good luck to everyone! angelica , your question about spines, i code for a hospital thats does alot of spinal i pretty much had very little problems with spines...i just bought a book called orthopaedic operative note coder by margie scalley vaught and it a excellent book and wish i had it before my test...go to decision health web page and you will find it best advice would be pay attention to the dx codes and mange your time you know this test is relentless from start to finish!