ED Scribe - FINAL EXAM Questions and Answers Verified 100% Correct

ED Scribe - FINAL EXAM Questions and Answers Verified 100% Correct Prostate removed means.. - ANSWER Prostatectomy, most often Trans-Urethral Removal of the Prostate - TURP Uterine product removed means.. - ANSWER Dilation and Curettage - D&C Neck artery cleaned means.. - ANSWER Carotid Endarterectomy Brain surgery means.. - ANSWER Craniotomy - brain bleed vs. brain CA Shunt means.. - ANSWER Ventriculoperitoneal Shunt - VP Shunt Dialysis fistula means.. - ANSWER Arteriovenous (AV) Fistula Dialysis graft means.. - ANSWER Arteriovenous (AV) Graft PICC Line means.. - ANSWER Peripherally Inserted Central Catheter - PICC Port means.. - ANSWER Port-a-cath or Medi-Port Clot filter (lower abdomen) means.. - ANSWER Greenfield Filter Leg amputated means.. - ANSWER AKA/BKA Joint repair means.. - ANSWER Arthroplasty Metal plates/pins means.. - ANSWER Hardware Neck fused means.. - ANSWER Cervical spine fusion Back fused means.. - ANSWER Lumbar spine fusion Hip surgery means.. - ANSWER Open Reduction with Internal Fixation - ORIF What are the only Sx of a true allergic reaction? - ANSWER rash, itching, swelling What are the 5 vital signs? - ANSWER Heart Rate, Blood Pressure, Respiratory Rate, Temperature, Oxygen Saturation What type of information are the HPI and ROS? - ANSWER Subjective What type of information is the PE? - ANSWER Objective What subcategories are included in within the Past History section of the template? - ANSWER PMHx, PSHx, FHx, SHx What is the abbreviation for Aspirin? - ANSWER ASA What is the abbreviation for Nitroglycerin? - ANSWER NTG How does Aspirin (ASA) benefit a potential MI or CAD? - ANSWER It thins the blood How does Nitroglycerin (NTG) benefit a potential MI or CAD? - ANSWER It is a vasodilator - expands the blood vessels What are the risk factors associated with a Myocardial Infarction (MI)? - ANSWER CAD, HTN, HLD, DM, Smoker, FHx CAD 55 y/o What must acute MI patients receive as soon as possible? - ANSWER Aspirin (ASA) 324mg - if not already taken PTA What must STEMI patients get to within 90 minutes of arrival? - ANSWER Must get to Cath-lab What are the chief complaints of Congestive Heart Failure (CHF)? - ANSWER Shortness of Breath - SOB, Orthopnea (worse when lying flat), Paroxysmal Nocturnal Dyspnea - PND, Dyspnea on Exertion - DOE What is A Fib? - ANSWER Quivering of Atria (top of heart) causing an irregularly irregular rhythm What is Pericarditis? - ANSWER Inflammation of the sac surrounding the heart causing chest pain What is Pleurisy? - ANSWER Inflammation of the sac surrounding the lungs causing pleuritic chest pain What is Costochondritis? - ANSWER Irritation of the ribs causing chest pain worsened by pressing on the sternum What is Chest Wall Pain? - ANSWER Costochondritis - Irritation of the chest wall causing pain with palpation of the chest What is Pleural Effusion? - ANSWER Fluid collecting around the lungs causing SOB or CP How is MI diagnosed? - ANSWER EKG for STEMI -or- Elevated Troponin for Non- STEMI How is A Fib (electrical problem) diagnosed? - ANSWER EKG How is CHF (fluid traffic jam) diagnosed? - ANSWER CXR or Elevated BNP How is CAD (major risk factor for MI) diagnosed? - ANSWER Positive cardiac catheterization - not done in the ED How is Angina (Sx of CAD) diagnosed? - ANSWER Exertional CP w/ Hx of CAD What are the risk factors associated with Pulmonary Embolism? - ANSWER Known DVT, PMHx DVT or PE, FHx, recent surgery, cancer, A Fib, immobility, pregnancy, BCP, smoking What is the chief complaint of someone with Pneumonia? - ANSWER SOB or productive cough What are the risk factors associated with Pneumonia? - ANSWER Elderly, bedridden, recent chest injury, recent surgery What is Pneumothorax (PTX)? - ANSWER Collapsed lung do to trauma or a spontaneous small rupture of the lung What must you document when dealing with a PTX pt? - ANSWER The percentage of lung collapsed What is known as the "smoker's disease"? - ANSWER Chronic Obstructive Pulmonary Disease - COPD What are the risk factors associated with COPD? - ANSWER Smoking What is the chief complaint of someone with COPD? - ANSWER SOB How is COPD diagnosed? - ANSWER CXR and Hx of smoking What is another way to say asthma? - ANSWER Reactive Airway Disease - RAD How is Pulmonary Embolism diagnosed? - ANSWER CTA Chest - CT Chest with IV