ScribeAmerica Final Exam ED Questions with Answers
(100% Correct Answers)
What are the 3 types of dispositions? Answer: Discharge, Admit,
Transfer
What does HPI stand for? Answer: history of present illness
What does ROS stand for? Answer: review of systems
The HPI and ROS are considered what type of information? Answer:
subjective
The physical exam is what type of information? Answer: objective
If a physician told you a patient's abdomen was non tender, where
would you document this? Answer: PE
What section focuses directly on the chief complaint? Answer: HPI
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If someone has a hx of CABG or MI, what is something you can also
always document in the PMHx section of the chart? Answer: CAD
Name an example of something you may write in the Social Hx
portion of the chart. Answer: smokes 1 pack/day
Name an example of something you may write in the Family Hx
portion of the chart. Answer: Mother had Hx of CAD at age 46
What are the abbreviations for the following past medical history
terms?
Hypertension
Stroke
Diabetes
Heart Attack
High Cholesterol Answer: HTN
CVA (cerebrovascular accident)
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DM
MI
HLD
What are the medical terms for the following past surgical terms?
Removal of the appendix
Removal of the gallbladder
Removal of the uterus
Removal of a fallopian tube
Removal of the tonsils
Removal of the breast Answer: appendectomy
cholecystectomy
hysterectomy
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Salpingo-oophorectomy
tonsillectomy
mastectomy
What are the five vital signs? Answer: Blood pressure (BP), heart rate
(HR), oxygen saturation (SaO2), respiratory rate (RR), temperature (C
or F)
What does NKDA stand for? Answer: no known drug allergies
What does LNMP stand for? Answer: Last Normal Menstrual Period
If the doctor said the exam was "benign", what does this mean?
Answer: this means that the exam was normal and of no concern
Explain acute vs chronic. Answer: acute: serious, new condition, that
could potentially be life-threatening
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