Deck 15: Diseases of the Nervous System, Diseases of the Eye and Adnexa, and Diseases of the Ear and Mastoid Process

Question 1

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.

A)G40.919, 0JH60BZ, 00HE3MZ
B)G40.911, 0JH60M6, 00HE3MZ
C)G40.919, 0JH60M8, 00HE3MZ
D)G40.911, 00HE0MZ, 0MH60M6

Answer 1

A

Question 2

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

A)Q03.9, 00160J6
B)Q05.2, 00160J6
C)Q05.7, 001607G
D)Q05.2, 0W110JG

Answer 2

B

Question 3

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

A)no definite diagnosis has been established
B)the patient is admitted for postoperative pain control
C)the patient is admitted for pain control for neoplasm-related pain
D)all of the choices occur
E)none of the above is correct; it is never acceptable to code pain as a principal diagnosis

Answer 3

D

Question 4

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 3 years ago. The patient is administered fentanyl.

A)C79.51, G89.3, Z85.118
B)G89.3, C79.51, Z85.118
C)C79.51, G89.3, C34.90
D)G89.3, G89.3, C34.90

Question 5

What drug could be given to treat epilepsy?

A)Dilantin
B)Cognex
C)Aricept
D)Sinemet

Question 6

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

A)EEG
B)MRI
C)Ultrasound
D)EMG

Question 7

All of the following are symptoms of meningitis EXCEPT ____.

A)vomiting
B)sensitivity to darkness
C)headache
D)high fever

Question 8

A patient is admitted after a seizure. Lab 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

Question 9

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

A)schizophrenia
B)hydrocephalus
C)Alzheimer disease
D)Hutchinson disease

Question 10

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

A)Taste
B)Hearing
C)Smell
D)All of the above

Question 11

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.

A)G50.0, G43.901, 008M3ZZ
B)G50.0, G43.909, 008K0ZZ
C)G50.0, G43.901, 008K0ZZ
D)G50.0, G43.909, 008K4ZZ

Question 12

A college student is admitted with fever, headache, and a stiff neck. Lumbar puncture is performed in the ER, and lab results reveal pneumococcal meningitis. The patient is given IV fluids for volume depletion and IV antibiotics to treat meningitis.

A)G00.1, E86.9, 009U3ZZ
B)R50.9, R51, M43.6, 009U3ZX
C)R50.9, R51, M43.6, G00.1, 009U3ZZ
D)G00.1, E86.9, 009U3ZX

Question 13

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.

A)S22.42xA, G89.11, V80.010A, Y92.39, Y93.52
B)G89.18, S22.42xA, V80.010A, Y92.39, Y93.52
C)G89.11, S22.42xA, V80.010A, Y92.39, Y93.52
D)S22.42xA, R52, V80.010A, Y92.39, Y93.52

Question 14

Bacterial meningitis is ____.

A)not treated
B)treated with antibiotics
C)treated with high doses of vitamins
D)treated with chlorhexidine

Question 15

A patient is admitted with an acute change in mental status. Patient has a history of CHF, DM type 2, and prostate cancer. Patient had a prostatectomy 2 years PTA. Upon completion of the lab work, the physician documents metabolic encephalopathy due to urinary tract infection. Patient was treated with IV antibiotics.

A)G93.41, I50.9, E11.9, Z85.46
B)N39.0, I50.9, E11.9, Z85.46
C)G93.41, I50.9, E11.9, Z85.46
D)N39.0, G93.41, I50.9, E11.9, Z85.46

Question 16

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.

A)C61, G89.3, C78.7, C79.51
B)M54.9, G89.3, C61, C79.51
C)G89.3, Z85.46, C78.7, C79.51
D)G89.3, C61, C78.7, C79.51

Question 17

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

A)H25.21, 08RK3JZ
B)H25.89, 08DK3ZZ
C)H25.9, 08RJ3JZ
D)H25.11, 08DJ3ZZ

Question 18

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

A)Endocardium
B)Dura
C)Arachnoid
D)Pia

Question 19

What drug could be given to treat Alzheimer disease?

A)Sinemet
B)Depakote
C)Aricept
D)Dilantin

Question 20

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

A)G00.8, 009Y00X
B)G00.8, 009Y0ZX
C)G00.9, R51, R50.9, 009U3ZX
D)G00.9, 009U3ZX

Question 21

Match each definition to one of the following items.
a.Glaucoma
b.Hydrocephalus
c.Meningitis
d.Epilepsy
e.Parkinson disease
f.Cataract
g.Cholesteatoma
h.Mastoiditis
i.Myasthenia gravis
j.Alzheimer disease
Infection of the mastoid bone of the skull

Question 22

A(n) ____________________ is a device that is used to treat intractable epilepsy.

Question 23

Match each definition to one of the following items.
a.Glaucoma
b.Hydrocephalus
c.Meningitis
d.Epilepsy
e.Parkinson disease
f.Cataract
g.Cholesteatoma
h.Mastoiditis
i.Myasthenia gravis
j.Alzheimer disease
Clouding of the lens of the eye that can cause obstructed vision

Question 24

In ICD-10-CM, if information on whether the hemiplegia is affecting the dominant or nondominant side is not documented, the default is dominant.

Question 25

Legal blindness in the United States is defined as severe or profound impairment in both eyes.

Question 26

Match each definition to one of the following items.
a.Glaucoma
b.Hydrocephalus
c.Meningitis
d.Epilepsy
e.Parkinson disease
f.Cataract
g.Cholesteatoma
h.Mastoiditis
i.Myasthenia gravis
j.Alzheimer disease
Disorder of the optic nerve resulting in vision loss

Question 27

The purpose of the spinal cord is to conduct ____________________ and spinal reflexes.

Question 28

There are no vaccines to prevent meningitis caused by Streptococcus pneumoniae.

Question 29

Match each definition to one of the following items.
a.Glaucoma
b.Hydrocephalus
c.Meningitis
d.Epilepsy
e.Parkinson disease
f.Cataract
g.Cholesteatoma
h.Mastoiditis
i.Myasthenia gravis
j.Alzheimer disease
Chronic autoimmune disorder manifested by varying degrees of muscle weakness

Question 30

Match each definition to one of the following items.
a.Glaucoma
b.Hydrocephalus
c.Meningitis
d.Epilepsy
e.Parkinson disease
f.Cataract
g.Cholesteatoma
h.Mastoiditis
i.Myasthenia gravis
j.Alzheimer disease
An infection or inflammation of the meninges

Question 31

In ICD-10-CM, there are three chapters for the nervous system and sense organs.

Question 32

The two parts of the peripheral nervous system are the ____________________ nervous system and the ___________________ nervous system.

Question 33

Only the brain is covered by bone; the spinal cord is not.

Question 34

The central nervous system is made up of the ____________________ and ____________________.

Question 35

Match each definition to one of the following items.
a.Glaucoma
b.Hydrocephalus
c.Meningitis
d.Epilepsy
e.Parkinson disease
f.Cataract
g.Cholesteatoma
h.Mastoiditis
i.Myasthenia gravis
j.Alzheimer disease
A disorder of the brain that causes a progressive decline in mental and physical function

Question 36

Match each definition to one of the following items.
a.Glaucoma
b.Hydrocephalus
c.Meningitis
d.Epilepsy
e.Parkinson disease
f.Cataract
g.Cholesteatoma
h.Mastoiditis
i.Myasthenia gravis
j.Alzheimer disease
A disorder of the brain characterized by abnormal electrical discharges from the brain cells

Question 37

Hydrocephalus can be acquired or congenital.

Question 38

Match each definition to one of the following items.
a.Glaucoma
b.Hydrocephalus
c.Meningitis
d.Epilepsy
e.Parkinson disease
f.Cataract
g.Cholesteatoma
h.Mastoiditis
i.Myasthenia gravis
j.Alzheimer disease
Excessive water (cerebrospinal fluid) on the brain

Question 39

Match each definition to one of the following items.
a.Glaucoma
b.Hydrocephalus
c.Meningitis
d.Epilepsy
e.Parkinson disease
f.Cataract
g.Cholesteatoma
h.Mastoiditis
i.Myasthenia gravis
j.Alzheimer disease
A progressive and chronic motor system disorder that includes symptoms such as tremors, rigidity, and impaired coordination

Question 40

The spinal cord is located in the ____________________ foramen.

Question 41

Meningitis due to Klebsiella: __________

Question 42

Can epilepsy be inherited?

Question 43

Match each definition to one of the following items.
a.Glaucoma
b.Hydrocephalus
c.Meningitis
d.Epilepsy
e.Parkinson disease
f.Cataract
g.Cholesteatoma
h.Mastoiditis
i.Myasthenia gravis
j.Alzheimer disease
Growth in the middle ear that usually results from repeated ear infections

Question 44

Pseudohole of the macula of the right eye: __________

Question 45

What does the abbreviation "sz" stand for?

Question 46

Bilateral retrolental fibroplasia: __________

Question 47

Amaurosis: __________

Question 48

Mastoid cholesteatoma of the right ear: __________

Question 49

How is hydrocephalus treated most commonly?

Question 50

What are the two main divisions of the nervous system?

Question 51

Spastic retinal artery: __________

Question 52

Decreased ocular pressure with papilledema: __________

Question 53

Romberg syndrome: __________

Question 54

Bilateral vitreous floaters: __________

Question 55

Arcus senilis of the left eye: __________