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Medications
Pathophysiology
Hospital Course
H&P
Coding, HIPAA, PHI
100
Give the class, subclass, and generic name for Dilaudid
Class: Analgesic Subclass: Narcotic Generic name: Hydromorphone
100
This is a collapsed lung due to trauma or a spontaneous small rupture of the lung
Pneumothorax (PNX)
100
We suspect that our patient has meningitis. What procedure should the provider use to obtain CSF? How many tubes should we obtain?
Lumbar puncture - 4 tubes
100
What is the difference between the HPI and ROS?
HPI pertains to details of the chief complaint. ROS is a head-to-toe list of all symptoms.
100
How many body systems need to be included for a Level 3 ROS?
10 body systems -OR- 2 body systems + "all systems negative unless otherwise noted"
200
What do -statin drugs treat?
Dyslipidemia
200
This is a traumatic or spontaneous rupture of blood vessels in the head leads to bleeding in the brain
Hemorrhagic CVA - "brain bleed"
200
What will we use to diagnose a pulmonary embolism?
CTA Chest ****NOT A D-DIMER****
200
Maria is currently pregnant, has been pregnant three previous times, and has two children at home. What is Maria's G/P/A?
G 4 P 2 A 1
200
True or false: You are allowed to look up your own chart.
FALSE
300
Give the class, subclass, and generic name for Prilosec
Class: GI Medication Subclass: Proton-Pump Inhibitor (PPI) Generic name: Omeprazole
300
This occurs when minerals from the liver’s bile condense to form gallstones which can irritate, inflame, or obstruct the gallbladder
Cholelithiasis which can lead to -----> Cholecystitis
300
Our patient's TSH is elevated at 4.72 - what does this indicate?
Hypothyroidism
300
Name four elements your HPI should contain:
Onset, Timing, Location, Severity, Quality, Associated Symptoms, Modifying Factors, Pertinent Negatives.
300
Your doctor asks you to help walk Mr. Johnson to the restroom. Are you allowed to do this?
NO - scribes are not allowed to touch patients.
400
Explain "gtt"
A route of giving medication; the abbreviation for "droplets"
400
This is a widened and weakened arterial wall at risk of rupture; characterized by a midline, pulsatile abdominal mass
Abdominal Aortic Aneurysm (AAA)
400
If our blood cultures are positive (for growth), is the patient septic?
YES
400
What are the four focal neurological deficits?
One-sided weakness One-sided numbness Speech changes Vision changes
400
Name two elements of Protected Health Information (PHI)?
First name, last name, DOB, medical record number (MRN), lab results, date seen in the hospital...
500
Succinylcholine is this type of medication:
Paralytic/Neuromuscular blocker
500
Name the four signs of a true allergic reaction:
1. Rash 2. Swelling 3. Itching 4. Shortness of breath due to airway swelling
500
What three vital sign abnormalities are we looking for in a patient who may be septic?
Febrile, tachycardic, hypotensive
500
Our patient is unresponsive and cannot answer any questions. What should your write in your chart?
Unable to obtain history and ROS as patient is unresponsive.
500
What does HIPAA stand for?
Health Insurance Portability and Accountability Act