2025\2026 A+ Grade
Medical Decision Making (MDM)
- correct answer The physician's thought process
Pain vs. Tenderness
- correct answer Patient's feeling vs. physician's assessment
What does distress mean?
- correct answer The doctor's judgment of discomfort
Baseline
- correct answer An individual's normal state of being
What does Auscultation mean?
- correct answer Listening with a stethoscope
Palpation
- correct answer The act of pressing on an area by the doctor
Inpatient
- correct answer Admitted to the hospital overnight
Outpatient
- correct answer Seen and sent home the same day
What is the ED flow (overview)?
- correct answer 1. Check in and Chief Complaint 2. Physician assessment 3. Objective orders and results
4. Medical Decision Making 5. Disposition
,What is the ED flow before orders are made?
- correct answer 1. Arrival 2. Triage 3. Vital Signs / Bed Placement 4. Nurse Assessment 5. HPI, ROS, Hx,
PE
What is the ED flow after orders are made?
- correct answer 1. Differential Dx 2. Physician orders > labs, imaging, procedures, medications 3. Results
and ED course 4. Final Dx 5. Disposition
What is the general documentation template?
- correct answer HPI > ROS > PHx > PE > ED course > Disposition
Thyroid problem means..
- correct answer Usually Hypothyroidism, sometimes hyperthyroidism
"I only take pills for my diabetes" means..
- correct answer Non-Insulin Dependent Diabetes Mellitus - NIDDM
"I take shots (insulin) for my diabetes" means..
- correct answer Insulin Dependent Diabetes Mellitus - IDDM
Heart disease means..
- correct answer Usually Coronary Artery Disease - CAD
Heart attack means..
- correct answer Myocardial Infarction - MI and CAD
Irregular heartbeat means..
- correct answer Atrial Fibrillation (A-Fib)
Murmur means..
- correct answer Heart murmur
,Episodes of abnormally fast/racing heartbeat means..
- correct answer Supraventricular Tachycardia - SVT
Emphysema/Chronic Bronchitis means..
- correct answer Chronic Obstructive Pulmonary Disease - COPD
Blood clot in lung means..
- correct answer Pulmonary Embolism - PE
Reflux means..
- correct answer Gastroesophageal Reflux Disease - GERD
Ulcer means..
- correct answer Gastric Ulcer or Peptic Ulcer Disease
Hepatitis means..
- correct answer Hepatitis A, Hepatitis B, or Hepatitis C
Crohn's/UC means..
- correct answer Crohn's Disease or Ulcerative Colitis
Kidney infection means..
- correct answer Pyelonephritis - Pyelo
Kidney stones means..
- correct answer Renal calculi
"I'm on dialysis" means..
- correct answer Chronic Renal Failure - CRF or End Stage Renal Disease - ESRD on dialysis
Enlarged prostate means..
- correct answer Benign Prostate Hypertrophy - BPH
, What is the convention for documenting gynecological PMHx?
- correct answer G: P: A:
Stroke means..
- correct answer Ischemic Cerebrovascular Accident - CVA
Mini-stroke means..
- correct answer Transient Ischemic Attack - TIA
Seizures means..
- correct answer Seizure disorder/Epilepsy
Brain bleed means..
- correct answer Hemorrhagic CVA
"I drink a lot" means..
- correct answer ETOH abuse or Alcoholism
"I do drugs" means..
- correct answer Substance abuse
"Blood clot in my leg" means..
- correct answer DVT
"Bulge in my aorta" or "Triple A"
- correct answer Abdominal Aortic Aneurysm
"Bad blood flow to my legs" means..
- correct answer Peripheral Vascular Disease - PVD
"Numbness in my legs" means..
- correct answer Peripheral Neuropathy