Certified Professional Coder (CPC) Practice Test

What would be a likely follow-up for the patient with enlarged ventricles and shunt evaluation?

1. Shunt revision

2. Routine check-up

3. Physical therapy

4. Medication adjustment

The correct answer is: Shunt revision

The situation described involves a patient with enlarged ventricles, which suggests a possible condition such as hydrocephalus. In such cases, a shunt is often placed to help drain excess cerebrospinal fluid and relieve pressure on the brain. When there are findings of enlarged ventricles, it indicates that the shunt may not be functioning properly or that there is an obstruction. In this context, the appropriate follow-up action would be shunt revision. This procedure involves correcting, replacing, or adjusting the existing shunt to ensure that it effectively drains fluid and maintains proper intracranial pressure. Regular assessments of the shunt’s functionality are vital for the patient’s ongoing health to prevent complications associated with improper fluid drainage. Other options, while potentially relevant in different scenarios, do not directly address the immediate problem of enlarged ventricles. A routine check-up may not provide the timely intervention required for a malfunctioning shunt. Physical therapy is generally aimed at improving function and mobility rather than addressing the underlying issue with the shunt. Medication adjustments might be necessary for other clinical reasons but would not directly resolve the issue of ventricle enlargement related to shunt function.