SCRIBEAMERICA ED UPDATED LATEST ANSWERS
AND QUESTIONS SET A+
✔✔AAA chief complaint - ✔✔Midline abdominal pain
✔✔How to diagnose an aortic dissection? - ✔✔CT chest with IV contrast dyes
✔✔Risk factors for DVT - ✔✔PMHx or FHx of DVT or PE, recent surgery, CA,
immobility, pregnant, BCP, smoking, LE trauma, LE casts
✔✔How to diagnose a DVT? - ✔✔US/Doppler of the extremity
✔✔Cellulitis - ✔✔Infection of the skin cells
✔✔Abscess - ✔✔Cellulitis with fluctuance (pus-pocket)
✔✔Itchy - ✔✔Pruritic
✔✔Pus - ✔✔Purulent drainage
✔✔Signs of a adverse reaction (NOT allergic) - ✔✔N/V, abdominal pain, diarrhea,
dizziness
✔✔DKA - ✔✔Diabetic ketoacidosis
✔✔Diabetic ketoacidosis - ✔✔Shortage of insulin resulting in hyperglycemia and
production of ketones
✔✔How to diagnose DKA? - ✔✔Arterial blood gas (ABG or VBG) showing low pH
(acidosis) or positive serum ketones
✔✔SI - ✔✔Suicidal ideation
, ✔✔HI - ✔✔Homicidal ideation
✔✔Glasgow coma scale (GCS) - ✔✔3-15 with 15=good and 3=bad
✔✔MOI - ✔✔Mechanism of injury
✔✔What is a common cause for seizures in children? - ✔✔Fever
✔✔Postictal - ✔✔State after a SZ
✔✔How many elements are required in a level 5 HPI? - ✔✔4 elements
✔✔HPI elements - ✔✔Onset (when did it begin), timing (constant, intermittent, waning),
location, quality (sharp, dull, aching), severity (0-10), modifying factors (what makes it
better/worse), associated Sx, context (anything else important)
✔✔Basic HPI formula - ✔✔1. Age and sex of pt
2.Complaint and onset
3. Timing, quality, severity, and location
4. Modifying factors (has anything worsened or improved it?)
5. Associated symptoms
6. Pertinent negatives
7. Context
✔✔HPI - ✔✔History of present illness
✔✔How many elements does a level 5 ROS have? - ✔✔10 elements or 2 with box
checked "all systems negative"
✔✔What are the risk factors for an MI? - ✔✔CAD, HTN, HLD, DM, smoking, FHx of
CAD <55 y/o
✔✔What are the risk factors for a CVA? - ✔✔HTN, HLD, DM, Hx TIA/CVA, smoking
FHx CVA, A-Fib
✔✔How many elements does a level 5 PE have? - ✔✔8 elements
✔✔EOMI - ✔✔Extraoccular movements intact
✔✔NAD - ✔✔No acute distress
✔✔Angioedema - ✔✔Swelling beneath skin (allergic reaction)
✔✔Anisocoria - ✔✔Unequal pupils
AND QUESTIONS SET A+
✔✔AAA chief complaint - ✔✔Midline abdominal pain
✔✔How to diagnose an aortic dissection? - ✔✔CT chest with IV contrast dyes
✔✔Risk factors for DVT - ✔✔PMHx or FHx of DVT or PE, recent surgery, CA,
immobility, pregnant, BCP, smoking, LE trauma, LE casts
✔✔How to diagnose a DVT? - ✔✔US/Doppler of the extremity
✔✔Cellulitis - ✔✔Infection of the skin cells
✔✔Abscess - ✔✔Cellulitis with fluctuance (pus-pocket)
✔✔Itchy - ✔✔Pruritic
✔✔Pus - ✔✔Purulent drainage
✔✔Signs of a adverse reaction (NOT allergic) - ✔✔N/V, abdominal pain, diarrhea,
dizziness
✔✔DKA - ✔✔Diabetic ketoacidosis
✔✔Diabetic ketoacidosis - ✔✔Shortage of insulin resulting in hyperglycemia and
production of ketones
✔✔How to diagnose DKA? - ✔✔Arterial blood gas (ABG or VBG) showing low pH
(acidosis) or positive serum ketones
✔✔SI - ✔✔Suicidal ideation
, ✔✔HI - ✔✔Homicidal ideation
✔✔Glasgow coma scale (GCS) - ✔✔3-15 with 15=good and 3=bad
✔✔MOI - ✔✔Mechanism of injury
✔✔What is a common cause for seizures in children? - ✔✔Fever
✔✔Postictal - ✔✔State after a SZ
✔✔How many elements are required in a level 5 HPI? - ✔✔4 elements
✔✔HPI elements - ✔✔Onset (when did it begin), timing (constant, intermittent, waning),
location, quality (sharp, dull, aching), severity (0-10), modifying factors (what makes it
better/worse), associated Sx, context (anything else important)
✔✔Basic HPI formula - ✔✔1. Age and sex of pt
2.Complaint and onset
3. Timing, quality, severity, and location
4. Modifying factors (has anything worsened or improved it?)
5. Associated symptoms
6. Pertinent negatives
7. Context
✔✔HPI - ✔✔History of present illness
✔✔How many elements does a level 5 ROS have? - ✔✔10 elements or 2 with box
checked "all systems negative"
✔✔What are the risk factors for an MI? - ✔✔CAD, HTN, HLD, DM, smoking, FHx of
CAD <55 y/o
✔✔What are the risk factors for a CVA? - ✔✔HTN, HLD, DM, Hx TIA/CVA, smoking
FHx CVA, A-Fib
✔✔How many elements does a level 5 PE have? - ✔✔8 elements
✔✔EOMI - ✔✔Extraoccular movements intact
✔✔NAD - ✔✔No acute distress
✔✔Angioedema - ✔✔Swelling beneath skin (allergic reaction)
✔✔Anisocoria - ✔✔Unequal pupils
