NR 511 FINAL EXAM STUDY GUIDE 2022/2023 Week 1 Week 6 With Answers and lecturer's Rationale Completed A 2022/2023

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NR 511 – FINAL EXAM STUDY GUIDE WEEK 1 1. Define diagnostic reasoning 2. Disc. uss and identify subjective data? 3. Discuss and identify objective data? 4. Discuss and identify the... components of the HPI 5. What is medical coding? 6. What is medical billing? 7. What are CPT codes? 8. What are ICD codes? 9. What is specificity? 10. What is sensitivity? 11. What is predictive value? 12. Discuss the elements that need to be considered when developing a plan 13. Describe the components of Medical Decision Making in E&M coding 14. Correctly order the E&M office visit codes based on complexity from least to most complex 15. Discuss a minimum of three purposes of the written history and physical in relation to the importance of documentation 16. Accurately document why every procedure code must have a corresponding diagnosis code 17. Correctly identify a patient as new or established given the historical information 18. Identify the 3 components required in determining an outpatient, office visit E&M code 19. Describe the components of Medical Decision Making in E&M coding 20. Explain what a “well rounded” clinical experience means 21. State the maximum number of hours that time can be spent “rounding” in a facility 22. State 9 things that must be documented when inputting data into clinical encounter 23. What is the first “S” in the SNAPPS presentation? 24. What is the “N” in the SNAPPS presentation? 25. What is the “A” in the SNAPPS presentation? 26. What is the first “P” in the SNAPPS presentation? 27. What is the second “P” in the SNAPPS presentation? 28. What is the last “S” in the SNAPPS presentation? WEEK 2 1. What is the most common type of pathogen responsible for acute gastroenteritis? 2 Assessing for prior antibiotic use is a critical part of the history in patients presenting with diarrhea. 3. Describe the difference between Irritable Bowel Disease (IBS) and Inflammatory Bowel Disorder (IBD) 4. Discuss two common Inflammatory Bowel Diseases 5. Discuss the diagnosis of diverticulitis, risk factors, and treatments 6. Identify the significance of Barrett’s esophagus. Average age of onset: Risk Factors: Signs/Symptoms: Diagnosis: Icreases Risk of BE: Decreases Risk of BE: D? 8. Risk factors of GERD: 9. How do we treat suspected GERD in patients with classic symptoms? 10. How do we treat suspected GERD in patients with “alarm symptoms”? 11. What are “alarm symptoms” for patients with suspected GERD? 12. Clinical characteristics of GE 13. Discuss the differential diagnosis of acute abdominal pain, work-up and testing, treatments One of the most frequent complaints in Primary Care: Most Frequent cause of ABD pain in pediatric patients and common in all ages is: Common Cause of Abd pain in RUQ: Common Cause of Abd pain in LUQ: Common Cause of Diffuse Abd pain: Common Cause of RLQ ABD pain: Common Cause of LLQ ABD pain: Common Cause of Epigastric ABD pain: Common cause of Periumbilical Region: Terminology Signs: Murphy's: Signs of Peritoneal Irritation: Lab Test for abdominal pain: Imaging in Abd Pain: DISORDERS CAUSE BY INFLAMMATION OF THE GI TRAC APPENDICITIS SYMPTOMS/ IMAGING: Symptoms: Signs: . CHOLECYSTITIS, SYMPTOMS/IMAGING PANCREATITIS SYMPTOMS TIS SYMPTOMS Symptoms: Bacterial:. Parasitic: GASTROENDTERITIS TREATMENT: Treatment:. DIVERTICULITIS ESSENTIALS OF DIAGNOSIS Essentials of Diagnosis: Symptoms: DIVERTICULITIS PHYSICAL EXAM/DIFF DX Physical Exam: Differential Dx: DIVERTICULITIS IMAGING 14. Discuss the difference between sensorineural and conductive hearing loss 15. Identify the triad of symptoms associated with Meniere's disease 16. Identify the symptoms associated with peritonsillar abscess 17. Identify the most common cause of viral pharyngitis 18. Identify the most common cause of acute nausea & vomiting 19. What is the importance of obtaining an abdominal XR to rule out perforation or obstruction even though the diagnosis of diverticulitis can be made clinically? 20. What are colon cancer screening recommendations relative to certain populations? 21. Identify at least two disorders that are considered to be disorders related to conductive hearing loss. 22. What is the most common cause of bacterial pharyngitis? 23. What are the clinical findings associated with mononucleosis? 24. What are common characteristics in a rash caused by Group A Strep? 25. How is the diagnosis of streptococcal pharyngitis made clinically based on the Centor Criteria? 26. What is one intervention for a patient with gastroenteritis? 27. What is an appropriate treatment for prophylaxis or treatment of traveler's diarrhea? 28. What is at least one effective treatment for IBS? 29. What is at least one prescription med used to treat chronic constipation? 30. What is at least one treatment for Meniere's disease? WEEK 3 1. The majority of dyspnea complaints are due to cardiac or pulmonary decompensation? True 2. What are the differences between intra-thorax and extra-thorax flow disorders 3. What are at least three examples of flow and volume disorders (intra and/or extra thorax)? 4 Describe classes of asthma? 5. What are the different treatments for the asthma classes? 6. Identify respiratory characteristics of asthma: 7. What are treatment options for asthma? 8. What are appropriate tests in the work-up for dyspnea? two peaks in prevalence of asthma? 11. What would you anticipate to happen in between asthma attacks? 12. How do you monitor asthma? 13. What is the non-pharmacological treatment for asthma? 14. What is COPD?ribe the differences between pink puffers and blue bloaters 17. What will an X-ray of a patient with COPD show 18. Describe the medication routes in the treatment of COP 19. Compare and contrast asthma and COPD 20. Differentiate between rubeola, rubella, varicella, roseola, 5ths disease, pityriasis rosea, hand/foot/mouth, and molluscum contagiosum. 21. Differentiate between tinea pedis, cruris, corporis, and unguium. What are the appropriate treatments for each? 22. Identify the virus that causes warts 23. Differentiate between atopic and contact dermatitis and give examples of each 24. Identify common characteristics associated with blepharitis, chalazion and hordeolum 25. Differentiate between viral, allergic, bacterial, toxic and HSV conjunctivitis Which chemical injury is associated with the most damage and highest risk to vision loss? 26. What are common eye emergency conditions that require emergency room eval? 27. Discuss glaucoma, diagnosis and treatment 28. What is diabetic retinopathy? 29. what are the causes of diabetic retinopathy 30. What are the risk factors for diabetic retinopathy? 31. What are the manifestations of diabetic retinopathy? 32. How is diabetic retinopathy diagnosed? 33. What are nursing implications/ND for clients with diabetic retinopathy? 34. How is diabetic retinopathy managed/goal of treatment? 35. What are the surgeries for diabetic retinopathy: 36. What assessment data would the nurse gather for someone with diabetic retinopathy? week5 1. Identify the population most commonly affected by bacterial prostatitis 2. Discuss the physical exam characteristics of acute bacterial prostatitis 3. Discuss how the Phren sign can differentiate between testicular torsion and epididymitis 4. Discuss common symptoms reported from a patient with BPH 5. Discuss the hallmark characteristic of a varicocele 6. Identify the population most affected by testicular cancer 7. Explain spinal stenosis 8. Discuss common characteristics (subjective and objective findings) of patients with lumbar spinal stenosis 9. Identify the red flags associated with back and neck complaints which warrant further investigation 10. Define chronic pain - Identify the number of joints involved in a poly-articular disorder 11. Describe the four cardinal signs of joint inflammation 12. Differentiate between DeQuervain’s Tenosynovitis and Carpal Tunnel Syndrome 13. Differentiate between lateral and medial epicondylitis 14. Discuss at least 3 vital body functions which thyroid hormones regulate 15. Describe a goiter and the type of thyroid dysfunction that can be associated with it Differentiate between overt hypothyroidism and subclinical hypothyroidism Differentiate between Hashimoto’s thyroiditis and Grave’s disease 16. Identify at least 3 risks associated with obesity - Identify at least 3 causes of obesity 17. Discuss one primary prevention for obesity 18. Identify the categories of obesity based on the BMI 19. Discuss how acute low back pain without neurological dysfunction does not warrant radiological imaging 20. Identify the roles of TSH, FT4, TT3, and TPO Abs in determining thyroid function 21. Identify at least one “at-risk” population who should be considered for thyroid screening 22. Discuss one physical characteristic seen in a hyperthyroid patient 23. Identify the CDC recommended antibiotic class for treatment of acute bacterial prostatitis 24. Identify at least one treatment for BPH 25. Identify treatment options for obesity based on BMI and comorbid conditions 26. Describe the Spurling test and what condition it is used to diagnose 27. Describe how to perform a Phalen and Tinnel test 28. Identify at least 3 physical exam maneuvers to assess the knee Week 6 1. Differentiate between resting, postural and intention tremors and describe each - Describe one disease with resting tremor as a clinical finding 2. Describe a medication commonly associated with tremors 3.Identify at least 3 laboratory tests to rule out systemic causes of tremor 4. Describe at least one at-risk population that is recommended to have HIV screening 5. Describe at least one pharmacologic treatment option for tremor 6. Describe an appropriate empiric antibiotic treatment plan for cellulitis 7. Discuss an intervention to prevent HIV and HIV-associated behaviors 8. Identify physical exam findings in the patient with HIV 9. Describe symptoms, DDx, pathogens, testing, and treatment for the following conditions: Cellulitis, impetigo, MRSA, Bites (dogs, cats, humans), Erysipelas - [Show More]

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