A patient's laboratory coagulation test results in an immediate correction of the PT and aPTT after mixing studies and no correction after performing the PT and aPTT after a 2-hour incubation at 37 °C. What is the possible deficiency or inhibitor?

You are at the home of a 92-year-old male patient. He is alert and oriented and in good spirits and, although mildly hearing impaired, can hear you if you speak clearly and face him as you speak. He has no teeth and is not wearing dentures. His speech is indistinct and difficult to understand. Which of the following is the best course of action?

A) See if he can write down what he wants to say. His speech may be impaired from a stroke rather than a lack of dentition. B) Tell him there is nothing you can do for him unless he speaks clearly. C) Ask him to put in his dentures if he has them. Locate them for him if necessary. D) Ask a family member to "translate," because the family is probably able to understand him better.

The following questions will require the use of an ICD-9-CM code book to complete the sentence. Open repair of direct inguinal hernia with graft, bilateral is coded to procedure code __________

Fill in the blank(s) with correct word