SCRIBEAMERICA ED EXAMS SCRIPT ACTUAL QUESTIONS
AND ANSWERS GRADED A+
✔✔Chief complaint of CAD - ✔✔chest pain/pressure worse with exertion; improved by
rest or nytroglycerin (NTG)
✔✔Associated meds of CAD - ✔✔Aspirin 324 mg PO or NTG (blood thinners)
✔✔How is CAD diagnosed? - ✔✔cardiac catheterization (not in ED)
✔✔Associated symptoms of MI - ✔✔-chest pain
-N/V
-SOB
✔✔What are the 6 risk factors for MI? - ✔✔-CAD
-HTN
-HLD
_DM
-smoker
-FHx <55 y.o.
✔✔How is MI diagnosed? - ✔✔EKG (STEMI) elevated troponin (non-STEMI)
✔✔Associated meds of MI - ✔✔Heparin
✔✔What are 3 PE findings of CHF? - ✔✔-rales
-jugular vein distension (JVD)
-pitting pedal edema
✔✔How is CHF diagnosed? - ✔✔-CXR
-elevated BNP
✔✔What is a PE finding of AFib? - ✔✔irregularly irregular rhythm
✔✔How is AFib diagnosed? - ✔✔EKG
✔✔How is a PE diagnosed? - ✔✔-CTA chest (CT chest w/ IV contrast)
-VQ scan
✔✔What is the point of a D-dimer? - ✔✔It aids in detecting clots, but cannot diagnose
PE; needed before CTA
✔✔How is pneumonia diagnosed? - ✔✔CXR
, ✔✔How is a pneumothorax diagnosed? - ✔✔CXR
✔✔How is COPD diagnosed? - ✔✔-CXR
-history of smoking
✔✔How is asthma diagnosed? - ✔✔clinically
✔✔Chief complaint of CVA - ✔✔Unilateral focal neurological deficits
✔✔What are the 4 focal deficits associated with CVA? - ✔✔-one-sided weakness
-one-sided numbness
-changes in speech
-changes in vision
✔✔What medication can reverse a CVA if given in time? - ✔✔tPA
✔✔Chief complaint of hemorrhagic CVA (brain bleed) - ✔✔headache sudden onset
✔✔PE findings of hemorrhagic CVA - ✔✔unilateral neurological deficits
✔✔How is hemorrhagic CVA diagnosed? - ✔✔-head CT
-lumbar puncture (LP)
✔✔What medication will resolve a CVA but make a hemorrhagic CVA worse? - ✔✔tPA
✔✔Chief complaint of meningitis - ✔✔-headache
-neck pain
✔✔Associated symptoms of meningitis - ✔✔-fever
-neck pain
-neck stiffness
-altered mental status (AMS)
✔✔How is meningitis diagnosed? - ✔✔lumbar puncture (LP)
✔✔How is a spinal cord injury diagnosed? - ✔✔CT
✔✔Why are pertinent negatives important in regards to Bell's Palsy and what are they?
- ✔✔-to rule out CVA
-no extremity weakness; no change in speech/vision
✔✔Associated symptoms of Bell's Palsy - ✔✔-facial droop
-jaw/ear pain
-inc tear flow of one eye
AND ANSWERS GRADED A+
✔✔Chief complaint of CAD - ✔✔chest pain/pressure worse with exertion; improved by
rest or nytroglycerin (NTG)
✔✔Associated meds of CAD - ✔✔Aspirin 324 mg PO or NTG (blood thinners)
✔✔How is CAD diagnosed? - ✔✔cardiac catheterization (not in ED)
✔✔Associated symptoms of MI - ✔✔-chest pain
-N/V
-SOB
✔✔What are the 6 risk factors for MI? - ✔✔-CAD
-HTN
-HLD
_DM
-smoker
-FHx <55 y.o.
✔✔How is MI diagnosed? - ✔✔EKG (STEMI) elevated troponin (non-STEMI)
✔✔Associated meds of MI - ✔✔Heparin
✔✔What are 3 PE findings of CHF? - ✔✔-rales
-jugular vein distension (JVD)
-pitting pedal edema
✔✔How is CHF diagnosed? - ✔✔-CXR
-elevated BNP
✔✔What is a PE finding of AFib? - ✔✔irregularly irregular rhythm
✔✔How is AFib diagnosed? - ✔✔EKG
✔✔How is a PE diagnosed? - ✔✔-CTA chest (CT chest w/ IV contrast)
-VQ scan
✔✔What is the point of a D-dimer? - ✔✔It aids in detecting clots, but cannot diagnose
PE; needed before CTA
✔✔How is pneumonia diagnosed? - ✔✔CXR
, ✔✔How is a pneumothorax diagnosed? - ✔✔CXR
✔✔How is COPD diagnosed? - ✔✔-CXR
-history of smoking
✔✔How is asthma diagnosed? - ✔✔clinically
✔✔Chief complaint of CVA - ✔✔Unilateral focal neurological deficits
✔✔What are the 4 focal deficits associated with CVA? - ✔✔-one-sided weakness
-one-sided numbness
-changes in speech
-changes in vision
✔✔What medication can reverse a CVA if given in time? - ✔✔tPA
✔✔Chief complaint of hemorrhagic CVA (brain bleed) - ✔✔headache sudden onset
✔✔PE findings of hemorrhagic CVA - ✔✔unilateral neurological deficits
✔✔How is hemorrhagic CVA diagnosed? - ✔✔-head CT
-lumbar puncture (LP)
✔✔What medication will resolve a CVA but make a hemorrhagic CVA worse? - ✔✔tPA
✔✔Chief complaint of meningitis - ✔✔-headache
-neck pain
✔✔Associated symptoms of meningitis - ✔✔-fever
-neck pain
-neck stiffness
-altered mental status (AMS)
✔✔How is meningitis diagnosed? - ✔✔lumbar puncture (LP)
✔✔How is a spinal cord injury diagnosed? - ✔✔CT
✔✔Why are pertinent negatives important in regards to Bell's Palsy and what are they?
- ✔✔-to rule out CVA
-no extremity weakness; no change in speech/vision
✔✔Associated symptoms of Bell's Palsy - ✔✔-facial droop
-jaw/ear pain
-inc tear flow of one eye
