Which of the following BEST reflects an example of new complete past, family, social history?
A. Georgia is 39-year-old woman who is well known to me. Shehas missed four weeks of work at her job, Acme Shipping, and 17 years ago; she had emergency appendectomy with no complication. Her mother has history of Crohn's disease, and uncle died of colon cancer.
B. Patient is a 22-year-old male man who is well known to me. He presents with severe abdominal pain and bloody diarrhea. He has been trying to quit smoking unsuccessfully because his father was recently diagnosed with lung cancer.
C. Patient is a 22-year-old male man who recently moved to the area, complaining of a juicy cough. He has been trying to quit smoking unsuccessfully because of a history of recurrent bronchitis. His father was recently diagnosed with lung cancer, which has significantly increased his stress and anxiety.
D. Patient returns to me because his stomach pain and heartburn have significantly worsened and his wife recently moved out of his house with their dog.
Question 2
How many levels of past, family, social history are identified in the 1995 and 1997 Documentation Guidelines for Evaluation and Management?
A. Two: Pertinent and Complete
B. Four: None, Pertinent, Extended, Complete
C. Two: Brief, Extended
D. Three: Past, Family, and Social
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