question

Lysis of adhesions should always be coded if mentioned in the operative report.

answer

False

question

Alcoholism can cause both hepatitis and cirrhosis

answer

True

question

If the appendix ruptures, ___________develops.

answer

peritonitis

question

A peptic ulcer can occur in the:

answer

stomach esophagus duodenum, jejunum, ileum all of the above (correct)

question

Mechanical obstruction of the intestine may be caused by:

answer

neoplasm adhesions herniation all of the above (correct)

question

Hematemesis is defined as:

answer

vomiting of blood

question

Cholelithiasis is a condition of stones in the:

answer

gallbladder

question

If a physician documents both diverticulosis and diverticulitis:

answer

code diverticulitis only

question

A cholecystectomy can be performed by an open approach or laparoscopically.

answer

True

question

An inguinal hernia can be unilateral or bilateral.

answer

True

question

The patient has a diagnosis of upper esophageal stricture and a history of COPD. An EGD with dilatation of the stricture is performed.

answer

K22.2, J44.9, 0D718ZZ

question

The squeezing or movement of food toward the stomach and down the digestive tract is called ____.

answer

peristalsis

question

A patient is admitted for chemotherapy for pancreatic cancer and develops ulcerative mucositis of the mouth due to gemcitabine.

answer

Z51.11, C25.9, K12.31, T45.1X5, 3E03305

question

____ is the abnormal condition of stones in the gallbladder.

answer

Cholelithiasis

question

Patient with known alcoholic cirrhosis of the liver is admitted with ascites and acute bacterial peritonitis due to Staphylococcus aureus. Patient is a recovering alcoholic who has been in remission for 2 years.

answer

K65.0, K70.31, F10.21, B95.61

question

The ER physician documents that the patient is being admitted for hematemesis. The patient has an Hct of 24.3. A transfusion of PRBC is administered, and the patient is taken to the OR for an EGD. The EGD reveals that the patient has an acute perforated duodenal ulcer that is causing the bleed. The ulcer is cauterized. The patient is treated with IV antibiotics, omeprazole, and NG tube. The discharge summary lists an additional diagnosis of acute blood loss anemia.

answer

K26.2, D62, 0D598ZZ, 30233N1

question

Code ____ is coded for personal history of malignant neoplasm of the GI tract, unspecified.

answer

Z85.00

question

Which Z code is associated with family history of digestive disorders

answer

Z83.79

question

Patient presents to the ER with severe abdominal pain. The patient has a history of Crohn's disease. She had asthma as a child and currently appears dehydrated. After study it is determined that the patient has an abscess of the large intestine. Antibiotics are administered, as well as IV fluids with potassium to treat the dehydration and hypokalemia.

answer

K50.914, E87.6, E86.0

question

Patient with malignant neoplasm of the descending colon is admitted for left hemicolectomy and temporary descending colostomy.

answer

C18.6, 0DTG0ZZ, 0D1M0Z4

question

All of the following are functions of the liver EXCEPT that it ____.

answer

stores and releases bile

question

An indirect hernia occurs when the protrusion is through the inguinal ring into the inguinal canal; this is different from a direct hernia.

answer

True

question

Symptoms of gastric ulcers may include pain when eating, vomiting, and tarry bowel movements.

answer

True

question

Ostomies are surgically created openings into the body. Enterostomies and colostomies are created to discharge waste products from the body.

answer

Both statements are true.

question

____ means bright red in the stool.

answer

Hematochezia

question

A patient presents with melena, weakness, and fatigue. A colonoscopy with biopsy of the rectum and colon is performed and reveals multiple diverticula and internal hemorrhoids. The path shows possible inflammatory bowel disease. No source of bleeding is identified. Discharge Diagnosis: GI bleed; chronic blood loss; anemia.

answer

K92.1, D50.0, K57.30, K64.8, 0DBE8ZX, 0DBP8ZX

question

A patient is admitted with Crohn's disease of the large bowel. A right hemicolectomy is performed with temporary ascending colostomy. The patient is malnourished and was dehydrated on admission. Postoperatively, the patient's potassium levels are monitored, and the hypokalemia is treated with K-Dur.

answer

K50.10, E46, E86.0, E87.6, 0DTF0ZZ, 0D1K024

question

What drug could be given to treat GERD?

answer

Prilosec

question

The mouth is where digestion begins.

answer

True

question

Patient comes to the ER with severe abdominal pain and a long history of alcoholism. Physician documents that patient is currently drinking a fifth of liquor a day. Patient is admitted to the hospital with a diagnosis of acute pancreatitis secondary to alcohol use.

answer

K85.9, F10.10

question

Hives and _____________are synonymous terms.

answer

urticaria

question

Decubitus ulcers can progress to ____________if not treated.

answer

osteomyelitis

question

When cellulitis is associated with a skin ulcer, code:

answer

cellulitis and the skin ulcer

question

STSG stands for:

answer

split-thickness skin graft

question

Cellulitis associated with an open wound requires two codes with cellulitis always sequenced as principal.

answer

False

question

An autograft is a graft from:

answer

one area of the body to another in the same individual

question

Decubitus ulcers are coded the same as all other ulcers

answer

False

question

Scrubbing or washing devitalized tissue is known as:

answer

nonexcisional debridement

question

Incision and drainage is coded the same as a debridement.

answer

False

question

Cellulitis is typically treated with

answer

antibiotics

question

Patient has a pressure ulcer of the left ankle on admission, which is documented as a stage I and progresses to a stage III during the course of the stay. The patient is a paraplegic.

answer

L89.523, G82.20

question

In ICD-10-CM decubitus ulcers use a combination code for location and stage.

answer

True

question

Skin grafts can be only full-thickness skin grafts.

answer

False

question

Which layer of the skin is composed of fibrous connective tissue?

answer

Middle Layer

question

A(n) ____ is a skin graft from one person to another.

answer

allograft

question

Patient stepped on a piece of glass and injured his foot 2 days ago. He is now being admitted to the hospital for treatment of cellulitis in the left leg. He has a past history of depression with anxiety for which he takes medicine. He is currently on antibiotics for acute bronchitis.

answer

L03.116, S91.312A, F41.8, J20.9, W25.xxxA

question

Pulse lavage debridement is performed by wound care nurse on a patient with a stage 3 decubitus ulcer of the right ankle. The patient is taking medications for diabetes and for high cholesterol.

answer

L89.513, E11.9, E78.0, 0HDKXZZ

question

The code for the stage of a pressure ulcer should be used as the principal diagnosis.

answer

False

question

A nursing home patient is admitted with an enlarging stage 3 sacral decubitus ulcer for wound care. The patient had a previous CVA with right hemiplegia and aphasia and is on medications for atrial fibrillation and Alzheimer's dementia.

answer

L89.153, I69.351, I69.320, I48.91, G30.9, F02.80

question

The functions of the integumentary system include all of the following EXCEPT ____.

answer

vitamin A synthesis

question

A(n) ____ is a skin graft to an individual from another species, such as a pig.

answer

xenograft

question

Pressure ulcers require two codes.

answer

True

question

Clusters of boils are known as a ____.

answer

carbuncle

question

A patient has a chronic ulcer of the right great toe with skin breakdown only and is admitted for excisional debridement of the skin. The patient has a medical history significant for COPD, asthma, and CAD.

answer

L97.511, J44.9, I25.10, 0HBMXZZ

question

Patient was admitted because of the development of blistering and erosion of skin and mucous membranes. About 5 days ago, the patient had fever, sore throat, and headache and was thought to have influenza. The patient was diagnosed with Stevens-Johnson syndrome.

answer

L51.1, Z86.19

question

On the discharge summary, the provider documents the following discharge diagnoses: exacerbation of COPD, hypertension, hyperlipidemia, and a healing sacral decubitus.

answer

J44.1, I10, E78.5, L89.159

question

Another name for a pressure ulcer is a decubitus ulcer.

answer

True

question

A patient comes to the ER with a crusty, itchy rash. The diagnosis is impetigo of the legs with cellulitis. The patient is admitted to treat the cellulitis.

answer

L03.115, L03.116, L01.00

question

A patient is admitted from the nursing home with suspected aspiration pneumonia. The attending physician documents that the patient has pressure ulcers on both buttocks. The left side has a stage II ulcer and the right side has a stage I ulcer.

answer

J69.0, L89.322, L89.311

question

What are the two most common bacteria associated with skin infections? 1. Streptococcus pyogenes 2. Escherichia coli 3. Staphylococcus aureus 4. Treponema pallidum 5. Pseudomonas aeruginosa

answer

1 and 3

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