Deck 19: Diseases of the Skin and Subcutaneous Tissue

Question 1

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

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

Answer 1

A

Question 2

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

Answer 2

A

Question 3

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

Answer 3

C

Question 4

A nursing home patient with an enlarging stage 3 sacral decubitus ulcer is admitted 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

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

Question 6

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

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

Question 7

Diseases of the skin and subcutaneous tissues are coded ____.

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

Question 8

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 9

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 pneumonia.

A)L51.3,J18.9
B)L51.3,Z87.01
C)L51.1,Z87.01
D)L51.1,J18.9

Question 10

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

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

Question 11

Clusters of boils are known as a ____.

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

Question 12

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 13

Pulse lavage debridement of the subcutaneous tissue is performed by a 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)L89.513,0JDQ0ZZ
D)L97.309,0HBKXZZ

Question 14

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 15

Which of the following 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 16

Patient has a pressure ulcer of the left ankle on admission,which is documented as a stage 1 and progresses to a stage 3 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 17

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

Question 18

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 19

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 20

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 2 ulcer,and the right side has a stage 1 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 21

The sebaceous glands secrete an oily substance called ____________________.

Question 22

MATCHING
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 23

Skin grafts can be only full-thickness skin grafts.

Question 24

Another name for furuncle is a(n)____________________.

Question 25

MATCHING
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 26

MATCHING
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 27

The skin is composed of ____________________ layers.

Question 28

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

Question 29

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

Question 30

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 31

MATCHING
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 32

MATCHING
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 33

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

Question 34

The outer layer of skin is called the ____________________.

Question 35

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

Question 36

Another name for a pressure ulcer is a decubitus ulcer.

Question 37

MATCHING
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 38

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

Question 39

MATCHING
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 40

MATCHING
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 41

MATCHING
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 42

Rhinophyma: __________

Question 43

Senile dermatosis: __________

Question 44

Hutchinson's cheiropompholyx: __________

Question 45

Nail horn,left thumb: __________

Question 46

What are two accessory organs of the integumentary system?

Question 47

Dermatitis from gold ring: __________

Question 48

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

Question 49

Asteatosis cutis: __________

Question 50

Granuloma pyogenicum: __________

Question 51

What usually causes hives?

Question 52

How is cellulitis treated?

Question 53

What is an abscess of the skin?

Question 54

What is excisional debridement?

Question 55

Solar photosensitivity: __________

Question 56

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

Question 57

Exfoliative dermatitis: __________