Question

7. Questions about a patient's marital status and occupation are conslu a. family history c. past history d. social history Chapter 9 140 This 35-year-old single female has just recently moved to area. S: Patient needs refill on medication for hypertension. Patient also complains of "sorenesg" of her right elbow. No recent O: Limited range of motion, right elbow. Tenderness upon palpation. BP 140/80. A: Possible tennis elbow. Send for radiographs of elbow this 8. Dr. Merriweather treated a new patient, Nina Cartwright, in her office on 10/16/YY. She documented the b history of present illness physical trauma. following progress note week. Scripts given for atenolol for BP. P: Schedule appointment in one week to review x-ray results and check BP. Which part of this note is used to determine medical decision making? a. Limited range of motion. right elbow. b. Patient complains of "soreness" of her right elbow c. Possible tennis elbow. Send for radiographs of elbow this week. d. Schedule appointment in one week to review x-ray results and check BP 9. Which category/subcategory of evaluation and management would be reviewed to select an appropriate col for Nina Cartwright's office visit? a. Office Consultations b. Office or Other Outpatient Services, Established Patient c. Office or Other Outpatient Services, New Patient d. Preventive Medicine Service, New Patient 10. What are the three key components of an E/M service? History, examination, and medical decision making b. Medical decision making, examination, and time c. Nature of presenting problem, time, and medical decision making d. Time, examination, and counseling a. 11. Dr. Smith saw Maria Santos for a subsequent hospital visit. Ms. Santos is post-tonsillectomy x 2 days. Patient is still unable to speak in a clear voice. Bleeding has increased in the surgical area. Patient will have to be taken back to the operating room for hemorrhage control. Which level of MDM is documented? a. High b. Low c. Moderate d. Straightforward are not. The patient does not report any chest pain or pain when lying down. The patient 12. The patient presents to the office with the chief complaint of difficulty swallowing. All types of food are a problem. Liquids has pain only when swallowing: the pain is a severe burning-type pain. He has been eating soft foods and soups for the past two weeks. This problem started two weeks ago and slowly has gotten patient is on no medications. The patient has a family history of breast and colon cancer. The patient iIs a former one-pack-per-week smoker. He quit smoking 10 years ago. The ROS is positive for joint pain in the right knee on and off. No medication or treatment for this. The patient did injure his knee as a child in a skiing accident, but that was 30 years ago. Remainder of ROS is negative. Which level of history is worse over time. documented? Comprehensive b. Detailed a. Expanded problem focused d. Problem focused C.

Answer 1

7.Family history describes any illness present in the family like chronic disease, genetic or hereditary diseases .

Past history includes any past medical or surgical history

Present illness describes the current complaints which makes the patient to visit a provider

Social history includes the family, friends,neighbours, work environment, society where they live.

Ans:D.Social history

8.The medical decision making process can be made in ffrom a prescription list.To diagnose the patient an radiography has to be done to find the actual cause.

Ans:d. Schedule appointment in one week to review x Ray result and check BP

9.Office consultation refers to one physician opinion taken by another physician to come up with the decision

A established patient are one who are called for follow up or regular treatment after the first visit. It can be between two different physician but under same speciality or subspeciality.Even if a doctor changes location it is an established patient, because patient has already seen the patient

This patient is having a prescription which needs a refill, it means the patient has seen a provider of same speciality in a different area,and continues the treatment which is called as established care on outpatient service

Preventive medicine refers to the annual health check up practices

Ans:b.Office or other outpatient service,Established patient

10.The E/M service includes a complete collection of the patient history ,examination of the patient which can aide in making medical decision

Ans :a.history, examination, medical decision making