Surgery Section ----- All Subsections

163 Questions | By MITULPAR | Last updated: Oct 14, 2016 | Total Attempts: 88

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INTEGUMENTARY SYSTEM, MUSCULOSKELETAL SYSTEM, RESPIRATORY SYSTEM, CARDIOVASCULAR SYSTEM, HEMIC AND LYMPHATIC SYSTEMS, MEDIASTINUM, AND DIAPHRAGM, DIGESTIVE SYSTEM, URINARY SYSTEM, MALE GENITAL SYSTEM, FEMALE GENITAL SYSTEM, MATERNITY CARE AND DELIVERY, ENDOCRINE SYSTEM, NERVOUS SYSTEM, EYE AND OCULAR ADNEXA, AUDITORY SYSTEM. ALSO QUESTIONS FROM LAST CPC EXAM.

Questions and Answers

1.

INTEGUMENTARY SYSTEM SECTION :Patient presents to the hospital for skin grafts due to previous third-degree burns. The burn eschar of the back was removed. Once the eschar was removed, the defect size measured 10 cm x 10 cm. A skin graft from a donor bank was placed onto the defect and sewn into place as a temporary wound closure.
- A.
  
  15002, 15130
- B.
  
  15002, 15271, 15272, 15272, 15272
- C.
  
  15002, 15200
- D.
  
  15002, 15273
2.

Patient presents to the operating room for excision of a 4.5 cm malignant melanoma of the left forearm. A 6 cm x 6 cm rotation flap was created for closure.
- A.
  
  14021
- B.
  
  11606; 14020
- C.
  
  14301
- D.
  
  11606; 15100
3.

Female patient has a percutaneous needle biopsy of the left breast lesion in the lower outer quadrant. Following the biopsy frozen section results, the physician followed this with an excisional removal of the same lesion.
- A.
  
  19100; 19125
- B.
  
  19100; 19120-LT
- C.
  
  19120-LT
- D.
  
  19100; 19120; 19120
4.

Ten-square-centimeters epidermal autograft to the face from the back.
- A.
  
  15110
- B.
  
  15115
- C.
  
  15110, 15115
- D.
  
  15120
5.

Patient presents to the emergency room with lacerations of right lower leg that involved the fascia. Lacerations measured 5 cm and 2. 7 cm.
- A.
  
  11406;11403
- B.
  
  12034
- C.
  
  12032; 12031
- D.
  
  12032
6.

Nonhuman graft for temporary wound closure. Patient has a 5 cm defect on the scalp.
- A.
  
  15275, 15276
- B.
  
  15271
- C.
  
  15275
- D.
  
  15271, 15272
7.

Patient is admitted for a blepharoplasty of the left lower eyelid and a repair for a tarsal strip of the left upper lid.
- A.
  
  67917-E1; 15822-E2
- B.
  
  67917-E1; 15820-E2
- C.
  
  67917-E1
- D.
  
  67917-E1; 15823-E2
8.

Patient presents to the emergency room with lacerations sustained in an automobile accident. Repairs of the 3.3 cm skin laceration of the left leg that involved the fascia, 2.5 cm and 3 cm lacerations of the left arm involving the fascia, and 2.7 cm of the left foot, which required simple sutures, were performed. Sterile dressings were applied.
- A.
  
  12032; 12032-59; 12031-59; 12002-59
- B.
  
  12002; 12002-59
- C.
  
  12034; 12002-59
- D.
  
  13151; 12032-50; 12032-59; 12001-59
9.

Patient presents to the operating room for excision of three lesions. The 1.5 cm and 2 cm lesions of the back were excised with one excision. The 0.5 cm lesion of the hand was excised. The pathology report identified both back lesions as squamous cell carcinoma. The hand lesion was identified as seborrheic keratosis.
- A.
  
  11604; 11420
- B.
  
  11402; 11420; 11403
- C.
  
  11403; 11642; 114642
- D.
  
  11602; 11402
10.

Patient presents to the operating room where a 3.2 cm malignant lesion of the shoulder was excised and repaired with simple sutures. A 2 cm benign lesion of the cheek was excised and was repaired with a rotation skin graft.
- A.
  
  11604; 11442; 14040; 12001
- B.
  
  14040; 11604
- C.
  
  15002; 15120
- D.
  
  17264; 17000; 12001
11.

Patient presents to the radiology department where a fine-needle aspiration of the breast is performed utilizing computed tomography.
- A.
  
  19085; 77012
- B.
  
  19100
- C.
  
  19125
- D.
  
  10022; 77012
12.

Patient was admitted to the hospital for removal of excessive tissue due to massive weight loss. Liposuction of the abdomen and bilateral thighs was performed.
- A.
  
  15830
- B.
  
  15830; 15833; 15833
- C.
  
  15877; 15879-50
- D.
  
  15839
13.

MUSCULOSKELETAL SYSTEM SECTION:Patient presents to the hospital with ulcer of the right foot. Patient is taken to the operating room where a revision of the right metatarsal head is performed.
- A.
  
  28104-RT
- B.
  
  28111-RT
- C.
  
  28288-RT
- D.
  
  28899-RT
14.

Patient presents to the emergency room following a fall. X-rays were ordered for the lower leg and results showed a fracture of the proximal left tibia. The emergency room physician performed a closed manipulation of the fracture with skeletal traction.
- A.
  
  27532-LT
- B.
  
  27536-LT
- C.
  
  27530-LT
- D.
  
  27524-LT
15.

Trauma patient was rushed to the operating room with multiple injuries. Open reduction with internal fixation of intertrochanteric femoral fracture; open reduction of the tibial and fibula shaft with internal fixation was performed.
- A.
  
  27245; 27759
- B.
  
  20690
- C.
  
  27248; 27756
- D.
  
  27244; 27758
16.

Open I & D of a deep abscess of the cervical; spine.
- A.
  
  22010
- B.
  
  22015
- C.
  
  10060
- D.
  
  10140
17.

Patient presents to the emergency room following an assault. Examination of the patient reveals blunt trauma to the face. Radiology reports that the patient suffers from a fracture to the frontal skull and a blow-out fracture of the orbital floor. Patient is admitted and taken to the operating room where a periorbital approach to the orbital fracture is employed and an implant is inserted.
- A.
  
  21407; 21275
- B.
  
  21387; 61330
- C.
  
  21390
- D.
  
  61340; 21401
18.

Patient presents with a traumatic partial amputation of the second, third, and fourth fingers on the right hand. Patient was taken to the operating room where completion of the amputation of three fingers was performed with direct closure.
- A.
  
  26910-F6; 26910-F7; 26910-F8
- B.
  
  26843-RT
- C.
  
  26951-F6; 26951-F7; 26951-F8
- D.
  
  26550-RT
19.

Patient is brought to the emergency room following a shark attack. The paramedics have the patient's amputated foot. The patient is taken directly to the operating room to reattach the patient's foot.
- A.
  
  28800
- B.
  
  28200; 28208
- C.
  
  28110
- D.
  
  20838
20.

Patient presents to the hospital with a right index trigger finger. Release of the trigger finger was performed.
- A.
  
  26060-F7
- B.
  
  26055-F6
- C.
  
  26170-F6
- D.
  
  26110
21.

Patient had been diagnosed with a bunion. Patient was taken to the operating room where a simple resection of the base of the proximal phalanx along with the medical eminence was performed. Kirschner wire was placed to hold the joint in place.
- A.
  
  28292
- B.
  
  28290
- C.
  
  28293
- D.
  
  28294
22.

RESPIRATORY SYSTEM SECTION :Patient has a bronchoscopy with endobronchial biopsies of three sites
- A.
  
  31625; 31625; 31625
- B.
  
  31625
- C.
  
  31622; 31625
- D.
  
  31622; 31625; 31625; 31625
23.

Patient presents to the surgical unit and undergoes unilateral nasal endoscopy; partial ethmoidectomy and maxillary antrostomy.
- A.
  
  31254; 31256-51
- B.
  
  31201; 31225-51
- C.
  
  31290; 31267-51
- D.
  
  31233; 31231-51
24.

Patient has been diagnosed with metastatic laryngeal carcinoma. Patient underwent subtotal supraglottic laryngectomy with radical neck dissection.
- A.
  
  31540
- B.
  
  31367
- C.
  
  31365
- D.
  
  31368
25.

Patient was involved in an accident and has been sent to the hospital. During transport the patient develops breathing problems and, upon arrival at the hospital, an emergency transtracheal tracheostomy was performed. Following various x-rays, the patient was diagnosed with traumatic pneumothorax and a thoracentesis with insertion of tube was performed.
- A.
  
  31603; 31612
- B.
  
  31610; 32555
- C.
  
  31603; 32555
- D.
  
  31603; 32555