Scribe U Final
1. What does DOE stand for? Dyspnea on Exertion
2. A 43-year-old male presents to the PSHx: Right BKA
ED with vomiting that began 5 hours ED Course: Hyperglycemia and elevated ketones
ago. He has a history of Type II DM Diagnosis : DKA
and is s/p right BKA. On objective CC: Vomiting
evaluation it is found that he is hy- Onset: 5 hours ago
perglycemic and has elevated ke- Disposition: Admit
tones and so he will be admitted for PMHx: Type II DM
DKA. Match the details to the correct
section of the chart
3. A patient is seen in the emergency Acute urinary tract infection in pregnancy, 2nd
department complaining of dysuria trimester
and tells you that she is 23 weeks
pregnant. Â Your doctor diagnoses
her with a UTI. Â Which of the follow-
ing would be the best diagnosis?
4. Medical terminology. What is the Cholecystitis
medical term for infection of the gall
bladder?
5. You see the physician check the pa- Wrist: 2+ radial pulse
tient's pulses in four places; the right Top of foot: 2+ DDP
wrist, the top of the right foot, the Neck: 2+ Carotid
back of the right foot and the left Back of foot: 2+ PTP
neck. The doctor states "The pulses
are fine". Match the location with the
appropriate pulse that you would
document in the physical exam?
6.
, Scribe U Final
What do you need to make sure A consultation note indicating the admitting physi-
to document for every admitted pa- cian
tient? (select the best option.)
7. Quality is an important descriptor Chest pains when taking a deep breath: PTX
that can paint a picture for concern-
ing DDx. Match the following HPI de- Sharp, stabbing pains that alternately becomes a dull
tail with the corresponding DDx. 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
8. Medical terminology. What is the Cholelithiasis
medical term for stones in the gall-
bladder?
9. A 45 year old male presents to the Timing
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?
10. You are starting your shift and your PNA, Appendicitis, UTI
physician immediately picks up 3 pa-
tients. The first patient is present-
ing with a productive cough steadi-
ly worsening since onset 4 weeks
ago. The second patient has had
abdominal discomfort slowly local-
izing into the right lower abdomen
with accompanying fever over the
, Scribe U Final
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?
11. What does "PE" stand for in the Di- Pulmonary Embolism
agnosis section of the chart?
12. What are the possible consequences - Termination
of a HIPAA violation? (select all that - Violator is blacklisted from medical programs like
apply) Medical, PA, or NP school
- Monetary fines to you and the hospital
- Prison time
- Lawsuit against you and the hospital
- Scribe program cancellation
13. You've just caught up on all of your - Accompanying your provider on re-evals
charting. What are some things you - Preparing for dispositions
can do to increase your providers ef- - Preparing charts for patients that are assigned to
ficiency? (Select all that apply.) your provider
- Tracking results
14. Match the following results with the combination of (+) EKG and (+) blood work : STEMI
corresponding diagnosis. combination of (-) EKG and (-) blood work : No MI
combination of (-) EKG and (+) blood work : NSTEMI
15. An 23-year-old female is brought in - Patient lethargic: Neurological
by EMS for a motor vehicle crash. - Patient with a c-collar: Neck
Your physician verbalizes outloud - Lacerations to the right eyebrow, left hand, and left
1. What does DOE stand for? Dyspnea on Exertion
2. A 43-year-old male presents to the PSHx: Right BKA
ED with vomiting that began 5 hours ED Course: Hyperglycemia and elevated ketones
ago. He has a history of Type II DM Diagnosis : DKA
and is s/p right BKA. On objective CC: Vomiting
evaluation it is found that he is hy- Onset: 5 hours ago
perglycemic and has elevated ke- Disposition: Admit
tones and so he will be admitted for PMHx: Type II DM
DKA. Match the details to the correct
section of the chart
3. A patient is seen in the emergency Acute urinary tract infection in pregnancy, 2nd
department complaining of dysuria trimester
and tells you that she is 23 weeks
pregnant. Â Your doctor diagnoses
her with a UTI. Â Which of the follow-
ing would be the best diagnosis?
4. Medical terminology. What is the Cholecystitis
medical term for infection of the gall
bladder?
5. You see the physician check the pa- Wrist: 2+ radial pulse
tient's pulses in four places; the right Top of foot: 2+ DDP
wrist, the top of the right foot, the Neck: 2+ Carotid
back of the right foot and the left Back of foot: 2+ PTP
neck. The doctor states "The pulses
are fine". Match the location with the
appropriate pulse that you would
document in the physical exam?
6.
, Scribe U Final
What do you need to make sure A consultation note indicating the admitting physi-
to document for every admitted pa- cian
tient? (select the best option.)
7. Quality is an important descriptor Chest pains when taking a deep breath: PTX
that can paint a picture for concern-
ing DDx. Match the following HPI de- Sharp, stabbing pains that alternately becomes a dull
tail with the corresponding DDx. 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
8. Medical terminology. What is the Cholelithiasis
medical term for stones in the gall-
bladder?
9. A 45 year old male presents to the Timing
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?
10. You are starting your shift and your PNA, Appendicitis, UTI
physician immediately picks up 3 pa-
tients. The first patient is present-
ing with a productive cough steadi-
ly worsening since onset 4 weeks
ago. The second patient has had
abdominal discomfort slowly local-
izing into the right lower abdomen
with accompanying fever over the
, Scribe U Final
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?
11. What does "PE" stand for in the Di- Pulmonary Embolism
agnosis section of the chart?
12. What are the possible consequences - Termination
of a HIPAA violation? (select all that - Violator is blacklisted from medical programs like
apply) Medical, PA, or NP school
- Monetary fines to you and the hospital
- Prison time
- Lawsuit against you and the hospital
- Scribe program cancellation
13. You've just caught up on all of your - Accompanying your provider on re-evals
charting. What are some things you - Preparing for dispositions
can do to increase your providers ef- - Preparing charts for patients that are assigned to
ficiency? (Select all that apply.) your provider
- Tracking results
14. Match the following results with the combination of (+) EKG and (+) blood work : STEMI
corresponding diagnosis. combination of (-) EKG and (-) blood work : No MI
combination of (-) EKG and (+) blood work : NSTEMI
15. An 23-year-old female is brought in - Patient lethargic: Neurological
by EMS for a motor vehicle crash. - Patient with a c-collar: Neck
Your physician verbalizes outloud - Lacerations to the right eyebrow, left hand, and left
