VITUITY SCRIBE EXAM 1 FINAL PAPER 2026
TESTED QUESTIONS WITH FULL SOLUTION
GRADED A+
◉ Splenectomy. Answer: surgical removal of the spleen
◉ cholecystectomy. Answer: surgical removal of the gallbladder
◉ infection of the gallbladder. Answer: cholecystitis
◉ Cirrhosis. Answer: chronic liver disease, liver failure
◉ hematemesis. Answer: blood in vomit
◉ ROS body systems. Answer: Constitutional
Eyes
Ear/Nose/Throat
Cardiovascular
Respiratory
Gastrointestinal
Genitourinary
,Musculoskeletal
Integumentary/Skin
Neurological
Psychiatric
Endocrine
Hematologic/lymph
Immunologic
◉ HPI definition. Answer: Chronological description of the
development of the patients illness from the start of the sign or from
the previous encounter to the present
◉ OLD CART. Answer: Onset
Location
Duration
Characteristics
Aggravating factors
Relieving factors
Treatment
◉ Not included in HPI. Answer:
, ◉ ROS definition. Answer: A list of question arranged by organ
system that the provider asks a patient during the process of taking
a history. It is designated to uncover dysfunction and disease
◉ social history, SHX. Answer: Tobacco use, alcohol use (ETOH),
illicit drug use, occupation, living circumstances
◉ PMHx, PSHx, FHx, SHx. Answer: Past medical history, past surgical
history, family history, social history
◉ HPI. Answer: subjective information, third person
◉ epigastric region, periumbilical region, pelvic region. Answer:
superior to the umbilical region
◉ ESI. Answer: Emergency Severity Index
◉ Level 5 chart. Answer: HPI- 4
ROS-10
PFSH-2
PE-8
ESI-1
RED
TESTED QUESTIONS WITH FULL SOLUTION
GRADED A+
◉ Splenectomy. Answer: surgical removal of the spleen
◉ cholecystectomy. Answer: surgical removal of the gallbladder
◉ infection of the gallbladder. Answer: cholecystitis
◉ Cirrhosis. Answer: chronic liver disease, liver failure
◉ hematemesis. Answer: blood in vomit
◉ ROS body systems. Answer: Constitutional
Eyes
Ear/Nose/Throat
Cardiovascular
Respiratory
Gastrointestinal
Genitourinary
,Musculoskeletal
Integumentary/Skin
Neurological
Psychiatric
Endocrine
Hematologic/lymph
Immunologic
◉ HPI definition. Answer: Chronological description of the
development of the patients illness from the start of the sign or from
the previous encounter to the present
◉ OLD CART. Answer: Onset
Location
Duration
Characteristics
Aggravating factors
Relieving factors
Treatment
◉ Not included in HPI. Answer:
, ◉ ROS definition. Answer: A list of question arranged by organ
system that the provider asks a patient during the process of taking
a history. It is designated to uncover dysfunction and disease
◉ social history, SHX. Answer: Tobacco use, alcohol use (ETOH),
illicit drug use, occupation, living circumstances
◉ PMHx, PSHx, FHx, SHx. Answer: Past medical history, past surgical
history, family history, social history
◉ HPI. Answer: subjective information, third person
◉ epigastric region, periumbilical region, pelvic region. Answer:
superior to the umbilical region
◉ ESI. Answer: Emergency Severity Index
◉ Level 5 chart. Answer: HPI- 4
ROS-10
PFSH-2
PE-8
ESI-1
RED
