Question 1

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

Accepted Answer

A
(CC 1Q 2014 p7)

Question 2

Bacterial meningitis is ____.

Accepted Answer

Bacterial meningitis is a serious and potentially life-threatening infection of the protective tissue that surrounds the brain and spinal cord. It is treated with antibiotics.

Question 3

All of the following are symptoms of meningitis EXCEPT ____.

Accepted Answer

Sensitivity to darkness, also known as photophobia, is not a common symptom of meningitis. The other symptoms listed are commonly associated with meningitis.

Question 4

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

Accepted Answer

The diagnosis code for lumbar spina bifida is Q05.2, and the procedure code for placement of a ventriculoperitoneal shunt (open approach) is 00160J6.

Question 5

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

Accepted Answer

The diagnosis is bacterial meningitis (G00.9), and the procedure performed was a lumbar puncture (009U3ZX). No additional codes are needed.

Question 6

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

Accepted Answer

Alzheimer's disease is a disorder of the brain that causes a progressive decline in mental and physical function. Schizophrenia and Hutchinson's disease are both neurological disorders, but they do not typically result in a progressive decline in function. Hydrocephalus is a condition in which there is an abnormal accumulation of cerebrospinal fluid in the brain, but it does not necessarily cause a decline in mental or physical function.

Question 7

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

Accepted Answer

The correct diagnosis code for senile cataract in the right eye is H25.9. The correct procedure code for phacoemulsification with IOL replacement is 08RJ3JZ (percutaneous approach). The correct codes are therefore H25.9, 08RJ3JZ. Option A is incorrect because 08RK3JZ is for removal of a non-autologous tissue substitute from the right eye, not IOL insertion. Option B is incorrect because H25.89 is for other cataract types, not senile cataract specifically. Option D is incorrect because 08DJ3ZZ is for a different approach to cataract surgery (endoscopic) and not indicated in the scenario.

Question 8

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

Accepted Answer

EEG (electroencephalogram) is the most common diagnostic test for epilepsy as it records the electrical activity of the brain and can identify abnormal patterns that are characteristic of seizures. MRI (magnetic resonance imaging) may also be used to identify structural abnormalities in the brain that may be causing seizures, but it is not typically the first diagnostic test used for epilepsy. Ultrasound and EMG (electromyography) are not used for the diagnosis of epilepsy.

Question 9

What drug could be given to treat epilepsy?

Accepted Answer

Dilantin is an anticonvulsant drug used to treat and prevent seizures in epileptic patients. Cognex and Aricept are drugs used to treat Alzheimer's disease, and Sinemet is used to treat Parkinson's disease.

Question 10

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

Accepted Answer

Pain can be coded as a principal diagnosis when no definite diagnosis has been established, when the patient is admitted for post-operative pain control, or when the patient is admitted for pain control for neoplasm-related pain.

Question 11

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

Accepted Answer

Endocardium is a layer that covers the heart, not the brain. The meninges layers that cover the brain are the dura, arachnoid, and pia.

Question 12

Patient is admitted for a spinal fusion at L2-L3.For many years,the patient has suffered from chronic back pain secondary to a herniated disc at L2-L3,which was completely removed during the fusion.The physician performed an XLIF procedure with the insertion of an interbody fusion device.This procedure was performed via open approach.

Accepted Answer

The answer of Patient is admitted for a spinal fusion...

Question 13

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.

Accepted Answer

The answer of A patient with trigeminal neuralgia and a...

Question 14

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

Accepted Answer

The somatic nervous system is responsible for carrying sensory information from the sensory organs to the central nervous system, which includes taste, hearing, and smell among other senses.

Question 15

A patient was admitted for acute pain control after falling off a ladder and suffering two broken ribs on the right side.The patient was admitted for pain control.

Accepted Answer

The answer of A patient was admitted for acute pain...

Question 16

What drug could be given to treat Alzheimer's?

Accepted Answer

Aricept, also known as Donepezil, is a medication that is commonly used to treat Alzheimer's disease. It works by increasing the levels of a neurotransmitter called acetylcholine in the brain, which helps to improve cognitive function and slow down the progression of the disease. Sinemet, Depakote, and Dilantin are not typically used to treat Alzheimer's disease.

Question 17

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.

Accepted Answer

- S22.42xA: This code is for the fractured ribs which were diagnosed with the X-ray.
- G89.11: This code is for acute pain, which is the reason for admission.
- V80.010A: This code is for the accident that occurred at the county fair rodeo.
- Y92.39: This code is for the place of occurrence, which is the county fair rodeo.
- Y93.52: This code is for the activity that the patient was participating in, which is horseback riding in this case.
Choice C includes all the necessary codes for this scenario.

Question 18

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.

Accepted Answer

The patient's admission reason is pain control, which is represented by code G89.3. The patient's medical history includes metastatic prostate cancer to the vertebrae (C61) and liver (C78.7), as well as unspecified malignant neoplasm of the secondary and unspecified sites (C79.51). The most appropriate choice that includes all of these codes is D. Option A is incorrect because it does not include M54.9, which represents the patient's pain condition. Option B is incorrect because it does not include the primary cancer site codes. Option C is incorrect because it includes Z85.46, which is a personal history code and not relevant for this patient's current visit.

Question 19

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.

Accepted Answer

- C79.51: Metastatic malignant neoplasm of unspecified site
- G89.3: Neoplasm related pain (due to metastatic cancer)
- Z85.118: Personal history of malignant neoplasm of bronchus and lung

These codes cover the patient's known history of lung cancer (Z85.118) with metastasis to the ribs (C79.51), as well as the reason for the current admission for pain control related to the neoplasm (G89.3).

Question 20

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.

Accepted Answer

The answer of A patient with intractable epilepsy presents for...

Quiz 14: Diseases of the Nervous System,Diseases of the Eye and Adnexa,and Diseases of the Ear and Mastoid Process

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