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NR511 Midterm Questions and Correct Answer.
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NR511 Midterm Questions and Correct Answer.
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NR511 Midterm Questions and Correct AnswerA red tongue with enlarged papillae, sometimes seen with strep
throat is called a _____ tongue
Raspberry
Sandpaper
Strawberry
Blackberry Correct Answer Strawberry
Age-related hearing loss (presbycusis) is classified as which
type of hearing loss? Correct Answer Sensorineural
Compare and contrast otitis media and otitis externa. Correct
Answer Definition:
OE: inflammation of membranous lining of auditory canal
and/or contiguous structures of outer ear.
OM: Inflammation of structures within middle ear
Epidemiology/causes:
OE: 10-20x more likely to occur during warmer/summer months
than in cooler seasons. Adults >50 = greatest risk. No ethnic or
gender predispositions. Immunocompromised people at greater
risk (esp of invasive disease). Excess moisture from any cause
increases risk. Seborrheic dermatitis, hearing aids, ear plugs,
cotton swabs all increase risk with extended use.
OM: Incidence increases in winter. Most common in very young
or elderly. Native American (esp Navajo) and Native Alaskans =
higher prevalence. Men and women = risk. More rare in adults.
Risk factors: allergies, sinusitis, rhinitis, pharyngitis,
,recent/recurrent URI, perforation of eardrum, active/passive
smoking.
Pathogens:
OE: Pseudomonas aeruginosa (most common cause of diffuse
infection). Staph aureus. Group A strep pyogenes. Bacteroids.
Peptostreptococcus. Aspergillus niger. Pityrosporum. Candida
albicans.
OM: Strep pneumoniae (most frequent cause in adults). H
influenzae. Moraxella catarrhalis. Strep aureus and strep
pyogenes far less common causes.
Clinical presentation:
OE Subjective: acute, severe otalgia that may worsen at night.
Worsens with pulling pinna or applying pressure to tragus.
Chewing may exacerbate pain in severe cases. Initially ear may
feel full/obstructed with temporary conductive hearing loss. May
be pruritic. Systemic symptoms may be present with infectious
etiology. Chronic illness may include dryness and pruritis of ear
canal.
OE Objective: tenderness on traction of pinna, pain w/pressure
of tragus. Purulent drainage may be present w/bacterial
infection. Canal may be reddened and edematous. Usually lacks
cerumen. Auditory canal appears edematous/erythemat
Compare and contrast the two coding classification systems that
are currently used in the US healthcare system. Correct Answer
ICD: International classification of disease codes are used to
provide payer info on necessity of visit or procedure performed.
Shorthand for pt's dx.
, CPT: common procedural terminology codes offer the official
procedural coding rules and guidelines required when reporting
medical services and procedures performed by physician and
non-physician providers. Must have corresponding ICD.
Correctly ID a pt as a new or established given historical info.
Correct Answer Pt status: whether or not pt is new or
established.
New: has not received professional service from provider in
same group within past 3 years.
Established: has received professional service from provider in
same group in last 3 years.
Correctly order the E&M office visit codes based on complexity
from least to most complex. Correct Answer New pt:
1. Minimal/RN visit: 99201
2. Problem focused: 99202
3. Expanded problem focused: 99203
4. Detailed: 99204
5. Comprehensive: 99205
Established pt:
1. Minimal/RN visit: 99211
2. Problem focused: 99212
3. Expanded problem focused: 99213
4. Detailed: 99214
5. Comprehensive: 99215
Define diagnostic reasoning Correct Answer Reflective
thinking because the process involves questioning one's thinking
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