Deck 10: Certain Infectious and Parasitic Diseases

Question 1

Anthrax is most common in the agricultural regions of which of these countries?

A)Central America
B)Africa
C)Caribbean
D)All of the above

Answer 1

D

Question 2

Another name for a cold sore is herpes simplex type ____.

A)I
B)II
C)III
D)none of the above is correct

Answer 2

A

Question 3

Hepatitis ____ is most commonly spread through food or water that has been contaminated by feces from an infected person.

A)A
B)B
C)C
D)D

Answer 3

A

Question 4

A patient is admitted with pneumonia. Chest x-ray confirms pneumonia. The physician suspects sepsis and orders blood cultures, which are positive for pneumococcus. Discharge summary lists principal diagnosis as pneumococcal sepsis.

A)J18.9, A40.3, R65.2
B)R65.2, J18.9, A40.3
C)A40.3, J18.9
D)J18.9, A41.9, R65.10

Question 5

Clostridium difficile spores can survive up to ____ days.

A)5
B)35
C)70
D)95

Question 6

Tuberculosis usually occurs in populations with weaker immune systems. This includes all of the following EXCEPT ____.

A)people with HIV
B)substance abusers
C)teenagers
D)young children

Question 7

Gonococcal conjunctivitis is coded to ____.

A)A54.30
B)A54.9
C)A54.03
D)A54.31

Question 8

Of the following medications, which is NOT an antifungal medication?

A)Nizoral
B)Grisactin
C)Lotrimin
D)Zovirax

Question 9

Hepatitis ____ is spread through contact with infected blood, through sex with an infected person, or during childbirth. There is a vaccine for this kind of hepatitis.

A)A
B)B
C)C
D)D

Question 10

____ is an infection caused by a mycobacterium; it can attack any body part, but it usually attacks the lungs.

A)Anthrax
B)Tuberculosis
C)Meningococcus
D)Clostridium difficile

Question 11

Trench mouth is coded to ____.

A)A69.0
B)A69.1
C)A27.9
D)A36.3

Question 12

When a person carries an infectious disease and shows no ill effects, he or she is known as a(n) ____.

A)septicemic
B)asymptomatic carrier
C)symptomatic carrier
D)transmitter

Question 13

MRSA positive by nabal swab

A)Z22.330
B)Z22.322
C)Z16.39
D)A49.02

Question 14

Clostridium difficile usually is tested for in ____ when physicians suspect an infection.

A)saliva
B)blood
C)a stool specimen
D)none of the above is correct

Question 15

What disease is caused by a fungus?

A)Syphilis
B)HIV
C)Gonorrhea
D)Candidiasis

Question 16

Jock itch is coded to ____.

A)B35.9
B)B35.8
C)B35.6
D)B35.4

Question 17

____ is a bacterial infection usually found in wild or domestic animals.

A)Anthrax
B)Tuberculosis
C)Meningitis
D)Clostridium difficile

Question 18

How many stages of syphilis are there?

A)One
B)Two
C)Three
D)Four

Question 19

Clostridium difficile is often seen in hospitalized patients who are____.

A)infants
B)children
C)teenagers
D)elderly

Question 20

A patient is HIV positive and is currently being treated for Burkitt lymphoma of the inguinal region.

A)Z21, C83.74
B)Z21, C83.75
C)B20, C83.74
D)B20, C83.75

Question 21

Patient was admitted with difficulty swallowing. EGD showed esophageal candidiasis. Patient is HIV positive.

A)B37.81, Z21, 0DJ08ZZ
B)B37.89, B20, 0DB17ZX
C)B20, B37.81, 0DJ08ZZ
D)B20, B37.0, 0DB38ZZ

Question 22

A homeless man presented to the ER with skin ulcers of the right calf of the leg that are infested with cutaneous maggots.

A)B87.1
B)B87.0
C)L97.219, B87.0, Z59.0
D)L97.219, B87.8

Question 23

If sepsis is present on admission and meets the definition of principal diagnosis, the systemic infection code should be assigned as the principal diagnosis.

Question 24

A patient was admitted to the hospital with fever, cough, and low blood pressure. Chest x-ray shows infiltrates, and sputum culture is positive for MRSA. The discharge summary indicates that the patient was admitted and was given IV antibiotics for MRSA pneumonia.

A)Z16.11, J15.212
B)J15.212, Z16.11
C)B95.62, Z16.11
D)J15.212

Question 25

Category B20 is assigned for ____________________.

Question 26

Category A00-A09 contains codes for ____________________.

Question 27

A patient was admitted with a diagnosis of urosepsis. Urine and blood cultures were performed on admittance. Blood cultures came back positive for Escherichia coli. Discharge summary documents sepsis due to Escherichia coli. Urinary tract infection.

A)N39.0, B96.20
B)A41.51, N39.0
C)A41.5, R65.20
D)N39.0, B96.20, R65.20

Question 28

____________________ is found as white plaques on the lips, inner cheeks, or tongue. It is seen in babies, people with cancer, and people with diabetes.

Question 29

Code B20 is NEVER used after a patient develops AIDS.

Question 30

Z21 is a code used for patients with HIV who have no symptoms and who have never had an AIDS-defining or AIDS-related illness.

Question 31

A patient was admitted to the hospital with jaundice and elevated liver function tests. Upon discharge, the physician documents jaundice due to acute hepatitis B.

A)B16.9
B)B16.9, R17
C)R17, R79.89, B16.9
D)B18.1

Question 32

The patient was admitted with septic shock. Blood cultures were positive for coagulase-negative staphylococcus (CONS). Patient was also treated for pneumonia. BAL was performed (right middle lobe bronchus). Physician documents sepsis due to coagulase-negative staphylococcus with septic shock and CONS pneumonia.

A)A41.02, R65.11, J15.4, 3E0F7KZ
B)R65.20, A41.1, J18.9, 3E0F8KZ
C)A41.2, R65.21, J15.29, 0B958ZZ
D)A41.1, R65.21, J15.29, 0B958ZX

Question 33

According to ICD-10-CM Guidelines, it is not necessary to identify infections documented as antibiotic resistant.

Question 34

A patient is admitted to the hospital with severe diarrhea. Upon exam, the patient is found to be severely dehydrated. She is given IV fluids to correct the hydration. In the assessment, the physician suspects gastroenteritis. After stool cultures, it is determined that the patient has Clostridium difficile colitis.

A)K52.9, E86.0, R19.7
B)A04.7, E86.0
C)A04.7, R19.7
D)K52.9, R19.7

Question 35

Infectious diseases are characterized often by a disease code and an organism code. When this occurs, it is appropriate to use two codes.

Question 36

____________________, or shingles, is a disease caused by the same virus that causes chickenpox.

Question 37

TB stands for ____________________.

Question 38

A patient known to be positive for HIV is admitted to the hospital with high fever, malaise, and cough. Pneumocystis carinii pneumonia is suspected and is ruled out. Tests reveal that the patient has infectious mononucleosis.

A)B20, B59
B)B59, B20
C)B27.90, Z21
D)Z21, B27.90

Question 39

The patient was admitted with sepsis caused by a UTI due to Escherichia coli. The patient also had acute kidney injury due to sepsis. Discharge summary states sepsis due to Escherichia coli.

A)N39.0, A45.51, N17.9, R65.20
B)A41.51, N39.0, R65.20, N17.9
C)R65.21, N39.0, A41.51, N17.9
D)A41.9, N39.0, N17.9, R65.10

Question 40

Patient has elevated liver function tests and was diagnosed with viral hepatitis C.

A)B19.20
B)B19.21
C)B19.9
D)B19.20, R79.89

Question 41

Match each definition to one of the following items.
a.SIRS
b.Bacteremia
c.Septicemia
d.Gonorrhea
e.Septic shock
f.Sepsis
Bacteria in the blood

Question 42

What disease causes inflammation of the liver and can be caused by several different viruses?

Question 43

Assign the code for Ebola virus.

Question 44

Assign the code for chickenpox.

Question 45

Match each definition to one of the following items.
a.SIRS
b.Bacteremia
c.Septicemia
d.Gonorrhea
e.Septic shock
f.Sepsis
The systemic inflammatory response to infection or trauma; includes fevers, tachycardia, and leukocytosis

Question 46

Match each definition to one of the following items.
a.SIRS
b.Bacteremia
c.Septicemia
d.Gonorrhea
e.Septic shock
f.Sepsis
Systemic disease with the presence of microorganisms or toxins in the blood, including bacteria, viruses, fungi, or others

Question 47

Name an AIDS-defining illness that usually attacks an immunocompromised individual.

Question 48

Match each definition to one of the following items.
a.SIRS
b.Bacteremia
c.Septicemia
d.Gonorrhea
e.Septic shock
f.Sepsis
Spread by sexual contact; men are more likely to have symptoms such as burning while urinating and discharge from the penis; treated with antibiotic

Question 49

Match each definition to one of the following items.
a.SIRS
b.Bacteremia
c.Septicemia
d.Gonorrhea
e.Septic shock
f.Sepsis
Sepsis with hypotension, also known as endotoxic shock and gram-negative shock, is failure of the cardiovascular system; as such, meets the definition of severe sepsis

Question 50

Match each definition to one of the following items.
a.SIRS
b.Bacteremia
c.Septicemia
d.Gonorrhea
e.Septic shock
f.Sepsis
SIRS due to infection

Question 51

Assign the code for scarlet fever.

Question 52

Assign the code for Colorado tick fever.

Question 53

Assign the code for bubonic plague.

Question 54

Assign the code for screening for HIV.

Question 55

What virus is spread to individuals by a mosquito bite?

Question 56

Assign the code for suspected carrier of group B strep.

Question 57

Assign the code for German measles.

Question 58

Assign the code for infectious diarrhea.

Question 59

Assign the code for asymptomatic HIV.

Question 60

Assign the code(s) for intertrigo under both breasts due to candidiasis.

Question 61

Assign the code for Zika virus.

Question 62

A patient was admitted with difficulty swallowing and is HIV positive. An EGD was performed and revealed candidal esophagitis. Patient was treated and discharged home in stable condition.

Question 63

According to the discharge summary, a patient is admitted with bacterial pneumonia. Three days after admission, the patient spikes a fever and is tachycardic with a WBC of 18,000. Physician documents that the blood cultures confirm staphylococcal sepsis.

Question 64

Assign the code(s) for acute pyelonephritis due to pseudomonas.