SCRIBE U PRACTICE EXAM
QUESTIONS AND ANSWERS
The patient is a 50 male with a past medical history of CAD, hyperlipidemia,
hypertension, and smoking. He presents to the clinic with acute chest pain.
Based on the patient's risk factors, which diagnosis is the doctor most concerned for? -
Answer-MI
Right sided weakness with slurred speech and history of TIA - Answer-Ischemic CVA
Severe, thunderclap headache with a hx of anticoagulant therapy - Answer-
Hemorrhagic CVA
RUQ Abdominal pain worse after eating a fatty meal - Answer-Cholelithiasis
RLQ Abdominal pain with fever, increased pain with movement - Answer-Appendicitis
PERRL, EOMI, and sclera icterus would be documented in which body system? -
Answer-Eyes
What would be the diagnosis for pale conjunctiva - Answer-Anemia
What would be the diagnosis for scleral icterus - Answer-Liver failure
What would be the diagnosis for dry mucous membranes - Answer-Dehydration
What would be the diagnosis for JVD - Answer-CHF
What would be the diagnosis for irregularly irregular rhythm - Answer-A Fib
What would be the diagnosis for inspiratory wheeze - Answer-Asthma
Which of the following physical exam signs would raise concern for an appendicitis? -
Answer-McBurney's point tenderness
The pt reports grossly blood stool persistent for the past three days. He feels fatigued
and mildly sob. On exam, he has pale conjunctiva and pallor to the skin. Which lab will
your doctor order to assess his condition? - Answer-Complete blood count
Another pt is experiencing worsened bilateral lower extremity edema. She does also
add that she's felt exceedingly sob over the past month, notably worse when lying flat.
On exam, she has 3+ bilateral pitting edema, JVD, and Arles upon auscultation. Which
of the following will your doctor order to assess for potential CHF?
A. Troponin
, B. BNP
C. CBC
D. CXR
E. CT Chest
F. D-Dimer - Answer-BNP
CXR
A 12 yr old boy was brought in for sob and wheezing that began in PE class that will not
resolve. What is most likely their differential diagnosis? - Answer-Asthma
Which of the following would be scenarios where it is important to document the
historian?
A. Peds fever
B. Altered mental status
C. Unconscious John Doe
D. Aggressive patient - Answer-Peds fever
Altered mental status
Unconscious John Doe
Is there a contradiction in the following exam? Regular rate and rhythm. Bradycardia.
Heart sounds are normal - Answer-Yes
T to F: Associated symptoms and pertinent negatives can help your doctor narrow down
their differential diagnosis? - Answer-True
T or F: The ROS can contradict the HPI because you already listed the complaints in
the HPI - Answer-False
A patient comes in for right arm pain but also notes a random mild toothache. The
toothache belongs in the - Answer-ROS
Medication Check! The patient is taking daily ASA and NTG as needed for management
of CAD. They also are prescribed _____ for management of chronic CHF. - Answer-
Lasix
All of the following can be diagnosed with a CXR except:
A. rib fracture
B. PNA
C. CHF
D. PE - Answer-PE
If a ______ fragments away from the point of origin, it can become a ______
A. PE, DVT
B. Clot, Blockage
C. DVT, PE
D. MI, Stroke - Answer-DVT, PE
QUESTIONS AND ANSWERS
The patient is a 50 male with a past medical history of CAD, hyperlipidemia,
hypertension, and smoking. He presents to the clinic with acute chest pain.
Based on the patient's risk factors, which diagnosis is the doctor most concerned for? -
Answer-MI
Right sided weakness with slurred speech and history of TIA - Answer-Ischemic CVA
Severe, thunderclap headache with a hx of anticoagulant therapy - Answer-
Hemorrhagic CVA
RUQ Abdominal pain worse after eating a fatty meal - Answer-Cholelithiasis
RLQ Abdominal pain with fever, increased pain with movement - Answer-Appendicitis
PERRL, EOMI, and sclera icterus would be documented in which body system? -
Answer-Eyes
What would be the diagnosis for pale conjunctiva - Answer-Anemia
What would be the diagnosis for scleral icterus - Answer-Liver failure
What would be the diagnosis for dry mucous membranes - Answer-Dehydration
What would be the diagnosis for JVD - Answer-CHF
What would be the diagnosis for irregularly irregular rhythm - Answer-A Fib
What would be the diagnosis for inspiratory wheeze - Answer-Asthma
Which of the following physical exam signs would raise concern for an appendicitis? -
Answer-McBurney's point tenderness
The pt reports grossly blood stool persistent for the past three days. He feels fatigued
and mildly sob. On exam, he has pale conjunctiva and pallor to the skin. Which lab will
your doctor order to assess his condition? - Answer-Complete blood count
Another pt is experiencing worsened bilateral lower extremity edema. She does also
add that she's felt exceedingly sob over the past month, notably worse when lying flat.
On exam, she has 3+ bilateral pitting edema, JVD, and Arles upon auscultation. Which
of the following will your doctor order to assess for potential CHF?
A. Troponin
, B. BNP
C. CBC
D. CXR
E. CT Chest
F. D-Dimer - Answer-BNP
CXR
A 12 yr old boy was brought in for sob and wheezing that began in PE class that will not
resolve. What is most likely their differential diagnosis? - Answer-Asthma
Which of the following would be scenarios where it is important to document the
historian?
A. Peds fever
B. Altered mental status
C. Unconscious John Doe
D. Aggressive patient - Answer-Peds fever
Altered mental status
Unconscious John Doe
Is there a contradiction in the following exam? Regular rate and rhythm. Bradycardia.
Heart sounds are normal - Answer-Yes
T to F: Associated symptoms and pertinent negatives can help your doctor narrow down
their differential diagnosis? - Answer-True
T or F: The ROS can contradict the HPI because you already listed the complaints in
the HPI - Answer-False
A patient comes in for right arm pain but also notes a random mild toothache. The
toothache belongs in the - Answer-ROS
Medication Check! The patient is taking daily ASA and NTG as needed for management
of CAD. They also are prescribed _____ for management of chronic CHF. - Answer-
Lasix
All of the following can be diagnosed with a CXR except:
A. rib fracture
B. PNA
C. CHF
D. PE - Answer-PE
If a ______ fragments away from the point of origin, it can become a ______
A. PE, DVT
B. Clot, Blockage
C. DVT, PE
D. MI, Stroke - Answer-DVT, PE
