Which of the following reflects the four levels of overall medical decision-making complexity as defined in the 1995 and 1997 DGs?
a. Problem-focused, expanded problem-focused, detailed, comprehensive
b. Straightforward, low, moderate, high
c. Minimal, low, moderate, extensive
d. None, pertinent, extended, complete
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Q. 2) Which of the following reflects the guideline defined by the 1995 and 1997 DGs to determine the overall level of medical decision-making complexity?
a. To qualify for a given level, all three of the elements in the table must be met
b. To qualify for a given level, at least two of the three elements in the table must be met or exceeded
c. To qualify for a given level, the highest element determines the overall level
d. To qualify for a given level, specific elements identified by a bullet must be documented
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Q. 3) Which of the following best reflects the risk of complication, comorbidity, and/or mortality? (Hint: Remember the highest level of risk determines the overall risk of complications, co-morbidities, and/or mortality.)
a. Minimal
b. Low
c. Moderate
d. High
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Q. 4) Using the table of risk, which of the following best reflects the risk of complication, comorbidity, and/or mortality posed by the management option(s) selected?
a. Minimal
b. Low
c. Moderate
d. High
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Q. 5) Using the table of risk, which of the following best reflects the risk of complication, comorbidity, and/or mortality posed by the diagnostic procedure(s) ordered?
a. Minimal
b. Low
c. Moderate
d. High
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Q. 6) Using the table of risk, which of the following best reflects the risk of complication, comorbidity, and/or mortality posed by the presenting problem(s)?
a. Minimal
b. Low
c. Moderate
d. High
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Q. 7) Which of the following best reflects the amount and/or complexity of data to be reviewed?
a. Minimal or none (either no data reviewed, or only diagnostic laboratory tests reviewed or ordered)
b. Limited (order/review of diagnostic laboratory tests, order/review of diagnostic radiology tests, collection of history from someone other than patient)
c. Moderate (order/review of diagnostic laboratory tests, order/review of diagnostic radiology tests, collection of history from someone other than patient, independent review of radiology scan)
d. Extensive (order/review of diagnostic laboratory tests, order/review of diagnostic radiology tests, collection of history from someone other than patient, independent review of radiology scan, discussion of presenting problem with another clinician, specifically general surgeon and radiologist)
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Q. 8) Which of the following best reflects the number of diagnoses and/or management options?
a. Minimal (established problem, stable)
b. Limited (established problem, worsening)
c. Moderate (new problem requiring no diagnostic workup)
d. Extensive (new problem requiring diagnostic workup)
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Q. 9) Which of the following indicates the overall level for the following: Presenting problemacute, uncomplicated illness or injury Diagnostic procedures orderedurinalysis Management option selectedprescription drug management
a. Minimal
b. Low
c. Moderate
d. High
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Q. 10) Which of the following indicates the overall level for the following: Presenting problemundiagnosed new problem with uncertain prognosis Diagnostic procedures orderedchest X-ray, noncardiovascular imaging studies with contrast (CT scan),
diagnostic endoscopies with no identified risk factors Management option selectedprescription drug management a. Minimal
b. Low
c. Moderate
d. High
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