Emergency Department Final Exam -with 100% verified answers-2024

Emergency Department Final Exam -with 100% verified answers-2024 (ing) Emergency Department Final Exam -with 100% verified answers-2024 Emergency Department Final Exam Results 84 of 100 questions answered correctly Your time: 00:50:00 Time has elapsed You have reached 123 of 140 point(s), (87.86%) Categories Not categorized 100% ED Final: 1. Medical Terminology 100% ED Final: 10. Critical Care 77.78% ED Final: 11. Coding and quality measures 66.67% ED Final: 12. HIPAA and PHI 75% ED Final: 2. ED Flow 94.12% ED Final: 3. Pathophys 83.33% ED Final: 4. HPI Advanced 88.24% ED Final: 5. HPI Basic 100% ED Final: 6. PE 76.92% ED Final: 7. Dz work up 83.33% ED Final: 8. ED Course 85.71% ED Final: 9. Dx and Dispo 83.33% Click Here to Continue (ing/courses/ed-final-exam/? quiz_type=global&quiz_redirect=1&course_id=14734&quiz_id=10758) Answered Review 1. Question A patient is seen in the emergency department complaining of dysuria and tells you that she is 23 weeks pregnant. Â Your doctor diagnoses her with a UTI. Â Which of the following would be the best diagnosis? Expand the following medical abbreviation. Remember, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “. What does “CBC” stand for? 3. Question Medical Terminology: Expand the following medical abbreviation into the full medical term. Remember, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “. What does the DP stand for in “DP pulse”? 4. Question Expand the following medical abbreviation. Remember, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “. What does “s/p” stand for? 5. Question Expand the following medical abbreviation. Remember, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “. What does “AAA” stand for? 6. Question Medical Terminology: Expand the following medical abbreviation into the full medical term. Remember, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “. What does “DOE” stand for? 7. Question Expand the following medical abbreviation. Remember, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “. What does “PNA” stand for? 8. Question Expand the following medical abbreviation. Remember, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “. What does “IDDM” stand for? Do not include any hyphenations for your answer. 9. Question Expand the following medical abbreviation. Remember, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “. What does “TIA” stand for? 10. Question Expand the following medical abbreviation. Remember, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “. What does “COPD” stand for? 11. Question Expand the following medical abbreviation. Remember, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “. What does “NTG” stand for? 12. Question Expand the following medical abbreviation. Remember, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “. What does “CHF” stand for? 13. Question Diagnosis: Expand the following medical abbreviation into the full medical term. Remember, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “. What does “PE” stand for in the Diagnosis section of the chart? 14. Question Expand the following medical abbreviation. Remember, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “. What does “AMS” stand for? 15. Question Medical Terminology: Expand the following medical abbreviation into the full medical term. Remember, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “. What does “CVA” stand for in the PE section? 16. Question © 2019 ScribeAmerica. All rights reserved. Expand the following medical abbreviation. Remember, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “. What does “URI” stand for? 17. Question Expand the following medical abbreviation. Remember, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “. What does “LBBB” stand for? 18. Question Medical Terminology: Expand the following medical abbreviation into the full medical term. Remember, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “. What does “DVT” stand for? 19. Question Expand the following medical abbreviation. Remember, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “. What does “EOMI” stand for? (Hint: 3 words.) Do not include hyphens (-) when typing in your answer. 20. Question Expand the following medical abbreviation. Remember, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “. What does “GERD” stand for? (Hint: three words.) 21. Question Medical Terminology: Expand the following medical abbreviation into the full medical term. Remember, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “. What does “CSF” stand for? 22. Question Expand the following medical abbreviation. Remember, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “. What does “DNR” stand for? 23. Question © 2019 ScribeAmerica. All rights reserved. Medical Terminology: Expand the following medical abbreviation into the full medical term. Remember, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “. What does “PTX” stand for? 24. Question Expand the following medical abbreviation. Remember, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “. What does “GCS” stand for? 25. Question A 43-year-old male presents to the ED with vomiting that began 5 hours ago. He has a history of Type II DM and is s/p right BKA. On objective evaluation it is found that he is hyperglycemic and has elevated ketones and so he will be admitted for DKA. Match the details to the correct section of the chart. Do not change the positioning of an answer after it is placed. vomiting 26. Question Which section of the chart would you find AKA? (Select all that apply.) 27. Question © 2019 ScribeAmerica. All rights reserved. T/F. It’s the middle of the day. Your provider is busy dealing with a crtically ill patient and during this time the ED starts to pick up pace as more patients arrive. While your provider is prepping the critical patient for a procedure, she asks you to look up the CBC result on another patient. You quickly look up the information on your laptop and tell the physician that the labs came back normal except for a blood glucose level of 356, so your provider subsequently asks you to tell the nurse to start that patient on an insulin drip. You locate the nurse and relay the message. This scenario is acceptable and within the bounds of your scribe scope. 28. Question Which of the following would be documented in ED Course? (select all that apply.) 29. Question Match the following description to the appropriate team member. Do not change the positioning of an answer after it is placed. 30. Question Match the following Dx with it’s patient presentation. 31. Question Diagnosis: What condition correctly describes “An immune response that leads to rash, itching, swelling, or diPculty breathing”? Hint: 2 words. 32. Question Certain words or phrases act as “red ags” to grab your provider’s attention to let let them know that a patient may require timely and comprehensive medical action. Which of the following words or phrases are NOT considered a “red ag?” 33. Question Diagnosis: What condition correctly describes “Fertilized egg develops outside the uterus”? 34. Question Which of the following are not valid DDx for a patient with CC of HA? 35. Question What condition correctly describes “translocation of a thrombus leading to dyspnea and hypoxia”? Use the abbreviation form of the condition. (Remember, do not include any spaces before or after the term/phrase.) © 2019 ScribeAmerica. All rights reserved. 36. Question A patient recently went on a boat trip 2 days ago and developed dizziness which has continued to persist since onset. She describes her dizziness as a room spinning and reports that it is accompanied by tinnitus, nausea, and vomiting. Physical exam is positive for Romberg’s and Head CT is negative. Based on this information which is the most likely final diagnosis for the patient? 37. Question An ROS has marked positive for head trauma with accompanying LOC. What DDx would your provider be concerned about? 38. Question What condition correctly describes “A vascular change that temporarily deprives a part of the brain of oxygen but does not result in any long lasting deficits”? Use the abbreviation form of the condition. (Remember, do not include any spaces before or after the term/phrase.) 39. Question A patient states she has had a productive cough for 4 days, and yesterday she developed a fever. Would her fever be considered an associated symptom for her productive cough? Why or why not? 40. Question T/F. All symptoms documented in the HPI are also documented in the ROS. 41. Question Which of the following are considered to be cardiac risk factors for CP patients? (select all that apply.) 42. Question You are writing an HPI for a very complex patient who has had multiple recent hospital admissions and several significant complaints; what is the best way to organize the information in your HPI? 43. Question Location is an important element that can paint a picture for concerning DDx. Match location with the corresponding DDx. 44. Question How would you document GPA for a patient who has previously been pregnant four times in the past, has three children at home, and is NOT currently pregnant? (Type your answer using the following format: “G,P,A” “#,#,#”; so for example you woud type 0,0,0 with no spaces before or after the answer) 45. Question A 45 year old male presents to the ED with a ripping, tearing pain to his central chest radiating straight to his back with associated nausea that began 1 hour ago. What emergency conditions (ideally from what you have learned in CRT) from the following list may explain the patient’s symptoms? 46. Question T/F. All symptoms documented in the ROS are also documented in the HPI. 47. Question For chest pain patients, administering this medication can prevent onset of MI by thinning out the blood and improving blood ow to the heart. Because of this, it is important to document in the HPI if the patient received this medication, and if so who gave the medication and what was the dosage of the medication. What medication is important for meeting this core measure? 48. Question A female patient has been pregnant four times in the past, is currently pregnant, and has two children at home. Calculate the G, P and A, respectively. (Type your answer using the following format: “G,P,A” “#,#,#”; so for example you woud type 0,0,0 with no spaces before or after the answer) 49. Question Quality is an important descriptor that can paint a picture for concerning DDx. Match the following HPI detail with the corresponding DDx. 50. Question What FHx/SHx information is usually asked for pediatric patients? (Select all that apply.) 51. Question Medical terminology. What is the medical term for stones in the gallbladder? (Remember, when typing your answer, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “.) 52. Question Medical Terminology: What is the medical term for “carotid artery cleaning”? (Remember, when typing your answer, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “.) 53. Question Medical terminology. What is the medical term for infection of the gall bladder? (Remember, when typing your answer, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “.) 54. Question What is the medical term for painful urination? (Remember, when typing your answer, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “.) 55. Question What medical term describes “noticeable blood in the urine”? (Remember, when typing your answer, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “.) 56. Question What ROS system would include Dyspepsia, the medical term for indigestion? 57. Question What is the medical term for “bright red blood in stools”? (Remember, when typing your answer, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “.) 58. Question What medical term describes “blood present in vomit”? (Remember, when typing your answer, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “.) 59. Question What is the medical term for “coughing up blood”? (Remember, when typing your answer, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “.) 60. Question Which of the following would NOT be considered an example of PHI? (select all that apply.) 61. Question George is employed with SA as a scribe. He was off today and accidentally cut his cheek while practicing his sword swallowing skills. He goes to the Emergency Department and is seen by a doctor and another scribe. The Emergency Department is extremely busy, and so George decides to help out the doctor by scribing his own note using the computer in the room. Has George taken the appropriate steps in this situation? 62. Question If a patient signs a waiver giving you permission to capture photo of their unique rash, would you be committing a HIPAA violation by using your cellphone to capture the photo? (Select the best option.) 63. Question What are the possible consequences of a HIPAA violation? (select all that apply) 64. Question A 45 year old male presents to the ED with a constant, ripping, tearing pain to his central chest radiating straight to his back with associated nausea that began 1 hour ago. What element is constant? 65. Question Read through the PE and decide if this meets Level 5 billing criteria. Genera/Constitutional: NC, AT Eyes: PERRL, EOMI ENT: moist oral mucosa Cardiac: irregularly irregular rhythm, tachycardic, no murmurs, no rubs, no gallops Respiratory: Lungs clear, no respiratory distress, no wheezing, no rales, no rhonchi Neurological: A&O x 4 Psychiatric: normal affect 66. Question A patient has the following history: breast CA s/p chemoradiation therapy and mastectomy. Based on this, does the patient meet Level 5 billing criteria for this section of the chart? 67. Question Which of these procedures qualify as critical care procedures and would indicate that critical care time must be documented on a patient? (select all that apply) 68. Question Fill in the blank: Critical care must be at least a minimum of _. 69. Question Among the following diseases listed, select the ones that qualify for CCT. 70. Question Match each critical care dx with it’s associated procedur©e. 2019 ScribeAmerica. All rights reserved. 71. Question What do you need to make sure to document for every admitted patient? (select the best option.) 72. Question A patient cut his left foot on a piece of glass two hours ago and is seen in the emergency department to have sutures placed. The doctor tells you there is no tendon injury and circulatory, sensory and motor is intact. What is the best diagnosis for his complaint? 73. Question What abbreviation describes the scenario in which a patient declines a hospital stay and decides to go home instead? (Remember, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “.) 74. Question Which of the following would need to go into a consult note for a patient that will be admitted to the hospital for treatment of bacterial meningitis? 75. Question A 13 y/o male patient was riding his bike earlier today and accidentally fell off after traveling on an uneven patch of sidewalk. He landed onto his outstretched right hand and subsequently experienced localized pain and swelling to the his right wrist. An x-ray of the right wrist shows a distal radial fracture. Now that the results are back, the physician will be ready to discharge the patient home. Which of the following would need to go into this patient’s disposition note? (Select all that apply.) 76. Question What term describes “the patient destination is home”? (Remember, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “.) 77. Question What is a “GI cocktail”? 78. Question © 2019 ScribeAmerica. All rights reserved. Select the EKG interpretation documentation guidelines. (select all that apply.) 79. Question You are starting your shift and your physician immediately picks up 3 patients. The first patient is presenting with a productive cough steadily worsening since onset 4 weeks ago. The second patient has had abdominal discomfort slowly localizing into the right lower abdomen with accompanying fever over the last 6 hours and on PE, the patient has RLQ tenderness on palpation. The third patient has urinary sx and urinedip has already resulted and is positive for leukocytes and bacteria. Given the information, what might the most likely diagnoses’ end up being for these patients? 80. Question Consent should be documented any time a procedure is performed, but there maybe certain situations in which consent is unobtainable. In that case, consent is precluded by clinical urgency. During which of the following procedures would consent usually be unobtainable? (Select the best response.) 81. Question Match the oxygen administration route to the corresponding definition. 82. Question An ED technician informs the provider that they have just finished applying a splint and sling for the patient with the wrist fracture. What PE finding is important for your provider to assess and include in the procedure note before the patient can be discharged home? HINT: it’s an abbreviation. (Remember, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “.) 83. Question Select terms you might find on an x-ray interpretation. (select all that apply.) 84. Question You’ve just caught up on all of your charting. What are some things you can do to increase your providers ePciency? (Select all that apply.) 85. Question What does ETT stand for? Fully expand the abbreviation. (Remember, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “.) 86. Question Which of the following would be ordered to investigate thyroid disease? 87. Question What procedure would be used to diagnose Meningitis? Expand the medical abbreviation into the full medical term. (Remember, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “.) 88. Question Which of the following tests would likely be immediately ordered for a Cardiac Workup in the ED? (Select all that apply.) 89. Question How would you diagnose Hemorrhagic CVA? (select all that apply.) 90. Question Which of the following diseases may be diagnosed using a CXR? (select all that apply.) 91. Question Which of the following lab results need to be monitored closely for ePciency? 92. Question How would you diagnose AFIB? Use the abbreviation to answer the question. (Remember, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “.) 93. Question How would you diagnose an AAA? 94. Question Match the following results with the corresponding diagnosis. 95. Question How would you diagnose a pneumothorax? Hint: use abbreviation. (Remember, do not include any spaces before or after the term/phrase. e.g. Correct way “Good luck” vs incorrect ” good luck “.) 96. Question Which of the following would belong in a psychiatric exam? (Select all that apply.) 97. Question Your physician tells you the patient had a wood’s lamp exam to look for uorescein uptake. In which organ system would you document this physical exam finding? 98. Question An 23-year-old female is brought in by EMS for a motor vehicle crash. Your physician verbalizes outloud that the patient appears to be on a backboard and her cervical spine is stabilized with a hard collar. The patient also appears to be lethargic with obvious lacerations above her right eyebrow, left hand, and left thigh. Match the following exam findings with the appropriate organ system. patient with a c-collar lacerations to the right eyebrow, left hand, and left thigh 99. Question You see the physician check the patient’s pulses in four places; the right wrist, the top of the right foot, the back of the right foot and the left neck. The doctor states “The pulses are fine”. Match the location with the appropriate pulse that you would document in the physical exam? wrist 2+ radial pulse 2+ PTP 100. Question Match the normal grading scale with the corresponding PE finding.