Medical – FINAL EXAM 1

Which of the following tools/devices are used to remove an ingrown toenail?

A 32 y/o male patient was rushed to the emergency department after stepping on a sharp object while walking barefoot in the house. Which of the following nerves are responsible for the pain sensation that was experienced from lacerating his skin? 

Which of the following medial terms means “prickling, tingling, numbing, and burning sensations?”

A patient comes in for a right ankle sprain. If this is the patient’s first visit for the sprain, which of the following codes could be the appropriate ICD-10 code? 

After performing a multi-system problem-focused examination, which of the following levels of billing can be used?

A patient was seen for a new ulcer. The physician debrided and cleaned the ulcer, but also prescribed an antibiotic to eliminate the infection. Which of the following medications functions as an antibiotic?

A patient was instructed to take aspiring QD. How often should the patient take the medication? 

Which of the following is the correct medical abbreviation for a Knee Replacement surgical procedure?  

An elderly male presents to the podiatry office with a complaint of severe pain and swelling of the 1st MPJ of the foot. After a physical examination of the patient’s foot, the doctor begins asking specific questions about his diet. Based on the information given, which condition can you anticipate that the physician is suspicious of? 

A 54 y/o patient comes in for routine diabetic foot care (DFC). He presents with an area of thickened skin on the lateral side of his 5th digit. He expresses that he has been doing more work outside lately and has been on his feet a lot. The patient is likely suffering from which type of lesion? 

1. Which of the following policies require providers to utilize a certified EHR technology in order for them to submit their patient charts to insurance? 

Which of the following descriptions accurately describes the hallux?

 A 15 y/o comes to the clinic with a chief complaint of foot pain. As the doctor begins to examine the foot, the patient states “I hope it’s nothing serious. I have a swim next week that I really don’t want to miss.” Upon exam, the doctor notices several lesions on the bottom of the patient’s foot that have black dots in the middle of them. Based on the information, the patient likely has one of the following conditions? 

Which of the following tests allows visualization of the bones, joints, and muscles of the foot with greater detail?

A patient comes in for thickened and discolored toenails. The podiatrist wants to check for a fungal infection. Which of the following tests would be best? 

During the physical examination, the physician documented a total of 5 elements between 3 organ systems. Which of the following is the type of physical examination?    

Which of the following tools/devices are used to SCRAPE dead tissue from a wound? 

A patient comes in for a follow-up for plantar fasciitis of the right foot. The patient is still experiencing pain—the provider documented IC-10 code M72.2 for plantar fasciitis. The provider also included the  IC-10 code for right foot pain which is? 

All of the physical examination findings are indicative of Cardiovascular dysfunction except? 

The patient comes in for routine foot care. The patient also has a history of hypertension. When reviewing the patient’s current medication list, you see that the patient is taking Metformin. What does this tell you about the patient? 

The ROS portion of a patient chart is listed below. What levels of billing can be achieved with this ROS?

• Constitutional – ambulatory
• HENT – No sore throat
• Eyes – no blurry vision
•  Cardiovascular- peripheral edema
• Respiratory – shortness of breath 
• Gastrointestinal – no nausea, no vomiting, no diarrhea
• Genitourinary – polyuria
• Musculoskeletal – right foot bunion 
• Dermatological – no cyanosis
• Neurological – no numbness

A concerned mother brought her 12 y/o male child to the podiatrist because he recently began to complain of right plantar heel pain. The child recently was registered with the local boys and girls club and has been participating in football for the past 3 weeks. The mother is concerned that his football cleats are too small. Which of the following is the child most likely to have?  

Muscular Actions: Complete the following sentence. “Dorsiflexion can be performed with _______, while eversion can be performed with _______.”

Based on January 2021 changes, all types of visits can be billed by time only. 

A 17 y/o male was testing his balance by walking on the edge of a street curve. He staggered, stepped off of the curve, and rolled his foot underneath him (excessive inversion). He is experiencing excruciating pain in the anterior, lateral region of his ankle. Which of the following ligaments were most likely torn?

A 21 y/o male checks in to the clinic with a chief complaint of toe pain. According to the history, the patient did not experience any trauma/injury to the toe and he has family members who experienced the same condition.  Upon examination, the medial border of the right hallux toenail is erythematous and has a small area that is expelling purulent drainage. Based on his symptoms, which condition is he likely experiencing? 

A patient comes in for a follow-up for plantar fasciitis of the right foot. The patient is still experiencing pain—the provider documented IC-10 code M72.2 for plantar fasciitis. The provider also included the  IC-10 code for right foot pain which is? 

A patient presents for routine foot care, specifically debridement of dystrophic toenails. Which of the following procedures codes should be used?

A patient has their vitals taken and was recorded to have a blood pressure of 181/122 mmHg. The patient is not experiencing any symptoms. They are only present for an annual check-up. According to the American Heart Association, which of the following stages of blood pressure is the patient in?

An existing patient visits their podiatrist for a follow-up appointment to evaluate the efficiency of a new prescription for the patient’s peripheral neuropathy. The physician plans to bill the 99213 E/M code. How many systems of the body must the physician review if the physician plans to chart an “extended ROS?”