Unless the question states otherwise, assume that a physician documented all the information provided. You have two minutes to complete each question. You may not use any outside materials for this exam other than the CPT, ICD-9-CM, and HCPCS Level II manuals. S ec t i on 1 1. What parts of the body are examined during a sigmoidoscopy? a. Rectum b. Sigmoid colon c. Portion of descending colon d. All of the above 2. During a cheiloplasty, the physician is repairing what part of the body? a. The cervix b. The lip c. The cecum d. The liver 3. What procedure involves the destruction of kidney stones by directing shock waves through liquid surrounding the patient? a. Cystourethroscopy b. Transurethral resection c. Lithotripsy d. Contact laser vaporization 4. What are the three layers of the skin? a. Epidermis, dermis, and subcutaneous b. Dermis, sweat gland, and dermis c. Subcutaneous, reticular, and papillary d. Dermis, subcutaneous, and exfoliative 5. What does the term epiphysis refer to? a. The short end of a bone b. The end of a long bone c. The top of a flat bone d. The edges of an irregular bone 6. Which term defines a swelling or mass of blood confined to an organ, tissue, or space caused by a break in a blood vessel? a. Hematuria b. Hematoma c. Hematemesis d. Hemangioma 7. Which term describes a type of fracture? a. Greenstick b. Comminuted c. Depressed d. All of the above 8. How does Hodgkin’s lymphoma difer from Non-Hodgkin’s lymphoma? a. The type of treatment the patient had in the past six weeks for an infarction. b. Hodgkin’s is a respiratory disorder that is only non-cancerous. c. It is staged as low-grade or high-grade bladder system disorder detected only in males. d. It is distinguished by the presence of Reed-Sternberg cells. 9. Which sufix means blood or blood condition? a. emia b. oma c. pena d. uria 10. What term refers to toward or nearer the midline? a. Ventral b. Distal c. Dorsal d. Medial 11. Which term describes an additional respiratory sound commonly referred to as wheezing? a. Rale b. Bruit c. Rhonchus d. Stridor 12. Which lung has three lobes? a. Left lung b. Right lung 13. What does the hard palate of the mouth form? a. A separation between the interior and exterior portion of the nose b. A barrier between the tonsils and the adenoids c. The floor of the nasal cavity separating the nasal and oral cavities d. The separation of the nasal septum 14. The nervous system can be grouped into what two major categories? a. Parasympathetic and sympathetic nervous systems b. Somatic and norepinephrine nervous systems c. Eferent and peripheral nervous systems d. Central and peripheral nervous systems 15. What are the main functions of the integumentary system? a. Sensation, protection, thermoregulation, and secretion b. Sensation, protection, secretion, and exchange of gases c. Sensation, secretion, fluid exchange, and thermoregulation d. Sensation, elimination of solid waste, and protection 16. The eyeball has which of the following? a. Incus, ethmoid, sinoatrial node b. Choroid, retina, vitreous c. Retina, choroid, vitreous, and malleus d. All of the above 17. True or false: The pineal gland is found in the brain near the thalamus and produces the hormone melatonin, which assists with sleep paterns. a. True b. False 18. Mobilization of an organ by freeing adhesions is referred to as? a. Irrigation b. Fusion c. Extraction d. Lysis 19. Bleeding from the bladder is best described by which term? a. Cystoptosis b. Cystorrhagia c. Cystorrhaphy d. Cystorrhexis 20. Which term means the tissue death of an artery or arteries? a. Atherostenosis b. Arterosclerosis c. Artherosclerosis d. Arterionecrosis 21. Which term describes a surgical puncture of the eardrum? a. Thoracentesis b. Arthrocentesis c. Tymponanocentesis d. Pleurodesis 22. True or false: The musculoskeletal system includes all of the following: muscles, bones, ligaments, tendons, joints, spinal cord, and cartilage. a. True b. False 23. While at church, Fred was standing on a chair when he fell. He suffered a closed Colles’ fracture and contusions to his right cheek, right elbow, right hand, and left leg. What codes would you report for this injury? a. 813.41, 920, 923.10, 923.20, 924.4, E884.2, E849.6 b. 813.41, 920, 923.11, 923.20, 924.5, E884.2, E849.6 c. 813.51, 920, 923.11, 923.20, 924.5, E849.6 d. 813.41, 920, 923.11, 923.20, 924.5, E884.2 24. Dr. Lloyd, Bill’s family physician, preformed a physical on Bill in December. Dr. Lloyd noted Bill had swollen glands, changes in blood tests and on chest x-ray, as well as the patient’s report of general fatigue and weight loss. Bill was scheduled to see a specialist the following week. Dr. Schapiro, the specialist, examined Bill, performed tests, and told him he had metastatic malignant melanoma from the lef lateral chest wall to the cervical lymph nodes. Today, Bill started treatment with Dr. Schapiro directed to his lymph nodes. What are the correct diagnoses codes for Dr. Schapiro’s treatment? a. 195.1, 196.0 b. 195.1, 196.2 c. 196.9, 195.2 d. 196.0, 195.1 25. Roger, a firefghter, was burned while fghting a forest fre. He is being treated in a burn unit, with burns to 30% of his total body surface area. The burns are reported as third- degree to 25% of his body. The remaining 5% are first- and seconddegree burns of the upper limb. How should you report the diagnoses codes? a. 948.32, 943.10, 943.20, E892 b. 948.33. 945.20, E892 c. 948.32, 943.20, E892 d. 943.20, 948.32, 943.10, E892 26. Rosemary, a 52-year-old female, returned to her physician for treatment of glaucoma and problems with peripheral angiopathy of her feet due to diabetes. She has had problems controlling her diabetes and is insulin dependent. Which diagnosis codes best describe this patient’s condition? a. 250.51, 250.71, 443.81, 365.44 b. 250.73, 250.53, 443.81 c. 250.51, 250.71, 443.81 d. 250.53, 250.73, 365.44, 443.81 27. Karen, a 26-year-old healthy female, sufered a cardiac arrest with administration of anesthetic during delivery. What are the correct diagnoses codes? a. 668.11, 427.5 b. 427.5, 668.10 c. 427.5, 668.11 d. 668.10, 427.5 28. A patient is being treated for an infection from a deep laceration of the head that occurred five weeks ago. The injury occurred during a motor vehicle accident. What codes would you use to report this problem? a. E929.0, 906.0, 139.8 b. 136.0, 906.0, E929.0 c. 139.8, 906.0, E929.0 d. E929.0, 958.3, 136.0 29. Thomas was seen in his primary care physician’s ofice for a chronic smoker’s cough. Thomas currently smokes five packs of cigaretes per day but is trying to quit smoking. Dr. Smith notes a chest x-ray reveals abnormal changes in his left lower lobe and designates “rule out lung cancer” as a working diagnosis. How should Dr. Smith report the diagnoses for this visit? a. 491.0, 305.11, 793.1 b. 786.2, 305.11, 793.1 c. 239.1, 491.0, 305.11, 793.1 d. 239.1, 305.11, 793.1 30. Today, Dr. Arnold is treating Harry for a sprained ankle and foot. Harry injured himself when he fell off a sidewalk curb at a local restaurant. Harry has HIV and is stable on his current medications. How would Dr. Arnold report the diagnoses for this visit? a. 042, 845.00, E880.1, E849.6 b. 845.00, 042, E880.1, E849.6 c. 885.00, 042, E880.1, E849.9 d. E880.1, E849.6, 042, 845.0 31. Dr. Nancy prescribed Ibuprofen for Ben’s back pain. He took this medication as prescribed for two weeks. He started to have stomach pains and followed up with his doctor. Dr. Nancy noted “gastritis due to the medication” during the follow-up visit. What code(s) would be correct for the follow-up visit? a. 535.50 b. 965.61, E935.6 c. E935.6, 535.51 d. 535.50, E935.6 32. Sherri presents for her regularly scheduled chemotherapy and radiation treatment. She is being treated for cancer in situ of the bladder wall. How would you list the diagnoses codes for this visit? a. 233.7, V5.0, V58.11 b. 188.9, V58.11 c. V58.0, V58.11, 233.7 d. 233.7, V58.11 33. Today, Daisy, a 72-year-old patient presents with chest pain due to an anterior wall myocardial infarction that was treated 12 weeks ago. She started to have chest pain while gardening and complains of a painful rash on her right leg due to contact with poison ivy. How would the doctor list the diagnoses codes for this encounter? a. 414.8, 692.6 b. 414.8, 786.50, 692.6 c. 410.12, 692.6 d. 410.12, 786.50, 692.6 34. Amy receives her new prosthetic wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad with an upper extremity addition, disconnected locking wrist unit. How would the facility report the HCPCS Level II codes? a. L6055, L6615 b. L6055, L6616 c. L6050, L6615 d. L6050, L6616 35. Bryce was burned on his left upper arm and requires a graft of nine sq. cm of tissue. He is being treated with dermal and epidermal tissue substance of human origin, Apligraft. What HCPCS Level II code should you report? a. J7341 x 9 b. J7330 c. J7340 d. J7340 x 9 36. A 75-year-old patient with a history of malignant neoplasm of the lower gastrointestinal trace presents for his follow-up colorectal cancer screening. Today, he has a colonoscopy. What HCPCS Level II code describes this procedure? a. G0104 b. G0105 c. G0120 d. G0121 37. Jose injured his eye while building a fence in his backyard. He sees his physician and is told to keep his eye covered while it heals. The physician gave him five sterile eye pads. What is the correct HCPCS Level II code for the eye pads? a. A6411 b. A6411 x 5 c. A6410 x 5 d. A6410