Scribe Training Course Three: HPI Questions with
Correct Answers
CAD Correct Answer-coronary artery disease
what past histories would suggest that a patient has CAD? Correct
Answer-MI, Angina, CABG, Stent, Angioplasty
Cardiac Risk Factors Correct Answer-HTN, DM, HLD, CAD, Smoking,
FHx CAD < 55 y/o
How is CAD diagnosed? Correct Answer-By a cardiologist during a
cardiac catheterization. Not done in the ED.
Name two ways that an MI can be diagnosed? Correct Answer-STEMI-
EKG, non-STEMI troponin
What are some associated symptoms of an MI? Correct Answer-chest
pain, N/V, DOB, diaphoresis
What are some associated symptoms of CHF? Correct Answer-SOB
(Orthopnea, PND, DOE), pedal edema
PND Correct Answer-paroxysmal nocturnal dyspnea
,What two studies would diagnose CHF Correct Answer-CXR or
elevated BNP
BNP Correct Answer-brain natriuretic peptide
what is A-fib Correct Answer-electrical abnormality of the heart causing
the top of the heart to quiver.
What might someone feel with A-fib? Correct Answer-palpitations, fast,
pounding, irregular heartbeat
how is A-fib diagnosed? Correct Answer-EKG
What could be the cc of someone with a PE? Correct Answer-pulmonary
CP or SOB
What are some known risk factors for a PE? Correct Answer-known
DVT, PMHx of a DVT or PE, FHx or DVT or PE, recent surgery, CA,
Afib, immobility, pregnancy, BCP, ssmoking
BCP Correct Answer-birth control pill
WHat study would diagnose a PE? Correct Answer-CTA Chest/VQ
Scan. D-Dimer can only rule it out
, Can a CT chest without IV contrast diagnose a PE? Correct Answer-no
because contrast in the vessels helpd to see the blockage
PTX Correct Answer-pneumothorax
most common cause of PTX Correct Answer-trauma
How is PTX diagnosed? Correct Answer-CXR
Asthma Correct Answer-constricting of the airway due to inflammation
and muscular contraction of the bronchioles
what physical exam finding is usually associated with asthma? Correct
Answer-wheezing
PNA Correct Answer-pneumonia. bacterial infection and inflammation
on the inside of the lungs
A person with PNA may complain of? Correct Answer-cough and fever
how is PNA diagnosed? Correct Answer-a chest X-ray
What are the seven areas of the abdomen? Correct Answer-RUQ,
LUQ<, RLQ, LLQ, epigastric, suprapubic, periumbilical, right/left
flanks
Correct Answers
CAD Correct Answer-coronary artery disease
what past histories would suggest that a patient has CAD? Correct
Answer-MI, Angina, CABG, Stent, Angioplasty
Cardiac Risk Factors Correct Answer-HTN, DM, HLD, CAD, Smoking,
FHx CAD < 55 y/o
How is CAD diagnosed? Correct Answer-By a cardiologist during a
cardiac catheterization. Not done in the ED.
Name two ways that an MI can be diagnosed? Correct Answer-STEMI-
EKG, non-STEMI troponin
What are some associated symptoms of an MI? Correct Answer-chest
pain, N/V, DOB, diaphoresis
What are some associated symptoms of CHF? Correct Answer-SOB
(Orthopnea, PND, DOE), pedal edema
PND Correct Answer-paroxysmal nocturnal dyspnea
,What two studies would diagnose CHF Correct Answer-CXR or
elevated BNP
BNP Correct Answer-brain natriuretic peptide
what is A-fib Correct Answer-electrical abnormality of the heart causing
the top of the heart to quiver.
What might someone feel with A-fib? Correct Answer-palpitations, fast,
pounding, irregular heartbeat
how is A-fib diagnosed? Correct Answer-EKG
What could be the cc of someone with a PE? Correct Answer-pulmonary
CP or SOB
What are some known risk factors for a PE? Correct Answer-known
DVT, PMHx of a DVT or PE, FHx or DVT or PE, recent surgery, CA,
Afib, immobility, pregnancy, BCP, ssmoking
BCP Correct Answer-birth control pill
WHat study would diagnose a PE? Correct Answer-CTA Chest/VQ
Scan. D-Dimer can only rule it out
, Can a CT chest without IV contrast diagnose a PE? Correct Answer-no
because contrast in the vessels helpd to see the blockage
PTX Correct Answer-pneumothorax
most common cause of PTX Correct Answer-trauma
How is PTX diagnosed? Correct Answer-CXR
Asthma Correct Answer-constricting of the airway due to inflammation
and muscular contraction of the bronchioles
what physical exam finding is usually associated with asthma? Correct
Answer-wheezing
PNA Correct Answer-pneumonia. bacterial infection and inflammation
on the inside of the lungs
A person with PNA may complain of? Correct Answer-cough and fever
how is PNA diagnosed? Correct Answer-a chest X-ray
What are the seven areas of the abdomen? Correct Answer-RUQ,
LUQ<, RLQ, LLQ, epigastric, suprapubic, periumbilical, right/left
flanks
