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AAPC CHAPTER 19-EVALUATION &MANAGEMENT –
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PRACTICAL APPLICATION CASES 1-10 2025 LATEST
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Term 1 of 10
Hospital Admission
Chief complaint: Nausea and vomiting, weakness
HPI: The patient is a 78-year-old Hispanic female with a history of
diabetes, hypertension, and osteoporosis who was just discharged after
hospitalization for gastroenteritis three days ago. She went home and was
feeling fine, was tolerating regular diet until yesterday when she vomited.
She stated she feels nauseated now, feels like she needs to throw up but
cannot vomit. Her last bowel movement was yesterday. She stated it was
diarrhea and states she has extreme weakness. No melena or
hematochezia. No shortness of breath, no chest pain.
Medical History: Diabetes mellitus type 2. Hypertension. Osteoporosis.
Surgical History: None
Medicines: Benadryl 25 mg daily, Diovan 320/25 one daily, calcium 600
daily, vitamin C 500 daily, multivitamin 1 tablet daily, Coreg CR 20 mg daily,
Lipitor 20 mg at bedtime, metformin 1000 mg/day.
,Be kind to yourself and keep practising!
, Allergies: MORPHINE
Social History: No tobacco, alcohol or drugs. She is a widow. She lives in Marta. She is
retired.
Family History: Mother deceased after childbirth. Father deceased from asphyxia.
ROS: Negative for fever, weight gain, weight loss. Positive for fatigue and malaise.
Ears, Nose, Throat: Negative for rhinorrhea. Negative for congestion.
Eyes: Negative for vision changes.
Pulmonary: Negative for dyspnea.
Cardiovascular: Negative for angina.
Gastrointestinal: Positive for diarrhea, positive for constipation, intermittent changes
between the two. Negative for melena or hematochezia.
Neurologic: Negative for headaches. Negative for seizures.
Psychiatric: Negative for anxiety. Negative for depression.
Integumentary: Positive for rash for which she takes Benadryl.
Genitourinary: Negative for dysfunctional bleeding. Negative for dysuria.
Objective:
Vital signs: Show a temperature max of 98.1, T-current 97.6, pulse 62, respirations
20, blood pressure 168/65. O2 sat 95% on room air. AccuChek, 135.
Generally: No apparent distress, alert and oriented x 3, pleasant Spanish speaking
female.
Head, ears, eyes, nose, throat: Normocephalic, atraumatic. Oropharynx is pink and
moist. No scleral icterus.
Neck: Supple, full range of motion.
Lungs: Clear to auscultation bilaterally.
Cardiovascular: Regular rate and rhythm. No murmurs, gallops, rubs.
Abdomen: Soft, nontender, nondistended. Normal bowel sounds. No
hepatosplenomegaly. Negative Murphy's sign.
Back: Costovertebral angle tenderness
Extremeties: No clubbing, cyanosis or edema.
AAPC CHAPTER 19-EVALUATION &MANAGEMENT –
Correct 0
PRACTICAL APPLICATION CASES 1-10 2025 LATEST
10 missed terms
0%
Incorrect 10 Practise terms in Learn
UPDATED VERSION WITH VERIFIED SOLUTIONS
Practise your missed terms more until
you get them right.
10 questions and answers
Term 1 of 10
Hospital Admission
Chief complaint: Nausea and vomiting, weakness
HPI: The patient is a 78-year-old Hispanic female with a history of
diabetes, hypertension, and osteoporosis who was just discharged after
hospitalization for gastroenteritis three days ago. She went home and was
feeling fine, was tolerating regular diet until yesterday when she vomited.
She stated she feels nauseated now, feels like she needs to throw up but
cannot vomit. Her last bowel movement was yesterday. She stated it was
diarrhea and states she has extreme weakness. No melena or
hematochezia. No shortness of breath, no chest pain.
Medical History: Diabetes mellitus type 2. Hypertension. Osteoporosis.
Surgical History: None
Medicines: Benadryl 25 mg daily, Diovan 320/25 one daily, calcium 600
daily, vitamin C 500 daily, multivitamin 1 tablet daily, Coreg CR 20 mg daily,
Lipitor 20 mg at bedtime, metformin 1000 mg/day.
,Be kind to yourself and keep practising!
, Allergies: MORPHINE
Social History: No tobacco, alcohol or drugs. She is a widow. She lives in Marta. She is
retired.
Family History: Mother deceased after childbirth. Father deceased from asphyxia.
ROS: Negative for fever, weight gain, weight loss. Positive for fatigue and malaise.
Ears, Nose, Throat: Negative for rhinorrhea. Negative for congestion.
Eyes: Negative for vision changes.
Pulmonary: Negative for dyspnea.
Cardiovascular: Negative for angina.
Gastrointestinal: Positive for diarrhea, positive for constipation, intermittent changes
between the two. Negative for melena or hematochezia.
Neurologic: Negative for headaches. Negative for seizures.
Psychiatric: Negative for anxiety. Negative for depression.
Integumentary: Positive for rash for which she takes Benadryl.
Genitourinary: Negative for dysfunctional bleeding. Negative for dysuria.
Objective:
Vital signs: Show a temperature max of 98.1, T-current 97.6, pulse 62, respirations
20, blood pressure 168/65. O2 sat 95% on room air. AccuChek, 135.
Generally: No apparent distress, alert and oriented x 3, pleasant Spanish speaking
female.
Head, ears, eyes, nose, throat: Normocephalic, atraumatic. Oropharynx is pink and
moist. No scleral icterus.
Neck: Supple, full range of motion.
Lungs: Clear to auscultation bilaterally.
Cardiovascular: Regular rate and rhythm. No murmurs, gallops, rubs.
Abdomen: Soft, nontender, nondistended. Normal bowel sounds. No
hepatosplenomegaly. Negative Murphy's sign.
Back: Costovertebral angle tenderness
Extremeties: No clubbing, cyanosis or edema.
