Final Exam Scribe America QUESTIONS WITH COMPLETE SOLUTION

What does "IDDM" stand for? Do not include any hyphenations for your answer. Insulin Dependent Diabetes Mellitus What does "AMS" stand for? Altered Mental Status A patient states she has had a productive cough for 4 days, and yesterday she developed a fever. Would her fever be considered an associated symptom for her productive cough? Why or why not? Yes, because the fever started soon after the cough Match each critical care dx with it's associated procedure. Respiratory Failure: Intubation Acute exacerbation: CPAP/BiPAP Cardiac arrest: CPR PTX: Chest Tube Sepsis: central line placement Abnormal heart rhythm: cardioversion What does "GCS" stand for? Glasgow Coma Scale What does "PE" stand for in the Diagnosis section of the chart? Pulmonary Embolism What does "DVT" stand for? Deep vein thrombosis Among the following diseases listed, select the ones that qualify for CCT. ACS CVA Afib acute MI DKA PTX PE sepsis What is the medical term for "coughing up blood"? Hemoptysis Which of these procedures qualify as critical care procedures and would indicate that critical care time must be documented on a patient? (select all that apply) ? If a patient signs a waiver giving you permission to capture photo of their unique rash, would you be committing a HIPAA violation by using your cellphone to capture the photo? (Select the best option.) Yes because the phone is not an approved hospital device and it is not encrypted. What procedure would be used to diagnose Meningitis? Expand the medical abbreviation into the full medical term. Lumbar puncture A female patient has been pregnant four times in the past, is currently pregnant, and has two children at home. Calculate the G, P and A, respectively. (Type your answer using the following format: "G,P,A" "#,#,#"; so for example you woud type 0,0,0 with no spaces before or after the answer) 5,2,2 What does "AAA" stand for? Abdominal Aortic Aneurysm George is employed with SA as a scribe. He was off today and accidentally cut his cheek while practicing his sword swallowing skills. He goes to the Emergency Department and is seen by a doctor and another scribe. The Emergency Department is extremely busy, and so George decides to help out the doctor by scribing his own note using the computer in the room. Has George taken the appropriate steps in this situation? No, because George accessed his own medical record using his EMR login. What FHx/SHx information is usually asked for pediatric patients? (Select all that apply.) Second hand smoke exposure, immunization records Which of the following would be ordered to investigate thyroid disease? THS, T3, T4 What does "DOE" stand for? dyspnea on exertion You are writing an HPI for a very complex patient who has had multiple recent hospital admissions and several significant complaints; what is the best way to organize the information in your HPI? Chronological order What does "PNA" stand for? pneumonia What does ETT stand for? endotracheal tube What are the possible consequences of a HIPAA violation? (select all that apply) ALL OF THEM What does the DP stand for in "DP pulse"? Dorsalis pedis How would you diagnose a pneumothorax? CXR Location is an important element that can paint a picture for concerning DDx. Match location with the corresponding DDx. RLQ= appendicitis LUQ= pancreatic disease RUQ= gall bladder disease LLQ= diverticulitis Which of the following would need to go into a consult note for a patient that will be admitted to the hospital for treatment of bacterial meningitis? Name of the accepting physician Location in the hospital Condition at time of admission Consultation note with accepting physician Timing of admission Which of the following are not valid DDx for a patient with CC of HA? Syncope Vertigo Bell's Palsy What is the medical term for painful urination? dysuria