Your presence is requested by law enforcement to assess a 33-year-old female who was sexually assaulted. The patient is conscious and obviously upset. As you are talking to her, you note an impressive amount of blood on her clothes in the groin area. Her blood pressure is 98/58 mm Hg, her pulse is 130 beats/min, and her respirations are 24 breaths/min. You should:
A. visualize the vaginal area and pack the vagina with sterile dressings.
B. allow her to change her clothes and take a shower before you transport.
C. arrange for a rape crisis center representative to speak with the patient.
D. control any external bleeding, administer oxygen, and transport at once.
Answer: D. control any external bleeding, administer oxygen, and transport at once.
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Answer the following statements true (T) or false (F)
1. In general, medical decision making with respect to a diagnosed problem is harder than that for an identified but undiagnosed problem. 2. For a presenting problem without an established diagnosis, the clinical impression may be stated as a "possible" or "rule-out" diagnosis. 3. If a physician considers findings from discussions with family members in his or her medical decision making, documentation in the chart can simply state "additional history obtained from family" without providing additional detail. 4. Time is considered the controlling factor for determining the level of E/M service if counseling with the patient or family members constitutes more than 50% of the encounter. 5. Audits performed on a regular basis will confirm that documentation and coding were appropriate for the level of service provided or will identify problems.
Male athletes from poor and working class households often use sport participation as a means of obtaining
A. the material things that other young people had. B. job skills that could be used if they did not attend college. C. acceptance by their parents. D. respect and a foundation for their identities.