Chapter 5 Outpatient & Physician Office
Exam with Questions and Detailed
Correct Answers 100% Guaranteed Pass
SUBJECTIVE: This 20-year-old patient with a past medical history significant
for asthma underwent a total thyroidectomy due to feelings of fatigue and
weight gain for the past six months.
OBJECTIVE: Thyroid function tests revealed that the patient was hypothyroid
with a thyroid-stimulating hormone level of 110.2, free thyroxine index of 0.9,
and total T3 of 0.41. The patient also has a palpable mass in the left lobe of the
thyroid, and thyroid ultrasound revealed nodules in the thyroid gland. Thyroid
lobes were biopsied bilaterally; based on those results, the patient underwent
total thyroidectomy.
DIAGNOSES: - CORRECT ANSWERS (1) Nodules, thyroid gland: E04.1
(2) Hypothyroidism: E03.9
(3) History of asthma: Z87.09
SUBJECTIVE: This 42-year-old patient with past family history of gastric
polyposis underwent upper gastrointestinal endoscopy, which revealed
multiple gastric polyps in the fundus and body of the stomach.
OBJECTIVE: Biopsies of the gastric polyps were submitted for pathological
examination.
DIAGNOSES: - CORRECT ANSWERS (1) Multiple gastric polyps: K31.7
(2) Family hx of gastric polyposis: Z83.79
This 35-year-old states that her menstrual periods have been regular, and she
had been taking birth control pills until January of this year. Since that time, she
has been using other methods of birth control that are unsatisfactory to her.
She and her husband also desire tubal ligation for prevention of further
pregnancies.
PHYSICAL EXAMINATION reveals a morbidly obese white female in no obvious
distress; heart and lungs normal to auscultation; abdomen flat; on pressure,
the cervix protrudes to the opening of the vaginal os; otherwise, the uterus was
average size. The patient was taken to surgery and underwent laparoscopic
bilateral tubal ligation. She was discharged in stable condition to be seen by Dr.
Baker for follow-up care next week.
DIAGNOSES: - CORRECT ANSWERS (1) Elective sterilization: Z30.2
(2) Morbid obesity: E66.01
, A 53-year-old male is admitted with a right inguinal hernia. Laboratory results
were within normal limits. Right inguinal herniorrhaphy was performed, and the
patient did well; there were no complications. He was discharged to be seen in
the office in several days for suture removal. No specific diet or medication was
prescribed. The patient was advised to avoid any strenuous activities.
DIAGNOSIS: - CORRECT ANSWERS Right inguinal hernia: K40.90
This 31-year-old white female is admitted to the ambulatory surgery unit with
chief complaint of multiparity. She states that she wants to undergo a
sterilization procedure. She underwent laparoscopic tubal fulguration,
bilateral. There are no familial diseases such as epilepsy, diabetes, bleeding
tendency, tuberculosis, or heart attacks. She smokes a pack of cigarettes a day
and takes no alcohol. She is married, but now separated. She has been in good
health and has had no other problems. Her menses are every 28 days and last 4
days. No clots or pains. Her last period was January 1. She has two children
living and well, ages 11 and 5.
DIAGNOSES: - CORRECT ANSWERS (1) Elective sterilization: Z30.2
(2) Multiparity: Z64.1
(3) Nicotine dependence, cigarettes: F17.210
A 37-year-old male civilian contractor was hired by a homeowner. While lifting
boards from his truck on the job in the private driveway at a single-family
private house, he began to experience acute burning pain in his neck from this
sudden strenuous movement. His symptoms persisted, and he was seen by his
chiropractor who checked the range of motion in his neck and noted restriction
in lateral bending and rotation. Neurologic screening revealed decreased
sensation at the left thumb and first finger. Reflexes were normal (intact), but
there was some muscle weakness in the left arm. The patient underwent
magnetic resonance imaging (MRI), which was negative, and received
chiropractic treatment.
DIAGNOSES: - CORRECT ANSWERS (1) Cervical disc syndrome: M50.10
(2) Building and construction (external cause activity): Y93.H3
(3) Private driveway at single-family private house (external cause place of
occurrence): Y92.014
(4) Civilian activity done for income (external cause status): Y99.0
A 15-year-old male high school student was playing in a basketball game one
evening on the basketball court; when he went up for a rebound, he felt his neck
"wrench" backward and experienced immediate pain in both sides of his neck.
That evening he felt pain and stiffness in his neck, and he had trouble turning
his head.
DIAGNOSES: - CORRECT ANSWERS (1) Acute cervical sprain (initial
encounter): S13.4XXA
(2) Basketball (external cause activity): Y93.67
(3) Basketball court (external cause place of occurrence): Y92.310
(4) Student activity (external cause status): Y99.8
Exam with Questions and Detailed
Correct Answers 100% Guaranteed Pass
SUBJECTIVE: This 20-year-old patient with a past medical history significant
for asthma underwent a total thyroidectomy due to feelings of fatigue and
weight gain for the past six months.
OBJECTIVE: Thyroid function tests revealed that the patient was hypothyroid
with a thyroid-stimulating hormone level of 110.2, free thyroxine index of 0.9,
and total T3 of 0.41. The patient also has a palpable mass in the left lobe of the
thyroid, and thyroid ultrasound revealed nodules in the thyroid gland. Thyroid
lobes were biopsied bilaterally; based on those results, the patient underwent
total thyroidectomy.
DIAGNOSES: - CORRECT ANSWERS (1) Nodules, thyroid gland: E04.1
(2) Hypothyroidism: E03.9
(3) History of asthma: Z87.09
SUBJECTIVE: This 42-year-old patient with past family history of gastric
polyposis underwent upper gastrointestinal endoscopy, which revealed
multiple gastric polyps in the fundus and body of the stomach.
OBJECTIVE: Biopsies of the gastric polyps were submitted for pathological
examination.
DIAGNOSES: - CORRECT ANSWERS (1) Multiple gastric polyps: K31.7
(2) Family hx of gastric polyposis: Z83.79
This 35-year-old states that her menstrual periods have been regular, and she
had been taking birth control pills until January of this year. Since that time, she
has been using other methods of birth control that are unsatisfactory to her.
She and her husband also desire tubal ligation for prevention of further
pregnancies.
PHYSICAL EXAMINATION reveals a morbidly obese white female in no obvious
distress; heart and lungs normal to auscultation; abdomen flat; on pressure,
the cervix protrudes to the opening of the vaginal os; otherwise, the uterus was
average size. The patient was taken to surgery and underwent laparoscopic
bilateral tubal ligation. She was discharged in stable condition to be seen by Dr.
Baker for follow-up care next week.
DIAGNOSES: - CORRECT ANSWERS (1) Elective sterilization: Z30.2
(2) Morbid obesity: E66.01
, A 53-year-old male is admitted with a right inguinal hernia. Laboratory results
were within normal limits. Right inguinal herniorrhaphy was performed, and the
patient did well; there were no complications. He was discharged to be seen in
the office in several days for suture removal. No specific diet or medication was
prescribed. The patient was advised to avoid any strenuous activities.
DIAGNOSIS: - CORRECT ANSWERS Right inguinal hernia: K40.90
This 31-year-old white female is admitted to the ambulatory surgery unit with
chief complaint of multiparity. She states that she wants to undergo a
sterilization procedure. She underwent laparoscopic tubal fulguration,
bilateral. There are no familial diseases such as epilepsy, diabetes, bleeding
tendency, tuberculosis, or heart attacks. She smokes a pack of cigarettes a day
and takes no alcohol. She is married, but now separated. She has been in good
health and has had no other problems. Her menses are every 28 days and last 4
days. No clots or pains. Her last period was January 1. She has two children
living and well, ages 11 and 5.
DIAGNOSES: - CORRECT ANSWERS (1) Elective sterilization: Z30.2
(2) Multiparity: Z64.1
(3) Nicotine dependence, cigarettes: F17.210
A 37-year-old male civilian contractor was hired by a homeowner. While lifting
boards from his truck on the job in the private driveway at a single-family
private house, he began to experience acute burning pain in his neck from this
sudden strenuous movement. His symptoms persisted, and he was seen by his
chiropractor who checked the range of motion in his neck and noted restriction
in lateral bending and rotation. Neurologic screening revealed decreased
sensation at the left thumb and first finger. Reflexes were normal (intact), but
there was some muscle weakness in the left arm. The patient underwent
magnetic resonance imaging (MRI), which was negative, and received
chiropractic treatment.
DIAGNOSES: - CORRECT ANSWERS (1) Cervical disc syndrome: M50.10
(2) Building and construction (external cause activity): Y93.H3
(3) Private driveway at single-family private house (external cause place of
occurrence): Y92.014
(4) Civilian activity done for income (external cause status): Y99.0
A 15-year-old male high school student was playing in a basketball game one
evening on the basketball court; when he went up for a rebound, he felt his neck
"wrench" backward and experienced immediate pain in both sides of his neck.
That evening he felt pain and stiffness in his neck, and he had trouble turning
his head.
DIAGNOSES: - CORRECT ANSWERS (1) Acute cervical sprain (initial
encounter): S13.4XXA
(2) Basketball (external cause activity): Y93.67
(3) Basketball court (external cause place of occurrence): Y92.310
(4) Student activity (external cause status): Y99.8
