Deck 10: Certain Infectious and Parasitic Diseases

Question 1

Of the following medications,which is NOT an antifungal medication?

A)Nizoral
B)Grisactin
C)Lotrimin
D)Zovirax

Answer 1

D

Question 2

Hepatitis ____ is spread through contact with infected blood,through sex with an infected person,or during childbirth.There is a vaccine for this kind of hepatitis.

A)A
B)B
C)C
D)D

Answer 2

B

Question 3

____ is an infection caused by a mycobacterium;it can attack any body part,but it usually attacks the lungs.

A)Anthrax
B)Tuberculosis
C)Meningococcus
D)Clostridium difficile

Answer 3

B

Question 4

Clostridium difficile is often seen in hospitalized patients who are____.

A)infants
B)children
C)teenagers
D)elderly

Question 5

What disease is caused by a fungus?

A)Syphilis
B)HIV
C)Gonorrhea
D)Candidiasis

Question 6

Tuberculosis usually occurs in populations with weaker immune systems.This would include all of the following EXCEPT ____.

A)people with HIV
B)substance abusers
C)teenagers
D)young children

Question 7

Jock itch is coded to ____.

A)B35.9
B)B35.8
C)B35.6
D)B35.4

Question 8

How many stages of syphilis are there?

A)One
B)Two
C)Three
D)Four

Question 9

Clostridium difficile usually is tested for in ____ when physicians suspect an infection.

A)saliva
B)blood
C)a stool specimen
D)none of the above is correct

Question 10

A patient is HIV positive and is currently being treated for Burkitt's lymphoma of inguinal region.

A)Z21,C83.74
B)Z21,C83.75
C)B20,C83.74
D)B20,C83.75

Question 11

MRSA positive by nasal swab

A)Z22.330
B)Z22.322
C)Z16.39
D)A49.02

Question 12

Gonococcal conjunctivitis is coded to ____.

A)A54.30
B)A54.9
C)A54.03
D)A54.31

Question 13

Hepatitis ____ is most commonly spread through food or water that has been contaminated by feces from an infected person.

A)A
B)B
C)C
D)D

Question 14

Trench mouth is coded to ____.

A)A69.0
B)A69.1
C)A27.9
D)A36.3

Question 15

When a person carries an infectious disease and shows no ill effects,he or she is known as a(n)____.

A)septicemic
B)asymptomatic carrier
C)symptomatic carrier
D)transmitter

Question 16

A patient is admitted with pneumonia.Chest X-ray confirms the pneumonia.The physician suspects sepsis and orders blood cultures,which are positive for pneumococcus.Discharge summary lists principal diagnosis as pneumococcal sepsis.

A)J18.9,A40.3,R65.2
B)R65.2,J18.9,A40.3
C)A40.3,J18.9
D)J18.9,A41.9,R65.10

Question 17

Clostridium difficile spores can survive up to ____ days.

A)5
B)35
C)70
D)95

Question 18

Another name for a cold sore is herpes simplex type ____.

A)I
B)II
C)III
D)none of the above is correct

Question 19

Anthrax is most common in the agricultural regions of which of these countries?

A)Central America
B)Africa
C)Caribbean
D)All of the above

Question 20

____ is a bacterial infection usually found in wild or domestic animals.

A)Anthrax
B)Tuberculosis
C)Meningitis
D)Clostridium difficile

Question 21

The patient was admitted with septic shock.Blood cultures were positive for coagulase-negative Staphylococcus (CONS).Patient was also treated for pneumonia.BAL was performed (right middle lobe bronchus).Physician documents sepsis due to coagulase-negative Staphylococcus with septic shock and CONS pneumonia.

A)A41.02,R65.11,J15.4,3E0F7KZ
B)R65.20,A41.1,J18.9,3E0F8KZ
C)A41.2,R65.21,J15.29,0B958ZZ
D)A41.1,R65.21,J15.29,0B958ZX

Question 22

____________________ is found as white plaques on the lips,inner cheeks,or tongue.It is seen in babies,people with cancer,and diabetics.

Question 23

Patient was admitted with difficulty swallowing.EGD showed esophageal candidiasis.Patient is HIV positive.

A)B37.81,Z21,0DJ08ZZ
B)B37.89,B20,0DB17ZX
C)B20,B37.81,0DJ08ZZ
D)B20,B37.0,0DB38ZZ

Question 24

According to ICD-10-CM Guidelines,it is not necessary to identify infections documented as antibiotic resistant.

Question 25

A patient was admitted with a diagnosis of urosepsis.Urine and blood cultures were performed on admittance.Blood cultures came back positive for Escherichia coli.Discharge summary documents sepsis due to Escherichia coli.Urinary tract infection.

A)N39.0,B96.20
B)A41.51,N39.0
C)A41.5,R65.20
D)N39.0,B96.20,R65.20

Question 26

A patient was admitted to the hospital with fever,cough,and low blood pressure.Chest X-ray shows infiltrates,and sputum culture is positive for MRSA.The discharge summary indicates that the patient was admitted and was given IV antibiotics for MRSA pneumonia.

A)Z16.11,J15.212
B)J15.212,Z16.11
C)B95.62,Z16.11
D)J15.212

Question 27

Z21 is a code used for patients with HIV who have no symptoms and who have never had an AIDS-defining or AIDS-related illness.

Question 28

A patient known to be positive for HIV is admitted to the hospital with high fever,malaise,and cough.Pneumocystis carinii pneumonia is suspected and is ruled out.Tests reveal that the patient has infectious mononucleosis.

A)B20,B59
B)B59,B20
C)B27.90,Z21
D)Z21,B27.90

Question 29

____________________,or shingles,is a disease caused by the same virus that causes chickenpox.

Question 30

TB stands for ____________________.

Question 31

Category A00-A09 contains codes for ____________________.

Question 32

Infectious diseases are characterized often by a disease code and an organism code.When this occurs,it is appropriate to use two codes.

Question 33

If sepsis is present on admission and meets the definition of principal diagnosis,the systemic infection code should be assigned as the principal diagnosis.

Question 34

Category B20 is assigned for ____________________.

Question 35

A patient is admitted to the hospital with severe diarrhea.Upon examination the patient is found to be severely dehydrated.She is given IV fluids to correct the hydration.In the assessment the physician suspects gastroenteritis.After stool cultures,it is determined that the patient has Clostridium difficile colitis.

A)K52.9,E86.0,R19.7
B)A04.7,E86.0
C)A04.7,R19.7
D)K52.9,R19.7

Question 36

The patient was admitted with sepsis caused by a UTI due to Escherichia coli.The patient also had acute kidney injury due to sepsis.Discharge summary states sepsis due to Escherichia coli.

A)N39.0,A45.51,N17.9,R65.20
B)A41.51,N39.0,R65.20,N17.9
C)R65.21,N39.0,A41.51,N17.9
D)A41.9,N39.0,N17.9,R65.10

Question 37

A homeless man presented to the ER with skin ulcers of the right calf of the leg that are infested with cutaneous maggots.

A)B87.1
B)B87.0
C)L97.219,B87.0,Z59.0
D)L97.219,B87.8

Question 38

Patient has elevated liver function tests and was diagnosed with viral hepatitis C.

A)B19.20
B)B19.21
C)B19.9
D)B19.20,R79.89

Question 39

Code B20 is NEVER used once a patient develops AIDS.

Question 40

A patient was admitted to the hospital with jaundice and elevated liver function tests.Upon discharge the physician documents jaundice due to acute hepatitis B.

A)B16.9
B)B16.9,R17
C)R17,R79.89,B16.9
D)B18.1

Question 41

Assign the code(s)for diaper rash due to candidiasis.

Question 42

Assign the code for asymptomatic HIV.

Question 43

What virus is spread to individuals by a mosquito bite?

Question 44

Assign the code for scarlet fever.

Question 45

MATCHING
Match the following terms to the correct definition.
a.SIRS
b.Bacteremia
c.Septicemia
d.Gonorrhea
e.Septic shock
f.Sepsis
Spread by sexual contact;men are more likely to have symptoms such as burning while urinating and discharge from the penis;treated with antibiotic

Question 46

Name an AIDS-defining illness that usually attacks an immunocompromised individual.

Question 47

Assign the code for screening for HIV.

Question 48

MATCHING
Match the following terms to the correct definition.
a.SIRS
b.Bacteremia
c.Septicemia
d.Gonorrhea
e.Septic shock
f.Sepsis
The systemic inflammatory response to infection or trauma;includes fevers,tachycardia,and leukocytosis

Question 49

What disease causes inflammation of the liver and can be caused by several different viruses?

Question 50

Assign the code for chickenpox.

Question 51

Assign the code for German measles.

Question 52

MATCHING
Match the following terms to the correct definition.
a.SIRS
b.Bacteremia
c.Septicemia
d.Gonorrhea
e.Septic shock
f.Sepsis
Systemic disease with the presence of microorganisms or toxins in the blood,including bacteria,viruses,fungi,or others

Question 53

Assign the code for Ebola virus.

Question 54

MATCHING
Match the following terms to the correct definition.
a.SIRS
b.Bacteremia
c.Septicemia
d.Gonorrhea
e.Septic shock
f.Sepsis
Bacteria in the blood

Question 55

Assign the code for infectious diarrhea.

Question 56

Assign the code for bubonic plague.

Question 57

Assign the code for Colorado tick fever.

Question 58

MATCHING
Match the following terms to the correct definition.
a.SIRS
b.Bacteremia
c.Septicemia
d.Gonorrhea
e.Septic shock
f.Sepsis
SIRS due to infection

Question 59

MATCHING
Match the following terms to the correct definition.
a.SIRS
b.Bacteremia
c.Septicemia
d.Gonorrhea
e.Septic shock
f.Sepsis
Sepsis with hypotension,also known as endotoxic shock and gram-negative shock,is failure of the cardiovascular system;as such,meets the definition of severe sepsis

Question 60

Assign the code for suspected carrier of group B strep.

Question 61

According to the discharge summary,a patient is admitted with bacterial pneumonia.Three days after admission,the patient spikes a fever and is tachycardic with a WBC of 18,000.Physician documents that the blood cultures confirm staphylococcal sepsis.

Question 62

A patient was admitted with difficulty swallowing and is HIV positive.An EGD was performed and revealed candidal esophagitis.Patient was treated and discharged home in stable condition.