Deck 15: Diseases of the Circulatory System

Question 1

Patient was admitted to have a drug-eluting stent inserted into the LAD for coronary atherosclerosis.Procedure was performed percutaneously.

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

Answer 1

B

Question 2

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

Answer 2

B

Question 3

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

Answer 3

C

Question 4

Patient comes to the hospital with chest pain.A diagnostic left heart cath is performed,and no coronary artery disease is observed.The cardiologist documents the diagnosis as noncardiac chest pain.

A)R07.9,4A0239Z
B)R07.89,4A023N7
C)R07.9,4A023N7
D)R07.89,A023N8

Question 5

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 6

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

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

Question 7

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 8

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 9

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

A)normal blood pressure
B)hypotension
C)pre-hypotension
D)hypertension

Question 10

Patient is admitted through the ER,presenting with acute chest pain.The patient has a history of COPD and pneumonia as well as type II DM with diabetic neuropathy.He has a history of hypertension and gout for which he takes meds.He is currently smoking about one pack per day.After study it is determined that patient has had an acute anterolateral wall infarct.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,J44.9,027034Z
B)I21.09,R07.9,J18.9,Z272.0,J449.9,027034Z
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 11

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

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

Question 12

Patient with alcoholic cirrhosis of the liver with bleeding esophageal varices.Watch for 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 13

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 14

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

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

Question 15

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 left-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 16

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 17

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 18

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,I10,I25.10,I50.9,Z95.1,Z95.5

Question 19

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

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

Question 20

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)I10,R55
D)I10

Question 21

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

Question 22

Atherectomy is the removal of plaque from the vessel.

Question 23

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

Question 24

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

Question 25

____________________ is the sudden loss of heart function.

Question 26

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

Question 27

The normal heart rate of a healthy adult is between _____ and _____ beats per minute.

Question 28

Tachycardia is an abnormally high heart rate of more than 100 beats per minute.

Question 29

Match the following definitions with the correct word.
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 30

Match the following definitions with the correct word.
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 31

Match the following definitions with the correct word.
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 32

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

Question 33

Insertion of pacemakers most often requires five codes.

Question 34

Match the following definitions with the correct word.
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 35

MI is the abbreviation for ____________________.

Question 36

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

Question 37

AF is the abbreviation for ____________________.

Question 38

Match the following definitions with the correct word.
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 39

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

Question 40

Patient has atherosclerosis of the left femoral artery with intermittent claudication and rest pain.An open fempop 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 41

Match the following Z codes to their meanings.
a.Z82.3
b.Z94.1
c.Z95.811
d.Z95.9
e.Z76.82
History of heart transplant

Question 42

Match the following Z codes to their meanings.
a.Z82.3
b.Z94.1
c.Z95.811
d.Z95.9
e.Z76.82
Postprocedural status unspecified cardiac device

Question 43

Malignant hypertension with congestive failure: __________

Question 44

Bifascicular block: __________

Question 45

Match the following definitions with the correct word.
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 46

Match the following definitions with the correct word.
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 47

Anterolateral myocardial infarct,initial visit: __________

Question 48

Sick sinus syndrome: __________

Question 49

Match the following Z codes to their meanings.
a.Z82.3
b.Z94.1
c.Z95.811
d.Z95.9
e.Z76.82
Family history of stroke

Question 50

Bilateral stenosis of carotid artery: __________

Question 51

Match the following treatment/medication to the correct condition.
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 52

Match the following Z codes to their meanings.
a.Z82.3
b.Z94.1
c.Z95.811
d.Z95.9
e.Z76.82
Heart assist device

Question 53

Match the following Z codes to their meanings.
a.Z82.3
b.Z94.1
c.Z95.811
d.Z95.9
e.Z76.82
Awaiting organ transplant status

Question 54

Match the following definitions with the correct word.
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 55

What is the abbreviation for congestive heart failure?

Question 56

Match the following treatment/medication to the correct condition.
a.Angina
b.Atrial fibrillation
c.Congestive heart failure
d.Hypertension
Diuretics such as Lasix,Bumex,and Zaroxolyn;beta blockers

Question 57

What is the function of the heart?

Question 58

Match the following treatment/medication to the correct condition.
a.Angina
b.Atrial fibrillation
c.Congestive heart failure
d.Hypertension
Nitroglycerin,beta blockers,and calcium channel blockers: Coreg,Lopressor,Norvasc

Question 59

What is the function of blood vessels?

Question 60

Match the following treatment/medication to the correct condition.
a.Angina
b.Atrial fibrillation
c.Congestive heart failure
d.Hypertension
Diuretics: Aldactone;beta blockers: atenolol,Vasotec,Cozaar,Calan,Cardizem,and Aldomet

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 also 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 approach.Cardiopulmonary bypass is performed during the surgery.

Question 62

Benign renovascular hypertension: __________

Question 63

Right iliac vein phlebitis: __________

Question 64

Prinzmetal angina: __________

Question 65

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

Question 66

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 a history of alcoholic cardiomyopathy and alcohol dependence.Discharge Diagnoses: Congestive heart failure.Pulmonary hypertension.Aortic valve stenosis.Atrial fibrillation.