USCI Medical Billing & Coding: ICD-10CM Chapters 11, 12, and 13 - Quiz 28, Exams of Nursing

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USCI Medical Billing & Coding, ICD-10-

CM Chapters 11, 12 and 13, Quiz 28

QUESTIONS AND ANSWERS

1. Which condition results from alcohol consumption and causes swelling and

inflammation of the liver? - CORRECT ANSWER -C. Alcoholic hepatitis

2. In which stage does the skin blister, allowing bacteria to enter the site of the pressure

ulcer? - CORRECT ANSWER -C. Stage 2

3. In which condition does the spine curve significantly inward at the lower back? -

CORRECT ANSWER -B. Lordosis

4. Which statement about cellulitis is false? - CORRECT ANSWER -A. Cellulitis

is never found in the muscle.

5. Which condition is characterized by a localized area of erosion in the stomach lining?

- CORRECT ANSWER -B. Gastric ulcer

6. Which statement about intervertebral discs is false? - CORRECT ANSWER -

D. Disorders of the spine always exist with disorders of the discs.

7. Where is the duodenum located? - CORRECT ANSWER -D. It lies between

the pyloric sphincter and the jejunum.

8. What is a protrusion around the belly button known as? - CORRECT

ANSWER -D. Umbilical hernia

9. Which condition is influenced by age, genetics and testosterone? - CORRECT

ANSWER -B. Baldness

10. Which statement about cholelithiasis is false? - CORRECT ANSWER -A. It is

an inflammation of the gallbladder.

11. Which condition is an autoimmune disorder characterized by chronic inflammation

that affects the lining of the joints, causing painful swelling? - CORRECT

ANSWER -B. Rheumatoid arthritis

12. Which statement about TMJ is true? - CORRECT ANSWER -B. It is the joint

that connects the lower jaw to the skull.

13. This is a degenerative joint disease characterized by joint cartilage repair that

cannot keep up with cartilage degeneration. - CORRECT ANSWER -B.

Osteoarthritis

14. Which statement about systemic lupus erythematosus is false? - CORRECT

ANSWER -B. There is a cure for SLE.

15. Which region of the vertebral column is composed of 7 vertebrae? - CORRECT

ANSWER -C. Cervical

16. Which terms name the layers of skin? - CORRECT ANSWER -A. Epidermis

and dermis

17. Which type of dermatitis is an acute or chronic inflammatory rash marked by itching and redness that is a result of skin contact with a specific allergen or irritant? -

CORRECT ANSWER -C. Contact

18. This describes any disease of the bone. - CORRECT ANSWER -C.

Osteopathy

19. Abdominal cramps and pain, diarrhea, weight loss and bleeding from the intestine

are symptoms of what condition? - CORRECT ANSWER -A. IBD

20. Which condition accounts for more tooth loss than dental caries and all other dental

diseases combined? - CORRECT ANSWER -C. Periodontal Disease

21. Herniated intervertebral disc, L4-L5 - CORRECT ANSWER -C. M51.

22. Stage 1 Pressure ulcer located at the right upper back - CORRECT

ANSWER -A. L89.

23. Incarcerated scrotal hernia, bilateral - CORRECT ANSWER -C. K40.

24. Recurrent bilateral hip dislocation - CORRECT ANSWER -C. M24.451,

M24.

25. Carbuncle located on the abdominal wall; culture confirms staphylococcus aureus -

CORRECT ANSWER -C. L02.231, B95.

26. Cellulitis and stage 4 pressure ulcer of right heel - CORRECT ANSWER -B.

L89.614, L03.

27. Spondylolisthesis of the lumbosacral region due to weightlifting - CORRECT

ANSWER -D. M43.

28. Eczema due to detergents - CORRECT ANSWER -B. L24.

29. Staphylococcal arthritis of the left wrist - CORRECT ANSWER -C. M00.032,

B95.

30. Severe sunburn of face, neck and shoulders - CORRECT ANSWER -C.

L55.

31. Old bucket handle tear of medial meniscus of the right knee - CORRECT

ANSWER -C. M23.

32. Diverticulitis of the jejunum - CORRECT ANSWER -A. K57.

33. Systemic sclerosis with lung involvement - CORRECT ANSWER -B. M34.

34. Acute duodenal peptic ulcer with hemorrhage and perforation - CORRECT

ANSWER -C. K26.

35. Scenario 1 SUBJECTIVE The patient is a 38-year-old white male with acute pain following a coughing episode on the day prior to the admission. Following the episode of acute pain, there was brisk hematemesis of dark blood. Patient admits to drinking heavily. OBJECTIVE The patient was premedicated with Valium 5 mg IV and Demerol 50 mg IV. The patient was examined with a 1T-10 endoscope. The GE junction was at 38 cm, and there appeared to be 1+ varices. The stomach was easily distensible with some blood seen in the fundus. Therewas a Mallory-Weiss tear with overlying clots and no active bleeding. There was a prepyloric ulcer seen. The duodenum and postbulbar region were normal. The patient tolerated the procedure well. There were no complications. ASSESSMENT

1. Mallory-Weiss syndrome.
2. Prepyloric ulcer. PLAN

Treat with H2 blockers and arrange surgical consultation. - CORRECT

ANSWER -A. K22.6, K25.

36. Scenario 2 SUBJECTIVE Suspected intussusception. Patient with nausea, vomiting and diarrhea for 2 days. Supine abdomen film shows multiple air-filled loops of bowel. The pattern is indeterminate for obstruction versus adynamic ileus. ROS is noncontributory. OBJECTIVE Abdomen: Rebound tenderness. Abnormal bowel sounds. Genitalia: External genitalia normal. Database: Barium enema performed to rule out obstruction. An intussusception was encountered at the level of the transverse colon. The intussusception was reduced usinghydrostatic pressure. ASSESSMENT Intussusception, reduced. PLAN

Repeat abdominal film daily x 3 to look for recurrence. - CORRECT ANSWER -B.

K56.

37. Scenario 3 SUBJECTIVE This is a 78-year-old white female with multiple complaints. She has a history of chronic sinusitis, esophagitis, a fibromyalgia-type syndrome and depression. She complains today of continued problems with pain in the left cheek and preauricular area, especially in the morning. The pain gets very intense at times. She also has a great deal of postnasal drainage which gives her a sour feeling in her stomach. She also complains of some dizzy spells over the last few months, usually when she is working around the house. These are associated with some sweating and nausea. She has not ever had any loss of consciousness. She also complains of recurrent problems with constipation, especially over the last 3 months. She has been using Correctol. This tends to give her runny stools for a day, and then she has constipation again the next day. She has tried taking Colace. This was not helpful.

OBJECTI - CORRECT ANSWER -D. F32.9, J32.9, K59.00, K20.

38. Scenario 4 REASON FOR REFERRAL Referred for blisters and rash of mucous membranes and skin.

HISTORY OF PRESENT ILLNESS

Rash developed inside mouth, then "bumps" appeared under skin at various places. Oral lesions painful after rupture. PAST HISTORY Habits: No smoking, drinking or drug use. Medications: No medications. ALLERGIES: ALLERGIC TO TETRACYCLINE. Social history: Patient is an investigative reporter. Recent travels include Iran and China. Has recently returned from Brazil 1 week before onset of symptoms. Family history: Noncontributory. REVIEW OF SYSTEMS Skin: Other than HPI, no complaints. Hair: No alopecia. Cardiorespiratory: No murmurs, palpitations. Gastrointestinal: No diarrhea, nausea, vomiting. Genitourinary: No dysuria or hematuria. Neurologic: No seizures or headaches. PHYSICAL EXAMINATION GENERAL: The patient is a thin, quiet 28-year-old black male in no acute distress.

VITAL SIGNS: Pulse: 66 - CORRECT ANSWER -B. L10.

39. Scenario 5 HISTORY OF PRESENT ILLNESS The patient is a 78-year-old female who returns for recheck. She has hypertension. She denies difficulty with chest pain, palpitations, orthopnea, nocturnal dyspnea or edema. PAST HISTORY Habits: Negative for use of alcohol or tobacco. Medications: Atenolol 50 mg daily, Premarin 0.625 mg daily, calcium with vitamin D 2- pills daily, multivitamin daily, aspirin as needed and TriViFlor 25 mg 2 pills daily. She also has Elocon cream 0.1% and Synalar cream 0.01% that she uses as needed for rash.Operations and hospitalizations: Reviewed and unchanged from last visit. ALLERGIES: BENADRYL, PHENOBARBITONE, MORPHINE, LASIX AND LATEX. Family history: Reviewed. Mother died from congestive heart failure. Father died from myocardial infarction at the age of 56. Family history is positive for ischemic cardiac disease. Brother died from lymphoma. She has 1 brother living who has had angi -

CORRECT ANSWER -C. I10, M48.

40. Scenario 6 PREOPERATIVE DIAGNOSIS

Old medial and lateral meniscus tears, left knee. POSTOPERATIVE DIAGNOSIS Old medial and lateral meniscus tears, left knee. PRIMARY PROCEDURE ARTHROSCOPY WITH MEDIAL AND LATERAL MENISCECTOMIES, LEFT KNEE. PROCEDURE The patient was placed on the operating table in the supine position under general anesthesia. The left knee was prepped and draped in the usual manner. Ports were established in the knee and the joint was inflated. Arthroscopy was carried out beginning in the inferolateral portal. After initial exploration, the medial compartment was explored. The arthroscopy exposed the meniscus that revealed a tear. The torn portion was removed with forceps. Attention was then turned to the lateral compartment that also revealed a tear in the lateral meniscus. The torn portion was removed with forceps. After completion of the meniscectomies, there were no other significant f -

CORRECT ANSWER -B. M23.201, M23.