Medical Scribe Training Manual Practice Test

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What a lumbar puncture involves and why it's done in the EDWhich ED procedure involves puncture of the lower back to collect cerebrospinal fluid?

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The electrolyte represented by the symbol K is:
Which statement is listed as a criterion in the cervical spine clearance approach?
Which symptom describes a nosebleed that occurs after facial injury?
Which term specifically refers to the cleanliness of each pod, such as keeping printers stocked and trash cleared?
The common sexually transmitted infection caused by Neisseria gonorrhoeae is called?
Which term describes visible bulging of the jugular veins?
Which class of medications lengthens the time it takes to form a blood clot?
AKA stands for which amputation level?
What is the plural term for bones that form fingers and toes?
Bony projections of the distal tibia and fibula around the ankle are called?
In the material, older age is associated with which risk factor?
Which term describes lying flat on the back with the face upward?
Hypertension is defined as which blood pressure threshold?
Which prefix means around?
Which term describes the collective effort of nurses, technicians, and therapists working together to support patient needs in the ED?
What is ventricular tachycardia?
Which term refers to straightening out?
The sensation of tingling, burning, pricking, or numbness is called what?
What test uses arterial blood to determine pH, PaCO2, PaO2, and bicarbonate?
Which term refers to visible bulging of the jugular veins due to elevated venous pressure?
The long bones of the foot are called which?
A gunshot wound is best described as which type of injury?
Which term denotes spontaneous loss of a fetus before 20 weeks gestation?
HR stands for what?
Which reflex is elicited by stimulating the sole of the foot with a blunt instrument and is characterized by toe movement (curling in adults, fanning in babies)?
Which term means outside?
Which region is the Suprapubic region?
What is the respiratory rate range for children?
Which data element is used to document the patient’s current daily medications and their dosages?
Fontanelle refers to soft spots on a baby's head that allow the skull to pass through the birth canal by enabling what?
Which term refers to a thin catheter inserted into an artery to monitor blood pressure in real time?
Which term denotes the period after meals in clinical notes?
Which prefix means white?
Which medication prevents the release of stomach acid?
Gross lack of coordination of muscles, such as a staggering gait, is called which condition?
Which term describes the exposure gained by scribes through close interaction with ED physicians in patient care?
Which term is a synonym for fracture?
Which term refers to an amputation performed below the knee?
Which term describes inflammation of the colon?
To expedite patient flow through the ED and decrease the duration of individual patient visits is the objective of which program?
Which option describes Echocardiogram?
Which symptom describes a sense of fullness or blockage in the chest, sinuses, head, or nasal areas?
Which finding indicates that eye movements are intact during a neurologic exam?
What is the abbreviation for Intramuscular?
What is the meaning of intra- in anatomy?
The abbreviation LUL refers to which lung lobe?
Which term refers to enlargement of the liver?
Which term means inside?
Which organ system includes the kidneys and bladder?
Which term refers to the long bone in the hand?
Which term best characterizes the educational role of physicians who teach and supervise residents in the ED?
Which condition describes a mitral valve prolapse?
Which non-invasive method is used to monitor the oxygenation of a patient's hemoglobin?
QD stands for which frequency?
Which condition involves inflammation of the bladder lining?
What term is used for the recording of the heart's electrical activity over time using surface electrodes?
Which organ system is primarily responsible for digestion and nutrient absorption?
Ossification is the process by which fontanelles close over by 18 to 24 months. What process causes the fontanelles to close by 18-24 months?
What does the abbreviation BCP stand for?
Respiratory Syncytial Virus (RSV) typically causes mild cold-like symptoms in adults but can be more severe in which group?
Which tube is described as a feeding tube placed directly into the stomach through the abdominal wall and is often abbreviated as PEG tube?
Which statement correctly expands MRSA?
What is the standard abbreviation for Assessment?
Which term refers to Abdominal Aortic Aneurysm, a localized dilatation of the abdominal aorta exceeding the normal diameter by more than 50 percent?
Which procedure may be performed in the Emergency Department?
Which term refers to the armpit region?
Painful menstruation is known as which term?
Which tests measure thyroid hormone levels to assess thyroid function?
LUE stands for which anatomical region?
What term denotes the back portion of the head?
Which term describes looking inside the body using an instrument called an endoscope?
Which prefix means abnormal?
WNL is used to indicate which phrase?
Which test uses blood drawn from a vein to assess gas and acid-base status?
The abbreviation for 'Consistent with' is which?
What does the systolic component of a blood pressure reading measure?
STD stands for
Which condition involves a bulge due to protrusion through a weakened area in the abdominal wall fascia?
Which abbreviation stands for a motor vehicle collision?
Which aspect includes precipitating factors, prior treatment, and risk factors related to the chief complaint?
What does PC stand for?
LNMP stands for which term?
Which term describes enlargement of the liver?
The abbreviation LLL stands for which lung region?
A Bartholin's cyst forms when Bartholin's glands on both sides of the vaginal opening are blocked. What is the name of this condition?
A blood test performed using blood from a vein to determine the pH, pCO2, pO2, and bicarbonate level is called what?
Which term refers to the body region consisting of the ears, nose, and throat?
Which term describes the necessary records that scribes assist physicians with to allow them to focus more on patient care?
A whole-body CT scan, often used to find injuries in a patient who is altered or cannot communicate specific injuries, is called what?
Which term describes irregularity or loss of rhythm?
What is the potential space between the visceral and parietal pleura of the lungs called?
Which sign is defined by pain upon release of abdominal pressure rather than during pressure?
Mid-cycle, painful, heavy, passing clots indicates which symptom category?
Which term is defined as the comprehensive assessment of a patient's medical history and physical examination findings?
What is the respiratory rate range for infants?
What does PICC Line stand for?
Which term means being pregnant?
Which ED procedure is used to restore normal heart rhythm in certain arrhythmias?
In the GU system, which finding is most indicative of potential kidney involvement and is localized over the costovertebral angle?
Which term is the correct label for inflammation found in the uterus, fallopian tubes, and/or ovaries?
Which site is described as the point midway between the umbilicus and the anterior iliac crest in the right lower quadrant?
A record of the patient's previous medical conditions and treatments is called?
Abortus meaning.
Which term is described as a metabolic encephalopathy-related flapping tremor?
PVD stands for which condition?
Which abbreviation stands for No Known Drug Allergies?
Inability to express oneself through speech is known as which term?
Which symptom involves sensory experiences such as seeing or hearing things that are not real?
Which term best fits a chronic mood disturbance with recent onset that may be tied to a specific event?
Which condition refers to hypertension that arises during pregnancy?
Which item is not a component of the Glasgow Coma Scale?
What term divides the body into right and left sides?
A condition characterized by reversible airway obstruction with wheezing is known as?
Which term describes the disease characterized by narrowing of the small vessels that supply the heart?
Which area is used to examine the limbs?
Feeling faint.
Which term describes the thoracic portion of the spine?
PMHx stands for which term?
Compazine is categorized as what type of medication?
What is the period during which new Scribes learn responsibilities and charting styles?
What is the normal adult respiratory rate range?
Swelling (inflammation) of the large intestine (colon).
Which abbreviation stands for Against Medical Advice?
Meclizine is classified as which type of medication?
Which blood pressure reading is considered normotensive?
Inflammation of the gallbladder; RUQ ultrasound can visualize it.
A burn that is limited to the epidermis is called?
Which process involves fat, cholesterol, and other substances building up in arterial walls to form plaques?
Which test detects the pregnancy hormone in urine?
Which term describes inflammation of one or more joints?
Which term refers to problems related to or accompanying the main complaint, including both positives and negatives?
Which disorder causes the airways to swell and narrow, producing wheezing?
Which sign of appendicitis occurs when palpation of the left lower quadrant causes pain in the right lower quadrant?
PEA stands for which clinical finding?
Which data element records the medical problems of a patient’s relatives across both sides of the family?
Which drug is an ACE inhibitor used to manage hypertension?
Which medication is a coronary vasodilator for chest pain, also called nitro?
Which severity category is commonly associated with a Glasgow Coma Scale score of 3-8?
NAD stands for which of the following phrases?
Which term corresponds to difficulty swallowing?
Which area includes breasts and axilla?
Which sign involves nails that are shiny and abnormally curved?
Which term describes individuals to whom questions or problems should be brought for assistance?
Which symptom is best described by muffled hearing, tinnitus, or deafness?
ACL is a major ligament of which joint?
Which professionals assist patients with social and emotional needs in the Emergency Department?
Zofran falls into which therapeutic category?
Which ED procedure is used for airway management in acute respiratory failure?
Which tissue connects muscle to bone?
Crepitus is best described as which of the following?
A summary of significant data and physician conclusions is found in which section?
Which abbreviation represents Alert and Oriented to Person, Place, Time and Event?
Which ROS system evaluates general health status, including fever, weight changes, and fatigue?
Which term means 'after coughing'?
Sublingual abbreviation?
Which term indicates bluish skin discoloration due to poor oxygenation?
In physical examination, NC/AT stands for which finding?
PSHx stands for which term?
What is the primary effect of diuretics?
During a wet prep, what is the primary purpose of examining the prepared slide?
PSHx stands for which term?
Which description defines cardiopulmonary arrest?
Pt stands for which term?
Inward movement of chest muscles due to reduced intrathoracic pressure indicates what?
Which individual, identified as a professor of Emergency Medicine, initiated the Medical Scribe Program?
Most common joint disorder due to aging and wear and tear.
Which term is used to describe an episode of loss of consciousness, often documented in patient histories?
Adnexa meaning.
Which condition suggests a miscarriage might take place before 20 weeks of pregnancy?
PCP is the abbreviation for which term?
Which prefix means before or after?
Which group is responsible for training new Medical Scribes?
What does DOE stand for in medical shorthand?
Which test is used to determine ABO type and antibody screening that can be crossmatched with blood bank?
Which ED procedure is used to obtain cerebrospinal fluid or administer intrathecal medications?
Which symptom describes nasal or ocular discharge that may be clear, yellow, white, or crusting?
Which symptom describes coughing up blood?
Which ED procedure involves removing fluid from a joint for diagnostic analysis?
Valve replacement replaces a failing valve with a healthy valve and is used for which diseases?
Which abbreviation corresponds to White Blood Cell Count?
Brady- and Tachy- refer to which concept?
Which symptom is best described as nasal bleeding following facial trauma?
What is the Bag-Valve-Mask (BVM) used for?
Which component documents the physical findings and test results?
Which term means movement away from the midline?
Which ED procedure is used to realign a dislocated joint?
Which abbreviation corresponds to Treatment or prescription?
What is the normal oxygen saturation (SpO2) range for a healthy adult?
The patient has painful urination during the past several days, occurring with each void.
The test abbreviated as BNP stands for which?
Which term describes a surgical removal procedure?
Need to urinate many times, both in normal or less-than-normal volumes
A burn that involves the epidermis and most of the dermis is classified as?
Inflammation of the mucous membranes of the bronchi is termed?
Which term describes the tests ordered by the physician to aid in establishing a diagnosis?
Which term describes the description of where the patient is experiencing symptoms?
Which term describes accessory muscle use during breathing in distress?
Which term is used for congestive heart failure?
Which term describes the mechanism for providing feedback that improves Scribe training?
The abbreviation IO stands for which route?
What does CTAB stand for in auscultation findings?
Which sign indicates appendicitis when passive extension of the thigh causes abdominal pain?
Which term denotes a clot in a vein, often in the leg?
In the context of upper motor neuron lesions, which sign may manifest as rapid, rhythmic contractions?
Which statement about the Glasgow Coma Scale is accurate?
What term describes lying horizontally on the side?
Support staff in the Emergency Department who assist with patient care.
Which factor is a risk factor for hypertension?
The abbreviation LLL refers to which lung lobe?
Which symptom is characterized by multiple watery episodes?
Which term describes the process of monitoring and documenting a patient's condition and treatment in the ED?
Which term describes a structure that is closer to the point of attachment?
One of the seven body areas that can be examined is located along the back. Which area is it?
Hypotension is defined as which blood pressure threshold?
Which of the following are calcium channel blockers used to manage hypertension?
Which term denotes the invasive procedure used to remove a faulty electrical pathway from the heart?
Which airway tube connects the pharynx or larynx to the lungs?
Which symptom category describes changes in body weight, regardless of whether the change was intentional?
Which sign indicates DVT when there is pain in the calf or popliteal region with abrupt dorsiflexion of the foot while the knee is fully extended?
Hemodynamically stable means what about blood pressure and heart rate?
Which condition involves rotation of the ovary causing obstruction of blood vessels?
What term describes collection of air in the space around the lungs that puts pressure on the lung and impedes expansion?
Which ROS system includes constitutional symptoms such as fever, weight changes, and fatigue?
Which symptom describes throat discomfort with swallowing?
A flexible tube with two lumens passed through the urethra into the bladder to drain urine, with a balloon at the tip to retain it is called what?
Which tests determine the clotting tendency of blood?
Which abbreviation corresponds to the meaning 'Normal saline'?
What term describes the list of medications a patient is allergic to and the type of reaction experienced?
What is the anatomical term commonly used for the backbone?
Which cardiac biomarker is used to evaluate damage to heart muscle?
OSH is the abbreviation for which term?
Placement of a flexible tube into the trachea to maintain an open airway is known as what?
Which statement best describes EPIC 2?
Deep Tendon Reflexes are measured on a scale with a normal patellar reflex grade. What is commonly considered normal?
Which term describes a state of chronic worry and fear, often with associated physical symptoms?
Which term describes the concept that, on average, fifty percent of a physician's time is spent writing?
Which term means fast heart rate greater than 100 beats per minute?
Which test is used to screen for mononucleosis by detecting a specific antibody?
Which term describes factors that may worsen or alleviate symptoms?
ACL stands for which of the following?
Which term describes a general feeling of being unwell with no specific cause?
Enlargement of the heart.
Surgical procedure that brings one end of the large intestine out through the abdominal wall causing stools to drain into a bag.
The primary reason the patient came to the ED, which may differ from the initial information given to the nurse, is called the...
Which term describes the narrative of the current complaint, with relevant background information?
Which term refers to the long bone in the hand?
Paroxysmal Nocturnal Dyspnea stands for which term?
Which term describes generalized body discomfort?
Which tests are used to assess thyroid function by measuring T4 and TSH?
Which term is the generic label for inflammation of the uterus, fallopian tubes, and/or ovaries?
Which term means moving away from the midline?
Which sign indicates acute cholecystitis and involves pain on inspiration when the examiner palpates the gallbladder area in the right upper quadrant?
Which lab value is filtered out of the blood by the kidneys and is used to assess kidney function?
Which term refers to the department in a hospital that provides immediate treatment for acute illnesses and injuries?
Which abbreviation stands for Body Substance Isolation?
Which medication is a blood thinner?
Which abbreviation represents bowel movement?
Condition of having diverticula in the colon, which are out-pocketings of the colonic mucosa and submucosa through weaknesses of muscle layers in the colon wall.
Endotracheal tube is commonly abbreviated as which of the following?
Which term describes chronic liver disease marked by scarring and impaired function?
Which prefix means against?
Which organ system includes the brain and nerves that coordinate function?
A gunshot wound is a type of which injury category?
Which term describes the movement of patients through the ED to reduce wait times?
In the ROS, which item describes changes in body weight that may be intentional or not?
Which suffix is described as relating to abundance or presence?
Which procedure is used to immobilize an injured limb with a rigid support?
Total paralysis of the arm, leg, and trunk on the same side of the body is known as what?
Which term describes the course of symptoms over time?
Which term denotes inflammation of the heart muscle?
What does a 12-lead ECG refer to?
Which device delivers supplemental oxygen through the nostrils?
Which term best describes the comprehensive document that consolidates all relevant patient information across visits?
Which term denotes kidney stone formation?
Which term means movement toward the midline?
Which ECG waveform represents ventricular repolarization?
In immunization records, what abbreviation indicates the patient is current on vaccinations?
AIDS stands for which medical syndrome?
Internal examination of the rectum is called?
In the context of the bimanual examination, what does the abbreviation CMT stand for?
In trauma documentation, what does MVA stand for?
Which ED procedure is most appropriately performed to secure the airway when airway protection is required?
Which condition involves the presence of diverticula in the colon without inflammation?
Which term refers to infection of the lung?
Difficulty beginning the flow of urine
What is the medical term for state of decreased blood volume?
What term describes a pregnancy that occurs inside the uterus?
HIV stands for which term?
EKG stands for what?
Which term refers to lying horizontally with the back flat on the ground and the face upward?
Which term refers to thoughts of self-harm or suicide, possibly including a plan?
BLE expands to which of the following?
Bruise or bleeding in the septum of the nose?
Discharge abbreviation?
Which of the following is listed as one of the 12 organ systems that can be examined?
Bacteria causing antibiotic-associated diarrhea and colitis in older adults in hospitals.
Which term describes a persistent, usually painful erection lasting more than four hours without stimulation?
Which group is described as providing emotional and spiritual support to patients and families during the ED stay?
Mental or physical problems such as dementia or arthritis that prevent one from physically getting to the bathroom in time.
A systematic approach to gather information about the patient's body systems to identify any additional issues is called?
What is the standard abbreviation for Registered Nurse?
Which examination technique is primarily used to assess the uterus and ovaries through manual palpation?
Which tube is inserted through the nose, passes the pharynx, and extends into the stomach for feeding or drainage?
In clinical terms, a Glasgow Coma Scale score of 15 is generally considered?
Do Not Resuscitate abbreviation?
Pertaining to the armpit is described by which anatomical term?
An injury in which a body structure is forcibly detached is called what?
Endometriosis most commonly affects which site?
Which ED procedure involves administering sedatives to facilitate procedures?
What does the abbreviation CKD stand for?
Infection that occurs anywhere along the urinary tract.
Which term describes follow-up assessments of a patient's condition to monitor progress and response to interventions?
Pertaining to the kidneys is described by which adjective?
Which term describes the weakening of the heart muscle leading to reduced pumping efficiency?
MVA stands for which term in trauma documentation?
Which term is equivalent to the pelvic region?
Which procedure examines the colon and terminal ileum via colonoscope?
Which infection is a specific type of urinary tract infection that begins in the urethra or bladder and travels up to the kidneys?
Information about the patient's lifestyle, including habits and social circumstances, is called...
RUE stands for?
Which term describes an untidy or disheveled appearance?
What term refers to the knee cap?
The DP pulse is the pulse felt at which artery called?
The abbreviation for 'Complaint of' is what?
Which term describes urinary leakage that occurs with physical activity due to increased intra-abdominal pressure?
The suffix -osis is defined as which concept?
Which bone is known as the thigh bone?
Which term describes Medical Decision Making, the process of determining the diagnosis and management options for a patient?
What term describes the encouraged inquiries from Scribes to enhance learning and understanding of their roles?
Which term describes muscle pain?
Body Substance Isolation abbreviation?
Which term means pertaining to the kidneys?
Which symptom refers to nosebleeds that may occur after trauma and be constant?
Which procedure involves placing vaginal discharge onto a slide and examining under a microscope to check for signs of infection?
Dilated veins in the distal esophagus or proximal stomach due to portal hypertension are called what?
Which term describes tactile arterial palpation of the heartbeat by trained fingertips?
In a neurological exam, what does A&O stand for?
Which term refers to the hospital department that provides immediate treatment for acute illnesses and injuries?
Which term describes the technique of mechanically widening a narrowed or obstructed blood vessel, typically due to atherosclerosis?
Which bacterial disease causes uncontrollable, violent coughing?
Dilated veins in the distal esophagus or proximal stomach due to portal hypertension are called what?
Where can the EF value be found in the documentation of an ECHO ultrasound?
Which panel measures your glucose level, electrolyte and fluid balance, and kidney function?
Loss of bowel control is which condition?
Which term means enlargement of organs?
Which medication is a blood thinner?
The electrolyte represented by the symbol Na is:
Basic Life Support abbreviation?
Which term describes a localized loss of neurological function affecting a specific body area?
Which statement is true about the MCL?
ALOC is an abbreviation for which term?
Which term denotes a disease transmitted through sexual contact?
Which term describes inward chest wall movement during respiratory distress?
HPI is best described as which of the following?
Pertaining to the groin region is described by which term?
Which term means widening of a blood vessel due to pressure on weakened tissues causing formation of a sac of blood?
The hematocrit value reflects the proportion of blood comprised of which element?
Which terms describe a heart valve that is leaky or partially blocked?
What term describes escape of fluid into the pleural cavity?
Which option below is the common acronym for the comprehensive initial assessment?
Which imaging modality generates a three-dimensional image from a large series of two-dimensional X-ray images taken around a single axis of rotation?
Feel the urge but then cannot void or empty bladder.
Which term denotes the process by which the attending physician signs the medical record to confirm its accuracy?
Normocephalic/Atraumatic stands for which examination finding?
Which abbreviation corresponds to the meaning 'Every day'?
What abbreviation stands for Social history?
Which factor is listed as a risk factor for diabetes?
Tremor of the wrist when the wrist is extended (dorsiflexion) due to metabolic encephalopathy is described as which term?
Which test measures blood sugar?
Spiritual care providers in the Emergency Department.
What term describes ambient air that is not enriched with supplemental oxygen?
Significant narrowing of the spinal canal that compresses the nerve roots below the level of the spinal cord, causing lower back pain and lower extremity weakness.
Which term is abbreviated as AAA in medical shorthand?
Do Not Intubate abbreviation?
Which term refers specifically to a vascular sound caused by turbulent blood flow in arteries due to plaque or vessel damage?
Which term describes the time spent by a physician transcribing a patient's history and physical, reviewing test results, and writing prescriptions?
Lack of ability to urinate.
Which drug class reduces acid production by blocking the proton pumps in parietal cells?
What term describes gallstones?
Which condition is a viral illness that causes inflammation of the liver?
Para meaning.
Which term describes inflammation of the prostate gland?
Which term is used for updates to the chart recorded during patient encounters?
What is the term for a series of involuntary muscular contractions and relaxations seen in upper motor neuron lesions?
SmartPhrases in EPIC are best described as what?
The patient reports urinating at frequent intervals, approximately every few minutes. Which term best describes this finding?
In the anatomical position, which statement is true?
Esophagogastroduodenoscopy- procedure that visualizes the upper part of the gastrointestinal tract up to the duodenum.
Which structure is listed under LLQ?
Low pitched, snore-like sounds heard on auscultation are called?
Which option is a vasodilator?
Which term describes pre-medical students gaining clinical knowledge and experience while contributing to patient care in the ED?
In medical abbreviations, IU stands for which term?
What term refers to blood vessels that carry blood away from the heart, usually oxygenated?
Pertaining to the neck is described by which term?
There are 12 organ systems and 7 body areas that can be examined. Utilize the physical exam click boxes to document the findings from the resident's physical examination.
Which procedure removes the uterus?
Which abbreviation is used for Reaction?
Inter- conveys which relationship?
nl is the abbreviation for which term?
Sinoatrial node is the impulse-generating tissue located in which chamber of the heart?
Speech disorder in which there is an impairment of speech and comprehension of speech is known as which term?
PE stands for which medical condition?
Chronic, generalized, localized also describes which symptom?
Which rapid bedside ultrasound is used in trauma to assess for internal bleeding or organ injury?
Which description corresponds to a full-thickness burn involving epidermis, all dermal layers, extending to subcutaneous tissue?
Which symptom is described as shaking, off and on, or feeling cold?
There are 12 systems in the ROS. Fill out the symptoms included in your HPI. You must have at least 1 positive symptom in the ROS.
Which option is NOT a mechanism of GI acid suppression?
MVC stands for which term in trauma documentation?
In a blood pressure reading, which term refers to the bottom number?
Which term is used for the posterior tibial pulse?
Which surgical procedure involves bringing the end of the ileum to the surface of the skin to form a stoma?
Which option represents the level associated with traumatic injuries requiring extensive procedures and cardiac arrests?
Peripheral Vascular Disease refers to narrowing and hardening of the arteries that supply the legs and feet.
Which organ system includes the brain and spinal cord?
Which term refers to pneumonia, an infection of the lung?
Premature death of cells in living tissue.
Which term refers to the Right Upper Lobe?
The component that includes History of Present Illness, Review of Systems, Past Medical, Past Surgical, Family, and Social History, Medications, and Allergies is called...
Training to become a Scribe takes approximately how many hours?
Which term describes fixation using plates and screws or an intramedullary rod to stabilize a fracture?
Beats per minute is abbreviated as which term?
What term describes the location where two or more bones make contact?
Which test is used to detect drugs in urine?
Which statement describes tachypneic breathing?
Excessive bleeding is described by which term?
Bruise or bleeding in the septum, which separates the two nostrils, is called which?
What is EPIC 2?
Which term refers to a patient's general body structure?
Which organ system involves blood and blood-forming tissues?
Unhealthy diet is a risk factor for which condition?
A&O x# stands for Alert and Oriented to which set of entities?
Which term refers to the bones of the spine?
Which term means farther from the body and away from the point of origin?
HCG is the hormone released during pregnancy. Which term represents this hormone?
Which term refers to bilateral lung bases?
Which procedure involves looking inside the body using an instrument to examine the interior of a hollow organ or cavity?
Which device is inserted through the side of the chest into the pleural space to remove air, fluid, or pus?
Documented as 'negative' or 'normal' for a system, indicating normality. Which term is this?
What does the abbreviation BV stand for?
Which term describes being in a state of poor health, malnutrition, or wasting?
Which component of the ECG represents ventricular depolarization?
Which symptom is constipation described as lasting a few days chronically?
Which statement about STEMI is most accurate?
Which acronym indicates a normal lung exam with no abnormal breath sounds on both sides?
Which term denotes enlargement of the liver?
Inflammation of which organ is defined as pancreatitis?
LLE stands for which anatomical region?
Bundle Branch Block refers to a defect of the heart's electrical conduction system that can be seen on an EKG.
Which long bone runs from the shoulder to the elbow?
Which ED procedure may involve applying methods to stop a nosebleed?
Which abbreviation stands for Advanced Life Support?
Hematemesis describes vomiting blood. Which option is correct?
SF stands for what in clinical notes?
N-STEMI stands for which condition?
H&H stands for which combination?
Which term describes squeaking or grating sounds of the pleural linings rubbing together?
Which abbreviation corresponds to the meaning 'By mouth'?
Which symptom is described by chest, sinus, head, or nasal involvement?
Which symptom describes dizziness with a spinning sensation?
Which body area includes breasts and axilla?
Which test detects occult blood in the stool?
Which term refers to the location of the complaint?
Which abnormal posture involves arms and legs held straight, toes pointed downward, and the head and neck arched backwards?
Surgically created opening connecting an internal organ to the surface of the body.
An instrument is inserted up the urethra to remove the section of the prostate that is blocking urine flow.
Which pregnancy hormone abbreviation is associated with pregnancy?
Which quadrant is described as containing the appendix in the material?
Which term describes thoughts of self-harm or suicide, with or without a plan?
Which ED procedure involves closing a skin wound after cleaning it?
Which abbreviation corresponds to the meaning 'Every hour'?
NSR is an abbreviation used on ECGs to indicate which rhythm?
Which role is a medical professional who supports documentation and patient care in the ED, enabling faster visits?
Which abbreviation corresponds to the meaning 'Drops'?
Which term describes updates made to the medical chart as dictated by the physician during patient encounters?
In patient documentation, the abbreviation VS stands for which of the following?
Which term is used to document vision and ocular symptoms within the ROS?
Endometrium tissue appearing outside the uterine cavity, most commonly on the ovaries, describes which condition?
What is the term for the application of a device used to support or immobilize a body part?
Sudden, compelling urge to urinate.
Asterixis is best described as which of the following?
Which disease is a viral infection that causes inflammation of the liver?
Which sign is positive when internal rotation of the right leg causes abdominal pain, indicating appendicitis?
Which condition describes narrowing of the small blood vessels that supply blood and oxygen to the heart?
Which knee ligament is located on the medial side of the knee?
What is the name of the procedure that places a tube through the cricothyroid membrane to establish an airway?
What is the ED Trackboard view used for?
Which term means to have a fever?
Which term refers to tests ordered by the physician based on the history and examination to determine the patient's condition?
EMS stands for which?
Which term refers to bright red blood?
IU is the abbreviation for which term?
Which examination involves visual inspection of the external male genitalia, including the penis, scrotum, and perineal area, for lesions?
Which body area includes groin and buttocks?
Which prefix indicates lack of or absence of?
Trichomoniasis is an infection caused by which organism?
Which device dispenses doses of medication in the form of a fine mist for inhalation?
ASAP in EPIC refers to which of the following?
Which term refers to twisting of the spermatic cord?
Ventricular fibrillation is an uncoordinated contraction of the cardiac muscle of the ventricles, making them quiver rather than contract properly.
Blood vessels that carry blood toward the heart are called?
Which ED procedure involves removing a foreign object from the body?
Fx stands for which medical term?
Which factor is associated with obesity?
Arthroscopy is defined as which of the following?
Speech condition characterized by difficulty pronouncing words due to weakness or lack of muscle coordination is known as which?
What is the initial view after signing into EPIC that allows managing patient assignments?
Which term is used by patients to refer to hypertension?
Which term means no known cause?
Which endoscopic procedure visualizes the upper GI tract up to the duodenum?
Which term describes positioned below the head?
Which disease is a viral infection that leads to swelling of the liver?
Which region is described as the central area of the abdomen?
Seizures in a pregnant woman not related to a preexisting brain condition are called?
Which term denotes a lack of energy?
Fibrous tissue that attaches bones to bones is called which term?
MRSA is the abbreviation for which description?
Brady- and Tachy- denote which concept?
Open Reduction
Which term describes bending or angulation of a joint?
Which medication neutralizes stomach acidity?
Which abbreviation means Chief Complaint?
Type of inflammatory bowel disease that may affect any part of the GI tract from mouth to anus.
Which symptom includes sensations of pressure or tightness in the chest that may be described as squeezing?
Which abbreviation corresponds to the meaning 'As needed'?
Which test detects occult blood in the stool?
Which condition is defined as a blood clot that forms in a vein and travels to the lungs?
Which ED procedure involves injecting anesthetic near nerves to numb a region?
The Medical Scribe Program was initiated within which department?
Which term means closer to the surface?
What is Amiodarone classified as?
Which factor is a risk factor for high cholesterol?
Pain that occurs mostly in the lower abdominal area is called?
Dilatation and Curettage is a procedure to?
Weakening of the myocardium (heart muscle) often associated with inadequate heart pumping.
Which term describes thick mucus from the lungs expelled through the mouth?
Which suffix means removal of?
What does the Glasgow Coma Scale measure?
Atenolol/Metoprolol are used to treat which conditions?
A record of the patient's previous surgeries is called?
Which term describes the progressive failure of the immune system allowing life-threatening opportunistic infections and cancers to thrive?
Which level is for patients requiring admission to the hospital with complete work-up and high complexity of care?
Which bacterium is commonly associated with antibiotic-associated diarrhea and colitis?
Supraventricular Tachycardia is any tachycardia rhythm originating above which node?
Which term describes atrial fibrillation, characterized by chaotic electrical activity in the atria?
Which term denotes the combination of nausea, vomiting, diarrhea, and constipation?
During a speculum exam, which option correctly identifies the os?
Which term refers to hypertension arising during pregnancy, potentially with edema and organ involvement?
What is true about ROS when documenting HPI?
Deep laceration, superficial laceration, abrasion describes which category?
Which quadrant contains the gallbladder and the right kidney in the material's mapping?
Describe the grating, crackling or popping sounds and sensations experienced under the skin and joints.
Cranial nerves are twelve pairs of nerves that emanate from the nervous tissue of the brain. What is the abbreviation used to refer to them?
Which procedure is performed to control a nosebleed?
Fontanelles typically close by 18 to 24 months through which process?
Which term describes a short, high-pitched sound heard on auscultation?
Which test assesses the degree of heart failure?
Weakness on one side of the body is known as which term?
Which option correctly represents the abbreviation MRSA?
Which symptom is described by nasal discharge that can be clear, yellow, or green?
Which EMR was implemented at the University of Virginia Emergency Department, replacing MEDHOST in March 2011?
Which term describes inspecting or looking at different parts of the body?
Which term refers to a T-shaped device inserted into the uterus to prevent pregnancy?
Which term describes guidelines provided to a patient upon discharge from the ED?
Which waveform represents ventricular repolarization?
What is the medical term for vomiting?
Which test measures the concentration of white blood cells, red blood cells, and platelets in the blood?
Fifth metacarpal transverse neck fracture from a straight punch is called which?
Lithiasis is the formation of mineral stones. Which option is correct?
The PIP joint is located between which phalanges?
What term describes a flesh injury caused by heat, electricity, chemicals, light, radiation, or friction?
Which term means above the pelvis?
Which symptom category would be described as abnormal, white, or clear genitourinary drainage?
Which term best describes muscle pain?
Which body area includes the face?
Which procedure is used to repair a skin laceration?
Which symptom is described as muffled sounds, tinnitus, and deafness?
A whistling sound resulting from the narrowing of the respiratory passages is called?
Hematochezia is blood in stool. Which option is correct?
Which device is surgically placed through the abdomen into the jejunum to deliver enteral feeds?
Which term describes tests ordered by the physician to aid in establishing a diagnosis?
The bladder never empties fully and small amounts of urine leak continuously.
Which term describes rapid heart rate exceeding 100 beats per minute?
Which hematologic description best fits easy bleeding and easy bruising?
R/O stands for which term?
What feeding tube is surgically inserted through the abdomen into the stomach and is commonly known as a G-tube?
Erythrocyte Sedimentation Rate is a non-specific measure of what?
The term for information about conditions that run in the patient's family is...
Who provides spiritual care in the Emergency Department?
Which term refers to the documentation function that supports physicians by maintaining essential records?
Which term is a common shorthand used to denote either appendectomy or appendicitis?
Which term describes a position closer to the midline than another structure?
Hx stands for which element?
In respiratory examination, what does the abbreviation BS stand for?
Problem with nerve, spinal cord, or brain function that affects a specific location is described as what?
Which term describes thinning of bone tissue and loss of bone density with age?
Which term denotes inflammation of the heart muscle?
H&H stands for which combination?
Which abbreviation corresponds to the Left Upper Extremity?
What kind of document must be accurately completed to avoid affecting patient care?
Which term corresponds to Human Immunodeficiency Virus?
Which abbreviation stands for Treatment or prescription?
Inflammation of the Bursa is called which term?
Which test is ABO blood typing and antibody screening that is crossmatched with the blood bank?
Which test is commonly ordered to screen for illicit or prescription drug use on admission?
Surgical removal of the uterus is called?
Which term describes a myocardial infarction caused by blocked blood flow?
LNMP stands for which term?
Includes attending physicians, resident physicians, medical students, nurses, and other support staff.
What does the abbreviation EOMI stand for in neurology notes?
Which term refers to a qualified individual who provides training on the EPIC system?
What is the standard abbreviation used to denote the respiratory rate?
In which department do Medical Scribes work alongside various healthcare professionals?
Which exam involves visual inspection of the external female genitalia for appearance and lesions such as herpes?
Which ROS category focuses on vision and eye health?
Discharge abbreviation?
Which suffix means 'condition of'?
Which term means the sole of the foot turned outward?
Which sign is elicited by palpating the left lower quadrant to produce RLQ pain?
Which device is designed to deliver a specific amount of inhaled medication with each actuation?
Which term describes the professional who documents the patient encounter in the medical record?
Critical Care level: Sixth level where physician spends 30 minutes providing continuous care; traumatic injuries requiring extensive procedures and cardiac arrests are critical care; time must be documented.
Which ROS system covers the head, ears, nose, and throat?
Which term refers to the physician tapping on a surface to determine the underlying structure?
Which element quantifies how severe a symptom is, often using a numerical scale from 0 to 10?
Which sign is most commonly used to assess appendiceal tenderness in the right lower quadrant?
MCL stands for which ligament?
Which forms are used to document medical communications and patient transfers?
Which term describes a motor speech disorder with slurred speech due to muscle weakness?
Which term refers to a sound in the neck arteries due to turbulent flow caused by plaque or damage to vessels?
Which abbreviation stands for tenderness to palpation?
The bacterium that causes gonorrhea is?
Which device is positioned through the abdomen into the jejunum to provide enteral nutrition?
What term describes the bones that form fingers and toes?
The Sinoatrial node is the impulse-generating tissue that acts as the heart's natural pacemaker located in which structure?
Which medical device delivers electrical impulses via electrodes contacting the heart muscle to regulate the heartbeat?
Which fracture is a fifth metacarpal transverse neck fracture from a straight punch?
Which device disperses medication in the form of a fine mist suitable for inhalation?
Which procedure is performed by Patient Care Technicians to initiate intravenous therapy?
Which information category includes History of Present Illness, Review of Systems, Past Medical, Past Surgical, Family, and Social History, Medications, and Allergies?
Which three domains are evaluated by the Glasgow Coma Scale?
Reglan is categorized as what type of medication?
Which term is commonly associated with a condition including a conduction defect observable on EKG?
The suffix -otomy denotes which meaning?
RSV infection is often milder in adults but can be more serious in which group?
Which abbreviation stands for Per Rectum?
Which term refers to the Right Lower Lobe of the lung?
Which term describes a comprehensive assessment of a patient's medical history and physical examination findings?
Which blood vessels carry blood toward the heart? Usually deoxygenated, with the exception of the pulmonary veins?
A burn that is classified as first-degree is also known as which of the following?
Which term refers to a disease transmitted through sexual contact?
What does the abbreviation 'c' stand for?
Which term describes the decision made by the physician regarding whether to admit, discharge, or transfer the patient?
Which term refers to drawing toward the midline of the body?
Which abbreviation stands for Status post?
What is the valid total score range for the Glasgow Coma Scale?
Which abbreviation stands for antibiotics?
Intended diagnostic or therapeutic action, including disposition: admission, discharge, or transfer instructions, is described in which section?
Which term represents the two normal heart sounds that occur in sequence with each heartbeat?
Small bulging sacs or pouches of the inner lining of the intestine (diverticulosis) that become inflamed or infected.
Which term is used to denote being alive and well?
Which surgical procedure removes the gallbladder?
CSF stands for which term?
Which term means closer to the midline of the body?
Bursitis is inflammation of which structure?
Which organ system includes bones and joints and supports movement?
What is the long-form name for the abbreviation DJD?
What term describes black, tarry stool?
What term describes the generic mixture used to treat indigestion?
Removal of foreign matter or dead tissue from a wound is called what?
Which term describes a knee joint replacement?
Which medication is a blood thinner (antiplatelet) and provides pain relief?
In a speculum exam, the os refers to the opening of which structure?
Which abbreviation denotes Symptom?
What is the surgical sterilization procedure in which a woman's fallopian tubes are clamped and blocked or severed and sealed?
Which suffix means inflammation of?
Which treatment uses a machine to filter wastes from the blood in kidney failure?
Which condition is described as a viral disease causing liver inflammation?
Which term describes Review of Systems, a systematic approach to uncovering additional symptoms the patient may have?
A speculum exam involves using a speculum to open the vagina and visualize the interior walls, including the os and whether it is open or closed.
What term describes collection of blood in the pleural cavity?
Which term means without fever?
What does the abbreviation 'Q' indicate?
Which term means kidney stones?
Which abbreviation corresponds to Sublingual?
Which symptom is best described as feverish sensation with possible shivering?
What is the term for the standard anatomical reference position?
Which sign indicates appendicitis when internal rotation of the right leg at the hip and knee causes abdominal discomfort?
Which device is commonly referred to as a G-tube and is placed to deliver long-term enteral nutrition into the stomach?
Which abbreviation corresponds to the meaning 'Three times daily (aka q8h)'?
Which option is a diuretic?
Which abbreviation represents Bilateral?
Which symptom refers to vision disturbances such as blurred or double vision or seeing lights?
Narrowing of a body opening or passage.
During a pelvic examination, which technique involves inserting two fingers into the vagina and placing the other hand on the abdomen to palpate the uterus and ovaries, noting cervical motion tenderness and adnexal masses?
Zofran is categorized as what type of medication?
Which term describes fingers and toes broadened with shiny, abnormally curved nails?
Which term is listed as one of the organ systems that can be examined?
Which symptom is described as dull, left-sided fullness with popping or pressure?
DOA stands for which term?
Which symptom is characterized by episodes of shaking and feeling cold?
Scribes gain greater exposure to patient care and Emergency Medicine through close interaction with ED physicians. Which term describes this exposure?
Inability to swallow is known as which term?
Which option is the correct shorthand for the abdomen?
Which option is the correct abbreviation for bowel movement?
What is the term for medications that open blood vessels?
Which term describes rapid loss of kidney function that occurs over hours to days and is abbreviated ARF?
Which disease of the vagina is caused by overgrowth of bacteria?
Which term describes the palm side of the hand?
Which term describes the current visit's symptoms and patient-reported history?
DIP stands for which joint?
Which prefix means lack of or absence of?
AMS stands for which medical term?
ALOC stands for which medical term?
Which vessel carries deoxygenated blood from the heart to the lungs?
Which term refers to the first and second cervical vertebrae?
In chart documentation, WNL stands for which phrase?
Surgical removal of the gallbladder.
Which abbreviation stands for Transport?
Which term describes the documentation of a patient’s prior health history, including conditions and treatments?
What hollow muscular organ forms the airway to the lungs and houses the vocal cords?
What does Level 2 coding refer to in EPIC?
Which term describes the employment category for scribes that are hourly workers?
What term describes permanent shortening of a muscle or joint due to prolonged spasticity?
RBBB stands for which conduction abnormality?
Outside Hospital stands for which abbreviation?
What term describes obstruction of a blood vessel by a clot or foreign body?
Which term describes specific medical interventions performed on a patient during their visit?
Which of the following is one of the seven body areas that can be examined?
DOB stands for which term?
What is the common abbreviation for Degenerative Joint Disease?
What term describes the space between the parietal peritoneum and the visceral peritoneum?
Which term corresponds to the sound described as squeaky leather, grating, or rasping heard on auscultation?
What does the term dyspnea describe?
Images produced by x-ray technicians for diagnostic purposes are called?
Which term refers to fluid accumulation in the pleural space?
Which visit category fits minor lab work like CBC or UA and a few x-rays, often for minor MVCs and uncomplicated UTIs?
Which statement defines hypoxia?
Which term describes chaotic electrical activity in the atria resulting in ineffective contractions?
In obstetric history, which term refers to the number of births after 20 weeks gestation?
Which genetic disorder causes thick, sticky mucus that builds up in the lungs and digestive tract?
Which abbreviation means Without?
Which procedure involves needle drainage of fluid from the peritoneal cavity?
Which term describes the group of professionals that includes physicians, learners, and support staff working in the ED?
What is the highest possible Glasgow Coma Scale score?
What term refers to the opening of the cervical canal into the vagina?
How are consults tracked?
RLE stands for which anatomical region?
Which designation stands for a non-ST elevation myocardial infarction?
Hematocrit measures the percentage of blood volume made up by which component?
Referring to the palm of the hand is called?
Which organ system is described as comprising the heart and blood vessels?
What describes employment opportunities for Medical Scribes through the University or University Physicians Group?
Which prefix means red?
Which abbreviation corresponds to Nothing by mouth?
Which symptom is described by descriptors such as sharp, dull, pressure, squeezing, non-radiating, or ache?
In trauma documentation, what does MVC stand for?
What essential quality should Scribes possess to effectively work as team members?
Which abbreviation stands for Cancer?
Which heart rate value is considered tachycardic?
A series of vital signs taken in standing, sitting, and supine positions is called what?
Which term describes pain, weakness, and numbness or tingling in the leg due to sciatic nerve compression?
The technique of visualizing the inside of the airways for diagnostic and therapeutic purposes is called?
Ery- is a prefix that means which color?
The procedure in which a failing valve is replaced with a healthy valve.
What does the abbreviation VSS stand for in patient records?
Dx stands for which term?
Which data element lists the name and daily dose of medications the patient takes?
Caused by weakening of bladder muscles so that leakage occurs when pressure is placed on the bladder such as with exercise, coughing, sneezing, pregnancy, and obesity.
What does NPO stand for?
Excessive urination is medically termed
Fast respiratory rate is medically termed as?
Which panel includes BMP along with liver function tests and calcium?
In medical documentation, which item is typically found in the Assessment section?
Include at least one element from past medical or past surgical history, and at least one element from family or social history.
What is the term for vomiting that occurs after coughing?
Which position requires a responsible, mature, and intellectual individual who can work cooperatively in a high-stress environment, providing significant clinical knowledge and experience while contributing to patient care?
Which term describes concave angulation of the spine?
Which term describes producing less urine?
Which term denotes a comprehensive document that includes all relevant patient information and physician notes?
Which term describes the physician feeling the different parts of the body?
Which term describes total paralysis of one side of the body?
BLE stands for which anatomical region?
Which role is described as working with the resident physician to ensure complete and accurate documentation?
Accompanies the physician on each patient encounter to abstract and transcribe the medical record describes which role?
MDI stands for which medical device?
What is the breast bone?
Which phrase refers to the department where Scribes work with multiple healthcare professionals?
BKA stands for which medical term?
What is the valid range for the eye-opening component of the Glasgow Coma Scale?
A list of possible conditions that could explain the patient's symptoms is called...
Which abbreviation represents Intravenous?
In the Assessment section, what disposition action follows final diagnosis?
The abbreviation for the word 'With' is what?
Which abbreviation stands for White Blood Cell Count?
In patient age notation, what does the abbreviation yo represent?
Who keeps track of lab orders and enters demographic, billing, and admission information into the computer, helps process the patient's paperwork, and checks them into the hospital or organizes transport?
Which abbreviation stands for Signs and symptoms?
Which element refers to the total time the symptoms have been present?
Which term refers to the back part of the body?
With movement, room spinning, vision changes describes which symptom?
Which emergency airway procedure is performed by creating an opening in the neck to bypass an upper airway obstruction?
Which symptom is associated with nasal discharge described as clear, yellow, or green?
Which orthopedic procedure is abbreviated THR?
A burn that involves the epidermis and superficial portion of the dermis is classified as?
Which ED procedure is used to re-align a dislocated joint?
A burn depth that extends through all layers of skin and into muscle or bone is classified as which degree?
A Glasgow Coma Scale of 12 generally indicates which level of impairment?
ECGs are properly entered into the chart and placed in their respective locations.
Which panel is used to check electrolytes and kidney function?
Accumulation of fluid in the peritoneal cavity.
Inflammation of the pericardium is called?
Which device is implanted to monitor heart rhythm and deliver shocks for life-threatening arrhythmias?
Particular way of moving on the foot, with abnormalities such as staggering or ataxic gait, is described as what?
Which condition is described as a sac protruding through a hole or weak area in the fascia?
In the GTPAL notation, what does the letter 'G' represent?
Procedure of introducing liquids into the rectum and colon via the anus often used to treat constipation.
Tuberculosis most commonly involves which organ?
Amenorrhea meaning.
Which term describes drugs used for the treatment of nausea?
Who provided guidance in the establishment of the Medical Scribe Program?
Which area includes groin and buttocks?
Which structure is the tympanic cavity part of?
Angina is chest pain due to what primary cause?
FROM stands for which phrase?
Which term describes the surgical exposure of fracture fragments during reduction?
Which symptom is described as abdominal pain that can be located in the upper or lower abdomen and may be sharp or dull?
Which term describes the enlargement of organs?
In the Glasgow Coma Scale, which motor response score corresponds to obeying commands?
Which acronym denotes prehospital emergency care coordination?
Which ED procedure is used for nasogastric decompression or feeding?
The small blood components that help clotting by sticking to the lining of blood vessels are called?
Which symptom is described by multiple episodes of vomiting that may contain clear, bloody, food contents, or bilious material?
Which term refers to headache, commonly abbreviated as HA?
Which organ system includes the stomach and intestines?
Which device converts liquid medication into a fine mist for inhalation?
Which term refers to the documentation framework that includes subjective, objective, assessment, and plan?
An abnormally heavy and prolonged menstrual period is called what?
Which term describes a position that is closer to the surface?
Which symptom is described as earache, including dull, left-sided fullness or popping sensation?
Which term describes a non-ST elevation myocardial infarction?
Which term describes a person who can move about and is not bedridden?
During training, which component defines how scribes record information?
Which term is characterized by weakening of the heart muscle, often leading to reduced pumping efficiency?
Which term describes the side opposite the palm of the hand or the sole of the foot?
Which procedure restores blood flow by bypassing diseased sections of the coronary arteries?
Which ED ophthalmic exam uses a slit beam to view the anterior segment of the eye?
Which abbreviation stands for the abdomen?
Which term describes inflammation of the inner lining of the heart?
Which term describes full-time physicians involved in teaching and supervising residents in the ED?
Situated behind or toward the rear; back part of the body.
The suffix -emia denotes which of the following?
Which term refers to the set of actions including ordering tests and evaluating results to decide on patient care?
Which term describes a widespread infection where the bloodstream is overwhelmed by bacteria?
What term describes the bones in fingers or toes?
What term describes a slow heart rate, defined as less than 60 beats per minute?
Which term describes inflammation of the prostate?
Which symptom is described as discharge that may be clear, yellow, white, matted, bloody, or crusting?
What is the singular term for a bone in a finger or toe?
Which term best describes a surgical procedure that replaces the knee joint?
Which term describes pregnancy status?
Which ED procedure is used to drain localized skin infections such as abscesses?
Which option describes the duties that ensure complete and accurate documentation in coordination with the resident physician?
Tenderness along the triangular deepening on the radial dorsal hand is called which finding?
What change occurred at UVA ED in March 2011?
Which test evaluates the concentration of different blood cell types, including white blood cells, red blood cells, and platelets?
How is the Glasgow Coma Scale commonly recorded in documentation?
MCP stands for which joint?
Which test analyzes urine for components such as protein, glucose, and infection markers?
FHx stands for which concept?
Which symptom involves nasal discharge often described as a runny nose?
An anterior term refers to which direction or region?
Which data element is used to capture a patient’s current prescription details, including drug names and daily dosages?
Which procedure uses an endoscope inserted into a joint through a small incision?
SVT stands for which arrhythmia?
Which symptom in a Review of Systems denotes a subjective sensation of fever?
Which abbreviation stands for Symptom?
The term -ostomy conveys which concept?
Which term describes the procedure of examining a hollow organ with an endoscope?
Chronic, lower, region of trauma, without trauma is most consistent with which condition?
What does BID stand for?
Which abbreviation denotes Signs and symptoms?
Left Bundle Branch Block is abbreviated LBBB. Which option best describes this finding?
Which office is supported by full-time Medical Scribes?
Which ED ophthalmic exam uses a high-intensity light source and a slit beam to view the eye?
State consisting of lightheadedness, muscular weakness, and feeling faint is known as?
What term denotes the state of no cardiac activity?
Which documentation format is a structured method for recording patient information with four components?
Which ED procedure uses fluorescein staining to evaluate the eye?
What does the abbreviation AKI stand for?
Which procedure returns blood flow to the heart by rerouting it through a grafted artery or vein around diseased sections?
ACLS stands for which of the following?
Open Reduction Internal Fixation, a method using plates and screws or an intramedullary rod to stabilize the bone.
What does ROM stand for in medical abbreviations?
What is the role of Scribes in maintaining communication between physicians and ED personnel?
Which test would you order to screen for bloodstream infection?
The term that describes the action of providers logging into a staff communication system?
Which term describes instructions written by the physician for admitting a patient to the hospital?
Twisting of the spermatic cord that cuts off the blood supply to the testicle is called what?
Which term means a heavy and prolonged menstrual period?
Which abbreviation corresponds to the meaning 'At bedtime'?
Which term means the sole of the foot turned inward?
Which term denotes the formation of mineral stones anywhere in the body?
Dysmetria is the clinical term for the inability to perform accurate point-to-point movements. During which test is this most commonly assessed?
GPA stands for Gravida, Para, Abortus.
What does BSA stand for?
Which term describes a systematic review of the patient’s symptoms across body systems to identify additional findings?
Which term describes the process by which the attending physician reviews and signs the medical record to confirm its accuracy?
Which term refers to the mentors responsible for training new Scribes?
Which ED staff are involved in performing imaging procedures in the ED?
Gtt(s) refers to which meaning?
In GTPAL, T stands for Term births.
What is the common abbreviation for a heart ultrasound?
Which term describes the normal rhythm with the sinus node initiating impulses?
Which term describes inflammation of one or more joints?
Difficulty swallowing is known as which term?
BP stands for what?
Upper Respiratory Infection typically involves nose, sinuses, pharynx, or larynx. Which structure is not typically involved?
GTPAL notation expansion.
How are Medical Scribes hired according to the program?
In age notation, which abbreviation stands for 'years old'?
Specialists who manage patients' respiratory needs in the Emergency Department.
Rapid Sequence Intubation involves tracheal intubation under what condition?
Which term describes an assessment performed by the physician to document exam findings, both positive and negative?
The DIP joint is located between which phalanges?
An explanation of the chief complaint, including the patient's name, age, sex, pertinent past medical history, and the chief complaint is the
What term describes accumulation of air outside the lung but within the chest cavity?
What term describes the escape of fluid into the joint space?
Which type of incontinence is caused by damage to the nerves of the bladder and often presents as not being able to get to the bathroom in time?
Which type of dizziness involves a feeling of motion when one is stationary?
Which acronym is used for the date of birth in patient records?
My Note section is typically used for visits requiring what?
Which term describes the patient’s ability to recall and document health problems across paternal and maternal family lines?
Which medical term best describes events characterized by multiple episodes that last for a period of time?
Inflammation of the lining of the lungs and chest that causes chest pain when breathing?
Leuko- is a prefix that means which color?
Which term refers to a surgical joint replacement of the hip?
CCE stands for which signs?
The area between the anus and the scrotum in the male and between the anus and the vulva in the female is the
The consequence of chronic liver disease characterized by scarring leading to loss of liver function.
What term describes partial or complete blockage of the small intestine?
NS stands for which substance?
Which abbreviation represents Last Menstrual Period?
In medical terminology, intra- indicates which spatial relation?
Which term refers to pancreatic enzymes used in diagnosing pancreatitis?
One of the 12 organ systems that can be examined. Which system includes the heart and blood vessels?
Which factor is linked to obesity?
Mass Casualty Incident stands for which abbreviation?
Which anatomical region is abbreviated as L-spine?
Which term describes the inside?
Physically inactive is a risk factor for which condition?
What is the test used to evaluate a patient’s ability to tolerate food or liquid by mouth without subsequent vomiting?
The procedure used to diagnose and treat by visualizing the inside of the airways is called?
Which term is defined as the palm side of the hand or the sole side of the foot?
Which abbreviation stands for Subcutaneous?
What does ROSC stand for in cardiac arrest?
Which structure coordinates heart rate by electrically connecting atrial and ventricular chambers?
Which term means located below or away from the crown of the head?
Phenergan is categorized as what type of medication?
What is the abbreviation for Liters Per Minute?
Which term means listening to internal body sounds with a stethoscope?
Pulseless Electrical Activity is best described as a cardiac arrest in which the ECG shows a rhythm that should be producing a pulse, but is not.
The DDx abbreviation stands for which concept?
Which blood test assesses the liver's ability to produce albumin and clear bilirubin?
Which condition is inflammation of the GI tract involving both the stomach and small intestine resulting in diarrhea, vomiting and abdominal cramps?
Which condition is the lining of the stomach inflamed or swollen?
What does RUQ stand for in the abdominal mapping?
Which symptom is described as upper or lower abdominal pain that can be sharp or dull and may be described as heartburn?
What does the abbreviation ARF stand for?
Which shorthand stands for bright red blood?
PIP stands for which joint?
Which organ is listed under LUQ?
If a patient has shortness of breath and wheezing, which organ system is primarily involved?
Which abbreviation corresponds to Basic Life Support?
Which term describes a functional bowel disorder with chronic abdominal pain and changes in bowel habit?
Which symptom category is described as chronic weakness affecting the limbs?
Which term means permanent shortening of a muscle or joint?
Which abbreviation stands for Signs and symptoms?
Collapse of alveoli resulting in reduced gas exchange is called?
An Automated External Defibrillator (AED) is used to diagnose and treat which arrhythmias through defibrillation?
Elevations in which enzymes are commonly used to diagnose pancreatitis?
Which condition is inflammation of the lining of the stomach?
The most common GU complaint in the emergency department for suspected nephrolithiasis is which symptom?
QHS stands for which time?
Which condition is a mass of dilated veins in the anorectal area?
Which term refers to a mask that delivers high concentrations of oxygen with a non-rebreathing valve?
A SpO2 reading of 93% is considered...
nl stands for which term?
Which symptom is best described by chest discomfort that can be sharp or dull and non-radiating?
Which term describes extra heart sounds that are produced as a result of turbulent blood flow that is sufficient to produce audible noise?
PTA stands for which term?
Which abbreviation is used to denote Bilateral movement or condition?
In a facility log, which term refers to the record of communications and subsequent transfer events?
PTA stands for which term?
Which symptom is described as profuse, soaking, cold sweats, night sweats?
Which symptom is described by scratchy throat and dysphagia?
Increased pressure in a muscle compartment.
How many pairs of cranial nerves are there?
Which term describes tissue death due to a local lack of oxygen caused by obstruction of the tissue's blood supply?
What is the meaning of the prefix Anti-?
Dyschezia is pain with defecation. Which option is correct?
Which procedure examines the anus and lower rectum to diagnose conditions?
Transcutaneous Pacing is the temporary means of pacing a patient's heart externally by delivering pulses of electric current through the patient's chest, which stimulates the heart to contract.
EF is the fraction of blood pumped out of the right and left ventricles with each heartbeat. What measurement does this describe?
Which statement about physical examination documentation is true?
The physician evaluates a patient's body by inspection, palpation, percussion, and auscultation. What is this process called?
Which position is described as lying with the body angled and the feet elevated 12 inches above the head?
Which option is the urinary tract infection abbreviation?
Which imaging modality is described as a computed tomography scan?
What term refers to ambient air that is not enriched with supplemental oxygen?
Which term means farther from the surface?
Referring to the sole of the foot is called?
Adenosine is used to treat which condition?
Hands, feet, arms, with or without trauma corresponds to which symptom?
Which term describes a heart attack without ST elevation?
What is the commonly abbreviated term for the cervical portion of the spine?
Collapse or closure of alveoli resulting in reduced gas exchange is known as?
What does apnea mean?
Which organism is associated with peptic ulcers, gastritis and possibly gastric cancer?
Surgical removal of the appendix.
Which ED role is primarily responsible for handling respiratory care for patients?
What does RBC stand for?
The abbreviation IO stands for which route?
Healthcare professionals who perform imaging tests in the Emergency Department.
Which chronic lung disease represents the recurrence of chronic bronchitis and emphysema, leading to narrowed airways?
Which term refers to the back or rear surface?
What does the abbreviation WDWN stand for in clinical documentation?
Which statement describes bradypneic breathing?
The method for extracorporeal removing waste products and free water from the blood when the kidneys are in renal failure is called?
What is another common name for an arterial line used to monitor real-time blood pressure?
Which term describes the course or pattern of symptoms over time?
Which term refers to the long bone in the foot?
Which symptom category includes presentations described as frontal, pounding, chronic, migraine, temporal, or diffuse?
NSR on an ECG is an abbreviation for what rhythm?
Which drug type constricts blood vessels to raise blood pressure?
Which term describes a person who is not confined to bed or wheelchair?
Which term refers to rapid loss of kidney function that occurs over hours to days, abbreviated AKI?
Which body area is used to examine limbs?
A&O PPTE stands for Alert and Oriented to Person, Place, Time and Event. Which option best restates this?
Which term describes the cleanliness status of each pod, including printer restock and trash cleanup?
Endoscopic examination of the large bowel and distal part of the small bowel via anus.
Which test is most appropriate to evaluate liver function in suspected hepatocellular disease by assessing albumin and bilirubin?
Which test is used to help rule out bloodstream infections?
Which test measures a waste product from protein metabolism and is excreted by the kidneys?
Implantation of the fertilized ovum outside the uterine cavity is called?
Which common sexually transmitted infection is caused by Chlamydia trachomatis?
Which term means without fever, i.e., not febrile?
Which term refers to a patient with poor nutritional status and wasting?
Includes Physical Exam and Diagnostic Results.
Which procedure involves placing a tube through the nose into the stomach for drainage or feeding?
Per rectum abbreviation?
What is the common clinical abbreviation for high blood pressure?
A Glasgow Coma Scale total score of 3 implies which combination of eye, verbal, and motor scores?
EF is often reduced in which condition?
Which term represents the overall symptom history and background that informs the clinical picture?
Which term describes lying on the side?
Presence of blood in the tympanic cavity of the middle ear.
Chief Complaint abbreviation?
Level 1 coding describes encounters in which the diagnosis is made based on clinical examination without laboratory tests or imaging.
The presence of fontanelles on a newborn primarily facilitates which mechanical process during birth?
What is the term for raising a part of the body?
What is the abbreviation for Primary Care Physician?
Involuntary leakage of urine. Types include: stress, urge, overflow, and functional.
Which genetic disorder causes mucus plugs in the lungs and digestive tract?
Which elements are typically documented in the ED Trackboard view?
The amount of critical care time must be clearly documented on the chart.
Chaplains and Social Workers provide what services to assist patients and families during the ED stay?
Which ED procedure is used to gain urgent vascular access via a central line when peripheral access is difficult?
Which option denotes the full-time, benefits-providing employment path for Scribes?
LMP stands for which medical term?
Which scenario fits Level 3?
Common syndrome with long-term widespread pain and tenderness in joints, muscles, tendons, and other soft tissues.
STEMI stands for which condition?
Which term describes tissue death caused by a local lack of oxygen due to obstruction of the tissue's blood supply?
Which term describes the physician listening to the internal sounds of the body, usually using a stethoscope?
ED stands for which?
Which term refers to the measurement of pancreatic enzymes in serum or plasma?
Who collaborated as a third-year medical student in establishing the Medical Scribe Program?
Which action describes turning the hand so the palm faces upward?
Which term refers to discussions with other physicians or specialists regarding a patient's care?
The abbreviation LUL stands for which lung region?
What does the Plan section describe?
Which term is used for urinary leakage due to pressure on the bladder during activities like coughing or sneezing?
Which term describes widening of a blood vessel due to pressure on weakened tissues forming a sac?
Which term means toward the side away from the midline?
Generalized, localized to arms or legs only is characteristic of which symptom?
Which factor is listed as a risk factor for developing diabetes?
Which term describes convex angulation of the spine?
Which finding refers to crackling noises heard on auscultation?
Tuberculosis is a bacterial infection most commonly involving which organ?
Which term is abbreviated as bpm?
Harsh, high-pitched respiratory sound caused by obstruction of the air passages is called?
Blood Urea Nitrogen is the product from metabolism of proteins by the liver and is excreted by the kidneys. It helps measure kidney function. Which test is this?
Gravida meaning.
The electrolyte represented by the symbol Cl is:
Which term refers to enlargement of both the liver and spleen?
In GTPAL, L stands for Living children.
Which criteria are used to determine clearance of cervical spine fractures without imaging?
Which symptom involves multiple episodes that are watery?
Which symptom is characterized by scratchy throat and pain when swallowing?
Which abbreviation is used for intravenous fluids?
Which element is included in the documentation of Critical Care?
A high-pitched whistling sound heard in the airways is described as a?
Which organ is listed under LUQ?
Which term describes an individual with excess body fat that may adversely affect health?
In listing a patient’s potential conditions, which term is typically abbreviated as Dx?
Which term denotes enlargement of both the liver and spleen?
In GTPAL, P stands for Preterm births.
Which suffix denotes discharge or flow (as in diarrhea)?
Which term means after eating?
Which term describes a position situated above or toward the crown of the head?
Which symptom best describes chronic muscle aches that may be generalized or localized?
Which area is located along the posterior trunk?
Which procedure removes part of the prostate via the urethra to relieve urine flow blockage?
Which term describes turning of the hand so the palm faces downward?
Which category reduces gastric acid production?
Which level describes visits requiring extensive lab work, multiple x-rays, or a CT scan, with potential hospital admission, e.g., severe abdominal pain or MVC with LOC requiring CT and trauma labs?
Episodes of vomiting may contain clear, bloody, or bilious contents. Which symptom is described?
Which term refers to the hospital unit providing continuous monitoring and life support?
Which body area includes the face?
Diffuse, localized to specific area, itchy, raised, colored describes which symptom?
Which term means needing to wake up at night to urinate?
What is the medical term for high blood pressure?
Loss of regular control of the bowels is called which condition?
Which term describes a threatened miscarriage?
A record of medical conditions that run in the patient's family is known as...
Which term describes the accumulation of fluid within the peritoneal cavity?
Which term describes the way the patient describes their pain or symptom?
Which ED procedure is used to obtain vascular access via the femoral site?
Procedure to restore alignment of a fracture or dislocation using manipulation of bone fragments without surgical exposure.
You should review your chart to ensure that it is complete prior to leaving your shift. Check for all sections of the chart are filled out.
Which role triages patients as they enter the ED, interviews the patient first, administers medications as ordered by the physician, and tracks the patient's progress?
Which test measures fibrin split products and helps rule out PE or DVT?
Which test measures the heart's ability to respond to external stress in a controlled clinical environment, with stress induced by exercise or drugs?
Which term describes shortness of breath that occurs when lying flat?
Which test is a non-specific measure of inflammation?
Which condition is a functional bowel disorder characterized by chronic abdominal pain and bloating with altered bowel habits?
Part of a coordinated effort with the resident physician to ensure complete and accurate documentation is which function?
Which symptom category best describes chronic joint pain?
Pratt's sign is defined as squeezing of which area to elicit pain?
Degenerative Disc Disease
Which procedure is abbreviated TKR?
Who coordinates patient care and uses Scribes for communication with physicians?
H&P stands for which?
A patient reports a few days of cough with coughing up blood. Which finding is most consistent?
The Straight Leg Raise test is used to assess for which condition?
Which concept describes the complexity involved in determining a diagnosis and management plan?
Which abbreviation stands for Advanced Cardiac Life Support?
Which term is commonly abbreviated as HA?
Which term corresponds to the Suprapubic region?
Which test detects pregnancy hormone in urine?
PO stands for which route?
Which term best describes the documentation of the patient’s current complaint along with demographic details and related history?
Which ED procedure involves removing a foreign object from the body?
Which term designates a trained individual who provides instruction on the EPIC system?
What is the normal range for EF?
What is the term for a short, high-pitched sound heard on auscultation?
Who assists in the Emergency Department on a voluntary basis?
Which term describes slow loss of kidney function over time, abbreviated CKD?
Hyper- and hypo- express which idea?
Which component organizes the symptom history into a narrative that ensures logical flow and chronology?
Which abnormal posture is described as stiff limbs with bent arms, clenched fists, and straight legs?
Which term refers to the Right Upper Lobe of the lung?
A patient reports constant or intermittent abdominal discomfort along with loss of appetite. Which symptom best matches?
Requests for medical tests that Healthcare Unit Coordinators track and manage are called what?
A patient has Eye 2, Verbal 3, and Motor 4 on the Glasgow Coma Scale. What is the total score?
Which test assesses coordination by extending the index finger to touch the nose and then the examiner's finger?
ICU stands for which unit?
Which imaging modality uses high frequency sound waves to create images by detecting echoes from internal organs?
Which term means turning the sole of the foot outward?
Which term is described as the pelvic region?
What is the potential space between the visceral and parietal pleura of the lungs called?
CP stands for which symptom?
Temporary loss of consciousness, fainting.
Which term refers to the imaging studies produced for diagnostic purposes?
The component that spells out the plan and disposition instructions?
Which organ system is primarily involved in gas exchange and includes the lungs?
Which abbreviation corresponds to the meaning 'Four times daily (aka q6h)'?
Which ED procedure provides access to the central venous system for medications or fluids?
Which tube is inserted through the mouth into the stomach and is used similarly to an NG tube for feeding or drainage?
N-STEMI is diagnosed by which combination of findings?
Family History is a risk factor for which disease?
Which organ system is primarily associated with blood and blood-forming tissues?
Specific findings that must be documented for all patient encounters.
Which condition involves swelling of the kidney due to backup of urine?
What phrase does the abbreviation VSS stand for in medical notes?
What term refers to the two normal heart sounds often described as a lub and a dub?
Which term describes the palm side of the hand or the sole side of the foot?
Which imaging modality uses a magnetic field and pulses of radio wave energy to make pictures of organs and structures inside the body?
What term describes joint pain?
Which catheter has a retention balloon at the tip and is used to drain urine?
Which device detects ventricular tachycardia or fibrillation and delivers a shock to restore normal rhythm?
Which suffix means creating an entrance to an organ?
Which motor response score corresponds to abnormal flexion (decorticate posturing) on the Glasgow Coma Scale?
Which term refers to the sole of the foot?
Which test is ABO typing plus antibody screening that can be used to crossmatch in the future?
What term describes tensing of the abdominal wall muscles to guard inflamed abdominal organs during palpation?
Which condition involves swelling around the vocal cords and a barking cough, commonly seen in children?
A patient presents with abnormal, white, clear discharge. Which symptom category is most appropriate?
Which term denotes normal sinus rhythm?
The suffixes -al and -ary indicate which meaning?
Which term describes the front part of the body or surface facing forward?
Which term describes the manual examination of the bilateral scrotum, testes, and epididymis for tenderness?
Upper Respiratory Infection most directly involves which part of the airway?
Chronic, generalized, localized describes which symptom?
Which symptom would be described by nasal obstruction with facial pressure?
Which term describes the lower parts of both lungs?
Which symptom is best described as profuse sweating, including night sweats?
Which procedure visualizes the anal canal and lower rectum for diagnosing hemorrhoids or fissures?
Medical interventions performed by Respiratory Therapists to assist patients with breathing issues are known as?
What does the abbreviation BTL stand for?
Which term is another name for miscarriage?
Which term denotes the ongoing process of monitoring a patient's status and treatment in the ED?
Which description refers to the first and second cervical vertebrae?
Which symptom category is associated with skin lesions such as cuts or abrasions?
Which term is defined as chest pain that is elicited by palpating the chest?
According to the material, which organ is located in the RUQ?
Loss of sensation restricted to the area of the buttocks and perineum is termed what?
Inflammation of the epididymis is called?
Cardiac catheterization is defined as insertion of a catheter into a chamber or vessel of the heart.
Which term describes a sac formed by the lining of the abdominal cavity that protrudes through a hole or weak area in the fascia?
Which abbreviation stands for tenderness to palpation?
Which term describes a quiz during classroom sessions that requires outside studying and preparation?
Which abbreviation stands for States?
What does DDD stand for?
Antiplatelet therapy prevents platelets from clumping to form a clot.
Which term describes a urinary tract infection that begins in the lower tract and ascends to the kidneys?
Which abbreviation corresponds to the protein in red blood cells that carries oxygen?
Bradycardia is defined as a heart rate of less than how many beats per minute?
Which term means farther from the midline?
Focused Assessment with Sonography for Trauma is used as a rapid screening test to look for what after trauma?
What are the different methods of documentation Scribes may adopt during training?
AMA stands for which phrase?
Which abbreviation denotes Reaction?
Which term refers to a blood clot forming in a vein?
What is the name of the program established to implement a Medical Scribe role in the Department of Emergency Medicine?
Which term describes extra heart sounds S3 or S4, depending on cycle location?
Which term is described by episodes of loss of consciousness, often observed by others and lasting for a period?
The documentation method that includes Subjective information, Objective information, Assessment, and Plan is called...
Which term describes the process of moving patients efficiently through the ED to minimize wait times?
What term refers to personal insights shared to enhance the training experience of new Scribes?
Bright red blood appears in urine when wiping.
Which term describes a decrease in blood supply to a bodily organ, tissue, or part caused by constriction or obstruction of blood vessels?
Which conduction abnormality is described by Right Bundle Branch Block?
For a few days, the patient has experienced constipation.
Which term for slow loss of kidney function over time is abbreviated CRF?
Which statement correctly describes the MCP joint?
The termination of pregnancy by removal or expulsion from the uterus prior to viability is called?
Which condition occurs when a tear in the inner wall of the aorta causes blood to flow between layers of the wall?
Which role assists the patient, family, and friends during the ED stay and serves as a resource for additional support?
Which drug class reduces acid release by blocking histamine receptors in the stomach?
Which term refers to inability to express oneself through speech?
GI cocktail is a generic term for a mixture used to treat indigestion. Which term is this?
The abbreviation CA is commonly used to refer to which condition?
Which term describes the normal heart rhythm with the sinus node initiating impulses?
Appy is shorthand for which terms?
What term describes bluish or slate-like skin color?
PICC Line stands for which phrase?

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