Question 1

Which of the following is a common test performed to check for malignant neoplasm of the cervix?

Accepted Answer

A colposcopy is a common procedure used to examine the cervix for signs of abnormal cells that may indicate malignancy. Bone scans and chest x-rays are not typically used to diagnose cervical cancer, while bronchoscopy is used to examine the bronchial tubes in the lungs.

Question 2

________ is glandular secretion in abnormal quantity.

Accepted Answer

Functional activity refers to the secretion of hormones and other substances by glands in the body. When there is an abnormal quantity of these secretions, it can lead to various health issues. Therefore, option A is the correct answer. Metastasize refers to the spread of cancerous cells from one part of the body to another. Morphology refers to the study of the form and structure of organisms. Topography refers to the physical features of a specific area or region.

Question 3

Betty is being seen for a cervical cancer screening: The main term is ________; the correct code is ________.

Accepted Answer

The main term for coding a cervical cancer screening is "screening," and the correct ICD-10 code for cervical cancer screening is Z12.4.

Question 4

________ means out of place.

Accepted Answer

Ectopic means out of place.

Question 5

Abnormal cells are present but have not spread to nearby tissue is tumor stage ________.

Accepted Answer

Tumor stage 0 is known as carcinoma in situ, where abnormal cells are present but have not spread to nearby tissue or organs. This is considered an early stage of cancer and can often be treated with surgery or other interventions. Tumor stages I-IV represent progressively more advanced cancer with increasing spread of abnormal cells to nearby tissue or organs and beyond.

Question 6

A common test for malignant neoplasm of the lung is:

Accepted Answer

A chest x-ray is the most common test for detecting lung cancer. Ultrasound is not commonly used to detect lung cancer. Acid phosphatase is a test for prostate cancer, and a bone marrow biopsy is not typically used to diagnose lung cancer.

Question 7

________ is the study of the configuration or structure of living organisms.

Accepted Answer

Morphology is the study of the form, structure, and configuration of living organisms. It includes the study of their external and internal features, including their shape, size, color, and arrangement of tissues and organs.

Question 8

________ is the classification of neoplasms primarily by anatomical site.

Accepted Answer

Topography refers to the specific anatomical site where a neoplasm is located and is used as a primary classification system for tumors. Carcinoma refers to a type of cancer that arises from epithelial cells, while malignant refers to the potential for a tumor to spread and invade surrounding tissues. Functional activity refers to the physiological function of cells, which is not used as a primary classification system for tumors.

Question 9

Refer to the ICD-10-CM Official Coding Guidelines I.C.21.c.5 which states: A ________ code may be a ________ code if the reason for the visit is specifically the screening exam.

Accepted Answer

According to ICD-10-CM Official Coding Guidelines I.C.21.c.5, a screening code may be a first-listed code if the reason for the visit is specifically the screening exam. Therefore, C) screening, first-listed, is the correct choice.

Question 10

Which of the following codes is used to report a personal history of malignancy of the pancreas?

Accepted Answer

Z85.07 is the correct code for personal history of malignancy of the pancreas. Z85.060 and Z85.068 are codes for personal history of other malignancies, and Z80.8 is a code for other specified malignant neoplasms.

Question 11

________ is an invasive and destructive characteristic of a neoplasm; possibly causing damage or death.

Accepted Answer

Malignancy refers to the ability of tumors to invade nearby tissues and organs, potentially causing damage or even death. This is in contrast to benign tumors, which do not invade or spread to other parts of the body. Carcinoma refers to a type of cancer that arises from epithelial cells, while Ca in situ refers to cancer that is confined to its original location and has not spread.

Question 12

What term indicates the tumor has not invaded any adjacent cells?

Accepted Answer

The answer of What term indicates the tumor has not...

Question 13

Malignant cells have metastasized to distant parts of the body is tumor stage ________.

Accepted Answer

Metastasis is the movement or spread of cancer cells from one part of the body to another. In stage IV cancer, the disease has spread beyond the primary site to other parts of the body, which is indicative of metastatic cancer. Stage 0, I, II, and III refer to cancer that has not spread extensively beyond its site of origin.

Question 14

Refer to the ICD-10-CM Official Guidelines I.C.21.c.4 which states: There are two types of history Z codes, ________.

Accepted Answer

According to ICD-10-CM Official Guidelines I.C.21.c.4, there are two types of history Z codes - personal history and family history.

Question 15

An increase in a patient's white blood cell count is also known as:

Accepted Answer

An increase in a patient's white blood cell count is called leukocytosis. Anemia refers to a deficiency in red blood cells. Leukemia is a type of cancer that affects the blood and bone marrow, causing an overproduction of abnormal white blood cells. Hemostasis refers to the process of stopping bleeding.

Question 16

Refer to the ICD-10-CM Official Coding Guidelines I.C.21.c.5 which states: The ________ of a person to rule out or confirm a suspected diagnosis because the patient has some sign or symptom is a diagnostic ________, not a screening.

Accepted Answer

The answer of Refer to the ICD-10-CM Official Coding Guidelines...

Question 17

In your ICD-10-CM book turn to code category C81 in the Tabular List. Under this code category is an Excludes2 notation including "secondary neoplasm of bone marrow". What is the code next to the secondary neoplasm of bone marrow?

Accepted Answer

C79.52 is the correct code for secondary neoplasm of bone marrow, which is indicated under the Excludes2 notation for code category C81 in the ICD-10-CM book.

Question 18

When normal cells mutate, they create a:

Accepted Answer

When normal cells mutate, they can form a neoplasm, which is a new and abnormal growth of tissue. This neoplasm can be either benign (a benign tumor) or malignant (a malignant tumor), depending on its nature and behavior. Therefore, all of the options are correct.

Question 19

Anna has a family history of breast cancer. The coder should assign code:

Accepted Answer

The answer of Anna has a family history of breast...

Question 20

________ is a malignant neoplasm or cancerous tumor.

Accepted Answer

Carcinoma is a type of malignant neoplasm or cancerous tumor that originates in the epithelial cells. It can spread to other parts of the body through the lymphatic system or bloodstream. Benign tumors, on the other hand, are non-cancerous and do not spread to other parts of the body. Ca in situ refers to a cancer that has not yet invaded nearby tissues or organs, while a mass is a general term for a lump or growth in the body that may or may not be cancerous.

Quiz 6: Coding Neoplasms