Practicode V (401-500) Testbank
Newest 2026-2027. Questions &
Correct Answers. Graded A
CaseID: OPD6928
Primary Diagnosis: S82.62XA
Secondary Diagnosis: S93.492A, Y93.51
CPT: 27829-LT, 27792-LT - ANS MEDICAL RECORD
SEX: MALEAGE: 26DATE OF OPERATION: 1/1/20XXPREOPERATIVE
DIAGNOSIS: DISPLACED LEFT ANKLE BIMALLEOLAR EQUIVALENT
FRACTURE.PROCEDURES: LEFT ANKLE ORIF, LATERAL
MALLEOLUS.POSTOPERATIVE DIAGNOSIS: LEFT ANKLE DISPLACED
FRACTURE OF LATERAL MALLEOLUS OF LEFT FIBULA WITH
DISRUPTION OF SYNDEMOSISSURGEON:ANESTHESIA: GENERAL,
ENDOTRACHEAL TUBE.ESTIMATE BLOOD LOSS: 25
CC.TOURNIQUET TIME: NONE.ANTIBIOTICS: 1 GM ANCEF PREOP
AND 1 GM ANCEF POSTOP.COMPLICATIONS: NONE.INDICATIONS:
The patient is a male who was rollerblading and sustained an injury to the
left ankle, which was bimalleolar equivalent with fracture dislocation. This
was closed reduced in the emergency room but was unstable. Options,
risks and benefits were discussed with the patient and he agreed with the
open reduction internal fixation.PROCEDURE: The patient was brought to
the operating room and anesthesia was induced via the endotracheal tube.
The left lower extremity was prepped and draped in sterile fashion.A
1
,longitudinal incision was made over the lateral malleolus and taken down
through the subcutaneous tissue to the fracture site which was
subperiosteally dissected, irrigated out and curetted. Anatomic reduction
was performed and held with a clamp. A 3.5 drill was then used to create a
gliding hole in the proximal fragment and then a 2.5 drill to the drill distal.
This measured and interfragmentary screw was placed.A 6-hole one-third
tubular plate from Smith & Nephew was then placed along the lateral cortex
and the proximal three holes were filled with cortical screws. The
syndesmosis was viewed, and disruption and we elected to put in two
syndesmotic screws which was done by holding the syndesmosis reduced
in a neutral.This was done with 3 cortex technique using 3.5 cortical screws
and then another cortical screw was placed distally. The interfragme
CaseID: OPD6943
Primary Diagnosis: S62.317A
CPT: 26608 - ANS MEDICAL RECORD
Age: 16 Sex: FemaleDate of Service: 1/1/20XXService Department:
Orthopedic Group GeneralPREOPERATIVE DIAGNOSIS: Left fifth
metacarpal base fracture.POSTOPERATIVE DIAGNOSIS: Left fifth
metacarpal base fracture.NAME OF PROCEDURE:1. Closed reduction pin
fixation of the left fifth metacarpal base fracture.2. Intraoperative use of
fluoroscopy.SURGEON: Dr. MDINDICATIONS: The patient is a female who
presents with a displaced left fifth base metacarpal fracture.DESCRIPTION
OF PROCEDURE: The patient was taken to the operating room where she
was first given axillary block anesthesia. Next her forearm and hand were
prepped and draped in the normal sterile circumferential fashion. Next her
arm was exsanguinated, tourniquet inflated 250 mmHg. Next, I manipulated
2
,the fracture and was able to get satisfactory reduction. I then placed one
0.62 K-wire across the fracture site through the joint. I used the image
intensifier to assess the reduction, and placement of this wire which were
both deemed to be quite good. At that point I bent and cut the wire,
irrigated the pin site, released tourniquet for a total tourniquet time of 6
minutes. The patient was then placed in dressing and ulnar gutter splint.
She tolerated the procedure well, and was sent to the discharge area in
stable condition.Electronically signed by 1/1/20XX
CaseID: OPD6944
Primary Diagnosis: M19.011
CPT: 23470-RT - ANS MEDICAL RECORD
Age: 60Sex: FEMALEDate of Service: 1/1/20XXService Department:
Orthopedic Group GeneralPREOPERATIVE DIAGNOSIS: (Degenerative)
primary osteoarthritis of right shoulder.POSTOPERATIVE DIAGNOSIS:
Same.NAME OF PROCEDURE: Arthroplasty, glenohumeral joint;
hemiarthroplastySURGEON:DESCRIPTION OF PROCEDURE: The
patient was taken to the Operating Room and after satisfactory general
anesthesia, her right shoulder was thoroughly scrubbed, prepped and
draped in the usual sterile manner. The shoulder was incised longitudinally
at the deltopectoral interval, starting just distal and anterior to the distal
clavicle and lateral to the coracoid process. The incision was carefully
carried down through subcutaneous tissue. The deltopectoral interval was
identified and the deltoid was retracted laterally and the pectoralis medially.
The Hawkins-Bell retractor was then inserted and the deltoid reflected
laterally and the short head of the biceps medially. The pectoral fascia was
incised. The scapularis was incised at it's insertion on the proximal
3
, humerus and reflected medially. The shoulder was then dislocated
anteriorly. The Biomet guide was then inserted and the humeral head
resected at 45 degrees of retroversion angle. Then using the Biomet
reamers, the patient's shoulder was reamed at a size 9. The broach was
then inserted. The glenoid was inspected and was quite smooth. There was
no glenoid wear. Therefore, this was left alone. The punch was used to
create the keel and the final prosthesis selected with appropriate matching
humeral head. This was impacted into the humerus. The head was then
impacted on the Morse taper of the stem and shoulder reduced. The
patient had excellent range of motion and stability. The insertion site for the
subscapularis had been prepared prior to the insertion of the prosthesis, by
placing dr
CaseID: OPD6946
Primary Diagnosis: M17.11
Secondary Diagnosis: M21.061
CPT: 27447-RT - ANS MEDICAL RECORD
SEX: Female AGE: 70DATE OF OPERATION: 1/1/20XXPREOPERATIVE
DIAGNOSIS:1. ADVANCED DEGENERATIVE JOINT - RIGHT KNEE2.
VALGUS DEFORMITYPROCEDURES: RIGHT TOTAL KNEE
ARTHROPLASTYPOSTOPERATIVE DIAGNOSIS: ADVANCED PRIMARY
DEGENERATIVE JOINT-RIGHT KNEE; VALGUS
DEFORMITYSURGEON: Dr. MDANESTHESIA:
GENERAL.ANESTHESIOLOGIST:PROCEDURE: After adequate induction
with general anesthesia and the patient in the supine position, a pneumatic
tourniquet was applied to the high right thigh region and not inflated. The
right lower extremity was scrubbed, prepped with Betadine and draped in
4
Newest 2026-2027. Questions &
Correct Answers. Graded A
CaseID: OPD6928
Primary Diagnosis: S82.62XA
Secondary Diagnosis: S93.492A, Y93.51
CPT: 27829-LT, 27792-LT - ANS MEDICAL RECORD
SEX: MALEAGE: 26DATE OF OPERATION: 1/1/20XXPREOPERATIVE
DIAGNOSIS: DISPLACED LEFT ANKLE BIMALLEOLAR EQUIVALENT
FRACTURE.PROCEDURES: LEFT ANKLE ORIF, LATERAL
MALLEOLUS.POSTOPERATIVE DIAGNOSIS: LEFT ANKLE DISPLACED
FRACTURE OF LATERAL MALLEOLUS OF LEFT FIBULA WITH
DISRUPTION OF SYNDEMOSISSURGEON:ANESTHESIA: GENERAL,
ENDOTRACHEAL TUBE.ESTIMATE BLOOD LOSS: 25
CC.TOURNIQUET TIME: NONE.ANTIBIOTICS: 1 GM ANCEF PREOP
AND 1 GM ANCEF POSTOP.COMPLICATIONS: NONE.INDICATIONS:
The patient is a male who was rollerblading and sustained an injury to the
left ankle, which was bimalleolar equivalent with fracture dislocation. This
was closed reduced in the emergency room but was unstable. Options,
risks and benefits were discussed with the patient and he agreed with the
open reduction internal fixation.PROCEDURE: The patient was brought to
the operating room and anesthesia was induced via the endotracheal tube.
The left lower extremity was prepped and draped in sterile fashion.A
1
,longitudinal incision was made over the lateral malleolus and taken down
through the subcutaneous tissue to the fracture site which was
subperiosteally dissected, irrigated out and curetted. Anatomic reduction
was performed and held with a clamp. A 3.5 drill was then used to create a
gliding hole in the proximal fragment and then a 2.5 drill to the drill distal.
This measured and interfragmentary screw was placed.A 6-hole one-third
tubular plate from Smith & Nephew was then placed along the lateral cortex
and the proximal three holes were filled with cortical screws. The
syndesmosis was viewed, and disruption and we elected to put in two
syndesmotic screws which was done by holding the syndesmosis reduced
in a neutral.This was done with 3 cortex technique using 3.5 cortical screws
and then another cortical screw was placed distally. The interfragme
CaseID: OPD6943
Primary Diagnosis: S62.317A
CPT: 26608 - ANS MEDICAL RECORD
Age: 16 Sex: FemaleDate of Service: 1/1/20XXService Department:
Orthopedic Group GeneralPREOPERATIVE DIAGNOSIS: Left fifth
metacarpal base fracture.POSTOPERATIVE DIAGNOSIS: Left fifth
metacarpal base fracture.NAME OF PROCEDURE:1. Closed reduction pin
fixation of the left fifth metacarpal base fracture.2. Intraoperative use of
fluoroscopy.SURGEON: Dr. MDINDICATIONS: The patient is a female who
presents with a displaced left fifth base metacarpal fracture.DESCRIPTION
OF PROCEDURE: The patient was taken to the operating room where she
was first given axillary block anesthesia. Next her forearm and hand were
prepped and draped in the normal sterile circumferential fashion. Next her
arm was exsanguinated, tourniquet inflated 250 mmHg. Next, I manipulated
2
,the fracture and was able to get satisfactory reduction. I then placed one
0.62 K-wire across the fracture site through the joint. I used the image
intensifier to assess the reduction, and placement of this wire which were
both deemed to be quite good. At that point I bent and cut the wire,
irrigated the pin site, released tourniquet for a total tourniquet time of 6
minutes. The patient was then placed in dressing and ulnar gutter splint.
She tolerated the procedure well, and was sent to the discharge area in
stable condition.Electronically signed by 1/1/20XX
CaseID: OPD6944
Primary Diagnosis: M19.011
CPT: 23470-RT - ANS MEDICAL RECORD
Age: 60Sex: FEMALEDate of Service: 1/1/20XXService Department:
Orthopedic Group GeneralPREOPERATIVE DIAGNOSIS: (Degenerative)
primary osteoarthritis of right shoulder.POSTOPERATIVE DIAGNOSIS:
Same.NAME OF PROCEDURE: Arthroplasty, glenohumeral joint;
hemiarthroplastySURGEON:DESCRIPTION OF PROCEDURE: The
patient was taken to the Operating Room and after satisfactory general
anesthesia, her right shoulder was thoroughly scrubbed, prepped and
draped in the usual sterile manner. The shoulder was incised longitudinally
at the deltopectoral interval, starting just distal and anterior to the distal
clavicle and lateral to the coracoid process. The incision was carefully
carried down through subcutaneous tissue. The deltopectoral interval was
identified and the deltoid was retracted laterally and the pectoralis medially.
The Hawkins-Bell retractor was then inserted and the deltoid reflected
laterally and the short head of the biceps medially. The pectoral fascia was
incised. The scapularis was incised at it's insertion on the proximal
3
, humerus and reflected medially. The shoulder was then dislocated
anteriorly. The Biomet guide was then inserted and the humeral head
resected at 45 degrees of retroversion angle. Then using the Biomet
reamers, the patient's shoulder was reamed at a size 9. The broach was
then inserted. The glenoid was inspected and was quite smooth. There was
no glenoid wear. Therefore, this was left alone. The punch was used to
create the keel and the final prosthesis selected with appropriate matching
humeral head. This was impacted into the humerus. The head was then
impacted on the Morse taper of the stem and shoulder reduced. The
patient had excellent range of motion and stability. The insertion site for the
subscapularis had been prepared prior to the insertion of the prosthesis, by
placing dr
CaseID: OPD6946
Primary Diagnosis: M17.11
Secondary Diagnosis: M21.061
CPT: 27447-RT - ANS MEDICAL RECORD
SEX: Female AGE: 70DATE OF OPERATION: 1/1/20XXPREOPERATIVE
DIAGNOSIS:1. ADVANCED DEGENERATIVE JOINT - RIGHT KNEE2.
VALGUS DEFORMITYPROCEDURES: RIGHT TOTAL KNEE
ARTHROPLASTYPOSTOPERATIVE DIAGNOSIS: ADVANCED PRIMARY
DEGENERATIVE JOINT-RIGHT KNEE; VALGUS
DEFORMITYSURGEON: Dr. MDANESTHESIA:
GENERAL.ANESTHESIOLOGIST:PROCEDURE: After adequate induction
with general anesthesia and the patient in the supine position, a pneumatic
tourniquet was applied to the high right thigh region and not inflated. The
right lower extremity was scrubbed, prepped with Betadine and draped in
4
