Deck 15: Diseases of the Nervous System, diseases of the Eye and Adnexa, and Diseases of the Ear and Mastoid Process

Question 1

Which of the following is the most common diagnostic test for epilepsy?

A)EEG
B)MRI
C)Ultrasound
D)EMG

Answer 1

A

Question 2

A patient with known metastatic cancer to the ribs is admitted for pain control.The patient has a history of lung cancer,which was surgically excised.The patient is administered fentanyl.

A)C79.51,G89.3,Z85.118
B)G89.3,C79.51,Z85.118
C)C79.51,G89.3,C34.90
D)G89.3,G89.3,C34.90

Answer 2

B

Question 3

What drug could be given to treat Alzheimer's?

A)Sinemet
B)Depakote
C)Aricept
D)Dilantin

Answer 3

C

Question 4

Patient came to the ER after falling off her horse at the county fair rodeo.X-rays reveal two fractured ribs on the left.Patient is admitted for acute pain control.

A)S22.42xA,G89.11,V80.010A,Y92.39,Y93.52
B)G89.18,S22.42xA,V80.010A,Y92.39,Y93.52
C)G89.11,S22.42xA,V80.010A,Y92.39,Y93.52
D)S22.42xA,R52,V80.010A,Y92.39,Y93.52

Question 5

Bacterial meningitis is ____.

A)not treated
B)treated with antibiotics
C)treated with high doses of vitamins
D)treated with chlorhexidine

Question 6

What drug could be given to treat epilepsy?

A)Dilantin
B)Cognex
C)Aricept
D)Sinemet

Question 7

A patient is admitted with an acute change in mental status.Patient has a history of CHF,DM type 2,and prostate cancer.Patient had a prostatectomy 2 years PTA.Upon completion of the lab work,the physician documents metabolic encephalopathy due to urinary tract infection.Patient was treated with IV antibiotics.

A)G93.41,I50.9,E11.9,Z85.46
B)N39.0,I50.9,E11.9,Z85.46
C)G93.41,I50.9,E11.9,Z85.46
D)N39.0,G93.41,I50.9,E11.9,Z85.46

Question 8

Which of the following is/are sent from the somatic nervous system to the central nervous system?

A)Taste
B)Hearing
C)Smell
D)All of the above

Question 9

A disorder of the brain that causes a progressive decline in mental and physical function is called ____.

A)schizophrenia
B)hydrocephalus
C)Alzheimer's disease
D)Hutchinson's disease

Question 10

Patient is admitted for a senile cataract in the right eye to be removed by phacoemulsification with IOL replacement via percutaneous approach.

A)H25.21,08RK3JZ
B)H25.89,08DK3ZZ
C)H25.9,08RJ3JZ
D)H25.11,08DJ3ZZ

Question 11

It is acceptable to code pain as a principal diagnosis when ____.

A)no definite diagnosis has been established
B)the patient is admitted for postoperative pain control
C)the patient is admitted for pain control for neoplasm-related pain
D)all of the choices occur
E)none of the above is correct;it is never acceptable to code pain as a principal diagnosis

Question 12

All of the following are symptoms of meningitis EXCEPT ____.

A)vomiting
B)sensitivity to darkness
C)headache
D)high fever

Question 13

A patient with intractable epilepsy presents for open implantation of a single-array neurostimulator pulse generator with leads.The generator was placed in the chest via open approach,and the leads were placed in the neck and attached to the vagus nerve via percutaneous approach.

A)G40.919,0JH60BZ,00HE3MZ
B)G40.911,0JH60M6,00HE3MZ
C)G40.919,0JH60M8,00HE3MZ
D)G40.911,00HE0MZ,0MH60M6

Question 14

Which of the following is not a layer of the meninges that covers the brain?

A)Endocardium
B)Dura
C)Arachnoid
D)Pia

Question 15

An infant is admitted for placement of a ventriculoperitoneal shunt (open approach)for hydrocephalus.The patient has lumbar spina bifida.

A)Q03.9,00160J6
B)Q05.2,00160J6
C)Q05.7,001607G
D)Q05.2,0W110JG

Question 16

A patient is admitted for pain control.The patient has metastatic prostate cancer to the vertebrae and liver.The patient is started on a PCA pump,and pain is more manageable.

A)C61,G89.3,C78.7,C79.51
B)M54.9,G89.3,C61,C79.51
C)G89.3,Z85.46,C78.7,C79.51
D)G89.3,C61,C78.7,C79.51

Question 17

A college student is admitted with fever,headache,and a stiff neck.Lumbar puncture is performed in the ER,and lab results reveal pneumococcal meningitis.The patient is given IV fluids for volume depletion and IV antibiotics to treat meningitis.

A)G00.1,E86.9,009U3ZZ
B)R50.9,R51,M43.6,009U3ZX
C)R50.9,R51,M43.6,G00.1,009U3ZZ
D)G00.1,E86.9,009U3ZX

Question 18

Patient comes to the ER with high fever and headache.Meningitis is suspected.A lumbar puncture is performed and reveals bacterial meningitis.

A)G00.8,009Y00X
B)G00.8,009Y0ZX
C)G00.9,R51,R50.9,009U3ZX
D)G00.9,009U3ZX

Question 19

A patient with trigeminal neuralgia and a history of migraine headaches is admitted for an open rhizotomy.A day after the procedure,the patient develops a severe headache diagnosed as a migraine.

A)G50.0,G43.901,008M3ZZ
B)G50.0,G43.909,008K0ZZ
C)G50.0,G43.901,008K0ZZ
D)G50.0,G43.909,008K4ZZ

Question 20

A patient is admitted following a seizure.Laboratory work reveals that the patient is dehydrated and hyponatremic.The final diagnosis lists seizure due to severe hyponatremia.
a.E87.1,R56.9,E86.0
b.R56.9,E87.1
c.E86.0,R56.9,E87.0
d.R56.9,E87.1,E86.0

Question 21

MATCHING
Match the following definitions to the correct disease/disorder.
a.Glaucoma
b.Hydrocephalus
c.Meningitis
d.Epilepsy
e.Parkinson's disease
f.Cataract
g.Cholesteatoma
h.Mastoiditis
i.Myasthenia gravis
j.Alzheimer's disease
Excessive water (cerebrospinal fluid)on the brain

Question 22

The central nervous system is made up of the ____________________ and ____________________.

Question 23

MATCHING
Match the following definitions to the correct disease/disorder.
a.Glaucoma
b.Hydrocephalus
c.Meningitis
d.Epilepsy
e.Parkinson's disease
f.Cataract
g.Cholesteatoma
h.Mastoiditis
i.Myasthenia gravis
j.Alzheimer's disease
An infection or inflammation of the meninges

Question 24

Hydrocephalus can be acquired or congenital.

Question 25

In ICD-10-CM,if information on whether the hemiplegia is affecting the dominant or nondominant side is not documented,the default is dominant.

Question 26

The spinal cord is located in the ____________________ foramen.

Question 27

In ICD-10-CM,there are three chapters for the nervous system and sense organs.

Question 28

The two parts of the peripheral nervous system are the ____________________ nervous system and the ___________________ nervous system.

Question 29

MATCHING
Match the following definitions to the correct disease/disorder.
a.Glaucoma
b.Hydrocephalus
c.Meningitis
d.Epilepsy
e.Parkinson's disease
f.Cataract
g.Cholesteatoma
h.Mastoiditis
i.Myasthenia gravis
j.Alzheimer's disease
A disorder of the brain that causes a progressive decline in mental and physical function

Question 30

MATCHING
Match the following definitions to the correct disease/disorder.
a.Glaucoma
b.Hydrocephalus
c.Meningitis
d.Epilepsy
e.Parkinson's disease
f.Cataract
g.Cholesteatoma
h.Mastoiditis
i.Myasthenia gravis
j.Alzheimer's disease
Disorder of the optic nerve resulting in vision loss

Question 31

MATCHING
Match the following definitions to the correct disease/disorder.
a.Glaucoma
b.Hydrocephalus
c.Meningitis
d.Epilepsy
e.Parkinson's disease
f.Cataract
g.Cholesteatoma
h.Mastoiditis
i.Myasthenia gravis
j.Alzheimer's disease
Infection of the mastoid bone of the skull

Question 32

A(n)____________________ is a device that is used to treat intractable epilepsy.

Question 33

MATCHING
Match the following definitions to the correct disease/disorder.
a.Glaucoma
b.Hydrocephalus
c.Meningitis
d.Epilepsy
e.Parkinson's disease
f.Cataract
g.Cholesteatoma
h.Mastoiditis
i.Myasthenia gravis
j.Alzheimer's disease
Chronic autoimmune disorder manifested by varying degrees of muscle weakness

Question 34

There are no vaccines to prevent meningitis caused by Streptococcus pneumoniae.

Question 35

Only the brain is covered by bone;the spinal cord is not.

Question 36

MATCHING
Match the following definitions to the correct disease/disorder.
a.Glaucoma
b.Hydrocephalus
c.Meningitis
d.Epilepsy
e.Parkinson's disease
f.Cataract
g.Cholesteatoma
h.Mastoiditis
i.Myasthenia gravis
j.Alzheimer's disease
A disorder of the brain characterized by abnormal electrical discharges from the brain cells

Question 37

MATCHING
Match the following definitions to the correct disease/disorder.
a.Glaucoma
b.Hydrocephalus
c.Meningitis
d.Epilepsy
e.Parkinson's disease
f.Cataract
g.Cholesteatoma
h.Mastoiditis
i.Myasthenia gravis
j.Alzheimer's disease
Clouding of the lens of the eye that can cause obstructed vision

Question 38

The purpose of the spinal cord is to conduct ____________________ and spinal reflexes.

Question 39

MATCHING
Match the following definitions to the correct disease/disorder.
a.Glaucoma
b.Hydrocephalus
c.Meningitis
d.Epilepsy
e.Parkinson's disease
f.Cataract
g.Cholesteatoma
h.Mastoiditis
i.Myasthenia gravis
j.Alzheimer's disease
A progressive and chronic motor system disorder that includes symptoms such as tremors,rigidity,and impaired coordination

Question 40

Legal blindness in the United States is defined as severe or profound impairment in both eyes.

Question 41

Can epilepsy be inherited?

Question 42

What does the abbreviation "sz" stand for?

Question 43

Mastoid cholesteatoma of the right ear: __________

Question 44

Romberg's syndrome: __________

Question 45

What are the two main divisions of the nervous system?

Question 46

Bilateral retrolental fibroplasia: __________

Question 47

Meningitis due to Klebsiella: __________

Question 48

Spastic retinal artery: __________

Question 49

MATCHING
Match the following definitions to the correct disease/disorder.
a.Glaucoma
b.Hydrocephalus
c.Meningitis
d.Epilepsy
e.Parkinson's disease
f.Cataract
g.Cholesteatoma
h.Mastoiditis
i.Myasthenia gravis
j.Alzheimer's disease
Growth in the middle ear that usually results from repeated ear infections

Question 50

Bilateral vitreous floaters: __________

Question 51

How is hydrocephalus treated most commonly?

Question 52

Amaurosis: __________

Question 53

Decreased ocular pressure with papilledema: __________

Question 54

Arcus senilis of the left eye: __________

Question 55

Pseudohole of the macula of the right eye: __________