The most-often reported evaluation and management (E/M) services are:
A. office and other outpatient services.
B. hospital (inpatient) services.
C. emergency room services.
D. consultations.
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Q. 2) A chronological description of the patient's illness from the first sign or symptom to the present is the:
A. history of present illness.
B. past history.
C. family history.
D. social history.
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Q. 3) An expanded problem focused history would include all of the following EXCEPT:
A. chief complaint.
B. brief history of present illness.
C. brief family history.
D. problem-pertinent review of systems.
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Q. 4) The four types of histories used in determining the level of evaluation and management (E/M) services are:
A. problem focused, expanded problem focused, detailed, and comprehensive.
B. problem focused, expanded problem focused, complete, and comprehensive.
C. problem focused, detailed, comprehensive, and complete.
D. expanded problem focused, detailed, expanded detailed, and comprehensive.
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Q. 5) Details about the health status or cause of death of parents, siblings, and children would be part of a:
A. history of present illness.
B. past history.
C. family history.
D. social history.
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Q. 6) Details about a patient's current employment or school history would be part of a:
A. history of present illness.
B. past history.
C. family history.
D. social history.
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Q. 7) A statement, usually in the patient's words, describing the symptom, problem, condition, or other factor that is the reason for the encounter is called the:
A. chief complaint.
B. primary diagnosis.
C. principal diagnosis.
D. reason for complaint.
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Q. 8) The three key components used to select the appropriate evaluation and management (E/M) code include:
A. history, patient age, and time.
B. medical decision making, presenting problem, and counseling.
C. examination, chief complaint, and place of service.
D. history, examination, and medical decision making.
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Q. 9) Components that define the level of evaluation and management (E/M) services include all of the following EXCEPT:
A. the extent of the history documented.
B. the location of the procedure or service.
C. the complexity of the medical decision making documented.
D. time.
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Q. 10) When a second physician examines a patient and renders an opinion, the service is referred to as a:
A. consultation.
B. referral.
C. specialist visit.
D. wellness examination.
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