VITUITY SCRIBE EXAM QUESTIONS
AND ANSWERS
Visual Acuity - Answer-acuteness / sharpness of vision as measured by the eye chart
Eyelid Eversion - Answer-flipping the eyelid for exam underneath the eyelid
Normal Palpebral Conjunctiva - Answer-eyelid membrane is clear
Exophthalmos - Answer-bulging of eyes out of socket
Nystagmus - Answer-involuntary rapid eye movements - often reported as horizontal,
vertical, or rotary.
Erythema of the External Canal - Answer-redness of outer ear canal
Cerumen Impaction - Answer-excessive earwax
Tympanic Membrane (TM) - Answer-Eardrum
Erythematous TM - Answer-red color of the TM
Bulging TM - Answer-protruding / outward curvature of the TM
Retracted TM - Answer-inward curve of the TM
Poor Light Reflect - Answer-cone of light does not reflect on TM
Unable to Visualize Landmarks - Answer-Provider cannot see landmarks behind TM
Hemotympanum - Answer-Blood on the TM
Mastoid Tenderness - Answer-Tenderness over mastoid bone (located posterior to ear)
Clear Rhinorrhea - Answer-clear nasal drainage
Septal Deviation - Answer-displacement of nasal septum
Septal Hematoma - Answer-bruising or bleeding in the nasal septum
Dry Mucous Membranes - Answer-dry mouth
Tongue Laceration - Answer-cut on the tongue
,No Signs of Oral Trauma - Answer-no cuts/chipped teeth/etc.
Dental Caries - Answer-Cavity
Poor Dentition - Answer-bad teeth
Pericoronitis - Answer-infection of the gums
Parotid Mass - Answer-enlargement of the parotid gland
Trismus - Answer-inability to open mouth normally due to spasm of the jaw muscles
Normal Jaw Approximation - Answer-normal jaw alignment
Malocclusion - Answer-misalignment of the teeth when mouth closed
Uvula Midline - Answer-no deviation of the uvula to one side or another
Pharyngeal Erythema - Answer-redness of the throat
Pharyngeal Exudate - Answer-pus seen on the posterior throat
Peritonsilar Abscess - Answer-deep abscess adjacent to infected tonsils (collection of
pus/swelling which is usually only visible if drained)
Carotid Bruit - Answer-abnormal flow of blood through the carotid artery
Jugular Vein Distension (JVD) - Answer-swelling of the jugular vein (usually seen in
heart failure patients)
Cervical Vertebral Tenderness - Answer-pain along cervical spine
No Step-offs or crepitus - Answer-no misalignment of the vertebral bodies (spinous
processes) as the spine is palpated
Anterior Cervical Lymphadenopathy - Answer-swollen lymph nodes under jaw and
along anterior neck area
Trachea Midline - Answer-no deviation of trachea from its usual location
Meningismus - Answer-patient has neck stiffness, photophobia, and headache which
may suggest meningitis
Levator - Answer-A muscle whose contraction raises the part of the body to which it is
attached.
, Medial - Answer-Nearer to the median plane
Midline - Answer-Divides body into a right and left side
Palmar - Answer-Palmar surface of hand
**Plantar - Answer-Sole side of foot
**Plantar Flexion - Answer-Foot movement when toes flex down (pointing your toes)
Posterior - Answer-Nearer to the back
Pronator - Answer-Medial rotation of the forearm and hand so that the palm faces
posteriorly
Prone - Answer-Body lying face down (chest down and back up)
Proximal - Answer-Nearer to the trunk or site of attachment
**Supine - Answer-Body lying face up (chest up and back down)
Superior - Answer-Nearer to the head
Transverse (Horizontal) - Answer-Horizontal planes that pass through the body at right
angles to long axis; divides body into upper (superior) and lower (inferior) parts.
Volar - Answer-Relating to the palm of the hand or the sole of the foot
**Afebrile - Answer-without fever
Ambulation - Answer-to walk (with a cane/walker)
Aneurysm - Answer-An excessive localized enlargement of an artery caused by a
weakening of the artery wall.
Antiemetic - Answer-medication used to relieve nausea and vomiting
Antipyretics - Answer-medication used to reduce fever
Arrhythmia - Answer-An abnormal heart rhythm (AKA cardiac dysrhythmia)
Artery - Answer-A blood vessel that carries oxygenated blood away from the heart.
Arthralgia - Answer-pain in a joint
Articulation - Answer-connection between bones
AND ANSWERS
Visual Acuity - Answer-acuteness / sharpness of vision as measured by the eye chart
Eyelid Eversion - Answer-flipping the eyelid for exam underneath the eyelid
Normal Palpebral Conjunctiva - Answer-eyelid membrane is clear
Exophthalmos - Answer-bulging of eyes out of socket
Nystagmus - Answer-involuntary rapid eye movements - often reported as horizontal,
vertical, or rotary.
Erythema of the External Canal - Answer-redness of outer ear canal
Cerumen Impaction - Answer-excessive earwax
Tympanic Membrane (TM) - Answer-Eardrum
Erythematous TM - Answer-red color of the TM
Bulging TM - Answer-protruding / outward curvature of the TM
Retracted TM - Answer-inward curve of the TM
Poor Light Reflect - Answer-cone of light does not reflect on TM
Unable to Visualize Landmarks - Answer-Provider cannot see landmarks behind TM
Hemotympanum - Answer-Blood on the TM
Mastoid Tenderness - Answer-Tenderness over mastoid bone (located posterior to ear)
Clear Rhinorrhea - Answer-clear nasal drainage
Septal Deviation - Answer-displacement of nasal septum
Septal Hematoma - Answer-bruising or bleeding in the nasal septum
Dry Mucous Membranes - Answer-dry mouth
Tongue Laceration - Answer-cut on the tongue
,No Signs of Oral Trauma - Answer-no cuts/chipped teeth/etc.
Dental Caries - Answer-Cavity
Poor Dentition - Answer-bad teeth
Pericoronitis - Answer-infection of the gums
Parotid Mass - Answer-enlargement of the parotid gland
Trismus - Answer-inability to open mouth normally due to spasm of the jaw muscles
Normal Jaw Approximation - Answer-normal jaw alignment
Malocclusion - Answer-misalignment of the teeth when mouth closed
Uvula Midline - Answer-no deviation of the uvula to one side or another
Pharyngeal Erythema - Answer-redness of the throat
Pharyngeal Exudate - Answer-pus seen on the posterior throat
Peritonsilar Abscess - Answer-deep abscess adjacent to infected tonsils (collection of
pus/swelling which is usually only visible if drained)
Carotid Bruit - Answer-abnormal flow of blood through the carotid artery
Jugular Vein Distension (JVD) - Answer-swelling of the jugular vein (usually seen in
heart failure patients)
Cervical Vertebral Tenderness - Answer-pain along cervical spine
No Step-offs or crepitus - Answer-no misalignment of the vertebral bodies (spinous
processes) as the spine is palpated
Anterior Cervical Lymphadenopathy - Answer-swollen lymph nodes under jaw and
along anterior neck area
Trachea Midline - Answer-no deviation of trachea from its usual location
Meningismus - Answer-patient has neck stiffness, photophobia, and headache which
may suggest meningitis
Levator - Answer-A muscle whose contraction raises the part of the body to which it is
attached.
, Medial - Answer-Nearer to the median plane
Midline - Answer-Divides body into a right and left side
Palmar - Answer-Palmar surface of hand
**Plantar - Answer-Sole side of foot
**Plantar Flexion - Answer-Foot movement when toes flex down (pointing your toes)
Posterior - Answer-Nearer to the back
Pronator - Answer-Medial rotation of the forearm and hand so that the palm faces
posteriorly
Prone - Answer-Body lying face down (chest down and back up)
Proximal - Answer-Nearer to the trunk or site of attachment
**Supine - Answer-Body lying face up (chest up and back down)
Superior - Answer-Nearer to the head
Transverse (Horizontal) - Answer-Horizontal planes that pass through the body at right
angles to long axis; divides body into upper (superior) and lower (inferior) parts.
Volar - Answer-Relating to the palm of the hand or the sole of the foot
**Afebrile - Answer-without fever
Ambulation - Answer-to walk (with a cane/walker)
Aneurysm - Answer-An excessive localized enlargement of an artery caused by a
weakening of the artery wall.
Antiemetic - Answer-medication used to relieve nausea and vomiting
Antipyretics - Answer-medication used to reduce fever
Arrhythmia - Answer-An abnormal heart rhythm (AKA cardiac dysrhythmia)
Artery - Answer-A blood vessel that carries oxygenated blood away from the heart.
Arthralgia - Answer-pain in a joint
Articulation - Answer-connection between bones