Respiratory/CardiovascularPreoperative diagnosis: Respiratory insufficiencyPostoperative diagnosis: Respiratory insufficiencyOperation: Tracheostomy with division of thyroid isthmusEstimated blood loss: Less than 10 mLFluids: CrystalloidComplications: NoneTechnique: The patient was brought to the operating room and placed in the supine position. He was given general anesthesia through his existing oral intubation tube. The anterior neck was prepped and draped in the usual sterile fashion. Lidocaine 1% with 1:100,000 epinephrine was infiltrated into the skin at the lower neck.A transverse incision was made at the cricoid ring level through skin and subcutaneous fat. The platysmal layer was traversed, and then the strap muscles were separated in the midline. The thyroid isthmus was ligated and divided with #2-0 silk ligatures. An inferiorly based tracheostomy flap was created using the second and third tracheal rings and sewn into place with a #3-0 chromic stitch to the inferior dermis margin.Hemostasis was achieved using suction cautery. At this point, the oral intubation tube was withdrawn, and a #8 Shiley low-pressure cuffed tube was passed into the newly created trach site. The trach ties were tied securely into place, and the cuff was inflated to a comfortable pressure. The patient then received further ventilation through the newly placed trach tube. The patient was then allowed to awaken from general anesthesia and was taken back to the ICU in stable condition.Select the appropriate ICD-10-CM and CPT code(s):

Urinary, Male/Female Reproductive Systems, Maternity/DeliveryA surgeon performs a ritualistic surgical circumcision on a 30 day old male. Select the appropriate ICD-10-CM and CPT code(s):

Integumentary SystemMary underwent removal of 20 skin tags on her neck with use of ligature strangulation and cauterization. Select the appropriate ICD-10-CM and CPT code(s):

Evaluation and ManagementDr. Green works for a house-call physician service. She was called to evaluate a new patient, an 88-year-old bedridden woman who has developed a painful rash on her posterior left side of the trunk, extending from C6 to C7 around the right side and ending midline on the anterior trunk just below the sternum. The physician performs a detailed history and a detailed examination and medical decision making is of low complexity. She diagnoses the patient with shingles. Select the appropriate codes.

Medical TerminologyThe rapid discharge of menstrual blood between periods is called:

MusculoskeletalMrs. Jones was brought to the OR for open reduction by posterior approach of fractures to vertebrae at L4 and L5 as a result of a car accident. Select the appropriate ICD-10-CM and CPT code(s):

Urinary, Male/Female Reproductive Systems, Maternity/DeliveryDoug, a 45-year-old patient with ESRD, receives a unilateral cadaver kidney transplant. The surgeon performs the backbench work in addition to the transplant. Select the appropriate ICD-10-CM and CPT code(s):

Urinary, Male/Female Reproductive Systems, Maternity/DeliveryGregory underwent a prostatomy for drainage of a complicated prostatic abscess. Select the appropriate ICD-10-CM and CPT code(s):

Medical TerminologyA wall dividing two cavities is the definition of:

Nervous System, Eyes, Ears, EndocrineSam, a welder, was seen today by the ophthalmologist for removal of a welding flash from his left eye. The flash had caused a nonperforating tear in the cornea. The ophthalmologist removed the flash and repaired the cornea. Select the appropriate ICD-10-CM and CPT code(s):