PC Patient Assessment & Documentation 3

Question 1

Which grading system is used to document the severity of onychomycosis in a podiatric medical record?

Accepted Answer

Onychomycosis Severity Index (OSI)

Answer

The Onychomycosis Severity Index (OSI) scores disease severity based on area of involvement, proximity to matrix, and presence of dermatophytoma or subungual hyperkeratosis.

Question 2

A podiatrist documents 'erythema extending 2 cm beyond wound margin with warmth and purulent discharge.' This describes which stage of wound condition?

Accepted Answer

Infected wound

Answer

Purulent discharge, perilesional erythema, and warmth are classic signs of wound infection requiring documentation and treatment.

Question 3

When obtaining a podiatric history, which family history factor is most relevant to document for a patient presenting with hallux valgus?

Accepted Answer

First-degree relatives with bunion deformity

Answer

Hallux valgus has a strong hereditary component, making a family history of bunion deformity the most directly relevant factor to document.

Question 4

In documenting a patient's range of motion at the first metatarsophalangeal joint, what is the normal range of dorsiflexion?

Accepted Answer

65–75 degrees

Answer

Normal first MTP dorsiflexion is 65–75 degrees; values below 65 degrees may indicate hallux limitus.

Question 5

Which documentation element is MANDATORY when a podiatrist performs a podiatric history and physical on a Medicare patient?

Accepted Answer

Time of service and medical necessity statement

Answer

Medicare requires documentation of time of service and a clear statement of medical necessity to justify covered podiatric services.

(PC) Podiatrist Certification Practice Test

(PC) Podiatrist Certification Practice Test

PC Patient Assessment & Documentation 3