Scribe America Final Exam Study Guide Verified Questions And Answers {2023/2024}

Quizzes 1. What does the abbreviation COPD stand for? * Chronic obstructive pulmonary disease. Correct! 2. What does the abbreviation AAA stand for? * Abdominal aortic aneurysm 3. What does the abbreviation HA stand for? * Headache. Correct! 4. What does the abbreviation MOI stand for? * Mechanism of injury. 5. What does the abbreviation EtOH stand for? * Alcohol. (this is often used when describing someone who drinks, ex. Pt admits to daily EtOH consumption) 6. What does the abbreviation PERRL stand for? * Pupils equal, round, and reactive to light. 7. What does the abbreviation NTG stand for? * Nitroglycerin. (this is a medication abbreviation) 8. What does the abbreviation LAD stand for? * Left axis deviation. (this is an EKG abbreviation) 9. What does the abbreviation H&H stand for? * Hemoglobin and hematocrit (this is a lab result abbreviation) 10. What is the name of the surgery of getting your kidneys removed? * Nephrectomy. Correct! 11. What is the medical term for throat redness? * Pharyngeal erythema 12. Describe the medical disease CVA. * CVA, otherwise known as a cerebrovascular accident or stroke, is when an artery to the brain is either blocked or ruptured. This causes a lack of blood flow to the brain which thus means lack of oxygen to the brain causing sudden death of these brain cells. 13. What study would you use to diagnose meningitis? * Lumbar puncture 14. What are 5 coding elements of an HPI? * Correct! All eight coding elements of an HPI = onset, timing, location, associated symptoms, modifying factors, severity, quality, context 15. What study would you use to diagnosed a pneumothorax? * Chest x-ray (abbreviation = CXR) 1. What does the abbreviation DKA stand for? - Diabetic keto-acidosis 2. What does the abbreviation DNR stand for?- Do not resuscitate. Correct! 3. What does the abbreviation DOE stand for? - Dyspnea on exertion 4. What does the abbreviation DP pulse stand for? - Dorsalis pedis pulse. Make sure you know the different kinds of pulses the physicians normally document in the room and how to properly document them!!!!! (Usually they use a numeric scale, ex; 2+) 5. What does the abbreviation ASA stand for? - Aspirin. Correct! 6. What does the abbreviation LBBB stand for? - Left bundle branch block. Make sure you know your EKG abbreviations!!!! 7. What surgery would you call getting your stomach stapled?- Gastric bypass. Correct! 8. What is the medical term for fast breathing rate? - Tachypnea. Correct! 9. Provide the definition of STEMI. - You have the definition correct, but not the abbreviation. STEMI stands for ST elevation myocardial infarction. It is when a heart artery is blocked, causing death of cells. AKA ischemia and infarct. 10. How would one diagnose CHF? - The diagnostic procedure I am looking for is a Chest XR. (Elevated BNP is another accepted answer). Definitely KNOW BOTH! 11. How would one diagnosed pancreatitis?- Elevated lipase. 12. What are 3 cardiac risk factors? Correct! Those three are cardiac risk factors. Three others are hyperlipidemia, hypertension, and coronary artery disease (CAD) 13. What are 4 important things to document when a patient comes in with syncope? - Correct! It is important how the pt feels before, during, after, and currently! 14. What is the abbreviation for BM? - Correct! Bowel movement. WorkBook Highlights 1. Level of Acuity (5 low to 1 high)- During Triage. Triage has 3 parts: chief complaint, vital signs, and