1.
Patient is admitted to the hospital with acute abdominal pain. The attending medical physician requests a surgical consult. The consultant agrees to see the patient and conducts a comprehensive history and physical examination. The physician ordered lab work to rule out pancreatitis, along with an ultrasound of the gallbladder and abdominal x-ray. Due to the various diagnosis possibilities and the tests reviewed, a moderate medical decision was made.
A. 
B. 
C. 
D. 
2.
An established patient returns to the physician's office for follow-up on his hypertension and diabetes. The physician takes the blood pressure and references the patient's last three glucose tests. The patient is still running above normal glucose levels, so the physician decides to adjust the patient's insulin. An expanded history was taken and a physical examination was performed.
A. 
B. 
C. 
D. 
3.
Patient arrives in the emergency room via a medical helicopter. The patient has sustained multiple life-threatening injuries due to a multiple car accident. The patient goes into cardiac arrest 10 minutes after arrival. An hour and 30 minutes of critical care time is spent trying to stabilize the patient.
A. 
B. 
C. 
D. 
4.
The physician provided services to a new patient who was in a rest home for an ulcerative sore on the hip. A problem-focused history and physical examination were performed and a straightforward medical decision was made.
A. 
B. 
C. 
D. 
5.
A doctor provides critical care services in the emergency department for a patient in respiratory failure. He initiates ventilator management and spends an hour and 10 minutes providing critical care for this patient.
A. 
99281, 99291, 99292, 94002
B. 
C. 
D. 
6.
Services were provided to a patient in the emergency room after the patient twisted her ankle stepping down from a curb. The emergency room physician ordered x-rays of the ankle, which came back negative fora fracture. A problem-focused history and physical examination were performed and ankle strapping was applied. A prescription for pain was given to the patient. Code the emergency room visit only.
A. 
B. 
C. 
D. 
7.
An established patient was seen in her primary physician's office. The patient fell at home and came to the physician's office for an examination. Due to a possible concussion, the patient was sent to the hospital to be admitted as an observation patient. A detailed history and physical examination were performed and the medical decision was low complexity. The patient stayed overnight and was discharged the next afternoon.
A. 
B. 
C. 
D. 
8.
An out-of-town patient presents to a walk-in clinic to have a prescription refilled for a nonsteroidal anti-inflammatory drug. The physician performs a problem-focused history and physical examination with a straightforward decision.
A. 
B. 
C. 
D. 
9.
Code anesthesia for upper abdominal ventral hernia repair.
A. 
B. 
C. 
D. 
10.
An office consultation is performed for a postmenopausal woman who is complaining of spotting in the past 6 months with right lower quadrant tenderness. A detailed history and physical examination were performed with a low-complexity medical decision.
A. 
B. 
C. 
D. 
11.
Code anesthesia for total hip replacement
A. 
B. 
C. 
D. 
12.
Code anesthesia for vaginal hysterectomy
A. 
B. 
C. 
D. 
13.
Code anesthesia for placement of vascular shunt in forearm.
A. 
B. 
C. 
D. 
14.
Code anesthesia for decortication of left lung.
A. 
B. 
C. 
D. 
15.
Code anesthesia for total shoulder replacement.
A. 
B. 
C. 
D. 
16.
Code anesthesia for cesarean section.
A. 
B. 
C. 
D. 
17.
Code anesthesia for procedures on bony pelvis.
A. 
B. 
C. 
D. 
18.
Code anesthesia for corneal transplant.
A. 
B. 
C. 
D. 
19.
Administration of initial oral radionuclide therapy for hyperthyroidism.
A. 
B. 
C. 
D. 
20.
Patient comes into the outpatient department at the local hospital for an MRI of the cervical spine with contrast. Patient status post automobile accident.
A. 
B. 
C. 
D. 
21.
Obstetric patient comes in for a pelvimetry with placental placement.
A. 
B. 
C. 
D. 
22.
Patient comes into his physician's office complaining of wrist pain. Physician gives the patient an injection and sends the patient to the hospital for an arthrography. Code the complete procedure.
A. 
B. 
C. 
D. 
23.
Patient has carcinoma of the breast and undergoes proton beam delivery of radiation to the breast with a single port.
A. 
B. 
C. 
D. 
24.
CT scan of the head with contrast.
A. 
B. 
C. 
D. 
25.
Patient undergoes x-ray of the foot with three views.
A. 
B. 
C. 
D.