Deck 20: Diseases of the Musculoskeletal System and Connective Tissue

Question 1

____ is one of the most common diseases affecting the muscles; it is characterized by widespread muscle pain associated with chronic fatigue.

A)Postlaminectomy syndrome
B)Bursitis
C)Fibromyalgia
D)Rhabdomyolysis

Answer 1

C

Question 2

A patient is admitted to rule out lupus nephritis. The patient was diagnosed with systemic lupus erythematosus 5 years ago. A percutaneous left kidney biopsy is performed, and lupus nephritis is confirmed.

A)M32.14, 0TB13ZX
B)M32.15, 0T910ZX
C)M32.14, 0TB13ZZ
D)M32.14, 0TB13ZX

Answer 2

D

Question 3

Subacute osteomyelitis of sacrum with decubitus sacral ulcer, stage 3. Staphylococcus aureus is the causative organism.

A)M46.28, L89.153, B95.61
B)M46.28, L89.153, B95.62
C)B95.61, M46.28, L89.153
D)M46.27, L89.152, B95.62

Answer 3

A

Question 4

The patient was admitted from the ER for chest pain to rule out MI. The patient also had some difficulty breathing and pain when taking a deep breath. The patient does have a family history of ischemic heart disease and is positive for the following cardiac risk factors: male, older than age 65, hypertension, smoker, and overweight. After evaluation and monitoring, an MI was ruled out. Cardiology thought the most likely cause for his chest pain was costochondritis.Final Diagnoses: Chest pain due to costochondritis
Hypertension
Smoker, current nicotine dependence (cigarettes)
Overweight
Family history of ischemic heart disease

A)M94.20, I10, E66.2, F17.211, Z82.49
B)M94.0, I11.9, F17.229, E66.3, Z82.41
C)M94.0, I10, F17.210, E66.3, Z82.49
D)M94.1, I10, Z72.0, E66.8, Z82.49

Question 5

____ is a chronic, inflammatory, autoimmune disease that can damage connective tissue anywhere in the body. It causes inflammation of the skin, joints, nervous system, kidneys, lungs, and other organs.

A)Systemic lupus erythematosus
B)Scleroderma
C)Osteoarthritis
D)Spondylosis

Question 6

Patient with a family history of rheumatoid arthritis is being screened for rheumatoid arthritis.

A)Z13.820, Z82.69
B)Z13.89, Z82.62
C)Z13.828, Z82.61
D)Z13.828

Question 7

____ are the connective tissues that attach muscle to bones.

A)Joints
B)Ligaments
C)Tendons
D)All of the above
E)None of the above

Question 8

Dorsopathies are conditions or diseases that affect the front or rib cage.

Question 9

What drug could be given to treat osteoporosis?

A)Celebrex
B)Fosamax
C)NSAIDs
D)Muscle relaxant

Question 10

The patient was admitted with disc herniation at L4 to L5. The patient has failed conservative treatments such as physical therapy. NSAIDs and even steroid injections did not provide much relief. The patient was taken to surgery, and an open discectomy was performed. The patient recovered uneventfully and was discharged. Instructions were given to avoid lifting anything heavier than 10 lb until after the postoperative clinic visit.Final Diagnosis: Herniated disc Procedure: Discectomy (partial)

A)M51.27, 0ST40ZZ
B)M51.06, 0ST20ZZ
C)M51.25, 0SB40ZZ
D)M51.26, 0SB20ZZ

Question 11

A pediatric patient was admitted with a pathologic fracture of the proximal right humerus. Radiographic evidence suggests that the fracture was caused by a unicameral bone cyst (solitary). An orthopedic consult was obtained to see whether this should be treated surgically. It was decided to treat conservatively and monitor healing with serial X-rays.Final Diagnosis: Unicameral bone cyst proximal right humerus with pathologic fracture

A)M84.621A, M85.421
B)M84.622A
C)M85.422, M84.621A
D)M84.621D, M85.421

Question 12

____ is an exaggerated inward curvature of the spine that may be caused by increased abdominal girth due to obesity, pregnancy, or abdominal tumors.

A)Lordosis
B)Kyphosis
C)Scoliosis
D)Myosis

Question 13

____ is when one vertebra slips on another.

A)Facet joint
B)Spondylosis
C)Spinal stenosis
D)Spondylolisthesis

Question 14

The patient was admitted to the hospital because of severe left hip pain that is often worse during the night. X-rays of the hip were taken in the ER. A preliminary report showed that the patient possibly had Paget disease of the left femur, which was responsible for the patient's pain. Alkaline phosphatase was elevated, and a bone scan was done to determine the extent of the disease.Final Diagnoses: Severe hip pain due to Paget disease

A)M25.552, M88.852
B)M88.852
C)M88.851
D)M88.89

Question 15

____ is/are the front of the body or organ.

A)Anterior
B)Dorsal
C)Proximal
D)Ventral
E)Anterior and ventral

Question 16

What drug could be given to treat rheumatoid arthritis?

A)Boniva
B)Fosamax
C)Celebrex
D)Calcium

Question 17

Pathologic fracture of distal left femur due to osteosarcoma of femur.

A)M84.552A, C40.22
B)M84.551A, C40.22
C)M84.352A, C40.21
D)M84.552G, C40.10

Question 18

Which of the following make(s) up the musculoskeletal system?

A)Bones
B)Ligaments
C)Tendons
D)Cartilage
E)All of the above

Question 19

An 83-year-old woman with severe back pain is admitted. CT shows osteoporosis and possible compression fracture of the lumbar spine. The patient is seen by interventional radiology, and a percutaneous vertebroplasty is performed.Discharge Diagnosis: Pathologic fracture of lumbar vertebra due to senile osteoporosis

A)M81.0, M80.08xA, 0QU03JZ
B)M80.08xG, 0QS03ZZ
C)M80.08xA, 0QU03JZ
D)M80.08xA, 0QS03ZZ

Question 20

A patient is admitted for a total hip replacement with a metal-on-polyethylene prosthesis because of primary osteoarthritis of the right hip. Patient has had a previous left hip replacement.

A)M16.11, Z96.642, 0SRB0J9
B)M16.51, Z96.642, 0SRB04Z
C)M16.9, Z96.649, 0SR90JZ
D)M16.11, Z96.642, 0SR902Z

Question 21

Spinal stenosis is the widening or rupture of the spinal canal.

Question 22

ICD-10-CM uses the sixth character when coding to identify pathologic fractures.

Question 23

Match each definition to one of the following items.
a.Medial
b.Cranial
c.Ventral
d.Superior
e.Caudal
f.Dorsal
g.Lateral
To the side of the body

Question 24

Arthroscopic surgery is a highly invasive surgery that involves the use of instruments to perform surgery through very large incisions.

Question 25

Match each definition to one of the following items.
a.Medial
b.Cranial
c.Ventral
d.Superior
e.Caudal
f.Dorsal
g.Lateral
The back of the body or organ

Question 26

Alendronate, calcitonin, and calcium with vitamin D are common medications used to treat osteoporosis.

Question 27

Spinal decompression is a surgical procedure that frees the ____________________ in the spinal canal.

Question 28

Ball joints are small stabilizing joints located between and behind adjacent vertebrae.

Question 29

____________________ is a metabolic bone disorder that results in decreased bone mass and density.

Question 30

Match each definition to one of the following items.
a.Medial
b.Cranial
c.Ventral
d.Superior
e.Caudal
f.Dorsal
g.Lateral
The position of the body or an organ relative to the vertical axis of the body

Question 31

Match each definition to one of the following items.
a.Medial
b.Cranial
c.Ventral
d.Superior
e.Caudal
f.Dorsal
g.Lateral
Toward the head

Question 32

Match each definition to one of the following items.
a.Medial
b.Cranial
c.Ventral
d.Superior
e.Caudal
f.Dorsal
g.Lateral
Closer to the median plane than another structure in the body

Question 33

Necrotizing fasciitis, also called ____________________, is a rare but serious condition in which an infection occurs in the tissues below the skin. It usually is caused by group A Streptococcus.

Question 34

____________________ affects children, usually between the ages of 2 and 5 years; it may affect only a few joints or many joints in the body.

Question 35

Myelopathy is compression of the ____________________.

Question 36

Spinal fusion is the creation of a solid bone bridge between two or more adjacent vertebrae to create stability between levels of the spine.

Question 37

Match each definition to one of the following items.
a.Medial
b.Cranial
c.Ventral
d.Superior
e.Caudal
f.Dorsal
g.Lateral
The front of the body or organ

Question 38

ICD-10-CM has a combination code for osteoporosis with pathologic fracture.

Question 39

Osteomyelitis is an infection of the bone that often starts in another part of the body and is spread by the blood.

Question 40

ICD-10-CM has different codes to identify laterality for many musculoskeletal conditions.

Question 41

What does the abbreviation AKA stand for?

Question 42

Match each definition to one of the following items.
a.Medial
b.Cranial
c.Ventral
d.Superior
e.Caudal
f.Dorsal
g.Lateral
Toward the tail

Question 43

Match each definition to one of the following items.
a.Z87.39
b.Z82.61
c.Z82.69
d.Z96.641
e.Z89.512
f.Z13.828
g.Z13.820
Special screening-osteoporosis

Question 44

Calcification of lumbar disk: __________

Question 45

Right plantar fasciitis: __________

Question 46

What is the correct abbreviation for dual-energy x-ray absorptiometry?

Question 47

What is the purpose of the musculoskeletal system?

Question 48

What does the abbreviation SLE stand for?

Question 49

Internal derangement of left knee: __________

Question 50

Match each definition to one of the following items.
a.Z87.39
b.Z82.61
c.Z82.69
d.Z96.641
e.Z89.512
f.Z13.828
g.Z13.820
Special screening-rheumatoid arthritis

Question 51

Degenerative polyarticular arthritis: __________

Question 52

Tennis elbow (right): __________

Question 53

Staphylococcal pyogenic arthritis of left knee: __________

Question 54

Match each definition to one of the following items.
a.Z87.39
b.Z82.61
c.Z82.69
d.Z96.641
e.Z89.512
f.Z13.828
g.Z13.820
Personal history of arthritis

Question 55

Match each definition to one of the following items.
a.Z87.39
b.Z82.61
c.Z82.69
d.Z96.641
e.Z89.512
f.Z13.828
g.Z13.820
Family history of other musculoskeletal diseases

Question 56

Match each definition to one of the following items.
a.Z87.39
b.Z82.61
c.Z82.69
d.Z96.641
e.Z89.512
f.Z13.828
g.Z13.820
Family history of arthritis

Question 57

Match each definition to one of the following items.
a.Z87.39
b.Z82.61
c.Z82.69
d.Z96.641
e.Z89.512
f.Z13.828
g.Z13.820
Organ or tissue replaced by other means-right hip

Question 58

Chondromalacia of the left patella: __________

Question 59

Tenosynovitis in the right shoulder: __________

Question 60

Match each definition to one of the following items.
a.Z87.39
b.Z82.61
c.Z82.69
d.Z96.641
e.Z89.512
f.Z13.828
g.Z13.820
Lower limb amputation status-below left knee

Question 61

Ankylosis of right shoulder: __________

Question 62

A patient is admitted for right THR for seropositive hip rheumatoid arthritis. The patient has a past medical history of CVA and myelodysplastic syndrome (MDS). The patient has an open total hip replacement (ceramic on ceramic prosthesis) and on day 1 is transfused with two autologous units of red blood cells via peripheral vein. Coder queries physician regarding the reason for the blood transfusion, and the physician documents acute blood loss anemia. __________

Question 63

Kaschin-Beck disease, right ankle: __________