SCRIBE FINAL EXAM QUESTIONS WITH
COMPLETE SOLUTIONS 2024/2025
Subjective vs. Objective - Answer-Feeling vs. Fact
Chief Complaint (CC) - Answer-the main reason for the patient's visit
Medical Decision Making - Answer-The physician's thought process
Pain vs. Tenderness - Answer-patient's feeling vs. physician's assessment
benign - Answer-Normal, nothing of concern
distress - Answer-The doctor's judgement of discomfort
febrile - Answer-The state of having a fever (Temperature of more than 100.4)
acute - Answer-New onset, likely concerning
chronic - Answer-long-standing, not of direct concern
baseline - Answer-individual's normal state of being
Auscultation - Answer-Listening with a stethoscope
Palpatation - Answer-the act of feeling with the hand, placing two fingers on the body to
determing the condition of the underlying part
Inpatient - Answer-Admitted to the hospital overnight
outpatient - Answer-Seen and sent home the same day
Mid-Level Provider - Answer-Nurse Practitioner (LNP) or Physician Assistant (PA) that
works under the supervision of a physician to diagnose and treat patients
ED Nurse - Answer-Records medical histories, symptoms, monitors the patient, starts
IVs, administers medications, and assists with procedures
Respiratory Therapist - Answer-Administers "breathing treatments" and assists with
managing a patient's airway
ED Tech - Answer-Helps the nurse and assists with procedures
,CTA - Answer-Places physician's orders, answers phone calls, pages other
specialists/doctors, and organizes the patient's paperwork.
scribe - Answer-Documents the patient's visit on behalf of the physician
ED Flow (broad) - Answer-1) Chief complaint
2) Physician Assessment: The History & Physical (H&P)
3)Objective Orders and results
4)Medical Decision Making
5) Disposition
ED Flow (more specific) - Answer-walk-in, triage, bed, physician assessment,
lab/rad/meds, results, MDM, diagnosis, consults, disposition
Triage - Answer-Chief complaint, vital signs, level of acuity
template layout - Answer-1. History of present illness (HPI)
2. Review of Symptoms (ROS)
3. Past History (PMHx, PSHx, SHx, FHx)
4. Physical Examination (PE)
5. ED Course
6. Disposition
Patient Compaint - Answer-HPI or ROS
Past Diagnoses or Surgery - Answer-Past History
Physician's observation - Answer-physical exam/PE (objective)
Objective study - Answer-Results/ED Course
Re-evaluation - Answer-ED course
Where patient will go - Answer-Diagnosis and Disposition
Documentation System - Answer-Epic
Vital Signs - Answer-blood pressure, heart rate, respiratory rate, temperature, oxygen
saturation
high blood pressure - Answer-Hypertension (HTN)
high cholesterol - Answer-Hyperlipidemia (HLD)
Thyroid problem - Answer-Usually Hypothyroidism, sometimes Hyperthyroidism
,diabetes - Answer-Diabetes Mellitus (DM)
"I only take pills for my diabetes" - Answer-Non-Insulin Dependent Diabetes Mellitus
(NIDDM)
"I take shots (insulin) for my diabetes" - Answer-Insulin Dependent Diabetes Mellitus
(IDDM)
heart disease - Answer-usually Coronary Artery Disease (CAD)
heart attack - Answer-Myocardial Infarction (MI) and CAD
heart failure - Answer-Congestive Heart Failure (CHF)
Irregular heartbeat - Answer-Atrial Fibrillation (A-Fib)
murmur - Answer-heart murmur
Episodes of abnormally fast/racing heartbeat - Answer-Supraventricular Tachycardia
(SVT)
reflux - Answer-Gastroesophageal Reflux Disease (GERD)
ulcer - Answer-Gastric Ulcer or Peptic Ulcer Disease
pancreatitis - Answer-pancreatitis
Hepatitis - Answer-Hepatitis A, B, or C
Diverticulitis - Answer-Diverticulitis
Crohn's/UC - Answer-Crohn's Disease or Ulcerative Colitis
irritable bowel - Answer-Irritable Bowel Syndrome (IBS)
Bladder infection - Answer-Urinary Tract Infection (UTI)
Kidney infection - Answer-Pyelonephritis (Pyelo)
kidney stones - Answer-renal calculi
"I'm on dialysis" - Answer-Chronic Renal Failure (CRF) or End Stage Renal Disease
(ESRD) on dialysis
enlarged prostate - Answer-Benign Prostate Hypertrophy (BPH)
, Gravida - Answer-total number of pregnancies
Para - Answer-The number of live births (viable children) pt has had
Abortion - Answer-total number of miscarriages or electives abortions
Low back pain - Answer-Chronic Low Back Pain
bulging/herniated disc - Answer-Degenerative Disc Disease (DDD)
arthritis - Answer-Usually Osteoarthritis (OA) sometimes Rheumatoid Arthritis (RA)
Joint pain (chronic) - Answer-Degenerative Joint Disease (DJD)
Weak/fragile bones - Answer-Often Osteoporosis
stroke - Answer-Cerebrovascular Accident (CVA)
Mini-stroke - Answer-Transient Ischemic Attack (TIA)
seizures - Answer-Seizure disorder/Epilepsy
Brain bleed - Answer-Hemorrhagic CVA
Bipolar - Answer-bipolar disorder
Schizophrenia - Answer-schizophrenia
"I drink a lot" - Answer-ETOH abuse or alcoholism
"I do drugs" - Answer-substance abuse
Asthma - Answer-asthma
Emphysema/Chronic Bronchitis - Answer-Chronic Obstructive Pulmonary Disease
(COPD)
Blood clot in lung - Answer-Pulmonary Embolism (PE)
pneumonia - Answer-Pneumonia (PNA)
"Blood clot in my leg" - Answer-Lower Extremity Deep Vein Thrombosis (DVT)
"Bulge in my aorta" or "Triple A" - Answer-Abdominal Aortic Aneurysm (AAA)
"Bad blood flow to my legs" - Answer-Peripheral Vascular Disease (PVD)
COMPLETE SOLUTIONS 2024/2025
Subjective vs. Objective - Answer-Feeling vs. Fact
Chief Complaint (CC) - Answer-the main reason for the patient's visit
Medical Decision Making - Answer-The physician's thought process
Pain vs. Tenderness - Answer-patient's feeling vs. physician's assessment
benign - Answer-Normal, nothing of concern
distress - Answer-The doctor's judgement of discomfort
febrile - Answer-The state of having a fever (Temperature of more than 100.4)
acute - Answer-New onset, likely concerning
chronic - Answer-long-standing, not of direct concern
baseline - Answer-individual's normal state of being
Auscultation - Answer-Listening with a stethoscope
Palpatation - Answer-the act of feeling with the hand, placing two fingers on the body to
determing the condition of the underlying part
Inpatient - Answer-Admitted to the hospital overnight
outpatient - Answer-Seen and sent home the same day
Mid-Level Provider - Answer-Nurse Practitioner (LNP) or Physician Assistant (PA) that
works under the supervision of a physician to diagnose and treat patients
ED Nurse - Answer-Records medical histories, symptoms, monitors the patient, starts
IVs, administers medications, and assists with procedures
Respiratory Therapist - Answer-Administers "breathing treatments" and assists with
managing a patient's airway
ED Tech - Answer-Helps the nurse and assists with procedures
,CTA - Answer-Places physician's orders, answers phone calls, pages other
specialists/doctors, and organizes the patient's paperwork.
scribe - Answer-Documents the patient's visit on behalf of the physician
ED Flow (broad) - Answer-1) Chief complaint
2) Physician Assessment: The History & Physical (H&P)
3)Objective Orders and results
4)Medical Decision Making
5) Disposition
ED Flow (more specific) - Answer-walk-in, triage, bed, physician assessment,
lab/rad/meds, results, MDM, diagnosis, consults, disposition
Triage - Answer-Chief complaint, vital signs, level of acuity
template layout - Answer-1. History of present illness (HPI)
2. Review of Symptoms (ROS)
3. Past History (PMHx, PSHx, SHx, FHx)
4. Physical Examination (PE)
5. ED Course
6. Disposition
Patient Compaint - Answer-HPI or ROS
Past Diagnoses or Surgery - Answer-Past History
Physician's observation - Answer-physical exam/PE (objective)
Objective study - Answer-Results/ED Course
Re-evaluation - Answer-ED course
Where patient will go - Answer-Diagnosis and Disposition
Documentation System - Answer-Epic
Vital Signs - Answer-blood pressure, heart rate, respiratory rate, temperature, oxygen
saturation
high blood pressure - Answer-Hypertension (HTN)
high cholesterol - Answer-Hyperlipidemia (HLD)
Thyroid problem - Answer-Usually Hypothyroidism, sometimes Hyperthyroidism
,diabetes - Answer-Diabetes Mellitus (DM)
"I only take pills for my diabetes" - Answer-Non-Insulin Dependent Diabetes Mellitus
(NIDDM)
"I take shots (insulin) for my diabetes" - Answer-Insulin Dependent Diabetes Mellitus
(IDDM)
heart disease - Answer-usually Coronary Artery Disease (CAD)
heart attack - Answer-Myocardial Infarction (MI) and CAD
heart failure - Answer-Congestive Heart Failure (CHF)
Irregular heartbeat - Answer-Atrial Fibrillation (A-Fib)
murmur - Answer-heart murmur
Episodes of abnormally fast/racing heartbeat - Answer-Supraventricular Tachycardia
(SVT)
reflux - Answer-Gastroesophageal Reflux Disease (GERD)
ulcer - Answer-Gastric Ulcer or Peptic Ulcer Disease
pancreatitis - Answer-pancreatitis
Hepatitis - Answer-Hepatitis A, B, or C
Diverticulitis - Answer-Diverticulitis
Crohn's/UC - Answer-Crohn's Disease or Ulcerative Colitis
irritable bowel - Answer-Irritable Bowel Syndrome (IBS)
Bladder infection - Answer-Urinary Tract Infection (UTI)
Kidney infection - Answer-Pyelonephritis (Pyelo)
kidney stones - Answer-renal calculi
"I'm on dialysis" - Answer-Chronic Renal Failure (CRF) or End Stage Renal Disease
(ESRD) on dialysis
enlarged prostate - Answer-Benign Prostate Hypertrophy (BPH)
, Gravida - Answer-total number of pregnancies
Para - Answer-The number of live births (viable children) pt has had
Abortion - Answer-total number of miscarriages or electives abortions
Low back pain - Answer-Chronic Low Back Pain
bulging/herniated disc - Answer-Degenerative Disc Disease (DDD)
arthritis - Answer-Usually Osteoarthritis (OA) sometimes Rheumatoid Arthritis (RA)
Joint pain (chronic) - Answer-Degenerative Joint Disease (DJD)
Weak/fragile bones - Answer-Often Osteoporosis
stroke - Answer-Cerebrovascular Accident (CVA)
Mini-stroke - Answer-Transient Ischemic Attack (TIA)
seizures - Answer-Seizure disorder/Epilepsy
Brain bleed - Answer-Hemorrhagic CVA
Bipolar - Answer-bipolar disorder
Schizophrenia - Answer-schizophrenia
"I drink a lot" - Answer-ETOH abuse or alcoholism
"I do drugs" - Answer-substance abuse
Asthma - Answer-asthma
Emphysema/Chronic Bronchitis - Answer-Chronic Obstructive Pulmonary Disease
(COPD)
Blood clot in lung - Answer-Pulmonary Embolism (PE)
pneumonia - Answer-Pneumonia (PNA)
"Blood clot in my leg" - Answer-Lower Extremity Deep Vein Thrombosis (DVT)
"Bulge in my aorta" or "Triple A" - Answer-Abdominal Aortic Aneurysm (AAA)
"Bad blood flow to my legs" - Answer-Peripheral Vascular Disease (PVD)
