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Exam 22: Endocrine and Nervous Systems

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Question 21

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In the Surgery of Skull Base, the ____ procedure is what is done to the lesion.

A) radical
B) definitive
C) approach
D) intubation

E) A) and B)
F) A) and C)

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Question 22

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Incision and drainage of an infected thyroglossal duct cyst. CPT Code: ____________________

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Question 23

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Location: Inpatient Hospital OPERATIVE REPORT PRE/POSTOPERATIVE DIAGNOSIS: Herniated disc L4-5 on the left. PROCEDURE PERFORMED: Laminotomy, foraminotomy, and removal of disc at L4-5 on the left. ANESTHESIA: General. DESCRIPTION OF PROCEDURE: Under general anesthesia the patient was placed in the prone position. The back was prepped and draped in the usual manner. Incision was made in the skin and extended through subcutaneous tissue. The lumbodorsal fascia was divided. The erector spinae muscles were bluntly dissected from the lamina of L4-5. The interspace was localized via x-ray. We then performed a generous laminectomy/foraminotomy and saw the problem. There was sequestered disc on the body of L4-L5. I entered the disc space and removed much degenerating material both medially and laterally. Having cleaned out the disc space, I was satisfied the root was decompressed. We passed a hockey stick down the foramen and laterally there were no free fragments. We then irrigated the wound and closed the wound in layers utilizing double knotted 0 Chromic on the lumbodorsal fascia with 0 Vicryl, 2-0 plain in the subcutaneous tissue, and surgical staples on the skin. A dressing was applied. The patient was discharged to the recovery room in stable condition. CPT Code: ____________________

Within the Endocrine System description, the terms subtotal and ____ mean something less than the total.

This is the most commonly known neuroplastic procedure.

The physician drills a burr hole in the cranium to drain a subdural hematoma. CPT Code: ____________________

Destruction of infraorbital nerve with neurolytic agent. CPT Code: ____________________

The physician anesthetizes the vagus nerve. CPT Code: ____________________

Posterior hemilaminectomy with herniated discectomy L2 thru L4. (Separate the codes with a comma in your response as follows: XXXXX, XXXXX.) CPT Codes: ____________________, ____________________

When reporting a craniectomy/craniotomy procedure, it is common that additional ____ is required.

Match each term with the correct phrase below. -Craniotomy

The physician biopsies an intracranial lesion using stereotaxis. CPT Code: ____________________

During skull-based surgery, if one surgeon performs the approach and a second physician performs the definitive procedure and a third physician performs the closure, what modifier is appended to the definitive procedure code?