Medical Terminology and Anatomy
Integumentary System
Muskuloskeletal System
Radiology
Pathology and Laboratory
100
Sebaceous glands are a part of which anatomic system?
What is Integumentary?
100
A four-year-old presents with an upper arm abscess in the subcutaneous tissue. An incision and drainage technique is performed. Pus is expressed and dry gauze dressing is applied.
What is 10060?
100
A patient is given Xylocaine, a local anesthetic, by injection into the thigh above the site to be biopsied. A small bore needle is then introduced through the skin into the muscle, about 3 inches deep, and a muscle biopsy is taken.
What is 20206?
100
Multiple axial images are taken through the abdomen and pelvis following the administration of oral and intravenous contrast.
What is 74177?
100
Dr. Mitchell orders a fibrin degradation test to evaluate for possible DVT. (CPT)
What is 85380?
200
The myocardium is thickest around which chamber of the heart?
What is Left ventricle?
200
Mohs surgery is to be performed on a 56-year-old with basal cell carcinoma on the neck. The gross tumor is completely excised. Tissue is divided into two tissue blocks which are mapped and color coded at their margins; frozen sectioning is performed. A full thickness graft is used to harvest skin from the patient's left axillae for an area of 5 sq cm.
What is 17311, 15240?
200
This 45-year-old male presents to the operating room with a painful mass of the right upper arm. General anesthesia is induced. Soft tissue dissection is carried down through the proximal aspect of the teres minor. Upon further dissection a large mass is noted just distal of the IGHL, which appears to be benign in nature. With blunt dissection and electrocautery, the 4 cm mass is removed en bloc and sent to pathology. Wound is irrigated, repair of the teres minor with subcutaneous tissue is then closed with triple-0 Vicryl. Skin is closed with double-0 Prolene in a subcuticular fashion.
What is 23076-RT?
200
A physician manages radiation therapy treaments for a patient with small cell lung cancer. The patient met with the radiation oncologist to review the port films and 6 treatments of 18 MeV external beam applications.
What is 77427?
200
A 30 year old female is coming in for a routine gynecological exam. A Pap Smear is taken from the cervix and the screening is done by an automated system under physician supervision. (CPT)
What is 88147?
300
Hemiplegia is a disorder caused by a defect in which anatomic system?
What is Nervous System?
300
A 32-year-old male presents to the physician's office for a follow-up debridement of a dragging injury that occurred when he fell from his horse. Both palms were affected. The injury occured a week ago. Today, minimal dead skin is removed with a scalpel from the epidermis of the right palm. Dead tissue is removed from the subutaneous layer of the left palm..Topical ointment and a gauze dressing were placed over the surgical sites.
What is 11042, 97597-59?
300
A 3-year-old is brought into the ER crying. He cannot bend his left arm after his older brother pulled it. The physician looks at the X-ray and makes a diagnosis of dislocated nursmaid's elbow. The ER physician reduces the elbow successfully. The patient is able to move his arm again. The patient is referred to an orthopaedist for follow-up care. (CPT & DX)
What is 24640-54, 832.2, E927.0?
300
A two-year-old presents to ED with arm pain. Right humerus anterior/posterior and lateral views are obtained of the right humerus. No fracture, dislocation, or other abnormality is seen. (CPT & ICD-9)
What is 73060-26, 729.5?
300
An embryologist is performing a conventional in vitro insemination of oocytes and assisting in the fertilization of four oocytes under microtechnique for an infertile coupe using ART. (CPT)
What is 89268, 89280?
400
What is the result of a ureteral blockage?
What is urine will not be able to flow from the kidney to the bladder?
400
An 11-year-old female presents to the doctor's office with two dark lesions and a skin tag on her back. The two lesions on her right upper back are punch biopsied. The skin tag on her back is removed by electrocauterization.
What is 11100, 11101, 11200-59?
400
A 50-year-old male had surgery on his upper leg one day ago and is presenting with serous drainage from the wound. He is scheduled back to the operating room for an evaluation of the hematoma. His wound is explored and there is a hematoma at the base of the wound, which is very carefully evacuated and the wound irrigated with antibacterial solution. (CPT & ICD-9)
What is 27301-78, 998.12?
400
An MRI of the lumbar spine with and without contrast is performed. It includes various echo, axial, and sagittal images taken through the lumbar spine. (CPT)
What is 72158?
400
A physician performs surgical removal of two skin lesions; one being a pigmented nodule measuring 2 cm x 2.5 cm on the left, upper back; the second lesion, an inclusion cyst measuring 2.5 cm x 3 cm in the middle of the back. Both specimens are placed in individual container and sent to surgical pathology for gross and microscopic examination. (CPT)
What is 88304, 88305?
500
The tunica vaginalis is part of which system?
What is Male Reproductive?
500
A 3-year-old pulls a pot of hot water off the stove and it splashes on his face and arms. When examined, the infant has fir-degree burns on his lower face and second-degree burns on both arms. The physician treats the burn on the face, approximately 3 percent of the total area, with Silvadene dressing. For the second-degree burns, both arms (approximately 11% TBSA) have no infection and the blisters are intact. The burn is cleansed and Silvadene dressing is applied. (2 CPT & 3 ICD-9, modifier if applicable)
What is 16030, 16000-59, 943.20, 941.10, E924.2?
500
Operative Report Preoperative Diagosis: Unstable left distal radius fracture. Postoperative Diagnosis: Unstable left distal radius fracture. Procedure: Closed reduction and percutaneous pinning with manipulation of left distal radius fracture. Anesthesia: General Indication: Patient is a very pleasant 14-year-old young man who is here for evaluation. I had seen him in clinic earlier today and he had a bike wreck with an unstable distal radial ulnar joint and unstable fracture. I discussed with him and his mother, preoperatively, the risks and benefits, and they wish to proceed with surgery. Description of Procedure: The patient was brought to the operating room and placed in the supine position on the operating table. General anesthesia was induced. Antibiotics were given preoperatively. The left arm was prepped and draped in the usual standards orthopaedic fashion. Landmarks were identified; closed reduction maneuver was performed with traction and reproduction of the deformity and then reduction. A near anatomic reduction was afforded, visualized with multiplanar C-arm fluoroscopic imaging. I then placed two 6.2 K-wires percutaneously, one through the radial styloid and one through the Lister's tubercle, which gave us adjunctive fixation of this manipulated fracture. Multiplanar C-arm fluoroscopic imaging confirmed good placement of the implants and a near anatopic reduction. A sterile dressing and sugar-tong splint was applied. The patient was awakened from anesthesia and taken to the Recovery Room in stable condition postoperatively. There were no operative complications. Estimated blood loss was minimal. All counts were correct. (CPT & ICD-9)
What is 25606-LT, 813.42?
500
From a percutaneous right common femoral artery access, a 6-French vascular sheath is placed. An Omni Flush catheter is advanced into the aorta, and serial aortography is performed. The catheter is pulled back to the bifurcation of the aorta, and contrast is injected, for complete bilateral lower extremity angiography. The physician notes in his report the aorta is mildly atherosclerotic, and thee is a 50 percent narrowing of the left popliteal artery.
What is 36200, 75625-26, 75716-26?
500
Surgical Pathology Report Collected: 04/14/2010 Received: 04/14/2010 Clinical Data: Gastric bypass; ventral hernia repair; history of recurrent ventral hernia with mesh Gross Decription: A) Received fresh in a container labeled 'skin ulcer' is an 8.0 x 6.0 x 2.0 cm skin ellipse with a centrally located 5.0 x 1.4 cm ulcer, with multiple blue stitches. The margins of resection are linked black. The specimen is serially sectioned and representative sections are submitted in two cassettes. B) Received fresh in a container lables "old hernia mesh" are two fragents of tan-brown soft tissue and mesh, measuring 10.0 x 6.0 cm and 6.0 x 3.5 cm. The speciment is serially sectioned and representative sections are submitted in one cassette. Final Diagnosis: A) Skin ulcer, excision: Skin and underlying soft tissues with ulcer, granulation tissue, and chronic active/suppurative inflammation and focal foreign body reaction. No evidence of neoplasm. B) Old hernia mesh, excision: Fibrofatty tissue with no evidence of neoplam. (CPT & ICD-9)
What is 88305, 88302, 553.21, 707.9?