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Trigger point injections. Patient with myofascial pain syndrome in the lower lumbar and upper sacral areas. Palpation of the longissimus muscle and the multifidus muscle for a total of eight trigger points. Trigger points were marked, and Marcaine 0.25% was injected into each trigger point. - Answer 20552 (Two muscles were injected; therefore, code 20552 should be assigned, located in the Musculoskeletal section, General Introduction/Removal section.) Cervical epidural steroid injection...

Arthroscope was inserted into the right shoulder. The rotator cuff showed fraying; however, not significant enough to require repair. Will follow patient if progresses and surgical intervention needed. - Answer 29805-RT (Diagnostic shoulder arthroscopy only performed; therefore, 29805-RT only assigned.) Bunionectomy with distal first metatarsal osteotomy including K wire fixation, right foot. Curvilinear incision made over the first metatarsal joint. Prominent hyperostosis was then remo...

Patient presents to the ED with a 1 cm laceration of the scalp for repair. Area was prepped and draped and the wound cleansed. Skin closure was accomplished with the two sutures. - Answer 12001 (Assigned 1 cm repair/scalp as complexity not stated would assume simple.) Excision of benign lesion: 4.0 cm arm, 2.0 cm leg, and 2.0 cm back - Answer 11404, 11402-51, 11402-59 (Three lesions were excised; therefore, three codes are needed. Arm lesion largest, therefore, most significant, 1...

When wound debridement is performed by curette to fibrin and slough, what code series would be utilized? - Answer (Codes from the Medicine Section, Active Wound Care Management would be assigned. The surgery debridement codes are for surgical excision with surgical instrumentation only and therefore not appropriate in this instance.) A complete abdominal ultrasound is ordered, and all structures are identified, the appendix is documented as "surgically absent." What service(s) sh...

Placement of ventilation tube, left ear, with local anesthesia - Answer 69433-LT (Placement of a ventilation tube, also known as a tympanostomy (create an artificial opening), is assigned 69433-LT when performed with local anesthesia only.) Left renal stone was seen, which was right next to the stent placed previously. Stone was targeted in both AP and lateral views. Starting at an energy of 2 Kv and going to 9 Kv, the stone was fragmented utilizing ESWL. Additional 500 shocks were requ...

Repair of umbilical hernia for a 62-year-old male. Incision was carried through subcutaneous tissue to the fascia level. The hernia sac was opened and excised along the umbilicus, and the incision was closed. - Answer 49585 (Open umbilical hernia repair is assigned code 49585 for 62 year old.) Planned colonoscopy with biopsy is not completed to reach the cecum due to tortuous colon. - Answer 45380-52 (Colonoscopy with biopsy was planned, code 45380. The procedure was not completed...

Patient arrived at the outpatient facility earlier in the morning and a localization wire was placed by the radiologist under mammographic guidance in the x-ray suite. The surgeon infiltrated around the wire and an incision was made between the left areola and the wire. A generous excision was made at least 2 cm around the wire, removing the lesion in question in toto. The margins were marked and specimen sent to pathology. The following codes were coded/billed by the surgeon's office: 19125-...

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Person-by-treatment research design - Answer researcher takes pre-existing participant groups (i.e man, woman), randomly assigns them to different levels of at least 1 independent variable (i.e status level) and compares them on one or more dependent variables Due to the incomplete random assignment, these designs have moderate experimental control Cause and effect conclusions are possible, but limited Ex post facto research design - Answer nonexperiemental design in which group...

psychic energy - Answer energy within motivating human activity (Freud) instincts (2 from freud later changed to one- like instinct) - Answer self-preservation instincts and sexual instincts libido - Answer life instinct thanatos - Answer urge to destroy, harm or aggress toward others to oneself death instinct preconscious - Answer easy retrievable information (what had for breakfast) blindsight - Answer injury/stroke cases blindness but eyes stil...

Cultural identity - Answer a person’s sense of belonging to a particular culture or group - formed by internalizing beliefs, values, norms, and social practices of one's culture sex - Answer biological categories based on physical attributes Gender - Answer attitudes, feelings, and behaviors that a given culture associates with a person's biological sex; socially constructed gender identity - Answer a person’s deeply-felt inherent sense of being a man, a w...

Criticisms of Freud's psychanalytic theory - Answer no experimentation/hypothesis testing negative view of human nature inherently sexist theories Freud's lasting contributions - Answer the unconscious defense mechanisms narcissism trait childhood development psychoanalysis Analytical Psychology - Answer Carl Jung - based on symbolism, mysticism, occultism, and the collective unconscious, archetypes psychoanalytic theory - Answer Sigmund Freud - unconsc...

all people are similar in some ways, we all need other people - Answer Human nature level people vary on common dimensions, some of us are more sociable than others - Answer Group level each person is unique - Answer individual level universal aspects of personality - Answer human nature people with a high need for power are popular, because they use their charm to get their way - Answer how and why people differ from each other her father's harsh criti...

emotions - Answer 1. have distinct subjective feelings associated w them 2. accompanied by bodily changes (nerve sys, heart rate, etc) 3. accompanied by distinct action tendances, or increases probability of certain behaviors. action tendencies - Answer ex: to flee or flight when experiencing fear functional analysis - Answer proposed by Charles darwin the "why" of emotions ex: dog growling= likely to attack emotional states - Answer transitionary state...

Acquiescence - Answer (also known as yea saying) A response set that refers to the tendency to agree with questionnaire items regardless of the content of those items. Active Genotype-Environment Correlation - Answer Occurs when a person with a particular genotype creates or seeks out a particular environment Actometer - Answer A mechanical motion-recording device, often in the form of a watch attached to the wrist. It has been used, for example, in research on the activity ...

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whats a good definition for viscosity - Answer viscosity is resistance to flow whats the flash point of number 2 heating fuel - Answer 115 degrees whats the pour point of number 2 heating fuel - Answer 17 degress Fahrenheit what is a btu - Answer the amount of energy to raise one pound of water one degree fairenheit choose the formula used to determine the cubic foot of air required for proper combustion - Answer GPHx1540x 1.25 = what would u do if you ha...

The oil-fired, forced-warm-air furnace has two main systems: Which are... - Answer Heat-producing system and heat-distributing system What is the heat-producing system? - Answer consists of the oil burner, fuel supply components, combustion chamber, and heat exchanger. What is the heat-distribution system? - Answer composed of the blower, which moves the air through the ductwork, and other related components After the thermostat calls for heat, what happens? - Answer ...

Which of the following statements is correct? Pressure is defined as: a) Weight per cubic foot. b) Force (as measured by weight) exerted against known area. c) Force (as measured by weight) exerted against known volume. d) All of the listed choices - Answer B Which of the following statements is correct? a) Gases flow from a low pressure to a higher pressure. b) Gases do not flow unless pushed by mechanical devices. c) Gases flow from a high pressure to a lower pressure. d...

Describe the purpose(s) of a combustion chamber. Select one or more: a. rapid heat up/cool down b. contains the flame c. reflects heat back into the flame - Answer a. rapid heat up/cool down b. contains the flame c. reflects heat back into the flame Increasing excess air will _______________ (increase or decrease) the temperature of the flame and ________________ (increase or decrease) the temperature of the flue gases leaving the heat exchanger. - Answer excess air will DE...