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Exam (elaborations)

Differential Diagnosis and Primary Care Practicum – Comprehensive Clinical Practicum Notes and Case-Based Summaries

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This document covers the core principles of differential diagnosis and clinical decision-making within a primary care practicum setting. It includes structured notes, case-based analyses, and practical guidance on evaluating patient presentations, developing diagnostic reasoning, and managing common conditions in primary care. The material is suitable for clinical practice preparation and exam revision.

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Differential Diagnosis And Primary Care Practicum
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Institution
Differential Diagnosis and Primary Care Practicum
Course
Differential Diagnosis and Primary Care Practicum

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Uploaded on
January 21, 2026
Number of pages
92
Written in
2025/2026
Type
Exam (elaborations)
Contains
Questions & answers

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NR 511 / NR511 Midterm Exam V2
(Latest Update )
Differential Diagnosis and Primary
Care Practicum | Questions and
Answers | 100 out of 100 | Grade A -
Chamberlain


Define diagnostic reasoning

Reflective thinking because the process involves questioning one's thinking to determine if all
possible avenues have been explored and if the conclusions that are being drawn are based on
evidence.



Seen as a kind of critical thinking.




What is subjective data?

Anything the patient tells you or complains of regarding their symptoms



Chief complaint

HPI

ROS




What is objective data?

Anything YOU can see, touch, feel, hear, or smell as part of your exam

, NR 511 / NR511 Midterm Exam V2
(Latest Update )
Differential Diagnosis and Primary
Care Practicum | Questions and
Answers | 100 out of 100 | Grade A -
Chamberlain

Includes lab data, diagnostic test results, etc.




Identify components of HPI

Specifically related to the chief complaint only



Detailed breakdown of CC



OLDCARTS




Describe the differences between medical billing and medical coding.

Medical billing: process of submitting and following up on claims made to a payer in order to
receive payment for medical services rendered by a healthcare provider



Medical coding: the use of codes to communicate with payers about which procedures were
performed and why.

, NR 511 / NR511 Midterm Exam V2
(Latest Update )
Differential Diagnosis and Primary
Care Practicum | Questions and
Answers | 100 out of 100 | Grade A -
Chamberlain
Compare and contrast the two coding classification systems that are currently used in the US
healthcare system.

ICD: International classification of disease codes are used to provide payer info on necessity of
visit or procedure performed. Shorthand for pt's dx.



CPT: common procedural terminology codes offer the official procedural coding rules and
guidelines required when reporting medical services and procedures performed by physician
and non-physician providers. Must have corresponding ICD.




How do specificity, sensitivity, and predictive value contribute to the usefulness of diagnostic
data?

Specificity: ability of a test to correctly detect a specific condition. If a pt has a condition but test
is negative, it is a false negative. If pt does NOT have condition but test is positive, it is false
positive.



Sensitivity: test that has few false negatives. Ability of a test to correctly identify a specific
condition when it is present. The higher the sensitivity, the lesser the likelihood of a false
negative.

, NR 511 / NR511 Midterm Exam V2
(Latest Update )
Differential Diagnosis and Primary
Care Practicum | Questions and
Answers | 100 out of 100 | Grade A -
Chamberlain
Predictivefvalue:fTheflikelihoodfthatfthefptfactuallyfhasfthefconditionfandfis,finfpart,fdependentfupo
nfthefprevalencefoffthefconditionfinfthefpopulation.fIffafconditionfisfhighlyflikely,fthefpositivefresult
fwouldfbefmorefaccurate.




Diagnosticftestsfcanfbefusedftofconfirmforfrulefoutfhypotheses.



Diagnosticftestsfmayfbefusedftofscreenfforfconditions.



Diagnosticftestsfmayfbefusedftofmonitorfthefprogressfinfmanagingfafchronicfcondition.




Discussfthefelementsfthatfneedftofbefconsideredfwhenfdevelopingfafplan.

Pt'sfpreferencesfandfactions

Researchfevidence

Clinicalfstate/circumstances

Clinicalfexpertise




DescribefthefcomponentsfoffmedicalfdecisionfmakingfinfE&Mfcoding.

Risk,fdata,fdiagnosis
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