ScribeAmerica Final Exam ED EXAM Questions
and Answers (A+ Solution guide) (2025) Questions
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Terms in this set (180)
What are the 3 types of Discharge, Admit, Transfer
dispositions?
What does HPI stand for? history of present illness
What does ROS stand for? review of systems
The HPI and ROS are subjective
considered what type of
information?
The physical exam is what objective
type of information?
If a physician told you a PE
patient's abdomen was
non tender, where would
you document this?
What section focuses HPI
directly on the chief
complaint?
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If someone has a hx of CAD
CABG or MI, what is
something you can also
always document in the
PMHx section of the
chart?
Name an example of smokes 1 pack/day
something you may write
in the Social Hx portion of
the chart.
Name an example of Mother had Hx of CAD at age 46
something you may write
in the Family Hx portion of
the chart.
What are the HTN
abbreviations for the CVA (cerebrovascular accident)
following past medical DM
history terms? MI
Hypertension HLD
Stroke
Diabetes
Heart Attack
High Cholesterol
What are the medical appendectomy
terms for the following cholecystectomy
past surgical terms? hysterectomy
Removal of the appendix Salpingo-oophorectomy
Removal of the tonsillectomy
gallbladder mastectomy
Removal of the uterus
Removal of a fallopian
tube
Removal of the tonsils
Removal of the breast
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Blood pressure (BP), heart rate (HR), oxygen
What are the five vital
saturation (SaO2), respiratory rate (RR), temperature
signs?
(C or F)
What does NKDA stand no known drug allergies
for?
What does LNMP stand Last Normal Menstrual Period
for?
If the doctor said the this means that the exam was normal and of no
exam was "benign", what concern
does this mean?
acute: serious, new condition, that could potentially
be life-threatening
Explain acute vs chronic.
chronic: not of much concern, long-lasting condition,
typically not a death threat
What are the medical coronary artery disease
terms for the following abdominal aortic aneurysm
pathophysiology chronic obstructive pulmonary disease
abbreviations? pneumonia
CAD upper respiratory disease
AAA
COPD
PNA
URI
How are the following -chest x-ray, bnp (b-type natriuretic peptide)
diseases diagnosed? -CT chest with IV contrast (CTA chest), VQ scan, D-
-CHF (two answers) dimer
-PE (three answers) -abdominal ultrasound (US) of RUQ
-Cholecystitis -elevated lipase lab test
-Pancreatitis -CT AP w/ PO
-Appendicitis -CTA w/ IV contrast, LP (lumbar puncture)
-Hemorrhagic CVA (two -ultrasound (US)
answers)
-DVT
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