Deck 18: Diseases of the Skin and Subcutaneous Tissue

Question 1

Patient comes to the hospital for full-thickness skin graft to the thigh from the abdomen to repair a skin contracture from a third-degree burn of the left thigh.

A)L90.5,0HRLX73,0HB7XZZ
B)T24.312A,0HRLX73
C)L90.5,0HRKX74
D)L90.5,T24.312S,0HRJX73,0HB7XZZ

Answer 1

D

Question 2

Patient stepped on a piece of glass and injured his foot 2 days ago.There is a laceration of the left foot.No foreign body was present.He is now being admitted to the hospital for treatment of cellulitis in the left leg.

A)L03.115,W25xxxA
B)S91.312S
C)S91.312A,W25xxxA
D)L03.116,S91.312A W25.xxxA

Answer 2

D

Question 3

Clusters of boils are known as a ____.

A)furuncle
B)cellulitis
C)carbuncle
D)none of the above are correct

Answer 3

C

Question 4

A nursing home patient is admitted with an enlarging stage 3 sacral decubitus ulcer for wound care.The patient had a previous stroke with residual right hemiplegia.

A)L89.899,Z86.73
B)L89.899,I69.351
C)L89.153,I69.351
D)L89.159,Z86.73

Question 5

Pulse lavage debridement is performed by wound care nurse on a patient with a stage 3 decubitus ulcer of the right ankle.

A)L97.309,0HDKXZZ
B)L89.513,0HBKXZZ
C)L89.513,0HDKXZZ
D)L97.309,0HBKXZZ

Question 6

A patient comes to the ER with a crusty,itchy rash.The diagnosis is impetigo of the legs with cellulitis.The patient is admitted to treat the cellulitis.

A)L03.115,L03.116,L01.00
B)L01.00,L031.19
C)L03.113,L01.00
D)L03.125,L01.00

Question 7

A patient has a chronic ulcer of the right great toe with skin breakdown only and is admitted for excisional debridement of the skin.

A)L97.519,0HDKXZZ
B)L89.899,0HDKXZZ
C)L97.519,0HBMXZZ
D)L97.511,0HBMXZZ

Question 8

Diseases of the skin and subcutaneous tissues are coded ____.

A)G00-G99
B)M00-M99
C)L00-L99
D)C00-D49

Question 9

Patient is admitted to the hospital with probable SJS-TEN,Stevens-Johnson syndrome with toxic epidermal necrolysis overlap.The patient has a fever,chills,blistering of the mouth and eyes,and large areas on the trunk of the body where skin is peeling off.The patient recently began receiving allopurinol for gout.The attending physician admits that patient to the burn unit and documents that 30% of the body is affected by TENS and that the likely cause of this is the allopurinol.

A)L51.1,T50.4x5S,L49.2
B)L51.2,T50.4x5A,L49.3
C)L51.3,T50.4x5A,L49.3,M10.9
D)L51.1,T50.4x5A,L49.3,M10.9

Question 10

A patient is admitted from the nursing home with suspected aspiration pneumonia.The attending physician documents that the patient has pressure ulcers on both buttocks.The left side has a stage II ulcer and the right side has a stage I ulcer.

A)J69.0,L89.322,L89.311
B)J18.9,L89.301,L89.319
C)J18.9,L98.419
D)J69.0,L98.411,L98.412

Question 11

Which of the following is NOT a layer of the skin?

A)Epidermis
B)Endodermis
C)Dermis
D)Subcutaneous layer

Question 12

Which layer of the skin is composed of fibrous connective tissue?

A)Outer layer
B)Middle layer
C)Inner layer
D)None of the above

Question 13

What are the two most common bacteria associated with skin infections? 1.Streptococcus pyogenes
2)Escherichia coli
3)Staphylococcus aureus
4)Treponema pallidum
5)Pseudomonas aeruginosa

A)1 and 2
B)2 and 3
C)3 and 4
D)1 and 3
E)3 and 5

Question 14

A(n) ____ is a skin graft to an individual from another species,such as a pig.

A)allograft
B)autograft
C)xenograft
D)none of the above

Question 15

On the discharge summary,the provider documents the following discharge diagnoses: exacerbation of COPD and a healing sacral decubitus.

A)J44.9
B)J44.1,L89.159
C)J44.1,L98.411
D)J44.0

Question 16

Patient was admitted because of the development of blistering and erosion of skin and mucous membranes.About 10 days ago,the patient had fever,sore throat,and headache and was thought to have influenza.The patient was diagnosed with Stevens-Johnson syndrome due to history of influenza.

A)L51.3,J10.1
B)L51.3,J10.1
C)L51.1,Z86.19
D)L51.1,J10.1

Question 17

A(n) ____ is a skin graft from one person to another.

A)allograft
B)autograft
C)xenograft
D)mesnograft

Question 18

Patient has a pressure ulcer of the left ankle on admission,which is documented as a stage I and progresses to a stage III during the course of the stay.The patient is a paraplegic.

A)L97.309,G82.22
B)L89.523,G82.20
C)L97.319,G82.20
D)L89.511,L89.523,G82.22

Question 19

When dermatitis is caused by contact with a substance,it is called ____ dermatitis.

A)exogenous
B)endogenous
C)mesogenous
D)outer contact

Question 20

The functions of the integumentary system include all of the following EXCEPT ____.

A)protection
B)temperature regulation
C)sensory reception
D)vitamin A synthesis

Question 21

Patient is admitted with an abscess of the left calf.Patient was taken to the OR for an excisional debridement (open) of the subcutaneous tissue.

A)L03.116,0HBLXZZ
B)L02.416,0JBP0ZZ
C)L03.115,0JBP3ZZ
D)L02.415,0JBM0ZZ

Question 22

In ICD-10-CM,decubitus ulcers use a combination code for location and stage.

Question 23

Match the following terms to the correct definition.
a.Decubitus ulcer
b.Skin ulcers
c.Cellulitis
d.Stasis ulcer
e.Stasis dermatitis
f.Intertriginous dermatitis
g.Gangrene
h.Hives
i.Dermatitis
A type of dermatitis characterized by a type of rash found in body folds

Question 24

Another name for a pressure ulcer is a decubitus ulcer.

Question 25

The skin is composed of ____________________ layers.

Question 26

The organism responsible for a furuncle is Staphylococcus,which enters the body through ____________________.

Question 27

The skin and its accessory organs are part of the ____________________ system.

Question 28

Skin grafts can be only full-thickness skin grafts.

Question 29

Match the following terms to the correct definition.
a.Decubitus ulcer
b.Skin ulcers
c.Cellulitis
d.Stasis ulcer
e.Stasis dermatitis
f.Intertriginous dermatitis
g.Gangrene
h.Hives
i.Dermatitis
Open sores in the skin

Question 30

Match the following terms to the correct definition.
a.Decubitus ulcer
b.Skin ulcers
c.Cellulitis
d.Stasis ulcer
e.Stasis dermatitis
f.Intertriginous dermatitis
g.Gangrene
h.Hives
i.Dermatitis
Inflammation of the skin,also referred to as eczema,characterized by redness,itching,scaling,and crusting skin

Question 31

Match the following terms to the correct definition.
a.Decubitus ulcer
b.Skin ulcers
c.Cellulitis
d.Stasis ulcer
e.Stasis dermatitis
f.Intertriginous dermatitis
g.Gangrene
h.Hives
i.Dermatitis
An acute inflammation of tissue characterized by swelling,redness,and tenderness,most often caused by a bacterial infection

Question 32

The assignment of the code for unstageable pressure ulcer should be based on clinical documentation.

Question 33

The sebaceous glands secrete an oily substance called ____________________.

Question 34

Match the following terms to the correct definition.
a.Decubitus ulcer
b.Skin ulcers
c.Cellulitis
d.Stasis ulcer
e.Stasis dermatitis
f.Intertriginous dermatitis
g.Gangrene
h.Hives
i.Dermatitis
A type of dermatitis that includes inflammation of the lower legs associated with venous incompetence

Question 35

Another name for furuncle is a(n) ____________________.

Question 36

The outer layer of skin is called the ____________________.

Question 37

Match the following terms to the correct definition.
a.Decubitus ulcer
b.Skin ulcers
c.Cellulitis
d.Stasis ulcer
e.Stasis dermatitis
f.Intertriginous dermatitis
g.Gangrene
h.Hives
i.Dermatitis
Ulcer known as a bed sore

Question 38

Match the following terms to the correct definition.
a.Decubitus ulcer
b.Skin ulcers
c.Cellulitis
d.Stasis ulcer
e.Stasis dermatitis
f.Intertriginous dermatitis
g.Gangrene
h.Hives
i.Dermatitis
Dead tissue usually associated with loss of vascular supply

Question 39

In ICD-10-CM,pressure ulcers require a separate code to identify the stage of the ulcer.

Question 40

Match the following terms to the correct definition.
a.Decubitus ulcer
b.Skin ulcers
c.Cellulitis
d.Stasis ulcer
e.Stasis dermatitis
f.Intertriginous dermatitis
g.Gangrene
h.Hives
i.Dermatitis
Ulcer associated with varicose veins

Question 41

What is excisional debridement?

Question 42

Polymorphous light eruption from first-time use of a tanning booth: __________

Question 43

Rhinophyma: __________

Question 44

How is cellulitis treated?

Question 45

Granuloma pyogenicum: __________

Question 46

Senile dermatosis: __________

Question 47

Dermatitis from gold ring: __________

Question 48

Match the following terms to the correct definition.
a.Decubitus ulcer
b.Skin ulcers
c.Cellulitis
d.Stasis ulcer
e.Stasis dermatitis
f.Intertriginous dermatitis
g.Gangrene
h.Hives
i.Dermatitis
A skin condition also known as urticaria wherein the skin reacts with welts characterized by itching

Question 49

Exfoliative dermatitis: __________

Question 50

Solar photosensitivity: __________

Question 51

Hutchinson's cheiropompholyx: __________

Question 52

What are the three types of glands located in the skin?

Question 53

What is an abscess of the skin?

Question 54

Nail horn,left thumb: __________

Question 55

What are two accessory organs of the integumentary system?

Question 56

Asteatosis cutis: __________

Question 57

What usually causes hives?

Question 58

Name a documentation challenge that coders must be aware of.