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SCRIBEAMERICA FINAL EXAM ED QUESTIONS &
ANSWERS 100% CORRECT
1. High blood pressure layman's: Hypertension
2. Hypertension (abbv): HTN
3. High cholesterol layman's: Hyperlipidemia
4. Hyperlipidemia (abbv): HLD
5. Diabetes layman's: Diabetes mellitus
6. Diabetes mellitus (abbv): DM
7. "I only take pills for my diabetes": NIDDM (Type 2)
8. "I take insulin for my diabetes": IDDM (Type 1)
9. Heart disease layman's: Usually coronary artery disease
10. Coronary artery disease (abbv): CAD
11. Heart failure layman's: Congestive heart failure
12. Congestive heart failure (abbv): CHF
13. Irregular heartbeat layman's: Atrial fibrillation (A-fib)
14. Murmur layman's: Heart murmur
15. Episodes of abnormally fast/racing heartbeat: Supraventricular tachycardia
16. Supraventricular tachycardia (abbv): SVT
17. Emphysema or chronic bronchitis layman's: Chronic obstructive pulmonary
disease (COPD)
18. Blood clot in lung layman's: Pulmonary embolism (PE)
19. Pneumonia (abbv): PNA
20. Reflux layman's: Gastroesophageal reflux disease (GERD)
21. Gastroesophageal reflux disease (abbv): GERD
22. Ulcer layman's: Gastric ulcer or Peptic ulcer disease
23. Crohn's or UC layman's: Crohn's disease or Ulcerative colitis
24. Irritable bowel layman's: Irritable bowel syndrome (IBS)
25. Irritable bowel syndrome (abbv): IBS
29. "I'm on dialysis": Chronic renal failure (CRF) or End stage renal disease
(ESRD) on dialysis
30. Enlarged prostate layman's: Benign prostate hypertrophy (BPH)
31. Document GPA for a pt who is currently pregnant, has been pregnant 3
times in the past, and has 2 kids at home.: G: 4 P:2 A:
32. Stroke layman's: Ischemic cerebrovascular accident (CVA)
33. "Mini-stroke" layman's: Transient ischemic attack (TIA)
34. Seizures layman's: Seizure disorder / Epilepsy
35. Brain bleed layman's: Hemorrhagic CVA
36. Bipolar layman's: Bipolar disorder
37. Schizophrenia layman's: Schizophrenia
38. "I drink a lot": EtOH abuse or Alcoholism
39. "I do drugs": Substance abuse
40. "Blood clot in my leg": Lower extremity deep vein thrombosis (DVT)
41. "Bulge in my aorta" or "Triple A": Abdominal aortic aneurysm (AAA)
42. "Bad blood flow to my legs": Peripheral vascular disease (PVD)
43. "Numbness in my legs": Peripheral neuropathy (caused by DM)
44. "Low back pain": Chronic lower back pain
45. "Bulging/herniated disc": Degenerative disc disease (DDD)
46. Osteoarthritis (abbv): (OA)
47. Rheumatoid arthritis (abbv): RA
48. "Chronic joint pain": Degenerative joint disease (DJD)
49. "Weak/fragile bones": Osteoporosis (usually)
50. "Cancer": Cancer or carcinoma (CA) and specify which (brain, breast, lung,
colon, skin...)
51. "Spread to my...": With metastases to the...
52. "Chemo": Chemotherapy
53. "Radiation": Radiation therapy
54. "They cut it out": Status-post (s/p) surgical resection
56. Tonsils removed: Tonsillectomy
57. Adenoids removed: Adenoidectomy
58. "Ear tubes": Pressure equalizer (PE) tubes
59. "Heart bypass": Coronary artery bypass graft (CABG) (also PMHx CAD)
60. "Stents": Coronary stents (also PMHx CAD)
61. "Heart cath": Cardiac catheterization
62. "Balloon": Angioplasty (also PMHx CAD)
63. "Pacer": Pacemaker
64. "Breast removal": Mastectomy
65. "Hole in my neck": Tracheostomy ("trach")
66. "Part of my lung removed": Partial lobectomy
67. Gallbladder removed: Cholecystectomy
68. "Part of my colon removed": Partial colectomy
69. Spleen removed: Splenectomy
70. "Stomach stapled": Gastric bypass
71. What's in the RUQ?: Gallbladder
72. What's in the RLQ?: Appendix
73. What's in the LUQ?: Pancreas
74. What's in the LLQ?: Large intestines
75. Kidney removed: Nephrectomy
76. Uterus removed: Hysterectomy (partial vs. total)
77. Ovary removed: Oophorectomy
78. Ovary and fallopian tubes removed: Salpingo-oophorectomy
79. "Tubes tied": Tubal ligation (female) or Vasectomy (male)
80. "C-section": Cesarean section
81. Prostate removed: Prostatectomy
82. Uterine product removed (Abortion): Dilation and curettage (D&C)
83. "Neck artery cleaned": Carotid endarterectomy
85. "Shunt" (hydrocephalus): Ventriculoperitoneal (VP) shunt
86. "Dialysis fistula": AV (arteriovenous) fistula
87. "Dialysis graft": AV (arteriovenous) graft
88. "PICC line": Peripherally inserted central catheter (PICC)
89. "Clot filter" (lower abdomen): IVC (inferior vena cava) filter
90. "Clot filter" (leg): Greenfield filter
91. "Leg amputated": Above knee amputation (AKA) or Below knee amputation
(BKA)
92. "Joint repair": Arthroplasty
93. "Metal plates/pins": Hardware
94. "Neck fused": Cervical spinal fusion
95. "Back fused": Lumbar spinal fusion
96. "Hip surgery": Open reduction with internal fixation (ORIF)
97. Characteristics of a true allergy?: Rash, itching, swelling, difficulty breathing
98. 2/2: Secondary to / Because of
99. Medial term for redness: Erythema
100. Medical term for bruising: Ecchymosis
101. What are the 5 vital signs?: Heart rate, blood pressure, respiratory rate,
temperature, oxygen saturation
102. Angina: Chest pain specifically due to heart muscle ischemia
103. A patient has CAD if they have a PMHx of what?: Angina, MI, CABG,
cardiac stents, or angioplasty
104. What are some signs of an MI?: Chest pressure with diaphoresis, N/V, and
SOB
105. How to diagnose an MI: EKG (STEMI) or Troponin (non-STEMI)
106. Chief complaints for CHF: SOB: worse when lying flat (orthopnea), parox-
ysmal octural dyspnea (PND) (SOB at night), and dyspnea on exertion (DOE)
107. Rales: Crackles in lungs
108. How to diagnose CHF: CXR or elevated BNP
109. How to diagnose A Fib: EKG
111. PE risk factors: DVT, PMHx of DVT or PE, recent surgery, CA, A Fib,
Immobility, Pregnancy, BCP, Smoking
112. How to diagnose a PE: CTA chest (CT chest w/ IV contrast) or VQ scan.
D-dimer can r/o PE but not diagnose
113. How to diagnose PNA: CXR
114. Rhonchi: Rattling sounds in lungs
115. PTX: Pneumothorax: collapsed lung
116. How to diagnose PTX: CXR
117. Chief complaint for COPD: SOB associated with cough
118. How to diagnose COPD: CXR and Hx of smoking
119. RAD: Reactive airway disease (asthma)
120. Chief complaint for RAD: Wheezing, SOB, improved by nebulizer
121. What to document for a CVA?: Let known well time and tPA consideration
122. What are focal neurological deficits?: Changes in speech, vision, or sen-
sation, motor weakness, numbness
123. How to diagnose a hemorrhagic CVA?: CT head or LP (lumbar puncture)
124. Meningitis chief complaint: HA and neck pain
125. How to diagnose meningitis?: LP (lumbar puncture) (WBCs and protein
increase, glucose decrease)
126. How to diagnose a spinal cord injury?: CT cervical spine, CT thoracic
spine, CT lumbar spine
127. SZ: Seizure
128. FND: Focal neurological deficits
129. AMS risk factors: DM, EtOH, elderly, demented, drug use
130. Difference between AMS and FND: AMS is typically generalized and in-
volves the whole brain while FND's are localized weakness/numbness is one specific area
131. Horizontal nystagmus: Back and forth eye movement
132. Is a hemorrhagic CVA eligible for tPA? What about an ischemic CVA?: -
Hemorrhagic CVA: tPA ineligibility Ischemic CVA: tPA eligibility
134. McBurney's point tenderness: Appendicitis
135. Periumbilical tenderness: SBO (small bowel obstruction)
136. LUQ tenderness: Pancreatitis
137. Epigastric tenderness/pain: MI, GERD
138. Suprapubic tenderness: Ovarian cyst, ovarian torsion, UTI
139. R or L flank tenderness: Pyelonephritis, renal calculi
140. How to diagnose appendicitis?: CT A/P (abdomen/pelvis) w/ PO contrast
141. SBO chief complaint: Abdominal pain, vomiting, constipation
142. How to diagnose a SBO?: CT A/P w/ PO contrast, acute abdominal series
(AAS)
143. "Gallstones": Cholecystitis, cholelithiasis
144. How to diagnose cholecystitis?: Abdominal US (Ultrasound) RUQ
145. GI bleed chief complaint: Hematemesis (bright, upper), coffee ground eme-
sis (dark, lower), hematochezia (bright, lower), melena (dark, upper)
146. How to diagnose a GI bleed?: Heme positive stool (Guaiac positive) during a
rectal exam
147. Diverticulitis: Acute inflammation and infection of abnormal pockets of the
large intestine known as diverticuli
148. Diverticulitis chief complaint: LLQ pain, nausea, fever, diarrhea
149. How to diagnose diverticulitis?: CT A/P with PO contrast
150. Pancreatitis chief complaint: LUQ pain, epigastric pain, N/V
151. How to diagnose pancreatitis?: Elevated lipase lab test
152. GERD chief complaint: Epigastric pain (burning) improved with antacids
153. How to diagnose a UTI?: Urine dip or urinalysis
154. Pyelonephritis: Infection of tissue in the kidneys, usually spread from a UTI
155. Pyelonephritis chief complaint: Flank pain with dysuria, pain may refer to
back
156. How to diagnose pyelonephritis?: CT Abd/Pel without contrast or con-
firmed UTI with CVA tenderness on exam
157. Kidney stone layman's: Renal calculi, nephrolithiasis, urolithiasis
169. Strep throat layman's: Streptococcal pharyngitis
170. Would would the Dr. find in a PE for a pt with streptococcal pharyngi-
tis?: Pharyngeal erythema, tonsillar hypertrophy, tonsillar exudates (pus)
171. Pink eye layman's: Conjunctivitis
172. AAA: Abdominal aortic aneurysm
173. How to diagnose an AAA?: CT A/P with IV contrast dye
174. Aortic dissection: Separation of the muscular wall from the membrane of the
aorta, risk of rupture and death
175. Aortic dissection chief complaint: Chest pain radiating to the back (ripping
or tearing)
176. AAA chief complaint: Midline abdominal pain
177. How to diagnose an aortic dissection?: CT chest with IV contrast dyes
178. Risk factors for DVT: PMHx or FHx of DVT or PE, recent surgery, CA,
immobility, pregnant, BCP, smoking, LE trauma, LE casts
179. How to diagnose a DVT?: US/Doppler of the extremity
180. Cellulitis: Infection of the skin cells
181. Abscess: Cellulitis with fluctuance (pus-pocket)
182. Itchy: Pruritic
183. Pus: Purulent drainage
184. Signs of a adverse reaction (NOT allergic): N/V, abdominal pain, diarrhea,
dizziness
185. DKA: Diabetic ketoacidosis
186. Diabetic ketoacidosis: Shortage of insulin resulting in hyperglycemia and
production of ketones
187. How to diagnose DKA?: Arterial blood gas (ABG or VBG) showing low pH
(acidosis) or positive serum ketones
188. SI: Suicidal ideation
189. HI: Homicidal ideation
190. Glasgow coma scale (GCS): 3-15 with 15=good and 3=bad
191. MOI: Mechanism of injury
