MEDICAL SCRIBE FINAL EXAM REVIEW
QUESTIONS AND ANSWERS
Patient says: high blood pressure
Scribe writes..... - Answer-HTN
HTN - Answer-Hypertension
Patient says: high cholesterol
Scribe writes.... - Answer-HLD
HLD - Answer-Hyperlipidemia
Patient says: Thyroid problem
Scribe writes.... - Answer-Usually Hypothyroidism, sometimes Hyperthyroidism
Patient says: Diabetes
Scribe writes.... - Answer-DM
DM - Answer-diabetes mellitus
Patient says: "I only take pills for my diabetes"
Scribe writes.... - Answer-NIDDM
NIDDM - Answer-non-insulin dependent diabetes mellitus
Patient says: "I take shots (insulin) for my diabetes"
Scribe writes.... - Answer-IDDM
IDDM - Answer-insulin dependent diabetes mellitus
Patient says: Heart disease
Scribe writes.... - Answer-CAD
CAD - Answer-Coronary artery disease
Patient says: Heart attack
Scribe writes.... - Answer-MI
MI - Answer-Myocardial infarction
Patient says: Heart failure
Scribe writes.... - Answer-CHF
,CHF - Answer-congestive heart failure
Patient says: Irregular heartbeat
Scribe writes.... - Answer-Arrhythmia, atrial fibrillation
Patient says: Murmur
Scribe writes.... - Answer-Heart murmur
Patient says: Episodes of abnormally fast/racing heartbeat
Scribe writes.... - Answer-Arrhythmia, SVT
SVT - Answer-supraventricular tachycardia
Patient says: asthma
Scribe writes.... - Answer-Asthma
Patient says: Emphysema/chronic bronchitis
Scribe writes.... - Answer-COPD
COPD - Answer-Chronic obstructive pulmonary disease
Patient says: Blood clot in lung
Scribe writes.... - Answer-PE
PE (disease) - Answer-Pulmonary embolism
Patient says: Pneumonia
Scribe writes.... - Answer-PNA
PNA - Answer-Pneumonia
Patient says: Reflux
Scribe writes.... - Answer-GERD
GERD - Answer-gastroesophageal reflux disease
Patient says: Ulcer
Scribe writes.... - Answer-Gastric Ulcer or Peptic Ulcer Disease
Patient says: Pancreatitis
Scribe writes.... - Answer-Pancreatitis
Patient says: Crohn's/UC
Scribe writes.... - Answer-Crohn's Disease or Ulcerative Colitis
Patient says: Hepatitis
, Scribe writes.... - Answer-Hepatitis
Patient says: Diverticulitis
Scribe writes.... - Answer-Diverticulitis
Patient says: Irritable bowel
Scribe writes.... - Answer-IBS
IBS - Answer-irritable bowel syndrome
Patient says: Bladder infection
Scribe writes.... - Answer-UTI
UTI - Answer-urinary tract infection
Patient says: kidney infection
Scribe writes.... - Answer-Pyelonephritis (Pyelo)
Patient says: kidney stones
Scribe writes.... - Answer-renal calculi
Patient says: "I'm on dialysis"
Scribe writes.... - Answer-CRF or ESRD on dialysis
CRF - Answer-chronic renal failure
ESRD - Answer-end-stage renal disease
Patient says: Enlarged prostate
Scribe writes.... - Answer-BPH
GPA
G: - Answer-Total number of times the patient has been pregnant
GPA
P: - Answer-Number of pregnancies reaching viable gestational age (23 weeks) the
patient has had
GPA
A: - Answer-The total number of miscarriages or elective abortions
Patient says: Brain bleed
Scribe writes.... - Answer-Hemorrhagic CVA
CVA - Answer-cerebrovascular accident
QUESTIONS AND ANSWERS
Patient says: high blood pressure
Scribe writes..... - Answer-HTN
HTN - Answer-Hypertension
Patient says: high cholesterol
Scribe writes.... - Answer-HLD
HLD - Answer-Hyperlipidemia
Patient says: Thyroid problem
Scribe writes.... - Answer-Usually Hypothyroidism, sometimes Hyperthyroidism
Patient says: Diabetes
Scribe writes.... - Answer-DM
DM - Answer-diabetes mellitus
Patient says: "I only take pills for my diabetes"
Scribe writes.... - Answer-NIDDM
NIDDM - Answer-non-insulin dependent diabetes mellitus
Patient says: "I take shots (insulin) for my diabetes"
Scribe writes.... - Answer-IDDM
IDDM - Answer-insulin dependent diabetes mellitus
Patient says: Heart disease
Scribe writes.... - Answer-CAD
CAD - Answer-Coronary artery disease
Patient says: Heart attack
Scribe writes.... - Answer-MI
MI - Answer-Myocardial infarction
Patient says: Heart failure
Scribe writes.... - Answer-CHF
,CHF - Answer-congestive heart failure
Patient says: Irregular heartbeat
Scribe writes.... - Answer-Arrhythmia, atrial fibrillation
Patient says: Murmur
Scribe writes.... - Answer-Heart murmur
Patient says: Episodes of abnormally fast/racing heartbeat
Scribe writes.... - Answer-Arrhythmia, SVT
SVT - Answer-supraventricular tachycardia
Patient says: asthma
Scribe writes.... - Answer-Asthma
Patient says: Emphysema/chronic bronchitis
Scribe writes.... - Answer-COPD
COPD - Answer-Chronic obstructive pulmonary disease
Patient says: Blood clot in lung
Scribe writes.... - Answer-PE
PE (disease) - Answer-Pulmonary embolism
Patient says: Pneumonia
Scribe writes.... - Answer-PNA
PNA - Answer-Pneumonia
Patient says: Reflux
Scribe writes.... - Answer-GERD
GERD - Answer-gastroesophageal reflux disease
Patient says: Ulcer
Scribe writes.... - Answer-Gastric Ulcer or Peptic Ulcer Disease
Patient says: Pancreatitis
Scribe writes.... - Answer-Pancreatitis
Patient says: Crohn's/UC
Scribe writes.... - Answer-Crohn's Disease or Ulcerative Colitis
Patient says: Hepatitis
, Scribe writes.... - Answer-Hepatitis
Patient says: Diverticulitis
Scribe writes.... - Answer-Diverticulitis
Patient says: Irritable bowel
Scribe writes.... - Answer-IBS
IBS - Answer-irritable bowel syndrome
Patient says: Bladder infection
Scribe writes.... - Answer-UTI
UTI - Answer-urinary tract infection
Patient says: kidney infection
Scribe writes.... - Answer-Pyelonephritis (Pyelo)
Patient says: kidney stones
Scribe writes.... - Answer-renal calculi
Patient says: "I'm on dialysis"
Scribe writes.... - Answer-CRF or ESRD on dialysis
CRF - Answer-chronic renal failure
ESRD - Answer-end-stage renal disease
Patient says: Enlarged prostate
Scribe writes.... - Answer-BPH
GPA
G: - Answer-Total number of times the patient has been pregnant
GPA
P: - Answer-Number of pregnancies reaching viable gestational age (23 weeks) the
patient has had
GPA
A: - Answer-The total number of miscarriages or elective abortions
Patient says: Brain bleed
Scribe writes.... - Answer-Hemorrhagic CVA
CVA - Answer-cerebrovascular accident
