Exam (elaborations)
CHAPTER 19: EVALUATION AND MANAGEMENT QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
CHAPTER 19: EVALUATION AND MANAGEMENT QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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CHAPTER 19: EVALUATION ANDMANAGEMENT QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
MedicalMAbbreviationsM-MANSWERMBPM-MBloodMpressure
CCM-MChiefMcomplaint
HEENTM-MHead,Meyes,Mears,Mnose,Mthroat
h/oM-MHistoryMof
HPIM-MHistoryMofMpresentMillness
HxM-MHistory
NADM-MNoMapparentMdistress
NKDAM-MNoMknownMdrugMallergies
PEM-MPhysicalMexamination
PERRLAM-MPupilsMequal,Mround,MandMreactiveMtoMlightMandMaccommodationM(forMexample,Mnormal)
PMHM-MPastMmedicalMhistory
ptM-MPatient
R/OM-MRuleMout
ROSM-MReviewMofMsystems
WNLM-MWithinMnormalMlimits
Mr.MAndrews,MaM34-year-
oldMmale,MvisitsMDr.MParker'sMofficeMatMtheMrequestMofMDr.MSmithMforMaMneurologicalMconsultation.MHeMpr
esentsMwithMcomplaintsMofMweakness,Mnumbness,MandMpainMinMhisMleftMhandMandMarm.MDr.MParkerMexam
inesMtheMpatientMandMsendsMhisMrecommendationsMandMaMwrittenMreportMbackMtoMDr.MSmithMforMtheMcar
eMofMtheMpatient.MWhichMcategoryMorMsubcategoryMofMevaluationMandMmanagementMcodesMwouldMbeMse
lectedMforMtheMvisitMtoMDr.MParker?
A.OfficeMvisit,MnewMpatient
B.OfficeMvisit,MestablishedMpatient
C.OutpatientMconsultation
D.CaseMmanagementMservicesM-
MANSWERMAnswer:MC.MOutpatientMconsultationMRationale:MDr.MSmithMrequestsMDr.MParkerMtoMseeMMr.MAn
drewsMforMaMneurologicMconsultation.MDr.MParkerMevaluatesMtheMpatientMandMprovidesMaMwrittenMreportM
, toMDr.MSmithMwithMaMrecommendation.MTheMrequirementsMforMaMconsultationMhaveMbeenMmetMandManMe
valuationMandMmanagementMcodeMfromMoutpatientMconsultationMwouldMbeMselected.
AMmotherMtakesMherM2-year-
oldMbackMtoMDr.MDentonMforManMannualMwellMchildMexam.MTheMpatientMhasMaMcomprehensiveMcheckupMa
ndMvaccinationsMareMbroughtMupMtoMdate.MWhichMcategoryMorMsubcategoryMofMevaluationMandMmanage
mentMcodesMwouldMbeMselectedMforMtheMwellMchildMexam?
A.OfficeMvisit,MestablishedMpatient
B.PreventiveMmedicine,MestablishedMpatient
C.SubsequentMhospitalMcare
D.PreventiveMmedicine,MindividualMcounselingM-
MANSWERMAnswer:MB.MPreventiveMmedicine,MestablishedMpatientMRationale:MTheMmotherM"takesMherM2My
ear-
oldMbackMtoMDr.MDenton"MindicatesMthisMisManMestablishedMpatient.MThisMisMaMwellMchildMexamMwithMnoMc
omplaintsMandMaMcodeMfromMpreventiveMmedicine,MestablishedMpatient,MwouldMbeMselected.MTheMpreve
ntiveMmedicine,MindividualMcounselingMcodesMareMusedMforMriskMreductionMsuchMasMdietMandMexercise,Msu
bstanceMabuse,MfamilyMproblems,Metc.
John,MaM16-year-
oldMmale,MisMadmittedMbyMtheMemergencyMdepartmentMphysicianMforMobservationMafterManMATVMacciden
t.MTheMpatientMisMdischargedMfromMobservationMbyManotherMproviderMtheMnextMday.MWhatMcategoryMorMs
ubcategoryMofMevaluationMandMmanagementMcodesMwouldMbeMselectedMforMtheMemergencyMdepartment
Mphysician?
A.OfficeMvisit,MnewMpatient
B.EmergencyMdepartmentMservices
C.InitialMhospitalMcare
D.InitialMobservationMcareM-
MANSWERMAnswer:MD.MInitialMobservationMcareMRationale:MTheMpatientMpresentedMtoMtheMEmergencyMDe
partmentMandMwasMadmittedMtoMobservationMbyMtheMEDMphysician.MTheMguidelinesMforMInitialMObservati
onMCareMstateMthatMallMservicesMprovidedMbyMtheMadmittingMphysicianMforMtheMsameMdateMofMserviceMare
MincludedMinMtheMinitialMhospitalMcare,MandMinMthisMinstanceMtheMemergencyMdepartmentMservicesMwould
MnotMbeMcoded.MIfMtheMpatientMwasMdischargedMonMtheMsameMdateMofMservice,MaMcodeMfromMObservatio
nMorMInpatientMCareMServicesM(IncludingMAdmissionMandMDischargeMServices)MwouldMbeMselected.
Dr.MHedrick,MaMneurosurgeon,MwasMaskedMtoMassistMinMaMsurgeryMtoMremoveMcancerMfromMtheMspinalMcor
d.MHeMactedMasMaMco-
surgeonMworkingMwithManMorthopedicMsurgeon.MDr.MHedrickMfollowedMupMwithMtheMpatientMduringMhisMr
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