Question 1

____________________ is a chronic lung disease that can result from other infections or,most commonly,cigarette smoke.

Accepted Answer

The answer of ____________________ is a chronic lung disease that...

Question 2

The abbreviation ABG stands for ____________________.

Accepted Answer

The answer of The abbreviation ABG stands for ____________________....

Question 3

Asthmatic bronchitis refers to an underlying asthmatic problem in patients in whom asthma has become so persistent that clinically significant chronic airflow obstruction is present despite antiasthmatic therapy.

Accepted Answer

Asthmatic bronchitis is a type of chronic obstructive pulmonary disease (COPD) that involves both asthma and bronchitis. It is characterized by persistent airway inflammation, increased mucus production, and chronic airflow obstruction, even with the use of anti-asthmatic medications.

Question 4

Infant was seen in the ER with diagnosis of acute bronchiolitis due to RSV.The infant has been exposed to tobacco smoke.

Accepted Answer

J21.0 is the correct code for acute bronchiolitis due to RSV, and Z77.22 is the correct code for exposure to tobacco smoke. These two codes together capture the necessary information about the infant's diagnosis and exposure history. Codes B97.4 and J21.8 are not necessary or applicable in this scenario.

Question 5

The ____________________system's primary function is to supply the body with oxygen.

Accepted Answer

The answer of The ____________________system's primary function is to supply...

Question 6

Patient was admitted with cough and fever.Patient is HIV positive.Physician documents that the BAL (right main bronchus) confirmed Pneumocystis carinii pneumonia.

Accepted Answer

The patient is HIV positive and diagnosed with Pneumocystis carinii pneumonia (PCP), which is a common opportunistic infection in HIV patients. Therefore, the primary diagnosis code should be B20 (HIV disease). PCP should also be coded as a secondary diagnosis with code B59. As the patient had cough and fever, code J16.8 (Other specified pneumonia) should also be added as a secondary diagnosis. The procedure code 0B938ZX is appropriate for bronchoscopy with biopsy and brushing of the lung, which is likely to have been performed to obtain the BAL (bronchoalveolar lavage) specimen.

Question 7

Child was seen in the ER complaining of sore throat.Patient was diagnosed and treated for recurrent acute streptococcal tonsillitis.

Accepted Answer

The answer of Child was seen in the ER complaining...

Question 8

A 1-year-old male was admitted with barking cough,stridor,and hoarseness.The patient was up-to-date on all vaccinations and had achieved normal developmental milestones.Patient was treated for acute laryngotracheobronchitis and recovered.Discharge Diagnosis: Laryngotracheobronchitis.

Accepted Answer

The answer of A 1-year-old male was admitted with barking...

Question 9

Patient arrived at the ER complaining of shortness of breath.Patient was diagnosed and treated for exercise-induced bronchospasm.

Accepted Answer

Exercise-induced bronchospasm is classified as J45.990 in ICD-10-CM. The other options are not specific to exercise-induced bronchospasm.

Question 10

Patient admitted with pneumonia and large right pleural effusion requiring therapeutic thoracentesis of right pleural cavity.

Accepted Answer

The correct ICD-10-CM code for pneumonia unspecified organism is J18.9, and for pleural effusion not elsewhere classified is J90. The ICD-10-PCS code for therapeutic thoracentesis of the right pleural cavity is 0W993ZZ.

Question 11

In ICD-10-CM,if a respiratory condition occurs in more than one site and is not specifically indexed,each site should be coded separately.

Accepted Answer

The answer of In ICD-10-CM,if a respiratory condition occurs in...

Question 12

Patient was admitted to the hospital in acute respiratory failure due to congestive heart failure.The patient was intubated and placed on mechanical ventilation for 2 days.The patient responded well to IV diuretics.

Accepted Answer

The answer of Patient was admitted to the hospital in...

Question 13

Patient was seen in the ER for sinus headache.Final diagnosis is acute ethmoidal sinusitis due to Streptococcus pneumoniae.

Accepted Answer

The answer of Patient was seen in the ER for...

Question 14

Chronic obstructive pulmonary disease is a term used to describe the accumulation of fluid in the pleural space.

Accepted Answer

Chronic obstructive pulmonary disease (COPD) is a term used to describe a group of lung conditions that cause breathing difficulties, such as emphysema and chronic bronchitis. The accumulation of fluid in the pleural space is called pleural effusion.

Question 15

It is inappropriate for coders to assume a causal organism based on laboratory or radiology findings alone.

Accepted Answer

Coders should not make assumptions about the cause of a patient's condition based solely on laboratory or radiology findings. A diagnosis should be based on a combination of clinical evaluation, laboratory/radiology findings, and the patient's medical history.

Question 16

Patient is admitted to the hospital and found to have suffered an NSTEMI.After admission the patient went into acute respiratory failure.

Accepted Answer

The answer of Patient is admitted to the hospital and...

Question 17

Patient is admitted for treatment of pneumonia.She has had a cough and fever for the past 3 days.Patient has mild COPD with emphysema.She is treated with IV fluids for dehydration and antibiotics.Final Diagnoses: Fever due to pneumonia.Dehydration.COPD.

Accepted Answer

- J18.9: Pneumonia, unspecified organism (diagnosed with pneumonia)
- E86.0: Dehydration (treated with IV fluids for dehydration)
- J43.9: Emphysema, unspecified (not specified as mild in the diagnosis)
Note: there is no specific code for COPD with emphysema, so we use the code for emphysema (J43.9) and document the severity in the notes.

Question 18

Patient was admitted with flu like symptoms.The final diagnosis on the discharge summary is possible novel influenza A.

Accepted Answer

The answer of Patient was admitted with flu like symptoms.The...

Question 19

In ICD-10-CM,two separate codes are assigned for COPD with asthma.

Accepted Answer

In ICD-10-CM, separate codes are assigned for COPD with asthma, indicating that these are two distinct conditions that may occur together.

Question 20

Sometimes it is necessary to make an emergency artificial opening in a patient's neck into the trachea when the normal airway is blocked.This is called a(n) __________________.

Accepted Answer

The answer of Sometimes it is necessary to make an...

Quiz 16: Diseases of the Respiratory System