ICD 10 CM/PCS Chapter 17 & 18 – Flashcards

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question
Lysis of adhesions should always be coded if mentioned in the operative report.
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False
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Alcoholism can cause both hepatitis and cirrhosis
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True
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If the appendix ruptures, ___________develops.
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peritonitis
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A peptic ulcer can occur in the:
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stomach esophagus duodenum, jejunum, ileum all of the above (correct)
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Mechanical obstruction of the intestine may be caused by:
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neoplasm adhesions herniation all of the above (correct)
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Hematemesis is defined as:
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vomiting of blood
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Cholelithiasis is a condition of stones in the:
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gallbladder
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If a physician documents both diverticulosis and diverticulitis:
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code diverticulitis only
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A cholecystectomy can be performed by an open approach or laparoscopically.
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True
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An inguinal hernia can be unilateral or bilateral.
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True
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The patient has a diagnosis of upper esophageal stricture and a history of COPD. An EGD with dilatation of the stricture is performed.
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K22.2, J44.9, 0D718ZZ
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The squeezing or movement of food toward the stomach and down the digestive tract is called ____.
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peristalsis
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A patient is admitted for chemotherapy for pancreatic cancer and develops ulcerative mucositis of the mouth due to gemcitabine.
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Z51.11, C25.9, K12.31, T45.1X5, 3E03305
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____ is the abnormal condition of stones in the gallbladder.
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Cholelithiasis
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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.
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K65.0, K70.31, F10.21, B95.61
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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.
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K26.2, D62, 0D598ZZ, 30233N1
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Code ____ is coded for personal history of malignant neoplasm of the GI tract, unspecified.
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Z85.00
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Which Z code is associated with family history of digestive disorders
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Z83.79
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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.
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K50.914, E87.6, E86.0
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Patient with malignant neoplasm of the descending colon is admitted for left hemicolectomy and temporary descending colostomy.
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C18.6, 0DTG0ZZ, 0D1M0Z4
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All of the following are functions of the liver EXCEPT that it ____.
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stores and releases bile
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An indirect hernia occurs when the protrusion is through the inguinal ring into the inguinal canal; this is different from a direct hernia.
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True
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Symptoms of gastric ulcers may include pain when eating, vomiting, and tarry bowel movements.
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True
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Ostomies are surgically created openings into the body. Enterostomies and colostomies are created to discharge waste products from the body.
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Both statements are true.
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____ means bright red in the stool.
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Hematochezia
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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.
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K92.1, D50.0, K57.30, K64.8, 0DBE8ZX, 0DBP8ZX
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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.
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K50.10, E46, E86.0, E87.6, 0DTF0ZZ, 0D1K024
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What drug could be given to treat GERD?
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Prilosec
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The mouth is where digestion begins.
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True
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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.
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K85.9, F10.10
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Hives and _____________are synonymous terms.
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urticaria
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Decubitus ulcers can progress to ____________if not treated.
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osteomyelitis
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When cellulitis is associated with a skin ulcer, code:
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cellulitis and the skin ulcer
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STSG stands for:
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split-thickness skin graft
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Cellulitis associated with an open wound requires two codes with cellulitis always sequenced as principal.
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False
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An autograft is a graft from:
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one area of the body to another in the same individual
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Decubitus ulcers are coded the same as all other ulcers
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False
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Scrubbing or washing devitalized tissue is known as:
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nonexcisional debridement
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Incision and drainage is coded the same as a debridement.
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False
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Cellulitis is typically treated with
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antibiotics
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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.
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L89.523, G82.20
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In ICD-10-CM decubitus ulcers use a combination code for location and stage.
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True
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Skin grafts can be only full-thickness skin grafts.
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False
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Which layer of the skin is composed of fibrous connective tissue?
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Middle Layer
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A(n) ____ is a skin graft from one person to another.
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allograft
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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.
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L03.116, S91.312A, F41.8, J20.9, W25.xxxA
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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.
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L89.513, E11.9, E78.0, 0HDKXZZ
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The code for the stage of a pressure ulcer should be used as the principal diagnosis.
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False
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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.
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L89.153, I69.351, I69.320, I48.91, G30.9, F02.80
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The functions of the integumentary system include all of the following EXCEPT ____.
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vitamin A synthesis
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A(n) ____ is a skin graft to an individual from another species, such as a pig.
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xenograft
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Pressure ulcers require two codes.
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True
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Clusters of boils are known as a ____.
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carbuncle
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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.
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L97.511, J44.9, I25.10, 0HBMXZZ
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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.
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L51.1, Z86.19
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On the discharge summary, the provider documents the following discharge diagnoses: exacerbation of COPD, hypertension, hyperlipidemia, and a healing sacral decubitus.
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J44.1, I10, E78.5, L89.159
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Another name for a pressure ulcer is a decubitus ulcer.
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True
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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.
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L03.115, L03.116, L01.00
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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.
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J69.0, L89.322, L89.311
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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
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1 and 3
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