NR 511 Week 8 Final Exam Study Guide 2

WEEK 1

1. Define diagnostic reasoning
2. Discuss 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.
7. What is best test for diagnosing GERD?
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 GERD:
13. Discuss the differential diagnosis of acute abdominal pain, work-up and testing, treatments
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 peritonsillarabscess
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?
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?
9. What is Asthma?

10. Why are there 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?
15. Describe the clinical presentation of COPD
16.  Describe the differences between pink puffers and blue bloater
17.  What will an X-ray of a patient with COPD show?
18. Describe the medication routes in the treatment of COPD
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
26. Which chemical injury is associated with the most damage and highest risk to vision loss?
27. What are common eye emergency conditions that require emergency room eval?
28. Discuss glaucoma, diagnosis and treatment
29. What is diabetic retinopathy?
30. what are the causes of diabetic retinopathy
31. What are the risk factors for diabetic retinopathy?
32. What are the manifestations of diabetic retinopathy?
33. How is diabetic retinopathy diagnosed?
34. What are nursing implications/ND for clients with diabetic retinopathy?
35. How is diabetic retinopathy managed/goal of treatment?
36. What are the surgeries for diabetic retinopathy:
37. What assessment data would the nurse gather for someone with diabetic retinopathy?

Week 5

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
11. Identify the number of joints involved in a poly-articular disorder
12. Describe the four cardinal signs of joint inflammation
13. Differentiate between DeQuervain’s Tenosynovitis and Carpal Tunnel Syndrome

14. Differentiate between lateral and medial epicondylitis
15. Discuss at least 3 vital body functions which thyroid hormones regulate
16. Describe a goiter and the type of thyroid dysfunction that can be associated with it
17. Differentiate between overt hypothyroidism and subclinical hypothyroidism
18. Differentiate between Hashimoto’s thyroiditis and Grave’s disease
19. Identify at least 3 risks associated with obesity
20. Identify at least 3 causes of obesity
21. Discuss one primary prevention for obesity
22. Identify the categories of obesity based on the BMI
23. Discuss how acute low back pain without neurological dysfunction does not warrant radiological imaging
24. Identify the roles of TSH, FT4, TT3, and TPO Abs in determining thyroid function
25. Identify at least one “at-risk” population who should be considered for thyroid screening
26. Discuss one physical characteristic seen in a hyperthyroid patient
27. Identify the CDC recommended antibiotic class for treatment of acute bacterial prostatitis
28. Identify at least one treatment for BPH
29. Identify treatment options for obesity based on BMI and comorbid condition
30. Describe the Spurling test and what condition it is used to diagnose
31. Describe how to perform a Phalen and Tinnel test
32. Identify at least 3 physical exam maneuvers to assess the knee

Week 6

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