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CAISS 2 ACTUAL EXAM 300
QUESTIONS WITH DETAILED
VERIFIED ANSWERS 100%
CORRECT ALREADY GRADED A+
"What structure is papillary muscle injury coded to? - CORRECT ANSWER=> intracardiac chordae tendineae" "What are cauda equina lacerations coded as? - CORRECT ANSWER=> cauda equina contusion" "What are named ligament injuries in the upper extremity coded as? - CORRECT ANSWER=> sprain in the associated joint" "T/F Electrical injury w/cardiac arrest documented by medical personnel includes documentation from EMS or pre-hospital personnel. - CORRECT ANSWER=> True" "Hole, break, or opening made through entire thickness of a membrane, wall or tissue of an organ or structure of the body. - CORRECT ANSWER=> perforation" "Breaking open or bursting to forcibly disrupt tissue resulting in a hole, break or opening with stellate edges or devitalized/fragmented tissue, made through entire thickness of membrane or other tissue of an organ or structure. - CORRECT ANSWER=> rupture" "What are GSW with missile "lodged in" bone coded as? - CORRECT ANSWER=> open fracture" "T/F LOC codes may be used even in the absence of a diagnoses of "concussion" as long as the LOC is documented by a physician or APP. - CORRECT ANSWER=> True" "Any penetrating injury involving the brain stem should be coded to _______________, no matter how many other regions of the brain are also involved. - CORRECT ANSWER=> brain stem, penetrating injury (140216.6)"
"What is the surgical neck of the humerus coded to? - CORRECT ANSWER=> proximal humerus - extra articular (751151.2)" "What is the general structure of the chapters in the AIS dictionary? - CORRECT ANSWER=> whole area vessels nerves internal organs skeletal" "What additional section does the head chapter have in the AIS dictionary? - CORRECT ANSWER=> concussion" "What additional sections does the upper/lower extremity chapters have in the AIS dictionary? - CORRECT ANSWER=> muscle, tendon, ligaments joints" "Represents AIS coding rules and conventions - CORRECT ANSWER=> boxed and bold text" "Denotes inclusive or exclusive information? - CORRECT ANSWER=> brackets" "Includes synonyms or occasionally, non-clinical terms - CORRECT ANSWER=> parentheses" "Separates injury descriptors that are comparable in severity - CORRECT ANSWER=> semicolons" "Identifies an anatomical structure - CORRECT ANSWER=> bold type" "Used for proper-named anatomical structures or injuries, and for OIS grades - CORRECT ANSWER=> italics" "What system used if the coder requires further degrees of injury specificity? - CORRECT ANSWER=> localizers" "How many digits could the full post-dot code be for coder's using the localizer system? - CORRECT ANSWER=> five" "What are the 2 components of the localizer system? - CORRECT ANSWER=> localizer 1 (L1)
"What descriptor is used for "extra axial" brain injuries - CORRECT ANSWER=> hematoma (hemorrhage) NFS" "Generic description of swollen brain - CORRECT ANSWER=> brain swelling" "Specific type of brain swelling due to increased brain water content - CORRECT ANSWER=> brain edema" "Brain _________ is best distinguished by the presence of hypodensity (more black than normal brain) on CT, or hypointensity on T1 or hyperintensity on T2 or flair MRI imaging. - CORRECT ANSWER=> edema" "Brain ________ is seen as isodense or slightly hyperdense on CT or isodense on MRI. - CORRECT ANSWER=> swelling" "What part of the brain includes, basal ganglia, thalamus, putamen and globus pallidius? - CORRECT ANSWER=> cerebrum" "How do you code brain injury if both white matter/basil ganglia AND corpus callosum are involved? - CORRECT ANSWER=> only code most severe, not both" "What part of the brain is DAI coded to? - CORRECT ANSWER=> cerebrum" "T/F Only code brain swelling/edema when directly related to head trauma. (not anoxia or perilesional) - CORRECT ANSWER=> True" "What is body region and structure is the frontal sinus coded to? - CORRECT ANSWER=> head, skull vault" "How is coma defined? - CORRECT ANSWER=> absence of eye opening to painful stimuli no word utterances no following of commands (GCS 1-2-5=8 or less)" "T/F If chemical paralysis or sedation preclude GCS evaluation, then diagnosis of coma can not be made. - CORRECT ANSWER=> True" "What is ossicular chain? What body region does it code to? - CORRECT ANSWER=> ear bone
face" "Globe injuries are coded to _____________ in the ____________ body region. - CORRECT ANSWER=> sclera face" "Is bilateral maxilla injuries code together? or separate? - CORRECT ANSWER=> together, code as one injury" "What structure is orbital roof coded to? - CORRECT ANSWER=> skull base" "Tripod and malar fractures are included with __________ fractures. - CORRECT ANSWER=> zygoma" "What body regions include the vagus nerve? (cranial nerve X) - CORRECT ANSWER=> head or neck chest abdomen" "What structure includes the thyroid and cricoid cartilage? - CORRECT ANSWER=> larynx" "If esophagus or trachea injury site is unknown, do you code to the neck? or the chest? - CORRECT ANSWER=> neck" "The innominate artery is also known as the _____________ artery and is coded to the ___________ body region. - CORRECT ANSWER=> brachiocephalic chest" "What 2 body regions is the vena cava included in? - CORRECT ANSWER=> superior - chest inferior - chest & abdomen" "T/F Bilateral iliac artery NFS, bilateral is for common iliac artery only. - CORRECT ANSWER=> True (not for internal or external)" "What 3 abdominal arteries are coded to "other named arteries" - CORRECT ANSWER=> hepatic renal splenic"
"What spinal cord injury includes penetrating injury, transection or crush? - CORRECT ANSWER=> cord laceration" "T/F code spinal dislocation (subluxation) as one injury and assign to superior vertebra. - CORRECT ANSWER=> True" "Code C1 posterior arch to ___________. - CORRECT ANSWER=> lamina" "Code C1 lateral mass to ___________. - CORRECT ANSWER=> pedicle" "Code C1 anterior arch to ___________. - CORRECT ANSWER=> vertebral body, NFS" "What cord injury includes the diagnosis of compression, epidural or subdural hemorrhage documented by imaging or autopsy? - CORRECT ANSWER=> cord contusion" "Pars interarticularis is coded to ___________. - CORRECT ANSWER=> pedicle" "What are 2 examples of upper extremity "other named arteries" - CORRECT ANSWER=> 1) radial
- ulnar" "Do you code extremity vessel injuries separately when they are directly involved in crush injury or amputation? - CORRECT ANSWER=> No (unless vascular injury is higher in severity than crush or amputation)" "What are 2 examples of upper extremity "other named veins"? - CORRECT ANSWER=> 1) cephalic
- basilic" "A diagnosis of nerve palsy or neuropraxia should be coded as _____________. - CORRECT ANSWER=> nerve contusion to specific nerve" "Is a clinical diagnosis of an extremity fracture acceptable for AIS coding if the patient dies before radiology is done? (no autopsy either) - CORRECT ANSWER=> Yes" "Is the lateral end of the clavicle known as the PROXIMAL or DISTAL? - CORRECT ANSWER=> distal" "What's another name for "digit" - CORRECT ANSWER=> phalange"
"What are 2 examples of lower extremity "other named arteries"? - CORRECT ANSWER=> 1) tibial
- peroneal" "What is an example of lower extremity "other named vein" - CORRECT ANSWER=> saphenous" "What nerve is "foot drop" coded to? - CORRECT ANSWER=> peroneal nerve w/motor loss" "What ligament are MCL and LCL injuries coded to? - CORRECT ANSWER=> collateral ligament" "What ligament are ACL and PCL injuries coded to? - CORRECT ANSWER=> cruciate ligament" "What should a diagnosis of "ankle fracture" with no further detail be coded as? - CORRECT ANSWER=> leg fracture, NFS (852002.2)" "What area of the femur is a subtrochanteric fracture coded to? - CORRECT ANSWER=> shaft" "What descriptor should be used if the specific anatomic location of a bimalleolar fracture is not know? - CORRECT ANSWER=> fibula fracture, NFS (854441.2)" "The posterior arch of the pelvis includes _________, _________, and __________. - CORRECT ANSWER=> 1) sacrum
- SI joints & their ligaments
- posterior ilium" "The anterior arch of the pelvis includes ___________ and ___________. - CORRECT ANSWER=>
- pubic rami
- symphyseal joint" "Type of pelvic fracture, not involving the posterior arch; pelvic floor intact and able to withstand normal physiological stresses without displacement. - CORRECT ANSWER=> stable" "Type of pelvic fracture where posterior osteoligamentous integrity partially maintained and pelvic floor intact. - CORRECT ANSWER=> partially stable" "Type of pelvic fracture that includes complete loss of posterior osteoligamentous integrity; pelvic floor disrupted - CORRECT ANSWER=> unstable"
"How to code burns ONLY described as combined degrees? (e.g. 15% first and second degree) - CORRECT ANSWER=> code to most severe" "When burns occur in varying degrees, which type of burns are always coded separately from the others? - CORRECT ANSWER=> first degree" "How to code burns when the second degree and third degree are <10%? - CORRECT ANSWER=> separately" "How to code burns when the combined second and third degree are >10% - CORRECT ANSWER=> combined" "When coding a burn related amputation, do you code both the burns and the amputation? - CORRECT ANSWER=> No, code as amputation to extremity body region" "What are the age breaks for a first degree burn injuries? - CORRECT ANSWER=> > 1yr old (any TBSA) ≤ 1yr old (≤50% & >50%)" "What is the age break for 2nd & 3rd degree burn injuries? - CORRECT ANSWER=> <5 yr old" "What body region is asphyxia/suffocation assigned to? - CORRECT ANSWER=> head" "What is caustic agent inhalation injury coded under? - CORRECT ANSWER=> thorax" "What is caustic agent ingestion injury coded to? - CORRECT ANSWER=> specific organ (e.g. esophagus, stomach)" "What body region is drowning assigned to? - CORRECT ANSWER=> chest" "acoustic & auditory nerves are part of which cranial nerve? - CORRECT ANSWER=> vestibulocochlear" "What body region is decapitation coded to? - CORRECT ANSWER=> neck" "vestibular aparatus - CORRECT ANSWER=> face (ear)" "choroid - CORRECT ANSWER=> face (eye)"
"sclera - CORRECT ANSWER=> face (eye)" "phrenic nerve - CORRECT ANSWER=> neck (controls diaphragm)" "hyoid bone - CORRECT ANSWER=> neck" "innominate artery - CORRECT ANSWER=> chest (brachiocephalic artery)" "subclavanian artery (and/or vein) - CORRECT ANSWER=> chest" "azygos vein - CORRECT ANSWER=> chest" "thymus gland - CORRECT ANSWER=> chest" "celiac artery - CORRECT ANSWER=> abdomen" "adrenal gland - CORRECT ANSWER=> abdomen" "iliac artery - CORRECT ANSWER=> abdomen" "cauda equina - CORRECT ANSWER=> lumbar spine" "carpus - CORRECT ANSWER=> upper extremity (hand)" "metacarpus - CORRECT ANSWER=> upper extremity (hand)" "navicular - CORRECT ANSWER=> lower extremity (foot bone)" "cuboid - CORRECT ANSWER=> lower extremity (foot bone)" "cuneiform - CORRECT ANSWER=> lower extremity (foot bone)" "innominate bone - CORRECT ANSWER=> pelvis" "basal ganglion - CORRECT ANSWER=> cerebrum" "common carotid artery - CORRECT ANSWER=> neck"
"saggital sinus - CORRECT ANSWER=> head (superior longitudinal sinus)" "sciatic nerve - CORRECT ANSWER=> lower extremity" "septum - CORRECT ANSWER=> chest (intracardiac septum)" "spinal accessory nerve - CORRECT ANSWER=> head" "trachea - CORRECT ANSWER=> 1) neck - above sternal notch
- chest - below sternal notch" "vena cava - CORRECT ANSWER=> 1) abdomen - inferior
- thorax - superior (and thoracic portion of inferior)" "vagus nerve - CORRECT ANSWER=> abdomen head neck thorax" "vertebral artery - CORRECT ANSWER=> head & neck" "vitreous - CORRECT ANSWER=> face (eye)" "What GCS is considered unconsciuos? - CORRECT ANSWER=> <8 or 8 if = (1-eye, 2-verbal, 5- motor only)" "The lateral extension of the spine of the scapula - CORRECT ANSWER=> acromium" "A sac formed by the dilation of the wall of the vessel or heart - CORRECT ANSWER=> aneurysm" "refers to the arm, or any arm-like process - CORRECT ANSWER=> brachial" "Acute compression of the heart caused by increased intra-pericardial pressure due to collection of blood or fluid in the pericardium - CORRECT ANSWER=> cardiac tamponade" "Communication between an injured internal carotid artery and the cavernous sinus or the orbital veins - CORRECT ANSWER=> carotid cavernous fistula"
"A bony surface in the posterior skull formed by a portion of the basilar part of the occipital bone and the upper part by a part of the sphenoid bone - CORRECT ANSWER=> clivus" "Condition in which increased tissue pressure in a confined anatomical space causes decreased blood flow leading to ischemia and dysfunction of contained myoneural elements, marked by pain muscle weakness, sensory loss and palpable tenseness in the involved compartment - CORRECT ANSWER=> compartment syndrome" "Abnormal motor movement reflecting brainstem disfunction, seen in some comatose patients, characterized by abnormal rigid extremity extension; Also called "postering" - CORRECT ANSWER=> decerebration" "Abnormal motor movement reflecting cerebral dysfunction, seen in some comatose patients, characterized by abnormal flexion of the upper extremities; Also called "posturing" - CORRECT ANSWER=> decortication" "A general anatomical term for a sickle shaped organ or structure - CORRECT ANSWER=> falx" "A trench or a channel; A general term for a hollow or depressed area - CORRECT ANSWER=> fossa" "A fracture of the base of the first metacarpal bone running into the carpometacarpal joint and complicated by subluxation - CORRECT ANSWER=> bennett's fracture" "fracture in which the bone is perforated by a missile; also called perforating fracture. - CORRECT ANSWER=> buttonhole fracture" "Oblique detachment of a piece from the head of the radius - CORRECT ANSWER=> chisel fracture" "Fracture of the radius above the wrist combined with dislocation of the distal ulna; Also called Dupuytren's fracture (of forearm) - CORRECT ANSWER=> galeazzi's fracture" "Guerin's fracture is also known as _________. - CORRECT ANSWER=> LeFort I" "Fracture type where one side of a bone is broken and the other is bent. - CORRECT ANSWER=> greenstick fracture (also called hickory-stick or willow fx)"
"Acute compression of the heart due to effusion of fluid in the outer layer (pericardium) of the heart or collection of blood in pericardium due to heart rupture or penetration. - CORRECT ANSWER=> cardiac tamponade" "How many vertebrae are there? - CORRECT ANSWER=> 33 (7 cervical, 12 thoracic, 5 lumbar, 5 sacral, 4 coccygeal)" "First cervical vertebra, ring of bone supporting skull - CORRECT ANSWER=> atlas" "2nd cervical vertebrae with thick process (odontoid) around which 1st cervical vertebrae pivots
- CORRECT ANSWER=> axis" "bone in lateral head of gastrocnemius muscle - CORRECT ANSWER=> fabella (knee region)" "The most medial of 4 bones of distal row of carpal bones in the wrist - CORRECT ANSWER=> hamate bone (wrist region)" "bone in the middle ossicle of chain in the middle ear - CORRECT ANSWER=> incus (ear region)" "small flat bones related to joints between phalanges or digits and metacarpal or metatarsal bones; include also 2 at knee - CORRECT ANSWER=> sesamoid bones (hands/feet)" "Forms posterior and posteroinferior part of the nasal septum - CORRECT ANSWER=> vomer (skull region)" "If intracranial vessel is not named specifically, code as _________________. - CORRECT ANSWER=> vascular injury in head, NFS 120099.9" "Includes any injury to a vessel resulting in its occlusion (e.g. intimal tear, dissection) - CORRECT ANSWER=> thrombosis" "What is the outermost layer? (meninge) - CORRECT ANSWER=> dura mater" "Meninge with no blood supply; middle layer - CORRECT ANSWER=> arachnoid (resembles a spider web)" "Inner membrane (meninge) that contains nerves and blood vessels to nourish cells. - CORRECT ANSWER=> pia mater"
"What are the 6 intracranial arteries? - CORRECT ANSWER=> 1) anterior cerebral
- basilar
- internal carotid
- middle cerebral
- posterior cerebral
- vertebral" "What are the 5 sinuses included under intracranial vessels in the head chapter? - CORRECT ANSWER=> 1) cavernous
- sigmoid
- straight
- superior longitudinal (saggital) sinus
- transverse" "What are the 2 categories of veins included under intracranial vessels? - CORRECT ANSWER=> 1) vein, major
- vein, non-major" "What 5 intracranial veins are included under "vein, major"? - CORRECT ANSWER=> 1) galen
- labbe
- trolard
- rosenthal
- internal cerebral" "Cranial nerve injuries are coded separately from other brain injuries, except for _______________ and _______________ type injuries, which include all injuries to the brain. - CORRECT ANSWER=> 1) crush type
- massive penetrating" "What is transtentorial (uncal) herniation coded to? - CORRECT ANSWER=> brain stem compression 140202.5" "What is cerebellar tonsillar herniation coded to? - CORRECT ANSWER=> brain stem compression 140202.5" "How do you code bilateral SDH in cases where one side is tiny (<.6) and the other side is ≥. 6? - CORRECT ANSWER=> only code the larger one"
- subclavian" "What 5 arteries are included in "other named arteries" of the chest? - CORRECT ANSWER=> 1) bronchial
- esophageal
- intercostal
- internal
- mammary" "What are the 4 named veins included in the chest region? - CORRECT ANSWER=> 1) brachiocephalic (innominate)
- pulmonary
- subclavian
- superior vena cava (also thoracic portion of inferior)" "The following VEINS are coded to what area, in the chest region? azygos, bronchial, esophageal, hemiazygos, intercostal, internal jugular, internal mammary - CORRECT ANSWER=> other named veins" "T/F Clinically diagnosed rib fractures in surviving patients are never coded (must be substantiated radiologically). - CORRECT ANSWER=> True" "T/F For pts who died before radiology, and no autopsy is performed, a clinical diagnoses of multiple rib fxs made by detecting thoracic cage instability is acceptible for AIS coding. - CORRECT ANSWER=> True - multiple rib fractures NFS 450210.2" "What are the 4 named arteries included in the abdomen? - CORRECT ANSWER=> 1) aorta (also included in chest region)
- celiac
- iliac (common, internal, external)
- superior mesenteric" "What are the 3 veins included in the abdomen? - CORRECT ANSWER=> 1) iliac (common)
- iliac (internal, external)
- vena cava (inferior)" "What 4 veins are included in "other named veins" of the abdomen? - CORRECT ANSWER=> 1) portal
- renal
- splenic
- superior mesenteric" "What are the names of the 2 named arteries included in the upper extremity section? - CORRECT ANSWER=> 1) axillary artery
- brachial artery" "What are the names of the 2 named veins included in the upper extremity section? - CORRECT ANSWER=> 1) axillary vein
- brachial vein" "What are the 4 nerves included in the upper extremity section? - CORRECT ANSWER=> 1) digital
- median
- radial
- ulnar" "Are ligaments in the extremities sections, coded as muscles or tendons? - CORRECT ANSWER=> tendons" "What is the only carpal bone is coded on it's own? - CORRECT ANSWER=> scaphoid" "Assign degloving injuries to the _____________ body region for calculating an ISS. - CORRECT ANSWER=> external" "What are the 2 arteries named in the lower extremity section? - CORRECT ANSWER=> 1) femoral artery
- popliteal artery" "What are the 2 named veins in the lower extremity section? - CORRECT ANSWER=> 1) femoral vein
- popliteal vein" "What 5 nerves are included in the lower extremity section? - CORRECT ANSWER=> 1) digital
- femoral
- peroneal
- sciatic
- tibial"
