NR 511 Week 4 Midterm Exam – Question and Answer

NR 511 Week 4 Midterm Exam – Question and Answer

  1. Define diagnostic reasoning
  2. What is subjective data?
  3. What is objective data?
  4. Identify components of HPI
  5. Describe the differences between medical billing and medical coding.
  6. Compare and contrast the two coding classification systems that are currently used in the US healthcare system.
  7. How do specificity, sensitivity, and predictive value contribute to the usefulness of diagnostic data?
  8. Discuss the elements that need to … considered when developing a plan.
  9. Describe the components of medical decision making in E&M coding.
  10. Correctly order the E&M office visit codes based on complexity from least to most complex.
  11. The 5 key components of a comprehensive treatment plan are:
  12. Define the components of a SOAP note.
  13. Discuss minimum of three purposes of the written history and physical in relation to the importance of documentation.
  14. Why does every procedure code need a corresponding … code?
  15. What are the three components required in determining an outpatient, office visit E&M code?
  16. Correctly ID a pt as a new or established given historical info.
  17. What does a well-rounded clinical experience mean?
  18. …. the maximum number of hours that time can …. spent “rounding” in a facility?
  19. What are 9 things that must … documented when inputting data into clinical encounter logs?
  20. What does the acronym SNAPPS stand for?
  21. … the most common type of pathogen responsible for acute gastroenteritis?
  22. T/F…Assessing for prior antibiotic use is a critical part of the history in pt’s presenting with diarrhea.
  23. What is the difference between irritable bowel disease (IBD) and irritable bowel syndrome (IBS)?
  24. What are two common IBD’s?
  25. Describe the characteristics of acute diverticulitis.
  26. … difference between sensorineural and conductive hearing loss?
  27. What is the triad of symptoms associated with Meniere’s disease?
  28. What symptoms are associated with peritonsilar abscess?
  29. ___ most common cause of viral pharyngitis?
  30. What is the most common cause of acute n/v?
  31. … importance of obtaining an abdominal XR to rule out perforation or obstruction even though the … of diverticulitis can … made clinically?
  32. What are colon cancer screening recommendations relative to certain populations?
  33. Identify at least two disorders that are considered to … disorders related to conductive hearing loss.
  34. What is the most common cause of bacterial pharyngitis?
  35. What are the clinical findings associated with mononucleosis?
  36. How is the … of streptococcal pharyngitis made clinically based on the Centor criteria?
  37. What is one intervention for a pt with gastroenteritis?
  38. When are stool studies warranted?
  39. What is an appropriate treatment for prophylaxis or treatment of traveler’s diarrhea?
  40. Describe the component of the H&P that should … done for a pt with abd pain.
  41. What is at least one effective treatment for IBS?
  42. … prescription med used to treat chronic constipation?
  43. What is at least one treatment for Meniere’s disease?
  44. T/F…The majority of dyspnea complaints are due to cardiac or pulmonary decompensation.
  45. What are the differences between intrathorax and extrathorax flow disorders?
  46. What are at least 3 examples of flow and volume disorders (intra and/or extra thorax)?
  47. Differentiate between rubeola, rubella, varicella, roseola, 5ths disease, pityriasis rosea, hand/foot/mouth, and molluscum contagiosum.
  48. What are common characteristics in a rash caused by Group A strep?
  49. What are treatment options for Group A B-hemolytic strep pharyngitis?
  50. Differentiate between tinea pedis, cruris, corporis, and unguium. What are the appropriate treatments for each?
  51. What is the virus that causes warts?
  52. Differentiate between atopic and contact dermatitis. Give examples of each.
  53. What is a normal response to TB skin tests and what does it mean?
  54. …. reasons for decreased responsiveness to TB skin testing?
  55. What are some common meds used to treat TB?
  56. What is the MOA and common SE’s of Isoniazid?
  57. ……. Rifampin?
  58. What is the MOA and common SE’s of Pyrazinamide?
  59. What is the MOA and common SE’s of Ethambutol?
  60. …. strengths of tretinoin and when is each appropriate?
  61. Identify various types of lesions based on their characteristics:
  62. What are common characteristics … with blepharitis, chalzion, and hordeolum.
  63. Differentiate between viral, allergic, bacterial, toxic, and HSV conjunctivitis.
  64. Which chemical injury is … with the most damage and highest risk to vision loss?
  65. Which cardiac or pulmonary disorders contribute to the majority of dyspnea complaints due to decompensation?
  66. What are appropriate tests in the work-up for dyspnea?
  67. Describe classes of asthma.
  68. What are the different treatments for the asthma classes?
  69. Identify respiratory characteristics of asthma.
  70. Identify respiratory characteristics of COPD.
  71. What is the CURB-65 tool and how is it used?
  72. What are subjective and objective findings with asthma?
  73. …. subjective and objective findings with COPD?
  74. What are subjective and objective findings with sinusitis?
  75. … and objective findings with allergic rhinitis?
  76. What are subjective and objective findings with vasomotor rhinitis?
  77. … with influenza?
  78. What are treatment options for asthma?
  79. What are treatment options for COPD?
  80. ….. sinusitis?
  81. What are treatment options for allergic rhinitis?
  82. What are treatment options for vasomotor rhinitis?
  83. ….. influenza?
  84. Define and describe chronic cough.
  85. What are common eye emergency conditions that require emergency room eval?
  86. IBS is a:
  87. Crohn’s disease is the:
  88. Ulcerative colitis is a:
  89. T/F…If you suspect diverticulitis, you can treat with abx alone. No imaging is necessary.
  90. T/F…It is safe to use laxatives long-term for the treatment of constipation.
  91. T/F…According to the American Cancer Society guidelines, African Americans with no other risk factors for colon cancer should begin routine colon cancer screening at age 45.
  92. T/F…In ulcerative colitis, typical symptoms include abdominal cramping, fever, anorexia, wt loss, spasm, flatulence, and RLQ pain or mass. Stools may contain blood, mucous, and/or pus.
  93. T/F…In diverticulitis, typical symptoms include bleeding, cramping pain, and the urge to defecate. Stools are characteristically watery diarrhea with blood and mucus.
  94. T/F…In diverticulitis, typical symptoms include LLQ pain and tenderness, fever, change in bowel habits (usually diarrhea), and sometimes nausea/vomiting.
  95. Treatment of IBS with constipation:
  96. … of IBS with diarrhea:
  97. Treatment of IBS with abd pain:
  98. T/F
  99. Acute gastroenteritis is the most common cause of nausea and vomiting.
  100. T/F…Nausea, vomiting, and diarrhea do not usually occur together in acute gastroenteritis.
  101. T/F…The most common pathogen responsible for acute gastroenteritis is bacterial.
  102. T/F…Norovirus is the most common virus responsible for acute gastroenteritis
  103. If a person presents to the office with nausea, vomiting, and diarrhea, which of the following would prompt you to order stool studies?
  104. Which of the following would … an appropriate treatment for prophylaxis or treatment of traveler’s diarrhea?
  105. T/F…The history is the most important part of the visit for a patient with complaint of a hearing disorder.
  106. T/F…Meniere’s disease is diagnoses of exclusion.
  107. T/F…The majority of TM ruptures will heal themselves.
  108. Age-related hearing loss (presbycusis) is classified as which type of hearing loss?
  109. The triad of symptoms associated with Meniere’s disease include _____.
  110. The most common bacterial cause of pharyngitis or tonsillitis is from Group _____ Hemolytic Streptococcus.
  111. Which are not findings … with mononucleosis?
  112. Name the four clinical features suggestive of bacterial pharyngitis (Centor criteria)
  113. A red tongue with enlarged papillae, sometimes seen with strep throat is called a _____ tongue
  114. T/F…Patients with > 3 Centor criteria can … empirically diagnosed with GABHS and treated without further testing.
  115. T/F…Empiric treatment of asymptomatic household contacts o patients with acute GABHS pharyngitis is recommended.
  116. T/F…Doxycycline is an alternative for patients with GABHS pharyngitis who are allergic to PCN.
  117. T/F…Patients with mononucleosis who develop an erythematous, macular rash after taking amoxicillin for pharyngitis should … identified as having a PCN allergy.
  118. Which is (are) a symptom(s) of peritonsillar abscess? (select all that apply)
  119. The most common cause of viral laryngitis is _____.
  120. T/F…Fluorosceine staining is a method used to differentiate the types of conjunctivitis.
  121. T/F…Poison ivy is contagious and can … spread from touching the … area.
  122. T/F…Treatment for nonfluctuant abscess should include incision and drainage (I&D).
  123. Which is NOT treatment for warts?
  124. Tinea corporis is found on the:
  125. … unguium is … on the:
  126. Tinea cruris is found on the:
  127. … pedis is found on the:
  128. T/F…Patients should … to a dermatologist for treatment of acne with Accutane.
  129. T/F…Treatment of moderate acne may include the use of topical and oral antibiotic with a retinoid.
  130. How is an appropriate differential ….?
  131. Clinical characteristics of GERD:
  132. Characteristics of AGE:
  133. Treatment for AGE:
  134. Eustachian tube disorder presentation, symptoms, causes:
  135. Eustachian tube disorder treatment:
  136. Compare and contrast otitis media and otitis externa.
  137. What are the characteristics of nuclear cataracts?
  138. …. cortical cataracts?
  139. What are the characteristics of posterior cataracts?

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