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NR511-ALL QUIZ ACTUAL EXAM COMPLETE
QUESTIONS ND DETAILED ANSWERS|ALREADY
GRADED
A 70-year-old patient presents with a complaint of difficulty swallowing, tachycardia, sweating, and unintentional weight loss. Upon physical exam, the patient is found to have an enlarged thyroid that has an abnormal contour. Without any further testing, what diagnosis would you say is the most likely? Overt hypothyroidism Hashimoto's thyroiditis Subclinical hyperthyroidism Nodular goiter Correct Ans- Nodular goiter A family practice office for all five of your clinical rotations will guarentee that you will gain the required pediatric exposure A. True B. False Correct Ans- B. False A maximum of 20 alternative hours can be used as part of the 125 hour practicum requirement for each clinical course--> T/F Correct Ans- Fasle- Can use only 15 A negative Prehn sign indicates epididymitis? True
False Correct Ans- False A student "forgets" to document the pediatric encounters for NR511. The student successfully passed the course and is now in NR601. Because the student passed the course, it is okay to go back and update the clinical log to reflect the missed documentation encounters? A. True B. False Correct Ans- B. False A student may follow a provider who does hospital rounds on their patients for a max of _____________ A. 15% of their total hours for the term B. 20% of their total hours for the term C. 25% of their total hours for the term D. 30% of their total hours for the term Correct Ans- C. 25% of their total hours for the term A student sees 550 patients for the entire practicum experience. Of these visits, the student sees the following number of patients according to the age group. This is an example of a well rounded clinical experience: 2 children less than a year old, ,one child 1-4 years, three children 5- 11 years old, five children 12-17 years old, 10 adults 18-39 years old and 529 adults greater than age 40
Acute bacterial prostatitis is most common in men, ages 30 to 50 years of age and who are sexually active A. True B. False Correct Ans- A. True Acute low back pain does not warrant radiographic imaging unless there is evidence of neurological dysfunction. True False Correct Ans- True Alpha-1a blockers provide some relief for BPH symptoms by relaxing the smooth muscle around the neck of the bladder. True False Correct Ans- True Alternative activities can be used toward your clinical requirements. Which of the following should NOT be documented as an "alternative activity" A. Telephone and/or electronic message communication with patients B. Authorizing prescription refill requests C. Tele-visit or e-visit Correct Ans- C. Tele-visit or e-visit
An example of an obstructive voiding complaint with BPH is post-void dribbling. True False Correct Ans- True auda equina syndrome should prompt a yellow flag for the provider. True False Correct Ans- False Chloe complains of acute pain in her right ear. Her exam reveals a normal exam on the left. The reight external ear is non-erythemic and non-tender. The EAC is free of debris or obstruction without redness. The TM is visible, bright red annd bulging with cloudy fluid. Which is the best ICD-10 code for your findings? A. Acute superlative otitis media with spontaneous rupture of ear drum, right ear (H66.011) B. Acute superlative otitis media with spontaneous rupture of ear drum, left ear (H66.012) C. Acute superlative otitis media wihout spontaneous rupture of ear drum, right ear (H66.001) Correct Ans- C. Acute superlative otitis media wihout spontaneous rupture of ear drum, right ear (H66.001) Chronic pain affects the mood/psychological status and lasts longer than 3 months in duration True
B. What would you like to talk about C. I don't have time for this toay Correct Ans- A. I see you have a list of concerns and I want to discuss them but my schedule with only allow for a few items today. Lets look at them together and identify the 3 most important items for you to discuss today, and then we can make a plan to address the remaining concerns for another visit Dyspnea can be classified into flow or volume disorders, and the underlying cause can nbe from an intrathorax or extrathorax problem. Which of the following is a flow extrathorax problem? A. Diptheria B. Asthma C Eppiglottis D. A & C Correct Ans- D. A & C Dyspnea is one of the more common complaints in primary care that can be caused by diverse health problems. In the majorty of cases, dyspnea is a result of cardiac or pulmonary decompensation. Which etiology is not associated with cardiac or pulmonary decompensation? A. spinal cord lesions affecting the innervation to the diaphragm B. congestive heart failure C. interstitial lung disease
D. pneumonia Correct Ans- A. spinal cord lesions affecting the innervation to the diaphragm e Quervain's tenosynovitis can be confirmed with which of the following maneuvers? Phalen's test Tinel's test Finkelstein test Varus test Correct Ans- Finkelstein test Episodic visits are also known as problem focused visits A. True B. False Correct Ans- A. True Every patient with acne needs to use a good cleanser with a retinoid or benzoyl peroxide A. True B. False Correct Ans- B. False Evidence from well-designed case-control and cohort studies are considered which Level of evidence in research design?
D. A & B Correct Ans- A & B Having a family practice site for all 5 practicum courses guarantees that you will have a well rounded clinical experience to all ages and conditions A. True B. False Correct Ans- B. False Health literacy can be described as the degree to which individuals have the capacity to obtain, process and understand basic information and services needed to make an appropriate healthcare decision A. True B. False Correct Ans- A. True HIPPA legislation is important to the daily management of the practitioner practice setting. Precautions should be used to protect patient electronic personal information at all times. Which of the following is an appropriate precautionary measure? A. Use of computer privacy screens B. Taping a list of passwords to the back of your keyboard C. Forwarding lab results to your personal email account or server
D. Storing patient documentation in an unlocked file cabinet Correct Ans- A. Use of computer privacy screens HIV infection in young adults aged 21-24 years was 0.1% in the United States in 2004 is an example of ______________ A. Prevalence B. Morbidity C. Incidence D. Mortality Correct Ans- A. Prevalence How many joints are involved in a polyarticular disorder? 1 2 3 4 or more Correct Ans- 4 or more ICD-10 codes are shorthand for the patient's diagnosis A. True B. False Correct Ans- A. True Maddie has a history of asthma that is classified as mild, intermittent asthma. She comes to the office today with wheezing which is not
Nonarticular disorders are described as either focal or widespread. True False Correct Ans- True Nursing research should be utilized by: A. nurses at the bedside B. Advanced practice nurses C. Nurse researchers D. Nurses at all levels of practice Correct Ans- D. Nurses at all levels of practice Observation or shadowing the preceptor should be counted as part of the students clinical hours A. True B. False Correct Ans- B. False Patients should be referred to a dermatologist for treatment of acne with Accutane A. True B. False Correct Ans- A. True
Point of care strategy involves: A. Having readily available evidence-based resources B. Asking a clinical question C. Applying the findings to the individual patient D. All of the above Correct Ans- D. All of the above Receiving a bronchodialator for asthma is considered what kind of prevention? A. Primary B. Secondary C. Tertiary Correct Ans- C. Tertiary Receiving a pap smear is considered what kind of prevention? A. Primary B. Secondary C. Tertiary Correct Ans- B. Secondary Receiving an immunization is considered what kind of prevention?
Sporadic outbreaks occur when there are occasional cases of an event unrelated in space or time T/F Correct Ans- True Students are required to submit one written SOAP note from the clinical setting, which can be a copy of the notes that the student entered in the EMR A. True B. False Correct Ans- B. False Students may be held from an anticipated clinical site if faculty deterines that the student has not seen enough patients of low, medium, high or very high complexity A. True B. False Correct Ans- A. True Subjective information is what the patient reports, complains of, or tells you in response to your questions. T/F Correct Ans- True Suzie Q was a patient of yours in 2010. She moved to Flordia and briefly returns to reestablish care at your office. For billing and coding purposes, Suzy Q considered a new or established patient?
A. New B.. Established Correct Ans- A. New Systemic reviews of randomized clinical trial studies are considered Level __________ evidence A. 1 B. 2 C. 3 D. 4 Correct Ans- 1 Testicular cancer occurs primarily in men over the age of 50. True False Correct Ans- False Testicular torsion is an urological emergency and will lead to ischemic necrosis within six hours if not corrected True False Correct Ans- True The complexity of a 99202 office visit is higher than that of a 99204 A. True B. False Correct Ans- B. False
The History of Present Illness (HPI) is a detailed breakdown of the ____________ and its documented as ____________: A. Review of Systems, PMH B. Past medical history, SOAP C. Chief complaint, Review of systems D. Chief complaint, OLDCARTS Correct Ans- D. Chief complaint, OLDCARTS The history of present illness (HPI) should attempt to explain the chief complaint A. True B. False Correct Ans- A. True The level of Evaluation & Management (E&M) coding for new and established patients is based on documentation that is provided in the patient's medical record. T/F Correct Ans- True The number of new cases of a particular disease in a population at a given time is known as: A. Prevalence B. Risk
C. Incidence D. Morbidity Correct Ans- Incidence The patient should be taught to perform a self-testicular exam during a warm bath/shower because the warmth relaxes the scrotum making the exam easier. True False Correct Ans- True The preferred imaging to determine the degree of spinal canal narrowing and facet arthroplasty resulting in nerve impingement is what? X-ray Magnetic resonance imaging Ultasound Computed tomography Correct Ans- Magnetic resonance imaging The Resource-Based Relative Value Scale (RBRVS) is used by centers for Medicare and Medicaid Services (CMS) to set reimbursement rates which are designed to reflect the costs neneded to provide services. Which of the following is NOT one of the components in determining set reimbursement rates for provider services A. Professional liability and malpractice expenses B. The providers work or medical expertise C. The patient's insurance coverage
