Amazinggrace

A morbidly obese male with an unstable cervical fracture and a history of a difficult intubation (Mallampati class IV and mouth opening <15mm) is scheduled for a C3-4 cervical fusion. Which intubation technique with in-line stabilization is MOST appropriate? a. Asleep Direct Laryngoscopy b. Awake video laryngoscopy c. Asleep fiberoptic bronchoscopy d. Awake fiberoptic bronchoscopy -Answer D - Awake Fiberoptic Bronchoscopy Airway management with a supraglottic airway is CONTRAINDICATED ...

When a patient has a blood test for HIV that is inconclusive, what ICD-10-CM code is assigned a. Z21 b. R75 c. B20 d. Z11.4 -Answer b. R75 What does MRSA stand for a. Methicillin Resistant Staphylococcus Aureus b. Methicillin Resistant Streptococcus Aureus c. Moderate Resistance Susceptible Aureus d. Mild Resistance Steptococcus Aureus -Answer a. Methicillin Resistant Staphylococcus Aureus What does the forth character in diabetes mellitus diabetes codes indicate? a. The condition as...

What two accreditors state: a hospital may not rely solely on board certification when considering practitioner for medical staff membership? -Answer HFAP, CMS According to JC & HFAP name four approved sources PSV for Medical Education -Answer Medical School, AMA, ECFMG, AOA According to NCQA practitioners must be notified of credentialing decision within how many days? -Answer 60 Days The DHHS mails a copy of the NPDB report to the named provider. If the provider wishes to dispute the re...

Abstractor - hospital employee who converts documented procedurs and diangoses into medical codes Abuse - coding practices that lead to improper reimbursement by error because they do not meet medical necessity, ex. changing diagnosis to be covered by insurance Accreditation - an examination process the healthcare facility goes through to evaluate the facilities policies, procedures, and performance to meet higher standards. Accredited - Having seal of approval after being evaluated and de...

46 year-old female had a previous biopsy that indicated positive malignant margins anteriorly on the right side of her neck. A 0.5 cm margin was drawn out and a 15 blade scalpel was used for full excision of an 8 cm lesion. Layered closure was performed after the removal. The specimen was sent for permanent histopathologic examination. What are the CPT® code(s) for this procedure? A. 11626 B. 11626, 12004-51 C. 11626, 12044-51 D. 11626, 13132-51, 13133 -Answers C. 11626,12044-51 Accord...

A Balancing Authority notices that Operating Reserve has steadily declined throughout the hour. What is the most likely cause? a) Loss of a large generator in the area b) An inaccurate load forecast c) Loss of a major transmission line d) A malfunction of EMS -Answer b) An inaccurate load forecast Balancing Area A notices that the Interconnection frequency is 59.94 Hz and their ACE is 0. Which of the following could be the cause of this reading? a) A net under-generation in Balancing Are...

What group can approve a change in the Disturbance Recovery Period for an Interconnection? a. NERC Interconnection Working Group b. NERC Operating Committee c. NERC Regional Council d. NERC Disturbance Analysis Working Group -Answer b. NERC Operating Committee What is the first thing an operator should do after a relay operation? a. Check power system stabilizers b. Notify adjacent Transmission and Balancing areas c. Check targets and equipment d. Notify their PSE that the transmission ...

How Many Active Standards are in BAL (Resource and Demand Balancing) - Answer There are 8 Active Standards Listed Below: BAL-001-2 Real Power Balancing Control Performance Related Information Subject to Enforcement BAL-001-TRE-1 Primary Frequency Response in the ERCOT Region Related Information Subject to Enforcement BAL-002-3 Disturbance Control Standard - Contingency Reserve for Recovery from a Balancing Contingency Event Subject to Enforcement BAL-002-WECC-2a Contingency Reserve Relat...

Frequency Bias and Jointly Owned Units (JOU) -Answer BAs that use dynamic schedule or pseudo-ties for a jointly owned unit share responsibility for it in their bias settings. Fixed schedules for JOU require host BA to include total response for them in their bias setting. Frequency Bias and BA frequency response -Answer BAs must maintain a frequency bias that is equal to or greater than the BA frequency response. If the frequency bias is less than the frequency response, ACE remains positiv...

BAL-001-0.1a - Real Power Balancing Control Performance BAL-STD-002-0 - Operating Reserves (WECC) BAL-003-0.1b - Frequency Response and Bias BAL-004-0 - Time Error Correction BAL-004-WECC-01 - Automatic Time Error Correction BAL-005-0.1b - Automatic Generation Control BAL-006-2 - Inadvertent Interchange COM-001-1.1 - Telecommunications COM-002-2 - Communications and Coordination CIP-001-1a - Sabotage Reporting

Operating reserve may be provided by which of the following? A. LTCs B. Capacitor banks C. Voltage regulators D. Interruptible loads -AnswerD. Interruptible loads Which of the following is the responsibility of a reserve sharing group (RSG)? A. Complying with DCS as if it was a single control area B. Proving regulation service for neighboring RSGs C. Ensuring each control area in the group maintains 50% blackstart capability D. Complying with the control performance standards as if it w...

System studies identify what -Answer Predict operations and identify constraints If ACE remains the same and frequency goes up what has happened? -Answer Someone lost load When a generator has its AVR in service it is a? -Answer Dynamic source of reactive power Black start resource testing is done every? -Answer 3 years Each BA shall operate its AGC on? -Answer Tie line Frequency Bias When is voltage reduction reportable? -Answer Greater than 3% Reactors do what? -Answer Absorb VARs What...

EDE - Energy Deficient Entity Ime - meter error DCS - Disturbance Control Standard DFRs - Digital Fault Recorder LOFT - Linear on the fly testing SCADA - Supervisory Control and Data Acquisition EMS - Emergency Management System SPS - Special Protection Systems ACE - Area Control Error Fs - frequency Schedule RCIS - Reliability Coordinator Information System

CIP-002 - BES Cyber System Categorization CIP-003 - Security Management Controls CIP-004 - Personnel and Training CIP-005 - Electronic Security Perimeter CIP-006 - Physical Security of BES Cyber Systems CIP-007 - System Security Management CIP-008 - Incident Reporting and Response Planning CIP-009 - Recovery Plan for BES Cyber Systems

According to Nerc Standards, an emergency interchange transaction can be exempt from tagging if it is less than_________________ -Answer 60 minutes A BA or LSE that requests an EEA 3 must complete and EEA 3 report and submit it to the RC within how many days -Answer 2 business days During restoration efforts load pick-ups should not exceed_____________ percentage of synchronized generation capacity -Answer 5% What are the two components that a system operator should be aware of for control...

At what torque angle of operation does power typically begin to flow from the generator to the system? A) 90 degrees B) 60 degrees C) 30 degrees D) 10 degrees -Answer 10 degrees Choose the answer that best describes the operation of a rotor. A) The stationary part of the transmission system. B) A type of superconductor. C) The stationary element of a generator that has its windings connected to the system. D) The excited (energized) field winding that rotates inside the stator to induc...

A misoperation occurred when an overhead ground wire on a 230KV transmission line between two substations broke and fell across A phase of the line. One of the line circuit breakers failed to open causing the breaker failure relay to pick up and as a result tripped the entire substation bus off line that the failed circuit breaker was feeding off of. Who is charged with the responsibility to develop procedures to ensure misoperations are reviewed and analyzed to determine proper mitigation ...

If a Balancing Authority does not comply with the Control Performance Standard, the Balancing Authority is not permitted to provide which of the following for any other Balancing Authority entities? -Answer Regulation of other services related to control performance 1. It is the obligation of each Balancing Authority to fulfill its commitment to the Interconnection and not ________ the other balancing Authorities in the Interconnection - Answer Burden A Balancing Authority is performing Ov...

What percentage of load gives a 1 Hz change in an island condition? -Answer 6-10% (Think 6- 10 day island vacation) If ACE is Zero but system Hz is off, what should a system operator do? -Answer Nothing! ACE bias and interchange schedule will improve frequency If ACE is Zero, why not adjust generation to help frequency? -Answer Could overload equipment, this is a NERC violation When restoring from blackout condition, what should be done with load? -Answer All load breakers should be opene...

When using a dynamic schedule and the energy profile in an hour is >250 MW and the actual hourly integration deviates from the hourly energy profile by ____ the tag must be modified. A. 100 MW B. 10% C. 50 MW D. 25% -Answer B. 10% Dry steam plants, flash steam plants, and binary cycle power plants are the three main types of what kind of generating plant? A. Nuclear generators B. Combustion turbine generators C. Geothermal generators D. Hydroelectric generators -Answer C. Geotherma...