SCRIBE FINAL TEST REVIEW
QUESTIONS AND ANSWERS
What does CBC stand for? - Answer-complete blood count
A CBC includes all of the following except:
-WBC
-CSF
-HCT
-RBC - Answer-CSF
Anemia is best determined by looking at the ____ lab value. - Answer-Hgb
All of the following are tested by urinalysis EXCEPT:
-pH
-ketones
-AST
-bilirubin - Answer-AST
Which of the following is a cardiac biomarker?
-ALP
A1c
-calcium
-troponin - Answer-troponin
Which of the following constituents are evaluated with a microscopic exam of urine
sediment?
-crystals
-RBCs
-WBCs - Answer-all
The D-dimer test result helps with the diagnosis of... - Answer-PE
A hemolyzed blood sample is submitted to the laboratory for electrolyte testing. Which
lab test is most critical that it not be performed and reported on this specimen?
-Bilirubin
-Calcium
-Potassium
-PT/PPT (INR) - Answer-potassium
Which lumbar puncture CSF test results is consistent with the dx of bacterial
meningitis? - Answer-low CSF glucose level (or high CSF protein level)
Kidney fxn is assessed by all of the following lab values EXCEPT:
,-albumin
-GFR
-serum creatinine
-BUN - Answer-albumin
CMP stands for - Answer-complete metabolic panel
The most common imaging performed in the ED for diagnosing pneumonia or collapsed
lungs - Answer-chest x-ray
Which radiology imaging is most commonly used in the ED for extremities and joints? -
Answer-x-rays
What is a useful initial diagnostic study to differentiate between urological and GI
problems, both of which may present with abdominal pain as a CC - Answer-KUB
(kidney, ureters, and bladder) x-ray
For what chief complaint is a FAST performed in the ED? - Answer-abdominal pain;
focused assessment with sonography for trauma
Common radiology diagnostic test to rule out ovarian torsion, ectopic pregnancy,
ovarian cysts, endometriosis - Answer-U/S pelvis
Radiology diagnostic imaging test commonly used to detect major venous clots
including DVTs - Answer-venous doppler ultrasound
This diagnostic tool uses a powerful magnetic field, radio frequency pulses and
computer reconstruction for imaging organs and other soft tissues - Answer-MRI
All of the following could be appropriate radiology diagnostic tests for evaluating
traumatic brain injury EXCEPT:
-head MRI
-CT without contrast
-doppler u/s
-head CT with contrast - Answer-doppler u/s
A chest CT without contrast may be useful in all of the following EXCEPT:
-patient sensitivity to contrast due to allergy or kidney function
-pneumothorax
-PE
-evaluation of fluid around the lungs - Answer-PE
Test that is most commonly ordered in the ED to assess blood vessels of the neck in
trauma with suspected injury or in acute stroke to assess for stenosis or thrombosis, or
to rule out neck abscesses - Answer-CT neck with contrast
, Which of the following is a normal abdominal exam finding?
-guarding
-rebound
-distending - Answer-none
What value is "normal" on the pulse scale? - Answer-2+
Acronym for the musculoskeletal physical exam: CSMT - Answer-circulation, sensation,
motor, temperature
Which of the following is NOT a HEENT description for TMs
-scleral ictus
-dullness
-obscured by cerumen
-middle ear effusion - Answer-scleral ictus
All of the following are abnormal rectal exam findings EXCEPT:
-fistula or fissure
-hemorrhoids
-guaiac positive - Answer-none
All of the following describe neurological PE findings EXCEPT:
-ataxia
-urticaria
-somnolent
-ptosis - Answer-urticaria
FND - Answer-focal neurological deficits
No epididymal tenderness is a normal exam finding for which body system - Answer-
male genitourinary
Affect, mood, judgment, and insight are attributed to which system - Answer-Psychiatric
Capillary refill less than 2 seconds is a normal physical exam finding. - Answer-true
All ED patients are considered new patients that require 3 of 3 elements on the coding
table to select the overall ED level for billing. - Answer-true
What are the 3 elements of MDM? - Answer-1. number of diagnoses or management
options
2. amount and/or complexity of data to be reviewed by physician
3. risk of complications or death (mortality or morbidity)
What are the 4 levels of MDM? - Answer-1. straightforward
2. low
QUESTIONS AND ANSWERS
What does CBC stand for? - Answer-complete blood count
A CBC includes all of the following except:
-WBC
-CSF
-HCT
-RBC - Answer-CSF
Anemia is best determined by looking at the ____ lab value. - Answer-Hgb
All of the following are tested by urinalysis EXCEPT:
-pH
-ketones
-AST
-bilirubin - Answer-AST
Which of the following is a cardiac biomarker?
-ALP
A1c
-calcium
-troponin - Answer-troponin
Which of the following constituents are evaluated with a microscopic exam of urine
sediment?
-crystals
-RBCs
-WBCs - Answer-all
The D-dimer test result helps with the diagnosis of... - Answer-PE
A hemolyzed blood sample is submitted to the laboratory for electrolyte testing. Which
lab test is most critical that it not be performed and reported on this specimen?
-Bilirubin
-Calcium
-Potassium
-PT/PPT (INR) - Answer-potassium
Which lumbar puncture CSF test results is consistent with the dx of bacterial
meningitis? - Answer-low CSF glucose level (or high CSF protein level)
Kidney fxn is assessed by all of the following lab values EXCEPT:
,-albumin
-GFR
-serum creatinine
-BUN - Answer-albumin
CMP stands for - Answer-complete metabolic panel
The most common imaging performed in the ED for diagnosing pneumonia or collapsed
lungs - Answer-chest x-ray
Which radiology imaging is most commonly used in the ED for extremities and joints? -
Answer-x-rays
What is a useful initial diagnostic study to differentiate between urological and GI
problems, both of which may present with abdominal pain as a CC - Answer-KUB
(kidney, ureters, and bladder) x-ray
For what chief complaint is a FAST performed in the ED? - Answer-abdominal pain;
focused assessment with sonography for trauma
Common radiology diagnostic test to rule out ovarian torsion, ectopic pregnancy,
ovarian cysts, endometriosis - Answer-U/S pelvis
Radiology diagnostic imaging test commonly used to detect major venous clots
including DVTs - Answer-venous doppler ultrasound
This diagnostic tool uses a powerful magnetic field, radio frequency pulses and
computer reconstruction for imaging organs and other soft tissues - Answer-MRI
All of the following could be appropriate radiology diagnostic tests for evaluating
traumatic brain injury EXCEPT:
-head MRI
-CT without contrast
-doppler u/s
-head CT with contrast - Answer-doppler u/s
A chest CT without contrast may be useful in all of the following EXCEPT:
-patient sensitivity to contrast due to allergy or kidney function
-pneumothorax
-PE
-evaluation of fluid around the lungs - Answer-PE
Test that is most commonly ordered in the ED to assess blood vessels of the neck in
trauma with suspected injury or in acute stroke to assess for stenosis or thrombosis, or
to rule out neck abscesses - Answer-CT neck with contrast
, Which of the following is a normal abdominal exam finding?
-guarding
-rebound
-distending - Answer-none
What value is "normal" on the pulse scale? - Answer-2+
Acronym for the musculoskeletal physical exam: CSMT - Answer-circulation, sensation,
motor, temperature
Which of the following is NOT a HEENT description for TMs
-scleral ictus
-dullness
-obscured by cerumen
-middle ear effusion - Answer-scleral ictus
All of the following are abnormal rectal exam findings EXCEPT:
-fistula or fissure
-hemorrhoids
-guaiac positive - Answer-none
All of the following describe neurological PE findings EXCEPT:
-ataxia
-urticaria
-somnolent
-ptosis - Answer-urticaria
FND - Answer-focal neurological deficits
No epididymal tenderness is a normal exam finding for which body system - Answer-
male genitourinary
Affect, mood, judgment, and insight are attributed to which system - Answer-Psychiatric
Capillary refill less than 2 seconds is a normal physical exam finding. - Answer-true
All ED patients are considered new patients that require 3 of 3 elements on the coding
table to select the overall ED level for billing. - Answer-true
What are the 3 elements of MDM? - Answer-1. number of diagnoses or management
options
2. amount and/or complexity of data to be reviewed by physician
3. risk of complications or death (mortality or morbidity)
What are the 4 levels of MDM? - Answer-1. straightforward
2. low
