NR511 Final Exam Study Guide

NR 511 Week 1

• Define diagnostic reasoning
• Discuss and identify subjective & objective data
• Discuss and identify the components of the HPI
• Describe the differences between medical billing and medical coding
• Compare and contrast the 2 coding classification systems that are currently used in the US healthcare system  
• Discuss how specificity, sensitivity & predictive value contribute to the usefulness of the diagnostic data
• Discuss the elements that need to be considered when developing a plan
• Describe the components of Medical Decision Making in E&M coding
• Correctly order the E&M office visit codes based on complexity from least to most complex
• Discuss a minimum of three purposes of the written history and physical in relation to the importance of documentation
• Accurately document why every procedure code must have a corresponding diagnosis code
• Correctly identify a patient as new or established given the historical information
• Identify the 3 components required in determining an outpatient, office visit E&M code
• Describe the components of Medical Decision Making in E&M coding
• Explain what a “well rounded” clinical experience means
• State the maximum number of hours that time can be spent “rounding” in a facility
• State 9 things that must be documented when inputting data into clinical encounter
• Identify and explain each part of the acronym SNAPPS

NR 511 Week 2

• Identify the most common type of pathogen responsible for acute gastroenteritis
• Recognize that assessing for prior antibiotic use is a critical part of the history in patients presenting with diarrhea
• Describe the difference between Irritable Bowel Disease (IBS) and Inflammatory Bowel Disorder (IBD)
• Discuss two common Inflammatory Bowel Diseases
• Discuss the diagnosis of diverticulitis, risk factors, and treatments
• Identify the significance of Barrett’s esophagus
• Discuss the diagnosis of GERD, risk factors, and treatments
• Discuss the differential diagnosis of acute abdominal pain, work-up and testing, treatments
• Discuss the difference between sensorineural and conductive hearing loss
• Identify the triad of symptoms associated with Meniere's disease
• Identify the symptoms associated with peritonsilar abscess
• Identify the most common cause of viral pharyngitis
• Identify the most common cause of acute nausea & vomiting
• Discuss the importance of obtaining an abdominal xray to rule out perforation or obstruction even though the diagnosis of diverticulitis can be made clinically
• Discuss colon cancer screening recommendations relative to certain populations
• Identify at least two disorders that are considered to be disorders related to conductive hearing loss
• Identify the most common bacterial cause of pharyngitis
• Identify the clinical findings associated with mononucleosis
• Identify common characteristics in a rash caused be Group A Strep
• Discuss that the diagnosis of streptococcal pharyngitis can be made clinically based on the Centor criteria
• Describe an intervention for a patient with gastroenteritis
• Discuss an appropriate treatment for prophylaxis or treatment of traveler's diarrhea
• Identify at least one effective treatment for Irritable Bowel Syndrome (IBS)
• Identify at least one prescription medication for the treatment of chronic constipation
• Discuss at least one treatment for Meniere's disease

NR 511 Week 3

• Discuss that the majority of dyspnea complaints are due to cardiac or pulmonary decompensation
• Explain the differences between intra-thorax and extra-thorax flow disorders
• Identify at least three examples of flow and volume disorders (intra and/or extra thorax)
• Discuss diagnosis, risk factors and treatments for asthma
• Describe appropriate tests in the work up for dyspnea
• Discuss clinical findings and PFTs for asthma, chronic bronchitis, emphysema, and COPD
• Differentiate between the following common rashes: rubeola, rubella, varicella, roseola, 5ths disease, pityriasis rosea, hand, foot and mouth disease and molluscum contagiosum.
• Differentiate between the following tineas: pedis, cruris, corporis and unguium and describe an appropriate treatment
• Identify the virus that causes warts
• Differentiate between atopic and contact dermatitis and give examples of each
• Identify common characteristics associated with blepharitis, chalzion and hordeolum
• Differentiate between viral, allergic, bacterial, toxic and HSV conjunctivitis
• Discuss which chemical injury is associated with the most damage and highest risk to vision loss
• Recognize common eye emergency conditions that require emergency room evaluation
• Discuss glaucoma, diagnosis and treatment
• Discuss diabetic retinopathy

NR 511 Week 5

• Identify the population most commonly affected by bacterial prostatitis
• Discuss the physical exam characteristics of acute bacterial prostatitis
• Discuss how the Phren sign can differentiate between testicular torsion and epididymitis
• Discuss common symptoms reported from a patient with BPH
• Discuss the hallmark characteristic of a varicocele
• Identify the population most affected by testicular cancer
• Explain spinal stenosis
• Discuss common characteristics (subjective and objective findings) of patients with lumbar spinal stenosis
• Identify the red flags associated with back and neck complaints which warrant further investigation
• Define chronic pain
• Identify the number of joints involved in a poly-articular disorder
• Describe the four cardinal signs of joint inflammation
• Differentiate between DeQuervain’s Tenosynovitis and Carpal Tunnel Syndrome
• Differentiate between lateral and medial epicondylitis
• Discuss at least 3 vital body functions which thyroid hormones regulate
• 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
• Identify at least 3 risks associated with obesity
• Identify at least 3 causes of obesity
• Discuss one primary prevention for obesity
• Identify the categories of obesity based on the BMI
• Discuss how acute low back pain without neurological dysfunction does not warrant radiological imaging
• Identify the roles of TSH, FT4, TT3, and TPO Abs in determining thyroid function
• Identify at least one “at-risk” population who should be considered for thyroid screening
• Discuss one physical characteristic seen in a hyperthyroid patient
• Identify the CDC recommended antibiotic class for treatment of acute bacterial prostatitis
• Identify at least one treatment for BPH
• Identify treatment options for obesity based on BMI and comorbid conditions
• Describe the Spurling test and what condition it is used to diagnose
• Describe how to perform a Phalen and Tinnel test
• Identify at least 3 physical exam maneuvers to assess the knee

NR 511 Week 6

• Differentiate between resting, postural and intention tremors and describe each
• Describe one disease with resting tremor as a clinical finding
• Describe a medication commonly associated with tremors
• Identify at least 3 laboratory tests to rule out systemic causes of tremor
• Describe at least one at-risk population that is recommended to have HIV screening
• Describe at least one pharmacologic treatment option for tremor
• Describe an appropriate empiric antibiotic treatment plan for cellulitis
• Discuss an intervention to prevent HIV and HIV-associated behaviors
• Identify physical exam findings in the patient with HIV
• Describe symptoms, DDx, pathogens, testing, and treatment for the following conditions:  Cellulitis, impetigo, MRSA, Bites (dogs, cats, humans), Erysipelas