Deck 18: Diseases of the Digestive System

Question 1

Which of the following aid(s)in the digestive process?

A)Pancreas
B)Liver
C)Gallbladder
D)All of the above

Answer 1

D

Question 2

Patient is admitted with hematochezia.A colonoscopy is performed and diverticulitis was found to be the source of the bleeding.

A)K92.1,K57.33,0DJD8ZZ
B)K57.33,0DJD8ZZ
C)K57.32,K92.1,0DJD7ZZ
D)K92.1,K57.32,0DJD7ZZ

Answer 2

B

Question 3

A patient is admitted with Crohn's disease of the large bowel.An open right hemicolectomy is performed with temporary ascending colostomy.The patient has mild malnutrition and was dehydrated on admission.Postoperatively,the patient's potassium levels are monitored,and the hypokalemia is treated with K-Dur.

A)K50.90,E43,E86.0,E87.6,0DTF0ZZ,0D1K0Z4
B)E44.1,K50.10,E86.0,E87.6,0DTF0ZZ,0D1K0Z4
C)K50.10,E46,E86.0,E87.6,0DTF0ZZ,0D1K0Z4
D)K50.10,E44.1,E86.0,E87.6,0DTF0ZZ,0D1K0Z4

Answer 3

D

Question 4

Which Z code is associated with family history of digestive disorders?

A)Z87.19
B)Z83.79
C)Z80.0
D)Z87.11

Question 5

____ means bright red in the stool.

A)Hematuria
B)Hematochezia
C)Hematemesis
D)None of the above

Question 6

All of the following are part of the digestive system EXCEPT the ____.

A)aortic valve
B)liver
C)gallbladder
D)salivary glands

Question 7

The squeezing or movement of food toward the stomach and down the digestive tract is called ____.

A)mastication
B)peristalsis
C)thrombosis
D)perforation

Question 8

Patient with malignant neoplasm of the descending colon is admitted for open left hemicolectomy and temporary transverse colostomy.

A)C18.6,0DTG0ZZ,0D1L0Z4
B)Z43.3,C18.6,0DTG0ZZ,0D1M0Z4
C)C18.6,Z43.3,0DTG0ZZ
D)C18.6,0D1L0Z4

Question 9

Ostomies are surgically created openings into the body.Enterostomies and colostomies are created to discharge waste products from the body.

A)Both statements are true
B)Both statements are false
C)The first statement is true;the second is false
D)The first statement is false;the second is true

Question 10

What drug could be given to treat GERD?

A)Prilosec
B)Azulfidine
C)Remicade
D)Rowasa

Question 11

All of the following are functions of the liver EXCEPT that it ____.

A)removes poisons from the blood
B)produces immune agents to control infection
C)stores and releases bile
D)removes germs and bacteria from the blood
E)none of the above is correct

Question 12

____ means vomiting of blood.

A)Hematuria
B)Hematochezia
C)Hematemesis
D)None of the above

Question 13

What drug could be given to treat a gastric ulcer?

A)Ciprofloxacin
B)Metronidazole
C)Pepcid
D)Compazine

Question 14

Code ____ is coded for personal history of malignant neoplasm of the GI tract,unspecified.

A)Z85.00
B)Z80.9
C)Z80.0
D)Z85.09

Question 15

A(n)____ is a protrusion of an organ or tissue through an abnormal opening of the body.

A)ulcer
B)diverticulum
C)hernia
D)gallstone

Question 16

____ is the abnormal condition of stones in the gallbladder.

A)Cholecystitis
B)Choledocholithiasis
C)Cholelithiasis
D)Appendicitis

Question 17

Which of the following esophageal conditions is most commonly treated with Prilosec?

A)Esophageal hemorrhage
B)Mallory-Weiss tear
C)Diverticulitis
D)Esophageal reflux

Question 18

A patient is admitted for chemotherapy (via central venous catheter)for pancreatic cancer and develops ulcerative mucositis of the mouth due to gemcitabine.

A)K12.31,Z51.11,C25.9,3E04305
B)Z51.11,C25.9,T45.1X5A,3E03305
C)C25.9,Z51.11,K12.31,3E04305
D)Z51.11,C25.9,K12.31,T45.1X5A,3E04305

Question 19

A patient presents with melena,weakness,and fatigue.A colonoscopy with biopsy of the rectum and colon is performed and reveals multiple diverticula and internal hemorrhoids.No source of bleeding is identified.Discharge Diagnosis: GI bleed;chronic blood loss anemia.

A)D50.0,K92.2,K57.91,K64.8,0DBE8ZX
B)K92.1,D50.0,K57.30,K64.8,0DBE8ZX,0DBP8ZX
C)K92.2,D62,K57.30,K64.9,0DBE8ZX,0DBP8ZX
D)K57.91,K92.1,D50.0,K64.9,0DBE8ZX,0DBP8ZX

Question 20

Patient with common bile duct stones presents for stone removal by ERCP.

A)K80.50,0FC98ZZ
B)K80.10,0FF98ZZ
C)K80.50,0FC98ZZ
D)K80.10,0DTG0ZZ,0D1M0Z4

Question 21

MATCHING
Match the following definitions to the correct term.
a.Nissen fundoplication
b.Herniorrhaphy
c.Appendectomy
d.Colostomy
e.Lysis of adhesions
f.PEG (percutaneous endoscopic gastrostomy)
g.TIPS (transjugular intrahepatic portosystemic shunt)procedure
h.Whipple procedure
The removal of the appendix

Question 22

Patient comes to the ER with severe abdominal pain and a long history of alcoholism.Physician documents that patient is currently drinking a fifth of liquor a day.Patient is admitted to the hospital with a diagnosis of acute pancreatitis secondary to alcohol use.

A)K85.80,F10.10
B)K85.20,F10.20
C)K85.90,F10.10
D)K85.00,F10.20

Question 23

The ER physician documents that the patient is being admitted for hematemesis.The patient has an Hct of 24.3.A transfusion of packed red blood cells is administered (via peripheral vein),and the patient is taken to the OR for an EGD.The EGD reveals that the patient has an acute perforated duodenal ulcer that is causing the bleed.The ulcer is cauterized.The patient is treated with IV antibiotics,omeprazole,and NG tube.The discharge summary lists an additional diagnosis of acute blood loss anemia.

A)D62,K26.2,0D597ZZ,30233N1
B)K26.2,D62,0D598ZZ,30233N1
C)D62,K26.1,0D597ZZ,30233P0
D)K26.1,D62,0D598ZZ,30233P1

Question 24

Patient is admitted to the hospital with abdominal pain.After testing,it is determined that the patient has fecal impaction of the colon.Before surgery the anesthesiologist documents that the patient also has mitral valve prolapse and requires pre-op antibiotics.The patient is taken to the OR for disimpaction of the bowel.

A)K56.7,I34.0,0DCE8ZZ
B)K56.60,I34.2,0DCE8ZZ
C)K56.69,I34.9,0DCE7ZZ
D)K56.41,I34.1,0DCE7ZZ

Question 25

MATCHING
Match the following definitions to the correct term.
a.Nissen fundoplication
b.Herniorrhaphy
c.Appendectomy
d.Colostomy
e.Lysis of adhesions
f.PEG (percutaneous endoscopic gastrostomy)
g.TIPS (transjugular intrahepatic portosystemic shunt)procedure
h.Whipple procedure
Procedure performed to remove adhesions from the body

Question 26

The patient has a diagnosis of upper esophageal stricture and a history of COPD.An EGD with dilatation of the stricture is performed.

A)K22.4,J44.9,0D758DZ
B)K22.2,J44.9,0D718ZZ
C)K22.5,J44.1,0D717DZ
D)K22.2,J44.1,0D718ZZ

Question 27

Patient with vomiting and abdominal pain is admitted to the hospital.After workup,it is determined that the patient has appendicitis.The patient is taken to the OR for a laparoscopic appendectomy.The pathology report shows that the patient suffered from acute appendicitis with an abscess.

A)K35.3,R10.9,0DYJ0ZZ
B)K35.3,0DTJ4ZZ
C)R10.9,K35.1,0DTJ4ZZ
D)K35.9,R10.9,0DTJ0ZZ

Question 28

The mouth is where digestion begins.

Question 29

Mallory-Weiss tear is a name for a(n)____________________ laceration of the esophagogastric junction,usually after severe vomiting.

Question 30

Symptoms of gastric ulcers may include pain when eating,vomiting,and tarry bowel movements.

Question 31

An indirect hernia occurs when the protrusion is through the inguinal ring into the inguinal canal;this is different from a direct hernia.

Question 32

Patient who is a 60-year-old female presents to the ER with severe abdominal pain.The patient has a history of Crohn's disease.She had asthma as a child,with last attack at age 18,and currently appears dehydrated.After study it is determined that the patient has an abscess of the large intestine.Antibiotics are administered,as well as IV fluids with potassium to treat the dehydration and hypokalemia.

A)K50.914,K63.0,J45.909,E87.5,E86.0
B)K63.0,K50.914,E87.6
C)K50.10,J45.909,K63.0,E87.6,E86.0
D)K50.914,E87.6,E86.0

Question 33

Patient with known alcoholic cirrhosis of the liver is admitted with ascites and acute spontaneous bacterial peritonitis due to Staphylococcus aureus.Patient is a recovering alcoholic who has been in remission for 2 years.

A)K65.9,K70.30,F10.21,B95.62
B)K65.2,K70.31,F10.20,B95.61
C)K65.2,K70.31,F10.21,B95.61
D)K65.9,K70.31,F10.20,B95.62

Question 34

MATCHING
Match the following definitions to the correct term.
a.Nissen fundoplication
b.Herniorrhaphy
c.Appendectomy
d.Colostomy
e.Lysis of adhesions
f.PEG (percutaneous endoscopic gastrostomy)
g.TIPS (transjugular intrahepatic portosystemic shunt)procedure
h.Whipple procedure
Done for the removal of the gallbladder,common bile duct,part of the duodenum,and the head of the pancreas

Question 35

An ileostomy is very similar to a(n)____________________ EXCEPT that the end of the small intestine is brought through the abdominal wall.

Question 36

MATCHING
Match the following definitions to the correct term.
a.Nissen fundoplication
b.Herniorrhaphy
c.Appendectomy
d.Colostomy
e.Lysis of adhesions
f.PEG (percutaneous endoscopic gastrostomy)
g.TIPS (transjugular intrahepatic portosystemic shunt)procedure
h.Whipple procedure
Used as feeding tubes for patients who are having difficulty eating,are malnourished,or are aspirating food

Question 37

MATCHING
Match the following definitions to the correct term.
a.Nissen fundoplication
b.Herniorrhaphy
c.Appendectomy
d.Colostomy
e.Lysis of adhesions
f.PEG (percutaneous endoscopic gastrostomy)
g.TIPS (transjugular intrahepatic portosystemic shunt)procedure
h.Whipple procedure
The procedure used to repair a hernia

Question 38

Patient is admitted to the hospital with severe malnutrition and dehydration.The patient is a 93-year-old male living at home with his wife.During the exam it is identified that the patient has Class I complete edentulism as well as a Stage I sacral decubitus.A social work consult is called for placement.

A)E43,E86.0,K08.101,L89.151
B)K08.109,E86.0,E43,L89.150
C)K08.101,E86.0,E43,L89.151
D)E43,K08.109,E86.0,L89.150

Question 39

MATCHING
Match the following definitions to the correct term.
a.Nissen fundoplication
b.Herniorrhaphy
c.Appendectomy
d.Colostomy
e.Lysis of adhesions
f.PEG (percutaneous endoscopic gastrostomy)
g.TIPS (transjugular intrahepatic portosystemic shunt)procedure
h.Whipple procedure
Surgical treatment for gastroesophageal reflux disease

Question 40

MATCHING
Match the following definitions to the correct term.
a.Nissen fundoplication
b.Herniorrhaphy
c.Appendectomy
d.Colostomy
e.Lysis of adhesions
f.PEG (percutaneous endoscopic gastrostomy)
g.TIPS (transjugular intrahepatic portosystemic shunt)procedure
h.Whipple procedure
An incision into the colon to create an artificial opening to the exterior of the abdomen

Question 41

MATCHING
Match the following definitions to the correct term.
a.Nissen fundoplication
b.Herniorrhaphy
c.Appendectomy
d.Colostomy
e.Lysis of adhesions
f.PEG (percutaneous endoscopic gastrostomy)
g.TIPS (transjugular intrahepatic portosystemic shunt)procedure
h.Whipple procedure
Performed on people with severe liver complications;procedure does not improve the function of the liver but instead helps treat the complications

Question 42

What is mastication?

Question 43

Name one purpose of the small intestine.

Question 44

What are the three parts of the small intestine?

Question 45

What is an ulcer (such as of the stomach or intestine)?

Question 46

Postgastrectomy diarrhea: __________

Question 47

What is the abbreviation for esophagogastroduodenoscopy?

Question 48

What are diverticula?

Question 49

A patient is admitted with abdominal pain and loss of appetite.An EGD is performed and a biopsy of the stomach is taken.Pathology report confirms acute Helicobacter pylori gastritis.Patient is started on antibiotics and discharged with a diagnosis of acute H.pylori gastritis.What codes are applicable?

Question 50

What is the term for degeneration of the liver tissue that causes blockage of the blood through the liver and inhibits its function?

Question 51

Diverticulosis: __________

Question 52

Assign the code for portal thrombophlebitis: __________

Question 53

A patient is admitted with recurrent right inguinal hernia.The hernia cannot be reduced,and the patient is taken to the OR for an open repair of indirect hernia with mesh.The patient spikes a fever on day 2,and workup reveals a UTI.What codes are applicable?

Question 54

What happens to food once it arrives in the stomach?

Question 55

Recurrent gangrenous inguinal hernia: __________

Question 56

Assign the code for choledochoduodenal fistula: __________

Question 57

Appendicitis with abscess: __________

Question 58

Assign the code for hematemesis: __________

Question 59

Retrocecal abscess: __________

Question 60

Lingua villosa nigra: __________