NR511 Final Exam
Study Guide
Week 1
1. Define diagnostic reasoning
2. Discuss and identify subjective & objective data
3. Discuss and identify the
... [Show More] components of the HPI
4. Describe the differences between medical billing and medical coding
5. Compare and contrast the 2 coding classification systems that are currently used in the
US healthcare system – The two systems need to be in line i.e. the CPT code for the
activity performed should be followed with a relevant Diagnosis for the procedure
performed.
6. Discuss how specificity, sensitivity & predictive value contribute to the usefulness of the
diagnostic data
7. Discuss the elements that need to be considered when developing a plan
8. Describe the components of Medical Decision Making in E&M coding
10. Discuss a minimum of three purposes of the written history and physical in relation to the
importance of documentation
11. Accurately document why every procedure code must have a corresponding diagnosis
code
12. Correctly identify a patient as new or established given the historical information
13. Identify the 3 components required in determining an outpatient, office visit E&M code
14. Describe the components of Medical Decision Making in E&M coding
15. Correctly order the E&M office visit codes based on complexity from least to most
complex
16. Explain what a “well rounded” clinical experience means
17. State the maximum number of hours that time can be spent “rounding” in a facility
18. State 9 things that must be documented when inputting data into clinical encounter
19. Identify and explain each part of the acronym SNAPPS
1. Identify the most common type of pathogen responsible for acute gastroenteritis
2. Recognize that assessing for prior antibiotic use is a critical part of the history in patients
presenting with diarrhea
3. Describe the difference between Irritable Bowel Disease (IBS) and Inflammatory Bowel
Disorder (IBD)
4. Discuss two common Inflammatory Bowel Diseases
5. Discuss the diagnosis of diverticulitis, risk factors, and treatments
6. Identify the significance of Barrett’s esophagus
7. Discuss the diagnosis of GERD, risk factors, and treatments
a. Diagnosis
i. History; sensitivity of 80%
ii. If symptoms are unclear or patient doesn’t respond to 4 weeks of empiric
treatment. Ambulatory esophageal pH monitoring with a pH<4 above the
lower esophageal sphincter and correlates with GERD symptoms then
diagnosis can be made.
iii. An EGD with biopsy should be done to rule out Barrett’s esophagus
iv. Risks
1. Obesity, Over 50 years old
2. Diagnosis is equal across gender, ethnicity and cultural groups
v. Treatment
1. Diet- small frequent meals that avoid food triggers
2. No bedtime snacks
3. No eating 4 hours prior to bed time
4. Eliminate caffine
5. Stop smoking
6. Avoid tight fitting clothing
7. Sleep with head elevated
8. Discuss the differential diagnosis of acute abdominal pain, work-up and testing,
treatments
9. Discuss the difference between sensorineural and conductive hearing loss
10. Identify the triad of symptoms associated with Meniere's disease
11. Identify the symptoms associated with peritonsilar abcess
a. Increasing unilateral ear and throat pain ipsilateral to the affected tonsil,
dysphagia, drooling, trismus, erythema, edema of the soft palate with fluctuance
on palpation.
12. Identify the most common cause of viral pharyngitis
a. Adenovirus, Influenza A&B, coxsackie, herpes simplex, RSV, Epstein-barr,
enteroviruses
13. Identify the most common cause of acute nausea & vomiting
a. Gastroenteritis
14. Discuss the importance of obtaining an abdominal xray to rule out perforation or
obstruction even though the diagnosis of diverticulitis can be made clinically
15. Discuss colon cancer screening recommendations relative to certain populations
16. Identify at least two disorders that are considered to be disorders related to conductive
hearing loss
17. Identify the most common bacterial cause of pharyngitis
18. Identify the clinical findings associated with mononucleosis
19. Identify common characteristics in a rash caused be Group A Strep
20. Discuss that the diagnosis of streptococcal pharyngitis can be made clinically based on
the Centor criteriaa. No cough, tonsillar exudate, fever, tender anterior cervical lymphadenopathy
21. Describe an intervention for a patient with gastroenteritis
22. Discuss an appropriate treatment for prophylaxis or treatment of traveler's diarrhea
23. Identify at least one effective treatment for Irritable Bowel Syndrome (IBS)
24. Identify at least one prescription medication for the treatment of chronic constipation
a. These drugs work by acting locally on the apical membrane of the GI tract to
increase intestinal fluid secretion and improve fecal transit.
i. Linzess(linaclotide), Trulance (plecanatide), Amitiza (lubiprostone)
25. Discuss at least one treatment for Meniere's disease [Show Less]