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Download SCRIBE AMERICA QUIZ REVIEW COURSES (1-5) QUESTIONS AND CORRECT ANSWERS 100% VERIFIED 2026 and more Exams Advanced Education in PDF only on Docsity!
SCRIBE AMERICA QUIZ REVIEW COURSES (1-5) QUESTIONS AND CORRECT ANSWERS 100% VERIFIED 2026-2027!! PPHx: The pt. personal Hx. Things they have been diagnosed with in the past - ANSWER Medical History PPHx: Removal, repairs, shunts, and etc. - ANSWER surgical history PPHx: History that tells us about genetic factors and predispositions - ANSWER Family history PPHx: History provides insight to lifestyle: Diet, tabacco use, drug use, and occupation. - ANSWER Social history type 2 diabetes is common in pediatric pt. - ANSWER false Intussusception - ANSWER abdominal croup - ANSWER pulmonary Eczema - ANSWER skin Otis media - ANSWER ENT Cerebral Palsy - ANSWER neurological Developmental Delay - ANSWER general Renal calculi - ANSWER genitourinary -ectomy - ANSWER removal of important aspects of social Hx - ANSWER Any known sick contacts secondhand smoke exposure EtOh and Drug use the pt. is not sexually active Immunization status is UTD URI: Upper Respiratory Infection - ANSWER Often a viral illness of upper airway. Cause cough, congestion, fever, etc. OM: Ottis media - ANSWER Infection of the tympanic membrane. Main CC will be ear pain Step Throat - ANSWER Bacterial infection of tonsils and pharynx causing sore throat A 12 year old male presents to the department complaining of a persistent productive cough over the past 2 weeks. His mother notes intermittent green sputum and fever. His pediatrician treated him for a URI one week ago without significant symptom improvement and the patient's mother decided to bring him in for evaluation of this persistent cough. Question: Your doctor orders a Chest X-Ray. Which condition do you think is at the top of the doctor's differential? HINT: Use the full medical term! - ANSWER pneumonia A 66 y/o female presents to the emergency department via EMS for evaluation of altered mental status. Her husband is at bedside and states she's been less active over the past 48 hours and has been slightly confused. This is a drastic change from her baseline. She normally cooks, cleans, and mentates normally at baseline. Pt's husband states she did see her PCP one week ago and was treated for a urinary tract infection. However, the he has appreciated persistent malodorous and frequent urination. Question: Your doctor suspects the patient's UTI is persistent and the infection has now Started a systemic, massive inflammatory response. What is the name of this condition that would be at the top of your doctor's differential? - ANSWER sepsis Meningitis - ANSWER Infection of meninges causing headache, neck pain, and fever Headache (HA) - ANSWER Atraumatic dull head pain. No focal neuro deficits or neck pain Seizure (SZ) - ANSWER Abnormal electrical activity in the brain causes convulsions Urinary Tract Infection (UTI) - ANSWER Infection of urinary tract causing urinary symptoms like dysuria (pain during urination) Pyelonephritis - ANSWER Infection of the kidneys precipitated by UTI. Flank pain, fever, dysuria. Ectopic pregnancy - ANSWER Fertilized egg develops outside of uterus Ovarian/testicular torsion - ANSWER twisting of anatomy leads to compromised blood supply. this is a surgical emergency. perspective). If a caretaker does report "my child has been lethargic," the doctor will often ask “what do you mean by lethargic?" The caretaker's response is what we will document. For example, the caretaker may say “well, | mean she hasn't been eating as much". We would document "Mother reports a mildly decreased appetite". We would stay away from documenting lethargic in this case because the objective finding of lethargic is very different compared to the parent's description. Of note, sleeping more and eating less are relatively normal findings associated with pediatric illnesses and aren't intrinsically emergently concerning. True or False: Constant fevers are normal, even with antipyretics, and less concerning with young kids. - ANSWER Constant fevers for more than 1 day can indicate serious illness and should be documented carefully. True or False: The patient's birth history would be considered pertinent past history for our pediatric patients. - ANSWER true...The patient's birth history provides the necessary background information for patients under 1 year old. For example, we could document a premature birth, NICU stays, vaginal delivery vs. C-Section, or any birthing complication. The 3 areas that are always important to address with a pediatric patient is Activity Attention Span Appetite Alertness - ANSWER activity, alertness, and appetite True or False: Writing NAD in the General/Constitutional section is enough to describe a child being a normal child in the PE. - ANSWER Pediatric visits are very different from adult visits. We can't gather very much subjective information from the patient. So the physician will make up for a relative lack in subjective information by performing a very in depth physical examination to gather a surplus of objective data. For example, instead of documenting NAD solely, the doctor may add on additional attributes of the patient. Some examples may include that the patient is playful, smiling, or quickly consolable. In sum, if a pediatric patient looks well on examination, we will document that extensively. 
