Week 3 Knowledge Check NRNP 6531

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 Selected Answer: Any recent trauma Answers: Any recent trauma Difficulty swallowing Stiffness in the right shoulder Change in sleeping habits 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 Selected Answer: c. Candidiasis Answers: a. Herpes simplex b. Aphthous ulcers c. Candidiasis d. Oral cancer Selected Answer: d. Antihistamin es Answers: a. Aspirin b. NSAIDs c. Opioids d. Antihistamin es 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 Selected Answer: c. “It is a slow growing skin cancer that rarely undergoes malignant changes.” 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.” Selected Answer: a. Iritis Answers: a. Iritis b. Allergic conjunctivitis c. Viral conjunctivitis d. Bacterial conjunctivitis Selected Answer: a. Diabetes mellitus Answers: a. Diabetes mellitus b. Hypertension c. Peripheral vascular disease d. Chronic fatigue syndrome A 19 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 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 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. 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 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.