CPC sample question # 8

CPC sample question # 8

Preoperative Diagnosis: Status post left ureterolithotomy. Postoperative Diagnosis: Status post ureterolithotomy; calculus of right renal pelvis. Operative technique: The patient was brought to the cystoscopy suite on an outpatient basis status post left ureterolithotomy (6 hours ago) with an indwelling double J ureteral stent placed during surgery. She was brought in for stent removal. Patient…

CPC sample question # 9

CPC sample question # 9

Preoperative Diagnosis: Cataract, left eye. Postoperative Diagnosis: Cataract, left eye. Anesthesia: Retrobulbar, IV sedation. Anesthesia: Phacoemulsification with intraocular lens implantation in the left eye. Indications: The patient is an elderly is an elderly female who has had blurry vision in the left eye for six months causing her difficulty while driving and reading. Her best correct visual acuity is 20/40…

CPC sample question # 7

CPC sample question # 7

Procedure: ERCP with sphincterotomy and removal of common duct stone Indication for Procedure: The patient is a 62-year-old women with documented obstructing common duct stone. She is status post T-tube insertion for creation of a biliary drainage tract. She now present for sphincterotomy and stone removal. Description of Procedure: The patient was brough to the…

CPC sample question # 14

CPC sample question # 14

Indications: This is a third follow-up dilation for this patient. He had a pyloric channel uncer, which has been slow to heal and has hadsubsequent pyloric stenosis and obstruction. This is a repeat evaluation and dilation. Procedure: With the patient in the left lateral decubitus position, the endoscope was inserted into the proximal esophagus and…

CPC sample question # 12

CPC sample question # 12

Description of Procedure: Left heart catherterization, left ventriculography, and selective coronary arteriography were performed percutaneously via the right femoral artery under local xylocaine anesthesia. At the conclusion of the procedure, the catheters were withdrawn and hemostasis was obtained with firm pressure at the puncture site. The procedure was uncomplicated and the patient tolerated the procedure…

CPC sample question # 4

CPC sample question # 4

Procedure Reason: Subdural hematoma. Evaluation for AVM. Medications: 2 mg Versed IV, 100 mcg Fentanyl IV. Complications: None. Contrast: 115 cc of Omnipaque-300. Risks, benefits, and alternatives to the procedure were explained to the patient and informed written and oral consent was obtained. A 21 gauge micropuncture needle was used to puncture the left common…

CPC sample question # 10

CPC sample question # 10

Preoperative Diagnosis: Pelvic mass, probable ovarian neoplasm. Postoperative Diagnosis: Neurofibroma of the retroperitoneum. Anesthesia: General. Findings: Uterus, tubes, and ovaries were unremarkable bilaterally; however, the ureters were adherent to the bladder base and upper rectum; very large retroperitoneal mass extending to the pelvic brim. Estimated  Blood  Loss: 500 cc. Indications: Pelvic pain. Description of procedure:…

CPC sample question # 3

CPC sample question # 3

Preoperative Diagnosis: Benign prostatic hypertrophy with urinary obstructive symptoms Postoperative Diagnosis: Benign prostatic hypertrophy with urinary obstruction Procedure: Transurethral resection and vaporization of the prostate. Insertion of suprapubic catheter. Anesthesia: General. Description of procedure: With the patient in the dorsal lithotomy position after   successful induction of general endotracheal anesthesia, the patient’s penis and perineum were…

CPC sample question # 13

CPC sample question # 13

Indication: Chronic pelvic pain. Procedure: The patient was taken to the operating room and IV infusion was performed. She was placed on the operating table in the dorsal supine position. Following induction of general endotracheal anesthesia, she was placed in the dorsal lithotomy position. Her abdomen and perineum were prepped and draped in the usual sterile fashion…

CPC sample question # 1

CPC sample question # 1

Preoperative Diagnosis: Dupuytren’s contracture Postoperative Diagnosis: Same Procedure Performed: Biopsy of mass, volar aspect right hand Anesthesia: Medial and ulnar nerve block Findings: This 48-year-old white female has been struggling with a limp over the volar aspect of her right hand for several months. The mass is firm, fixed, and appears to getting larger. The patient notes discomfort in this…