SCRIBE FINAL EXAM QUESTIONS WITH
100% CORRECT ANSWERS
\.What study would be most appropriate to order for a 64 year old male with a chief complaint
of shortness of breath and coughing to rule out COPD or PNA? - ANSWERS✔-CXR
\.What does PTX stand for? - ANSWERS✔-pneumothorax
\.What does CSF stand for? - ANSWERS✔-cerebrospinal fluid
\.Which of the following are considered to be cardiac risk factors for CP patients? (select all that
apply.) - ANSWERS✔-DM
HLD
HTN
SHx of CABG, angioplasty, and stent
Tobacco Use
CAD
Family Hx of CAD <55 y/o
\.What procedure would be used to diagnose Meningitis? (Hint: two words, do not use
abbreviation) - ANSWERS✔-lumbar puncture
\.A positive blood culture usually confirms which diagnosis? - ANSWERS✔-sepsis
,\.The providers best guess or what they think may be the cause of the patient's complaints is
called the what? - ANSWERS✔-Differential Diagnosis
DDx
Diagnoses
\.A 43-year-old male presents to the ED with vomiting that began 5 hours ago. He has a history
of Type I DM and is s/p right BKA. On objective evaluation it is found that he is hyperglycemic
with elevated ketones and will be admitted for DKA. Match the details to the correct section of
the H&P note. - ANSWERS✔-CC: vomitting
HPI: onset 5 hours ago
Primary Diagnosis: DKA
ED Course Summary: hyperglycemia with elevated ketones
PMHx: Type 1 DM
PSHx: right BKA
\.MI - ANSWERS✔-myocardial infarction
\.HTN can affect which of the following? (Select all that apply) - ANSWERS✔-Heart
Eyes
Kidneys
Vessels
\.Which of the following neurological exam findings is abnormal? - ANSWERS✔-positive
pronator drift
\.DVT - ANSWERS✔-deep vein thrombosis
, \.A 65 y/o male is admitted with chest pain, which of the follow details should not be included
in the HPI? - ANSWERS✔-The patient's father has a history of pancreatic cancer
\.HTN - ANSWERS✔-hypertension
\.Which of the following should be included in the A/P for all patients - ANSWERS✔-all of the
above
\.Match the following labs to the corresponding diagnosis - ANSWERS✔-Elevated creatinine
(above baseline): acute kidney injury
elevated lipase: pancreatitis
elevated troponin: acute myocardial infarction
elevated TSH: Hypothyroidism
elevated bilirubin: liver disease
\.SCD - ANSWERS✔-sequential compression device
\.A 75 y/o female is admitted with pneumonia, which of the following details should not be
included in the HPI? - ANSWERS✔-When asked if she has any pain, the patient states that her
back hurts. Her daughter is at the bedside and notes that the back pain is chronic
\.Your patient was admitted by the ER for right leg pain and shortness of breath. The D Dimer in
the ER was elevated and the CT Angio Chest was abnormal. What are the most likely diagnosis
(select all that apply)? - ANSWERS✔-pulmonary embolism
100% CORRECT ANSWERS
\.What study would be most appropriate to order for a 64 year old male with a chief complaint
of shortness of breath and coughing to rule out COPD or PNA? - ANSWERS✔-CXR
\.What does PTX stand for? - ANSWERS✔-pneumothorax
\.What does CSF stand for? - ANSWERS✔-cerebrospinal fluid
\.Which of the following are considered to be cardiac risk factors for CP patients? (select all that
apply.) - ANSWERS✔-DM
HLD
HTN
SHx of CABG, angioplasty, and stent
Tobacco Use
CAD
Family Hx of CAD <55 y/o
\.What procedure would be used to diagnose Meningitis? (Hint: two words, do not use
abbreviation) - ANSWERS✔-lumbar puncture
\.A positive blood culture usually confirms which diagnosis? - ANSWERS✔-sepsis
,\.The providers best guess or what they think may be the cause of the patient's complaints is
called the what? - ANSWERS✔-Differential Diagnosis
DDx
Diagnoses
\.A 43-year-old male presents to the ED with vomiting that began 5 hours ago. He has a history
of Type I DM and is s/p right BKA. On objective evaluation it is found that he is hyperglycemic
with elevated ketones and will be admitted for DKA. Match the details to the correct section of
the H&P note. - ANSWERS✔-CC: vomitting
HPI: onset 5 hours ago
Primary Diagnosis: DKA
ED Course Summary: hyperglycemia with elevated ketones
PMHx: Type 1 DM
PSHx: right BKA
\.MI - ANSWERS✔-myocardial infarction
\.HTN can affect which of the following? (Select all that apply) - ANSWERS✔-Heart
Eyes
Kidneys
Vessels
\.Which of the following neurological exam findings is abnormal? - ANSWERS✔-positive
pronator drift
\.DVT - ANSWERS✔-deep vein thrombosis
, \.A 65 y/o male is admitted with chest pain, which of the follow details should not be included
in the HPI? - ANSWERS✔-The patient's father has a history of pancreatic cancer
\.HTN - ANSWERS✔-hypertension
\.Which of the following should be included in the A/P for all patients - ANSWERS✔-all of the
above
\.Match the following labs to the corresponding diagnosis - ANSWERS✔-Elevated creatinine
(above baseline): acute kidney injury
elevated lipase: pancreatitis
elevated troponin: acute myocardial infarction
elevated TSH: Hypothyroidism
elevated bilirubin: liver disease
\.SCD - ANSWERS✔-sequential compression device
\.A 75 y/o female is admitted with pneumonia, which of the following details should not be
included in the HPI? - ANSWERS✔-When asked if she has any pain, the patient states that her
back hurts. Her daughter is at the bedside and notes that the back pain is chronic
\.Your patient was admitted by the ER for right leg pain and shortness of breath. The D Dimer in
the ER was elevated and the CT Angio Chest was abnormal. What are the most likely diagnosis
(select all that apply)? - ANSWERS✔-pulmonary embolism
