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Applied Anatomic Pathology > Biopsies/Smalls > Flashcards

Biopsies/Smalls Flashcards

1
Q

what is the CPT code for a frozen section

A

88331

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2
Q

what is the CPT code for decalcification

A

88311

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3
Q

define a sentinel event

A

unexpected events that results in a patient’s death or a serious physical or psychological injury

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4
Q

define an adverse event

A

any error that would have resulted in a sentinel event but was caught and did not affect the outcome in a negative way - a “near miss”

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5
Q

every specimen must have a minimum of ___ patient identifiers

A

two

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6
Q

the descriptor “cylindrical” should be used for which types of specimens

A

those with no lumen like core biopsies

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7
Q

how many dimensions do cylindrical specimens have

A

just 2

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8
Q

the descriptor “tubular” should be used for which types of specimens

A

those with a lumen like vas deferens

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9
Q

define varigated

A

multiple colors

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10
Q

how should gross dimensions be ordered

A

largest to smallest

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11
Q

how should range dimensions be ordered

A

smallest to largest

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12
Q

when would you use “in toto”

A

when a specimen is submitted intact and not cut

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13
Q

when would you use “entirely”

A

when a specimen is cut and submitted completed

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14
Q

when would you use the descriptor “pedunculated”

A

when you have a polyp attached to a segment of colon

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15
Q

when would you use the descriptor “stalk”

A

when you have a surgical GI polyp specimen

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16
Q

what is the CPT code for lymph nodes and lung specimens

A

88305

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17
Q

what is the CPT code for liver

A

88307

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18
Q

what should you do with a fresh biopsy for quantitative analysis of copper or iron

A

send it out

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19
Q

what should you see in a kidney biopsy that contains glomeruli

A

red dots

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20
Q

what should you see in a kidney biopsy that does not contain glomeruli

A

no red dots

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21
Q

what is the CPT code for kidney biopsies that are being sent out

A

88300 (gross only)

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22
Q

what are the three medias you must divide kidney biopsies into

A

glutaraldehyde, Zeus (Michel’s tranport medium), and 10% NBF

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23
Q

what is glutaraldehyde used for

A

electron microscopy

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24
Q

what is Zeus (Michel’s transport medium) used for

A

immunofluorescence

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25
what is the CPT code for bone/bone marrow biopsies
88305 (bone) and 88311 (decal)
26
what is the fixation and decalcification order for handling a bone specimen
fix then decal
27
what is the minimum formalin fixation time for bone
2 hours
28
what are two "gentle" decal solutions for bone biopsies for possible malignancy and why are they used
EDTA and Formical-4 - allows immunohistochemistry tests to still be run on the tissue
29
what is the CPT code for prostate biopsies
88305
30
what is the CPT code for breast biopsies
88305
31
what does cmFN stand for
cm from nipple
32
how long should breast biopsies fix according to ASCO
6 to 72 hours - need to be placed in formalin within an hour
33
what is the CPT code for mucosal biopsies
88305
34
what is the CPT code for muscle biopsies
88305 if processing there; 88300 if sending out (gross only)
35
what is RPMI used for
flow cytometry
36
what is the CPT code for ECCs and EMBs
88305
37
how long do EMCs and EMBs need on the processor
8-10 hours
38
what is the CPT code for a POC less than 20 weeks
88305
39
what is the most important thing to submit if you have a POC
villi and fetal structures if present (foot length)
40
define bosselated
bumpy
41
what should you do if there is mucin within an appendix
submit the entire thing
42
what is the CPT code for an appendix
88304
43
krukenberg tumors are most common in which four locations
stomach, colon, appendix, and breast
44
define biliary dyskinesia
gallbladder does not empty properly
45
how do you gross TURP or prostate chip specimens
weigh (do not include formalin) measure in aggregate remove any calculi
46
what is the CPT code for a TURP
88305
47
what is the CPT code for a TURBT
88307
48
why is a TURBT done
to remove superficial bladder cancer - down to the bladder muscularis
49
how do you gross a TURPT specimen
measure in aggregate remove any calculi do not weigh submit entirety of tissue (up to 15-20 cassettes)
50
what is the CPT code for a tonsil specimen from a younger patient
88300
51
what is the CPT code for a tonsil specimen from an older patient
88304
52
what are the four types of tonsils
adenoids (pharyngeal tonsils) tubal tonsils palatine tonsils lingual tonsils
53
how should you process a tonsil to rule out lymphoma
section superficially with sterile kit before inking to maintain sterile field
54
what is the CPT code 88329 used for
gross examination of tissue in OR (sectioning and evaluation only)
55
which salivary gland is the most common gland for tumor
parotid
56
what are the three major salivary glands
parotid submandibular sublingual
57
which salivary gland is most common for malignant tumor
sublingual
58
what is the CPT code for a salivary gland
88307
59
what are sialoliths mainly made of
carbonate apatite
60
what is the most common type of parotid tumor
pleomorphic adenoma
61
what is the second most common benign salivary tumor
warthog's tumor
62
what is the most common type of malignant salivary gland tumor
mucoepidermoid carcinoma
63
what is a major risk factor for the development of malignant salivary tumors
smoking
64
who, adults or children, are most affected by salivary gland tumors
adults - mostly females
65
what is the most common salivary gland tumor in infants/chidlren
hemangioma
66
what's an important thing to look for with salivary gland specimens
nerves
67
how should you section a salivary gland
along the short axis
68
what is most important for salivary gland tumor staging
size
69
what is ENE
extra nodal extension - metastasis of tumor to lymph node (through the lymph node's capsule)
70
what is the CPT code for sinus contents and papillomas
88304
71
what are the three types of nasal papillomas
inverted fungiform nasal oncocytic nasal
72
what is the most common type of nasal papilloma
inverted
73
what are the two CPT codes used for bone
88307 and 88311 (decal)
74
which CPT code is used for bone marrow
88305
75
which three conditions can cause lipomas
gardner syndrome adiposis dolorosa familial multiple lipomatosis
76
what is the most common type of hernia
inguinal - bladder or intestine protrudes through abdominal wall
77
what is the CPT code for a lipoma
88304
78
what is the CPT code for a hernia
88302
79
what is the CPT code for a hydrocele
88302
80
what is the CPT code for a spermatocele
88304
81
what is the difference between a hydrocele and spermatocele
hydrocele: around testicle spermatocele: epididymis
82
what is the CPT code for a cyst
88304
83
what is the CPT code for an intervertebral disc
88304
84
what is the CPT code for a foreskin from someone other than a newborn
88304
85
what is the CPT code for a hemorrhoid
88304
86
what is the CPT code for a joint/loose body
88304
87
what is the CPT code for skin tags
88304
88
what is the CPT code for vulvar tags
88305
89
what is the CPT code for aortic valves
88305
90
what are calcifications of heart valves suggestive of
rheumatic heart disease
91
what are the three main types of prosthetic, mechanical heart valves
starr-edwards tilting dics St. Judes

Applied Anatomic Pathology (17 decks)

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