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Professional |! Medical |! Coding |! and |!
Billing |! Final |! Exam |! with |! precise |!
detailed |! solutions
In |! reference |! to |! a |! medical |! report, |! the |! acronym |! SOAP |! stands |! for: |! - |! Correct |! answer |! ✔Subjective, |! Objective, |! Assessment, |! and |! Plan |! (SOAP) A |! review |! of |! the |! medical |! record |! to |! determine |! its |! completeness. |! - |! Correct |! answer |! ✔Quantitative |! analysis This |! documentation |! provides |! an |! opinion |! about |! a |! patient's |! condition |! from |! a |! physician |! other |! than |! the |! primary |! care |! (attending) |! physician. |! - |! Correct |! answer |! ✔Consultation Which |! of |! the |! following |! is |! true |! in |! regard |! to |! the |! release |! of |! protected |! health |! information |! (ROI)? |! - |! Correct |! answer |! ✔A |! covered |! entity |! must |! provide |! access |! to |! PHI |! in |! the |! manner |! requested |! by |! the |! individual A |! review |! of |! the |! medical |! record |! to |! ensure |! the |! standards |! are |! met |! and |! to |! determine |! accuracy |! of |! record |! documentation. |! - |! Correct |! answer |! ✔Qualitative |! analysis
____ |! is |! a |! bill |! introduced |! by |! the |! federal |! government |! to |! include |! health |! record |! security |! regulations |! and |! protect |! patient |! rights. |! - |! Correct |! answer |! ✔Health |! Insurance |! Portability |! and |! Accountability |! ACT |! (HIPAA) Ben |! works |! in |! the |! HIM |! department. |! He |! is |! contacted |! by |! Mr. |! Allen's |! insurance |! company |! who |! wants |! to |! know |! the |! admit |! and |! discharge |! dates |! for |! Mr. |! Allen's |! most |! recent |! admission |! to |! the |! hospital. |! Where |! is |! the |! best |! place |! for |! Ben |! to |! look |! for |! this |! information? |! - |! Correct |! answer |! ✔The |! master |! patient |! index Healthcare |! Delivery |! Systems: |! - |! Correct |! answer |! ✔- Which |! of |! the |! following |! is |! another |! name |! for |! outpatient |! care? |! - |! Correct |! answer |! ✔Ambulatory |! Care This |! department |! provides |! image-guided |! procedures |! such |! as |! CT |! scans |! and |! MRIs: |! - |! Correct |! answer |! ✔Radiology Which |! physician |! specialty |! treats |! patients |! in |! the |! management |! of |! pain |! and |! other |! symptoms |! related |! to |! joints |! and |! other |! parts |! of |! the |! musculoskeletal |! system? |! - |! Correct |! answer |! ✔Rheumatology Which |! of |! the |! following |! would |! receive |! the |! data |! collected |! by |! a |! birth |! certificate |! clerk? |! - |! Correct |! answer |! ✔National |! Center |! for |! Health |! Statistics |! (NCHS)
AHIMA |! recommends |! that |! healthcare |! records |! for |! adults |! be |! retained |! for |! how |! long? |! - |! Correct |! answer |! ✔ 10 |! years |! from |! the |! most |! recent |! episode Health |! records |! for |! minors |! should |! be |! retained |! until |! the |! patient_____. |! - |! Correct |! answer |! ✔reaches |! the |! age |! of |! majority |! plus |! the |! time |! required |! for |! the |! statute |! of |! limitations The |! legal |! process |! lawyers |! use |! to |! obtain |! information |! regarding |! all |! aspects |! in |! a |! case. |! - |! Correct |! answer |! ✔discovery What |! must |! be |! obtained |! from |! a |! patient |! before |! a |! covered |! entity |! can |! disclose |! protected |! health |! information? |! - |! Correct |! answer |! ✔Written |! authorization Reimbursement |! Methodologies: |! - |! Correct |! answer |! ✔- Which |! of |! the |! following |! uses |! the |! UB-04 |! claim |! form? |! - |! Correct |! answer |! ✔Urgent |! care |! clinic The |! third-party |! payer's |! process |! of |! checking |! the |! details |! of |! the |! claim |! against |! the |! information |! they |! have |! for |! the |! patient |! and |! his/her |! insurance |! benefits. |! - |! Correct |! answer |! ✔Adjudication Which |! of |! the |! following |! is |! a |! payment |! methodology |! under |! OPPS |! that |! uses |! a |! coding |! and |! reimbursement |! hierarchy |! to |! pay |! for |! hospital |! outpatient |! services? |! - |! Correct |! answer |! ✔Ambulatory |! Payment |! Classification |! (APC)
Generally, |! facility |! outpatient |! charges |! are |! billed |! on |! the |! ____ |! claim |! form. |! - |! Correct |! answer |! ✔UB- Jane |! is |! auditing |! CMS-1500 |! claim |! forms |! for |! medical |! necessity. |! The |! form |! she |! is |! reviewing |! includes |! CPT |! codes |! and |! Jane |! must |! determine |! which |! diagnosis |! each |! procedure |! was |! intended |! to |! treat. |! Which |! of |! the |! following |! items |! on |! the |! CMS-1500 |! could |! Jane |! use |! to |! help |! her |! complete |! her |! audit? |! - |! Correct |! answer |! ✔24E |! Diagnosis |! Pointer Bob |! was |! an |! inpatient |! at |! ABC |! hospital |! for |! three |! days. |! Which |! of |! the |! following |! will |! be |! used |! to |! bill |! for |! the |! room |! and |! board |! he |! received |! during |! his |! admission? |! - |! Correct |! answer |! ✔Revenue |! Code A |! pre-existing |! condition |! which, |! because |! of |! its |! presence, |! causes |! an |! increase |! in |! length |! of |! stay |! by |! at |! least |! one |! day |! in |! approximately |! 75% |! of |! cases. |! - |! Correct |! answer |! ✔Comorbid |! condition The |! final |! step |! of |! the |! healthcare |! reimbursement |! process |! begins____. |! - |! Correct |! answer |! ✔when |! the |! claim |! is |! resolved Based |! on |! the |! table |! below, |! what |! is |! the |! facility's |! expected |! reimbursement? CPT |! CodeAPC |! ClassificationAPC |! PSICPT |! Code |! PSIPayment |! Rate201015054 |! Level |! 4 |! Skin |! ProcedureTT$1,372.29201035071 |! Level |! 1 |! Excision/Biopsy/Incision |! and |! DrainageTT$483.91 |! - |! Correct |! answer |! ✔1, |!
Which |! of |! the |! following |! means |! lying |! facedown |! on |! the |! abdomen? |! - |! Correct |! answer |! ✔Prone Anatomy |! And |! Physiology: |! - |! Correct |! answer |! ✔- Which |! of |! the |! following |! directional |! terms |! means |! Nearest; |! closer |! to |! the |! center |! of |! the |! body |! or |! point |! of |! attachment |! to |! the |! body? |! - |! Correct |! answer |! ✔Proximal The |! foramen |! magnum |! allows |! the |! passage |! of |! _________ |! into |! the |! skull. |! - |! Correct |! answer |! ✔The |! spinal |! cord A |! supporting |! ligament |! that |! does |! not |! have |! contact |! with |! the |! articular |! surfaces |! is |! called |! a |! _______. |! - |! Correct |! answer |! ✔collateral |! ligament The |! _____ |! pump(s) |! blood |! into |! the |! arteries, |! the |! ____ |! receive(s) |! venous |! blood |! from |! the |! veins. |! - |! Correct |! answer |! ✔ventricles, |! atria Which |! of |! the |! following |! is |! NOT |! one |! of |! the |! 12 |! cranial |! nerves? |! - |! Correct |! answer |! ✔Radioulnar |! nerve Involved |! in |! both |! the |! digestive |! and |! endocrine |! systems, |! the |! _________ |! secretes |! hormones |! as |! well |! as |! digestive |! juices |! for |! the |! breakdown |! of |! foods. |! - |! Correct |! answer |! ✔pancreas
Which |! of |! the |! following |! is |! a |! short |! bone? |! - |! Correct |! answer |! ✔Carpus The |! aorta |! bifurcates |! into |! the |! _____________. |! - |! Correct |! answer |! ✔common |! iliac |! arteries Introduction |! To |! Coding: |! - |! Correct |! answer |! ✔- Which |! of |! the |! following |! is |! not |! a |! reason |! to |! assign |! correct |! ICD |! diagnostic |! classification(s) |! for |! clinical |! and |! research |! purposes? |! - |! Correct |! answer |! ✔Calculating |! speed |! and |! efficiency |! of |! healthcare |! providers' |! claims |! submission ______ |! is |! the |! Joint |! Commission's |! performance |! measurement |! and |! improvement |! initiative, |! which |! integrates |! outcomes |! and |! other |! performance |! measure |! data |! into |! the |! accreditation |! process. |! - |! Correct |! answer |! ✔ORYX Which |! of |! the |! following |! always |! governs |! the |! selection |! of |! principal |! diagnosis? |!
- |! Correct |! answer |! ✔Circumstances |! of |! inpatient |! admission Which |! of |! the |! following |! is |! not |! a |! benefit |! of |! encoders? |! - |! Correct |! answer |! ✔Elimination |! of |! queries The |! process |! of |! clarifying |! conflicting, |! ambiguous, |! or |! incomplete |! information |! contained |! in |! the |! patient's |! medical |! record. |! - |! Correct |! answer |! ✔Query
If |! one |! side |! of |! a |! bilateral |! condition |! has |! previously |! been |! treated, |! and |! the |! condition |! no |! longer |! exists |! on |! that |! side, |! for |! the |! current |! visit, |! assign |! the |! appropriate |! unilateral |! code |! for |! the |! side |! where |! the |! condition |! still |! exists. |! - |! Correct |! answer |! ✔True ICD-10-CM |! Coding |! Scenarios: |! - |! Correct |! answer |! ✔- The |! patient |! is |! a |! 68 |! yr. |! old |! female |! who |! presents |! today |! for |! diagnostic |! EGD |! secondary |! to |! acute |! hypochromic |! anemia |! suspected |! to |! be |! due |! to |! GI |! blood |! loss. |! The |! scope |! revealed |! a |! chronic |! duodenal |! ulcer |! with |! bleeding. |! - |! Correct |! answer |! ✔K26.4, |! D Patient |! comes |! into |! the |! office |! with |! a |! chief |! complaint |! of |! right |! wrist |! pain |! and |! right |! ankle |! pain. |! Physician |! x-rays |! both |! the |! right |! wrist |! and |! right |! ankle. |! The |! x-rays |! reveal |! a |! closed |! fracture |! of |! wrist |! (navicular |! scaphoid) |! and |! closed |! trimalleolar |! fracture |! of |! ankle. |! Patient |! fell |! down |! stairs |! at |! home. |! - |! Correct |! answer |! ✔S62.001A, |! S82.851A, |! W10.9XXA |! , |! Y92. Pneumonia |! due |! to |! parainfluenza |! virus |! - |! Correct |! answer |! ✔J12. Jean |! came |! into |! the |! office |! for |! concerns |! of |! frequent |! urination, |! and |! a |! migraine |! headache |! with |! aura |! and |! associated |! facial |! pain |! which |! she |! has |! had |! for |! 3 |! days. |! She |! has |! taken |! her |! migraine |! medicine |! with |! no |! relief. |! The |! physician |! performed |! a |! urinalysis |! with |! microscopy, |! and |! a |! 2 |! view |! paranasal |! sinus |! x- ray. |! The |! urinalysis |! revealed |! gross |! hematuria. |! The |! x-ray |! revealed |! acute |! maxillary |! sinusitis. |! Assessment: |! urinary |! tract |! infection, |! intractable |! migraine |! with |! status |! migrainosus, |! and |! acute |! maxillary |! sinusitis. |! - |! Correct |! answer |! ✔G43.111, |! J01.00, |! and |! N39.
Traumatic |! lateral |! dislocation |! of |! the |! right |! elbow |! in |! a |! 4-year-old |! female. |! - |! Correct |! answer |! ✔S53.141A A |! 67-year-old |! male |! patient |! went |! to |! his |! physician's |! office |! for |! a |! visit |! for |! his |! chronic, |! systolic |! CHF |! and |! hypertension. |! After |! examination, |! the |! physician |! determined |! the |! patient's |! condition |! is |! stable |! and |! will |! keep |! his |! current |! medication |! regimen |! the |! same. |! - |! Correct |! answer |! ✔I11.0 |! and |! I50. A |! 54-year-old |! male |! patient |! with |! suspected |! carcinoma |! of |! the |! stomach |! was |! admitted |! to |! the |! hospital's |! outpatient |! surgery |! department |! for |! an |! exploratory |! laparotomy. |! During |! the |! procedure |! a |! significant |! mass |! was |! discovered |! in |! the |! gastric |! fundus. |! There |! was |! also |! a |! mass |! noted |! on |! the |! liver. |! Both |! masses |! were |! removed |! and |! specimens |! sent |! to |! pathology. |! The |! final |! pathology |! report |! confirmed |! adenocarcinoma |! of |! the |! stomach |! metastatic |! to |! the |! liver. |! - |! Correct |! answer |! ✔C16.1 |! and |! C78. The |! patient |! is |! a |! newborn, |! delivered |! by |! cesarean |! section |! secondary |! to |! persistent |! occiput |! posterior |! presentation |! with |! obstruction. |! Upon |! examination |! the |! patient |! was |! normal |! with |! the |! exception |! of |! caput |! succedaneum |! secondary |! to |! sitting |! in |! the |! birth |! canal |! for |! so |! long. |! - |! Correct |! answer |! ✔Z38.01, |! P12.81, |! P03. The |! patient |! is |! a |! 72-year-old |! male |! who |! suffered |! an |! adverse |! reaction |! of |! hives |! after |! starting |! to |! take |! the |! new |! prescription |! of |! Triamterene |! his |! physician |! prescribed |! three |! days |! ago. |! - |! Correct |! answer |! ✔L50.0, |! and |! T50.2X5A
would |! Dr. |! Torres |! append |! to |! CPT® |! code |! 73590 |! for |! his |! services? |! - |! Correct |! answer |! ✔26.-LT CPT/HCPCS |! Coding |! Guidelines: |! - |! Correct |! answer |! ✔- For |! excision |! of |! benign |! lesions |! requiring |! more |! than |! simple |! closure, |! an |! intermediate |! or |! complex |! closure |! code |! should |! be |! reported |! in |! addition |! to |! the |! excision |! code. |! - |! Correct |! answer |! ✔True Supplies |! and |! materials |! provided |! by |! the |! physician, |! over |! and |! above |! those |! usually |! included |! with |! the |! procedure |! rendered, |! are |! separately |! reportable. |! - |! Correct |! answer |! ✔True When |! assigning |! Emergency |! Department |! Services |! E/M |! codes, |! there |! is |! a |! distinction |! made |! between |! new |! and |! established |! patients. |! - |! Correct |! answer |! ✔False Evaluation |! and |! Management |! codes |! are |! submitted |! for |! physicians |! to |! receive |! reimbursement |! for |! their |! services. |! - |! Correct |! answer |! ✔True The |! number |! of |! minutes |! a |! physician |! spends |! face-to-face |! with |! a |! patient |! is |! one |! of |! the |! key |! components |! in |! selecting |! the |! correct |! E/M |! code. |! - |! Correct |! answer |! ✔False
A |! code |! designated |! as |! a |! separate |! procedure |! can |! be |! reported |! by |! itself, |! or |! under |! certain |! circumstances, |! in |! addition |! to |! other |! procedures |! or |! services. |! - |! Correct |! answer |! ✔True Administration |! of |! oral |! and/or |! rectal |! contrast |! alone |! qualifies |! as |! a |! study |! with |! contrast. |! - |! Correct |! answer |! ✔False Add-on |! codes |! are |! reported |! when |! the |! same |! physician |! or |! a |! different |! physician |! performs |! a |! procedure |! or |! service. |! - |! Correct |! answer |! ✔False Add-on |! codes |! are |! exempt |! from |! the |! use |! of |! modifier |! 51. |! - |! Correct |! answer |! ✔True When |! the |! description |! of |! a |! code |! includes |! the |! word |! "bilateral" |! you |! append |! modifier |! 50 |! to |! the |! CPT® |! code. |! - |! Correct |! answer |! ✔False If |! tests |! are |! performed |! in |! addition |! to |! the |! tests |! included |! in |! a |! particular |! organ |! panel, |! those |! tests |! should |! be |! reported |! separately. |! - |! Correct |! answer |! ✔True When |! more |! than |! one |! laboratory |! test |! is |! performed |! on |! the |! same |! day, |! it |! is |! appropriate |! to |! append |! modifier |! 51 |! to |! the |! additional |! laboratory |! tests. |! - |! Correct |! answer |! ✔False When |! a |! second |! physician |! other |! than |! the |! health |! care |! professional |! providing |! the |! diagnostic |! or |! therapeutic |! services |! provides |! moderate |! conscious |! sedation |!
PATHOLOGY |! SPECIMEN: |! Cervical |! cone |! biopsy. |! The |! patient |! was |! taken |! to |! the |! operating |! room |! and |! placed |! in |! the |! supine |! position. |! The |! perineum |! was |! prepped |! and |! draped |! with |! wet |! towels. |! Bivalve |! speculum |! was |! placed |! in |! the |! vagina |! and |! the |! cervix |! visualized. |! The |! cervix |! was |! painted |! with |! 4% |! acetic |! acid |! and |! the |! area |! of |! abnormal |! epithelium |! was |! visualized. |! The |! CO2 |! laser |! was |! used |! at |! 20 |! Watts |! continuous |! to |! the |! highlighted |! area |! 5 |! mm |! margin |! outside. |! Cervix |! was |! infiltrated |! with |! Pitressin |! and |! the |! blades |! were |! used |! to |! deflect |! the |! underlying |! tissues |! in |! the |! anatomical |! fashion. |! The |! apex |! was |! cut |! with |! the |! laser, |! and |! the |! specimen |! submitted. |! A |! margin |! 5 |! mm |! outside |! of |! the |! dissected |! area |! was |! bladed |! down |! to |! the |! depth |! of |! 3 |! mm. |! Minimal |! blood |! loss. |! She |! was |! taken |! to |! the |! recovery |! room |! in |! good |! condition |! with |! stable |! vital |! signs, |! having |! tolerated |! the |! procedure |! well. |! - |! Correct |! answer |! ✔ 88307 Jennifer, |! a |! 29-year-old |! pregnant |! female, |! went |! to |! the |! radiology |! department |! at |! the |! hospital |! for |! a |! follow-up |! ultrasound |! with |! documentation. |! The |! radiologist |! interpreted |! the |! ultrasound |! and |! sent |! documentation |! to |! the |! OB- GYN |! physician. |! - |! Correct |! answer |! ✔76816- A |! 2-year-old |! boy |! was |! born |! with |! a |! cleft |! lip |! and |! nasal |! deformity. |! He |! was |! admitted |! to |! the |! hospital |! and |! taken |! to |! the |! operating |! room. |! Dr. |! Mark |! Sloan |! performed |! a |! primary |! complete |! plastic |! repair |! of |! the |! cleft |! lip |! and |! nasal |! deformity, |! unilateral. |! - |! Correct |! answer |! ✔ 40700 A |! 59-year-old |! female |! patient |! was |! admitted |! to |! the |! hospital |! after |! recently |! being |! diagnosed |! with |! endometrial |! cancer. |! The |! patient |! will |! have |! the |! insertion |! of |! 5 |! Heyman |! capsules |! for |! clinical |! brachytherapy. |! - |! Correct |! answer |! ✔ 58346
A |! 36-year-old |! male |! patient |! came |! into |! the |! orthopedic |! surgeons' |! office |! 3 |! days |! after |! being |! in |! the |! emergency |! room. |! He |! had |! fallen |! off |! the |! ladder |! at |! home |! and |! hurt |! his |! ankle. |! This |! is |! the |! patient's |! initial |! visit. |! The |! physician |! performs |! a |! detailed |! history, |! an |! expanded |! problem |! focused |! exam; |! medical |! decision |! making |! is |! low |! complexity. |! The |! physician |! performs |! and |! interprets |! a |! left |! ankle |! x-ray |! 2 |! views. |! The |! physician |! interprets |! the |! x-ray |! that |! the |! patient |! has |! a |! closed |! bimalleolar |! fracture |! on |! the |! left |! ankle. |! He |! treated |! this |! closed |! fracture |! bimalleolar |! fracture |! without |! manipulation |! by |! applying |! the |! initial |! cast |! while |! the |! patient |! is |! in |! the |! office. |! - |! Correct |! answer |! ✔99202-25, |! 27808-LT, |! 73600-LT This |! 56 |! yr. |! old |! male |! patient |! has |! been |! complaining |! of |! chest |! pain |! off |! and |! on |! for |! several |! weeks. |! His |! cardiologist |! orders |! a |! cardiovascular |! stress |! test |! using |! treadmill |! exercise |! and |! pharmacological |! stress. |! Because |! the |! cardiology |! office |! does |! not |! have |! the |! proper |! equipment, |! the |! patient |! is |! sent |! to |! the |! hospital |! for |! the |! test. |! The |! cardiologist |! accompanies |! the |! patient |! to |! the |! hospital, |! supervises |! the |! test |! and |! provide |! the |! interpretation |! and |! written |! report. |! Code |! as |! if |! you |! work |! for |! the |! hospital. |! - |! Correct |! answer |! ✔ 93017 Code |! the |! anesthesiologist |! services: |! Sal, |! an |! 81-year-old |! patient |! with |! a |! mild |! systemic |! disease |! received |! anesthesia |! for |! a |! revision |! of |! a |! total |! hip |! arthroplasty. |! - |! Correct |! answer |! ✔01215-P2 |! and |! 99100 A |! 68-year-old |! male |! patient |! is |! seen |! in |! the |! Radiation |! Oncology |! Department |! at |! the |! hospital |! for |! secondary |! prostate |! cancer. |! The |! primary |! site |! was |! the |! lower |! lobe |! of |! the |! lung. |! The |! oncologist, |! who |! is |! an |! employee |! of |! the |! hospital, |! performs |! complex |! clinical |! treatment |! planning, |! basic |! dosimetry |! calculation, |! and |! a |! complex |! isodose |! plan; |! treatment |! devices |! include |! blocks, |! special |! shields |! and |! wedges. |! The |! patient |! had |! 5 |! days |! of |! radiation |! treatments |! for |! 2 |!
A |! patient |! presents |! to |! the |! emergency |! room |! with |! an |! ankle |! sprain |! received |! when |! he |! fell |! while |! skateboarding. |! The |! patient |! is |! in |! apparent |! pain, |! and |! the |! ankle |! has |! begun |! to |! swell. |! He |! is |! unable |! to |! flex |! the |! ankle. |! The |! patient |! reports |! that |! he |! did |! strike |! his |! head |! on |! the |! sidewalk |! as |! a |! result |! of |! the |! fall. |! The |! physician |! performed |! an |! expanded |! problem |! focused |! history |! and |! examination. |! The |! medical |! decision |! making |! is |! straightforward. |! - |! Correct |! answer |! ✔ 99281 A |! 51-year-old |! patient |! presents |! with |! a |! history |! of |! invasive |! ductal |! carcinoma |! of |! the |! left |! breast. |! The |! initial |! tumor |! was |! 4.5 |! cm |! in |! largest |! diameter |! by |! previous |! mammography. |! She |! now |! has |! completed |! chemotherapy |! and |! an |! assessment |! of |! treatment |! response |! is |! requested |! prior |! to |! surgical |! resection. |! A |! limited |! PET |! scan |! of |! the |! chest |! is |! performed. |! - |! Correct |! answer |! ✔ 78811 An |! 18-year-old |! male |! patient |! presents |! to |! the |! ED |! for |! injuries |! caused |! by |! falling |! off |! his |! skateboard. |! The |! physician |! examined |! his |! wounds, |! a |! 2 |! cm |! open |! wound |! to |! the |! forehead |! and |! a |! 1 |! cm |! open |! wound |! to |! the |! cheek. |! He |! also |! has |! a |! 4 |! cm |! open |! wound |! to |! the |! right |! knee. |! Each |! of |! these |! wounds |! required |! intermediate |! closure. |! - |! Correct |! answer |! ✔ 12032 |! and |! 12052 Open |! reduction |! of |! the |! left |! zygomatic |! arch |! fracture. |! The |! patient |! was |! placed |! on |! the |! operative |! room |! table |! in |! the |! supine |! position |! and |! general |! endotracheal |! anesthesia |! was |! administered. |! He |! was |! prepped |! and |! draped |! in |! the |! usual |! fashion. |! A |! small |! incision |! was |! made |! in |! the |! temporal |! scalp |! area |! and |! carried |! down |! through |! the |! superficial |! temporal |! fascia |! until |! the |! deep |! temporal |! fascia |! was |! indentified. |! This |! was |! incised |! and |! an |! elevator |! was |! passed |! beneath |! the |! deep |! fascia |! until |! it |! was |! below |! the |! zygomatic |! arch. |! The |! arch |! was |! manually |! reduced |! and |! elevated |! back |! into |! its |! anatomical |! position |! noted |! by |! palpation. |! The |! wound |! was |! irrigated |! and |! hemostasis |! was |! obtained |! with |! cautery. |! The |! superficial |! temporal |! fascia |! was |! reapproximated |! using |!
interrupted |! 4-0 |! Monocryl |! sutures. |! The |! skin |! was |! closed |! with |! interrupted |! 4- |! nylon |! sutures. |! A |! sterile |! dressing |! was |! applied |! along |! with |! a |! metal |! protective |! cup |! to |! protect |! the |! zygomatic |! arch. |! The |! patient |! was |! extubated |! and |! t |! - |! Correct |! answer |! ✔21356-LT A |! 28-year-old |! female |! patient |! presents |! to |! the |! ambulatory |! surgery |! center |! to |! have |! a |! minor |! procedure |! performed. |! The |! physician |! performs |! an |! incision |! and |! drainage |! of |! a |! perineal |! abscess |! of |! the |! vulva. |! - |! Correct |! answer |! ✔ 56405 Brian |! a |! 10 |! year-old, |! was |! admitted |! to |! the |! hospital. |! The |! patient |! was |! taken |! to |! the |! operating |! room |! and |! put |! under |! general |! anesthesia. |! Dr. |! George |! O'Malley |! performed |! bilateral |! tympanostomy |! for |! chronic |! serous |! otitis |! media. |! Because |! of |! continued |! problems |! with |! chronic |! tonsillitis; |! he |! also |! planned |! a |! tonsillectomy |! and |! adenoidectomy |! to |! be |! performed |! the |! same |! day. |!
- |! Correct |! answer |! ✔42820, |! 69436-50- Right |! long |! and |! right |! ring |! finger |! AI |! pulley |! release. |! The |! patient |! was |! taken |! to |! the |! operating |! room, |! at |! which |! time |! Anesthesia |! initiated |! a |! Bier |! block. |! The |! patient |! was |! then |! prepped |! and |! draped |! in |! the |! normal |! sterile |! fashion. |! A |! transverse |! incision |! was |! made |! at |! the |! level |! of |! the |! distal |! palmar |! crease |! in |! the |! right |! hand. |! Careful |! longitudinal |! dissection |! was |! carried |! out. |! The |! digital |! nerves |! were |! identified |! to |! the |! long |! finger |! and |! the |! AI |! pulley |! was |! released |! in |! its |! entirety |! to |! the |! long |! finger. |! We |! then |! directed |! our |! attention |! to |! the |! ring |! finger. |! The |! digital |! nerves |! were |! identified, |! and |! the |! AI |! pulley |! was |! released |! there |! was |! well. |! The |! patient |! tolerated |! the |! procedure |! well. |! A |! bulky |! hand |! dressing |! was |! applied, |! and |! she |! was |! taken |! to |! recovery |! in |! good |! condition. |! - |! Correct |! answer |! ✔26055-F7 |! and |! 26055-F
