The physician documents a new presenting problem with workup, orders a CBC and a urinalysis, and the patient receives a prescription for antibiotics for a urinary tract infection. What is the overall level of medical decision making?
A. Straightforward
B. Low
C. Moderate
D. High
Question 2
The correct level for the number of diagnosis and/or management options is Moderate as identified by new presenting problem without work up
Read the following medical decision making documentation, then answer the following questions.
Impression: 29-year-old woman well known to this physician returns to the clinic with possible extraesophageal manifestation of GERD.
Plan: Chest X-ray ordered to rule out lung congestion or esophageal mass. Upon independent review of X-ray, consider prescription for proton pump inhibitor therapy and change of lifestyle to reduce stress and improve digestion, including eating five small meals throughout day and no food or drink more than 3 hours before bedtime.
Follow up in one week.
Indicate whether this statement is true or false.
A sample prescription written by a physician.
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