ScribeAmerica ED Final Exam Questions And Answers Verified 100% Correct

ScribeAmerica ED Final Exam Questions And Answers Verified 100% Correct Describe what G/P/A means. - ANSWER G: how many pregnancies P: how many live births A: how many abortions/miscarriages Pt says "stroke," you write... - ANSWER CVA Pt says "mini stroke," you write... - ANSWER TIA Pt says "brain bleed," you write... - ANSWER hemorrhagic CVA Pt says "I drink a lot," you write... - ANSWER ETOH abuse/alcoholism Pt says "I do drugs," you write... - ANSWER substance abuse Pt says "blood clot in leg," you write... - ANSWER LE DVT Pt says "bulge in my aorta/triple A," you write... - ANSWER abdominal aortic aneurysm (AAA) Pt says "tonsils removed," you write... - ANSWER tonsillectomy Pt says "heart bypass," you write... - ANSWER coronary artery bypass graft (CABG) w/ PMHx of CAD Pt says "breast removal," you write... - ANSWER mastectomy Pt says "part of my lung removed," you write... - ANSWER partial lobectomy Pt says "appendix removed," you write... - ANSWER appendectomy Pt says "gallbladder removed," you write... - ANSWER cholecystectomy Pt says "part of colon removed," you write... - ANSWER partial colectomy Pt says "bag of stool," you write... - ANSWER colostomy Pt says "stomach stapled," you write... - ANSWER gastric bypass Pt says "kidney removed," you write... - ANSWER nephrectomy Pt says "uterus removed," you write... - ANSWER hysterectomy (partial or total) Pt says "tubes tied," you write... - ANSWER tubal ligation (f) or vasectomy (m) What are the 4 signs of a true allergy? - ANSWER -rash -itching -swelling -difficulty breathing What is it called when a medication causes a non-true allergy? - ANSWER adverse reaction What are the 3 routes of drug administration? - ANSWER -oral -inhaled injected What are the 3 types of dispositions? - ANSWER -discharged -admitted -transferred to another facility/dept The diseases being considered as the source of the symptoms - ANSWER differential diagnoses (DDX) Specific symptoms that are NOT present which causes the physician to rule out certain diagnoses - ANSWER pertinent negatives Chief complaint of CAD - ANSWER chest pain/pressure worse with exertion; improved by rest or nytroglycerin (NTG) Associated meds of CAD - ANSWER Aspirin 324 mg PO or NTG (blood thinners) How is CAD diagnosed? - ANSWER cardiac catheterization (not in ED) Associated symptoms of MI - ANSWER -chest pain -N/V -SOB What are the 6 risk factors for MI? - ANSWER -CAD -HTN HLD _DM -smoker -FHx 55 y.o. How is MI diagnosed? - ANSWER EKG (STEMI) elevated troponin (non-STEMI) Associated meds of MI - ANSWER Heparin What are 3 PE findings of CHF? - ANSWER -rales -jugular vein distension (JVD) -pitting pedal edema How is CHF diagnosed? - ANSWER -CXR -elevated BNP What is a PE finding of AFib? - ANSWER irregularly irregular rhythm How is AFib diagnosed? - ANSWER EKG How is a PE diagnosed? - ANSWER -CTA chest (CT chest w/ IV contrast) -VQ scan What is the point of a D-dimer? - ANSWER It aids in detecting clots, but cannot diagnose PE; needed before CTA How is pneumonia diagnosed? - ANSWER CXR How is a pneumothorax diagnosed? - ANSWER CXR How is COPD diagnosed? - ANSWER -CXR -history of smoking How is asthma diagnosed? - ANSWER clinically Chief complaint of CVA - ANSWER Unilateral focal neurological deficits What are the 4 focal deficits associated with CVA? - ANSWER -one-sided weakness