©Themoon EXAM SOLUTIONS
16/11/2024 12:33PM
Vituity Scribe Training Pre-Classroom
Training Exam Solutions
ALOC - Answers✓✓Altered Level of Consciousness
BM - Answers✓✓bowel movement
DOE - Answers✓✓Dyspnea on exertion
EOMI - Answers✓✓Extraocular Movement Intact (Appropriate function of the extra ocular
muscles, tested with "follow my finger")
HA - Answers✓✓headache
MI - Answers✓✓Myocardial infarction
NAD - Answers✓✓no acute distress
NSR - Answers✓✓Normal Sinus Rhythm
PNA - Answers✓✓pneumonia
UTI - Answers✓✓Urinary Tract Infection
, ©Themoon EXAM SOLUTIONS
16/11/2024 12:33PM
ASA - Answers✓✓Aspirin
CA - Answers✓✓Cancer
PCN - Answers✓✓Penicillin
DM - Answers✓✓Diabetes Mellitus
PTX - Answers✓✓Pneumothorax
SOB - Answers✓✓Shortness of breath
FB - Answers✓✓Foreign Body
CVA - Answers✓✓Cerebral Vascular Accident (Stroke) - Can be ischemic or hemorrhagic)
TIA - Answers✓✓transient ischemic attack (mini stroke)
TX - Answers✓✓treatment
earwax - Answers✓✓cerumen
runny nose - Answers✓✓rhinorrhea
Vomiting blood - Answers✓✓hematemesis
, ©Themoon EXAM SOLUTIONS
16/11/2024 12:33PM
fainting - Answers✓✓syncope
Sweating - Answers✓✓diaphoresis
bruising - Answers✓✓ecchymosis
itchiness - Answers✓✓pruritus
cardiac bypass - Answers✓✓CABG (coronary artery bypass graft)
Hernia repair - Answers✓✓herniorrhaphy
Removal of gallbladder - Answers✓✓cholecystectomy
Removal of uterus - Answers✓✓hysterectomy
Rales - Answers✓✓wet, crackling sound with respirations (aka crackles)
Four main components of the medical chart you are responsible for? - Answers✓✓1. HPI
2. ROS
3. PMhxFhxShx
4. PE
Name the 8 elements of the HPI - Answers✓✓1. Location
2. Quality
, ©Themoon EXAM SOLUTIONS
16/11/2024 12:33PM
3. Severity
4. Context
5. Timing
6. Duration
7. associated signs and symptoms
8. modifying factors
True or False: The HPI and ROS are subjective - Answers✓✓True: these are from the patient's
perspective
True or False: Patient's past surgeries should be documented in the Physical Exam (PE)? -
Answers✓✓False: Should be in past medical history
True or False: Whether a patient smokes or not should be documented in the PMFSH? -
Answers✓✓True: This is social history
True or False: The physical exam is objective - Answers✓✓True: From the doctor's point of
view
Fever - Answers✓✓febrile
vomiting - Answers✓✓emesis
pain with urination - Answers✓✓dysuria
RRR - Answers✓✓Regular Rate and Rhythm (cardio finding)
CVAT - Answers✓✓Costal Vertebral Angle Tenderness (Back finding sometimes GU)
16/11/2024 12:33PM
Vituity Scribe Training Pre-Classroom
Training Exam Solutions
ALOC - Answers✓✓Altered Level of Consciousness
BM - Answers✓✓bowel movement
DOE - Answers✓✓Dyspnea on exertion
EOMI - Answers✓✓Extraocular Movement Intact (Appropriate function of the extra ocular
muscles, tested with "follow my finger")
HA - Answers✓✓headache
MI - Answers✓✓Myocardial infarction
NAD - Answers✓✓no acute distress
NSR - Answers✓✓Normal Sinus Rhythm
PNA - Answers✓✓pneumonia
UTI - Answers✓✓Urinary Tract Infection
, ©Themoon EXAM SOLUTIONS
16/11/2024 12:33PM
ASA - Answers✓✓Aspirin
CA - Answers✓✓Cancer
PCN - Answers✓✓Penicillin
DM - Answers✓✓Diabetes Mellitus
PTX - Answers✓✓Pneumothorax
SOB - Answers✓✓Shortness of breath
FB - Answers✓✓Foreign Body
CVA - Answers✓✓Cerebral Vascular Accident (Stroke) - Can be ischemic or hemorrhagic)
TIA - Answers✓✓transient ischemic attack (mini stroke)
TX - Answers✓✓treatment
earwax - Answers✓✓cerumen
runny nose - Answers✓✓rhinorrhea
Vomiting blood - Answers✓✓hematemesis
, ©Themoon EXAM SOLUTIONS
16/11/2024 12:33PM
fainting - Answers✓✓syncope
Sweating - Answers✓✓diaphoresis
bruising - Answers✓✓ecchymosis
itchiness - Answers✓✓pruritus
cardiac bypass - Answers✓✓CABG (coronary artery bypass graft)
Hernia repair - Answers✓✓herniorrhaphy
Removal of gallbladder - Answers✓✓cholecystectomy
Removal of uterus - Answers✓✓hysterectomy
Rales - Answers✓✓wet, crackling sound with respirations (aka crackles)
Four main components of the medical chart you are responsible for? - Answers✓✓1. HPI
2. ROS
3. PMhxFhxShx
4. PE
Name the 8 elements of the HPI - Answers✓✓1. Location
2. Quality
, ©Themoon EXAM SOLUTIONS
16/11/2024 12:33PM
3. Severity
4. Context
5. Timing
6. Duration
7. associated signs and symptoms
8. modifying factors
True or False: The HPI and ROS are subjective - Answers✓✓True: these are from the patient's
perspective
True or False: Patient's past surgeries should be documented in the Physical Exam (PE)? -
Answers✓✓False: Should be in past medical history
True or False: Whether a patient smokes or not should be documented in the PMFSH? -
Answers✓✓True: This is social history
True or False: The physical exam is objective - Answers✓✓True: From the doctor's point of
view
Fever - Answers✓✓febrile
vomiting - Answers✓✓emesis
pain with urination - Answers✓✓dysuria
RRR - Answers✓✓Regular Rate and Rhythm (cardio finding)
CVAT - Answers✓✓Costal Vertebral Angle Tenderness (Back finding sometimes GU)
