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Scribe America ED > Review Questions from Guide > Flashcards

Review Questions from Guide Flashcards

1
Q

What are the 5 vital signs:

A

O2 Sat, RR, HR, BP, Temp

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2
Q

What other past histories would suggest that a pt has CAD?

A

MI, CABG, stents, angioplasty

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3
Q

Does PMHx of CVA mean the pt has CAD?

A

no

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4
Q

Explain the diff b/t CAD and MI

A

CAD leads to MI

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5
Q

If someone has a PMHx of A-Fib or CHF do they also have CAD?

A

no

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6
Q

What are the cardiac risk factors?

A

HTN, HLD, CAD, DM, smoking, FHx of MI <55 yo

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7
Q

Name 2 ways that an MI can be diagnosed?

A

Troponin, EKG

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8
Q

What are some assoc sx of MI other than CP?

A

Diaphoresis, N/V

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9
Q

What are some assoc sx of CHF?

A

SOB, pedal edema, orhopnea

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10
Q

What would be the CC of a pt with a PE?

A

CP or SOB

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11
Q

What are the risk factors for a PE?

A

DVT, pregnancy, BCP, cancer, immobility

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12
Q

What study would diagnose a PE?

A

CTA w/contrast or VQ scan depending on Creat levels

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13
Q

What is a PTX?

A

collapsed lung

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14
Q

What is the difference b/t a nebulizer and inhaler?

A

nebulizer is the machine that gives breathing treatments. inhaler is portable, mostly used for an attack

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15
Q

What is asthma?

A

inflammation of the bronchioles

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16
Q

What might a person with PNA complain of?

A

SOB or productive cough

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17
Q

Name the 7 areas of the abdomen

A

RUQ, LUQ, RLQ, LLQ, periumbilical, suprapubic, epigastric

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18
Q

What might someone with GERD complain of?

A

epigastric burning

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19
Q

For older pt with GERD, what other disease must be r/o?

A

CAD

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20
Q

What does bile do and where is it stored?

A

liver, digests fat

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21
Q

What might be the CC of a pt with gallstones?

A

RUQ pain

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22
Q

What PE finding is closely associated with Cholecystitis

A

Murphy’s sign

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23
Q

How are gallstones Dx?

A

US RUQ

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24
Q

Name associated sx of appendicitis:

A

fever, N/V, decreased appetite

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25
Q

How is appendicitis Dx?

A

CT A/P w/PO

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26
Q

What would someone with pancreatitis c/o?

A

epigastric or LUQ pain

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27
Q

How is pancreatitis Dx?

A

elevated Lipase

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28
Q

Name four possible CCs for a GI bleed pt.

A

hematemesis, coffee ground emesis, melena, hematochezia

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29
Q

How is a GI bleed Dx in the ED?

A

guaiac test, poop test

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30
Q

What will be the CC for someone with diverticulitis?

A

LLQ pain

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31
Q

What studies would Dx diverticulitis?

A

CT A/P w/PO

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32
Q

What might a person with a SBO c/o?

A

abd pain, vomiting

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33
Q

How is a SBO Dx?

A

CT A/P w/PO

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34
Q

What will be the CC of someone with a UTI?

A

dysuria

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35
Q

How is a UTI Dx?

A

urine dip or UA

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36
Q

What might a person with kidney stones c/o?

A

flank pain and dysuria

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37
Q

How are kidney stones Dx?

A

CT A/P NO CONTRAST

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38
Q

How is an ectopic pregnancy Dx?

A

US Pelvis

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39
Q

What is ovarian torsion?

A

twisted ovarian artery

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40
Q

How is ovarian torsion Dx?

A

US pelvis

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41
Q

What sx might a person with a brain bleed c/o?

A

sudden onset headache

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42
Q

What study would Dx a brain bleed?

A

CT head or LP

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43
Q

What sx would a person with an Ischemic CVA c/o?

A

FNDs

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44
Q

How is an ischemic CVA Dx?

A

clinically

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45
Q

What is a common cause of sz in children?

A

fever

46
Q

What are 3 symptoms of meningitis?

A

fever, headache, neck stiffness

47
Q

What are 4 causes of AMS?

A

infection, intoxication, hypoglycemia, neurological

48
Q

How is AMS different than FND?

A

AMS is generalized, affecting the whole brain, FNDs affect specific functions

49
Q

What are the risk factors for a DVT?

A

PHx, recent surgery, LE casts, BCP, pregnancy, smoking

50
Q

what are common signs of a DVT?

A

calf pain, cords, Homan’s sign

51
Q

What is an aortic dissection?

A

separation of muscle wall from membrane of artery

52
Q

What are 3 symptoms of cellulitis?

A

red, swollen, tender, warm skin

53
Q

What are the ONLY three symptoms of a true allergic reaction?

A

itching, swelling, rash

54
Q

How can DKA be Dx?

A

ABG/VBG showing low pH

55
Q

Name 5 (of 8) elements of the HPI:

A
  1. onset
  2. timing
  3. location
  4. quality
  5. severity
  6. modifying factors
  7. associated sx
  8. context
56
Q

Name 8 of the 14 body systems listed in the ROS:

A
  1. constitutional
  2. integumentary
  3. CV
  4. MS
  5. GI
  6. GU
  7. Endocrine
  8. Lymph
  9. ENT
  10. Eyes
  11. Neuro
  12. Respiratory
  13. Psychiatric
  14. Immunologic
57
Q

Can the symptoms in the HPI ever contradict the symptoms in the ROS?

A

no

58
Q

What do you need to remember to document in the HPI and ROS for any pt that is unconscious or incapable of providing information?

A

“Complete HPI/ROS is not possible due to patient’s status”

59
Q

Name one (of five) detail that is important to document if the patient has been evaluated in the past for a similar complaint:

A
  1. what symptoms prompted the prior evaluation.
  2. How long agoe did the prior evaluation occur?
  3. Who did they see (Name/specialty)
  4. What treatment did they receive?
  5. What diagnosis was given?
60
Q

What is the formula for writing an HPI? (7 steps)

A
  1. age/sex
  2. complaint/onset
  3. quality, location, timing
  4. modifying factors
  5. assoc sx
  6. pertinent negs
  7. other important context
61
Q

What does MOI stand for in a Trauma HPI?

A

Mechanism of Injury

62
Q

Name 3 PSHx that indicate the pt has a history of CAD

A

angioplasty, cardiac stent, CABG

63
Q

What are the risk factors of a CVA?

A

HTN, HLD, DM, smoking, FHx CVA, HxTIA/CVA, Afib

64
Q

Describe the G/P/A

A

Gravida: # times pt has been pregnant
Para: # live births
Abort: # miscarriages or elective abortions

65
Q

If a pt has pale conjunctiva what does that indicate?

A

anemia

66
Q

What is scleral icterus and what does it indicate?

A

Yellow sclera, liver failure

67
Q

Name an instrument a physician may use to closely investigate the eyes.

A

Opthalmoscope

68
Q

In which body system would you document “TM erythema and bulging.”?

A

ears

69
Q

What is the medical term for nostril?

A

naris singular, nares plural

70
Q

What would dry mucous membranes indicate?

A

dehydration

71
Q

Why is midline bony tenderness “worse” than paraspinal tenderness?

A

Midline body tenderness indicates spine damage, while paraspinal tenderness could mean kidney stones

72
Q

If you saw RRR written in the cardiac exam, what do you think that might mean?

A

regular rate and rhythm

73
Q

If the physician checks the pulse on the right wrist and says “The pulses are fine”, what would you document?

A

right radial pulse is 2+

74
Q

Name 2 peritoneal signs in the abdominal exam:

A

voluntary/involuntary guarding, rebound tenderness, rigidity

75
Q

What abdominal sign is indicative of Cholecystitis?

A

Murphy’s sign

76
Q

If the doctor takes 1 finger and presses in a specific spot in the RLQ what is the name of the finding they are investigating?

A

McBurney’s point tenderness, looking for appendicitis

77
Q

Which of these is not a peritoneal sign? Guarding, Rebound, Tenderness, Rigidity?

A

Tenderness

78
Q

What phrase do you have to document in the GU for every female pelvic exam performed by a male physician?

A

“female chaperone present”

79
Q

What is bony tenderness a sign of?

A

injury/trauma

80
Q

What is CVA tenderness?

A

costovertebral tenderness, could be a sign of kidney stone or kidney damage, pyelonephritis

81
Q

What is fluctuance a sign of?

A

presence of pus, bacterial infection

82
Q

What section of the neurological exam would you document “normal finger-nose-finger test” and “normal heel-to-shin”?

A

cerebellum exam

83
Q

What does DTR stand for?

A

deep tendon reflex

84
Q

What part of the body do the cranial nerves control?

A

the face

85
Q

In the psychiatric exam, what do SI and HI stand for?

A

Suicidal Ideation, Homicidal Ideation

86
Q

Is the Glascow Coma Scale (GCS) associated with Trauma pts or Medical pts?

A

trauma

87
Q

Would you document RUE strength 3/5 under the neurological or extremities section of the exam?

A

extremities

88
Q

What does TTP mean?

A

tender to palpation

89
Q

A mother states that her child has been extremely tired and drowsy recently; based on that can you document “lethargic” in the child’s PE?

A

no

90
Q

What is the medical term for hives?

A

urticaria

91
Q

What is the medical term for swollen lymph nodes?

A

lymphadenopathy

92
Q

What lab order contains the “H&H”?

A

CBC

93
Q

What is the difference between the BMP and the CMP?

A

The CMP includes the BMP and adds the LFTs

94
Q

What part of the CBC does the “differential” further characterize?

A

the WBC

95
Q

What does Creatinine measure?

A

Kidney function

96
Q

Which cardiac enzyme is more specific to heart damage? Troponin or CK-MB?

A

Troponin

97
Q

What does a negative D-dimer mean?

A

no PE

98
Q

What does a postive D-Dimer mean?

A

possible PE, order a VQ scan or CTA chest to r/o

99
Q

What does an elevated BNP diagnose?

A

CHF

100
Q

Name some parts of the cardiac order set

A

CBC, BMP, CK, CK-MB, Troponin, EKG, CXR

101
Q

What do Coag tests determine?

A

the viscosity of blood

102
Q

What does lipase diagnose?

A

pancreatitis

103
Q

What do both CRP and ESR test for?

A

inflammation

104
Q

What is the difference between a urine dip and a urine micro?

A

urine micro is more accurate, quantitative analysis

105
Q

What are the efficiency labs?

A

D-dimer, troponin, creatinine

106
Q

Do emergency physicians interpret XRs or CTs?

A

XRs

107
Q

What is the difference between a CTA and a CT

A

the A is for angiogram

108
Q

Name some orthopedic procedures that may be performed by the EP

A

arthrocentesis, joint reduction, splint application

109
Q

Name some procedures that qualify the pt for critical care:

A

chest tube, CPAP/BiPAP,

110
Q

What does LAD stand for as an EKG abbreviation?

A

Left axis deviation

111
Q

Name two diagnoses that would qualify a pt for critical care time

A

sepsis, PTX,

Scribe America ED (13 decks)

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