ODP 1 COMPREHENSIVE TEST PAPER
QUESTIONS WITH VERIFIED SOLUTIONS
RESOURCE
●● CaseID: OPD6936
Primary Diagnosis: S83.512A
Secondary Diagnosis: M25.362, M25.462
CPT: 29888-LT
Answer: MEDICAL RECORD
AGE: 41SEX: MALEDate of Service: 1/1/20XXService Department:
Orthopedic Group GeneralOPERATIVE NOTENAME OF
PROCEDURE: Left knee examination under anesthesia, arthroscopy,
and anterior cruciate ligament reconstruction, of an old disruption of the
ACL with chronic instability.SURGEON:ANESTHESIA: General with
blocks.DESCRIPTION OF PROCEDURE: With the patient in the
supine position under endotracheal intubation with general anesthesia,
the left knee was examined. There was a moderate amount of clear
yellow effusion. There were intact collateral ligaments. There were
positive Lachman, pivot shift, and drawer signs and an intact PCL.The
knee was prepped and draped free in the usual manner. Portals were
established inferolaterally and inferomedially.The medial component
had normal cartilage in both articular surfaces, and the medial meniscus
was intact to visualization and probing.The notch had large fragments of
the anterior cruciate ligament caught in the notch. There was a
midsubstance tear, with some tissue remaining on the femoral side and
tibial side.The lateral compartment had normal cartilage in both articular
,surfaces. Lateral meniscus, popliteal tendon intact to visualization and
probing.The patellofemoral joint had normal alignment and normal
cartilage on both surfaces. Suprapatellar pouch and both gutters were
clear of any loose bodies.In the notch, we paid our attention to the stump
of the anterior cruciate ligament, which was removed down to bone to
expose the tibial spines. We removed soft tissue from the lateral side of
the notch. We performed notchplasty using a curved gouge and power
instruments back to the over the top position.With the knee at 90
degrees, we used an over-the-top guide and made a proximal mid and
tibial area skin incision. We placed a guidewire across the tibia to enter
the j
●● CaseID: OPD6939
Primary Diagnosis: M77.12
CPT: 24359-LT
Answer: MEDICAL RECORD
Age: 58Sex: FDate of Service: 1/1/20XXService Department:
Orthopedic Group GeneralProvider: Dr.OPERATIVE
NOTE:PREOPERATIVE DIAGNOSIS: Chronic lateral epicondylitis in
the left elbow.POSTOPERATIVE DIAGNOSIS: Same.NAME OF
PROCEDURE: Lateral tennis elbow release, left
elbow.SURGEON:DESCRIPTION OF PROCEDURE: The female
patient was taken to the operating room and after satisfactory regional
anesthesia, the left elbow was thoroughly scrubbed, prepped, and draped
in the usual manner. A longitudinal incision was made overlying the later
aspect of the elbow. The incision was deepened through the
subcutaneous tissue through the epicondyle. The epicondyle area was
exposed by dissecting through the rather extensive subcutaneous fatty
,tissue. The interval between the common extensor and the ECRB was
identified. The common extensor was reflected and the underlying
ECRB had an area of necrosis. This was excised. The remaining tendon
was sutured together. The anterior aspect of the lateral epicondyle was
roughened with a rongeur. The wound was then irrigated, and the
subcutaneous tissue was closed with 2-0 Vicryl and skin with wire
staples. A sterile dressing was applied.The patient was taken to the
recovery room in satisfactory condition with a splint in
place.Electronically signed by 1/1/20XX
●● CaseID: OPD6950
Primary Diagnosis: M16.11
CPT: 20610-RT, 77002
Answer: MEDICAL RECORD
Age: 87 Sex: FEMALEDate of Service: 01/01/20XXService
Department: Orthopedic Group General Clinic
DIAGNOSIS: Right hip joint primary osteoarthritis.PROCEDURE:
Right hip cortisone injection.SURGEON: Dr. MDDESCRIPTION OF
PROCEDURE: The patient was placed on fluoroscopy table in a supine
position. The right hip was identified under fluoroscopy. The skin was
prepped with Betadine, skin anesthetized with 1% lidocaine. Under
fluoroscopy guidance, a 22-gauge needle was guided into the right hip
capsule using anterolateral approach. Confirmation made by injection of
a small amount of contrast. Once this was confirmed, injection of
bupivacaine and Kenalog was placed in the hip capsule. The patient
tolerated the procedure well without complications, leaving the
department in improved, stable condition. We will see her back to follow
, up in the office for recheck and reevaluation. Reinjections as
needed.Electronically signed by: MD 1/1/20XX
●● CaseID: OPD6958
Primary Diagnosis: S42.022A
CPT: 23515-LT
Answer: MEDICAL RECORD
OPERATIVE REPORTSEX: MALE AGE: 35DATE OF OPERATION:
1/1/20XXPREOPERATIVE DIAGNOSIS: LEFT MIDSHAFT
CLAVICLE FRACTURE DISPLACED.PROCEDURES: LEFT
CLAVICLE ORIF WITH FLUOROSCOPY.POSTOPERATIVE
DIAGNOSIS: LEFT MIDSHAFT CLAVICLE FRACTURE
DISPLACED.FLUOROSCOPY (Included in Procedure)SURGEON: Dr.
MDANESTHESIA: GENERAL, ENDOTRACHEAL
TUBE.ESTIMATE BLOOD LOSS: 100 CC.ANTIBIOTICS:
CLINDAMYCIN 900 MG.COMPLICATIONS: NONE.INDICATIONS:
The patient is a male who had a motorcycle accident with the left
clavicle fractured which was widely displaced with the proximal
fragment appearing to be impaled into the trapezius. Options, risks and
benefits were discussed with the patient. He agreed with the open
reduction internal fixation.PROCEDURE: The patient was brought to
the operating room and anesthesia was induced via endotracheal tube.
The left upper extremity and chest were then prepped and draped in
sterile fashion. An incision was marked over the fractured clavicle and
infiltrated with lidocaine 1% with epinephrine. It was then established,
taken down through the subcutaneous tissue to the pectoral trapezial
fascia which was incised longitudinally along the clavicle and the
inferior surface of the clavicle was dissected to protect the lung.The
QUESTIONS WITH VERIFIED SOLUTIONS
RESOURCE
●● CaseID: OPD6936
Primary Diagnosis: S83.512A
Secondary Diagnosis: M25.362, M25.462
CPT: 29888-LT
Answer: MEDICAL RECORD
AGE: 41SEX: MALEDate of Service: 1/1/20XXService Department:
Orthopedic Group GeneralOPERATIVE NOTENAME OF
PROCEDURE: Left knee examination under anesthesia, arthroscopy,
and anterior cruciate ligament reconstruction, of an old disruption of the
ACL with chronic instability.SURGEON:ANESTHESIA: General with
blocks.DESCRIPTION OF PROCEDURE: With the patient in the
supine position under endotracheal intubation with general anesthesia,
the left knee was examined. There was a moderate amount of clear
yellow effusion. There were intact collateral ligaments. There were
positive Lachman, pivot shift, and drawer signs and an intact PCL.The
knee was prepped and draped free in the usual manner. Portals were
established inferolaterally and inferomedially.The medial component
had normal cartilage in both articular surfaces, and the medial meniscus
was intact to visualization and probing.The notch had large fragments of
the anterior cruciate ligament caught in the notch. There was a
midsubstance tear, with some tissue remaining on the femoral side and
tibial side.The lateral compartment had normal cartilage in both articular
,surfaces. Lateral meniscus, popliteal tendon intact to visualization and
probing.The patellofemoral joint had normal alignment and normal
cartilage on both surfaces. Suprapatellar pouch and both gutters were
clear of any loose bodies.In the notch, we paid our attention to the stump
of the anterior cruciate ligament, which was removed down to bone to
expose the tibial spines. We removed soft tissue from the lateral side of
the notch. We performed notchplasty using a curved gouge and power
instruments back to the over the top position.With the knee at 90
degrees, we used an over-the-top guide and made a proximal mid and
tibial area skin incision. We placed a guidewire across the tibia to enter
the j
●● CaseID: OPD6939
Primary Diagnosis: M77.12
CPT: 24359-LT
Answer: MEDICAL RECORD
Age: 58Sex: FDate of Service: 1/1/20XXService Department:
Orthopedic Group GeneralProvider: Dr.OPERATIVE
NOTE:PREOPERATIVE DIAGNOSIS: Chronic lateral epicondylitis in
the left elbow.POSTOPERATIVE DIAGNOSIS: Same.NAME OF
PROCEDURE: Lateral tennis elbow release, left
elbow.SURGEON:DESCRIPTION OF PROCEDURE: The female
patient was taken to the operating room and after satisfactory regional
anesthesia, the left elbow was thoroughly scrubbed, prepped, and draped
in the usual manner. A longitudinal incision was made overlying the later
aspect of the elbow. The incision was deepened through the
subcutaneous tissue through the epicondyle. The epicondyle area was
exposed by dissecting through the rather extensive subcutaneous fatty
,tissue. The interval between the common extensor and the ECRB was
identified. The common extensor was reflected and the underlying
ECRB had an area of necrosis. This was excised. The remaining tendon
was sutured together. The anterior aspect of the lateral epicondyle was
roughened with a rongeur. The wound was then irrigated, and the
subcutaneous tissue was closed with 2-0 Vicryl and skin with wire
staples. A sterile dressing was applied.The patient was taken to the
recovery room in satisfactory condition with a splint in
place.Electronically signed by 1/1/20XX
●● CaseID: OPD6950
Primary Diagnosis: M16.11
CPT: 20610-RT, 77002
Answer: MEDICAL RECORD
Age: 87 Sex: FEMALEDate of Service: 01/01/20XXService
Department: Orthopedic Group General Clinic
DIAGNOSIS: Right hip joint primary osteoarthritis.PROCEDURE:
Right hip cortisone injection.SURGEON: Dr. MDDESCRIPTION OF
PROCEDURE: The patient was placed on fluoroscopy table in a supine
position. The right hip was identified under fluoroscopy. The skin was
prepped with Betadine, skin anesthetized with 1% lidocaine. Under
fluoroscopy guidance, a 22-gauge needle was guided into the right hip
capsule using anterolateral approach. Confirmation made by injection of
a small amount of contrast. Once this was confirmed, injection of
bupivacaine and Kenalog was placed in the hip capsule. The patient
tolerated the procedure well without complications, leaving the
department in improved, stable condition. We will see her back to follow
, up in the office for recheck and reevaluation. Reinjections as
needed.Electronically signed by: MD 1/1/20XX
●● CaseID: OPD6958
Primary Diagnosis: S42.022A
CPT: 23515-LT
Answer: MEDICAL RECORD
OPERATIVE REPORTSEX: MALE AGE: 35DATE OF OPERATION:
1/1/20XXPREOPERATIVE DIAGNOSIS: LEFT MIDSHAFT
CLAVICLE FRACTURE DISPLACED.PROCEDURES: LEFT
CLAVICLE ORIF WITH FLUOROSCOPY.POSTOPERATIVE
DIAGNOSIS: LEFT MIDSHAFT CLAVICLE FRACTURE
DISPLACED.FLUOROSCOPY (Included in Procedure)SURGEON: Dr.
MDANESTHESIA: GENERAL, ENDOTRACHEAL
TUBE.ESTIMATE BLOOD LOSS: 100 CC.ANTIBIOTICS:
CLINDAMYCIN 900 MG.COMPLICATIONS: NONE.INDICATIONS:
The patient is a male who had a motorcycle accident with the left
clavicle fractured which was widely displaced with the proximal
fragment appearing to be impaled into the trapezius. Options, risks and
benefits were discussed with the patient. He agreed with the open
reduction internal fixation.PROCEDURE: The patient was brought to
the operating room and anesthesia was induced via endotracheal tube.
The left upper extremity and chest were then prepped and draped in
sterile fashion. An incision was marked over the fractured clavicle and
infiltrated with lidocaine 1% with epinephrine. It was then established,
taken down through the subcutaneous tissue to the pectoral trapezial
fascia which was incised longitudinally along the clavicle and the
inferior surface of the clavicle was dissected to protect the lung.The
