Medical Scribe Training Manual Practice Test – All Questions

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

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