SCRIBEAMERICA ED ACTUAL EXAM UPDATED QUESTIONS
AND ANSWERS GRADED A+
✔✔Chief complaint for RAD - ✔✔Wheezing, SOB, improved by nebulizer
✔✔What to document for a CVA? - ✔✔Let known well time and tPA consideration
✔✔What are focal neurological deficits? - ✔✔Changes in speech, vision, or sensation,
motor weakness, numbness
✔✔How to diagnose a hemorrhagic CVA? - ✔✔CT head or LP (lumbar puncture)
✔✔Meningitis chief complaint - ✔✔HA and neck pain
✔✔How to diagnose meningitis? - ✔✔LP (lumbar puncture) (WBCs and protein
increase, glucose decrease)
✔✔How to diagnose a spinal cord injury? - ✔✔CT cervical spine, CT thoracic spine, CT
lumbar spine
✔✔SZ - ✔✔Seizure
✔✔FND - ✔✔Focal neurological deficits
✔✔AMS risk factors - ✔✔DM, EtOH, elderly, demented, drug use
✔✔Difference between AMS and FND - ✔✔AMS is typically generalized and involves
the whole brain while FND's are localized weakness/numbness is one specific area
✔✔Horizontal nystagmus - ✔✔Back and forth eye movement
✔✔Is a hemorrhagic CVA eligible for tPA? What about an ischemic CVA? -
✔✔Hemorrhagic CVA: tPA ineligibility
Ischemic CVA: tPA eligibility
✔✔Murphy's point tenderness - ✔✔Cholecystitis
✔✔McBurney's point tenderness - ✔✔Appendicitis
✔✔Periumbilical tenderness - ✔✔SBO (small bowel obstruction)
✔✔LUQ tenderness - ✔✔Pancreatitis
, ✔✔Epigastric tenderness/pain - ✔✔MI, GERD
✔✔Suprapubic tenderness - ✔✔Ovarian cyst, ovarian torsion, UTI
✔✔R or L flank tenderness - ✔✔Pyelonephritis, renal calculi
✔✔How to diagnose appendicitis? - ✔✔CT A/P (abdomen/pelvis) w/ PO contrast
✔✔SBO chief complaint - ✔✔Abdominal pain, vomiting, constipation
✔✔How to diagnose a SBO? - ✔✔CT A/P w/ PO contrast, acute abdominal series
(AAS)
✔✔"Gallstones" - ✔✔Cholecystitis, cholelithiasis
✔✔How to diagnose cholecystitis? - ✔✔Abdominal US (Ultrasound) RUQ
✔✔GI bleed chief complaint - ✔✔Hematemesis (bright, upper), coffee ground emesis
(dark, lower), hematochezia (bright, lower), melena (dark, upper)
✔✔How to diagnose a GI bleed? - ✔✔Heme positive stool (Guaiac positive) during a
rectal exam
✔✔Diverticulitis - ✔✔Acute inflammation and infection of abnormal pockets of the large
intestine known as diverticuli
✔✔Diverticulitis chief complaint - ✔✔LLQ pain, nausea, fever, diarrhea
✔✔How to diagnose diverticulitis? - ✔✔CT A/P with PO contrast
✔✔Pancreatitis chief complaint - ✔✔LUQ pain, epigastric pain, N/V
✔✔How to diagnose pancreatitis? - ✔✔Elevated lipase lab test
✔✔GERD chief complaint - ✔✔Epigastric pain (burning) improved with antacids
✔✔How to diagnose a UTI? - ✔✔Urine dip or urinalysis
✔✔Pyelonephritis - ✔✔Infection of tissue in the kidneys, usually spread from a UTI
✔✔Pyelonephritis chief complaint - ✔✔Flank pain with dysuria, pain may refer to back
AND ANSWERS GRADED A+
✔✔Chief complaint for RAD - ✔✔Wheezing, SOB, improved by nebulizer
✔✔What to document for a CVA? - ✔✔Let known well time and tPA consideration
✔✔What are focal neurological deficits? - ✔✔Changes in speech, vision, or sensation,
motor weakness, numbness
✔✔How to diagnose a hemorrhagic CVA? - ✔✔CT head or LP (lumbar puncture)
✔✔Meningitis chief complaint - ✔✔HA and neck pain
✔✔How to diagnose meningitis? - ✔✔LP (lumbar puncture) (WBCs and protein
increase, glucose decrease)
✔✔How to diagnose a spinal cord injury? - ✔✔CT cervical spine, CT thoracic spine, CT
lumbar spine
✔✔SZ - ✔✔Seizure
✔✔FND - ✔✔Focal neurological deficits
✔✔AMS risk factors - ✔✔DM, EtOH, elderly, demented, drug use
✔✔Difference between AMS and FND - ✔✔AMS is typically generalized and involves
the whole brain while FND's are localized weakness/numbness is one specific area
✔✔Horizontal nystagmus - ✔✔Back and forth eye movement
✔✔Is a hemorrhagic CVA eligible for tPA? What about an ischemic CVA? -
✔✔Hemorrhagic CVA: tPA ineligibility
Ischemic CVA: tPA eligibility
✔✔Murphy's point tenderness - ✔✔Cholecystitis
✔✔McBurney's point tenderness - ✔✔Appendicitis
✔✔Periumbilical tenderness - ✔✔SBO (small bowel obstruction)
✔✔LUQ tenderness - ✔✔Pancreatitis
, ✔✔Epigastric tenderness/pain - ✔✔MI, GERD
✔✔Suprapubic tenderness - ✔✔Ovarian cyst, ovarian torsion, UTI
✔✔R or L flank tenderness - ✔✔Pyelonephritis, renal calculi
✔✔How to diagnose appendicitis? - ✔✔CT A/P (abdomen/pelvis) w/ PO contrast
✔✔SBO chief complaint - ✔✔Abdominal pain, vomiting, constipation
✔✔How to diagnose a SBO? - ✔✔CT A/P w/ PO contrast, acute abdominal series
(AAS)
✔✔"Gallstones" - ✔✔Cholecystitis, cholelithiasis
✔✔How to diagnose cholecystitis? - ✔✔Abdominal US (Ultrasound) RUQ
✔✔GI bleed chief complaint - ✔✔Hematemesis (bright, upper), coffee ground emesis
(dark, lower), hematochezia (bright, lower), melena (dark, upper)
✔✔How to diagnose a GI bleed? - ✔✔Heme positive stool (Guaiac positive) during a
rectal exam
✔✔Diverticulitis - ✔✔Acute inflammation and infection of abnormal pockets of the large
intestine known as diverticuli
✔✔Diverticulitis chief complaint - ✔✔LLQ pain, nausea, fever, diarrhea
✔✔How to diagnose diverticulitis? - ✔✔CT A/P with PO contrast
✔✔Pancreatitis chief complaint - ✔✔LUQ pain, epigastric pain, N/V
✔✔How to diagnose pancreatitis? - ✔✔Elevated lipase lab test
✔✔GERD chief complaint - ✔✔Epigastric pain (burning) improved with antacids
✔✔How to diagnose a UTI? - ✔✔Urine dip or urinalysis
✔✔Pyelonephritis - ✔✔Infection of tissue in the kidneys, usually spread from a UTI
✔✔Pyelonephritis chief complaint - ✔✔Flank pain with dysuria, pain may refer to back
