CADS CADS Medical Terminology & Clinical Coding 2

Question 1

The Glasgow Coma Scale (GCS) is documented using three components; which combination represents the maximum score of 15?

Accepted Answer

Eye 4, Verbal 5, Motor 6

Answer

Eye 3, Verbal 5, Motor 6

Answer

Eye 4, Verbal 4, Motor 6

Answer

Eye 4, Verbal 5, Motor 5

Question 2

Which medical abbreviation is used in EMS documentation to indicate a patient's condition was unchanged during transport?

Accepted Answer

UTNS

Answer

SOB

Answer

AVPU

Answer

ALS

Question 3

When documenting pediatric respiratory distress, which term describes the visible inward movement of soft tissue between ribs during inhalation?

Accepted Answer

Intercostal retractions

Answer

Subcutaneous emphysema

Answer

Paradoxical breathing

Answer

Kussmaul respirations

Question 4

The OPQRST mnemonic used in EMS documentation stands for which set of assessment components?

Accepted Answer

Onset, Provocation, Quality, Radiation, Severity, Time

Answer

Origin, Pain, Quality, Radiation, Signs, Treatment

Answer

Onset, Pain, Query, Response, Severity, Transport

Answer

Objective, Provocation, Quality, Region, Severity, Timeline

Question 5

In ICD-10-CM documentation, a 7th character 'A' appended to a trauma code indicates which encounter type?

Accepted Answer

Initial encounter

Answer

Subsequent encounter

Answer

Sequela

Answer

Accidental injury

Question 6

Which NEMSIS data element captures the EMS agency's response to the scene?

Accepted Answer

eTimes.06

Answer

ePatient.01

Answer

eDisposition.12

Answer

eScene.01