NR 511 FINAL EXAM STUDY GUIDE 1 – QUESTION AND ANSWERS

NR 511 Final Exam Study Guide (Question and Answers) NR 511 WEEK 1 Define diagnostic reasoning Discuss and identify subjective & objective data Discuss and identify the components of the HPI Describe the differences between medical billing and medical coding Compare and contrast the 2 coding classification systems that are currently used in the US healthcare system Discuss how specificity, sensitivity & predictive value contribute to the usefulness of the diagnostic data Discuss the elements that need to be considered when developing a plan Describe the components of Medical Decision Making in E&M coding Correctly order the E&M office visit codes based on complexity from least to most complex Discuss a minimum of three purposes of the written history and physical in relation to the importance of documentation Accurately document why every procedure code must have a corresponding diagnosis code Correctly identify a patient as new or established given the historical information Identify the 3 components required in determining an outpatient, office visit E&M code Describe the components of Medical Decision Making in E&M coding Explain what a “well rounded” clinical experience means State the maximum number of hours that time can be spent “rounding” in a facility State 9 things that must be documented when inputting data into clinical encounter Identify and explain each part of the acronym SNAPPS NR 511 WEEK 2 Identify the most common type of pathogen responsible for acute gastroenteritis Recognize that assessing for prior antibiotic use is a critical part of the history in patients presenting with diarrhea Describe the difference between Irritable Bowel Disease (IBS) and Inflammatory Bowel Disorder (IBD) Discuss two common Inflammatory Bowel Diseases Discuss the diagnosis of diverticulitis, risk factors, and treatments Identify the significance of Barrett’s esophagus Discuss the diagnosis of GERD, risk factors, and treatments … diagnosis of acute abdominal pain, work-up and testing, treatments Discuss the difference between sensorineural and conductive hearing loss Identify the triad of symptoms associated with Meniere’s disease …….. symptoms associated with peritonsilar abscess Identify the most common cause of viral pharyngitis Identify the most common cause of acute nausea & vomiting Discuss the importance of obtaining an abdominal xray to rule out perforation or obstruction even though the diagnosis of diverticulitis can be made clinically Discuss colon cancer screening recommendations relative to certain populations Identify at least two disorders that are considered to be disorders related to conductive hearing loss —– common bacterial cause of pharyngitis Identify the clinical findings associated with mononucleosis —- characteristics in a rash caused be Group A Strep Discuss that the diagnosis of streptococcal pharyngitis can be made clinically based on the Centor criteria Describe an intervention for a patient with gastroenteritis Discuss an appropriate treatment for prophylaxis or treatment of traveler’s diarrhea Identify at least one effective treatment for Irritable Bowel Syndrome (IBS) Identify at least one prescription medication for the treatment of chronic constipation Discuss at least one treatment for Meniere’s disease NR 511 WEEK 3 Discuss that the majority of dyspnea complaints are due to cardiac or pulmonary decompensation Explain the differences between intra-thorax and extra-thorax flow disorders Identify at least three examples of flow and volume disorders (intra and/or extra thorax) Discuss diagnosis, risk factors and treatments for asthma Describe appropriate tests in the work up for dyspnea Discuss clinical findings and PFTs for asthma, chronic bronchitis, emphysema, and COPD Differentiate between the following common rashes: rubeola, rubella, varicella, roseola, 5ths disease, pityriasis rosea, hand, foot and mouth disease and molluscum contagiosum. Differentiate between the following tineas: pedis, cruris, corporis and unguium and describe an appropriate treatment Identify the virus that causes warts nr 511 final exam Differentiate between atopic and contact dermatitis and give examples of each Identify common characteristics associated with blepharitis, chalzion and hordeolum Differentiate between viral, allergic, bacterial, toxic and HSV conjunctivitis Discuss which chemical injury is associated with the most damage and highest risk to vision loss Recognize common eye emergency conditions that require emergency room evaluation Discuss glaucoma, diagnosis and treatment Discuss diabetic retinopathy NR 511 WEEK 5 Identify the population most commonly affected by bacterial prostatitis Discuss the physical exam characteristics of acute bacterial prostatitis ……. Phren sign can differentiate between testicular torsion and epididymitis Discuss common symptoms reported from a patient with BPH … hallmark characteristic of a varicocele Identify the population most affected by testicular cancer Explain spinal stenosis Discuss common characteristics (subjective and objective findings) of patients with lumbar spinal stenosis Identify the red flags associated with back and neck complaints which warrant further investigation Define chronic pain Identify the number of joints involved in a poly-articular disorder nr 511 final exam Describe the four cardinal signs of joint inflammation Differentiate between DeQuervain’s Tenosynovitis and Carpal Tunnel Syndrome Differentiate between lateral and medial epicondylitis Discuss at least 3 vital body functions which thyroid hormones regulate Describe a goiter and the type of thyroid dysfunction that can be associated with it Differentiate between overt hypothyroidism and subclinical hypothyroidism Differentiate between Hashimoto’s thyroiditis and Grave’s disease Identify at least 3 risks associated with obesity Identify at least 3 causes of obesity nr 511 final exam Discuss one primary prevention for obesity Identify the categories of obesity based on the BMI Discuss how acute low back pain without neurological dysfunction does not warrant radiological imaging Identify the roles of TSH, FT4, TT3, and TPO Abs in determining thyroid function Identify at least one “at-risk” population who should be … for thyroid screening Discuss one physical characteristic seen in a hyperthyroid patient Identify the CDC recommended antibiotic class for treatment of acute bacterial prostatitis ___ least one treatment for BPH nr 511 final exam Identify treatment options for obesity based on BMI and comorbid conditions Describe the Spurling test and what condition it is used to … Describe how to perform a Phalen and Tinnel test Identify at least 3 physical exam maneuvers to assess the knee. NR 511 WEEK 6 Differentiate between resting, postural and intention tremors and describe each Describe one disease with resting tremor as a clinical finding Describe a medication commonly associated with tremors Identify at least 3 laboratory tests to rule out systemic causes of tremor Describe at least one at-risk population that is … to have HIV screening …. pharmacologic treatment option for tremor Describe an appropriate empiric antibiotic treatment plan for cellulitis Discuss an intervention to prevent HIV and HIV-associated behaviors Identify physical exam findings in the patient with HIV Describe symptoms, DDx, pathogens, testing, and treatment for the following conditions: Cellulitis, impetigo, MRSA, Bites (dogs, cats, humans), Erysipelas