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NR 511 Week 1 Quiz with verified solutions 2024/2025.
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NR 511 Week 1 Quiz with verified solutions 2024/2025.
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NR 511 Week 1 QuizA red tongue with enlarged papillae, sometimes seen with strep throat is called a _____
tongue
Raspberry
Sandpaper
Strawberry
Blackberry - ANS - Strawberry
\Age-related hearing loss (presbycusis) is classified as which type of hearing loss? - ANS
- Sensorineural
\Characteristics of AGE: - ANS - Nausea
Vomiting
Diarrhea
Fever
Abd pain/cramping
Fatigue
Malaise
Anorexia
Tenesmus
Rectal burning d/t frequent diarrhea
Rectal abrasion
Rectal bleeding
Passing stool w/blood and mucus
Severe dehydration
Increased HR
Dizziness
\Clinical characteristics of GERD: - ANS - Heartburn
Regurgitation
Water brash (reflex salivation)
Dysphagia
Sour taste in mouth in the morning
Odynophagia (painful swallowing)
Belching
Coughing
Hoarseness
Wheezing usually at night
Substernal or retrosternal chest pain
Aggravating: reclining after eating, eating large meal, alcohol, chocolate, caffeine,
fatty/spicy food, nicotine, constrictive clothes, heavy lifting, straining, bending over.
Alleviating: antacids, sitting upright after meal, eating small meals
\Compare and contrast otitis media and otitis externa. - ANS - 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. - ANS - 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. - ANS - 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. - ANS - 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
\Crohn's disease is the: - ANS - Inflammation of any or all of the bowel wall and any
portion of the GI tract from the mouth to the anus. Can result in "skipped lesions."
\Define and describe chronic cough. - ANS - Lasts 8wks or more in adults
Lasts 4wks or more in kids
Can be caused by various factors including, but not limited to, post-nasal drip, COPD,
asthma, acute bronchitis.
Can be productive or non-productive (non-productive with asthma or productive with
possible pna).
\Define diagnostic reasoning - ANS - Reflective thinking because the process involves
questioning one's thinking to determine if all possible avenues have been explored and if
the conclusions that are being drawn are based on evidence.
Seen as a kind of critical thinking.
\Define the components of a SOAP note. - ANS - S: subjective (what the pt tells you)
CC
HPI
PMH
Fam Hx
Social Hx
ROS
O: objective (what you can see, hear, feel on exam)
Physical findings
Vital signs
General survey
HEENT
Etc...
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