thinner) or
Digoxin (slows heart rate)
NSR - CORRECT ANSWER normal sinus rhythm
RVR - CORRECT ANSWER Rapid Ventricular Repsonse
Name the other non-cardiac causes of CP - CORRECT ANSWER
Pericarditis:Inflammation of the sac surrounding the heart causing CP
Pleurisy:Inflammation of the sac surrounding the lungs causing pleuritic CP
Costochondritis:Irritation of the ribs causing CP worsened by pressing on the sternum
Chest Wall Pain: Irritation of the chest wall causing pain with palpation of the chest
Pleural Effusion:Fluid collecting around the lungs causing SOB or CP
Catch Phrase for MI - CORRECT ANSWER Chest pressure w/ diaphoresis, N/V
and SOB
what might someone in Atrial Fibrillation feel? - CORRECT ANSWER Palpitations
(Fast, Pounding, Irregular)
Explain the importance of cardiac risk factors... - CORRECT ANSWER CAD, HTN,
HLD, DM, smoker, FHx of CAD < 55yrs
Pulmonary embolism - CORRECT ANSWER blood clot blocks blood to lungs
Pleuritic chest pain - CORRECT ANSWER inflamed sac of lungs causes CP
(worse with deep breaths)
Risk factors of PE - CORRECT ANSWER Risk factors:Known DVT, PMHx of DVT
or PE, FHx, Recent surgery, Cancer, A-Fib, Immobility, Pregnancy, BCP, Smoking
Chief Complaint of PE - CORRECT ANSWER SOB or Pleuritic Chest Pain
VERSION 540 QUESTIONS AND
ANSWERS WITH STUDY GUIDE,
DETAILED AND VERIFIED FOR
GUARANTEED PASS, LATEST UPDATE
2025
What are the three common general family histories your physician may ask about? -
CORRECT ANSWER Hypertension (HTN)
Diabetes Mellitus (DM)
Cancer (CA)
Two pulmonary FHx - CORRECT ANSWER PE and Asthma
Two Gastrointestinal FHx - CORRECT ANSWER Crohn's and IBS
Three Neurological FHx - CORRECT ANSWER CVA, Aneurysm, Seizures
Two Miscellaneous FHx - CORRECT ANSWER Sickle Cell Anemia and DVT
Social History list... - CORRECT ANSWER Tobacco use, Drug use, Alcohol use,
living circumstances, occupation
Smoking status (Current) - CORRECT ANSWER #ppd or #yr
Smoking status (Former) - CORRECT ANSWER year quit
Second hand exposure - CORRECT ANSWER (pediatrics)
If Chronic alcoholic need.. - CORRECT ANSWER Number of drinks/day and type
of alcohol
Illicit Drug Use need... - CORRECT ANSWER Which Drug, Route of
Administration, Date of last use
,Social History for pediatrics - CORRECT ANSWER Need Caretaker, attends
daycare, attends school, siblings, second hand smoke exposure, immunizations
Why must smoking status be documented on every patient 13 yrs and older? -
CORRECT ANSWER Government standard require this
Would PMHx of chronic alcoholism belong in the SHx section as well as the PMHx
section? - CORRECT ANSWER Yes
Name the three most common routes of administration of illicit drug use - CORRECT
ANSWER Oral, Intravenous, Inhaled
Living Circumstances - CORRECT ANSWER Doc will ask if pt: lives alone, with
family/friends, nursing home/assisted living, hospice, homeless/shelter
Occupation - CORRECT ANSWER Employed, Unemployed, On disability, Retired
If physician asks specifically about type of work, be sure to document it
Identify ED flow: - CORRECT ANSWER Walk-in > Triage > Bed > Physician
Assessment > Lab/Rad/Meds > Results > MDM/ED Course > Diagnosis > Consults >
Disposition
What are the 5 vital signs? - CORRECT ANSWER Blood Pressure, Respiratory
Rate, Temperature, Heart Rate, Oxygen Saturation
What does disposition (dispo) mean? - CORRECT ANSWER Destination of the
patient following the ED evaluation. Admitted to the hospital, discharged or transferred
to another facility.
What subcategories are included in the Past History section of the template? -
CORRECT ANSWER PMx: Past Medical History
PSHx: Past Surgical History
FHx: Family History
SHx: Social History
What is the term for gallbladder removal? - CORRECT ANSWER
Cholesystectomy
What is the medical term for redness? - CORRECT ANSWER
Erythema/Erythematous
That is the medical term for bruising? - CORRECT ANSWER Eccymosis
,Pertinent Positives - CORRECT ANSWER present symptoms that point to a
diagnosis
Catch Phase for CAD - CORRECT ANSWER Chest pain with physical exertion
Nitroglycerin - CORRECT ANSWER NTG
sublingual - CORRECT ANSWER put meds under tongue
Chief Complaint of CAD - CORRECT ANSWER CP (worse with exertion, better
with rest/NTG)
CAD diagnosed by.. - CORRECT ANSWER Cardiac Catheterization or stress test
(not diagnosed in ED)
PMHx signs for a CAD - CORRECT ANSWER MI, Angina, CABG, Cardiac stents,
or Angioplasty
Single greatest risk for an MI - CORRECT ANSWER CAD
Meds given to patients with CP - CORRECT ANSWER 324 mg Aspirin PO
.4 mg NTG SL
Stemi patients must... - CORRECT ANSWER go to cath lab within 90 minutes of
arrival
CHF - CORRECT ANSWER heart becomes enlarged, inefficient, and congested
with fluid
Catch phrase for CHF - CORRECT ANSWER SOB with pedal edema and
orthopnea
Orthopnea - CORRECT ANSWER SOB when lying flat
Pedal edema - CORRECT ANSWER swelling of ankles and feet
PND - CORRECT ANSWER Paroxysmal Nocturnal Dyspnea
DOE - CORRECT ANSWER Dyspnea on Exertion
How to diagnose CHF - CORRECT ANSWER CXR or elevated BNP
, BNP - CORRECT ANSWER B type natriuretic peptide
PE of CHF - CORRECT ANSWER JVD, Rales in lungs, pedal edema
JVD - CORRECT ANSWER Jugular Vein Distention
Atrial Fibrillation - CORRECT ANSWER top of heart (atria) quivers abnormally
Atrial Fibrillation diagnosed by... - CORRECT ANSWER EKG
Meds for Atrial Fibrillation - CORRECT ANSWER Coumadin (blood thinner) or
Digoxin (slows heart rate)
NSR - CORRECT ANSWER normal sinus rhythm
RVR - CORRECT ANSWER Rapid Ventricular Repsonse
Name the other non-cardiac causes of CP - CORRECT ANSWER
Pericarditis:Inflammation of the sac surrounding the heart causing CP
Pleurisy:Inflammation of the sac surrounding the lungs causing pleuritic CP
Costochondritis:Irritation of the ribs causing CP worsened by pressing on the sternum
Chest Wall Pain: Irritation of the chest wall causing pain with palpation of the chest
Pleural Effusion:Fluid collecting around the lungs causing SOB or CP
Catch Phrase for MI - CORRECT ANSWER Chest pressure w/ diaphoresis, N/V
and SOB
what might someone in Atrial Fibrillation feel? - CORRECT ANSWER Palpitations
(Fast, Pounding, Irregular)
Explain the importance of cardiac risk factors... - CORRECT ANSWER CAD, HTN,
HLD, DM, smoker, FHx of CAD < 55yrs
Pulmonary embolism - CORRECT ANSWER blood clot blocks blood to lungs
Pleuritic chest pain - CORRECT ANSWER inflamed sac of lungs causes CP
(worse with deep breaths)
Risk factors of PE - CORRECT ANSWER Risk factors:Known DVT, PMHx of DVT
or PE, FHx, Recent surgery, Cancer, A-Fib, Immobility, Pregnancy, BCP, Smoking
Chief Complaint of PE - CORRECT ANSWER SOB or Pleuritic Chest Pain
