NR 511 ELABORATED QUESTIONS AND REVIEWED ANSWERS 2023/2024

NR 511 ELABORATED QUESTIONS AND REVIEWED ANSWERS 2023/2024 Sensitivity - CORRECT ANSWER-Few false negatives Specificity - CORRECT ANSWER-Few false positives Predictive Value - CORRECT ANSWER-Likelihood person has disease 3 key components that determine risk-based E&M codes - CORRECT ANSWERHistory Physical Medical Decision Making Complexity of a visit is based on three criteria (aka MDM) - CORRECT ANSWER-Risk Data Diagnosis 13. Identify the 3 components required in determining an outpatient, office visit E&M code - CORRECT ANSWER-Place of service Type of service (consult, office visit, hospital admit) Pt status (new vs established) SNAPPS - CORRECT ANSWER--S: Summarize -N: Narrow -A: Analyze -P: Probe -P: Plan -S: Self-directed learning most common type of pathogen responsible for acute gastroenteritis - CORRECT ANSWER-Viral: Norovirus (Leading cause for adults) -Rotovirus (Leading cause for peds up to 2 years old) IBS - CORRECT ANSWER-disorder of bowel function not from anatomic abnormality -constipation, diarrhea, bloating, urgency w/ diarrhea -NOT assoc w/ serious medical consequences, IBD or CA +S/S: result from disordered sensation or abnormal function of the small and large bowel IBD - CORRECT ANSWER-chronic immunologic disease that manifests in intestinal inflammation - UC/CD UC - CORRECT ANSWER-the mucosal surface of the colon is inflamed and ultimately results in friability, erosions, and bleeding. - Most common in recto-sigmoid colon. Can involve entire colon - Pain in RLQ Chrons - CORRECT ANSWER-the inflammation extends deeper into the intestinal wall and can involve all or any layer of the bowel wall and any portion of the GI tract from the mouth to the anus. - Skipped lesions - Pain in LLQ Diverticulitis - CORRECT ANSWER-Symptoms: LLQ pain/ tenderness, fever, N/V/D Need imaging especially if perforation or peritonitis is suspected; free air = perforation; patient may have ileus, small or large bowel obstruction Can use plain x-ray CT or barium enema are preferred CT with contrast is more sensitive and accurate Barrett's Esophagus - CORRECT ANSWER-After repeated exposure to gastric contents, inflammation of the esophageal mucosa becomes chronic. · Blood flow increases, erosion occurs ·Premalignant tissue ·Increased risk for development of esophageal adenocarcinoma · Fibrosis and scarring during healing of erosions; leads to strictures Acute Appendicitis - CORRECT ANSWER-N/V RLQ pain Guarding Rebound Tenderness Dx: Elevated WBC, CT Tx: Remove appendix, ATB