Scribe America Final Exam ED (2025) comprehensive
questions and verified answers ( detailed & elaborated)
ACTUAL EXAM 2025 TEST!!
What are the 3 types of dispositions? - (ANSWERS)Discharge, Admit, Transfer !@#$%%%%%
%%%%%%
What does HPI stand for? - (ANSWERS)history of present illness
What does ROS stand for? - (ANSWERS)review of systems
The HPI and ROS are considered what type of information? - (ANSWERS)subjective
The physical exam is what type of information? - (ANSWERS)objective
If a physician told you a patient's abdomen was non tender, where would you document this? -
(ANSWERS)PE
What section focuses directly on the chief complaint? - (ANSWERS)HPI
If someone has a hx of CABG or MI, what is something you can also always document in the
pmhx section of the chart? - (ANSWERS)CAD
Name an example of something you may write in the Social Hx portion of the chart. -
(ANSWERS)smokes 1 pack/day
Name an example of something you may write in the Family Hx portion of the chart. -
(ANSWERS)Mother had Hx of CAD at age 46
What are the abbreviations for the following past medical history terms?
Hypertension
Stroke
Diabetes
Heart Attack
High Cholesterol - (ANSWERS)HTN
CVA (cerebrovascular accident)
DM
MI
HLD
What are the medical terms for the following past surgical terms?
Removal of the appendix
Removal of the gallbladder
Removal of the uterus
, Scribe America Final Exam ED (2025) comprehensive
questions and verified answers ( detailed & elaborated)
ACTUAL EXAM 2025 TEST!!
Removal of a fallopian tube !@#$%%%%%
Removal of the tonsils %%%%%%
Removal of the breast - (ANSWERS)appendectomy
Cholecystectomy
Hysterectomy
Salpingo-oophorectomy
Tonsillectomy
Mastectomy
What are the five vital signs? - (ANSWERS)Blood pressure (BP), heart rate (HR), oxygen
saturation (sao2), respiratory rate (RR), temperature (C or F)
What does NKDA stand for? - (ANSWERS)no known drug allergies
What does LNMP stand for? - (ANSWERS)Last Normal Menstrual Period
If the doctor said the exam was "benign", what does this mean? - (ANSWERS)this means that
the exam was normal and of no concern
Explain acute vs chronic. - (ANSWERS)acute: serious, new condition, that could potentially be
life-threatening
Chronic: not of much concern, long-lasting condition, typically not a death threat
What are the medical terms for the following pathophysiology abbreviations?
CAD
AAA
COPD
PNA
URI - (ANSWERS)coronary artery disease
Abdominal aortic aneurysm
Chronic obstructive pulmonary disease
Pneumonia
Upper respiratory disease
How are the following diseases diagnosed?
-CHF (two ANSWERS)
-PE (three ANSWERS)
-Cholecystitis
questions and verified answers ( detailed & elaborated)
ACTUAL EXAM 2025 TEST!!
What are the 3 types of dispositions? - (ANSWERS)Discharge, Admit, Transfer !@#$%%%%%
%%%%%%
What does HPI stand for? - (ANSWERS)history of present illness
What does ROS stand for? - (ANSWERS)review of systems
The HPI and ROS are considered what type of information? - (ANSWERS)subjective
The physical exam is what type of information? - (ANSWERS)objective
If a physician told you a patient's abdomen was non tender, where would you document this? -
(ANSWERS)PE
What section focuses directly on the chief complaint? - (ANSWERS)HPI
If someone has a hx of CABG or MI, what is something you can also always document in the
pmhx section of the chart? - (ANSWERS)CAD
Name an example of something you may write in the Social Hx portion of the chart. -
(ANSWERS)smokes 1 pack/day
Name an example of something you may write in the Family Hx portion of the chart. -
(ANSWERS)Mother had Hx of CAD at age 46
What are the abbreviations for the following past medical history terms?
Hypertension
Stroke
Diabetes
Heart Attack
High Cholesterol - (ANSWERS)HTN
CVA (cerebrovascular accident)
DM
MI
HLD
What are the medical terms for the following past surgical terms?
Removal of the appendix
Removal of the gallbladder
Removal of the uterus
, Scribe America Final Exam ED (2025) comprehensive
questions and verified answers ( detailed & elaborated)
ACTUAL EXAM 2025 TEST!!
Removal of a fallopian tube !@#$%%%%%
Removal of the tonsils %%%%%%
Removal of the breast - (ANSWERS)appendectomy
Cholecystectomy
Hysterectomy
Salpingo-oophorectomy
Tonsillectomy
Mastectomy
What are the five vital signs? - (ANSWERS)Blood pressure (BP), heart rate (HR), oxygen
saturation (sao2), respiratory rate (RR), temperature (C or F)
What does NKDA stand for? - (ANSWERS)no known drug allergies
What does LNMP stand for? - (ANSWERS)Last Normal Menstrual Period
If the doctor said the exam was "benign", what does this mean? - (ANSWERS)this means that
the exam was normal and of no concern
Explain acute vs chronic. - (ANSWERS)acute: serious, new condition, that could potentially be
life-threatening
Chronic: not of much concern, long-lasting condition, typically not a death threat
What are the medical terms for the following pathophysiology abbreviations?
CAD
AAA
COPD
PNA
URI - (ANSWERS)coronary artery disease
Abdominal aortic aneurysm
Chronic obstructive pulmonary disease
Pneumonia
Upper respiratory disease
How are the following diseases diagnosed?
-CHF (two ANSWERS)
-PE (three ANSWERS)
-Cholecystitis
