VITUITY SCRIBE FINAL EXAM
QUESTIONS AND ANSWERS
symptom of eyes ROS - Answer-conjunctival pallor, horizontal nystagmus
symptom of neck ROS - Answer-trismus, cervical LAD, nuchal rigidity
symptoms of respiratory ROS - Answer-moderate respiratory distress
symptoms of cardiovascular ROS - Answer-tachycardic, palpitations
symptoms of gastrointestinal ROS - Answer-abdominal pain, RLQ tenderness
symptoms of skin ROS - Answer-rash, pallor
what medications are given to patients with chest pain - Answer-aspirin, nitroglycerin,
morphine, heparin
what is usually ordered for patients complaining of chest pain - Answer-EKG, CXR,
basic labs
what is the chief complaint for atrial fibrillation - Answer-palpitations
If the patient has a history of a-fib, what important medication should be documented in
the chart? - Answer-anticoagulants, beta blockers, or calcium channel blockers.
For those with congestive heart failure (CHF), what is usually their chief complaint? -
Answer-SOB
What is an associated symptom for CHF? - Answer-peripheral edema
fatigue
tachycardia
which is faster, an MRI or CT scan? - Answer-CT scan is much faster (but less detailed)
what radiological study is ordered to rule out aortic dissection - Answer-CTA chest or
aortic ultrasound
what is the chief complaint for possible PTX? - Answer-chest pain and SOB
what are the risk factors for COPD - Answer-smoking, asthma, family history, excessive
exposure to air pollution
what is the other name for asthma - Answer-reactive airway disease
, what is important to document in HPI for those who have history of asthma? - Answer-
Family history, how often attacks happen, inhaler or nebulizer, what could have set off
this attack, prior hospitalizations or intubations for asthma, exposure to covid?
medication given to patients with vertigo - Answer-Meclizine, antivert, zofran
what is the chief complaint for meningitis - Answer-headache, nuchal rigidity
What is the difference between ischemic CVA, hemorrhagic CVA, and TIA? - Answer-
Ischemic - caused by blockage in artery in brain
Hemorrhagic - caused by bleeding in brain due to ruptured vessel
TIA - caused by temporary blockage in artery in brain
TPA has to be administered - Answer-within 3 hours of an ischemic stroke
how to distinguish between CVA and Bell's palsy - Answer-CVA has additional
symptoms like unilateral weakness/numbness, and does not affect forehead
Bells affects whole face
items that can be listed under social history - Answer-smoking, drinking, languages,
who they live with
items that can be put under family history - Answer-family history of diseases (asthma,
PE, CVD)
items that can be put under medical history - Answer-any previous conditions (CHF, MI,
asthma, DM, HTN, etc)
Difference between subjective and objective - Answer-subjective are symptoms that the
patient is describing
objective are signs that the provider can see/feel
Chief complaint is subjective or objective? - Answer-subjective
PE is is subjective or objective? - Answer-objective
ROS is subjective or objective? - Answer-subjective
HPI is subjective or objective? - Answer-subjective
vital signs is subjective or objective? - Answer-objective
orders is subjective or objective? - Answer-objective
QUESTIONS AND ANSWERS
symptom of eyes ROS - Answer-conjunctival pallor, horizontal nystagmus
symptom of neck ROS - Answer-trismus, cervical LAD, nuchal rigidity
symptoms of respiratory ROS - Answer-moderate respiratory distress
symptoms of cardiovascular ROS - Answer-tachycardic, palpitations
symptoms of gastrointestinal ROS - Answer-abdominal pain, RLQ tenderness
symptoms of skin ROS - Answer-rash, pallor
what medications are given to patients with chest pain - Answer-aspirin, nitroglycerin,
morphine, heparin
what is usually ordered for patients complaining of chest pain - Answer-EKG, CXR,
basic labs
what is the chief complaint for atrial fibrillation - Answer-palpitations
If the patient has a history of a-fib, what important medication should be documented in
the chart? - Answer-anticoagulants, beta blockers, or calcium channel blockers.
For those with congestive heart failure (CHF), what is usually their chief complaint? -
Answer-SOB
What is an associated symptom for CHF? - Answer-peripheral edema
fatigue
tachycardia
which is faster, an MRI or CT scan? - Answer-CT scan is much faster (but less detailed)
what radiological study is ordered to rule out aortic dissection - Answer-CTA chest or
aortic ultrasound
what is the chief complaint for possible PTX? - Answer-chest pain and SOB
what are the risk factors for COPD - Answer-smoking, asthma, family history, excessive
exposure to air pollution
what is the other name for asthma - Answer-reactive airway disease
, what is important to document in HPI for those who have history of asthma? - Answer-
Family history, how often attacks happen, inhaler or nebulizer, what could have set off
this attack, prior hospitalizations or intubations for asthma, exposure to covid?
medication given to patients with vertigo - Answer-Meclizine, antivert, zofran
what is the chief complaint for meningitis - Answer-headache, nuchal rigidity
What is the difference between ischemic CVA, hemorrhagic CVA, and TIA? - Answer-
Ischemic - caused by blockage in artery in brain
Hemorrhagic - caused by bleeding in brain due to ruptured vessel
TIA - caused by temporary blockage in artery in brain
TPA has to be administered - Answer-within 3 hours of an ischemic stroke
how to distinguish between CVA and Bell's palsy - Answer-CVA has additional
symptoms like unilateral weakness/numbness, and does not affect forehead
Bells affects whole face
items that can be listed under social history - Answer-smoking, drinking, languages,
who they live with
items that can be put under family history - Answer-family history of diseases (asthma,
PE, CVD)
items that can be put under medical history - Answer-any previous conditions (CHF, MI,
asthma, DM, HTN, etc)
Difference between subjective and objective - Answer-subjective are symptoms that the
patient is describing
objective are signs that the provider can see/feel
Chief complaint is subjective or objective? - Answer-subjective
PE is is subjective or objective? - Answer-objective
ROS is subjective or objective? - Answer-subjective
HPI is subjective or objective? - Answer-subjective
vital signs is subjective or objective? - Answer-objective
orders is subjective or objective? - Answer-objective
