Epic Skills Assessment Epic Skills Assessment Verbal Reasoning & Comprehension Questions and Answers 2 — Questions and Answers
Question 1: A physician's note states: 'Patient presents with acute exacerbation of chronic obstructive pulmonary disease with concurrent pneumonia.' Which of the following best summarizes the patient's condition?
- The patient has a new lung infection alongside a worsening of their long-term breathing disorder (Correct answer)
- The patient has been diagnosed with lung cancer and pneumonia
- The patient is recovering from a previous episode of pneumonia
- The patient has developed asthma triggered by a respiratory infection
Correct answer: The patient has a new lung infection alongside a worsening of their long-term breathing disorder
Acute exacerbation means a sudden worsening of COPD, and concurrent pneumonia indicates both conditions are present simultaneously.
Question 2: Read the following policy excerpt: 'All non-emergent referrals require pre-authorization within 72 hours of the initial request, unless the referring provider documents medical necessity for expedited review.' What is the exception to the 72-hour rule?
- When documented medical necessity justifies expedited review (Correct answer)
- When the patient requests a faster timeline
- When the referral is to an in-network specialist
- When the insurance company approves automatic authorization
Correct answer: When documented medical necessity justifies expedited review
The policy explicitly states that documented medical necessity from the referring provider is the only exception allowing expedited review.
Question 3: Which word best completes the sentence? 'The laboratory results were _____ with the clinical presentation, confirming the initial diagnosis.'
- consistent (Correct answer)
- contradictory
- ambiguous
- preliminary
Correct answer: consistent
Consistent means in agreement, which logically connects lab results confirming a diagnosis that matches the clinical presentation.
Question 4: A memo reads: 'Effective immediately, all discharge summaries must be completed within 24 hours of patient departure. Failure to comply will result in escalation to the department chair.' What is the consequence of not following this policy?
- The matter will be reported to the department chair (Correct answer)
- The physician will be placed on administrative leave
- The patient will need to be readmitted
- The discharge summary deadline will be extended
Correct answer: The matter will be reported to the department chair
The memo explicitly states that non-compliance results in escalation to the department chair.
Question 5: In the context of healthcare documentation, what does the term 'contraindicated' most likely mean?
- A treatment or procedure that should not be used because it may be harmful (Correct answer)
- A treatment that is recommended as a first-line option
- A diagnosis that has been confirmed by multiple tests
- A medication that requires prior authorization
Correct answer: A treatment or procedure that should not be used because it may be harmful
Contraindicated means that a particular treatment or procedure is inadvisable because it could cause harm to the patient.
Question 6: A clinical guideline states: 'Patients with a BMI exceeding 30 who have failed conservative management over 6 months may be considered candidates for bariatric surgery, provided they have no uncontrolled psychiatric conditions.' How many criteria must be met for surgical candidacy?
- Three criteria must be met (Correct answer)
- Two criteria must be met
- One criterion must be met
- Four criteria must be met
Correct answer: Three criteria must be met
The three criteria are BMI over 30, failure of conservative management for 6 months, and absence of uncontrolled psychiatric conditions.
A physician's note states: 'Patient presents with acute exacerbation of chronic obstructive pulmonary disease with concurrent pneumonia.' Which of the following best summarizes the patient's condition?