Deck 16: Diseases of the Circulatory System

Question 1

The ____ is the middle layer of the heart composed of cardiac muscle.

A)epicardium
B)myocardium
C)endocardium
D)none of the above is correct

Answer 1

B

Question 2

A patient is admitted with chest pain and is ruled in for an NSTEMI. The patient has a history of a CABG and PTCA with stent placement. Patient is taking medications for hypertension, CAD, and CHF.

A)I22.2, I25.119, I11.9, 150.9, Z95.1, A95.5
B)R07.9, I21.4, I25.10, I10, I50.30, Z95.1, Z95.5
C)I21.4, I11.9, I25.10, 786.50, I50.9, Z95.1, Z95.5
D)I21.4, I11.0, I25.10, I50.9, Z95.1, Z95.5

Answer 2

D

Question 3

Patient comes into the ER after fainting at work. The physician determines that the fainting was caused by hypertensive urgency.

A)R55.0, R03.0
B)R55.0
C)I16.1, R55
D)I16.0

Answer 3

D

Question 4

Patient with alcoholic cirrhosis of the liver with bleeding esophageal varices was admitted to the hospital. There was no evidence of withdrawal symptoms due to patient's alcohol dependence.

A)I85.11, K70.31, F10.19
B)K70.30, I85.11, F10.20
C)I85.11, K70.30, F10.20
D)K70.30, I85.00, F10.19

Question 5

Molly has a blood pressure of 150/100 mm Hg. She would be classified as having ____ by her clinician.

A)normal blood pressure
B)hypotension
C)prehypotension
D)hypertension

Question 6

Diseases of the circulatory system in ICD-10-CM are coded from ____.

A)K00-K94
B)I00-I99
C)H00-H59
D)F01-F99

Question 7

All of the following are tests performed to determine whether a myocardial infarction has occurred EXCEPT ____.

A)CPK
B)EKG
C)urinalysis
D)ECG
E)troponin level test

Question 8

Patient comes to the hospital with chest pain and shortness of breath. A diagnostic left heart cath is performed. The cardiologist documents the diagnosis as primary pulmonary hypertension.

A)R07.9, R06.02, I27.2, 4A0239Z
B)I27.0, 4A023N7
C)I27.0, R07.9, R06.02, 4A023N7
D)I27.2, R07.89, A023N8

Question 9

Patient comes to the hospital for repair of an abdominal aortic aneurysm. The repair is performed by implantation of stent graft in the abdominal aorta via percutaneous approach.

A)I71.3, 04U04JZ
B)I71.4, 04V03DZ
C)I71.3, 04V04DZ
D)I71.4, 04U03JZ

Question 10

Patient was admitted with acute on chronic systolic and diastolic congestive heart failure.

A)I50.43
B)I50.23, I50.33
C)I50.43, I50.23, I50.33
D)I50.40, I50.30

Question 11

The patient was admitted with left-sided hemiparesis due to a cerebrovascular accident. The patient has a history of previous CVA with residual facial droop.

A)I63.9, G81.94, I69.392
B)G81.94, I63.9, I69.892
C)I69.354, G81.94
D)163.9, Z86.73, G81.94

Question 12

Patient was admitted to have a drug-eluting stent inserted into the left anterior descending coronary artery (LAD) for coronary atherosclerosis. The LAD had 100% chronic occlusion. Procedure was performed percutaneously.

A)I25.110, 027144Z
B)I25.10, I25.82, 027034Z
C)I25.82, I25.10, 027134Z
D)I25.110, 027034Z

Question 13

Patient is admitted with CHF and known hypertensive heart disease.

A)I50.9, I11.0
B)I11.0, I50.9
C)I50.9, I10
D)I11.0, I50.30

Question 14

Patient was admitted for treatment of gangrenous cellulitis of the left lower leg.

A)L03.116, I96
B)I96
C)L03.115, I96
D)I96, L03.116

Question 15

Patient presents with left carotid artery thrombosis with infarct and current right hemiparesis. Patient has residual aphasia from a previous stroke.

A)I69.854, I63.032, I69.320
B)I63.032, I69.032, I69.320
C)I63.032, G81.91, I69.320
D)I69.320, G81.90, I69.854

Question 16

Patient is admitted through the ER, presenting with acute chest pain. The patient has a history of COPD and pneumonia as well as type 2 DM with neuropathy. He has a history of hypertension and gout for which he takes meds for both conditions. He is currently smoking about one pack of cigarettes per day. After study, it is determined that patient has had an acute anterolateral wall STEMI. He is taken to the cath lab for a PTCA with the insertion of a drug-eluting stent of the LAD.

A)R07.9, I21.09, J18.9, I10, Z72.0, J44.9, 02703DZ
B)I21.09, R07.9, J18.9, Z272.0, J449.9, 027134Z
C)I21.09, I10, F17.210, M10.9, J44.9, E11.40, 027034Z
D)R07.9, I10, J18.9, F17.210, M10.9, J44.9, 027034Z

Question 17

Patient is admitted with chest pain and rules in for an anterolateral STEMI. There is a family history of CAD.

A)I21.3, Z82.41
B)I22.9, Z82.41
C)I21.09, Z82.49
D)I21.11, Z82.49

Question 18

Patient is admitted through the ER with atrial fibrillation and a history of COPD. She is taken to the EPS lab for EPS mapping and percutaneous radiofrequency ablation of the AV node.

A)I48.91, Z87.09, 02K84ZZ, 02574ZZ
B)I48.91, J44.9, 02K83ZZ, 02573ZZ
C)I48.91, J44.9, 02574ZZ, 02K83ZZ, 4A023FZ
D)I48.91, J44.9, 02583ZZ, 02K83ZZ

Question 19

Patient is admitted with syncope. After tests are performed, it is determined that the patient has sick sinus syndrome.

A)R00.1, I49.8
B)R00.1, I49.5
C)I49.5
D)I49.8

Question 20

A patient is admitted with facial droop, right-sided hemiparesis, and nystagmus. Testing reveals occlusion of the left carotid artery with cerebral infarct. The patient has uncontrolled hypertension and atrial fibrillation, which is treated with Coumadin. Before discharge, the patient's nystagmus and facial droop have resolved. The patient is discharged to rehab for continued therapy for right-sided hemiparesis.

A)I63.232, G81.90, I10, I48.91, Z79.01
B)I63.232, G81.91, H55.00, R29.810, I10, I48.91, Z79.01
C)G81.90, I63.232, I10, I48.91, Z79.01
D)I65.22, G81.90, H55.00, I10, I48.91, Z79.01

Question 21

Match each definition to one of the following items.
a.Transient ischemic attack
b.Atherosclerosis
c.Aneurysm
d.Pericarditis
e.Endocarditis
f.Cardiomyopathy
g.Conduction disorder
h.Diagnostic cardiac catheterization
Inflammation of the lining of the heart chambers and valves

Question 22

The time limit for assigning the acute MI in ICD-10-CM is 28 days.

Question 23

Deep vein thrombosis (DVT) is a blood clot that forms deep in a vein, usually in the leg or hip.

Question 24

Tachycardia is an abnormally high heart rate of more than 100 beats/min.

Question 25

____________________ is the sudden loss of heart function.

Question 26

Atherectomy is the removal of plaque from the vessel.

Question 27

Patient has atherosclerosis of the left femoral artery with intermittent claudication and rest pain. An open fem-pop bypass (left) using synthetic substitute is performed on this patient with a chronic total occlusion.

A)I70.92, I70.222, 041L0JJ
B)I70.222, I70.91, 041L0JM
C)I70.222, I70.92, 041L0JL
D)I70.221, 41L0KL

Question 28

Match each definition to one of the following items.
a.Transient ischemic attack
b.Atherosclerosis
c.Aneurysm
d.Pericarditis
e.Endocarditis
f.Cardiomyopathy
g.Conduction disorder
h.Diagnostic cardiac catheterization
Inflammation of the covering of the heart

Question 29

In ICD-10-CM, there are fourth-character designations to classify hypertension as to whether it is benign, malignant, or unspecified.

Question 30

MI is the abbreviation for ____________________.

Question 31

Match each definition to one of the following items.
a.Transient ischemic attack
b.Atherosclerosis
c.Aneurysm
d.Pericarditis
e.Endocarditis
f.Cardiomyopathy
g.Conduction disorder
h.Diagnostic cardiac catheterization
Bulging or ballooning out of a vessel

Question 32

Acute myocardial infarction, commonly referred to as a(n) ____________________, occurs when there is complete blockage of blood flow in a coronary artery.

Question 33

Match each definition to one of the following items.
a.Transient ischemic attack
b.Atherosclerosis
c.Aneurysm
d.Pericarditis
e.Endocarditis
f.Cardiomyopathy
g.Conduction disorder
h.Diagnostic cardiac catheterization
A stricture or hardening of the artery due to deposits of plaque

Question 34

In ICD-10-CM a subsequent acute MI is an MI that occurs within 28 days of the previous MI.

Question 35

Match each definition to one of the following items.
a.Transient ischemic attack
b.Atherosclerosis
c.Aneurysm
d.Pericarditis
e.Endocarditis
f.Cardiomyopathy
g.Conduction disorder
h.Diagnostic cardiac catheterization
A problem in the electrical impulses that regulate heartbeats

Question 36

The two main types of heart failure are systolic and diastolic.

Question 37

AF is the abbreviation for ____________________.

Question 38

The normal heart rate of a healthy adult is between _____ and _____ beats/min.

Question 39

Match each definition to one of the following items.
a.Transient ischemic attack
b.Atherosclerosis
c.Aneurysm
d.Pericarditis
e.Endocarditis
f.Cardiomyopathy
g.Conduction disorder
h.Diagnostic cardiac catheterization
A procedure that may be used on a patient with chest pain, angina, or acute MI to determine the severity of the coronary artery disease

Question 40

Enlarged twisted veins that usually occur in legs and may require surgical treatment are called ____________________.

Question 41

Sick sinus syndrome: __________

Question 42

What is the function of the heart?

Question 43

Match each definition to one of the following items.
a.Angina
b.Atrial fibrillation
c.Congestive heart failure
d.Hypertension
Nitroglycerin, beta blockers, and calcium channel blockers: Coreg, Lopressor, Norvasc

Question 44

Match each definition to one of the following items.
a.Transient ischemic attack
b.Atherosclerosis
c.Aneurysm
d.Pericarditis
e.Endocarditis
f.Cardiomyopathy
g.Conduction disorder
h.Diagnostic cardiac catheterization
A stroke that lasts only a few minutes

Question 45

Hypertension with congestive heart failure: __________

Question 46

Posterolateral myocardial infarct, initial visit: __________

Question 47

Match each definition to one of the following items.
a.Z82.3
b.Z94.1
c.Z95.811
d.Z95.9
e.Z76.82
Family history of stroke

Question 48

Match each definition to one of the following items.
a.Z82.3
b.Z94.1
c.Z95.811
d.Z95.9
e.Z76.82
History of heart transplant

Question 49

Match each definition to one of the following items.
a.Z82.3
b.Z94.1
c.Z95.811
d.Z95.9
e.Z76.82
Postprocedural status unspecified cardiac device

Question 50

Match each definition to one of the following items.
a.Angina
b.Atrial fibrillation
c.Congestive heart failure
d.Hypertension
Blood thinners (Coumadin, Plavix, Ticlid); rate control: calcium channel blockers: Cardizem, verapamil; beta blockers: atenolol, Lopressor, Inderal, digoxin, Lanoxin

Question 51

Stenosis of bilateral carotid arteries: __________

Question 52

Match each definition to one of the following items.
a.Angina
b.Atrial fibrillation
c.Congestive heart failure
d.Hypertension
Diuretics: Aldactone; beta blockers: atenolol, Vasotec, Cozaar, Calan, Cardizem, and Aldomet

Question 53

Bifascicular block: __________

Question 54

Match each definition to one of the following items.
a.Transient ischemic attack
b.Atherosclerosis
c.Aneurysm
d.Pericarditis
e.Endocarditis
f.Cardiomyopathy
g.Conduction disorder
h.Diagnostic cardiac catheterization
Disorder of the muscle of the heart chambers that impedes the functioning of the heart

Question 55

Match each definition to one of the following items.
a.Z82.3
b.Z94.1
c.Z95.811
d.Z95.9
e.Z76.82
Heart assist device

Question 56

Match each definition to one of the following items.
a.Z82.3
b.Z94.1
c.Z95.811
d.Z95.9
e.Z76.82
Awaiting organ transplant status

Question 57

Match each definition to one of the following items.
a.Angina
b.Atrial fibrillation
c.Congestive heart failure
d.Hypertension
Diuretics such as Lasix, Bumex, and Zaroxolyn; beta blockers

Question 58

What is the function of blood vessels?

Question 59

Right iliac vein phlebitis: __________

Question 60

What is the abbreviation for congestive heart failure?

Question 61

A patient is admitted with three-vessel coronary artery disease for coronary artery bypass. The patient has had a previous stroke and is receiving Coumadin. The patient has a history of aortic porcine valve replacement and has hyperlipidemia and a strong family history of sudden cardiac death. The patient is taken to the OR for an open three-vessel aorta to coronary artery using greater saphenous vein. The left greater saphenous vein was harvested via percutaneous endoscopic approach. Cardiopulmonary bypass is performed during the surgery.

Question 62

A patient is admitted with dyspnea and fluid overload. Chest X-ray reveals bilateral pleural effusion, right greater than left, and pulmonary congestion with possible congestive heart failure. BNP is elevated, confirming congestive heart failure. Echo shows a mild pulmonary hypertension and aortic valve stenosis. The patient is receiving medication for atrial fibrillation and has alcoholic cardiomyopathy and alcohol dependence.Discharge Diagnoses:
Congestive heart failure
Pulmonary hypertension
Aortic valve stenosis
Atrial fibrillation

Question 63

Prinzmetal angina: __________

Question 64

Inflamed stasis ulcers of the left leg (calf) with fat layer exposed in a patient with varicose veins: __________

Question 65

Benign renovascular hypertension: __________