Deck 14: Diseases of the Nervous System,Diseases of the Eye and Adnexa,and Diseases of the Ear and Mastoid Process

Question 1

A patient is admitted following a seizure.Laboratory 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

Answer 1

A
(CC 1Q 2014 p7)

Question 2

Bacterial meningitis is ____.

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

Answer 2

B

Question 3

All of the following are symptoms of meningitis EXCEPT ____.

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

Answer 3

B

Question 4

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

Question 5

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 6

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

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

Question 7

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 8

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

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

Question 9

What drug could be given to treat epilepsy?

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

Question 10

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

A)no definite diagnosis has been established
B)the patient is admitted for post-operative 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 are correct;it is never acceptable to code pain as a principal diagnosis

Question 11

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

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

Question 12

Patient is admitted for a spinal fusion at L2-L3.For many years,the patient has suffered from chronic back pain secondary to a herniated disc at L2-L3,which was completely removed during the fusion.The physician performed an XLIF procedure with the insertion of an interbody fusion device.This procedure was performed via open approach.

A)R52,M51.26,0SG033J,0SB23ZZ
B)M51.26,R52,0SG0031,0SB20ZZ
C)R52,M51.26,0SG0001,0SB20ZZ
D)M51.26,0SG00A0,0ST20ZZ

Question 13

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 14

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 15

A patient was admitted for acute pain control after falling off a ladder and suffering two broken ribs on the right side.The patient was admitted for pain control.

A)S22.31xA,G89.11,W11xxxA
B)G89.18,S22.41xA,W11xxxA
C)G89.11,S22.41xA,W11.xxxA
D)S22.41xA,G89.18,W11xxxA

Question 16

What drug could be given to treat Alzheimer's?

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

Question 17

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 18

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 19

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.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 20

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

Question 21

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 22

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

Question 23

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

Question 24

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

Question 25

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

Question 26

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

Question 27

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

Question 28

Root operations are only found in ICD-10-PCS.

Question 29

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 high doses of penicillin 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 30

In ICD-10-CM,codes for TIA are found in the nervous system chapter.

Question 31

Match the following definitions to the correct disease/disorder.
a.Glaucoma
b.Hydrocephalus
c.Meningitis
d.Epilepsy
e.Parkinson's disease
f.Cataract
g.Cholesteatoma
h.Mastoiditis
i.Myasthenia gravis
j.Alzheimer's disease
An infection or inflammation of the meninges

Question 32

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

Question 33

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

Question 34

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

Question 35

The spinal cord is located in the ____________________ foramen.

Question 36

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

Question 37

Hydrocephalus can be acquired or congenital.

Question 38

Match the following definitions to the correct disease/disorder.
a.Glaucoma
b.Hydrocephalus
c.Meningitis
d.Epilepsy
e.Parkinson's disease
f.Cataract
g.Cholesteatoma
h.Mastoiditis
i.Myasthenia gravis
j.Alzheimer's disease
Excessive water (cerebrospinal fluid) on the brain

Question 39

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

Question 40

A patient is admitted with an acute change in mental status.Patient has a history of CHF,DMII,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 41

Spastic retinal artery: __________

Question 42

Meningitis due to Klebsiella: __________

Question 43

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

Question 44

Decreased ocular pressure with papilledema: __________

Question 45

What are the two main divisions of the nervous system?

Question 46

Romberg's syndrome: __________

Question 47

What does the abbreviation "sz" stand for?

Question 48

Arcus senilis of the left eye: __________

Question 49

Match the following definitions to the correct disease/disorder.
a.Glaucoma
b.Hydrocephalus
c.Meningitis
d.Epilepsy
e.Parkinson's disease
f.Cataract
g.Cholesteatoma
h.Mastoiditis
i.Myasthenia gravis
j.Alzheimer's disease
Growth in the middle ear that usually results from repeated ear infections

Question 50

How is hydrocephalus treated most commonly?

Question 51

Amaurosis: __________

Question 52

Match the following definitions to the correct disease/disorder.
a.Glaucoma
b.Hydrocephalus
c.Meningitis
d.Epilepsy
e.Parkinson's disease
f.Cataract
g.Cholesteatoma
h.Mastoiditis
i.Myasthenia gravis
j.Alzheimer's disease
Disorder of the optic nerve resulting in vision loss

Question 53

Match the following definitions to the correct disease/disorder.
a.Glaucoma
b.Hydrocephalus
c.Meningitis
d.Epilepsy
e.Parkinson's disease
f.Cataract
g.Cholesteatoma
h.Mastoiditis
i.Myasthenia gravis
j.Alzheimer's disease
Clouding of the lens of the eye that can cause obstructed vision

Question 54

Pseudohole of the macula of the right eye: __________

Question 55

Mastoid cholesteatoma of the right ear: __________

Question 56

Can epilepsy be inherited?

Question 57

Bilateral vitreous floaters: __________

Question 58

Match the following definitions to the correct disease/disorder.
a.Glaucoma
b.Hydrocephalus
c.Meningitis
d.Epilepsy
e.Parkinson's disease
f.Cataract
g.Cholesteatoma
h.Mastoiditis
i.Myasthenia gravis
j.Alzheimer's disease
Infection of the mastoid bone of the skull

Question 59

Bilateral retrolental fibroplasia: __________