SCRIBE AMERICA FINAL EXAM 2023 With Complete Solution Graded And Already Passed

1 | P a g e SCRIBE AMERICA FINAL EXAM 2023 With Complete Solution Graded And Already Passed A patient is seen in the emergency department complaining of dysuria and tells you that she is 23 weeks pregnant. Your doctor diagnoses her with a UTI. Which of the following would be the best diagnosis? - CORR ECT ANS acute urinary tract infection in pregnancy, 2nd trimester A patient cut his left foot on a piece of glass two hours ago and is seen in the emergency department to have sutures placed. The doctor tells you there is no tendon injury and circulatory , sensory and motor is intact. What is the best diagnosis for his complaint? - CORRECT ANS Uncomplicated laceration of the left foot - initial encounter What does AMS stand for? - CORRECT ANS altered mental status What does GCS stand for? - CORRECT ANS glasgow coma scale What does DNR stand for? - CORRECT ANS do not resuscitate What does AAA stand for? - CORRECT ANS abdominal aortic aneurysm What does PE stand for in the diagnosis section of the chart? - CORRECT ANS pulmo nary embolism What does DP stand for in "DP pulse"? - CORRECT ANS dorsalis pedis What does DVT stand for? - CORRECT ANS deep vein thrombosis What does NTG stand for? - CORRECT ANS nitroglycerin What does URI stand for? - CORRECT ANS upper respiratory infection What does CHF stand for? - CORRECT ANS congestive heart failure What does s/p stand for? - CORRECT ANS status post What does GERD stand for? - CORRECT ANS gastroesophageal reflux disease What does EOMI stand for? - CORRECT ANS extraocular movements intact What does DOE stand for? - CORRECT ANS dyspnea on exertion What does LBBB stand for? - CORRECT ANS left bundle branch block What does CVA stand for? - CORRECT ANS costovertebral angle What does CSF stand for? - CORRECT ANS cerebrospinal fluid What does PTX stand for? - CORRECT ANS pneumothorax What does COPD stand for? - CORRECT ANS chronic obstructive pulmonary dise ase What does PNA stand for? - CORRECT ANS pneumonia What does CBC stand for? - CORRECT ANS complete blood count What does IDDM stand for? - CORRECT ANS insulin dependent diabetes mellitus What does TIA stand for? - CORRECT ANS tran sient ischemic attack A 43 y/o male presents to the ED with vomiting that began 5 hours ago. He has a history of Type II DM and is s/p right BKA. On objective evaluation it is found that he is hyperglycemic and has elevated ketones and so he will be admitt ed for DKA. Match the details to the correct section of the chart. - CORRECT ANS Onset: 5 hours ago Disposition: admit ED Course: hyperglycemia and elevated ketones CC: vomiting PMHx: Type II DM Diagnosis: DKA PSHx: right BKA Match the following desc ription to the appropriate team member. - CORRECT ANS Scribe: Documents the patient's visits on behalf of the physician Unit Secretary: Answers phone calls, pages other specialists/ doctors, and organizes the patient's paperwork 2 | P a g e SCRIBE AMERICA FINAL EXAM 2023 With Complete Solution Graded And Already Passed ED Nurse: Records m edical histories, symptoms, monitors the patient, starts IVs, administers mediations, and assists with procedures ED Tech: Helps the nurse and assists with procedures RT: Administers "breathing treatments" and assists with managing a patient's airway Mis-Level Provider: NP or PA that works under the supervision of a physician to diagnose and treat patients Charge Nurse: Manages the ED patient flow T/F. It is the middle of the day. Your provider is busy dealing with a critical ill patient and during th is time the ED Strats to pick up tase as more patients arrive. While your provider is prepping the critical patient for a procedure, she asks you to look up the CBC result on another patient. You quickly look up the information on your laptop and tell the physician that the labs came back normal except for a blood glucose level of 356, so your provider subsequently asks you to tell the nurse to start that patient on an insulin drip. You locate the nurse and relay the message. This scenario is acceptable and within the bounds of your scribe scope. - CORRECT ANS False Which section of the chart would you find AKA? - CORRECT ANS PSHx PE Which of the following would be documented in ED Course? - CORRECT ANS Re -evals Treatments An ROS has marked positive for head trauma with accompanying LOC. What DDx would your provider be concerned about? - CORRECT ANS Hemorrhagic CVA What condition is correctly describes "A vascular change that temporarily deprives a part of the brain of oxygen but does not result in any long lasting deficits"? - CORRECT ANS TIA Certain words or phrases act as "red flags" to grab your providers attention to let them know a patient may require timely and comprehensive medical action. Which of the following words or phrases are NOT considered "red flags"? - CORRECT ANS "nocturne" in a 65 y/o male Match the following Dx with it't patient presentation - CORRECT ANS COPD: SOB + wheezing +SHx of 3 ppd PE: SOB + unilateral pedal edema + pleuritic CP CHF: SOB + b ilateral pedal edema + CP asthma: SOB + wheezing on exam What condition correctly describes "Fertilized egg developed outside the uterus"? - CORRECT ANS ectopic pregnancy A patient recently went on a boat trip 2 days ago and developed dizziness which has continued to persist since onset. She describes her dizziness as a room spinning and reports that it is accompanied by tinnitus, nausea, and vomiting. Physical exam is positive for Romberg's and Heat CT is negative. Based on this information which is the most likely final diagnosis for the patient? - CORRECT ANS BPV What condition correctly describes "An immune response that leads to rash, itching, swelling, or difficulty breathing"? - CORRECT ANS allergic reaction What condition describes "translocation of a thrombus leading to dyspnea and hypoxia"? - CORRECT ANS PE