AAPC Quiz A, AAPC Exam B Study Guide with Questions and Correct Answers

INDICATION: Patient has a hypertrophic scar on the posterior side of the left leg, at the level of the knee. This has begun to restrict his mobility. His physical therapy trial was unsuccessful. PROCEDURE: After the proper induction of anesthesia, the subcutaneous tissue of the patient's left leg beneath the scar was infiltrated with crystalloid solution containing epinephrine to minimize blood loss. The scar was then excised down to viable dermis. Hemostasis was obtained with epinephrine soaked pads. Skin was created by the surgery. The graft was secured with skin staples, and then dressed with fine mesh guaze followed by medication-soaked gauze. The donor site was dressed with mesh followed by Adaptic followed by a dry dressing and an Ace wrap. A. 15110-52, 15002 B. 15100, 11406 C. 15100, 15002 D. 15110, 15002 - C. 15100, 15002 INDICATIONS: 15-yr-old boy was burned in a fire & assessed to have received burns to 75% of his total body surface area. He was transferred to a burn center for definitive treatment. Once stable, he was brought to the OR. PROCEDURE: Due to extent of the patients burns & lack of sufficient donor sites, his full-thickness burns will be excised & covered with xenograft (skin substitute graft), & a split-thickness skin biopsy will be harvested for preparation of autologous grafts to be applied in the coming weeks, when available. After induction of anesthesia, extensive debridement of the full-thickness burns was undertaken. Attention was first directed to the patients face, neck, & scalp. A total of 500 sq cm in this area received full-thickness burns. The eschar involving this area was excised down to viable tissue. Hemostasis was achieved using electrocautery. Attention was then turned to the trunk. A total of 950 sq - C. 15277, 15278 x 7, 15272, 15274 x16, 15004, 15005 x7, 15002, 15003 x 16, 15040 The physician is called in to perform repairs for a 17-year-old girl involved in a motor vehicle accident. She sustained an 8.6 cm laceration to her forehead, a 5.5 cm laceration to her right cheek, a 4 cm laceration to her left cheek, a 4 cm laceration across her chin, and a 12.5 cm laceration to her chest. The wound on her chin required a layered closer. All other wounds required complex closure. A. 13132, 13133 x 4, 13101, 12052 B. 13132, 13133 x 3, 13133-52, 13101, 13102, 12052