Which of the following BEST defines the term physical examination?
A. The patient's personal experience and descriptions of the current health complaint, the status and function of the patient's body, as well as past medical history, genetic medical history, and/or any social habits which may impact the patient's health
B. The objective clinical assessment of the patient's current health status at the time of the visit, performed by the clinician during the evaluation and management service visit
C. The clinical identification of the level of risk and complexity posed to the patient by the current health complaint, as well as the risk posed by any proposed diagnostic or treatment options
D. The condition, illness, injury, complaint or other reason for which the patient has presented to the healthcare facility for the evaluation and management service
Question 2
Which of the following BEST defines the nature of presenting problem?
A. A review and/or assessment of a patient for the purpose of ascertaining a clinical judgment of the patient's diagnosis, current health status, and/or condition
B. The three elements that are considered the building blocks for evaluation and management services: history, physical examination, and medical decision making
C. The objective clinical assessment of the patient's current health status at the time of the visit, performed by the clinician during the evaluation and management service visit
D. The condition, illness, injury, complaint or other reason for which the patient has presented to the healthcare facility for the evaluation and management service
Abnormal physical assessment findings
Positions for examination
Computerized Patient Record (CPR)
Physical fitness is part of an emerging value cluster.
Documenting a finding from the ophthalmoscopic examination