Nursing 2021 Surgery Section Part II.

Surgery Section Part II Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. What is the symptomatic term for hives? a. Rash c. Urticaria b. Eruption d. Dermatitis ____ 2. Melanin is found in what layer of the epidermis? a. Epithelium c. Dermal b. Squamous d. Basal ____ 3. What term relates to the connecting of the skin to the underlying muscles? a. Dermis c. Hypodermis b. Epidermis d. Sebaceous ____ 4. What term best describes a mass of hyperplastic scar tissue? a. Keliod c. Dermatofibroma b. Pilonidal Cyst d. Congenital nevus ____ 5. What is commonly known as a boil of the skin? a. Abscess c. Carbuncle b. Furuncle d. Impetigo ____ 6. What are the layers of the skin? a. Epidermis and Dermis b. Epidermis, Dermis and Fascia c. Epidermis, Dermis, Subcutaneous Tissue and Fascia d. Epidermis and Fascia ____ 7. What is the correct diagnostic code to report for treatment of a melanoma in-situ of the left arm? a. 173.6 c. 172.6 b. 232.6 d. 238.2 ____ 8. A patient is taken to surgery for the removal of a squamous cell carcinoma of the right thigh. Pathology indicated that this carcinoma is a metastasis of a previous squamous cell carcinoma of the trunk. What is the correct diagnostic code for today’s procedure? a. 173.7 c. 198.5 b. 198.2 d. 173.5 ____ 9. What would be the correct diagnostic code to report an open wound of the right leg related to a non-healing operative wound of squamous cell carcinoma? a. 173.7 c. 890.0 b. 998.59 d. V10.83 ____ 10. A patient presented to the office with a suspicious lesion of the nose. The physician took a biopsy of the lesion and pathology determined the lesion to be a dysplastic nevus. What is the correct diagnosis code to report? a. 173.3 c. 239.2 b. 216.3 d. 238.2 ____ 11. Joe has a terrible problem with ingrown toenails. He goes to the podiatrist to have a nail removed along with the nail matrix. What CPT® code(s) should be reported? a. 11730 c. 11752 b. 11750 d. 11720 ____ 12. What CPT® code(s) would best describe the treatment of 9 plantar warts removed and 6 flat warts all destroyed with cryosurgery during the same office visit? a. 17110, 17111-52 c. 17110, 17003 b. 17110 d. 17111 ____ 13. What CPT® code(s) describe the destruction of 16 lesions using cryosurgery to the upper torso on a patient diagnosed with molluscum contagiosum? a. 17000, 17003 x 2 c. 17004 b. 17110, 17003 d. 17111 ____ 14. While whittling a piece of wood, the patient sustained an avulsion injury to a portion of his left index finger and underwent formation of a direct pedicle graft with transfer from his left middle finger. Immobilization was accomplished with a plaster splint. What CPT® code(s) should be reported? a. 15574 c. 15750 b. 15740 d. 15758 ____ 15. A patient presents to the physician with multiple burns. After examination the physician determines the patient has 3rd degree burns of the anterior portion of his left leg, below the knee extending to the foot (4.5%). He also has 3rd degree burns of the anterior portion of the left side of his chest (4.5%). The patient has 2nd degree burns of the posterior portion of his back and left arm (13.5%). What ICD-9-CM code(s) should be reported? a. 945.29, 945.19, 948.31 b. 942.34, 945.31, 948.31 c. 945.10, 945.13, 942.12, 943.30, 942.24, 948.31 d. 945.39, 942.32, 942.24, 943.20, 948.20 ____ 16. A patient presents to the physician to discuss their acne and ask the physician about a suspicious lesion of their left ear. The patient and physician discuss further treatment of the acne and agree to take a biopsy of the lesion of the ear. Billing was sent prior to receiving the pathology report. What ICD-9-CM code(s) should be reported? a. 706.1, 238.2 c. 706.1, 239.2 b. 706.1 d. 706.1, 173.2 ____ 17. The patient is here to see us in follow-up for a keloid that was excised from his neck in November of last year. He believes that it’s coming back. He does have a recurrence of the keloid on the superior portion of the scar. Since the keloid is still small, the options of an injection or radiation to the area were discussed.It was agreed that our next course should be a Kenalog injection. The risks associated with the procedure were discussed with the patient. Informed consent was obtained. The area was infiltrated with 1.5 cc of medication. This was a mixture of 1 cc of 40-mg Kenalog and 0.5 cc of 1% lidocaine with epinephrine. He tolerated the procedure well. What CPT® and ICD-9-CM code(s) should be reported? a. 11900, 11901 x 7, J3301, 706.1 c. 11901, J3301, 701.4 b. 11900, J3301, 701.4 d. 11901 x 8, J3301, 238.2 ____ 18. A patient presents with a recurrent seborrheic keratosis of the left cheek. The area was marked for a shave removal. The area was infiltrated with local anesthetic, prepped and draped in a sterile fashion. The lesion measuring 1.8 cm was shaved using an 11-blade. Meticulous hemostasis was achieved using light pressure. The specimen was sent for permanent pathology. The patient tolerated the procedure well. What CPT® code(s) should be reported? a. 11200 c. 11442 b. 11312 d. 11642 ____ 19. The patient has a suspicious lesion of the left jaw line. Clinical diagnosis of this lesion is unknown, but due to the appearance malignancy is a realistic concern. The lesion was excised into the subcutaneous fat measuring .8 cm and margins of .1 cm on each side. Hemostasis was achieved using light pressure. The wound was closed in layers using 5.0 monocryl and 6.0 Prolene. Pathology revealed this lesion to be a benign nevus with clear margins. What CPT® and ICD-9-CM code(s) should be reported? a. 13131, 11441-51, 173.3 c. 12051, 11441-51, 216.3 b. 13131, 11441-51, 172.3 d. 12051, 11641-51, 216.3 ____ 20. Patient has a suspicious lesion of the right axilla. The area was infiltrated with local anesthetic and prepped and draped in a sterile fashion. With the use of a 3 mm punch tool the lesion was excised and closed with 5.0 Prolene suture. Pathology report indicated this was a seborrheic keratosis. What CPT® and ICD-9-CM codes should be reported? a. 11100, 702.19 c. 11400, 702.11 b. 11400, 702.19 d. 11100, 702.11 ____ 21. The patient is here to see us about some skin tags of her neck and both underarms. She has had these lesions for some time and they are irritated by her clothing, they itch and at times have burning sensation to them. We discussed the treatments options along with the risks. Informed consent was obtained and we proceeded. We removed 16 skin tags from the right axilla, 16 skin tags from the left axilla, 10 from the right neck and 17 from the left neck. What CPT® and ICD-9-CM codes should be reported? a. 11057, 216.5, 216.4 c. 11200, 11201 x 4, 11201-52, 701.9 b. 11200, 216.5, 216.4 d. 11200, 11201 x 5, 701.9 ____ 22. Patient presents to the physician for the removal of a squamous cell carcinoma of the right cheek. After the area being prepped and draped in a sterile fashion the surgeon measured the lesion, documenting the size of the lesion to be 2.3 cm in its’ largest diameter, additional the physician took margins of 2mm on each side of the lesion. The patient tolerated the procedure well. What CPT® code(s) should be reported? a. 11642, 12013 c. 11643, 12013 b. 11643 d. 11442 ____ 23. Patient is diagnosed with actinic keratosis of the chest and arms, presents to her physician office for the destruction of these lesions. Using cryosurgery the physician destroys 7 lesions on the right arm, 4 lesions on the left forearm and 8 lesions on the chest. What CPT® and ICD-9-CM codes should be reported? a. 17000, 17003 x 18, 239.2 c. 17004, 702.0 b. 17003 x 19, 238.2 d. 17000, 17003 x13, 17004, 702.0 ____ 24. The patient is diagnosed with superficial basal cell carcinoma of the neck and cheek. After discussion with the physician about different treatment options the patient decides to have these lesions destroyed using cryosurgery. Consent is obtained and the areas are prepped in a sterile fashion. With the use of cryosurgery the physician destroys the lesion on the neck measuring 2.3 cm and the lesion on the cheek measuring 0.8 cm. What CPT® code(s) should be reported? a. 17272, 17281-51 c. 17273, 17281-51, 11623-51, 11641-51 b. 17273, 17281-51 d. 11623, 11641-51 ____ 25. Patient is a 69-year-old woman with a biopsy proved squamous cell carcinoma of her left forearm measuring 2.3 cm in greatest diameter. The area was marked with 4 mm gross normal margins. This area was removed as drawn, and the surgeon then incised his planned rhomboid flap, elevating the full-thickness flap into the defect and closing the sites in layers using 3-0 Monocryl, 4-0 Monocryl and 5-0 Prolene. The patient tolerated the procedure well. Final measurements were 2.7 cm x 2.1 cm. a. 14020 c. 13101, 11603-51 b. 14020, 11603-51 d. 15100, 11603-51