Exam (elaborations)
NR 511 Midterm Questions and Answers
- Course
- Institution
Exam of 7 pages for the course NR511 at NR511 (NR 511 Midterm)
[Show more]
Content preview
NR 511 MidtermSensitivity - answer Few false negatives
Specificity - answerFew false positives
Predictive Value - answerLikelihood person has disease
3 key components that determine risk-based E&M codes - answerHistory
Physical
Medical Decision Making
Complexity of a visit is based on three criteria (aka MDM) - answerRisk
Data
Diagnosis
13. Identify the 3 components required in determining an outpatient, office visit E&M
code - answerPlace of service
Type of service (consult, office visit, hospital admit)
Pt status (new vs established)
SNAPPS - answer-S: Summarize
-N: Narrow
-A: Analyze
-P: Probe
-P: Plan
-S: Self-directed learning
most common type of pathogen responsible for acute gastroenteritis - answerViral:
Norovirus (Leading cause for adults)
-Rotovirus (Leading cause for peds up to 2 years old)
IBS - answerdisorder of bowel function not from anatomic abnormality
-constipation, diarrhea, bloating, urgency w/ diarrhea
-NOT assoc w/ serious medical consequences, IBD or CA
+S/S: result from disordered sensation or abnormal function of the small and large
bowel
IBD - answerchronic immunologic disease that manifests in intestinal inflammation
- UC/CD
UC - answerthe mucosal surface of the colon is inflamed and ultimately results in
friability, erosions, and bleeding.
, - Most common in recto-sigmoid colon. Can involve entire colon
- Pain in RLQ
Chrons - answerthe inflammation extends deeper into the intestinal wall and can involve
all or any layer of the bowel wall and any portion of the GI tract from the mouth to the
anus.
- Skipped lesions
- Pain in LLQ
Diverticulitis - answerSymptoms: LLQ pain/ tenderness, fever, N/V/D
Need imaging especially if perforation or peritonitis is suspected; free air = perforation;
patient may have ileus, small or large bowel obstruction
Can use plain x-ray
CT or barium enema are preferred
CT with contrast is more sensitive and accurate
Barrett's Esophagus - answerAfter repeated exposure to gastric contents, inflammation
of the esophageal mucosa becomes chronic.
· Blood flow increases, erosion occurs
·Premalignant tissue
·Increased risk for development of esophageal adenocarcinoma
· Fibrosis and scarring during healing of erosions; leads to strictures
Acute Appendicitis - answerN/V
RLQ pain
Guarding
Rebound Tenderness
Dx: Elevated WBC, CT
Tx: Remove appendix, ATB
Acute Pancreatitis - answerN/V
Cullen's Sign (bruising around umbilicus)
Grey-Turner's Sign (bruising in flank)
Dx: Amylase/Lipase, CT, US
Tx: Bowel rest, fluids, ATB
Acute Cholecystitis - answerMid epigastric pain
N/V
Fever
Rebound tenderness
Murphy's sign
Dx: US, HIDA scan, ERCP, MRCP
Tx: Removal, IV fluids, ATB
Sensorineural Hearing Loss - answerResults from deterioration of cochlea
-Loss of hair cells form the organ of Corti
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller julianah420. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
78834 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now