Only Group - Pre-OJT Skill Assessment - II

The given sentence is a compound subject sentence, where "my shoes" and "your coat" are connected by the conjunction "or". In this type of sentence, the verb should agree with the subject closest to it, which in this case is "your coat". Therefore, the correct verb form to use is "is".

The correct answer is "have" because when using the construction "neither...nor," the verb should agree with the noun closest to it. In this case, the noun "colleagues" is plural, so the verb should also be plural. Therefore, "have" is the correct form of the verb to use in this sentence.

The sentence is in the past tense and uses the word "neither," indicating that both contestants did not win a decisive victory. The verb "was" agrees with the singular subject "neither," indicating that neither contestant was able to win.

The word "has" is the correct answer because it agrees with the singular subject "patient." In this sentence, the patient is the one who is presenting with skin rashes, so we use the singular form of the verb "to have," which is "has." This verb choice indicates that the patient has experienced significant improvement in their skin condition.

The correct answer is "were". In this sentence, the patient is referring to multiple anti-depressant medications that have been discontinued. The word "were" is the past tense of the verb "to be" and is used to indicate that something existed or happened in the past. Therefore, "were" is the appropriate form of the verb to use in this context.

The correct answer is "site". In this context, "site" refers to a specific location or place. The sentence suggests that the bleeding was occurring at a particular site. The other options, "cite", "cyte", and "sight", do not fit the sentence and are unrelated to bleeding or a specific location. Therefore, the correct answer is "site".

The doctor's statement "Warm to touch. No redness or rash noted" indicates that the examination is related to the skin. This is because the doctor is observing the temperature and appearance of the patient's skin, specifically noting the absence of redness or rash. Therefore, this information would be reported in the section of the report that pertains to the skin.

The correct answer is 6. In the given HPI, the coding elements are as follows:
1. Patient comes in with complaints of constant right-sided abdominal pain for one day
2. Associated with vomiting
3. Associated with diarrhea
4. He is an immediate postop patient following an appendectomy 1 week ago
5. He states the current abdominal pain is sharp in nature
6. Duration of the current abdominal pain is not mentioned, but it can be inferred as it is described as "constant" and "sharp". Therefore, it can be considered as an additional coding element.

The given sentence describes a bimanual examination, which is a physical examination technique commonly used to assess the female reproductive organs. The sentence specifically mentions the absence of palpable uterus, ovaries, or masses, indicating that the examination is focused on the genital system. Therefore, the correct answer is "Genital."

The suffix "-ectomy" is used to describe a surgical operation or removal of a body part. This can be seen in words like appendectomy (removal of the appendix) or hysterectomy (removal of the uterus). It is commonly used in medical terminology to indicate a surgical procedure involving the excision or removal of a specific body part or tissue.

The suffix "-iatric" is used to indicate a relationship or connection to a physician or medical treatment. Therefore, the correct answer "Of or relating to a physician" accurately describes the meaning of the suffix.

The prefix carp/o- refers to the wrist. This can be inferred from the fact that the other options, bacteria, weakness, and carbohydrates, do not have any connection to the prefix carp/o-. Therefore, the correct answer is wrist.

The prefix "Narco-" is the best choice to describe numb or sleep. This prefix is commonly used in medical terminology to refer to drugs or substances that induce sleep or numbness. For example, "Narcotics" are drugs that have a sedative effect and can induce sleep. Therefore, "Narco-" is the most appropriate prefix to describe numb or sleep.

A phlebotomist is a healthcare professional who is trained to draw blood samples from patients. They are responsible for collecting blood specimens for medical testing, transfusions, or donations. This procedure is known as venipuncture, and it involves using needles to puncture the vein and collect the blood. Phlebotomists must follow strict protocols to ensure the safety and accuracy of the samples, as well as provide comfort and reassurance to patients during the process. Their role is crucial in diagnosing and monitoring various medical conditions.

The patient had a fever, which means they had an elevated body temperature. The term "febrile" specifically refers to someone who has a fever. Therefore, the physician described the patient as "febrile" to indicate that they were experiencing a fever.

The Bubonic plague is caused by Yersinia pestis, which is a bacterium. Bacterial infections are caused by bacteria, which are single-celled microorganisms. Bacterial infections can be treated with antibiotics, whereas viral infections cannot. Protozoal infections are caused by protozoa, which are single-celled eukaryotic microorganisms. Sexually transmitted diseases are caused by various bacteria, viruses, and other pathogens. Therefore, the correct answer is bacterial.

To qualify for Level 4 codes in an HPI (History of Present Illness), a minimum of 4 coding elements are required. This means that at least 4 different aspects of the patient's condition or symptoms need to be documented in the HPI in order to reach the level of complexity necessary for Level 4 coding.

Paronychia is a condition characterized by an infection of the skin surrounding the nails. It typically occurs when bacteria or fungi enter the skin through a small cut or break in the nail. This infection can cause redness, swelling, and pain around the affected nail. In severe cases, pus may also develop. Prompt treatment with antibiotics or antifungal medication is often necessary to resolve the infection and prevent further complications.

When a condition is described as acute and chronic and there are separate subentries in the Index, it is necessary to code both the acute and chronic conditions. This means that both the acute and chronic aspects of the condition should be documented and coded separately, as they are considered distinct entities. This ensures accurate representation of the patient's condition and supports appropriate medical coding and billing.

A late effect refers to a condition or symptom that occurs after the acute phase of an illness or injury. In this case, dysphagia (difficulty swallowing) is described as a late effect of an old cerebrovascular accident (stroke). This means that the individual experienced a stroke in the past, and now they are experiencing dysphagia as a result of the stroke. The other options do not describe late effects, as they either refer to immediate or short-term effects of a specific event or condition.

The correct diagnosis is carcinoma of the breast. The pathology report states that the patient has breast cancer, which contradicts the surgeon's initial diagnosis of fibroadenoma. Therefore, the patient's true diagnosis is carcinoma of the breast.

Patients admitted with HIV-related illness would normally have two codes assigned because HIV-related illnesses often have specific codes assigned to them in addition to the code for HIV itself. This is done to provide more detailed information about the specific illness or condition that the patient is experiencing. By assigning two codes, healthcare providers can accurately document and track the different aspects of the patient's condition, which is important for proper diagnosis, treatment, and monitoring of HIV-related illnesses.

Gouty arthritis is the correct answer because it is characterized by inflammation of the joints caused by excessive accumulation of uric acid. Gout occurs when there is an overproduction or underexcretion of uric acid, leading to the formation of urate crystals in the joints. This causes intense pain, swelling, and redness in the affected joint. Other options like osteoarthritis, bursitis, and sciatica do not specifically involve uric acid accumulation as the primary cause of joint inflammation.

Halloween is especially associated with children and costumes. It is a holiday celebrated on October 31st, where children dress up in costumes and go trick-or-treating, collecting candy from houses in their neighborhood. It is a day filled with fun and excitement for children, as they get to dress up as their favorite characters and go door-to-door for treats. Halloween is also known for its spooky decorations and activities, such as haunted houses and pumpkin carving. It is a day dedicated to celebrating the playful and imaginative spirit of children.