SCRIBEAMERICA ED FINALS 2027 EXAMS ANSWERS
AND QUESTIONS SET A+
✔✔What are the 4 focal deficits associated with CVA? - ✔✔-one-sided weakness
-one-sided numbness
-changes in speech
-changes in vision
✔✔What medication can reverse a CVA if given in time? - ✔✔tPA
✔✔Chief complaint of hemorrhagic CVA (brain bleed) - ✔✔headache sudden onset
✔✔PE findings of hemorrhagic CVA - ✔✔unilateral neurological deficits
✔✔How is hemorrhagic CVA diagnosed? - ✔✔-head CT
-lumbar puncture (LP)
✔✔What medication will resolve a CVA but make a hemorrhagic CVA worse? - ✔✔tPA
✔✔Chief complaint of meningitis - ✔✔-headache
-neck pain
✔✔Associated symptoms of meningitis - ✔✔-fever
-neck pain
-neck stiffness
-altered mental status (AMS)
✔✔How is meningitis diagnosed? - ✔✔lumbar puncture (LP)
✔✔How is a spinal cord injury diagnosed? - ✔✔CT
✔✔Why are pertinent negatives important in regards to Bell's Palsy and what are they?
- ✔✔-to rule out CVA
-no extremity weakness; no change in speech/vision
, ✔✔Associated symptoms of Bell's Palsy - ✔✔-facial droop
-jaw/ear pain
-inc tear flow of one eye
✔✔How is altered mental status (AMS) different from a focal neurological deficit? -
✔✔AMS is generalized and typically caused by something affecting the whole brain
✔✔Label the 4 abdominal quadrants, epigastrium, R/L flanks, periumbilical, and and
suprapubic regions. - ✔✔a) epigastrium
b) RUQ
c) LUQ
d) periumbilical
e) RLQ
f) LLQ
g) suprapubic
✔✔What are 2 associated diseases of epigastric pain? - ✔✔-GERD
-MI
✔✔What are 2 associated diseases of RUQ pain? - ✔✔-cholecystitis
-cholelithiasis
✔✔What is the associated disease of LUQ pain? - ✔✔pancreatitis
✔✔What is the associated disease of periumbilical pain? - ✔✔small bowel obstruction
(SMO)
✔✔What is the associated disease of RLQ pain? - ✔✔appendicitis
✔✔What is the associated disease of LLQ pain? - ✔✔diverticulitis
✔✔What are 3 associated diseases of suprapubic pain? - ✔✔-ovarian torsion
-ovarian cyst
-UTI
✔✔What are 2 associated diseases of flank pain? - ✔✔-pyelonephritis (kidney infection)
-renal calculi (kidney stones)
✔✔What is a PE finding of appendicitis? - ✔✔McBurney's point tenderness
✔✔How is appendicitis diagnosed? - ✔✔CT A/P with PO contrast
✔✔How is small bowel obstruction (SMO) diagnosed? - ✔✔-CT A/P with PO contrast
AND QUESTIONS SET A+
✔✔What are the 4 focal deficits associated with CVA? - ✔✔-one-sided weakness
-one-sided numbness
-changes in speech
-changes in vision
✔✔What medication can reverse a CVA if given in time? - ✔✔tPA
✔✔Chief complaint of hemorrhagic CVA (brain bleed) - ✔✔headache sudden onset
✔✔PE findings of hemorrhagic CVA - ✔✔unilateral neurological deficits
✔✔How is hemorrhagic CVA diagnosed? - ✔✔-head CT
-lumbar puncture (LP)
✔✔What medication will resolve a CVA but make a hemorrhagic CVA worse? - ✔✔tPA
✔✔Chief complaint of meningitis - ✔✔-headache
-neck pain
✔✔Associated symptoms of meningitis - ✔✔-fever
-neck pain
-neck stiffness
-altered mental status (AMS)
✔✔How is meningitis diagnosed? - ✔✔lumbar puncture (LP)
✔✔How is a spinal cord injury diagnosed? - ✔✔CT
✔✔Why are pertinent negatives important in regards to Bell's Palsy and what are they?
- ✔✔-to rule out CVA
-no extremity weakness; no change in speech/vision
, ✔✔Associated symptoms of Bell's Palsy - ✔✔-facial droop
-jaw/ear pain
-inc tear flow of one eye
✔✔How is altered mental status (AMS) different from a focal neurological deficit? -
✔✔AMS is generalized and typically caused by something affecting the whole brain
✔✔Label the 4 abdominal quadrants, epigastrium, R/L flanks, periumbilical, and and
suprapubic regions. - ✔✔a) epigastrium
b) RUQ
c) LUQ
d) periumbilical
e) RLQ
f) LLQ
g) suprapubic
✔✔What are 2 associated diseases of epigastric pain? - ✔✔-GERD
-MI
✔✔What are 2 associated diseases of RUQ pain? - ✔✔-cholecystitis
-cholelithiasis
✔✔What is the associated disease of LUQ pain? - ✔✔pancreatitis
✔✔What is the associated disease of periumbilical pain? - ✔✔small bowel obstruction
(SMO)
✔✔What is the associated disease of RLQ pain? - ✔✔appendicitis
✔✔What is the associated disease of LLQ pain? - ✔✔diverticulitis
✔✔What are 3 associated diseases of suprapubic pain? - ✔✔-ovarian torsion
-ovarian cyst
-UTI
✔✔What are 2 associated diseases of flank pain? - ✔✔-pyelonephritis (kidney infection)
-renal calculi (kidney stones)
✔✔What is a PE finding of appendicitis? - ✔✔McBurney's point tenderness
✔✔How is appendicitis diagnosed? - ✔✔CT A/P with PO contrast
✔✔How is small bowel obstruction (SMO) diagnosed? - ✔✔-CT A/P with PO contrast
