ScribeAmerica Final Exam/ ScribeAmerica OP Final
Exam 2 SETS COMPILED WITH COMPLETE SOLUTION
LATEST 2025/2026 NEW!!
A patient is seen in the emergency department complaining of dysuria and tells you that she is
23 weeks pregnant. Your doctor diagnoses her with a UTI. Which of the following would be the
best diagnosis? - Ans acute urinary tract infection in pregnancy, 2nd trimester
A patient cut his left foot on a piece of glass two hours ago and is seen in the emergency
department to have sutures placed. The doctor tells you there is no tendon injury and
circulatory, sensory and motor is intact. What is the best diagnosis for his complaint? - Ans
Uncomplicated laceration of the left foot - initial encounter
What does AMS stand for? - Ans altered mental status
What does GCS stand for? - Ans glasgow coma scale
What does DNR stand for? - Ans do not resuscitate
What does AAA stand for? - Ans abdominal aortic aneurysm
What does PE stand for in the diagnosis section of the chart? - Ans pulmonary embolism
What does DP stand for in "DP pulse"? - Ans dorsalis pedis
What does DVT stand for? - Ans deep vein thrombosis
,What does NTG stand for? - Ans nitroglycerin
What does URI stand for? - Ans upper respiratory infection
What does CHF stand for? - Ans congestive heart failure
What does s/p stand for? - Ans status post
What does GERD stand for? - Ans gastroesophageal reflux disease
What does EOMI stand for? - Ans extraocular movements intact
What does DOE stand for? - Ans dyspnea on exertion
What does LBBB stand for? - Ans left bundle branch block
What does CVA stand for? - Ans costovertebral angle
What does CSF stand for? - Ans cerebrospinal fluid
What does PTX stand for? - Ans pneumothorax
What does COPD stand for? - Ans chronic obstructive pulmonary disease
What does PNA stand for? - Ans pneumonia
,What does CBC stand for? - Ans complete blood count
What does IDDM stand for? - Ans insulin dependent diabetes mellitus
What does TIA stand for? - Ans transient ischemic attack
A 43 y/o male presents to the ED with vomiting that began 5 hours ago. He has a history of
Type II DM and is s/p right BKA. On objective evaluation it is found that he is hyperglycemic and
has elevated ketones and so he will be admitted for DKA. Match the details to the correct
section of the chart.
5 hours ago, DKA, vomiting, admit, Type II DM, right BKA, hyperglycemia & elevated ketones,
Onset:
Disposition:
ED Course:
CC:
PMHx:
Diagnosis:
PSHx: - Ans Onset: 5 hours ago
Disposition: admit
ED Course: hyperglycemia and elevated ketones
CC: vomiting
PMHx: Type II DM
Diagnosis: DKA
PSHx: right BKA
, Match the following description to the appropriate team member.
Unit Secretary, ED tech, Scribe, Mid-level Provider, charge nurse, RT, ED nurse
: Documents the patient's visits on behalf of the physician
: Answers phone calls, pages other specialists/ doctors, and organizes the patient's
paperwork
: Records medical histories, symptoms, monitors the patient, starts IVs, administers
mediations, and assists with procedures
: Helps the nurse and assists with procedures
: Administers "breathing treatments" and assists with managing a patient's airway
: NP or PA that works under the supervision of a physician to diagnose and treat
patients
: Manages the ED patient flow - Ans Scribe: Documents the patient's visits on behalf
of the physician
Unit Secretary: Answers phone calls, pages other specialists/ doctors, and organizes the
patient's paperwork
ED Nurse: Records medical histories, symptoms, monitors the patient, starts IVs, administers
mediations, and assists with procedures
Exam 2 SETS COMPILED WITH COMPLETE SOLUTION
LATEST 2025/2026 NEW!!
A patient is seen in the emergency department complaining of dysuria and tells you that she is
23 weeks pregnant. Your doctor diagnoses her with a UTI. Which of the following would be the
best diagnosis? - Ans acute urinary tract infection in pregnancy, 2nd trimester
A patient cut his left foot on a piece of glass two hours ago and is seen in the emergency
department to have sutures placed. The doctor tells you there is no tendon injury and
circulatory, sensory and motor is intact. What is the best diagnosis for his complaint? - Ans
Uncomplicated laceration of the left foot - initial encounter
What does AMS stand for? - Ans altered mental status
What does GCS stand for? - Ans glasgow coma scale
What does DNR stand for? - Ans do not resuscitate
What does AAA stand for? - Ans abdominal aortic aneurysm
What does PE stand for in the diagnosis section of the chart? - Ans pulmonary embolism
What does DP stand for in "DP pulse"? - Ans dorsalis pedis
What does DVT stand for? - Ans deep vein thrombosis
,What does NTG stand for? - Ans nitroglycerin
What does URI stand for? - Ans upper respiratory infection
What does CHF stand for? - Ans congestive heart failure
What does s/p stand for? - Ans status post
What does GERD stand for? - Ans gastroesophageal reflux disease
What does EOMI stand for? - Ans extraocular movements intact
What does DOE stand for? - Ans dyspnea on exertion
What does LBBB stand for? - Ans left bundle branch block
What does CVA stand for? - Ans costovertebral angle
What does CSF stand for? - Ans cerebrospinal fluid
What does PTX stand for? - Ans pneumothorax
What does COPD stand for? - Ans chronic obstructive pulmonary disease
What does PNA stand for? - Ans pneumonia
,What does CBC stand for? - Ans complete blood count
What does IDDM stand for? - Ans insulin dependent diabetes mellitus
What does TIA stand for? - Ans transient ischemic attack
A 43 y/o male presents to the ED with vomiting that began 5 hours ago. He has a history of
Type II DM and is s/p right BKA. On objective evaluation it is found that he is hyperglycemic and
has elevated ketones and so he will be admitted for DKA. Match the details to the correct
section of the chart.
5 hours ago, DKA, vomiting, admit, Type II DM, right BKA, hyperglycemia & elevated ketones,
Onset:
Disposition:
ED Course:
CC:
PMHx:
Diagnosis:
PSHx: - Ans Onset: 5 hours ago
Disposition: admit
ED Course: hyperglycemia and elevated ketones
CC: vomiting
PMHx: Type II DM
Diagnosis: DKA
PSHx: right BKA
, Match the following description to the appropriate team member.
Unit Secretary, ED tech, Scribe, Mid-level Provider, charge nurse, RT, ED nurse
: Documents the patient's visits on behalf of the physician
: Answers phone calls, pages other specialists/ doctors, and organizes the patient's
paperwork
: Records medical histories, symptoms, monitors the patient, starts IVs, administers
mediations, and assists with procedures
: Helps the nurse and assists with procedures
: Administers "breathing treatments" and assists with managing a patient's airway
: NP or PA that works under the supervision of a physician to diagnose and treat
patients
: Manages the ED patient flow - Ans Scribe: Documents the patient's visits on behalf
of the physician
Unit Secretary: Answers phone calls, pages other specialists/ doctors, and organizes the
patient's paperwork
ED Nurse: Records medical histories, symptoms, monitors the patient, starts IVs, administers
mediations, and assists with procedures
