How does the Physical Examination section relate to the Assessment?
What will be an ideal response?
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Q. 2) How is the Review of Systems related to the patient's medical history (past and present)?
What will be an ideal response?
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Q. 3) How does the diagnostic section of a report (imaging reports and lab values) relate to the Assessment?
What will be an ideal response?
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Q. 4) How does the medication list relate to the Past Medical History and why should these sections be free of contradictions?
What will be an ideal response?
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Q. 5) Which of the following assessments is consistent with these lab values?
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Q. 6) Which of the following is NOT a criterion for critical care services?
a. Management or treatment of the critical illness or injury involves a comprehensive evaluation of vital organ systems
b. The physicians assessment of the critical injury or illness requires a high level of decision making complexity
c. A substantial amount of support and care go into preventing further deterioration of the patient's vital organ system(s)
d. The amount of time spent by the physician is not relevant to the reporting of critical care services
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Q. 7) A 3-day-old neonate undergoes intensive observation during indomethacin IV therapy for patent ductus arteriosus. Patient's present weight is 3900 grams. Two days of intensive neonatal observation are reported.
Which of the following best reflects the services provided? a. Inpatient neonatal and pediatric critical care
b. Critical care
c. Initial and continuing intensive care services
d. Newborn care services
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Q. 8) Patient is a 12-year-old boy who is 4 months status post colorectal repair after sustaining massive rectal, perineal, and testicular wounds from falling backwards onto the silverware basket of an open dishwasher.
Injuries included traumatic puncture wounds caused by forks, as well as penetrating injuries caused by both table knives and steak knives. Colorectal repair included colostomy. Patient's mother has requested an office visit tomorrow to ensure the patient's complete understanding of the care and precautions required. Mother also wishes to ensure the continued recovery of the patient, since the patient wishes to return to soccer practice. More than 60 minutes are spent in extensive review of radiograph images and discussion with pediatrician cardiology and gastroenterology surgeons in preparation for tomorrow's visit in my clinic. Which of the following best reflects the E/M service provided? a. Physician standby services
b. Prolonged physician service without direct patient contact
c. Prolonged physician service with direct patient contact
d. Critical care
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Q. 9) This 45-year-old woman was admitted into the critical care ward of Healthy Hospital with Legionnaire's disease.
Patient has not responded to intravenous moxifloxan and cardiopulmonary function has decreased, followed by a sudden decrease in the oxygen level of the blood. Respiratory failure is diagnosed. 110 minutes are spent in extensive measures to prevent acute kidney failure and septic shock. Which of the following best reflects the E/M services provided? a. Prolonged care with direct patient contact
b. Critical care: first 3074 minutes, and one additional 30 minute block of time
c. Critical care: first 3074 minutes
d. Physician standby services
(
Q. 10) A 6-day-old full-term neonate is brought into the rural pediatric office for abdominal bloating, bloody diapers, and vomiting.
Radiographic results demonstrate dilated intestinal loops indicating pneumatosis intestinalis resulting from malrotation or intussusseption. Pediatrician requests immediate transport to trauma 1 hospital for immediate surgical and medical intervention. Pediatrician places Broviac catheter for fluids and accompanies neonate during transport to provide medical support and prevent further deterioration of fragile neonate. Which of the following best reflects the provided E/M service? a. Newborn care services
b. Inpatient neonatal and pediatric critical care
c. Pediatric critical care patient transport
d. Initial and continuing neonatal intensive care services
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