TranscribeMe prequalification exam

I am trying to pass the TranscribeMe prequalification exam. There is this audio which involves the testimony of an orthopedic surgeon, which I failed 3 times. The problem, I think, is that there are too many feedback words like okay that are sometimes repeated multiple times followed by words like now..etc. This introduces the problems of punctuating these lines using commas or periods or both. Also, typically you'd put a comma after "okay". But the one asking the questions says okay and remains silent for a bit which makes me prefer to put a period after "okay". Anyway, the don't offer feedback about the answers so I don't know what can be improved. Below is the text of my final answer (which I reviewed multiple times, but still failed) I would appreciate it if someone could point out the mistakes they find. Also, I passed two other audios so the problem isn't about knowing what the guidelines say, it is about applying them, which sometimes requires a judgment that I appear to be not very good at in this particular audio.

"We are now on the record. At this time, the attorney would like to stipulate the waiving of the Nebraska read-on pursuant to Rule 30B8A. Is this still correct?

Yes.

Thank you. Do you solemnly swear or affirm that the testimony you are about to give will be the truth, the whole truth, and nothing but the truth?

Yes.

Thank you. Counsel, you may begin.

Yeah. I'd like to begin. So what is the time, ma'am?

The time is 1:36 PM.

Okay.

You are a medical doctor; Is that correct?

Yes, I am

Okay, licensed to practice medicine in the state of Nebraska?

Yes.

Do you have a specialty, Doctor?

Yes, they do, Orthopedic Surgery.

Okay, and you practice, in part at least, at Bergan Mercy Medical Center?

Yes, I do.

Okay, and what is-- what-- what-- what generally do you do at Bergan Mercy, Doctor?

I cover trauma orthopedics. I mean, broken bones and traumatic injuries that occur.

Okay, and Bergen Mercy is a hospital here in Omaha, Nebraska?

Yes, it is.

Okay, what do you recall about the history of her coming into your care, Doctor?

She was involved in a motor vehicle accident, I believe was in Grand Island or Kearney, where she was originally taken to the hospital at St. Francis Hospital. She was taken by helicopter to Bergan Hospital due to traumatic injuries to her left arm and left leg.

Do you have an understanding of the date of that accident, Doctor?

That was 28th of-- August-- August 28th, 2021.

Okay, that's what's reflected in your records?

Yes, it is.

Okay, okay, and-- so when she-- just-- I guess just tell me what-- what you recall happening that evening, Doctor.

She was a trauma that had come in by helicopter, and I was-- I believe it was helicopter, but she came in, and I was called late that night, that evening of August 28th. And she had traumatic injuries to her left arm and left leg, and I was consulted to see her for definitive surgical treatment for her.

Okay, so you did an evaluation of those injuries?

Yes, I did.

Okay, and at that time, you felt that surgery was necessary?

Yes.

Okay, now, did that evaluation include imaging studies?

Yes, it did.

And just generally, do you recall anything in particular that was done?

She had X-rays and CT scans performed of much of her body.

Okay, now, I'm going to-- now-- do you have a recollection of the primary injuries that you identified that evening, Doctor?

Yes, she had an open, segmental left humerus fracture.

Is that the upper arm?

Yes, that's the upper arm. She had a fracture involving her left elbow called the olecranon process as well as the ulnar bone, which is part of her forearm. So she had fractured her forearm, elbow, and upper arm.

She also had a femur fracture?

She had a left femur fracture, which was segmental as well, which means it was broken in multiple places.

Okay, now, the feumur, where is that?

That's the leg.

Okay, so basically, she had fractures in her left arm and her left leg?

Correct.

Okay, and then also her left elbow?

Yes.

Okay, now, what was your plan for treating these injuries, Doctor?

Well, she had an open or compound fracture to her arm, and that is emergent to have surgery performed emergently, which is why she was referred and sent to us for the surgery to be performed. She also had long bone fractures, which is what the femur is. The femur is the longest bone in the body, and that is an emergent surgery that needs to be performed as soon as possible to prevent medical compromise or compromise to the rest of her body.

Now, I assume these are painful injuries?

Very painful.

Okay."

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