SCRIBEAMERICA OP EMERGENCY MEDICINE
FINAL ACTUAL EXAM 2026 COMPLETE
SOLVED QUESTIONS STUDY GUIDE
⫸ established patient - Previous records available from last 3 years,
shorter visit, concise chart
⫸ Diagnostic visit - New problem, chief complaint: new symptom, goal
is to determine the cause of the problem and appropriate treatment
⫸ health management - check up, CC: routine physical or management
of chronic problems, goal is preventative care and/or assessing progress
of ongoing medical problems
⫸ Clinic Flow - 1. Check-in
2. Physician Evaluation
3. Orders & Results
4. Assessment & Plan
5. Check-out
⫸ Quality Measures - chief complaint
vital signs
height, weight, BMI
Smoking Status
,⫸ What goes in the History and Physical (H&P) - HPI, ROS, PE
⫸ DDx - differential diagnosis
⫸ Patient says high blood pressure - Hypertension (HTN)
⫸ Patient says high cholesterol - Hyperlipidemia (HLD)
⫸ Patient says thyroid problem - Usually Hypothyroidism, sometimes
Hyperthyroidism
⫸ Patient says diabetes - Diabetes Mellitus (DM)
⫸ Patient says "I only take pills for my diabetes" - Non-Insulin
Dependent Diabetes Mellitus (NIDDM)
⫸ Patient says "I take shots for my diabetes" - Insulin Dependent
Diabetes Mellitus (IDDM)
⫸ Patient says heart disease - Coronary Artery Disease (CAD)
⫸ Patient says heart attack - Myocardial Infarction (MI) and CAD
, ⫸ Patient says heart failure - Congestive Heart Failure (CHF)
⫸ Patient says Irregular heartbeat - arrhythmia
⫸ Patient says murmur - heart murmur
⫸ Patient says episodes of abnormally fast/racing heartbeat -
supraventricular tachycardia (SVT)
⫸ Patient says asthma - asthma
⫸ Patient says Emphysema/Chronic Bronchitis - Chronic Obstructive
Pulmonary Disease (COPD)
⫸ Patient says blood clot in lung - Pulmonary Embolism (PE)
⫸ Patient says pneumonia - Pneumonia (PNA)
⫸ Patient says reflux - Gastroesophageal Reflux Disease (GERD)
⫸ Patient says ulcer - Gastric Ulcer or Peptic Ulcer Disease (PUD)
FINAL ACTUAL EXAM 2026 COMPLETE
SOLVED QUESTIONS STUDY GUIDE
⫸ established patient - Previous records available from last 3 years,
shorter visit, concise chart
⫸ Diagnostic visit - New problem, chief complaint: new symptom, goal
is to determine the cause of the problem and appropriate treatment
⫸ health management - check up, CC: routine physical or management
of chronic problems, goal is preventative care and/or assessing progress
of ongoing medical problems
⫸ Clinic Flow - 1. Check-in
2. Physician Evaluation
3. Orders & Results
4. Assessment & Plan
5. Check-out
⫸ Quality Measures - chief complaint
vital signs
height, weight, BMI
Smoking Status
,⫸ What goes in the History and Physical (H&P) - HPI, ROS, PE
⫸ DDx - differential diagnosis
⫸ Patient says high blood pressure - Hypertension (HTN)
⫸ Patient says high cholesterol - Hyperlipidemia (HLD)
⫸ Patient says thyroid problem - Usually Hypothyroidism, sometimes
Hyperthyroidism
⫸ Patient says diabetes - Diabetes Mellitus (DM)
⫸ Patient says "I only take pills for my diabetes" - Non-Insulin
Dependent Diabetes Mellitus (NIDDM)
⫸ Patient says "I take shots for my diabetes" - Insulin Dependent
Diabetes Mellitus (IDDM)
⫸ Patient says heart disease - Coronary Artery Disease (CAD)
⫸ Patient says heart attack - Myocardial Infarction (MI) and CAD
, ⫸ Patient says heart failure - Congestive Heart Failure (CHF)
⫸ Patient says Irregular heartbeat - arrhythmia
⫸ Patient says murmur - heart murmur
⫸ Patient says episodes of abnormally fast/racing heartbeat -
supraventricular tachycardia (SVT)
⫸ Patient says asthma - asthma
⫸ Patient says Emphysema/Chronic Bronchitis - Chronic Obstructive
Pulmonary Disease (COPD)
⫸ Patient says blood clot in lung - Pulmonary Embolism (PE)
⫸ Patient says pneumonia - Pneumonia (PNA)
⫸ Patient says reflux - Gastroesophageal Reflux Disease (GERD)
⫸ Patient says ulcer - Gastric Ulcer or Peptic Ulcer Disease (PUD)
