SCRIBEAMERICA ED TEST PAPER UPDATED EXAM
QUESTIONS AND ANSWERS GRADED A+
✔✔IVC (inferior vena cava) Filter - ✔✔clot filter (lower abdomen)
✔✔Above knee amputation (AKA) Below knew amputation (BKA) - ✔✔leg amputated
✔✔arthroplasty - ✔✔joint repair
✔✔hardware - ✔✔metal plates/pins
✔✔cervical/lumbar spinal fusion - ✔✔neck/back fused
✔✔total hip replacement/open reduction with internal fixation (ORIF) - ✔✔new hip
✔✔true allergy - ✔✔Any medication that causes a rash, itching, swelling, or difficulty
breathing
✔✔older age of onset is likely more due to ______ - ✔✔environment than genetics
✔✔younger age of onset means ____ - ✔✔higher genetic risk
✔✔General family history - ✔✔HTN, DM, CA
✔✔Cardia family history - ✔✔MI/CAD less than 55 y/o
✔✔Pulmonary family history - ✔✔PE, Asthma
✔✔Gastrointestinal Family history - ✔✔Crohn's, IBS
✔✔Neurological - ✔✔CVA, Aneurysm, Seizures
✔✔Miscellaneous family history - ✔✔Sickle Cell Anemia, DVT
✔✔Social history - ✔✔tobacco use, alcohol use, illicit drug use, occupation, living
circumstances
✔✔Tobacco Use - ✔✔Smoking status: current (#ppd, #yrs), former (year quit), Never,
Second hand exposure (pediatrics), Chewing tobacco
✔✔Alcohol use - ✔✔• Never
• Occasionally/socially
• Daily
• Chronic alcoholic
, • Number of drinks/day
• Type of alcohol
(beer/wine/liquor)
✔✔Illicit Drug Use - ✔✔Which drug (heroin, cocaine, methamphetamine, THC,
narcotics), Route of administration (oral, inhaled, injected), date of last use
✔✔Occupation - ✔✔employed, unemployed, on disability, retired
✔✔Living Circumstances - ✔✔lives alone, with family/friends, nursing home/assisted
living, hospice, homeless/shelter
✔✔Pediatrics - ✔✔caretaker, attends daycare, attends school, has brothers/ sisters,
second-hand smoke exposure, immunizations up to date
✔✔HIPPA - ✔✔HIPAA stands for the Health Insurance Portability
and Accountability Act, which is a body of laws
designed to protect the private health information
of patients across the country.
✔✔PHI - ✔✔PHI stands for protected health information and it refers to ANY
type of information that can be directly or indirectly tied to a
particular patient or visit:
First or last name
• Date of birth
• Medical record number
• Even the fact that the patient was seen in your clinic
✔✔HITECH - ✔✔The Health Information Technology for Economic and Clinical
Health Act (HITECH) was enacted in 2009 as an addition to
HIPAA. It specifically address the privacy and security issues
related to electronic transmission of health information.
HITECH states that PHI may not be transferred electronically,
copied, emailed, stored on external devices, or sent without
special security known as encryption.
✔✔ Subjective vs objective - ✔✔feeling vs fact
✔✔CC - ✔✔chief complaint
✔✔Medical Decision Making - ✔✔The physician's thought process (MDM)
✔✔Pain vs tenderness - ✔✔patient's feeling vs. physician's assessment
✔✔benign - ✔✔Normal, nothing of concern
QUESTIONS AND ANSWERS GRADED A+
✔✔IVC (inferior vena cava) Filter - ✔✔clot filter (lower abdomen)
✔✔Above knee amputation (AKA) Below knew amputation (BKA) - ✔✔leg amputated
✔✔arthroplasty - ✔✔joint repair
✔✔hardware - ✔✔metal plates/pins
✔✔cervical/lumbar spinal fusion - ✔✔neck/back fused
✔✔total hip replacement/open reduction with internal fixation (ORIF) - ✔✔new hip
✔✔true allergy - ✔✔Any medication that causes a rash, itching, swelling, or difficulty
breathing
✔✔older age of onset is likely more due to ______ - ✔✔environment than genetics
✔✔younger age of onset means ____ - ✔✔higher genetic risk
✔✔General family history - ✔✔HTN, DM, CA
✔✔Cardia family history - ✔✔MI/CAD less than 55 y/o
✔✔Pulmonary family history - ✔✔PE, Asthma
✔✔Gastrointestinal Family history - ✔✔Crohn's, IBS
✔✔Neurological - ✔✔CVA, Aneurysm, Seizures
✔✔Miscellaneous family history - ✔✔Sickle Cell Anemia, DVT
✔✔Social history - ✔✔tobacco use, alcohol use, illicit drug use, occupation, living
circumstances
✔✔Tobacco Use - ✔✔Smoking status: current (#ppd, #yrs), former (year quit), Never,
Second hand exposure (pediatrics), Chewing tobacco
✔✔Alcohol use - ✔✔• Never
• Occasionally/socially
• Daily
• Chronic alcoholic
, • Number of drinks/day
• Type of alcohol
(beer/wine/liquor)
✔✔Illicit Drug Use - ✔✔Which drug (heroin, cocaine, methamphetamine, THC,
narcotics), Route of administration (oral, inhaled, injected), date of last use
✔✔Occupation - ✔✔employed, unemployed, on disability, retired
✔✔Living Circumstances - ✔✔lives alone, with family/friends, nursing home/assisted
living, hospice, homeless/shelter
✔✔Pediatrics - ✔✔caretaker, attends daycare, attends school, has brothers/ sisters,
second-hand smoke exposure, immunizations up to date
✔✔HIPPA - ✔✔HIPAA stands for the Health Insurance Portability
and Accountability Act, which is a body of laws
designed to protect the private health information
of patients across the country.
✔✔PHI - ✔✔PHI stands for protected health information and it refers to ANY
type of information that can be directly or indirectly tied to a
particular patient or visit:
First or last name
• Date of birth
• Medical record number
• Even the fact that the patient was seen in your clinic
✔✔HITECH - ✔✔The Health Information Technology for Economic and Clinical
Health Act (HITECH) was enacted in 2009 as an addition to
HIPAA. It specifically address the privacy and security issues
related to electronic transmission of health information.
HITECH states that PHI may not be transferred electronically,
copied, emailed, stored on external devices, or sent without
special security known as encryption.
✔✔ Subjective vs objective - ✔✔feeling vs fact
✔✔CC - ✔✔chief complaint
✔✔Medical Decision Making - ✔✔The physician's thought process (MDM)
✔✔Pain vs tenderness - ✔✔patient's feeling vs. physician's assessment
✔✔benign - ✔✔Normal, nothing of concern
