2025 OSC Ophthalmic Scribe Exam Prep | Complete Guide with
Verified Questions and Correct Answers | Best Resource for
Certification Success
Cards - ANSW✔-
Chest pain differential - ANSW✔-MI, pericarditis, aortic dissection, ruptured AAA
pneumonia, pulmonary embolism, pneumothorax, tension pneumo, asthma exac
rib fracture, costchondritis
gastric ulcer, gallstones, GERD
anxiety
Chest Pain pertinent history - ANSW✔--OPQRST
- Assoc Sx: SOB, HA, fever, chills, cough, N/V/D, diaphoresis, palpitations, syncope, jaw pain, back pain,
lower extremity pain/swelling, recent travel, recent surgery, recent prolonged immobilization, ripping or
tearing sensation in the chest, back, abdomen or pelvis, cocaine use, hx anxiety
- Ask about prior diagnostic studies (eg, stress test or coronary CT angiography) for similar symptoms or
prior procedures (eg, cardiac catheterization)
- Ask about comorbidities (hypertension, diabetes mellitus, peripheral artery disease, malignancy,
connective tissue disorders, bicuspid aortic valve, recent pregnancy)
RF for ACS - ANSW✔-male sex, age over 55 years, family history of coronary artery disease, diabetes
mellitus, hypercholesterolemia, hypertension, and tobacco use
,RF aortic dissection - ANSW✔-acquired or congenital conditions that weaken the structural
architecture of the aortic wall --> patients younger than 40 years of age with connective tissue disorders,
such as Marfan's syndrome, bicuspid aortic valve, cocaine use, or pregnancy previous aortic surgery and
recent cardiac surgery
RF PE - ANSW✔-prolonged immobilization (eg, long distance travel),
surgery (particularly an orthopedic procedure of the lower extremity lasting more than 30 minutes)
central venous catheterization,
trauma
pregnant patients
pts on OCPs
smoking
patients with cancer, lung, or chronic heart disease
personal or family history of hypercoagulability.
Chest pain focused physical exam - ANSW✔-gen appearance/ABCs/Vitals
skin - diaphoresis, flank ecchymosis (ruptured AAA)
HEENT - carotid bruits
CV - listen to all heart spots, listen for murmurs, nl S1/S2, peripheral pulses, BP both arms
Pulm - breath sounds, presence of wheezing/rales/crackles/friction rub pneumonia stuff if relevant to
ddx
Abd - inspect for masses (i.e. pulsatile abdominal mass), listen bowel sounds, palpate all 9 areas for
tenderness, rebound tenderness, listen for abdominal bruit
Ext: leg swelling, again remember to palpate pulses, calf tenderness
chest pain imaging - ANSW✔-EKG
CXR
abd US if sus AAA
chest CTA
,chest pain labs - ANSW✔-CBC (pot leukocytosis if CP), CMP (renal/liver fnt), troponins, proBNP, ? d
dimer
Chest pain management (general) - ANSW✔-ACS - MONA, Cath
aortic dissection - beta blockers (eg, esmolol) and sodium nitroprusside (or nitroglycerin) for BP control,
ascending thoracic aorta is a cardiac surgical emergency
PE - lovenox -> DOAC
Tension pneumo - needle decompression -> chest tube
ruptured AAA - surgical repair
pericarditis - NSAIDs, colcicine
costochondritis - NSAIDs
EKG STEMI location - ANSW✔-
STEMI EKG progression - ANSW✔-
STEMI tx - ANSW✔-Cardiac monitor
IV access
- Morphine(100mcg/kg q 6 hours given over 5 mins)
- Oxygen- Nitroglycerin(0.4mg sublingually q 5 mins unless hypotensive or on phosphodiesterase
inhibitors)
- Aspirin(160-325mg)
beta blocker, heparin, ACEI,
reperfusion
dc with aspirin, beta blocker, statin
Post STEMI pt education - ANSW✔-Prevent blood clots (aspirin)
Lower cholesterol (medicines called "statins")
Lower blood pressure
, Prevent another heart attack (medicines called "beta blockers")
Help with chest pain (nitrates)
PE tx - ANSW✔-LMWH or IV unfractionated --> Warfarin or DOAC(3-6 mo)
- Recurrent clots on anticoagulation or c/i to anticoagulation: IVC filter
- Massive PE: Surgical embolectomy or pharmacologic thrombolysis (tPA)
syncope history questions - ANSW✔-LOC? head strike? time down? witnessed by anyone?
seizure (tounge biting, urinary incontinence)? stroke?
preceeding symptoms?
fall?? on blood thinners???
what were you doing when it happened?
related to exertion?
first or recurrent episode?
Personal/fam hx cardiac disease?
Assoc CP, SOB, palpitations?
PMH/PSH/SH/famhx/meds
syncope PE - ANSW✔-general appearance/LOC
HEENT: examine head/neck for trauma (d/t fall)
CV: volume status, heart sounds
Pulm: breath sounds
palpate/inspect/auscultate abd for AAA
ext exam for volume status, peripheral pulses
neuro exam
Verified Questions and Correct Answers | Best Resource for
Certification Success
Cards - ANSW✔-
Chest pain differential - ANSW✔-MI, pericarditis, aortic dissection, ruptured AAA
pneumonia, pulmonary embolism, pneumothorax, tension pneumo, asthma exac
rib fracture, costchondritis
gastric ulcer, gallstones, GERD
anxiety
Chest Pain pertinent history - ANSW✔--OPQRST
- Assoc Sx: SOB, HA, fever, chills, cough, N/V/D, diaphoresis, palpitations, syncope, jaw pain, back pain,
lower extremity pain/swelling, recent travel, recent surgery, recent prolonged immobilization, ripping or
tearing sensation in the chest, back, abdomen or pelvis, cocaine use, hx anxiety
- Ask about prior diagnostic studies (eg, stress test or coronary CT angiography) for similar symptoms or
prior procedures (eg, cardiac catheterization)
- Ask about comorbidities (hypertension, diabetes mellitus, peripheral artery disease, malignancy,
connective tissue disorders, bicuspid aortic valve, recent pregnancy)
RF for ACS - ANSW✔-male sex, age over 55 years, family history of coronary artery disease, diabetes
mellitus, hypercholesterolemia, hypertension, and tobacco use
,RF aortic dissection - ANSW✔-acquired or congenital conditions that weaken the structural
architecture of the aortic wall --> patients younger than 40 years of age with connective tissue disorders,
such as Marfan's syndrome, bicuspid aortic valve, cocaine use, or pregnancy previous aortic surgery and
recent cardiac surgery
RF PE - ANSW✔-prolonged immobilization (eg, long distance travel),
surgery (particularly an orthopedic procedure of the lower extremity lasting more than 30 minutes)
central venous catheterization,
trauma
pregnant patients
pts on OCPs
smoking
patients with cancer, lung, or chronic heart disease
personal or family history of hypercoagulability.
Chest pain focused physical exam - ANSW✔-gen appearance/ABCs/Vitals
skin - diaphoresis, flank ecchymosis (ruptured AAA)
HEENT - carotid bruits
CV - listen to all heart spots, listen for murmurs, nl S1/S2, peripheral pulses, BP both arms
Pulm - breath sounds, presence of wheezing/rales/crackles/friction rub pneumonia stuff if relevant to
ddx
Abd - inspect for masses (i.e. pulsatile abdominal mass), listen bowel sounds, palpate all 9 areas for
tenderness, rebound tenderness, listen for abdominal bruit
Ext: leg swelling, again remember to palpate pulses, calf tenderness
chest pain imaging - ANSW✔-EKG
CXR
abd US if sus AAA
chest CTA
,chest pain labs - ANSW✔-CBC (pot leukocytosis if CP), CMP (renal/liver fnt), troponins, proBNP, ? d
dimer
Chest pain management (general) - ANSW✔-ACS - MONA, Cath
aortic dissection - beta blockers (eg, esmolol) and sodium nitroprusside (or nitroglycerin) for BP control,
ascending thoracic aorta is a cardiac surgical emergency
PE - lovenox -> DOAC
Tension pneumo - needle decompression -> chest tube
ruptured AAA - surgical repair
pericarditis - NSAIDs, colcicine
costochondritis - NSAIDs
EKG STEMI location - ANSW✔-
STEMI EKG progression - ANSW✔-
STEMI tx - ANSW✔-Cardiac monitor
IV access
- Morphine(100mcg/kg q 6 hours given over 5 mins)
- Oxygen- Nitroglycerin(0.4mg sublingually q 5 mins unless hypotensive or on phosphodiesterase
inhibitors)
- Aspirin(160-325mg)
beta blocker, heparin, ACEI,
reperfusion
dc with aspirin, beta blocker, statin
Post STEMI pt education - ANSW✔-Prevent blood clots (aspirin)
Lower cholesterol (medicines called "statins")
Lower blood pressure
, Prevent another heart attack (medicines called "beta blockers")
Help with chest pain (nitrates)
PE tx - ANSW✔-LMWH or IV unfractionated --> Warfarin or DOAC(3-6 mo)
- Recurrent clots on anticoagulation or c/i to anticoagulation: IVC filter
- Massive PE: Surgical embolectomy or pharmacologic thrombolysis (tPA)
syncope history questions - ANSW✔-LOC? head strike? time down? witnessed by anyone?
seizure (tounge biting, urinary incontinence)? stroke?
preceeding symptoms?
fall?? on blood thinners???
what were you doing when it happened?
related to exertion?
first or recurrent episode?
Personal/fam hx cardiac disease?
Assoc CP, SOB, palpitations?
PMH/PSH/SH/famhx/meds
syncope PE - ANSW✔-general appearance/LOC
HEENT: examine head/neck for trauma (d/t fall)
CV: volume status, heart sounds
Pulm: breath sounds
palpate/inspect/auscultate abd for AAA
ext exam for volume status, peripheral pulses
neuro exam
