SCRIBEAMERICA ED COMPREHENSIVE EXAM QUESTIONS
AND ANSWERS GRADED A+
✔✔How is an abdominal aortic aneurysm (AAA) diagnosed? - ✔✔CT A/P with IV
contrast
✔✔How is an aortic dissection diagnosed? - ✔✔CT chest with IV contrast
✔✔Chief complaint of aortic dissection - ✔✔chest pain radiating to the back
✔✔How is a DVT diagnosed? - ✔✔US/doppler of extremity
✔✔PE finding of DVT - ✔✔calf tenderness
✔✔4 symptoms of adverse reaction - ✔✔-N/V
-abd pain
-diarrhea
-dizziness
✔✔What is MOI? - ✔✔mechanism of injury
✔✔What is an HPI? - ✔✔story of symptoms and events that led to the ED visit, includes
CC; HPI determines entire visit
✔✔What are the 8 HPI elements? - ✔✔-onset
-timing
-location
-quality
-severity
-modifying factors
-associated sx
-context
✔✔How many elements of HPI are required to be complete? - ✔✔4 elements
✔✔How many elements of ROS are required to be complete? - ✔✔10 elements or 2
with "all other systems negative"
✔✔What are 7 risk factors of CVA? - ✔✔-HTN
-HLD
-DM
-Smoking
-FHx CVA
-Hx TIA/CVA
, -AFib
✔✔What are 7 risk factors of PE? - ✔✔-Hx DVT/PE
-known DVT
-recent surgery
-immobilization
-AFib
-Cancer
-Pregnancy/birth control
✔✔How many elements of a PE are required to be complete? - ✔✔8 elements
✔✔Give an example of a detailed physical exam? - ✔✔GYN exam
✔✔Normal general/constitutional PE - ✔✔no acute distress (NAD)
✔✔Normal head PE - ✔✔atraumatic/normocephalic (AT/NC)
✔✔What are 2 synonyms for "red?" - ✔✔-erythematous
-injected
✔✔What is the numerical code for an easily palpable (normal) pulse? - ✔✔2+
✔✔What is the pulse on the wrist called? - ✔✔radial pulse
✔✔What is the pulse on the neck called? - ✔✔carotid pulse
✔✔What is the pulse on the thigh called? - ✔✔femoral pulse
✔✔What is the pulse on the top of the foot called? - ✔✔dorsal pedis (DP) pulse
✔✔What is the pulse on the inner ankle called? - ✔✔posterior tibialis (PT) pulse
✔✔Tachycardia means greater than ____ bpm - ✔✔100
✔✔Bradycardia means less than ____ bpm - ✔✔60
✔✔What are the 3 peritoneal signs (signs of surgical abdomen)? - ✔✔-rebound
-rigidity (involuntary guarding)
-guarding (voluntary)
✔✔What are the 4 things a person is oriented to? - ✔✔-person
-place
-time
AND ANSWERS GRADED A+
✔✔How is an abdominal aortic aneurysm (AAA) diagnosed? - ✔✔CT A/P with IV
contrast
✔✔How is an aortic dissection diagnosed? - ✔✔CT chest with IV contrast
✔✔Chief complaint of aortic dissection - ✔✔chest pain radiating to the back
✔✔How is a DVT diagnosed? - ✔✔US/doppler of extremity
✔✔PE finding of DVT - ✔✔calf tenderness
✔✔4 symptoms of adverse reaction - ✔✔-N/V
-abd pain
-diarrhea
-dizziness
✔✔What is MOI? - ✔✔mechanism of injury
✔✔What is an HPI? - ✔✔story of symptoms and events that led to the ED visit, includes
CC; HPI determines entire visit
✔✔What are the 8 HPI elements? - ✔✔-onset
-timing
-location
-quality
-severity
-modifying factors
-associated sx
-context
✔✔How many elements of HPI are required to be complete? - ✔✔4 elements
✔✔How many elements of ROS are required to be complete? - ✔✔10 elements or 2
with "all other systems negative"
✔✔What are 7 risk factors of CVA? - ✔✔-HTN
-HLD
-DM
-Smoking
-FHx CVA
-Hx TIA/CVA
, -AFib
✔✔What are 7 risk factors of PE? - ✔✔-Hx DVT/PE
-known DVT
-recent surgery
-immobilization
-AFib
-Cancer
-Pregnancy/birth control
✔✔How many elements of a PE are required to be complete? - ✔✔8 elements
✔✔Give an example of a detailed physical exam? - ✔✔GYN exam
✔✔Normal general/constitutional PE - ✔✔no acute distress (NAD)
✔✔Normal head PE - ✔✔atraumatic/normocephalic (AT/NC)
✔✔What are 2 synonyms for "red?" - ✔✔-erythematous
-injected
✔✔What is the numerical code for an easily palpable (normal) pulse? - ✔✔2+
✔✔What is the pulse on the wrist called? - ✔✔radial pulse
✔✔What is the pulse on the neck called? - ✔✔carotid pulse
✔✔What is the pulse on the thigh called? - ✔✔femoral pulse
✔✔What is the pulse on the top of the foot called? - ✔✔dorsal pedis (DP) pulse
✔✔What is the pulse on the inner ankle called? - ✔✔posterior tibialis (PT) pulse
✔✔Tachycardia means greater than ____ bpm - ✔✔100
✔✔Bradycardia means less than ____ bpm - ✔✔60
✔✔What are the 3 peritoneal signs (signs of surgical abdomen)? - ✔✔-rebound
-rigidity (involuntary guarding)
-guarding (voluntary)
✔✔What are the 4 things a person is oriented to? - ✔✔-person
-place
-time
