Question 1

How many layers does the epidermis consist of?

Accepted Answer

The epidermis consists of two main layers: the superficial layer, which is the stratum corneum, and the deeper layer, which includes the basal layer among others.

Question 2

The destroying of tissue using heat, cold, or chemicals is called:

Accepted Answer

The answer of The destroying of tissue using heat, cold,...

Question 3

A xenograft is a:

Accepted Answer

A xenograft refers to a graft that is taken from a donor of a different species than the recipient, such as a porcine (pig) graft used in humans.

Question 4

Total body surface area is often based on:

Accepted Answer

The rule of nines is a method used to estimate the total body surface area affected by burns.

Question 5

The patient record describes the patient as presenting with a pressure ulcer of the right lower back with abrasion, blistering and partial thickness skin loss involving the epidermis. This type of pressure ulcer would be described as being in which of the following stages.

Accepted Answer

Stage 2 pressure ulcers are characterized by partial thickness loss of dermis presenting as a shallow open ulcer with a red pink wound bed, without slough. This may also present as an intact or open/ruptured serum-filled blister. The description of abrasion, blistering, and partial thickness skin loss involving the epidermis aligns with the characteristics of a Stage 2 pressure ulcer.

Question 6

Alopecia and hirsutism are conditions affecting the:

Accepted Answer

Alopecia refers to hair loss, and hirsutism is the excessive growth of hair, particularly in women, in areas where hair is normally sparse. Both conditions specifically affect the hair.

Question 7

A pilonidal cyst is excised and the surgical wound is left open to heal. This is described by:

Accepted Answer

The correct code for the excision of a pilonidal cyst that is considered complicated and where the surgical wound is left open to heal is 11772. This code specifically denotes a complicated procedure, which aligns with the scenario described.

Question 8

The word integumentary translates from a Latin word that means:

Accepted Answer

The word "integumentary" is derived from the Latin word "integumentum," which means "to cover."

Question 9

To completely code a pressure ulcer, one is necessary to identify :

Accepted Answer

The answer of To completely code a pressure ulcer, one...

Question 10

Incision and Drainage of the Integumentary System is considered to be:

Accepted Answer

Incision and Drainage of the Integumentary System is considered to be a minor procedure with postoperative periods of 0 to 10 days.

Question 11

Inflammation is:

Accepted Answer

Inflammation is a localized response to injury or destruction of tissues, which is a part of the body's immune response to help remove harmful stimuli and begin the healing process.

Question 12

Itching is also referred to as:

Accepted Answer

Pruritis is the medical term for itching, referring to the uncomfortable sensation that leads to the urge to scratch.

Question 13

Code ranges 14000-14301 and 15570-15738 describe what type of procedure?

Accepted Answer

The code ranges 14000-14301 and 15570-15738 describe procedures related to Adjacent Tissue Transfers and Flaps, which are techniques used in reconstructive surgery to repair defects in the skin and underlying tissues.

Question 14

Conditions that lead to diaphoresis include:

Accepted Answer

Diaphoresis, or excessive sweating, can be caused by conditions such as hyperthyroidism, myocardial infarction, and drug withdrawal.

Question 15

When reexcision of a malignant lesion is performed during the postoperative period of the primary excision procedure, it would be appropriate to append modifier:

Accepted Answer

Modifier 58 is used to indicate a staged or related procedure performed during the postoperative period of the first procedure by the same physician. This is appropriate for reexcision of a malignant lesion if it was planned or anticipated as part of the treatment.

Question 16

Select the correct procedure codes to depict the following surgical case: "Patient presents for removal of 17 skin tags on the neck and ear. 11 tags are removed by ligature; 6 tags are removed by chemical cauterization."
CPT codes: 11200 "Removal of skin tags, multiple fibrocutaneous tags, any area, up to and including 15 lesions"
+11201 "Removal of skin tags, multiple fibrocutaneous tags, any area, each additional 10 lesions, or part thereof (list separately in addition to code for primary procedure)

Accepted Answer

The correct coding is 11200 for the first 15 skin tags and +11201 for the additional 2 skin tags, as the method of removal does not affect the coding and all skin tags are counted together.

Question 17

The provider's documentation states the following diagnostic statement: "Patient has a pressure ulcer on the left, upper back that is healing well." The coder would select the following to appropriately code this statement:

Accepted Answer

The correct code is D) L89.121, pressure ulcer, left upper back, stage 1, because it accurately reflects the location (left upper back) and condition (pressure ulcer, stage 1) as described in the provider's documentation. The other options are incorrect due to incorrect location or staging.

Question 18

Incision and Drainage may be performed for all of the following conditions except:

Accepted Answer

Incision and drainage are not typically performed for gangrene. Gangrene involves the death of body tissue due to either a lack of blood flow or a serious bacterial infection. Treatment for gangrene often involves surgery to remove the dead tissue, antibiotics, and sometimes hyperbaric oxygen therapy, rather than simple incision and drainage. Incision and drainage are more commonly used for conditions where there is a collection of pus or fluid that needs to be released, such as in the case of a foreign body presence, hematoma, or postoperative wound infection.

Question 19

The removal by skinning or trimming back overgrowth of cornified epithelial layers is:

Accepted Answer

Paring specifically refers to the removal or trimming back of overgrown or thickened skin, often seen in the treatment of corns or calluses, which are made up of cornified epithelial layers.

Question 20

Select the appropriate conversion equation between inches and centimeters:

Accepted Answer

1 inch is equal to 2.54 centimeters, which is the standard conversion factor used in converting inches to centimeters.

Quiz 8: Surgery Section: Integumentary System