How is the review of systems collected?
a. Like the history of present illness, the review of systems may only be collected by the physician who is performing the evaluation and management visit, through a verbal interview with the patient and may only be collected during the visit
b. Unlike the history of present illness, the review of systems may only be collected over the phone or via electronic communication with the patient
c. Like the history of present illness, the review of systems may be collected by the nonclinical members of the staff through a series of questions posed to the patient
d. Unlike the history of present illness, the review of systems may be collected by any member of the clinical staff through a series of questions posed to the patient, or in written form through the patient's completion of review of systems questions a pre-printed form
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Q. 2) What review of systems level is reflected in the following documentation:
Patient reports no fever or chills. All other review of systems is negative in detail.
a. None (N/A)
b. Pertinent
c. Extended
d. Complete
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Q. 3) What review of systems level is reflected in the following documentation: Patient reports no diarrhea or abdominal pain.
a. None (N/A)
b. Pertinent
c. Extended
d. Complete
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Q. 4) The physician documents a review of the constitutional system. What review of system level does this support?
a. None (N/A)
b. Pertinent
c. Extended
d. Complete
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Q. 5) No review of systems is documented in the clinical note. What review of system level does this support?
a. None (N/A)
b. Pertinent
c. Extended
d. Complete
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Q. 6) The physician documents a review of the gastrointestinal, respiratory, and constitutional systems. What review of systems level does this support?
a. None (N/A)
b. Pertinent
c. Extended
d. Complete
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Q. 7) What does the abbreviation ROS mean?
a. Random Observant Sheet
b. Rudimentary Objective Symptoms
c. Review of Systems
d. Rx Order Sheet
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Q. 8) The physician documents a review of the psychiatric, musculoskeletal, gastrointestinal, constitutional systems with documentation of All other review of systems negative in detail. What review of systems level does this support?
a. None (N/A)
b. Pertinent
c. Extended
d. Complete
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Q. 9) When dealing with the review of systems, which of the following phrases BEST supports the definition of subjective?
a. In the context of a review of systems, this term refers to the absence of any identifiable symptom(s) or sign(s) of discomfort
b. Any method of impartially measuring a patient's symptom or sign, which can be repeated with a variety of patients and provide consistent results , such as a numeric pain scale of 1-10
c. A patient's personalized description or individualized measurement of a specific symptom, which is unique to a specific patient and may not be accurately repeated with any other patient
d. Objective evidence of an illness, condition, or pathology which can be scientifically observed and quantified
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Q. 10) What does the acronym ENT/M refer to?
a. Ears, Nasal septum, Throat, Mandible
b. Ears, Nose and Throat Mucous
c. Ears, Nose, Throat and Mouth
d. Ears, Nose, Thyroid and Mandibular
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