A patient was admitted because of suspected carcinoma of the colon. Exploratory laparotomy was carried out, and a significant mass was discovered in the sigmoid colon. The sigmoid colon was resected and end-to-end anastomosis accomplished. Small nodules were noted on the liver, and a needle biopsy of the liver was performed during the procedure. (2 codes) 4. A patient was discharged following prostate surgery with an indwelling urethral catheter in place. He was readmitted with urinary sepsis due to methicillin-resistance Staphylococcus aureus (MRSA) due to the presence of the catheter. The physician confirmed the diagnosis of sepsis due to MRSA. The catheter was removed and the patient started on antibiotic therapy. The patient’s condition improved over several days, and he was discharged without an indwelling catheter. 5. A patient who has had arteriosclerotic disease of the right lower extremity with intermittent claudication for three years recently progressed to ulceration and is now admitted with ulceration and gangrene of the toes of the right foot resulting from the arteriosclerosis. A tarsometatarsal amputation of the right foot was performed, and the patient left the operating room in good condition. 6. A patient who had been HIV-positive for several years was seen in his physician’s office with skin lesions over his back suggestive of HIV-related Kaposi’s sarcoma. He was admitted for incisional biopsy, which confirmed the diagnosis. 7. The patient was transferred from facility A, where he experienced 12 hours of hematemesis requiring transfusions. Upon admission to facility B, a gastroscopic examination revealed a 4 X 2 centimeter gastric ulcer with visible vessels. He was taken to the operating room, where a hemigastrectomy with Billroth I anastomosis of the duodenum was performed. (3 codes) 8. The patient was admitted for repair of spinal stenosis. An excision of discs at C3-C4 and C5-C6 with fusion was carried out using an anterior approach. A graft of bone was excised from the right iliac crest. (3



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