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Download ICD 10 CM PCS Coding Theory and Practice 2016 Edition 1st Edition Lovaasen Test Bank all chapters
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Chapter 10: Neoplasms
Lovaasen: ICD-10-CM/PCS Coding: Theory and Practice, 2016 Edition
MULTIPLE CHOICE
1. All of the following are considered by the National Cancer Institute to be the most common
sites for cancer in the United States EXCEPT ____.
a. breast
b. lung
c. brain
d. skin
ANS: C DIF: E OBJ: 2 TOP: Anatomy and Physiology
3. ____ is the placement of radioactive material directly in or near the site of the cancer.
a. Chemotherapy
b. Radiation
c. Brachytherapy
d. Palliative procedure
ANS: C DIF: M OBJ: 4 TOP: Procedures
5. All of the following are factors influencing which kind of biopsy will be performed for a
patient EXCEPT the ____.
a. weight of the patient
b. location of the mass
c. age of the patient
d. available technology
ANS: A DIF: D OBJ: 4 TOP: Procedures
8. Cells that are slightly abnormal and well differentiated are classified as grade ____ cells.
a. 1
b. 2
c. 3
d. 4
ANS: A DIF: M OBJ: 2 TOP: Anatomy and Physiology
11. A patient is admitted with severe anemia due to inoperable pancreatic cancer. Four units of
PRC are given (via peripheral vein). What codes are applicable?
a. D63.0, C25.9, 30253N0
b. C25.9, D63.0, 30233N1
c. C25.9, D64.81, 30243N1
d. C25.0, D63.0 30233N1
ANS: B DIF: M OBJ: 1 | 4 TOP: Coding
12. A patient is admitted and taken to surgery for an open wedge resection of metastatic
carcinoma to the liver. The patient was diagnosed with small-cell lung carcinoma 3 months
ago. What codes are applicable?
a. C78.7, C34.90, 0FB04ZX
b. C34.90, C78.7, 0FB00ZZ
c. C78.7, C34.90, 0FB00ZZ
d. C34.90, C78.7, 0FB04ZX
ANS: C DIF: M OBJ: 1 | 4 TOP: Coding
13. 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?
a. Z51.11, C85.97, 3E04305
b. Z51.11, C85.97, E86.0, R11.2, 3E04305
c. Z51.11, E86.0, R11.2, 3E04305
d. C85.97, R11.2, 3E04305
ANS: B DIF: M OBJ: 1 | 4 TOP: Coding
14. 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.
a. D25.1, N92.0, D50.0, 0UB90ZZ
b. D50.0, N92.0, D25.9, 0UB93ZX
c. D25.0, N92.0, D50.0, 0UB90ZZ
d. D25.1, 0UB90ZZ
ANS: A DIF: M OBJ: 1 | 4 TOP: Coding
15. The patient was admitted for chemotherapy for stage IIIA breast (left) cancer. The patient
tolerated the chemotherapy regimen with no complications and will return as arranged for
cycle 3.
Final Diagnosis: Breast cancer, stage IIIA (spread to axillary lymph nodes).
Procedure: Chemotherapy via central vein.
a. C50.912, Z51.11, C77.89, 3E04305
b. Z51.11, C50.912, C77.3, 3E04305
c. Z51.12, C50.912, C77.3, 3E03305
d. Z51.11, Z85.3, C77.89, 3E03305
ANS: B DIF: M OBJ: 1 | 4 TOP: Coding
16. The patient has a history of chronic hepatitis C. On routine ultrasonography, a suspicious
mass of the liver was discovered. Biopsy confirmed primary hepatocellular carcinoma, and
the patient was admitted for open partial hepatectomy.
Final Diagnoses: Chronic hepatitis C. Hepatocellular carcinoma.
Procedure: Partial hepatectomy for resection of HCC.
a. C22.0, B18.2, 0FB00ZZ
b. C22.9, B18.2, 0FB00ZX
c. C22.0, B18.9, 0FB00ZZ
d. B18.2, C22.9, 0FB00ZX
ANS: A DIF: M OBJ: 1 | 4 TOP: Coding
17. 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.
a. G89.28, C79.51, Z85.46, DPOC3ZZ
b. C61, G89.28, C79.51, DP0C4ZZ
c. G89.3, C79.51, Z85.46, DP0C3ZZ
d. C79.51, G89.3, Z85.46, DP0C4ZZ
ANS: D DIF: M OBJ: 1 | 4 TOP: Coding
18. 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.
a. Z40.02, Z80.41, Z15.02, 0UT04ZZ, 0UT14ZZ
b. Z15.02, Z80.41, Z40.02, 0UT20ZZ
c. Z40.09, Z80.41, Z15.02, 0UT24ZZ
d. Z40.02, Z80.41, Z15.02, 0UT24ZZ
ANS: D DIF: M OBJ: 1 | 4 TOP: Coding
19. Neutropenic fever with neutropenia due to chemotherapy for acute lymphocytic leukemia.
a. C91.00, T45.1x5A, C91.00
b. T45.1x5A, D70.1, R50.81, C91.00
c. D70.1, T45.1x5A, R50.81, C91.00
d. R50.81, T45.1x5A, D70.1, C91.00
ANS: C DIF: D OBJ: 1 TOP: Coding
20. Ovarian (left) malignancy with malignant ascites. Diagnostic paracentesis was performed.
a. R18.0, Z85.43, 0W9G30Z
b. R18.0, C56.2, 0W9G3ZX
c. C56.1, R18.8, 0W9G3ZZ
d. C56.2, R18.0, 0W9G3ZX
ANS: D DIF: M OBJ: 1 | 4 TOP: Coding
21. Patient has known adenocarcinoma of the right lower lobe of the lung. Thoracentesis was
done to evaluate the patient’s pleural effusion. Discharge summary documents malignant
pleural effusion.
a. C34.32, J90, 0W9B3ZX
b. J91.0, C34.32, 0W9B30Z
c. C34.31, J91.0, 0W993ZX
d. C34.31, J90, 0W9930Z
ANS: C DIF: M OBJ: 1 | 4 TOP: Coding
22. Patient was admitted with an intestinal obstruction due to peritoneal metastasis from
inoperable rectosigmoid cancer.
a. C78.6, C19
b. K56.69, C19, C78.6
c. C78.6, K56.60
d. C19, C78.6
ANS: A DIF: M OBJ: 1
TOP: Coding (see Excludes1 note under code K56.60 and K56.69)
25. Patient was seen in the clinic for Burkitt’s lymphoma. Patient is HIV positive.
a. B20, C83.79
b. C83.70, Z21
c. B20, C83.70
d. C83.79, B20
ANS: C DIF: M OBJ: 1 TOP: Coding
26. Patient is being treated for chemotherapy-induced anemia. Patient is receiving chemotherapy
for right renal cell carcinoma.
a. C64.9, D63.0, T45.1X1A
b. D64.89, T45.1X1A, C64.2
c. C64.1, D64.81, T45.1X5A
d. D64.81, T45.1X5A, C64.1
ANS: D DIF: D OBJ: 1 TOP: Coding
27. Patient has a malignancy in the right upper outer quadrant of the breast. There is another
primary malignancy in the right lower outer quadrant. She will be scheduled for a mastectomy
soon.
a. C50.421, C50.422
b. C50.411, C50.511
c. C50.811
d. C50.821, C79.81
ANS: B DIF: D OBJ: 1 TOP: Coding
28. Patient is currently undergoing treatment for primary left non–small-cell lung cancer which
has been metastasized to the right lung.
a. C34.92, C34.91
b. C34.92
c. C34.91
d. C34.92, C78.01
ANS: D DIF: D OBJ: 1 TOP: Coding
TRUE/FALSE
1. 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.
2. 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.
5. Carcinomas in situ are malignant cells that remain within the original site with no spread to or
invasion of neighboring tissues.
6. In ICD-10-CM, there is an Instructional note to code the malignancy first even when the
encounter is for the management of anemia due to the malignancy.
COMPLETION
ANS: neoplasm
2. Cancer of the white blood cells that begins in the blood-forming cells of the bone marrow is
called ____________________.
ANS: leukemia
ANS: lymphoma
ANS: prophylactic
7. When cancers are staged, stage ____________________ means that the cancer has spread into
surrounding tissues but not beyond the location of origin.
ANS: II
MATCHING
SHORT ANSWER
ANS:
Benign means the tumor is not malignant, and it will not spread to other parts of the body.
ANS:
NSCLC
ANS:
SCLC
ANS:
C74.02
ANS:
C72.1
ANS:
D46.9
ANS:
C80.1, C79.89
ANS:
D30.4
9. Metastatic carcinoma of the omentum. History of ovarian carcinoma that was treated with
bilateral oophorectomy 5 years ago: __________
ANS:
C78.6, Z85.43, Z90.722
ANS:
D18.1 (unspecified)
ANS:
C09.1
13. 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. __________
ANS:
C67.1, C79.51, F17.210, 0TBB8ZX
14. A patient is admitted with headache due to malignant glioblastoma multiforme. A workup is
performed to evaluate the progression of the frontal lobe tumor. __________
ANS:
C71.1
“It is altogether likely that these essays will fail to please the
modern school of literary pencillers who scorn scholarship, and who
fancy that verbal smartness and triviality is the only method of
criticism. Mr Gosse writes with a light and pleasant touch. He is by
no means a dry-as-dust because he is serious, and here he has
written a series of papers that are a distinct contribution to the
literature of criticism.” E. F. E.
“Mr Gosse’s essays on Sterne and the two Wartons are pure belles
lettres, but of the best brand.”
20–16169
Noel was a little boy who wished to be put into a book and because
he made his wish in the time of the blue moon it came true. And the
book was all about Mother Goose, and his adventures in her country,
where he met the little man all dressed in leather, the old woman
who lived in a shoe and all the rest of them, are told in this story.
There is humor both in the telling of the story and in the
illustrations, which are by Alice Bolam Preston.
19–11576
20–4216
“As pure literature the book must take a lower rank than it
commands as a work of philosophy. It requires too attentive reading
for Simon-pure fiction. The author’s canvas is overcrowded with
ideas. His book is notable for the purity of its psychological analysis,
for its powers of characterization, for the vivid beauty of its
descriptive passages and for its scenes of tremendous dramatic
power as much as it is for the light it throws into the depths of an
unusually reflective mind.”
+ − N Y Times 25:174 Ap 11 ’20 1650w
20–13547
20–15954
“Boys, and girls too, will like these tales, but so will older readers.
A charming strain of humor enriches the sketches.” Hildegarde
Hawthorne
“One quite believes of the sketches and tales that ‘boys between the
ages of twelve and eighteen will find them absorbing and diverting’;
but largely as an illuminating and slightly scandalous glimpse into a
teacher’s mind. It is a book for adult non-combatants, retired
teachers or superannuated parents or ‘old boys’ who recall their
school days as a delightful lark.” H. W. Boynton
20–21927
“The mischief of this sort of book is the fact that it cannot possibly
help forward the cause which the author has earnestly at heart. Like
most people who think with their hearts rather than with their heads,
Mr Graham seems to have taken very little trouble to learn more
than his own side of the question.”
20–14542
“‘Fashion and the broad A,’ ‘The dog’s letter,’ and ‘New England
pronunciation’ are scholarly yet delightful essays on subjects which
should interest every student of language. If there were more
philologists like Professor Grandgent, Mr H. L. Mencken would have
less occasion to complain that American college professors
investigate forgotten dialects to the neglect of living English.” T. P.
Cross
“Most readers will agree that what these essays and addresses have
in common is their author’s wealth of reading and of reflection and
his brilliant wit, rather than any unity of theme.” J: Erskine
20–17687
A poetic drama based on incidents drawn from the life and reign of
Pharaoh Akhnaton, son of Amenhotep III, as read in the sculptures
and inscriptions brought to light by modern excavations. These
evidences reveal in the young ruler a new attitude toward life, a
reversal of all inherited values. “There was no room for greed and
hate and war in his conception of man’s destiny.... The episode
chosen for dramatization is the conflict between the claims of peace
and war and Akhnaton’s successful struggle to make his people
acquiesce in his policy of peace.” (Preface)
20–14285
“Up-to-date boys and girls will revel in this wholesome book, and,
unless we are mistaken, grown-ups will not wholly pass it by.”
With some exceptions the stories are comic and the title story
tragic. A typical Englishman, whose boast it was that he never had
been in a scrape with a woman, left England to escape the charms of
one and betook himself to Spain. Immediately on his arrival he finds
himself defending a woman against an infuriated mob. She is a
famous dancer who has incurred the hatred of her native town. As he
is conducting her to her home where she is seeking her mother’s
reconciliation, they are run down by a stampede of bulls. The girl is
killed, he almost. Later, when sufficiently recovered from his injuries
he finds that it was the sister who was killed and that the vilified girl
has slipped into the former’s place with the blind mother.
“The medium of the short story is not very favorable to the work of
‘Richard Dehan.’”
19–18243
20–6375
To quote from one of the poems, “Love, fear and hate and childish
toys are here descreetly blent.” It is the first and the last that
predominate. The other elements are to be found in the small group
of war poems called “Retrospect” that come at the end. Titles are: A
frosty night; A song for two children; The boy out of church; True
Johnny; Advice to lovers. Among the war poems are: Haunted; Here
they lie; Country at war; Hate not, fear not. This is Mr Graves’s
second book of verse. “Fairies and fusiliers” was published in 1918.