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NR511 MIDTERM ACTUAL EXAM COMPLETE
QUESTIONS AND DETAILED ANSWERS|ALREADY
GRADED
- Identify at least one prescription medication for the treatment of chronic constipation Correct Ans- a. Linxess b. Amitiza c. Movantic 3 components required in determining an outpatient, office visit E&M code Correct Ans- a. Place of service b. Type of service c. Patient status
- Identify the virus that causes warts Correct Ans- HPV (Human papilloma virus) a. Bacterial: Pink eye has which type of discharge Correct Ans- purulent discharge a. Blepharitis: Correct Ans- an inflammation around the eyelid margins that is caused by staphylococcal infection at the lash bases and dysfunctional Meibomian glands a. Contact Dermatitis: Correct Ans- allergic reaction to a substance that produces an immune reaction in your skin resulting in a very pruritic and erythemic rash
a. Tinea Pedis is also known as... Correct Ans- athletes foot Accutane Correct Ans- Very powerful Severe Acne Dermology Adopoline Correct Ans- used for mild acne lowest potency retinoid Allergic Conjunctivitis is exacerbated by what : s Correct Ans- environmental uniquely identifying "bumps" on the conjunctiva: follicle appropriate treatment for prophylaxis or treatment of traveler's diarrhea Correct Ans- i. Bactrim po BID x 3 days ii. Cipro 500 BID iii. Norfloxacin 400mg iv. Ofloxacin 300mg
clinical findings associated with mononucleosis Correct Ans- a. Fever b. Exudative Tonsillitis c. Rash d. Splenic enlargement e. Severe sore throat f. Palatal petchiae g. Anterior/posterior cervical lymphadenopathy h. + monospot colon cancer screening recommendations relative to certain populations Correct Ans- Anyone AGE 50 AND OVER should have a routine colonoscopy AFRICAN AMERICANS SHOULD START SCREENINGS AT 40 common cause of acute nausea & vomiting Correct Ans- Gastroenteritis common characteristics in a rash caused be Group A Strep Correct Ans- SANDPAPER RASHfine red rash, sparing hands and soles CPT codes for a new patient Correct Ans- 99201, 99202, 99203, 99204, 9925
CPT codes for an established patient Correct Ans- 99211, 99212, 99213, 99214, 99215 d. Roseola Correct Ans- light pink, erythematous macules and papules face, neck, and extremities. Define diagnostic reasoning Correct Ans- Reflective thinking all possible avenues have been explored conclusions that are being drawn are based on evidence. . Discuss and identify the components of the HPI Correct Ans- OLDCARTS O-Onset L-Location D-Duration Characteristics A-Aggrevating factors R-Relieving factors
A-Analyze- P-Probe— P-Plan- S-Self directed learning- Extrathorax flow disorders originate from Correct Ans- obstruction of larger airways STRIDOR!!!! eye emergency conditions that require emergency room evaluation Correct Ans- a. Orbital cellulitis b. Chemical exposure c. Ruptured globe d. Hyphema e. Foreign bodies f. Moderate to severe subconjunctival hemorrhage g. - Lid laceration f. Pityriasis rosea (PR):- Correct Ans- solitary 2-4 patch or plaque on the trunk Herald's patch
Christmas tree final treatment if all else fails for GERD Correct Ans- Nissenfundoplication First line treatment for GERD Correct Ans- H2 receptors(tagament, zantac, pepcid) First line treatment for glaucoma Correct Ans- beta blockers 1st line (timolol or betaxolol) prostaglandin analog (1st line or combination) (bimatoprost or latanoprost) g. Hand foot and mouth disease: Correct Ans- vesicles on the hands and feet with mouth sores. Mouth sores are in almost 90% of the cases and are usually the first sign. The hand vesicles-erythematous halos and appear mostly on the soles and palms. Gold standard to diagnose pancreatitis Correct Ans- amylase and lipase
S-Steroids M-Mumps virus A-Autoimmune S-Scorpion stings H-Hypertriglyceridemia & Hypercalcemia E-ERCP D-Drugs maximum number of hours that time can be spent "rounding" in a facility Correct Ans- No more than 25% of total hours in the program Measels in pregnant women = Correct Ans- MISCARIAGE!!! Medical Billing Correct Ans- process of submitting and following up on claims made to a payer in order to receive payment for a medical services rendered by a provider Medical coding Correct Ans- the use of codes to communicate with payers about which procedures were performed and why Mild Acne Correct Ans- few papules and few pustules Moderate acne Correct Ans- papules, pustules and nodules
Molluscum contagiosum is often misdiagnosed as what Correct Ans- Genital Warts Molluscum contagiosum: Correct Ans- 2 - 5 mm pustules that have a slight depression in the center of the flesh-colored dome most common bacterial cause of pharyngitis Correct Ans- a. Group A Beta Hemolytic Strep (GABHS) most common cause of viral pharyngitis Correct Ans- Adenovirus most common type of pathogen responsible for acute gastroenteritis Correct Ans- Viral-Norovirus (leading cause for Adults Rotovirus (leading cause for peds up to 2 years) Normal intraocular pressure (IOP) Correct Ans- 12 - 22 Objective Data Correct Ans- What YOU can see hear or feel as part of your exam. Includes lab data and diagnostic test results one treatment for Meniere's disease\ Correct Ans- Low salt diet is first line therapy as it can reduce pressure, also a light diuretic (Diuril 500mg daily
oral steroids Pharmacological treatment for Moderate persistent Ashtma Correct Ans- short acting bronchodilator (albuterol)
low to medium dose corticosteroid (Flovent, Pulmicort, Asmanex)
long acting inhaled bronchodilator (Advair, foradil) Retin-A Micro Correct Ans- mild to mod acne mid potency retinoid Rubells spreads vis Correct Ans- Respiratory Rubeola Correct Ans- Measles
- reddish purple macular and papular rash. Scarlet fever is caused by Correct Ans- Group A Beta Hemolytic Strep (GABHS) Severe acne Correct Ans- multiple papules, pustules and nodules Skipped lesions are associated with Correct Ans- Chrohns disease
Specificity Correct Ans- the ability of the test to be correctly detect a specific condition has a condition but the test is negative, it is a false negative DOES NOT have a condition but the test is positive, it is a false positive Spirometry determines: Correct Ans- to determine obstructive, restrictive and mixed lung disease Step 2 treatment for GERD if H2 receptors dont work Correct Ans- PPI Subjective Data Correct Ans- what the patient tells you, complains of etc. Chief complaint, HPI, ROS Tinea Cruris is also known as Correct Ans- Jock itch Tinea unguium: onychomycosis: Correct Ans- fungal infection of the fingernails or toenails Toxic Conjunctivitis is caused by what?: Correct Ans- Overuse of eye drops: clear/watery discharge/red conjunctiva
b. Hearing Loss c. Tinnitus two common Inflammatory Bowel Diseases Correct Ans- Ulcerative Colitis (UC) Crohns Disease Ulcerative colitis is most commonly found where Correct Ans- Rectosigmoid colon Viral Conjunctivitis has which type of discharge Correct Ans- watery or mucousy drainage: NOT purulent Viral Conjunctivitis is caused by which virus Correct Ans- Adenovirus: What are CPT codes? Correct Ans- common procedural terminology codes used in conjunction with ICD-10 codes What are ICD-10 codes? Correct Ans- codes for primary diagnosis and second diagnosis Shorthand for patient's diagnosis
What are two severe s/s of pancreatitis Correct Ans- Cullens sign Grey-Turners sign What causes Barrett's esophagus? Correct Ans- repeated exposure to gastric contents, inflammation and erosion occur Premalignant What is Acute Pancreatitis Correct Ans- autodigestion of pancreas by pancreatic enzymes What is conductive hearing loss? Correct Ans- Obstruction between middle and outer ear-caused by impaction what is CROHNS DISEASE Correct Ans- inflammation extends deeper into the intestinal wall can involve all or any any portion of the GI tract from the MOUTH TO THE ANUS What is Cullen's sign? Correct Ans- ecchymosis at the umbilicus due to retroperitoneal bleed- Pancreatitis What is glaucoma? Correct Ans- A condition characterized by increased intraocular pressure and progressive vision loss.
What skin rash is associated with molluscum contagiosum Correct Ans- Hand foot and mouth disease what to monitor when taking accutane Correct Ans- Lipids & LFTs DO NOT TAKE IF PREGNANT take for 4-6 months and may need 2nd round of treatment When you have ulcerative colitis, you have pain where? Correct Ans- RLQ which chemical injury is associated with the most damage and highest risk to vision loss Correct Ans- Alkaline injuries cause permanent scarring and vision loss With Chrohns disease, you have pain where Correct Ans- LLQ
