CPC Exam

FREE Certified Professional Coder Knowledge Skill Questions and Answers

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How should procedures be coded for certain conditions that have a root cause and show up in more than one body system because of the root cause? According to the ICD-10-CM's coding system, the underlying condition must be included for these conditions.

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The ICD-10-CM Official Rules, in "Section I. Conventions, general coding guidelines, and chapter-specific guidelines," suggest sequencing underlying diseases first, if relevant, followed by manifestation.

After being thrown 20 feet off his motorcycle, a 20-year-old man is brought to the emergency room. When a patient is admitted to the emergency room, their vital signs are 90/60 mmHg, 140 bpm, 24 breaths per minute, and loud. He is bleeding profusely from a wound in his right groin, has a bruise on his forehead, and his left leg is bent at an odd angle. Which kind of shock does this patient seem to be experiencing?

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Hypovolemic shock may be indicated by increased respiratory and pulse rates.

The bulbourethral gland is also referred to as:

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Cowper's gland is another name for the bulbourethral gland. It is one of two pea-shaped glands in the male reproductive system that are situated near the start of the internal section of the penis, beneath the prostate gland. During ejaculation, the gland mixes fluids with semen.

In a depression in the skull, this gland is found at the base of the brain:

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The pituitary gland is a gland that resides in a depression in the skull at the base of the brain. It is a tiny, pea-sized gland that resides in a separate space beneath the brain called the sella turcica. An endocrine gland with an average weight of 0.5 grams is the pituitary. The hypophoseal fossa, dorsum sellae, and tuberculum sellae make up the sella turcica.

For the past three months, a 15-year-old male has complained of discomfort around his knee joint. A physical examination reveals nothing other than a local ache in the knee joint near the femur's distal end. On the radiograph, the periosteum is elevated and there is an ill-defined mass affecting the distal end of the femur. A biopsy reveals osteoblasts linked to osteoid that are pleomorphic and mitotically active. The most likely diagnosis is which of the following?

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Osteosarcoma can be identified by the sarcoma's osteoid development. A young person's presentation and the tumor's metaphyseal placement in a long bone are consistent.

In the middle ear, this is situated:

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The middle ear, which is an air-filled, membrane-lined area positioned between the ear canal and the Eustachian tube, cochlea, and auditory nerve, is where the stapes bone is situated. The eardrum separates the middle ear from the ear canal.

This divides into three parts: the medulla oblongata, the pons, and the midbrain:

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The structure that joins the brain's cerebrum to the spinal cord and cerebellum is known as the brainstem. It is divided into three sections, which are listed in descending order: the midbrain, pons, and medulla oblongata.

The pacemaker of nature is as follows:

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The heart's natural pacemaker is the sinoatrial node. Every single normal pulse is started by it, and since its activity is tightly regulated, the heart rate may adjust quickly to changes in physiological demand.

The adenoids are contained in this, which is in the pharynx:

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The nasopharynx is the structure in the pharynx that has the adenoids. It is the pharynx, which is the top of your throat and where your nose meets your respiratory system. It has adenoids, which guard against infection.

The patient in this photograph is a 21-year-old female with a history of arm trauma. Which nerve has suffered damage most likely?

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There is an injury to the ulnar nerve. One of the main nerves that supplies the upper extremities (the arms) is the ulnar nerve, which emerges from the brachial plexus and runs down the arm. Typical ulnar nerve palsy in a photograph. Take note of the hypothenar muscles losing away and the clawing of the ulnar two fingers.

The outermost layer of the eyeball is referred to by this term:

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The sclera is the name for the eyeball's outermost layer. It is the strong, protective outer layer of the eyeball, covering four-fifths of the eyeball with dense fibrous tissue and serving as attachment points for the muscles that move the eye.

For the past three weeks, a 12-year-old kid has been experiencing right hip discomfort. When checked physically, his temperature is 38.2°C. There is swelling, pronounced palpable discomfort, and restricted range of motion in the area. On radiographs of the pelvis, the femoral metaphysis is shown to have regions of osteolysis and cortical erosion, as well as nearby soft tissue enlargement in the sub-periosteal region and what seems to be the development of an abscess. Choose the organism from the list that is most likely to cause these findings.

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Pyogenic osteomyelitis can develop as a result of an infection spreading via the blood. Staphylococcus aureus is the most frequent causative organism in children without a history of prior illness. The newborn period is when Haemophilus influenzae and Group B Streptococcus infections are most prevalent. Patients with sickle cell anemia are more likely to develop bone-related Salmonella infections.

This photograph was taken of a 34-year-old man patient who had previously experienced arm damage. Which nerve is most likely to have been damaged?

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There will be a "wrist drop" as a result of paralysis of the long forearm extensors. The hand's dorsal surface and the dorsal surfaces of the roots of the lateral three have a slight loss of sensation.

A 31-year-old female patient who has a history of arm trauma provided this photograph. The patient's hand is shown in the shot attempting to form a tight fist. Which nerve is most likely to have suffered damage?

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The long and index fingers often remain straight while the ring and little fingers flex when making a fist. The thumb opposition is frequently lost in low median nerve lesions, but the fingers can still move.

The femur head is received in a cup-shaped depression on the hip joint called the:

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Acetabulum refers to the cup-shaped depression on the hip joint where the head of the femur rests. Ilium, ischium, and pubis, the three parts of the hip bone, all contribute to its formation.

Experiencing tiredness and neck swelling, a 39-year-old lady was examined. What cardiovascular symptoms are most indicative of hypothyroidism among the following?

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Increased cardiac output, rate, and metabolism are all effects of thyroid hormones. Thyroid hormone deficiency results in Bradycardia and poor output.