This is a little quiz to test your knowledge of Level 4 equivalent!
Here the answers are explained...
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1. Benign orchitectomy with 10 blocks - Rule #4: 10 blocks x 1 L2/block ~ 10 L2, 10 L2 x 0.33 L4E/L2 ~ 3.33 L4E
2. 12 core prostate biopsy - Rule #2: 12 cores x L3/1 core ~ 12 L3, 1 L3 ~ 0.5 L4E, 12 L3 ~ 6 L4E
3. 2 frag bladder biopsy - Rule #1: 3 or less frags ~ 1 L4E
4. 2 core kidney biopsy for tumour - Rule #2: 5 of less cores ~ 1 L4E
5. 14 core prostate biopsy - Rule #2: 14 cores x L3/1 core ~ 14 L3, 1 L3 ~ 0.5 L4E, 14 L3 ~ 7 L4E
6. 5 frags bladder biopsy - Rule #1: 1 L4E
7. TURP in 3 blocks - Rule #3: 1 L4E
8. 6 frags bladder biopsy - Rule #1: 1 L4E + 1 L4E (>5 frags) ~ 2 L4E
9. TURP in 10 blocks - Rule #3: 1 L4E + 7 x L2 ~ 1 + 7 x 0.33
10. TURP in 13 blocks - Rule #3: 1 L4E + 7 x L2 ~ 1 + 10 x 0.33
11. 2 kidney biopsy cores for tumour + 5 IHC - Rule #1: 1 L4E + 5 x 0.15 ~ 1.75
12. Prostatectomy with lymph nodes submitted in 40 blocks - Rule #9: 10 L4E + 10 * L2 (for blocks over 30) ~ 10 + 10 x 0.33
13. Prostatectomy with lymph nodes submitted in 55 blocks - Rule #9: 10 L4E + 25 * L2 (for blocks over 30) ~ 10 + 25 x 0.33
14. Simple nephrectomy in 20 block: 20 x L2 ~ 20 x 0.33
15. Cytoprostatectomy with incidental prostate cancer submitted in 60 blocks - Rule #9: 10 L4E + 30 * 0.333 + 5 (extra synoptic)
16. Bladder biopsy 6 frags with cancer: 5 L4E (synoptic required)
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See also