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ScribeAmerica ED Course Final Questions With Complete Solutions
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ScribeAmerica ED Course Final Questions With Complete Solutions
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ScribeAmerica ED Course Final Questions With CompleteSolutions
A 13 y/o male patient was riding his bike earlier today and
accidentally fell off after traveling on an uneven patch of
sidewalk. He landed onto his outstretched right hand and
subsequently experienced localized pain and swelling to the his
right wrist. An x-ray of the right wrist shows a distal radial
fracture. Now that the results are back, the physician will be
ready to discharge the patient home. Which of the following
would need to go into this patient's disposition note? Correct
Answer F/u with specialist or PCP
Condition at time of disposition
Time of disposition
Time period for f/u
Specific conditions for return to the ED
A 43-year-old male presents to the ED with vomiting that began
5 hours ago. He has a history of Type II DM and is s/p right
BKA. On objective evaluation it is found that he is
hyperglycemic and has elevated ketones and so he will be
admitted for DKA. Match the details to the correct section of the
chart. (28) Correct Answer Onset: 5 hours ago
Disposition: admit
ED Course: hyperglycemia and elevated ketones
CC: vomiting
PMHx: Type II DM
Diagnosis: DKA
PSHx: right BKA
,A 45 year old male presents to the ED with a constant, ripping,
tearing pain to his central chest radiating straight to his back
with associated nausea that began 1 hour ago. What element is
constant? Correct Answer timing
A 45 year old male presents to the ED with a ripping, tearing
pain to his central chest radiating straight to his back with
associated nausea that began 1 hour ago. What emergency
conditions (ideally from what you have learned in CRT) from
the following list may explain the patient's symptoms? Correct
Answer MI and aortic dissection
A female patient has been pregnant four times in the past, is
currently pregnant, and has two children at home. Calculate the
G, P and A, respectively. Correct Answer 5,2,2
A patient cut his left foot on a piece of glass two hours ago and
is seen in the emergency department to have sutures placed. Â
The doctor tells you there is no tendon injury and circulatory,
sensory and motor is intact. What is the best diagnosis for his
complaint? Correct Answer Uncomplicated laceration of the
left foot - initial encounter
A patient has the following history: breast CA s/p
chemoradiation therapy and mastectomy. Based on this, does the
patient meet Level 5 billing criteria for this section of the chart?
Correct Answer Yes
A patient is seen in the emergency department complaining of
dysuria and tells you that she is 23 weeks pregnant. Your doctor
diagnoses her with a UTI. Which of the following would be the
, best diagnosis? Correct Answer acute urinary tract infection in
pregnancy, 2nd trimester
A patient recently went on a boat trip 2 days ago and developed
dizziness which has continued to persist since onset. She
describes her dizziness as a room spinning and reports that it is
accompanied by tinnitus, nausea, and vomiting. Physical exam
is positive for Romberg's and Head CT is negative. Based on
this information which is the most likely final diagnosis for the
patient? Correct Answer BPV
A patient states she has had a productive cough for 4 days, and
yesterday she developed a fever. Would her fever be considered
an associated symptom for her productive cough? Why or why
not? Correct Answer Yes, because fever started soon after the
cough
AAA Correct Answer abdominal aortic aneurysm
Among the following diseases listed, select the ones that qualify
for CCT Correct Answer ACS, CVA, Afib, acute MI, DKA,
PTX, PE
AMS Correct Answer altered mental status
An 23-year-old female is brought in by EMS for a motor vehicle
crash. Your physician verbalizes outloud that the patient appears
to be on a backboard and her cervical spine is stabilized with a
hard collar. The patient also appears to be lethargic with obvious
lacerations above her right eyebrow, left hand, and left thigh.
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