Scribe America Final Exam Questions And Answers | Latest 2023/2024 (100% VERIFIED)

What does HPI stand for? - Correct answer-history of present illness What does ROS stand for? - Correct answer-review of systems The HPI and ROS are considered what type of information? - Correct answer-subjective The physical exam is what type of information? - Correct answer-objective If a physician told you a patient's abdomen was non tender, where would you document this? - Correct answer-PE What section focuses directly on the chief complaint? - Correct answer-HPI If someone has a hx of CABG or MI, what is something you can also always document in the PMHx section of the chart? - Correct answer-CAD Name an example of something you may write in the Social Hx portion of the chart. - Correct answer-smokes 1 pack/day Name an example of something you may write in the Family Hx portion of the chart. - Correct answer-Mother had Hx of CAD at age 46 Removal of the tonsils Removal of the breast - Correct answer-appendectomy cholecystectomy hysterectomy Salpingo-oophorectomy tonsillectomy mastectomy What are the five vital signs? - Correct answer-Blood pressure (BP), heart rate (HR), oxygen saturation (SaO2), respiratory rate (RR), temperature (C or F) What does NKDA stand for? - Correct answer-no known drug allergies What does LNMP stand for? - Correct answer-Last Normal Menstrual Period If the doctor said the exam was "benign", what does this mean? - Correct answer-this means that the exam was normal and of no concern Explain acute vs chronic. - Correct answer-acute: serious, new condition, that could potentially be life-threatening chronic: not of much concern, long-lasting condition, typically not a death threat What are the medical terms for the following pathophysiology abbreviations? CAD AAA COPD PNA URI - Correct answer-coronary artery disease -CTA w/ IV contrast, LP (lumbar puncture) -ultrasound (US) What are the two types of heart attacks and how are they diagnosed? - Correct answerSTEMI (ST elevation myocardial infarction) and NSTEMI (non ST elevation myocardial infarction) STEMI: EKG NSTEMI: troponin What are three cardiac risk factors? - Correct answer-HTN, DM, HLD, CAD, Smoking, FHx CAD 55 y/o What are four associated symptoms of an MI other than CP? (Hint: catch phrase) - Correct answer-Chest pressure with diaphoresis, N/V (nausea and vomiting), and SOB What are three symptoms a patient with an Ischemic CVA might present with? - Correct answer-Unilateral focal neurological deficits: One-sided weakness, one-sided numbness or changes in speech/vision What are the only three symptoms of a true allergic reaction? - Correct answer-SOB (difficulty breathing), rash, itching/swelling What heart rhythm would a physician hear if the patient were in atrial fibrillation and how is this disease diagnosed? - Correct answer-an irregularly irregular rhythm, this is diagnosed by and EKG What physical exam finding is associated with asthma? - Correct answer-wheezes (while inspiring or expiring)