Exam 10: Neoplasms

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A patient is admitted with hematuria.The patient is a long-time cigarette smoker.A diagnostic cystoscope is performed with excision of a bladder dome lesion.The pathology report reveals transitional cell bladder carcinoma.A metastatic workup is performed with high suspicion for bone lesion.Smoking cessation advised for nicotine dependence.Discharge Diagnosis: Bladder cancer with metastasis to the bone.__________

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Patient was seen in the clinic for Burkitt's lymphoma.Patient is HIV positive.

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The patient is a 30-year-old woman who has multiple intramural fibroids.She has become more symptomatic with menorrhagia,resulting in anemia because of chronic blood loss.The patient would like to maintain fertility,so an open myomectomy is performed.Final Diagnosis: Intramural uterine fibroids.Procedure: Myomectomy.

(Multiple Choice)
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A patient is admitted for chemotherapy (via central vein) for non-Hodgkin lymphoma of the spleen.The patient developed severe nausea and vomiting and was treated for dehydration with IV fluids.What codes are applicable?

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Preventive or ____________________ surgery is performed to remove tissue that has the potential to become cancerous.

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Carcinomas in situ are malignant cells that remain within the original site with no spread to or invasion of neighboring tissues.

(True/False)
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When admission is for the management of dehydration due to malignancy or therapy and only dehydration is being treated,the dehydration is coded first,followed by the code(s) from the malignancy.

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Match the following terms to the correct definition. -Malignant growth originating from epithelial tissue

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Lymphangioendothelioma: __________

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Patient was admitted for back pain due to vertebral metastasis.An MRI indicates that the disease has progressed.Patient has a history of prostate cancer.Beam radiation with heavy particles was administered.

(Multiple Choice)
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Removal of right tonsil due to squamous cell carcinoma.

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Patient was admitted with an intestinal obstruction due to peritoneal metastasis from inoperable rectosigmoid cancer.

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What drug could be given to treat anemia due to malignancy?

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All of the following are considered by the National Cancer Institute to be the most common sites for cancer in the United States EXCEPT ____.

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Patient was admitted for prophylactic removal of ovaries due to genetic susceptibility and positive family history of ovarian cancer with laparoscopic removal of both ovaries.

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When admission is for treatment of a complication resulting from a surgical procedure,the complication should be the principal diagnosis if the treatment is directed at resolving the complication.

(True/False)
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____ carcinoma is primary neoplasm of the liver.

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An example of a sarcoma malignancy is a malignant ____.

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Benign neoplasm of Cowper's gland: __________

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A(n) ____________________ is an abnormal tissue that grows by cellular proliferation more rapidly than normal and continues to grow after the stimuli that initiated the new growth cease.

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