Scenario 2

SUBJECTIVE
A 19-year-old female is seen in the office due to a sore on her buttocks. The sore was noted
about 13 days ago.

OBJECTIVE
Anus was examined. Blood tested positive for syphilis.

ASSESSMENT
Primary syphilis.

PLAN
Patient discharged with prescription for antibiotics.

Determine the level for the number and complexity of the problems addressed at the encounter in Scenario 2.

A.Minimal
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B. Low

C. Moderate

D. High

Determine the level for the amount and/or complexity of data to be reviewed and analyzed in Scenario 2.

A.Minimal or none

B. Limited

C. Moderate

D. Extensive

Determine the level for the risk of complications and/or morbidity or mortality of patient management in Scenario 2.

A.Minimal

B. Low

C. Moderate

D. High

Determine the level of medical decision making for Scenario 2.

A. straight forward

B. Low

C. Moderate

D. High