SCRIBEAMERICA ED EXAM TEST PAPER QUESTIONS AND
ANSWERS GRADED A+
✔✔HPI - ✔✔History of present illness
✔✔How many elements does a level 5 ROS have? - ✔✔10 elements or 2 with box
checked "all systems negative"
✔✔What are the risk factors for an MI? - ✔✔CAD, HTN, HLD, DM, smoking, FHx of
CAD <55 y/o
✔✔What are the risk factors for a CVA? - ✔✔HTN, HLD, DM, Hx TIA/CVA, smoking
FHx CVA, A-Fib
✔✔How many elements does a level 5 PE have? - ✔✔8 elements
✔✔EOMI - ✔✔Extraoccular movements intact
✔✔NAD - ✔✔No acute distress
✔✔Angioedema - ✔✔Swelling beneath skin (allergic reaction)
✔✔Anisocoria - ✔✔Unequal pupils
✔✔Scleral icterus - ✔✔Yellow sclera, liver failure
✔✔Pale conjunctiva - ✔✔Anemia
✔✔Conjunctival injection - ✔✔(Conjunctivitis) red conjuctiva
✔✔"Cavities" - ✔✔Dental caries
✔✔PTA - ✔✔Peritonsillar abscess
✔✔Capillary refill - ✔✔Sluggish vs. brisk. Scale ranges from 0=absent to
4+=bounding/aneurysmal. Normal is 2+.
✔✔CTAB - ✔✔Clear to auscultation bilaterally
✔✔FROM - ✔✔Full range of motion
✔✔CVA - ✔✔Cerebrovascular accident or Costovertebral angle
, ✔✔"Sweaty skin" - ✔✔Diaphoretic
✔✔Urticaria - ✔✔Hives
✔✔Oriented x3 - ✔✔Oriented to person, place, and time
✔✔Oriented x4 - ✔✔Oriented to person, place, time, and situation
✔✔Somnolent - ✔✔Drowsy
✔✔Characterizing motor strength - ✔✔5/5=normal strength, 0/5=flaccid or limp
✔✔Hypoesthesia - ✔✔Decreased sensation
✔✔Characterizing reflexes - ✔✔0=absent, 2+= normal, 4+=clonus (muscle spasm)
✔✔Battle's sign / Raccoon eyes - ✔✔Sign of trauma, blood behind eyes
✔✔MAE x4 - ✔✔Moves all 4 extremities (pediatric)
✔✔ROPA - ✔✔Rule out potential abuse
✔✔GCS - ✔✔Glasgow coma scale
✔✔AT/NC - ✔✔Atraumatic/normocephalic
✔✔Medical term for nostril - ✔✔Naris (both = nares)
✔✔RRR - ✔✔Regular rate and rhythm
✔✔What heart rhythm would the Dr. hear if the pt is in A-Fib? - ✔✔Irregularly irregular
rhythm
✔✔What are the peritoneal signs in the abdominal exam? - ✔✔Guarding, rebound,
rigidity. Tenderness is NOT a peritoneal sign.
✔✔What is fluctuance a sign of? - ✔✔Abscess
✔✔DTR - ✔✔Deep tendon reflex
✔✔TTP - ✔✔Tender to palpation
✔✔Lymphadenopathy - ✔✔Swollen lymph nodes
ANSWERS GRADED A+
✔✔HPI - ✔✔History of present illness
✔✔How many elements does a level 5 ROS have? - ✔✔10 elements or 2 with box
checked "all systems negative"
✔✔What are the risk factors for an MI? - ✔✔CAD, HTN, HLD, DM, smoking, FHx of
CAD <55 y/o
✔✔What are the risk factors for a CVA? - ✔✔HTN, HLD, DM, Hx TIA/CVA, smoking
FHx CVA, A-Fib
✔✔How many elements does a level 5 PE have? - ✔✔8 elements
✔✔EOMI - ✔✔Extraoccular movements intact
✔✔NAD - ✔✔No acute distress
✔✔Angioedema - ✔✔Swelling beneath skin (allergic reaction)
✔✔Anisocoria - ✔✔Unequal pupils
✔✔Scleral icterus - ✔✔Yellow sclera, liver failure
✔✔Pale conjunctiva - ✔✔Anemia
✔✔Conjunctival injection - ✔✔(Conjunctivitis) red conjuctiva
✔✔"Cavities" - ✔✔Dental caries
✔✔PTA - ✔✔Peritonsillar abscess
✔✔Capillary refill - ✔✔Sluggish vs. brisk. Scale ranges from 0=absent to
4+=bounding/aneurysmal. Normal is 2+.
✔✔CTAB - ✔✔Clear to auscultation bilaterally
✔✔FROM - ✔✔Full range of motion
✔✔CVA - ✔✔Cerebrovascular accident or Costovertebral angle
, ✔✔"Sweaty skin" - ✔✔Diaphoretic
✔✔Urticaria - ✔✔Hives
✔✔Oriented x3 - ✔✔Oriented to person, place, and time
✔✔Oriented x4 - ✔✔Oriented to person, place, time, and situation
✔✔Somnolent - ✔✔Drowsy
✔✔Characterizing motor strength - ✔✔5/5=normal strength, 0/5=flaccid or limp
✔✔Hypoesthesia - ✔✔Decreased sensation
✔✔Characterizing reflexes - ✔✔0=absent, 2+= normal, 4+=clonus (muscle spasm)
✔✔Battle's sign / Raccoon eyes - ✔✔Sign of trauma, blood behind eyes
✔✔MAE x4 - ✔✔Moves all 4 extremities (pediatric)
✔✔ROPA - ✔✔Rule out potential abuse
✔✔GCS - ✔✔Glasgow coma scale
✔✔AT/NC - ✔✔Atraumatic/normocephalic
✔✔Medical term for nostril - ✔✔Naris (both = nares)
✔✔RRR - ✔✔Regular rate and rhythm
✔✔What heart rhythm would the Dr. hear if the pt is in A-Fib? - ✔✔Irregularly irregular
rhythm
✔✔What are the peritoneal signs in the abdominal exam? - ✔✔Guarding, rebound,
rigidity. Tenderness is NOT a peritoneal sign.
✔✔What is fluctuance a sign of? - ✔✔Abscess
✔✔DTR - ✔✔Deep tendon reflex
✔✔TTP - ✔✔Tender to palpation
✔✔Lymphadenopathy - ✔✔Swollen lymph nodes
