COMMON DIAGNOSIS AND MANAGEMENT IN
ACUTE CARE MIDTERM PRACTICE TEST PAPER
2026 CORRECT ANSWERS AND REVIEWED
SOLUTIONS
◉ Observation. Answer: Short-term treatment/testing to determine
if admission is needed; covered under Medicare Part B.
◉ Emergency Department (ED). Answer: Evaluation and
management services for unscheduled care.
◉ Outpatient. Answer: Services provided without an overnight stay
(e.g., clinic visits, same-day surgery).
◉ Telehealth/Virtual. Answer: Encounters conducted via video or
phone, billed under specific CMS guidelines.
◉ CPT Codes. Answer: Represent procedures and services rendered
by healthcare providers.
◉ Category I CPT Codes. Answer: Common services (e.g., 99214 for
outpatient E/M).
,◉ Category II CPT Codes. Answer: Performance measurement codes
(optional).
◉ Category III CPT Codes. Answer: Emerging technologies.
◉ ICD-10 Codes. Answer: Used to document diagnoses and support
medical necessity.
◉ Evaluation & Management (E/M) Codes. Answer: Reflect
complexity and time of visit or care provided.
◉ Level 1 Care. Answer: Stable condition, minor treatment (e.g.,
office visit).
◉ Level 2-3 Care. Answer: Acute illness, moderate complexity (e.g.,
chest pain workup).
◉ Level 4-5 Care. Answer: Severe illness, potential for life-
threatening deterioration (e.g., ICU).
◉ Hospital Levels. Answer: SNF (Skilled Nursing Facility), IRF
(Inpatient Rehab Facility), LTAC (Long-Term Acute Care).
,◉ Role of the Hospitalist. Answer: A provider who manages the care
of hospitalized patients.
◉ Chief Complaint (CC). Answer: The primary reason the patient is
seeking care, ideally in their own words.
◉ History of Present Illness (HPI). Answer: A chronological and
detailed narrative of the chief complaint.
◉ Past Medical History (PMH). Answer: Significant medical
conditions, surgeries, hospitalizations, and treatments.
◉ Medications. Answer: Current medications, dosages, routes, and
frequencies, noting any discrepancies.
◉ Allergies/Reactions. Answer: Document all known allergies (drug,
food, environmental) and the type of reaction.
◉ Social History (SH). Answer: Occupation, education, home
situation, support system, tobacco/alcohol/drug use, sexual history,
safety concerns, and advance directives.
◉ Family History (FH). Answer: Relevant medical conditions in
family members.
, ◉ Review of Systems (ROS). Answer: A comprehensive, head-to-toe
inquiry about symptoms in various body systems.
◉ Physical Examination (PE). Answer: Objective findings from the
physical assessment of all body systems.
◉ Assessment/Plan. Answer: Overall medical opinion of the
patient's condition, diagnosis, and initial treatment plan.
◉ Discharge Summary. Answer: Summarizes a patient's hospital
stay, facilitating continuity of care for post-discharge providers.
◉ Patient Information. Answer: Name, age, gender, medical record
number, admission/discharge dates, and primary/admitting
physicians.
◉ Chief Complaint and Reason for Hospitalization. Answer: Brief
description of the main symptoms leading to admission.
◉ Past Medical History, Family History, and Social History. Answer:
Summary of relevant history.
ACUTE CARE MIDTERM PRACTICE TEST PAPER
2026 CORRECT ANSWERS AND REVIEWED
SOLUTIONS
◉ Observation. Answer: Short-term treatment/testing to determine
if admission is needed; covered under Medicare Part B.
◉ Emergency Department (ED). Answer: Evaluation and
management services for unscheduled care.
◉ Outpatient. Answer: Services provided without an overnight stay
(e.g., clinic visits, same-day surgery).
◉ Telehealth/Virtual. Answer: Encounters conducted via video or
phone, billed under specific CMS guidelines.
◉ CPT Codes. Answer: Represent procedures and services rendered
by healthcare providers.
◉ Category I CPT Codes. Answer: Common services (e.g., 99214 for
outpatient E/M).
,◉ Category II CPT Codes. Answer: Performance measurement codes
(optional).
◉ Category III CPT Codes. Answer: Emerging technologies.
◉ ICD-10 Codes. Answer: Used to document diagnoses and support
medical necessity.
◉ Evaluation & Management (E/M) Codes. Answer: Reflect
complexity and time of visit or care provided.
◉ Level 1 Care. Answer: Stable condition, minor treatment (e.g.,
office visit).
◉ Level 2-3 Care. Answer: Acute illness, moderate complexity (e.g.,
chest pain workup).
◉ Level 4-5 Care. Answer: Severe illness, potential for life-
threatening deterioration (e.g., ICU).
◉ Hospital Levels. Answer: SNF (Skilled Nursing Facility), IRF
(Inpatient Rehab Facility), LTAC (Long-Term Acute Care).
,◉ Role of the Hospitalist. Answer: A provider who manages the care
of hospitalized patients.
◉ Chief Complaint (CC). Answer: The primary reason the patient is
seeking care, ideally in their own words.
◉ History of Present Illness (HPI). Answer: A chronological and
detailed narrative of the chief complaint.
◉ Past Medical History (PMH). Answer: Significant medical
conditions, surgeries, hospitalizations, and treatments.
◉ Medications. Answer: Current medications, dosages, routes, and
frequencies, noting any discrepancies.
◉ Allergies/Reactions. Answer: Document all known allergies (drug,
food, environmental) and the type of reaction.
◉ Social History (SH). Answer: Occupation, education, home
situation, support system, tobacco/alcohol/drug use, sexual history,
safety concerns, and advance directives.
◉ Family History (FH). Answer: Relevant medical conditions in
family members.
, ◉ Review of Systems (ROS). Answer: A comprehensive, head-to-toe
inquiry about symptoms in various body systems.
◉ Physical Examination (PE). Answer: Objective findings from the
physical assessment of all body systems.
◉ Assessment/Plan. Answer: Overall medical opinion of the
patient's condition, diagnosis, and initial treatment plan.
◉ Discharge Summary. Answer: Summarizes a patient's hospital
stay, facilitating continuity of care for post-discharge providers.
◉ Patient Information. Answer: Name, age, gender, medical record
number, admission/discharge dates, and primary/admitting
physicians.
◉ Chief Complaint and Reason for Hospitalization. Answer: Brief
description of the main symptoms leading to admission.
◉ Past Medical History, Family History, and Social History. Answer:
Summary of relevant history.
