Question 1

A diagnostic endoscopic procedure in which a tiny camera on the end of the endoscope is inserted through the nose or mouth into the lungs is called a ____.

Accepted Answer

The diagnostic endoscopic procedure in which a tiny camera on the end of the endoscope is inserted through the nose or mouth into the lungs is called a bronchoscopy. Option B "lungoscopy" is not a term generally used in medical practice, option C "thoracostomy" refers to a surgical procedure to drain fluid or air from the chest cavity, and option D "mastectomy" refers to a surgical procedure to remove breast tissue.

Question 2

A patient is admitted for suspected H1N1 influenza.

Accepted Answer

J11.1 is the specific code for influenza due to identified H1N1 virus.

Question 3

When pleural effusion results from trauma or disease and blood is accumulating in the pleural space,the condition is called ____.

Accepted Answer

When blood is accumulating in the pleural space due to trauma or disease, it is called hemothorax. Empyema is when pus accumulates in the pleural space due to infection, and chylothorax is when lymphatic fluid accumulates in the pleural space. None of these conditions involve blood specifically, so the correct answer is A) hemothorax.

Question 4

The most common cause of pneumonia is ____.

Accepted Answer

Streptococcus pneumoniae is the most common cause of bacterial pneumonia. Other common causes include Haemophilus influenza and Staphylococcus aureus. Mycobacterium tuberculosis is a cause of tuberculosis, which is a different type of respiratory infection.

Question 5

A pneumothorax that occurs as a result of a procedure is a(n) ____ pneumothorax.

Accepted Answer

An iatrogenic pneumothorax is a pneumothorax that occurs as a complication of a medical procedure, such as a thoracentesis or central line placement. Malignant pneumothorax refers to a pneumothorax caused by a malignant tumor, spontaneous pneumothorax occurs without any identifiable cause, and traumatic pneumothorax is due to an injury or trauma.

Question 6

A patient is admitted from a nursing home with cough and fever.The patient has a history of dysphagia and hemiparesis of right dominant side due to previous stroke.Sputum cultures reveal Pseudomonas.Patient went into acute respiratory failure after admission.Discharge diagnosis: Pseudomonas pneumonia.

Accepted Answer

- J15.1: Pneumonia due to Pseudomonas
- J96.00: Acute respiratory failure
- I69.391: Hemiplegia and hemiparesis following cerebrovascular disease affecting right dominant side
- R13.10: Dysphagia, unspecified
- I69.351: Non-fluent aphasia following cerebral infarction

These codes accurately represent the patient's admission diagnosis and medical history.

Question 7

A contagious viral disease called ____ is an infection of the respiratory tract that causes coughing,difficulty breathing,headache,muscle aches,and weakness.

Accepted Answer

The symptoms described in the question match those of the flu, also known as influenza. Stannosis is not a known disease, lobar pneumonia is a bacterial infection that affects a specific part of the lung, and emphysema is a chronic lung disease caused by damage to the air sacs in the lungs.

Question 8

____ is a lower respiratory tract or bronchial tree infection that is characterized by cough,sputum production,and wheezing.

Accepted Answer

The symptoms of cough, sputum production, and wheezing are characteristic of bronchitis, which is an infection of the lower respiratory tract or bronchial tree. Empyema is a condition where pus accumulates in a body cavity, such as the pleural space around the lungs. Asthma is a chronic condition that can cause wheezing, but is not an infection. Sinusitis is an infection of the sinuses, which are air-filled spaces in the skull.

Question 9

Patient is admitted with acute on chronic respiratory failure due to emphysema.Patient is dependent on oxygen and has had numerous admissions for pneumonia.Patient is treated with continuous BIPAP for 48 hours and is a DNR/DNI.No infection is identified,and deterioration in respiratory status is thought to be a progression of his emphysema.Patient was made comfort care and was discharged to at-home hospice care the following day.Final Diagnoses: End-stage emphysema.Chronic respiratory failure with hypoxia.Procedure: BIPAP.

Accepted Answer

The correct codes are J96.21 for acute on chronic respiratory failure with hypoxia, J43.9 for emphysema, Z99.81 for dependence on supplemental oxygen, Z87.01 for personal history of pneumonia, Z66 for DNR status, Z51.5 for hospice care, and 5A09457 for BIPAP procedure.

Question 10

____ pneumonia refers to pneumonia contracted outside of the hospital or nursing home setting.

Accepted Answer

Community-acquired pneumonia refers to pneumonia acquired outside of the hospital or nursing home setting. Nosocomial pneumonia (D) refers to pneumonia contracted in a hospital or nursing home, while nursing home-acquired pneumonia (A) and hospital-acquired pneumonia (B) are specific types of nosocomial pneumonia.

Question 11

Which of the following is NOT categorized with high-risk potential for contracting pneumonia?

Accepted Answer

While individuals in their early 20s are not completely immune to pneumonia, they are not considered high risk as compared to infants, elderly individuals, and those with weakened immune systems such as people with AIDS.

Question 12

A patient is admitted from a nursing home with cough and fever.The patient has a history of dysphagia and hemiparesis due to previous cerebral infarction.Sputum cultures reveal Pseudomonas.Discharge Diagnosis: Pneumonia due to aspiration and Pseudomonas bacteria.

Accepted Answer

- J69.0 - Pneumonitis due to inhalation of food and vomit
- J15.1 - Bacterial pneumonia, not elsewhere classified
- I69.391 - Dysphagia following cerebral infarction
- R13.10 - Dysphagia, unspecified
- I69.359 - Hemiplegia and hemiparesis following cerebral infarction affecting unspecified side

Option A includes I69.352 - Hemiplegia and hemiparesis following cerebral infarction affecting left non-dominant side, which is not specified in the scenario. 
Option B includes J15.0 - Pneumonia due to streptococcus pneumoniae, which is not mentioned in the scenario. 
Option D includes J18.9 - Pneumonia, unspecified organism, which is not accurate as the sputum culture indicates Pseudomonas.

Question 13

Patient was admitted with acute bronchitis.Patient has a history of nicotine dependence but quit 5 years ago.X-ray was negative for any pneumonia.Final Diagnoses: COPD with acute bronchitis.Acute bronchitis.

Accepted Answer

- J44.0: Chronic obstructive pulmonary disease with acute lower respiratory infection
- J20.9: Acute bronchitis, unspecified
- Z87.891: Personal history of nicotine dependence

This diagnosis includes both COPD and acute bronchitis, but specifies that the acute lower respiratory infection is bronchitis rather than pneumonia. The personal history of nicotine dependence is also included.

Question 14

Patient is admitted with shortness of breath and fever that has been present for 2 to 3 weeks and has gotten progressively worse.CT scan showed evidence of bronchiolitis obliterans organizing pneumonia (BOOP).Patient was started on prednisone and discharged when symptoms had resolved.Final Diagnoses: BOOP.

Accepted Answer

The answer of Patient is admitted with shortness of breath...

Question 15

A patient is admitted with hypoxemia and acute respiratory failure.The patient has COPD and is being treated for an acute exacerbation.The patient is intubated in the ER and is transferred to ICU and maintained on mechanical ventilation for 24 hours.The patient has a history of chronic diastolic congestive heart failure.

Accepted Answer

J96.01 (Acute respiratory failure with hypoxia), J44.1 (Chronic obstructive pulmonary disease with (acute) exacerbation), I50.32 (Chronic diastolic (congestive) heart failure), 5A1945Z (Assistance with respiratory ventilation, 24-96 consecutive hours), and 0BH17EZ (Insertion of endotracheal airway into trachea, via natural or artificial opening) accurately reflect the patient's condition and treatments received.

Question 16

Patient is a 67-year-old female who presented to the ER with shortness of breath.She was in her usual state of health until 1 week ago,when she began to have chills,fever,and a cough.Patient was admitted and started on IV antibiotics for pneumonia.Her COPD exacerbation was treated with albuterol treatments and oxygen by nasal cannula.Sputum cultures grew Klebsiella pneumoniae.Final Diagnoses: Pneumonia due to Klebsiella.Chronic obstructive pulmonary disease with acute decompensation.

Accepted Answer

J15.0 is the ICD-10 code for pneumonia due to Klebsiella pneumoniae, and J44.1 is the code for chronic obstructive pulmonary disease with acute exacerbation.

Question 17

In relation to the respiratory system,what does RUL stand for?

Accepted Answer

RUL stands for "right upper lobe," which is a section of the lung in the respiratory system.

Question 18

____ occurs when the linings of one or more sinuses become infected,usually as the result of viruses or bacteria.

Accepted Answer

Sinusitis is the inflammation or infection of the linings of the sinuses, typically caused by viruses or bacteria. Black lung is a lung disease caused by prolonged exposure to coal dust. Asthma is a chronic condition characterized by inflammation and narrowing of the airways, and bronchitis is an inflammation of the bronchial tubes in the lungs.

Question 19

Which of the following is NOT an example of pneumoconiosis (lung disease due to the chronic inhalation of inorganic dust)?

Accepted Answer

Cyanosis is a condition in which the skin and mucous membranes turn blue due to a lack of oxygen in the blood, and is not caused by chronic inhalation of inorganic dust. Siderosis is caused by inhaling iron particles, baritosis is caused by inhaling barium particles, and stannosis is caused by inhaling tin particles.

Question 20

Which of the following is a symptom of pneumonia?

Accepted Answer

All of the above symptoms (fever, cough, chest pain, and rapid breathing) can be associated with pneumonia.

Quiz 16: Diseases of the Respiratory System