SCRIBE U PRACTICE EXAM
QUESTIONS AND ANSWERS
A 12 year old female presents to your clinic for a constant cough for the last 3 days.
What is the onset? - Answer-3 days
Identify the charting error in the following HPI statement:
"The patient complains of sharp left-sided pain that began abruptly on Monday."
A. Chest pain never starts abruptly
B. It is missing the quality
C. Location should be more specific
D. That statement is objective
E. We don't use days of the week to document onset
F. We cannot identify who the historian is - Answer-We don't use days of the week to
document onset
Your provider states that the patient has great strength in both arms. What is the best
way to document this in the neurological portion of the physical exam? - Answer-Upper
extremity motor strength is 5/5 bilaterally
Which of the following would be a relevant family hx? - Answer-Mother had colon
cancer at 45 years
Which of the following are true about Afib (select all that apply)
A. The most common symptom is chest pain
B. Patients with Afib are at a higher risk of developing blood clots
C. Afib on exam would be described as an "irregularly irregular rhythm"
D. Afib is diagnosed by a CXR
E. Patients often experience palpitations w Afib - Answer-Patients with Afib are at a
higher risk of developing blood clots
Afib on exam would be described as an "irregularly irregular rhythm"
Patients often experience palpitations with Afib
A 55 year old male comes in with chest pain and sob that started while he was mowing
the lawn. What is the first thing the provider will likely order? - Answer-EKG
A 30 year old female with a severe headache, neck stiffness, and fever will most likely
be having what procedure in the ED?
A. Lumbar puncture
B. Preg test
C. Head MRI
D. Stitches - Answer-Lumbar puncture
, 34 y/o male with chest pain. Exam reveals reproducible chest wall tenderness. No
personal or familial risk for CAD/MI. Cardiac workup is normal.
A. Discharged
B. Admitted
C. Transferred
D. AMA - Answer-Discharged
68 y/o female with acute right sided weakness and slurred speech. Motor strength is 2/5
to RUE and RLE; 5/5 to LUE/LLE. - Answer-Admitted
5 y/o male presents s/p MVC. Blunt head injuries and multiple rib fractures. Site doesn't
have pediatric neurosurgery. - Answer-Transferred
26 y/o alert and oriented female brought in by police. Nonfocal neurological exam. no
clinical evidence of intoxication. No SI/HI. She's requesting to go home and would like to
forgo an ED workup today. Mother has arrived at bedside for transportation. - Answer-
AMA
Chest pain with physical exertion
A. CAD
B. MI
C. CHF - Answer-CAD
Acute chest pressure with diaphoresis, N/V, SOB - Answer-MI
SOB with pedal edema and orthopnea - Answer-CHF
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
Which of the following would be scenarios where it is important to document the
historian?
QUESTIONS AND ANSWERS
A 12 year old female presents to your clinic for a constant cough for the last 3 days.
What is the onset? - Answer-3 days
Identify the charting error in the following HPI statement:
"The patient complains of sharp left-sided pain that began abruptly on Monday."
A. Chest pain never starts abruptly
B. It is missing the quality
C. Location should be more specific
D. That statement is objective
E. We don't use days of the week to document onset
F. We cannot identify who the historian is - Answer-We don't use days of the week to
document onset
Your provider states that the patient has great strength in both arms. What is the best
way to document this in the neurological portion of the physical exam? - Answer-Upper
extremity motor strength is 5/5 bilaterally
Which of the following would be a relevant family hx? - Answer-Mother had colon
cancer at 45 years
Which of the following are true about Afib (select all that apply)
A. The most common symptom is chest pain
B. Patients with Afib are at a higher risk of developing blood clots
C. Afib on exam would be described as an "irregularly irregular rhythm"
D. Afib is diagnosed by a CXR
E. Patients often experience palpitations w Afib - Answer-Patients with Afib are at a
higher risk of developing blood clots
Afib on exam would be described as an "irregularly irregular rhythm"
Patients often experience palpitations with Afib
A 55 year old male comes in with chest pain and sob that started while he was mowing
the lawn. What is the first thing the provider will likely order? - Answer-EKG
A 30 year old female with a severe headache, neck stiffness, and fever will most likely
be having what procedure in the ED?
A. Lumbar puncture
B. Preg test
C. Head MRI
D. Stitches - Answer-Lumbar puncture
, 34 y/o male with chest pain. Exam reveals reproducible chest wall tenderness. No
personal or familial risk for CAD/MI. Cardiac workup is normal.
A. Discharged
B. Admitted
C. Transferred
D. AMA - Answer-Discharged
68 y/o female with acute right sided weakness and slurred speech. Motor strength is 2/5
to RUE and RLE; 5/5 to LUE/LLE. - Answer-Admitted
5 y/o male presents s/p MVC. Blunt head injuries and multiple rib fractures. Site doesn't
have pediatric neurosurgery. - Answer-Transferred
26 y/o alert and oriented female brought in by police. Nonfocal neurological exam. no
clinical evidence of intoxication. No SI/HI. She's requesting to go home and would like to
forgo an ED workup today. Mother has arrived at bedside for transportation. - Answer-
AMA
Chest pain with physical exertion
A. CAD
B. MI
C. CHF - Answer-CAD
Acute chest pressure with diaphoresis, N/V, SOB - Answer-MI
SOB with pedal edema and orthopnea - Answer-CHF
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
Which of the following would be scenarios where it is important to document the
historian?
