Rationale: The patient is in for follow up of chronic conditions. The conditions are both established. Diabetes is worsening (2 points) and the hypertension is stable (1 point). There is no data reviews and moderate risk (one or more chronic illnesses with mild exacerbation, progression, or side effects of treatment). Medical decision making is Moderate.
Answer: D. High
Rationale: New problem to examiner, additional workup: dialysis (four points); Labs, EKG, and X-ray reviewed (three points); high level of risk (chronic illness posing a threat to life). The medical decision making is High.
Answer: C. Moderate
Rationale: New problem to examiner, no additional workup (three points); ultrasound reviewed (one point); moderate level of risk (simple mastectomy). The medical decision making is Moderate.
Answer: D. High
Rationale: Three problems worsening (six points); labs reviewed (one point); chronic illnesses posing a threat to life (exacerbation of congestive heart failure, poorly controlled hypertension, worsening acute renal failure due to cardio-renal syndrome). The medical decision making is High.
Answer: C. Moderate Rationale: Two problems worsening (four points). No data reviewed with moderate level of risk (elective major surgery). The medical decision making is Moderate.
