Question 1

Patient is admitted with CHF and known hypertensive heart disease.

Accepted Answer

A) I50.9, I11.0 
B) I11.0, I50.9 
C) I50.9, I10 
D) I11.0, I50.30 
A) I50.9, I11.0 
B) I11.0, I50.9 
C) I50.9, I10 
D) I11.0, I50.30

Question 2

Match each definition to one of the following items.
-History of heart transplant

Accepted Answer

A) Z82.3 
B) Z94.1 
C) Z95.811 
D) Z95.9 
E) Z76.82 
A) Z82.3 
B) Z94.1 
C) Z95.811 
D) Z95.9 
E) Z76.82

Question 3

The patient was admitted with left-sided hemiparesis due to a cerebrovascular accident. The patient has a history of previous CVA with residual facial droop.

Accepted Answer

A) I63.9, G81.94, I69.392 
B) G81.94, I63.9, I69.892 
C) I69.354, G81.94 
D) 163.9, Z86.73, G81.94 
A) I63.9, G81.94, I69.392 
B) G81.94, I63.9, I69.892 
C) I69.354, G81.94 
D) 163.9, Z86.73, G81.94

Question 4

Match each definition to one of the following items.
-A stricture or hardening of the artery due to deposits of plaque

Accepted Answer

A) Transient ischemic attack 
B) Atherosclerosis 
C) Aneurysm 
D) Pericarditis 
E) Endocarditis
F)Cardiomyopathy
G)Conduction disorder
H)Diagnostic cardiac catheterization 
A) Transient ischemic attack 
B) Atherosclerosis 
C) Aneurysm 
D) Pericarditis 
E) Endocarditis
F)Cardiomyopathy
G)Conduction disorder
H)Diagnostic cardiac catheterization

Question 5

The time limit for assigning the acute MI in ICD-10-CM is 28 days.

Accepted Answer

A) True 
 B)False

Question 6

Patient is admitted through the ER, presenting with acute chest pain. The patient has a history of COPD and pneumonia as well as type 2 DM with neuropathy. He has a history of hypertension and gout for which he takes meds for both conditions. He is currently smoking about one pack of cigarettes per day. After study, it is determined that patient has had an acute anterolateral wall STEMI. He is taken to the cath lab for a PTCA with the insertion of a drug-eluting stent of the LAD.

Accepted Answer

A) R07.9, I21.09, J18.9, I10, Z72.0, J44.9, 02703DZ 
B) I21.09, R07.9, J18.9, Z272.0, J449.9, 027134Z 
C) I21.09, I10, F17.210, M10.9, J44.9, E11.40, 027034Z 
D) R07.9, I10, J18.9, F17.210, M10.9, J44.9, 027034Z 
A) R07.9, I21.09, J18.9, I10, Z72.0, J44.9, 02703DZ 
B) I21.09, R07.9, J18.9, Z272.0, J449.9, 027134Z 
C) I21.09, I10, F17.210, M10.9, J44.9, E11.40, 027034Z 
D) R07.9, I10, J18.9, F17.210, M10.9, J44.9, 027034Z

Question 7

All of the following are tests performed to determine whether a myocardial infarction has occurred EXCEPT ____.

Accepted Answer

A) CPK 
B) EKG 
C) urinalysis 
D) ECG 
E) troponin level test 
A) CPK 
B) EKG 
C) urinalysis 
D) ECG 
E) troponin level test

Question 8

MI is the abbreviation for ____________________.

Accepted Answer

myocardial

Question 9

What is the function of the heart?

Accepted Answer

To pump oxygen-rich

Question 10

Match each definition to one of the following items.
-A problem in the electrical impulses that regulate heartbeats

Accepted Answer

A) Transient ischemic attack 
B) Atherosclerosis 
C) Aneurysm 
D) Pericarditis 
E) Endocarditis
F)Cardiomyopathy
G)Conduction disorder
H)Diagnostic cardiac catheterization 
A) Transient ischemic attack 
B) Atherosclerosis 
C) Aneurysm 
D) Pericarditis 
E) Endocarditis
F)Cardiomyopathy
G)Conduction disorder
H)Diagnostic cardiac catheterization

Question 11

Patient comes to the hospital for repair of an abdominal aortic aneurysm. The repair is performed by implantation of stent graft in the abdominal aorta via percutaneous approach.

Accepted Answer

A) I71.3, 04U04JZ 
B) I71.4, 04V03DZ 
C) I71.3, 04V04DZ 
D) I71.4, 04U03JZ 
A) I71.3, 04U04JZ 
B) I71.4, 04V03DZ 
C) I71.3, 04V04DZ 
D) I71.4, 04U03JZ

Question 12

Tachycardia is an abnormally high heart rate of more than 100 beats/min.

Accepted Answer

A) True 
 B)False

Question 13

In ICD-10-CM, there are fourth-character designations to classify hypertension as to whether it is benign, malignant, or unspecified.

Accepted Answer

A) True 
 B)False

Question 14

Match each definition to one of the following items.
-Heart assist device

Accepted Answer

A) Z82.3 
B) Z94.1 
C) Z95.811 
D) Z95.9 
E) Z76.82 
A) Z82.3 
B) Z94.1 
C) Z95.811 
D) Z95.9 
E) Z76.82

Question 15

Atherectomy is the removal of plaque from the vessel.

Accepted Answer

A) True 
 B)False

Question 16

Match each definition to one of the following items.
-Nitroglycerin, beta blockers, and calcium channel blockers: Coreg, Lopressor, Norvasc

Accepted Answer

A) Angina 
B) Atrial fibrillation 
C) Congestive heart failure 
D) Hypertension 
A) Angina 
B) Atrial fibrillation 
C) Congestive heart failure 
D) Hypertension

Question 17

In ICD-10-CM a subsequent acute MI is an MI that occurs within 28 days of the previous MI.

Accepted Answer

A) True 
 B)False

Question 18

Match each definition to one of the following items.
-Inflammation of the lining of the heart chambers and valves

Accepted Answer

A) Transient ischemic attack 
B) Atherosclerosis 
C) Aneurysm 
D) Pericarditis 
E) Endocarditis
F)Cardiomyopathy
G)Conduction disorder
H)Diagnostic cardiac catheterization 
A) Transient ischemic attack 
B) Atherosclerosis 
C) Aneurysm 
D) Pericarditis 
E) Endocarditis
F)Cardiomyopathy
G)Conduction disorder
H)Diagnostic cardiac catheterization

Question 19

AF is the abbreviation for ____________________.

Accepted Answer

atrial fib

Question 20

Patient is admitted with chest pain and rules in for an anterolateral STEMI. There is a family history of CAD.

Accepted Answer

A) I21.3, Z82.41 
B) I22.9, Z82.41 
C) I21.09, Z82.49 
D) I21.11, Z82.49 
A) I21.3, Z82.41 
B) I22.9, Z82.41 
C) I21.09, Z82.49 
D) I21.11, Z82.49

Exam 16: Diseases of the Circulatory System

Patient is admitted with CHF and known hypertensive heart disease.

Match each definition to one of the following items. -History of heart transplant

The patient was admitted with left-sided hemiparesis due to a cerebrovascular accident. The patient has a history of previous CVA with residual facial droop.

Match each definition to one of the following items. -A stricture or hardening of the artery due to deposits of plaque

The time limit for assigning the acute MI in ICD-10-CM is 28 days.

All of the following are tests performed to determine whether a myocardial infarction has occurred EXCEPT ____.

MI is the abbreviation for ____________________.

What is the function of the heart?

Match each definition to one of the following items. -A problem in the electrical impulses that regulate heartbeats

Patient comes to the hospital for repair of an abdominal aortic aneurysm. The repair is performed by implantation of stent graft in the abdominal aorta via percutaneous approach.

Tachycardia is an abnormally high heart rate of more than 100 beats/min.

In ICD-10-CM, there are fourth-character designations to classify hypertension as to whether it is benign, malignant, or unspecified.

Match each definition to one of the following items. -Heart assist device

Atherectomy is the removal of plaque from the vessel.

Match each definition to one of the following items. -Nitroglycerin, beta blockers, and calcium channel blockers: Coreg, Lopressor, Norvasc

In ICD-10-CM a subsequent acute MI is an MI that occurs within 28 days of the previous MI.

Match each definition to one of the following items. -Inflammation of the lining of the heart chambers and valves

AF is the abbreviation for ____________________.

Patient is admitted with chest pain and rules in for an anterolateral STEMI. There is a family history of CAD.

The Rationale for and History of Coding

The Health Record As the Foundation of Coding

ICD-10-Cm Format and Conventions

Basic Steps of Coding

General Coding Guidelines for Diagnosis

Introduction to Icd-10-PCS

General Coding Guidelines for Other Medical- and Surgical-Related Procedures and Ancillary Procedures

Coding Medical and Surgical Procedures

Symptoms, Signs, and Abnormal Clinical and Laboratory Findings Not Elsewhere Classified, and Z Codes

Certain Infectious and Parasitic Diseases

Neoplasms

Diseases of the Blood and Blood-Forming Organs and Certain Disorders Involving the Immune Mechanism

Endocrine, Nutritional, and Metabolic Diseases

Mental, Behavioral, and Neurodevelopmental Disorders

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

Diseases of the Respiratory System

Diseases of the Digestive System

Diseases of the Skin and Subcutaneous System

Diseases of the Musculoskeletal System and Connective Tissue

Diseases of the Genitourinary System

Pregnancy, Childbirth, and the Puerperium

Certain Conditions Originating in the Perinatal Period and Congenital Malformations, Deformations, and Chromosomal Abnormalities

Injuries and Certain Other Consequences of External Cases and External Causes of Morbidity

Burns, Adverse Effects, and Poisonings

Complications of Surgical and Medical Care

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