Questions with Verified Answers
ALOC - -Altered Level of Consciousness
PTX - -Pneumothorax
BM - -bowel movement
SOB - -Shortness of breath
DOE - -Dyspnea on exertion
FB - -Foreign Body
EOMI - -Extraocular Movement Intact
(Appropriate function of the extra ocular muscles, CVA - -Cerebral Vascular Accident (Stroke)
tested with "follow my finger") - Can be ischemic or hemorrhagic)
HA - -headache TIA - -transient ischemic attack (mini
stroke)
MI - -Myocardial infarction
TX - -treatment
NAD - -no acute distress
earwax - -cerumen
NSR - -Normal Sinus Rhythm
runny nose - -rhinorrhea
PNA - -pneumonia
Vomiting blood - -hematemesis
UTI - -Urinary Tract Infection
fainting - -syncope
ASA - -Aspirin
Sweating - -diaphoresis
CA - -Cancer
bruising - -ecchymosis
PCN - -Penicillin
itchiness - -pruritus
DM - -Diabetes Mellitus
cardiac bypass - -CABG (coronary artery
,Vituity Scribe Training Pre-Classroom Training Exam
Questions with Verified Answers
bypass graft) True or False: Whether a patient smokes or not
should be documented in the PMFSH? - -
True: This is social history
Hernia repair - -herniorrhaphy
True or False: The physical exam is objective -
Removal of gallbladder - -cholecystectomy -True: From the doctor's point of view
Removal of uterus - -hysterectomy Fever - -febrile
Rales - -wet, crackling sound with vomiting - -emesis
respirations (aka crackles)
pain with urination - -dysuria
Four main components of the medical chart you
are responsible for? - -1. HPI
2. ROS RRR - -Regular Rate and Rhythm (cardio
3. PMhxFhxShx finding)
4. PE
CVAT - -Costal Vertebral Angle
Name the 8 elements of the HPI - -1. Tenderness (Back finding sometimes GU)
Location
2. Quality
3. Severity BS present - -bowel sounds present
4. Context
5. Timing
6. Duration
SNF - -Skilled Nursing Facility
7. associated signs and symptoms
8. modifying factors
BIBA - -brought in by ambulance
True or False: The HPI and ROS are subjective -
-True: these are from the patient's
perspective CP - -chest pain, cerebral palsy
True or False: Patient's past surgeries should be ATX - -atelectasis
documented in the Physical Exam (PE)? -
-False: Should be in past medical history
Pregnancy - -Gravid
, Vituity Scribe Training Pre-Classroom Training Exam
Questions with Verified Answers
oophorectomy - -surgical removal of one of abnormal heart rhythm - -Arrhythmia
both ovaries
blood in urine - -hematuria
Tubal pregnancy - -Ectopic
VB - -vaginal bleeding
Tying of tubes - -tubal ligation
COPD - -Chronic Obstructive Pulmonary
clipping of vas deferens - -vasectomy Disease (chronic bronchitis, emphysema)
tonsil removal - -tonsillectomy JVD - -Jugular vein distention
CAD - -Coronary Artery Disease breathing tube placement - -endotracheal
intubation
DVT - -Deep Vein Thrombosis
FX - -fracture
PE - -Pulmonary Embolism
Bi-PAP - -Bilevel Positive Airway Pressure
PUD - -Peptic Ulcer Disease
NEB - -nebulizer
PTA - -Prior to Arrival
peripheral numbness, abnormal tactile sensation
described as creeping, burning, tingling or
NTG - -Nitroglycerin numbness - -paresthesia
FS - -Fingerstick (blood sugar) HTN - -Hypertension
AMS - -Altered Mental Status High cholesterol - -hyperlipidemia
a-fib - -atrial fibrillation DKA - -Diabetic Ketoacidosis