Which element identified by a bullet is documented in the words palpation and percussion reveal no cervical spine tenderness . . . no thoracic spine tenderness, and no lumbar spine tenderness?
a. Skin: palpation of skin and subcutaneous tissue (e.g., induration, subcutaneous nodules, tightening)
b. Neurologic: test cranial nerves with notation of any deficits
c. Constitutional: general appearance of patient (e.g., development, nutrition, body habitus, deformities, attention to grooming)
d. Musculoskeletal: inspection and/or palpation with notation of presence of any misalignment, asymmetry, crepitation, defects, tenderness, masses, effusions
(
Q. 2) Which element identified by a bullet is documented in the words neck is soft without masses?
a. Cardiovascular: auscultation of heart with notation of abnormal sounds and murmurs
b. Neck: examination of neck (e.g., masses, overall appearance, symmetry, tracheal position, crepitus)
c. Respiratory: palpation of chest (e.g., tactile fremitus)
d. Lymphatic: palpation of lymph nodes in neck
(
Q. 3) Which element identified by a bullet is documented in the words light head contusion along lateral hairline with no pain upon examination?
a. Cardiovascular: auscultation of heart with notation of abnormal sounds and murmurs
b. Skin: inspection of skin and subcutaneous tissue (e.g., rashes, lesions, ulcers)
c. Psychiatric: description of patient's judgment and insight
d. Constitutional: general appearance of patient (e.g., development, nutrition, body habitus, deformities, attention to grooming)
(
Q. 4) Which of the following types of physical examinations does not allow the combination of body areas and organ systems?
a. Problem focused
b. Expanded problem focused
c. Detailed
d. Comprehensive
(
Q. 5) In order to perform the physical examination, what must the physician do?
a. Introduce him or herself to the patient using eye contact and a handshake
b. Ensure the patient has signed a privacy agreement in the patient's medical documentation, either by asking whether the patient remembers signing the privacy agreement, or actually finding the signed privacy agreement
c. Physically interact with the patient, such as by touching or palpating, listening to or looking at or inspecting different parts of the patient's body
d. Ensure the stethoscope or any other instruments to be used on the patient are warm
(
Q. 6) Which of the following represents a comprehensive type of physical examination?
a. A limited examination of the affected body area or organ system and other symptomatic or related organ systems
b. A limited examination of the affected body area or organ system
c. A general multisystem examination or complete examination of a single organ system and other symptomatic or related body areas or organ systems
d. An extended examination of the affected body areas or organ systems and other symptomatic or related body areas or organ systems
(
Q. 7) Which of the following represents a detailed type of physical examination?
a. An extended examination of the affected body areas or organ systems and other symptomatic or related body areas or organ systems
b. A limited examination of the affected body area or organ system
c. A general multisystem examination or complete examination of a single organ system and other symptomatic or related body areas or organ systems
d. A limited examination of the affected body area or organ system and other symptomatic or related organ systems
(
Q. 8) Which of the following represents an expanded problem-focused type of physical examination?
a. A general multisystem examination or complete examination of a single organ system and other symptomatic or related body areas or organ systems
b. A limited examination of the affected body area or organ system
c. An extended examination of the affected body areas or organ systems and other symptomatic or related body areas or organ systems
d. A limited examination of the affected body area or organ system and other symptomatic or related organ systems
(
Q. 9) Which of the following represents the problem-focused type of physical examination?
a. A limited examination of the affected body area or organ system
b. A limited examination of the affected body area or organ system and other symptomatic or related organ systems
c. An extended examination of the affected body areas or organ systems and other symptomatic or related body areas or organ systems
d. A general multisystem examination or complete examination of a single organ system and other symptomatic or related body areas or organ systems
(
Q. 10) How many types of physical examination are listed in the 1995 Documentation Guidelines for Evaluation and Management Services?
a. Two
b. Three
c. Four
d. Five
Quick Reply
