SCRIBEAMERICA ED FINAL ACTUAL EXAM QUESTIONS AND
ACCURATE ANSWERS VERIFIED /AGRADE ASSURED
What is the difference between Cholelithiasis and Cholecystitis?
Answers: Cholelithiasis is gallstones.
Cholecystitis is acute gallbladder inflammation/infection.
What might be the chief complaint of a person with gallstones?
Answers: RUQ abdominal pain
What physical exam finding is closely associated with Cholecystitis?
Answers: Murphy's Signs
How are gallstones diagnosed?
Answers: Abdominal Ultrasound of the RUQ
Name associated symptoms of appendicitis.
Answers: Fever, N/V, decreased appetite (anorexia) Note:
RLQ pain- gradual, constant, worse w/ movements is the CC (not
associated sx)
How is appendicitis diagnosed?
Answers: CT A/P with PO contrast
What would someone with pancreatitis c/o?
Answers: LUQ or epigastric abdominal pain, N/V, fever
How is pancreatitis diagnosed?
Answers: Elevated Lipase (or Amylase which is less specific)
Name four possible CC's for a GI bleed pt.
,Answers: Hematemesis, coffee ground emesis, hematochezia,
melena
How is a GI bleed diagnosed in the ED?
Answers: Guaiac positive or heme + stool, gastroccult
What are we worried about for someone with a GI bleed?
Answers: Too much blood loss, Anemia
What is the pre-existing condition you must have before you can get
diverticulitis?
Answers: Diverticulosis
What will be the CC for someone with diverticulitis?
Answers: LLQ abdominal pain
What studies would diagnose diverticulitis?
Answers: CT A/P with PO contrast
What might a person with a SBO complain of?
Answers: Abd pain/bloating, vomiting, abdominal
distention, no BM's, constipation
How is an SBO diagnosed?
Answers: CT A/P w/ PO contrast or AAS (acute abd series) X-ray
What is a UTI?
Answers: Urinary tract infection
What is pyelo?
, Answers: Pyelonephritis, Kidney infection (different and worse than a
UTI), usually spread
from an UTI
What will be the CC of someone with a UTI?
Answers: Painful urination (dysuria), frequency, burning,
hesitancy, malodorous urine
What are the 5 vital signs?
Answers: Heart Rate, Blood Pressure, Respiratory Rate,
Temperature, Oxygen Saturation
How is a UTI diagnosed?
Answers: Urine dip or urinalysis (UA) showing white blood cells,
bacteria and
nitrites
What might a person with kidney stones c/o?
Answers: Flank pain, sudden onset, radiating to groin
How are kidney stones diagnosed?
Answers: CT A/P or RBC in UA
What is an ectopic pregnancy?
Answers: Tubal pregnancy, when a fertilized egg develops outside the
uterus (usually in the fallopian tube). High risk for rupture and death.
How is an ectopic pregnancy diagnosed?
Answers: US of the pelvis
What is ovarian torsion?
ACCURATE ANSWERS VERIFIED /AGRADE ASSURED
What is the difference between Cholelithiasis and Cholecystitis?
Answers: Cholelithiasis is gallstones.
Cholecystitis is acute gallbladder inflammation/infection.
What might be the chief complaint of a person with gallstones?
Answers: RUQ abdominal pain
What physical exam finding is closely associated with Cholecystitis?
Answers: Murphy's Signs
How are gallstones diagnosed?
Answers: Abdominal Ultrasound of the RUQ
Name associated symptoms of appendicitis.
Answers: Fever, N/V, decreased appetite (anorexia) Note:
RLQ pain- gradual, constant, worse w/ movements is the CC (not
associated sx)
How is appendicitis diagnosed?
Answers: CT A/P with PO contrast
What would someone with pancreatitis c/o?
Answers: LUQ or epigastric abdominal pain, N/V, fever
How is pancreatitis diagnosed?
Answers: Elevated Lipase (or Amylase which is less specific)
Name four possible CC's for a GI bleed pt.
,Answers: Hematemesis, coffee ground emesis, hematochezia,
melena
How is a GI bleed diagnosed in the ED?
Answers: Guaiac positive or heme + stool, gastroccult
What are we worried about for someone with a GI bleed?
Answers: Too much blood loss, Anemia
What is the pre-existing condition you must have before you can get
diverticulitis?
Answers: Diverticulosis
What will be the CC for someone with diverticulitis?
Answers: LLQ abdominal pain
What studies would diagnose diverticulitis?
Answers: CT A/P with PO contrast
What might a person with a SBO complain of?
Answers: Abd pain/bloating, vomiting, abdominal
distention, no BM's, constipation
How is an SBO diagnosed?
Answers: CT A/P w/ PO contrast or AAS (acute abd series) X-ray
What is a UTI?
Answers: Urinary tract infection
What is pyelo?
, Answers: Pyelonephritis, Kidney infection (different and worse than a
UTI), usually spread
from an UTI
What will be the CC of someone with a UTI?
Answers: Painful urination (dysuria), frequency, burning,
hesitancy, malodorous urine
What are the 5 vital signs?
Answers: Heart Rate, Blood Pressure, Respiratory Rate,
Temperature, Oxygen Saturation
How is a UTI diagnosed?
Answers: Urine dip or urinalysis (UA) showing white blood cells,
bacteria and
nitrites
What might a person with kidney stones c/o?
Answers: Flank pain, sudden onset, radiating to groin
How are kidney stones diagnosed?
Answers: CT A/P or RBC in UA
What is an ectopic pregnancy?
Answers: Tubal pregnancy, when a fertilized egg develops outside the
uterus (usually in the fallopian tube). High risk for rupture and death.
How is an ectopic pregnancy diagnosed?
Answers: US of the pelvis
What is ovarian torsion?
