Deck 10: Neoplasms

Question 1

The patient was admitted for chemotherapy for stage IIIA breast (left) cancer.The patient tolerated the chemotherapy regimen with no complications and will return as arranged for cycle 3.Final Diagnosis: Breast cancer,stage IIIA (spread to axillary lymph nodes).Procedure: Chemotherapy via central vein.

A)C50.912,Z51.11,C77.89,3E04305
B)Z51.11,C50.912,C77.3,3E04305
C)Z51.12,C50.912,C77.3,3E03305
D)Z51.11,Z85.3,C77.89,3E03305

Answer 1

B

Question 2

A patient is admitted with severe anemia due to inoperable pancreatic cancer.Four units of PRC are given (via peripheral vein).What codes are applicable?

A)D63.0,C25.9,30253N0
B)C25.9,D63.0,30233N1
C)C25.9,D64.81,30243N1
D)C25.0,D63.0 30233N1

Answer 2

B

Question 3

All of the following are considered by the National Cancer Institute to be the most common sites for cancer in the United States EXCEPT ____.

A)breast
B)lung
C)brain
D)skin

Answer 3

C

Question 4

What drug could be given to treat anemia due to malignancy?

A)Nolvadex
B)Neupogen
C)Neulasta
D)Epogen

Question 5

Ovarian (left) malignancy with malignant ascites.Diagnostic paracentesis was performed.

A)R18.0,Z85.43,0W9G30Z
B)R18.0,C56.2,0W9G3ZX
C)C56.1,R18.8,0W9G3ZZ
D)C56.2,R18.0,0W9G3ZX

Question 6

A patient is admitted for chemotherapy (via central vein) for non-Hodgkin lymphoma of the spleen.The patient developed severe nausea and vomiting and was treated for dehydration with IV fluids.What codes are applicable?

A)Z51.11,C85.97,3E04305
B)Z51.11,C85.97,E86.0,R11.2,3E04305
C)Z51.11,E86.0,R11.2,3E04305
D)C85.97,R11.2,3E04305

Question 7

Cells that are slightly abnormal and well differentiated are classified as grade ____ cells.

A)1
B)2
C)3
D)4

Question 8

An example of a sarcoma malignancy is a malignant ____.

A)tumor in the bone marrow
B)stomach tumor
C)tumor in the muscle
D)tumor of the breast

Question 9

____ is the placement of radioactive material directly in or near the site of the cancer.

A)Chemotherapy
B)Radiation
C)Brachytherapy
D)Palliative procedure

Question 10

The patient has a history of chronic hepatitis C.On routine ultrasonography,a suspicious mass of the liver was discovered.Biopsy confirmed primary hepatocellular carcinoma,and the patient was admitted for open partial hepatectomy.Final Diagnoses: Chronic hepatitis C.Hepatocellular carcinoma.Procedure: Partial hepatectomy for resection of HCC.

A)C22.0,B18.2,0FB00ZZ
B)C22.9,B18.2,0FB00ZX
C)C22.0,B18.9,0FB00ZZ
D)B18.2,C22.9,0FB00ZX

Question 11

Patient was admitted for back pain due to vertebral metastasis.An MRI indicates that the disease has progressed.Patient has a history of prostate cancer.Beam radiation with heavy particles was administered.

A)G89.28,C79.51,Z85.46,DPOC3ZZ
B)C61,G89.28,C79.51,DP0C4ZZ
C)G89.3,C79.51,Z85.46,DP0C3ZZ
D)C79.51,G89.3,Z85.46,DP0C4ZZ

Question 12

____ is the use of high-energy radiation to treat cancer.

A)Chemotherapy
B)Radiation
C)Brachytherapy
D)Palliative procedure

Question 13

____ carcinoma is primary neoplasm of the liver.

A)Squamous cell
B)Bronchogenic
C)Hepatocellular
D)Invasive ductal

Question 14

The patient is a 30-year-old woman who has multiple intramural fibroids.She has become more symptomatic with menorrhagia,resulting in anemia because of chronic blood loss.The patient would like to maintain fertility,so an open myomectomy is performed.Final Diagnosis: Intramural uterine fibroids.Procedure: Myomectomy.

A)D25.1,N92.0,D50.0,0UB90ZZ
B)D50.0,N92.0,D25.9,0UB93ZX
C)D25.0,N92.0,D50.0,0UB90ZZ
D)D25.1,0UB90ZZ

Question 15

An example of a carcinoma malignancy is a malignant ____.

A)tumor in the bone marrow
B)stomach tumor
C)tumor in the muscle
D)tumor of the breast

Question 16

What drug could be given to treat neutropenia due to chemotherapy?

A)Neulasta
B)Procrit
C)Aranesp
D)Tamoxifen

Question 17

All of the following are factors influencing which kind of biopsy will be performed for a patient EXCEPT the ____.

A)weight of the patient
B)location of the mass
C)age of the patient
D)available technology

Question 18

A patient is admitted and taken to surgery for an open wedge resection of metastatic carcinoma to the liver.The patient was diagnosed with small-cell lung carcinoma 3 months ago.What codes are applicable?

A)C78.7,C34.90,0FB04ZX
B)C34.90,C78.7,0FB00ZZ
C)C78.7,C34.90,0FB00ZZ
D)C34.90,C78.7,0FB04ZX

Question 19

Neutropenic fever with neutropenia due to chemotherapy for acute lymphocytic leukemia.

A)C91.00,T45.1x5A,C91.00
B)T45.1x5A,D70.1,R50.81,C91.00
C)D70.1,T45.1x5A,R50.81,C91.00
D)R50.81,T45.1x5A,D70.1,C91.00

Question 20

Patient was admitted for prophylactic removal of ovaries due to genetic susceptibility and positive family history of ovarian cancer with laparoscopic removal of both ovaries.

A)Z40.02,Z80.41,Z15.02,0UT04ZZ,0UT14ZZ
B)Z15.02,Z80.41,Z40.02,0UT20ZZ
C)Z40.09,Z80.41,Z15.02,0UT24ZZ
D)Z40.02,Z80.41,Z15.02,0UT24ZZ

Question 21

Patient has known adenocarcinoma of the right lower lobe of the lung.Thoracentesis was done to evaluate the patient's pleural effusion.Discharge summary documents malignant pleural effusion.

A)C34.32,J90,0W9B3ZX
B)J91.0,C34.32,0W9B30Z
C)C34.31,J91.0,0W993ZX
D)C34.31,J90,0W9930Z

Question 22

When admission is for treatment of a complication resulting from a surgical procedure,the complication should be the principal diagnosis if the treatment is directed at resolving the complication.

Question 23

Cancer of the white blood cells that begins in the blood-forming cells of the bone marrow is called ____________________.

Question 24

Smoking is associated with 100% of all oral cancers.

Question 25

Patient was admitted with an intestinal obstruction due to peritoneal metastasis from inoperable rectosigmoid cancer.

A)C78.6,C19
B)K56.69,C19,C78.6
C)C78.6,K56.60
D)C19,C78.6

Question 26

Patient was seen in the clinic for Burkitt's lymphoma.Patient is HIV positive.

A)B20,C83.79
B)C83.70,Z21
C)B20,C83.70
D)C83.79,B20

Question 27

Neoplasms can affect ONLY certain specific body systems.

Question 28

Carcinomas in situ are malignant cells that remain within the original site with no spread to or invasion of neighboring tissues.

Question 29

Preventive or ____________________ surgery is performed to remove tissue that has the potential to become cancerous.

Question 30

Cancer of the lymphatic system is called ____________________.

Question 31

CDC stands for ____________________.

Question 32

The administration of cancer-killing drugs is called ____________________.

Question 33

Removal of right tonsil due to squamous cell carcinoma.

A)D37.05,0CBP0ZX
B)C09.8,0CBP3ZX
C)C09.9,0CTPXZZ
D)D10.4,0CTP0ZZ

Question 34

Patient is being treated for chemotherapy-induced anemia.Patient is receiving chemotherapy for right renal cell carcinoma.

A)C64.9,D63.0,T45.1X1A
B)D64.89,T45.1X1A,C64.2
C)C64.1,D64.81,T45.1X5A
D)D64.81,T45.1X5A,C64.1

Question 35

A(n) ____________________ is an abnormal tissue that grows by cellular proliferation more rapidly than normal and continues to grow after the stimuli that initiated the new growth cease.

Question 36

Patient is currently undergoing treatment for primary left non-small-cell lung cancer which has been metastasized to the right lung.

A)C34.92,C34.91
B)C34.92
C)C34.91
D)C34.92,C78.01

Question 37

When admission is for the management of dehydration due to malignancy or therapy and only dehydration is being treated,the dehydration is coded first,followed by the code(s) from the malignancy.

Question 38

Pancytopenia due to myelodysplastic syndrome.

A)D46.9
B)D61.818,D46.9
C)D46.9,D61.818
D)D46.Z

Question 39

Patient has a malignancy in the right upper outer quadrant of the breast.There is another primary malignancy in the right lower outer quadrant.She will be scheduled for a mastectomy soon.

A)C50.421,C50.422
B)C50.411,C50.511
C)C50.811
D)C50.821,C79.81

Question 40

In ICD-10-CM,there is an Instructional note to code the malignancy first even when the encounter is for the management of anemia due to the malignancy.

Question 41

Match the following terms to the correct definition.
a.Well differentiated
b.Sarcomas
c.Fibromas
d.Metastasis
e.Leukemias
f.Melanomas
g.Carcinomas
h.Undifferentiated
i.Myeloma
j.Grading
k.Primary site
l.Staging
m.Adenocarcinoma
Tumor cells that are highly abnormal

Question 42

Match the following terms to the correct definition.
a.Well differentiated
b.Sarcomas
c.Fibromas
d.Metastasis
e.Leukemias
f.Melanomas
g.Carcinomas
h.Undifferentiated
i.Myeloma
j.Grading
k.Primary site
l.Staging
m.Adenocarcinoma
Abnormal growth of melanin cells

Question 43

Match the following terms to the correct definition.
a.Well differentiated
b.Sarcomas
c.Fibromas
d.Metastasis
e.Leukemias
f.Melanomas
g.Carcinomas
h.Undifferentiated
i.Myeloma
j.Grading
k.Primary site
l.Staging
m.Adenocarcinoma
Malignancy that originates in the bone marrow

Question 44

When cancers are staged,stage ____________________ means that the cancer has spread into surrounding tissues but not beyond the location of origin.

Question 45

Match the following terms to the correct definition.
a.Well differentiated
b.Sarcomas
c.Fibromas
d.Metastasis
e.Leukemias
f.Melanomas
g.Carcinomas
h.Undifferentiated
i.Myeloma
j.Grading
k.Primary site
l.Staging
m.Adenocarcinoma
Tumor cells that closely resemble mature,specialized cells

Question 46

Primary cancer of the cauda equina: __________

Question 47

Match the following terms to the correct definition.
a.Well differentiated
b.Sarcomas
c.Fibromas
d.Metastasis
e.Leukemias
f.Melanomas
g.Carcinomas
h.Undifferentiated
i.Myeloma
j.Grading
k.Primary site
l.Staging
m.Adenocarcinoma
A means of categorizing a particular cancer that helps determine a patient's treatment plan and the need for further therapy

Question 48

Match the following terms to the correct definition.
a.Well differentiated
b.Sarcomas
c.Fibromas
d.Metastasis
e.Leukemias
f.Melanomas
g.Carcinomas
h.Undifferentiated
i.Myeloma
j.Grading
k.Primary site
l.Staging
m.Adenocarcinoma
Pathologic examination of tumor cells

Question 49

Match the following terms to the correct definition.
a.Well differentiated
b.Sarcomas
c.Fibromas
d.Metastasis
e.Leukemias
f.Melanomas
g.Carcinomas
h.Undifferentiated
i.Myeloma
j.Grading
k.Primary site
l.Staging
m.Adenocarcinoma
The location in which the neoplasm begins

Question 50

Match the following terms to the correct definition.
a.Well differentiated
b.Sarcomas
c.Fibromas
d.Metastasis
e.Leukemias
f.Melanomas
g.Carcinomas
h.Undifferentiated
i.Myeloma
j.Grading
k.Primary site
l.Staging
m.Adenocarcinoma
The spread of cancer from one body part to another,as in appearance of neoplasms in parts of the body separate from the primary tumor

Question 51

Pancytopenia due to myelodysplastic syndrome: __________

Question 52

Match the following terms to the correct definition.
a.Well differentiated
b.Sarcomas
c.Fibromas
d.Metastasis
e.Leukemias
f.Melanomas
g.Carcinomas
h.Undifferentiated
i.Myeloma
j.Grading
k.Primary site
l.Staging
m.Adenocarcinoma
Neoplasms of fibrous connective tissue

Question 53

What does it mean when a tumor is benign?

Question 54

Adrenocortical carcinoma,left gland: __________

Question 55

What is the abbreviation for non-small-cell lung cancer?

Question 56

Match the following terms to the correct definition.
a.Well differentiated
b.Sarcomas
c.Fibromas
d.Metastasis
e.Leukemias
f.Melanomas
g.Carcinomas
h.Undifferentiated
i.Myeloma
j.Grading
k.Primary site
l.Staging
m.Adenocarcinoma
Malignant growth originating from epithelial tissue

Question 57

Match the following terms to the correct definition.
a.Well differentiated
b.Sarcomas
c.Fibromas
d.Metastasis
e.Leukemias
f.Melanomas
g.Carcinomas
h.Undifferentiated
i.Myeloma
j.Grading
k.Primary site
l.Staging
m.Adenocarcinoma
Malignant tumors of glandular tissue

Question 58

What is the abbreviation for small-cell lung cancer?

Question 59

Match the following terms to the correct definition.
a.Well differentiated
b.Sarcomas
c.Fibromas
d.Metastasis
e.Leukemias
f.Melanomas
g.Carcinomas
h.Undifferentiated
i.Myeloma
j.Grading
k.Primary site
l.Staging
m.Adenocarcinoma
Malignancies arising from white blood cells

Question 60

Match the following terms to the correct definition.
a.Well differentiated
b.Sarcomas
c.Fibromas
d.Metastasis
e.Leukemias
f.Melanomas
g.Carcinomas
h.Undifferentiated
i.Myeloma
j.Grading
k.Primary site
l.Staging
m.Adenocarcinoma
Malignant growth of connective tissue

Question 61

A patient is admitted with headache due to malignant glioblastoma multiforme.A workup is performed to evaluate the progression of the frontal lobe tumor.__________

Question 62

Benign neoplasm of the thymus: __________

Question 63

Lymphangioendothelioma: __________

Question 64

A patient is admitted with hematuria.The patient is a long-time cigarette smoker.A diagnostic cystoscope is performed with excision of a bladder dome lesion.The pathology report reveals transitional cell bladder carcinoma.A metastatic workup is performed with high suspicion for bone lesion.Smoking cessation advised for nicotine dependence.Discharge Diagnosis: Bladder cancer with metastasis to the bone.__________

Question 65

Metastasis to Zuckerkandl's organ: __________

Question 66

Benign neoplasm of Cowper's gland: __________

Question 67

Metastatic carcinoma of the omentum.History of ovarian carcinoma that was treated with bilateral oophorectomy 5 years ago: __________

Question 68

Glossopalatine fold carcinoma: __________