ED SCRIBE - FINAL EXAM QUESTIONS
WITH CORRECT ANSWERS
Medical Decision Making (MDM) - Answer-The physician's thought process
Pain vs. Tenderness - Answer-Patient's feeling vs. physician's assessment
What does distress mean? - Answer-The doctor's judgment of discomfort
Baseline - Answer-An individual's normal state of being
What does Auscultation mean? - Answer-Listening with a stethoscope
Palpation - Answer-The act of pressing on an area by the doctor
Inpatient - Answer-Admitted to the hospital overnight
Outpatient - Answer-Seen and sent home the same day
What is the ED flow (overview)? - Answer-1. Check in and Chief Complaint 2. Physician
assessment 3. Objective orders and results 4. Medical Decision Making 5. Disposition
What is the ED flow before orders are made? - Answer-1. Arrival 2. Triage 3. Vital Signs
/ Bed Placement 4. Nurse Assessment 5. HPI, ROS, Hx, PE
What is the ED flow after orders are made? - Answer-1. Differential Dx 2. Physician
orders > labs, imaging, procedures, medications 3. Results and ED course 4. Final Dx
5. Disposition
What is the general documentation template? - Answer-HPI > ROS > PHx > PE > ED
course > Disposition
Thyroid problem means - Answer-Usually Hypothyroidism, sometimes hyperthyroidism
"I only take pills for my diabetes" means - Answer-Non-Insulin Dependent Diabetes
Mellitus - NIDDM
"I take shots (insulin) for my diabetes" means - Answer-Insulin Dependent Diabetes
Mellitus - IDDM
Heart disease means. - Answer-Usually Coronary Artery Disease - CAD
Heart attack means. - Answer-Myocardial Infarction - MI and CAD
,Irregular heartbeat means. - Answer-Atrial Fibrillation (A-Fib)
Murmur means. - Answer-Heart murmur
Episodes of abnormally fast/racing heartbeat means.. - Answer-Supraventricular
Tachycardia - SVT
Emphysema/Chronic Bronchitis means.. - Answer-Chronic Obstructive Pulmonary
Disease - COPD
Blood clot in lung means.. - Answer-Pulmonary Embolism - PE
Reflux means.. - Answer-Gastroesophageal Reflux Disease - GERD
Ulcer means. - Answer-Gastric Ulcer or Peptic Ulcer Disease
Hepatitis means. - Answer-Hepatitis A, Hepatitis B, or Hepatitis C
Crohn's/UC means. - Answer-Crohn's Disease or Ulcerative Colitis
Kidney infection means. - Answer-Pyelonephritis - Pyelo
Kidney stones means. - Answer-Renal calculi
"I'm on dialysis" means.. - Answer-Chronic Renal Failure - CRF or End Stage Renal
Disease - ESRD on dialysis
Enlarged prostate means.. - Answer-Benign Prostate Hypertrophy - BPH
What is the convention for documenting gynecological PMHx? - Answer-G: P: A:
Stroke means.. - Answer-Ischemic Cerebrovascular Accident - CVA
Mini-stroke means.. - Answer-Transient Ischemic Attack - TIA
Seizures means.. - Answer-Seizure disorder/Epilepsy
Brain bleed means.. - Answer-Hemorrhagic CVA
"I drink a lot" means.. - Answer-ETOH abuse or Alcoholism
"I do drugs" means.. - Answer-Substance abuse
"Blood clot in my leg" means.. - Answer-DVT
"Bulge in my aorta" or "Triple A" - Answer-Abdominal Aortic Aneurysm
, "Bad blood flow to my legs" means.. - Answer-Peripheral Vascular Disease - PVD
"Numbness in my legs" means.. - Answer-Peripheral Neuropathy
Bulging/Herniated disc means.. - Answer-Degenerative Disc Disease - DDD
What does Arthritis mean? - Answer-Osteoarthritis, Rheumatoid Arthritis
Joint pain (chronic) means.. - Answer-Degenerative Joint Disease -DJD
Weak/fragile bones means.. - Answer-Osteoporosis
Spread to my means.. - Answer-With metastases to the..
"They cut it out" (in regards to cancer) means.. - Answer-Status-post surgical resection
"It's gone" (in regards to cancer) means.. - Answer-In remission
Tonsils removed means.. - Answer-Tonsillectomy
Adenoids removed means.. - Answer-Adenoidectomy
Ear tubes means.. - Answer-Pressure Equalizer Tubes
Heart bypass means.. - Answer-Coronary Artery Bypass Graft - CABG > PMHx CAD
Stents means.. - Answer-Coronary Stents
Heart Cath means.. - Answer-Cardiac Catheterization
Balloon means.. - Answer-Angioplasty > PMHx CAD
Valve surgery means.. - Answer-Valve repair or replacement - Bovine vs. Mechanical
Pacer means.. - Answer-Pacemaker
Defibrillator means.. - Answer-Automatic Implanted Cardiac Defibrillator - AICD
Surgery for A Fib means.. - Answer-Afib s/p cardiac ablation
Breast removal means.. - Answer-Mastectomy
Hole in my neck means.. - Answer-Tracheostomy - commonly called "trach"
Part of lung removed means.. - Answer-Partial lobectomy
WITH CORRECT ANSWERS
Medical Decision Making (MDM) - Answer-The physician's thought process
Pain vs. Tenderness - Answer-Patient's feeling vs. physician's assessment
What does distress mean? - Answer-The doctor's judgment of discomfort
Baseline - Answer-An individual's normal state of being
What does Auscultation mean? - Answer-Listening with a stethoscope
Palpation - Answer-The act of pressing on an area by the doctor
Inpatient - Answer-Admitted to the hospital overnight
Outpatient - Answer-Seen and sent home the same day
What is the ED flow (overview)? - Answer-1. Check in and Chief Complaint 2. Physician
assessment 3. Objective orders and results 4. Medical Decision Making 5. Disposition
What is the ED flow before orders are made? - Answer-1. Arrival 2. Triage 3. Vital Signs
/ Bed Placement 4. Nurse Assessment 5. HPI, ROS, Hx, PE
What is the ED flow after orders are made? - Answer-1. Differential Dx 2. Physician
orders > labs, imaging, procedures, medications 3. Results and ED course 4. Final Dx
5. Disposition
What is the general documentation template? - Answer-HPI > ROS > PHx > PE > ED
course > Disposition
Thyroid problem means - Answer-Usually Hypothyroidism, sometimes hyperthyroidism
"I only take pills for my diabetes" means - Answer-Non-Insulin Dependent Diabetes
Mellitus - NIDDM
"I take shots (insulin) for my diabetes" means - Answer-Insulin Dependent Diabetes
Mellitus - IDDM
Heart disease means. - Answer-Usually Coronary Artery Disease - CAD
Heart attack means. - Answer-Myocardial Infarction - MI and CAD
,Irregular heartbeat means. - Answer-Atrial Fibrillation (A-Fib)
Murmur means. - Answer-Heart murmur
Episodes of abnormally fast/racing heartbeat means.. - Answer-Supraventricular
Tachycardia - SVT
Emphysema/Chronic Bronchitis means.. - Answer-Chronic Obstructive Pulmonary
Disease - COPD
Blood clot in lung means.. - Answer-Pulmonary Embolism - PE
Reflux means.. - Answer-Gastroesophageal Reflux Disease - GERD
Ulcer means. - Answer-Gastric Ulcer or Peptic Ulcer Disease
Hepatitis means. - Answer-Hepatitis A, Hepatitis B, or Hepatitis C
Crohn's/UC means. - Answer-Crohn's Disease or Ulcerative Colitis
Kidney infection means. - Answer-Pyelonephritis - Pyelo
Kidney stones means. - Answer-Renal calculi
"I'm on dialysis" means.. - Answer-Chronic Renal Failure - CRF or End Stage Renal
Disease - ESRD on dialysis
Enlarged prostate means.. - Answer-Benign Prostate Hypertrophy - BPH
What is the convention for documenting gynecological PMHx? - Answer-G: P: A:
Stroke means.. - Answer-Ischemic Cerebrovascular Accident - CVA
Mini-stroke means.. - Answer-Transient Ischemic Attack - TIA
Seizures means.. - Answer-Seizure disorder/Epilepsy
Brain bleed means.. - Answer-Hemorrhagic CVA
"I drink a lot" means.. - Answer-ETOH abuse or Alcoholism
"I do drugs" means.. - Answer-Substance abuse
"Blood clot in my leg" means.. - Answer-DVT
"Bulge in my aorta" or "Triple A" - Answer-Abdominal Aortic Aneurysm
, "Bad blood flow to my legs" means.. - Answer-Peripheral Vascular Disease - PVD
"Numbness in my legs" means.. - Answer-Peripheral Neuropathy
Bulging/Herniated disc means.. - Answer-Degenerative Disc Disease - DDD
What does Arthritis mean? - Answer-Osteoarthritis, Rheumatoid Arthritis
Joint pain (chronic) means.. - Answer-Degenerative Joint Disease -DJD
Weak/fragile bones means.. - Answer-Osteoporosis
Spread to my means.. - Answer-With metastases to the..
"They cut it out" (in regards to cancer) means.. - Answer-Status-post surgical resection
"It's gone" (in regards to cancer) means.. - Answer-In remission
Tonsils removed means.. - Answer-Tonsillectomy
Adenoids removed means.. - Answer-Adenoidectomy
Ear tubes means.. - Answer-Pressure Equalizer Tubes
Heart bypass means.. - Answer-Coronary Artery Bypass Graft - CABG > PMHx CAD
Stents means.. - Answer-Coronary Stents
Heart Cath means.. - Answer-Cardiac Catheterization
Balloon means.. - Answer-Angioplasty > PMHx CAD
Valve surgery means.. - Answer-Valve repair or replacement - Bovine vs. Mechanical
Pacer means.. - Answer-Pacemaker
Defibrillator means.. - Answer-Automatic Implanted Cardiac Defibrillator - AICD
Surgery for A Fib means.. - Answer-Afib s/p cardiac ablation
Breast removal means.. - Answer-Mastectomy
Hole in my neck means.. - Answer-Tracheostomy - commonly called "trach"
Part of lung removed means.. - Answer-Partial lobectomy
