Deck 12: Diseases of the Blood and Blood-Forming Organs and Certain Disorders Involving the Immune Mechanism

Question 1

____ is a common type of hereditary hemolytic anemia that is found more often in the African American population and among people living in Africa, the Mediterranean, Arabia, and South Asia.

A)Aplastic anemia
B)Thalassemia
C)Sickle cell anemia
D)Cooley's anemia

Answer 1

C

Question 2

Hemophilia ____ is a common condition that results from a deficiency or abnormality of clotting factor VIII.

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

Answer 2

A

Question 3

A patient was admitted with a deep vein thrombosis (DVT). Doppler exam was positive for thrombosis right tibial vein. Patient was treated for DVT a couple of years ago. Because of recurrent thrombosis, patient was assessed for coagulation disorders and was found to have protein S deficiency.Final Diagnosis: DVT with edema lower leg Protein S deficiency
History of previous DVT

A)I82.442, D68.59, Z86.718
B)I82.441, D68.59, Z86.718
C)I82.441, D68.52, Z86.711
D)I82.442, D68.52, Z86.711

Answer 3

B

Question 4

____ drugs are used to prevent the clumping of platelets or the formation of arterial thrombi.

A)Antiplatelet
B)Neutropenia
C)Apheresis
D)Anticoagulant

Question 5

All of the following are symptoms of anemia EXCEPT ____.

A)hot flashes
B)numbness and tingling sensations
C)headaches
D)brittle nails

Question 6

Hemophilia ____, also called Christmas disease, is the result of a deficiency of factor IX.

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

Question 7

A patient was admitted to the hospital with usual pain symptoms for sickle cell/Hb-SS disease. Patient did not fill the pain medication prescription, and recent cold weather has brought on a vaso-occlusive crisis. Chest x-ray was performed and revealed evidence of acute chest syndrome. Patient has had right hip replacement for avascular necrosis and is scheduled to have the left hip replaced next month because of avascular necrosis, which is due to patient's sickle cell disease.Final Diagnosis: Sickle cell crisis with acute chest syndrome Status post hip replacement

A)D57.00, Z96.642, M90.559
B)D57.01, Z96.642, M90.551
C)D57.01, Z96.641, M90.552, Z91.14
D)D57.00, Z96.641, M90.552, Z91.11

Question 8

The normal red blood cell count for females is ____.

A)12 to 14 g/dL
B)150,000 to 350,000/mm3
C)4.0 million to 5.5 million/mm3
D)8.0 million to 9.5 million/mm3

Question 9

____ are medications that are used to prevent venous thrombi.

A)Antiplatelets
B)Anticonvulsants
C)Antidotes
D)Anticoagulants

Question 10

The normal platelet count in blood is ____.

A)5000 to 10,000/mm3
B)60,000 to 90,000/mm3
C)150,000 to 350,000/mm3
D)4.0 million to 6.0 million/mm3

Question 11

A patient is admitted with sickle cell thalassemia with vaso-occlusive pain. Patient has chest x-ray, and acute chest syndrome is ruled out. Patient has had a right hip replacement for avascular necrosis.

A)D57.419, Z96.641
B)D57.411, M90.50
C)D57.411, Z96.641
D)D57.40, Z96.649

Question 12

A patient was admitted for transfusion of 2 units of red blood cells via peripheral vein because of anemia due to patient's recent diagnosis of rectal cancer. Patient will be having surgery next week to remove the cancerous tumor. Her past medical history includes a family history of colon cancer.Final Diagnosis: Anemia due to rectal cancer

A)C20, D63.0, Z80.0, 30233N1
B)D63.0, C20, 30233N1
C)C20, D63.8
D)D63.0, C21.8

Question 13

____ is a reduction in new blood cells due to an impairment or failure of bone marrow function.

A)Aplastic anemia
B)Thalassemia
C)Sickle cell anemia
D)Cooley's anemia

Question 14

____ is a disorder that results in the depletion of clotting factors in the blood.

A)Apheresis
B)Disseminated intravascular coagulation
C)Aplastic anemia
D)Purpura

Question 15

When looking up anemic conditions in the code book, you should look up ____.

A)anemia first and then the various subterms
B)the type of anemia first and then "anemia" as a subterm
C)the symptoms that have presented
D)none of the above

Question 16

A patient takes Coumadin for chronic atrial fibrillation.

A)I48.1, Z79.01
B)I48.2, Z79.01
C)Z79.01
D)I48.0, Z79.02

Question 17

Which of the following are NOT a type of white blood cell (WBC)?

A)Lymphocytes
B)Erythrocytes
C)Neutrophils
D)Monocytes

Question 18

A patient has anemia due to metastatic bone cancer. Patient has a history of primary left breast cancer that was treated with a mastectomy 4 years ago. No current treatment for the breast cancer.

A)C79.51, D63.8, Z85.3, Z90.12
B)D63.8, C79.52, Z85.3, Z90.11
C)C79.51, D63.0, Z85.3, Z90.12
D)D63.0, C79.51, Z85.3, Z90.11

Question 19

A patient is admitted with neutropenic fever. Patient has been receiving chemotherapy for acute myeloblastic leukemia. No source of infection is identified, and it is thought that patient's neutropenia is due to chemotherapy. Patient is discharged.

A)T45.1x5A, D70.2, R50.81, C92.02
B)R50.81, D70.1, T45.1x5A, C92.01
C)T45.1x1A, D70.1, C92.00
D)D70.1, R50.81, T45.1x5A, C92.00

Question 20

A 5-year-old boy was noted to have abnormal blood counts on preschool exam and was sent for admission to the hospital. A percutaneous bone marrow biopsy was performed. The mother stated that her son has been tired lately and does seem to bruise easily. Patient received red blood cell and platelet transfusions.Final Diagnosis: Idiopathic aplastic anemia Procedure: Transfusions via peripheral vein
Bone marrow biopsy, left iliac crest

A)D61.3, 079T3ZZ, 30233N1, 30233R1
B)D61.2, 079P3ZX, 30233N0, 30233R0
C)D61.1, 079T3ZZ, 30233H0, 30233J0
D)D61.3, 07DR3ZX, 30233N1, 30233R1

Question 21

Pancytopenia due to AIDS.

A)B20
B)D61.818, B20
C)B20, D61.818
D)D61.818, Z21

Question 22

____________________ is an increased number of white cells in the blood.

Question 23

A patient was seen in the clinic for desquamative dermatitis. He had a bone marrow transplant 2 months ago. The physician is treating him for acute graft-versus-host disease.

A)T86.01, D89.811
B)T86.09, D89.813
C)T86.09, D89.810, L30.8
D)T86.01, D89.810, R23.4

Question 24

Platelets are also called thrombocytes.

Question 25

____________________ is a breakdown in the clotting process of the blood.

Question 26

____________________ is an inherited clotting disorder.

Question 27

Procedural complications affecting the spleen are included in Chapter 3 of ICD-10-CM.

Question 28

____________________ give blood its red color.

Question 29

SCID stands for ____________________.

Question 30

____________________ anemia results from abnormal or excessive destruction of red blood cells.

Question 31

Pancytopenia due to myelodysplastic syndrome.

A)D46.9
B)D61.818, D46.9
C)D46.9, D61.818
D)D46.Z

Question 32

The correct abbreviation for aspirin is ____________________.

Question 33

Anemia due to chronic kidney disease can be used as the principal diagnosis code in ICD-10-CM if the reason for the encounter is to treat the anemia.

Question 34

Match each definition to one of the following items.
a.Apheresis
b.Blood
c.Autologous transfusion
d.5000 to 10,000/mm3
e.Hemoglobin (HGB)
f.Purpura
g.Idiopathic
h.Hematocrit (Hct)
i.Bone marrow biopsy
j.WBCs
k.Secondary thrombocytopenia
A patient's own blood sometimes donated before an elective surgery in case (s)he needs a transfusion

Question 35

A(n) ____________________ is a blood test used to evaluate the patient's overall health and detects a variety of disorders.

Question 36

Anemia due to neoplastic disease can be used as the principal diagnosis code in ICD-10-CM if the reason for the encounter is to treat the anemia.

Question 37

____________________ is a viscous fluid that circulates through the vessels of the circulatory system as a result of the pumping action of the heart.

Question 38

A patient is being admitted for a total splenectomy (open approach) for treatment of idiopathic thrombocytopenic purpura.

A)D69.0, 07BP0ZZ
B)D69.3, 07TP4ZZ
C)D69.2, 07TP4ZZ
D)D69.3, 07TP0ZZ

Question 39

A patient has pancytopenia due to oral methotrexate, which is taken for treatment of rheumatoid arthritis, initial encounter.

A)D61.811, T45.1x5A, M06.9
B)T45.1x5A, D61.810, M06.9
C)D61.810, T45.1x5S, M06.9
D)T45.1x5S, D61.811, M06.89

Question 40

Radiation therapy, drugs that are used for chemotherapy, and other chemicals may result in neutropenia.

Question 41

Match each definition to one of the following items.
a.Apheresis
b.Blood
c.Autologous transfusion
d.5000 to 10,000/mm3
e.Hemoglobin (HGB)
f.Purpura
g.Idiopathic
h.Hematocrit (Hct)
i.Bone marrow biopsy
j.WBCs
k.Secondary thrombocytopenia
Characterized by ecchymoses or small hemorrhages in the skin, mucous membranes, or serosal surfaces due to blood disorders, vascular abnormalities, or trauma

Question 42

Match each definition to one of the following items.
a.Apheresis
b.Blood
c.Autologous transfusion
d.5000 to 10,000/mm3
e.Hemoglobin (HGB)
f.Purpura
g.Idiopathic
h.Hematocrit (Hct)
i.Bone marrow biopsy
j.WBCs
k.Secondary thrombocytopenia
Fight infection

Question 43

Postoperative anemia: __________

Question 44

Match each definition to one of the following items.
a.Apheresis
b.Blood
c.Autologous transfusion
d.5000 to 10,000/mm3
e.Hemoglobin (HGB)
f.Purpura
g.Idiopathic
h.Hematocrit (Hct)
i.Bone marrow biopsy
j.WBCs
k.Secondary thrombocytopenia
A decrease in the number of platelets; due to specific diseases such as congestive splenomegaly, Felty syndrome, tuberculosis, sarcoidosis, lupus erythematosus, and others

Question 45

Match each definition to one of the following items.
a.Apheresis
b.Blood
c.Autologous transfusion
d.5000 to 10,000/mm3
e.Hemoglobin (HGB)
f.Purpura
g.Idiopathic
h.Hematocrit (Hct)
i.Bone marrow biopsy
j.WBCs
k.Secondary thrombocytopenia
A viscous fluid that circulates through the vessels of the circulatory system as a result of the pumping action of the heart

Question 46

Vegan's anemia: __________

Question 47

Childhood anemia: __________

Question 48

Match each definition to one of the following items.
a.Apheresis
b.Blood
c.Autologous transfusion
d.5000 to 10,000/mm3
e.Hemoglobin (HGB)
f.Purpura
g.Idiopathic
h.Hematocrit (Hct)
i.Bone marrow biopsy
j.WBCs
k.Secondary thrombocytopenia
A diagnostic procedure used to identify types of anemia, cell deficiencies, and leukemia

Question 49

Allergic vasculitis: __________

Question 50

Match each definition to one of the following items.
a.Apheresis
b.Blood
c.Autologous transfusion
d.5000 to 10,000/mm3
e.Hemoglobin (HGB)
f.Purpura
g.Idiopathic
h.Hematocrit (Hct)
i.Bone marrow biopsy
j.WBCs
k.Secondary thrombocytopenia
The percentage of blood volume made up of red blood cells

Question 51

Match each definition to one of the following items.
a.Apheresis
b.Blood
c.Autologous transfusion
d.5000 to 10,000/mm3
e.Hemoglobin (HGB)
f.Purpura
g.Idiopathic
h.Hematocrit (Hct)
i.Bone marrow biopsy
j.WBCs
k.Secondary thrombocytopenia
The normal WBC count

Question 52

End-stage renal disease with erythropoietin-resistant anemia: __________

Question 53

What is the function of leukocytes (WBCs)?

Question 54

Plasmacytosis: __________

Question 55

Match each definition to one of the following items.
a.Apheresis
b.Blood
c.Autologous transfusion
d.5000 to 10,000/mm3
e.Hemoglobin (HGB)
f.Purpura
g.Idiopathic
h.Hematocrit (Hct)
i.Bone marrow biopsy
j.WBCs
k.Secondary thrombocytopenia
The causative factor is unknown

Question 56

Scorbutic anemia: __________

Question 57

Match each definition to one of the following items.
a.Apheresis
b.Blood
c.Autologous transfusion
d.5000 to 10,000/mm3
e.Hemoglobin (HGB)
f.Purpura
g.Idiopathic
h.Hematocrit (Hct)
i.Bone marrow biopsy
j.WBCs
k.Secondary thrombocytopenia
A procedure, such as leukapheresis, plateletpheresis, and plasmapheresis, that separates the different components of the blood and removes a certain part of the blood

Question 58

Match each definition to one of the following items.
a.Apheresis
b.Blood
c.Autologous transfusion
d.5000 to 10,000/mm3
e.Hemoglobin (HGB)
f.Purpura
g.Idiopathic
h.Hematocrit (Hct)
i.Bone marrow biopsy
j.WBCs
k.Secondary thrombocytopenia
A protein in red blood cells that carries oxygen to body tissues

Question 59

Bandemia: __________

Question 60

What are two reasons for iron deficiency?

Question 61

Thrombocytopenia due to chronic alcoholism: __________

Question 62

Sarcoidosis of the skin: ____________

Question 63

A patient is admitted with thrombocytopenia and coagulopathy due to alcoholic cirrhosis of liver and active alcohol dependence. Patient receives platelet transfusion via peripheral vein, percutaneous approach, and vitamin K. Patient's blood count improved prior to discharge. __________

Question 64

Neutropenic fever: __________

Question 65

Familial erythrocytosis: __________

Question 66

Waldenstrom hypergammaglobulinemia: __________

Question 67

Anemia due to gastric cancer: __________

Question 68

Stokvis' disease: __________

Question 69

Patient has anemia, thrombocytopenia, and neutropenia: __________

Question 70

Anemia due to acute blood loss: __________

Question 71

Coagulopathy due to chronic liver disease: __________

Question 72

A patient is admitted with sickle cell Hb-C crisis with acute chest syndrome. Patient is treated with pain medications. Patient has chronic pain due to avascular necrosis of the left shoulder (head of humerus). The avascular necrosis is due to the sickle cell disease. __________