Deck 16: Diseases of the Respiratory System

Question 1

A diagnostic endoscopic procedure in which a tiny camera on the end of the endoscope is inserted through the nose or mouth into the lungs is called a ____.

A)bronchoscopy
B)lungoscopy
C)thoracostomy
D)mastectomy

Answer 1

A

Question 2

A patient is admitted for suspected H1N1 influenza.

A)J11.1
B)J09.X2
C)J11.89,J09.X9
D)J10.1

Answer 2

A

Question 3

When pleural effusion results from trauma or disease and blood is accumulating in the pleural space,the condition is called ____.

A)hemothorax
B)empyema
C)chylothorax
D)none of the above

Answer 3

A

Question 4

The most common cause of pneumonia is ____.

A)Streptococcus pneumoniae
B)Haemophilus influenza
C)Staphylococcus aureus
D)Mycobacterium tuberculosis

Question 5

A pneumothorax that occurs as a result of a procedure is a(n) ____ pneumothorax.

A)malignant
B)spontaneous
C)iatrogenic
D)traumatic

Question 6

A patient is admitted from a nursing home with cough and fever.The patient has a history of dysphagia and hemiparesis of right dominant side due to previous stroke.Sputum cultures reveal Pseudomonas.Patient went into acute respiratory failure after admission.Discharge diagnosis: Pseudomonas pneumonia.

A)J96.01,J15.0,I69.391,I69.359
B)J96.00,J15.1,I69.391,R13.10,I69.351
C)J15.1,J96.00,I69.391,R13.10,I69.351
D)J15.1,J96.01,I69.391,I69.359

Question 7

A contagious viral disease called ____ is an infection of the respiratory tract that causes coughing,difficulty breathing,headache,muscle aches,and weakness.

A)influenza
B)stannosis
C)lobar pneumonia
D)emphysema

Question 8

____ is a lower respiratory tract or bronchial tree infection that is characterized by cough,sputum production,and wheezing.

A)Empyema
B)Asthma
C)Sinusitis
D)Bronchitis

Question 9

Patient is admitted with acute on chronic respiratory failure due to emphysema.Patient is dependent on oxygen and has had numerous admissions for pneumonia.Patient is treated with continuous BIPAP for 48 hours and is a DNR/DNI.No infection is identified,and deterioration in respiratory status is thought to be a progression of his emphysema.Patient was made comfort care and was discharged to at-home hospice care the following day.Final Diagnoses: End-stage emphysema.Chronic respiratory failure with hypoxia.Procedure: BIPAP.

A)J96.00,J43.0,Z99.81,Z87.01,Z51.5,5A09557
B)J96.01,J43.9,Z99.81,Z87.01,Z66,5A09357
C)J96.21,J43.9,Z99.81,Z87.01,Z66,Z51.5,5A09457
D)J96.22,J43.9,Z99.81,Z87.01,5A09357

Question 10

____ pneumonia refers to pneumonia contracted outside of the hospital or nursing home setting.

A)Nursing home-acquired
B)Hospital-acquired
C)Community-acquired
D)Nosocomial

Question 11

Which of the following is NOT categorized with high-risk potential for contracting pneumonia?

A)Someone who is in his or her first year of life
B)Someone who is in his or her early 20s
C)Someone who is elderly
D)Someone with AIDS

Question 12

A patient is admitted from a nursing home with cough and fever.The patient has a history of dysphagia and hemiparesis due to previous cerebral infarction.Sputum cultures reveal Pseudomonas.Discharge Diagnosis: Pneumonia due to aspiration and Pseudomonas bacteria.

A)J69.0,J15.1,I69.391,I69.352
B)J15.0,J69.0,I69.391,I69.359
C)J69.0,J15.1 I69.391,R13.10,I69.359
D)J18.9,J15.1,I69.391,R13.10,I69.359

Question 13

Patient was admitted with acute bronchitis.Patient has a history of nicotine dependence but quit 5 years ago.X-ray was negative for any pneumonia.Final Diagnoses: COPD with acute bronchitis.Acute bronchitis.

A)J44.1,Z87.891
B)J44.0,J20.9,Z87.891
C)J44.0,J20.8,Z72.0
D)J44.1,J28.0

Question 14

Patient is admitted with shortness of breath and fever that has been present for 2 to 3 weeks and has gotten progressively worse.CT scan showed evidence of bronchiolitis obliterans organizing pneumonia (BOOP).Patient was started on prednisone and discharged when symptoms had resolved.Final Diagnoses: BOOP.

A)J84.89
B)J84.03
C)J84.2
D)J84.81

Question 15

A patient is admitted with hypoxemia and acute respiratory failure.The patient has COPD and is being treated for an acute exacerbation.The patient is intubated in the ER and is transferred to ICU and maintained on mechanical ventilation for 24 hours.The patient has a history of chronic diastolic congestive heart failure.

A)J96.01,J44.1,I50.32,5A1945Z,0BH17EZ
B)J96.00,J44.1,I50.30,5A1945Z,0BH17EZ
C)J44.1,J96.10,I50.31,5A1935Z,0BH17EZ
D)J96.01,J44.1,I50.9,5A1935Z

Question 16

Patient is a 67-year-old female who presented to the ER with shortness of breath.She was in her usual state of health until 1 week ago,when she began to have chills,fever,and a cough.Patient was admitted and started on IV antibiotics for pneumonia.Her COPD exacerbation was treated with albuterol treatments and oxygen by nasal cannula.Sputum cultures grew Klebsiella pneumoniae.Final Diagnoses: Pneumonia due to Klebsiella.Chronic obstructive pulmonary disease with acute decompensation.

A)J44.0,J15.0
B)J15.1,J44.9
C)J15.0,J44.1
D)B96.1,J15.0,J44.1

Question 17

In relation to the respiratory system,what does RUL stand for?

A)Right upper lip
B)Reasonable upper length
C)Right upper lobe
D)Right upper lid

Question 18

____ occurs when the linings of one or more sinuses become infected,usually as the result of viruses or bacteria.

A)Black lung
B)Asthma
C)Sinusitis
D)Bronchitis

Question 19

Which of the following is NOT an example of pneumoconiosis (lung disease due to the chronic inhalation of inorganic dust)?

A)Siderosis
B)Baritosis
C)Cyanosis
D)Stannosis
E)None of the above

Question 20

Which of the following is a symptom of pneumonia?

A)Fever
B)Cough
C)Chest pain
D)Rapid breathing
E)All of the above

Question 21

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

Question 22

The abbreviation ABG stands for ____________________.

Question 23

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.

Question 24

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

A)Z77.22,J21.9
B)J21.0,Z77.22
C)J21.8,B97.4
D)B97.4,J21.0

Question 25

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

Question 26

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

A)B20,J16.8,3E1F88X
B)B59,Z21,0B9K8ZX
C)B20,B59,0B938ZX
D)B59,B20,0B9B8ZX

Question 27

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

A)J02.9
B)J02.0
C)J03.00
D)J03.01

Question 28

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.

A)J20.9,R06.1
B)R06.1,J40
C)J41
D)J20.9

Question 29

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

A)J45.901
B)J45.990
C)J45.991
D)J45.998

Question 30

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

A)J18.9,J90,0W993ZZ
B)J91.0,J18.9,0W993ZX
C)J18.1,J90,0W9B3ZZ
D)J18.0,J91.0,0W9B3ZX

Question 31

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.

Question 32

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.

A)J96.00,I50.9,5A1945Z,0BH17EZ
B)J96.01,I50.1,5A1935Z
C)J96.02,I50.20,5A1955Z,0BH13EZ
D)J96.22,I50.30,5A1945Z,0BH17EZ

Question 33

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

A)J01.20,B95.4
B)J02.21
C)J01.20,B95.3
D)J32.2

Question 34

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

Question 35

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

Question 36

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

A)J96.01,I21.4
B)I21.3,J96.00
C)J96.00,I21.3
D)I21.4,J96.00

Question 37

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.

A)J18.1,E86.1,J43.1
B)J18.9,E86.0,J43.9
C)J18.9,E86.1,J44.9
D)J18.0,E86.0,J44.9

Question 38

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

A)J09.X2
B)J09.X3
C)J11.1
D)J11.89

Question 39

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

Question 40

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) __________________.

Question 41

Match the following Z codes to the correct meaning.
a.Z82.5
b.Z83.6
c.Z87.891
d.Z85.22
e.Z48.24
f.Z77.090
g.Z93.0
Aftercare following lung transplant

Question 42

Match the following Z codes to the correct meaning.
a.Z82.5
b.Z83.6
c.Z87.891
d.Z85.22
e.Z48.24
f.Z77.090
g.Z93.0
Personal history of malignant neoplasm-nasal cavities,middle ear,and accessory sinuses

Question 43

The condition where fluid accumulates in the lungs is called ____________________.

Question 44

RAD stands for ____________________.

Question 45

Match the following Z codes to the correct meaning.
a.Z82.5
b.Z83.6
c.Z87.891
d.Z85.22
e.Z48.24
f.Z77.090
g.Z93.0
History of tobacco use

Question 46

Match the following conditions with the correct medication/treatment.
a.Chronic bronchitis
b.Respiratory failure
c.Influenza
d.Sinusitis
e.Emphysema
f.Asthma
Bronchodilators,steroids,oxygen therapy,and antibiotics for an acute infection

Question 47

Match the following conditions with the correct medication/treatment.
a.Chronic bronchitis
b.Respiratory failure
c.Influenza
d.Sinusitis
e.Emphysema
f.Asthma
Influenza vaccinations,nasal swab,amantadine,zanamivir,and treatment of symptoms

Question 48

Match the following conditions with the correct medication/treatment.
a.Chronic bronchitis
b.Respiratory failure
c.Influenza
d.Sinusitis
e.Emphysema
f.Asthma
Inhalers,nebulizers,and steroids

Question 49

Match the following conditions with the correct medication/treatment.
a.Chronic bronchitis
b.Respiratory failure
c.Influenza
d.Sinusitis
e.Emphysema
f.Asthma
Oxygen,mechanical ventilations,and treatment of underlying cause

Question 50

What is the definition of infection?

Question 51

Match the following conditions with the correct medication/treatment.
a.Chronic bronchitis
b.Respiratory failure
c.Influenza
d.Sinusitis
e.Emphysema
f.Asthma
Decongestant to help sinuses drain and antibiotics

Question 52

The correct abbreviation for bronchoalveolar lavage is ____________________.

Question 53

Match the following conditions with the correct medication/treatment.
a.Chronic bronchitis
b.Respiratory failure
c.Influenza
d.Sinusitis
e.Emphysema
f.Asthma
Bronchodilators,steroids,and antibiotics for acute infections

Question 54

Match the following Z codes to the correct meaning.
a.Z82.5
b.Z83.6
c.Z87.891
d.Z85.22
e.Z48.24
f.Z77.090
g.Z93.0
Artificial opening status,tracheostomy

Question 55

Match the following Z codes to the correct meaning.
a.Z82.5
b.Z83.6
c.Z87.891
d.Z85.22
e.Z48.24
f.Z77.090
g.Z93.0
Family history of asthma

Question 56

Retropharyngeal abscess: __________

Question 57

Aspiration pneumonia with MRSA pneumonia: __________

Question 58

What is the major organ of the respiratory system?

Question 59

Match the following Z codes to the correct meaning.
a.Z82.5
b.Z83.6
c.Z87.891
d.Z85.22
e.Z48.24
f.Z77.090
g.Z93.0
History of exposure to asbestos

Question 60

Match the following Z codes to the correct meaning.
a.Z82.5
b.Z83.6
c.Z87.891
d.Z85.22
e.Z48.24
f.Z77.090
g.Z93.0
Family history of other chronic respiratory conditions

Question 61

Suspected H1N1 influenza: __________

Question 62

Escherichia coli pneumonia: __________

Question 63

A patient is admitted with SOB.The chest X-ray shows pneumonia with possible empyema formation in the left pleural cavity.A diagnostic thoracentesis of the left pleural cavity is performed to drain the empyema.Cultures are positive for Klebsiella.Discharge Diagnosis: Klebsiella pneumonia with empyema.What codes are applicable?

Question 64

Broncholithiasis: __________

Question 65

Acute bronchiolitis due to RSV: __________

Question 66

Laryngeal spasm: __________

Question 67

Idiopathic pulmonary fibrosis: __________

Question 68

H1N1 influenza: __________

Question 69

Eosinophilic asthma: __________

Question 70

Asthmatic bronchitis: __________

Question 71

Patient is admitted with status asthmaticus.Patient was started on albuterol treatments.Patient has been intubated on previous admissions.Patient is positive for sickle cell trait and is on methadone for treatment of heroin dependence.What codes are applicable?

Question 72

Idiopathic pulmonary fibrosis with transbronchial right lung biopsy via bronchoscope: __________

Question 73

Cork handlers' disease: __________