6531_QUIZZES.docx

Question 1 1 out of 1 points Janine, age 29, has numerous transient lesions that come and go, and she is diagnosed with urticaria. What do you order? Selected Answer: d. Antihistami nes Answers: a. Aspirin b ...

Question 1 1 out of 1 points Janine, age 29, has numerous transient lesions that come and go, and she is diagnosed with urticaria. What do you order? Selected Answer: d. Antihistami nes Answers: a. Aspirin b. NSAIDs c. Opioids d. Antihistami nes  Question 2 1 out of 1 points Medicare is a federal program administered by the Centers for Medicare and Medicaid Services (CMS). The CMS has developed guidelines for Evaluation and Management coding, which all providers are expected to follow when coding patient visits for reimbursement. Which of the following is an important consideration regarding billing practices? Selected Answer: c. Failing to bill for billable services will lead to unnecessarily low revenues Answers: a. It is important to “undercode” so that one does not get charged with Medicare fraud b. The practice of “overcoding” is essential in this age of decreasing reimbursements c. Failing to bill for billable services will lead to unnecessarily low revenues d. Time spent with the patient is a very important determinant of billing  Question 3 0 out of 1 points What conditions must be met for you to bill “incident to” the physician, receiving 100% reimbursement from Medicare? Selected Answer: a. You must initiate the plan of care for the patient Answers: a. You must initiate the plan of care for the patient b. The physician must be on-site and engaged in patient care c. You must be employed as an independent contractor d. You must be the main health care provider who sees the patient  Question 4 1 out of 1 points A 45 year old with diabetes has had itching and burning lesions between her toes for 2 months. Scrapings of the lesions confirm the diagnosis tinea pedis. What is the best initial treatment option for this patient? Selected Answer: Prescribe an antifungal powder for application between her toes and in her shoes and a topical prescription strength antifungal cream for other affected areas. Monitor for a secondary bacterial infection. Answers: Prescribe an antifungal powder for application between her toes and in her shoes and a topical prescription strength antifungal cream for other affected areas. Monitor for a secondary bacterial infection. Prescribe an oral antifungal for 4 to 12 weeks. Monitor BUN and creatinine at 1 week, 2 weeks, and every month thereafter. Prescribe an oral antifungal for 4 to 12 weeks. Monitor liver enzymes, BUN, and creatnine at 1 week, 2 weeks, and every month thereafter. Prescribe a prescription strength antifungal/steroid combination cream. Monitor for a secondary bacterial infection.  Question 5 1 out of 1 points The Centor criteria for diagnosis of Group A B-hemolytic streptococcus includes which of the following? Selected Answer: A and B only Answers: Fever history Tender, swollen anterior cervical lymph nodes Positive rapid antigen detection test A and B only A, B, and C  Question 6 1 out of 1 points A 16 year old basketball player complains of itching in the crural folds, buttocks, and upper thighs. The lesions are well demarcated and are half-moon shaped. The area is red, irritated, and there are small breaks in the skin from scratching. What is this patient’s diagnosis and how should it be treated? Selected Answer: a. Tinea cruris; treat with a topical antifungal cream Answers: a. Tinea cruris; treat with a topical antifungal cream b. Eczema; treat with a topical steroid c. Scabies; treat with permethrin cream d. Syphilis; treat with penicillin  Question 7 1 out of 1 points Stacy, age 27, states that she has painless, white, slightly raised patches in her mouth. They are probably caused by: Selected Answer: c. Candidiasis Answers: a. Herpes simplex b. Aphthous ulcers c. Candidiasis d. Oral cancer  Question 8 1 out of 1 points Marvin has sudden eye redness that occurred after a strenuous coughing episode. You diagnose a subconjunctival hemorrhage. Your next step is to Selected Answer: c. Do nothing other than provide reassurance Answers: a. Refer him to an ophthalmologist b. Order antibiotics c. Do nothing other than provide reassurance d. Consult with your collaborating physician  Question 9 1 out of 1 points Your well-nourished 75-year-old patient has come into the office for a physical exam and states that she recently had two nosebleeds. She does not take any anticoagulants, and you have ruled out any coagulopathies. The most likely cause of these nosebleeds is: Selected Answer: b. Trauma or inflammation Answers: a. Sex hormones b. Trauma or inflammation c. A dietary change d. Scurvy  Question 10 1 out of 1 points Your 31-year-old patient, whose varicella rash just erupted yesterday, asks you when she can go back to work. What do you tell her? Selected Answer: a. Once all the vesicles are crusted over Answers: a. Once all the vesicles are crusted over b. When the rash is entirely gone c. Once you have been on medication for at least 48 hours d. Now, as long as you stay away from children and pregnant women  Question 11 1 out of 1 points A patient comes in complaining of 1 week of pain in the posterior neck with difficulty turning the head to the right. What additional history is needed? Selected Answer: Any recent trauma Answers: Any recent trauma Difficulty swallowing Stiffness in the right shoulder Change in sleeping habits  Question 12 1 out of 1 points Which of the following is a predisposing condition for furunculosis? Selected Answer: a. Diabetes mellitus Answers: a. Diabetes mellitus b. Hypertension c. Peripheral vascular disease d. Chronic fatigue syndrome  Question 13 1 out of 1 points Sylvia, age 83, presents with a 3 day history of pain and burning in the left forehead. This morning she noticed a rash with erythematous papules in that site. What do you suspect? Selected Answer: b. Herpes zoster Answers: a. Varicella b. Herpes zoster c. Syphilis d. Rubella  Question 14 1 out of 1 points Sarah has allergic rhinitis and is currently being bothered by nasal congestion. Which of the following meds ordered for allergic rhinitis would be most appropriate? Selected Answer: A decongestant nasal spray Answers: An antihistamine intranasal spray A decongestant nasal spray Ipratropium Omalizumab  Question 15 1 out of 1 points Larry, age 66, is a smoker with hyperlipidemia and hypertension. He is 6 months post-MI. To prevent reinfarction, the most important behavior change that he can make is to: Selected Answer: a. Quit smoking Answers: a. Quit smoking b. Maintain aggressive hypertension therapy c. Stick to a low-fat, low-sodium diet d. Continue with his exercise program  Question 16 1 out of 1 points Harvey has had Meniere’s disease for several years. He has some hearing loss but now has persistent vertigo. What treatment might be instituted to relieve the vertigo? Selected Answer: c. A vestibular neurectomy Answers: a. Pharmacological therapy b. A labyrinthectomy c. A vestibular neurectomy d. Wearing an earplug in the ear with the most hearing loss  Question 17 1 out of 1 points A 55 year old man is diagnosed with basal cell carcinoma. The nurse practitioner correctly tells him: Selected Answer: b. “It can be cured with surgical excision or radiation therapy.” Answers: a. “It is the most common cause of death in patients with skin cancer.” b. “It can be cured with surgical excision or radiation therapy.” c. “It is a slow growing skin cancer that rarely undergoes malignant changes.” d. “It can be cured using 5-flurouracil cream twice daily for 2 to 4 weeks.”  Question 18 1 out of 1 points If a patient presents with a deep aching, red eye and there is no discharge, you should suspect: Selected a. Answer: Iritis Answers: a. Iritis b. Allergic conjunctivitis c. Viral conjunctivitis d. Bacterial conjunctivitis  Question 19 1 out of 1 points Carl, age 78, is brought to the office by his son, who states that his father has been unable to see clearly since last night. Carl reports that his vision is “like looking through a veil.” He also sees floaters and flashing lights but is not having any pain. What do you suspect? Selected Answer: c. Retinal detachment Answers: a. Cataracts b. Glaucoma c. Retinal detachment d. Iritis  Question 20 1 out of 1 points Which of the following statements about malignant melanomas is true? Selected Answer: d. The prognosis is directly related to the thickness of the lesion Answers: a. They usually occur in older adult males b. The patient has no family history of melanoma c. They are common in blacks d. The prognosis is directly related to the thickness of the lesion