Question 1

Ostomies are surgically created openings into the body. Enterostomies and colostomies are created to discharge waste products from the body.

Accepted Answer

A) Both statements are true 
B) Both statements are false 
C) The first statement is true; the second is false 
D) The first statement is false; the second is true 
A) Both statements are true 
B) Both statements are false 
C) The first statement is true; the second is false 
D) The first statement is false; the second is true A

Question 2

What are the three parts of the small intestine?

Accepted Answer

Duodenum, jejunum, and ileum

Question 3

Patient is admitted to the hospital with severe malnutrition and dehydration. The patient is a 93-year-old male living at home with his wife. During the exam, it is identified that the patient has class I complete edentulism as well as a stage I sacral decubitus ulcer. A social work consult is called for placement.

Accepted Answer

A) E43, E86.0, K08.101, L89.151 
B) K08.109, E86.0, E43, L89.150 
C) K08.101, E86.0, E43, L89.151 
D) E43, K08.109, E86.0, L89.150 
A) E43, E86.0, K08.101, L89.151 
B) K08.109, E86.0, E43, L89.150 
C) K08.101, E86.0, E43, L89.151 
D) E43, K08.109, E86.0, L89.150 A

Question 4

Which Z code is associated with family history of digestive disorders?

Accepted Answer

A) Z87.19 
B) Z83.79 
C) Z80.0 
D) Z87.11 
A) Z87.19 
B) Z83.79 
C) Z80.0 
D) Z87.11

Question 5

What drug could be given to treat GERD?

Accepted Answer

A) Prilosec 
B) Azulfidine 
C) Remicade 
D) Rowasa 
A) Prilosec 
B) Azulfidine 
C) Remicade 
D) Rowasa

Question 6

Mallory-Weiss tear is a name for a(n) ____________________ laceration of the esophagogastric junction, usually after severe vomiting.

Accepted Answer

The answer of Mallory-Weiss tear is a name for a(n)...

Question 7

Patient comes to the ER with severe abdominal pain and a long history of alcoholism. Physician documents that patient is currently drinking a fifth of liquor a day. Patient is admitted to the hospital with a diagnosis of acute pancreatitis secondary to alcohol use.

Accepted Answer

A) K85.80, F10.10 
B) K85.20, F10.20 
C) K85.90, F10.10 
D) K85.00, F10.20 
A) K85.80, F10.10 
B) K85.20, F10.20 
C) K85.90, F10.10 
D) K85.00, F10.20

Question 8

A(n) ____ is a protrusion of an organ or tissue through an abnormal opening of the body.

Accepted Answer

A) ulcer 
B) diverticulum 
C) hernia 
D) gallstone 
A) ulcer 
B) diverticulum 
C) hernia 
D) gallstone

Question 9

Assign the code for portal thrombophlebitis: __________

Accepted Answer

The answer of Assign the code for portal thrombophlebitis: __________...

Question 10

The patient has a diagnosis of upper esophageal stricture and a history of COPD. An EGD with dilatation of the stricture is performed.

Accepted Answer

A) K22.4, J44.9, 0D758DZ 
B) K22.2, J44.9, 0D718ZZ 
C) K22.5, J44.1, 0D717DZ 
D) K22.2, J44.1, 0D718ZZ 
A) K22.4, J44.9, 0D758DZ 
B) K22.2, J44.9, 0D718ZZ 
C) K22.5, J44.1, 0D717DZ 
D) K22.2, J44.1, 0D718ZZ

Question 11

Diverticulosis: __________

Accepted Answer

The answer of Diverticulosis: __________...

Question 12

Patient is admitted with hematochezia. A colonoscopy is performed and diverticulitis was found to be the source of the bleeding.

Accepted Answer

A) K92.1, K57.33, 0DJD8ZZ 
B) K57.33, 0DJD8ZZ 
C) K57.32, K92.1, 0DJD7ZZ 
D) K92.1, K57.32, 0DJD7ZZ 
A) K92.1, K57.33, 0DJD8ZZ 
B) K57.33, 0DJD8ZZ 
C) K57.32, K92.1, 0DJD7ZZ 
D) K92.1, K57.32, 0DJD7ZZ

Question 13

Match each definition to one of the following items.
-An incision into the colon to create an artificial opening to the exterior of the abdomen

Accepted Answer

A) Nissen fundoplication 
B) Herniorrhaphy 
C) Appendectomy 
D) Colostomy 
E) Lysis of adhesions
F)PEG (percutaneous endoscopic gastrostomy)
G)TIPS (transjugular intrahepatic portosystemic shunt) procedure
H)Whipple procedure 
A) Nissen fundoplication 
B) Herniorrhaphy 
C) Appendectomy 
D) Colostomy 
E) Lysis of adhesions
F)PEG (percutaneous endoscopic gastrostomy)
G)TIPS (transjugular intrahepatic portosystemic shunt) procedure
H)Whipple procedure

Question 14

Match each definition to one of the following items.
-Procedure performed to remove adhesions from the body

Accepted Answer

A) Nissen fundoplication 
B) Herniorrhaphy 
C) Appendectomy 
D) Colostomy 
E) Lysis of adhesions
F)PEG (percutaneous endoscopic gastrostomy)
G)TIPS (transjugular intrahepatic portosystemic shunt) procedure
H)Whipple procedure 
A) Nissen fundoplication 
B) Herniorrhaphy 
C) Appendectomy 
D) Colostomy 
E) Lysis of adhesions
F)PEG (percutaneous endoscopic gastrostomy)
G)TIPS (transjugular intrahepatic portosystemic shunt) procedure
H)Whipple procedure

Question 15

____ means bright red in the stool.

Accepted Answer

A) Hematuria 
B) Hematochezia 
C) Hematemesis 
D) None of the above 
A) Hematuria 
B) Hematochezia 
C) Hematemesis 
D) None of the above

Question 16

A patient is admitted with abdominal pain and loss of appetite. An EGD is performed and a biopsy of the stomach is taken. Pathology report confirms acute Helicobacter pylori gastritis. Patient is started on antibiotics and discharged with a diagnosis of acute
H. pylori gastritis. What codes are applicable?

Accepted Answer

K29.00, B9

Question 17

Assign the code for hematemesis: __________

Accepted Answer

The answer of Assign the code for hematemesis: __________...

Question 18

Lingua villosa nigra: __________

Accepted Answer

The answer of Lingua villosa nigra: __________...

Question 19

What happens to food once it arrives in the stomach?

Accepted Answer

It is churned with g

Question 20

What is the term for degeneration of the liver tissue that causes blockage of the blood through the liver and inhibits its function?

Accepted Answer

Cirrhosis

Exam 18: Diseases of the Digestive System

Ostomies are surgically created openings into the body. Enterostomies and colostomies are created to discharge waste products from the body.

What are the three parts of the small intestine?

Which Z code is associated with family history of digestive disorders?

What drug could be given to treat GERD?

Mallory-Weiss tear is a name for a(n) ____________________ laceration of the esophagogastric junction, usually after severe vomiting.

Patient comes to the ER with severe abdominal pain and a long history of alcoholism. Physician documents that patient is currently drinking a fifth of liquor a day. Patient is admitted to the hospital with a diagnosis of acute pancreatitis secondary to alcohol use.

A(n) ____ is a protrusion of an organ or tissue through an abnormal opening of the body.

Assign the code for portal thrombophlebitis: __________

The patient has a diagnosis of upper esophageal stricture and a history of COPD. An EGD with dilatation of the stricture is performed.

Diverticulosis: __________

Patient is admitted with hematochezia. A colonoscopy is performed and diverticulitis was found to be the source of the bleeding.

Match each definition to one of the following items. -An incision into the colon to create an artificial opening to the exterior of the abdomen

Match each definition to one of the following items. -Procedure performed to remove adhesions from the body

____ means bright red in the stool.

Assign the code for hematemesis: __________

Lingua villosa nigra: __________

What happens to food once it arrives in the stomach?

What is the term for degeneration of the liver tissue that causes blockage of the blood through the liver and inhibits its function?

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 Circulatory System

Diseases of the Respiratory 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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