Question 1

A patient is admitted with a closed head injury with concussion with LOC for less than 30 minutes at the scene. The patient is intoxicated (alcohol) and fell down the steps at home (a single-family home). The patient also sustained an open wound of the lip and an abrasion of the forehead.
A)S06.0x1D, S01.501D, F10.129, W10.9xxD, Y92.019
B)S06.0x1A, S01.501A, W10.9xxA, Y92.019
C)S06.0x1A, S01.501A, F10.129, W10.9xxA, Y92.019
D)S01.501A, S06.0x1A, F10.129, W10.9xxA, Y92.019

Accepted Answer

- S06.0x1A for the closed head injury with concussion and LOC for less than 30 minutes.
- S01.501A for the open wound of the lip.
- F10.129 for the alcohol intoxication.
- W10.9xxA for the fall down the steps at home.
- Y92.019 for the location of the activity (single-family home).

Question 2

Patient was seen with an abrasion with laceration of the left knee, initial encounter. Assign only the injury code.
A)S81.011D
B)S81.011A
C)S81.012D
D)S81.012A

Accepted Answer

D

Question 3

All of the following are true of external cause codes EXCEPT they capture____.
A)the cause
B)the intent
C)how to screen patients
D)the place where the event occurred

Accepted Answer

External cause codes do not capture how to screen patients. They capture the cause, intent, and place where the event occurred.

Question 4

A patient suffered a blowout fracture 1 week ago and is being seen by an orthopedic consultant and is scheduled to have surgery in 2 days. Assign only the injury code.
A)S02.3xxA
B)S02.3xxD
C)S02.3xxG
D)S02.3xxK

Accepted Answer

The code for blowout fracture is S02.3xx, with the last digit indicating the specific location of the fracture (in this case, it is not specified). The letter at the end indicates the episode of care. In this case, since the patient is currently being seen by a consultant and scheduled for surgery, the appropriate episode of care is "A" for initial encounter. Choice A is the only option that includes the correct injury code and episode of care.

Question 5

All of the following are symptoms of fat embolism syndrome EXCEPT ____.
A)tachycardia
B)elevated temperature
C)decreased temperature
D)hypoxemia

Accepted Answer

The symptoms of fat embolism syndrome include tachycardia, elevated temperature, hypoxemia, and respiratory distress. However, a decreased temperature is not a symptom of fat embolism syndrome.

Question 6

The displacement of the bones that form a joint is called ____.
A)fracture
B)sprain
C)dislocation
D)strain

Accepted Answer

Dislocation refers to the displacement of the bones that form a joint, while fracture refers to the breaking of a bone, strain refers to the stretching or tearing of a muscle or tendon, and sprain refers to the stretching or tearing of a ligament.

Question 7

The patient is a 2-year-old child who was admitted after falling down four steps and hitting his head on concrete. The accident occurred at the patient's house. There was about 5 minutes' LOC with continued lethargy per paramedics. CT of the head and neck revealed no abnormality. The patient is on oral antibiotics for pneumonia and AOM, and these were continued during the hospital stay. He will follow up with pediatrician.Final Diagnosis: Closed head injury due to fall
A)S06.9x0A, J18.9, H66.90, W10.9xxA, Y92.019
B)S06.9x1D, J18.9, H66.90, W10.9xxD, Y92.019
C)S06.9x1A, J18.9, H66.90, W10.9xxA, Y92.019
D)S06.9x1A, J18.8, H66.90, W10.9xxA

Accepted Answer

The patient's final diagnosis is closed head injury due to fall, which corresponds to code S06.9x1A. The codes J18.9, H66.90, W10.9xxA, and Y92.019 are all additional diagnoses or external causes that may be relevant to the patient's treatment and management. However, code J18.8 is not applicable to this case as the patient's pneumonia and AOM are being treated with oral antibiotics, and there is no documentation of a more severe respiratory condition. Additionally, the code suffix D in option B is used for subsequent encounters, which is not appropriate for this initial hospital admission.

Question 8

The patient was admitted for observation for internal injury after an accident at work. The patient, who does construction work, fell into a pit but was quickly rescued by coworkers. CT scan and x-rays were taken to evaluate for internal injury. No respiratory issues were noted. On the following morning, the patient had no complaints and was discharged to home.Discharge Diagnosis: Contusion on forehead
A)Z04.1, S00.83xA, W17.4xxA, Y92.69, Y99.1
B)Z04.2, S00.83xA, W17.2xxA, Y92.69, Y99.0
C)Z04.3, S00.83xS, W17.0xxA, Y92.69, Y99.0
D)S00.83xA, W17.2xxA, Y92.69, Y99.8

Accepted Answer

The diagnosis is a contusion on the forehead, which is not listed in any of the given options, so we can eliminate options A, C, and D. Option B has the closest diagnosis to the patient's condition as it includes the appropriate injury, and the codes for observation and external cause of injury. Therefore, B is the best choice for this scenario.

Question 9

When the surgeon makes an incision at the fracture site to reduce or manipulate the fracture into anatomic position, this is called ____ of a fracture.
A)open reduction
B)closed reduction
C)suture
D)Dermabond

Accepted Answer

Open reduction involves making an incision to directly access the fracture site and manipulate the bones into proper alignment, whereas closed reduction involves manipulating the bones externally without making an incision. Suture and Dermabond are not relevant to the reduction of a fracture.

Question 10

The patient (civilian) has chronic posttraumatic stress syndrome after a terrorist attack.
A)F43.12, Y38.9x2S
B)F43.11, Y38.9x2A
C)F43.10, Y38.9x2S
D)Z86.59, Y38.9x2A

Accepted Answer

F43.12 is the ICD-10 code for chronic posttraumatic stress disorder (PTSD), and Y38.9x2S is used for terrorism-related incidents, specifying a civilian injured, with the "S" indicating a sequela or the late effects of the initial injury.

Question 11

External cause codes identify ____.
A)the activity at the time of the event
B)the cause of an injury
C)the intent or place of occurrence
D)all of the above

Accepted Answer

External cause codes identify all of the above - the activity at the time of the event, the cause of an injury, and the intent or place of occurrence. These codes provide additional information about the circumstances surrounding an injury or illness, which can be useful for research and public health purposes.

Question 12

The patient is a 12-year-old female who was involved in a motor vehicle collision (MVC). She was a restrained passenger in a back seat of a car that was rear-ended by a car at a stoplight downtown. Initial exam in the ER indicated that she was hemodynamically stable but was complaining of left arm and right leg pain. X-rays revealed a nondisplaced tibial diaphyseal fracture and a nondisplaced proximal humerus fracture. Orthopedic consult was obtained, and a sling was applied to the arm, and a cast was applied to the leg. The patient was discharged and will receive physical therapy as an outpatient.Final Diagnoses: Nondisplaced humerus fracture, left
Fracture of tibial diaphysis, right
A)S42.295A, S82.201A, V43.62xA, Y92.414, 2W3QX2Z, 2W3BXYZ
B)S42.302A, S82.201A, V49.50xA, Y92.414, 2W3LX2Z, 2W38X1Z
C)S42.294A, S82.201A, V43.62xA, Y92.410, 2W3LXZ, 2W38XYZ
D)S82.202A, S42.294A, V43.62xA, Y92.410, 2W3QX1Z, 2W3BX2Z

Accepted Answer

The correct ICD-10 codes for the patient's injuries and circumstances are: S42.295A for the nondisplaced fracture of the left humerus, S82.201A for the nondisplaced fracture of the right tibial diaphysis, V43.62xA for the car passenger injured in a collision with a car, initial encounter, Y92.414 for the location of the accident (street and highway), 2W3QX2Z for the application of a cast to the leg, and 2W3BXYZ for the application of a sling to the arm.

Question 13

A ____ is a stretch and/or tear of a ligament.
A)dislocation
B)subluxation
C)sprain
D)strain

Accepted Answer

A sprain is a type of injury where a ligament, which connects bone to bone, is stretched or torn. Dislocations and subluxations involve the displacement of bones from a joint, while a strain involves the stretching or tearing of a muscle or tendon.

Question 14

A patient is admitted with a parietal bone fracture and fracture of the left fifth rib. Assign only the injury code.
A)S02.0xxA, S22.31xA
B)S02.0xxA, S22.32xA
C)S22.32xA, S02.0xxA
D)S22.31xA, S02.0xxA

Accepted Answer

The correct codes for the injuries are S02.0xxA for the parietal bone fracture and S22.32xA for the fracture of the left fifth rib.

Question 15

Which of the following is NOT an external cause code guideline?
A)Assign the appropriate external cause code for each encounter for which the injury or condition is being treated.
B)Use a full range of external cause codes to completely describe the injury.
C)External cause code is always the principal diagnosis.
D)Assign as many external cause codes as necessary.

Accepted Answer

External cause codes are not always the principal diagnosis. The external cause code should be assigned in addition to the main diagnosis code.

Question 16

Which of the following is NOT a common site for a laceration?
A)Above the eyebrows
B)Scalp
C)Stomach
D)Knees
E)Face

Accepted Answer

Laceration can occur almost anywhere on the body, including the above mentioned areas except for the stomach, which is a relatively less common site for lacerations.

Question 17

The patient was the driver in an ATV rollover. The patient was intoxicated at the time of the accident and was not wearing a helmet. There was no LOC. CT of the head revealed a small subdural hemorrhage. The patient was observed closely for any change in mental status, and neurology was consulted. There was no need for operative intervention at this time. The patient was stable and was given instructions for follow-up.
A)S06.300A, F10.129, V86.59xA
B)S06.5x0D, F10.129, V86.53xD
C)S06.5x0S, F10.129, V86.59xS
D)S06.5x0A, F10.129, V86.59xA

Accepted Answer

The correct codes are S06.5x0A for the acute subdural hemorrhage, F10.129 for alcohol intoxication with unspecified alcohol-induced disorder, and V86.59xA for the driver of an all-terrain vehicle (ATV) injured in a nontraffic accident, initial encounter. The "A" in S06.5x0A and V86.59xA indicates that this is the initial encounter for the injuries.

Question 18

A ____ is an injury to a muscle or a tendon.
A)dislocation
B)subluxation
C)sprain
D)strain

Accepted Answer

A strain refers to an injury to a muscle or a tendon. Dislocation and subluxation refer to the displacement of bones from their normal position, while a sprain refers to an injury to a ligament.

Question 19

Which of the following would NOT be an upper limb fracture?
A)A fracture to the shoulder
B)A fracture to the femur
C)A fracture to the clavicle
D)A fracture to the upper humerus

Accepted Answer

The femur is in the lower limb, not the upper limb. The other options are all within the upper limb.

Question 20

A ____ fracture is a common fracture in adults in which the lower end of the radius is fractured and the wrist and hand are displaced backward.
A)hangman's
B)Colles
C)subluxation
D)Moore

Accepted Answer

Colles fracture is a common fracture in adults that occurs when the distal radius is broken and the wrist and hand move backward. Hangman's fracture is a fracture of the vertebrae in the neck, subluxation refers to a partial dislocation of a joint, and there is no commonly recognized fracture called a Moore fracture.

Quiz 24: Injuries and Certain Other Consequences of External Cases and External Causes of Morbidity

A patient is admitted with a closed head injury with concussion with LOC for less than 30 minutes at the scene. The patient is intoxicated (alcohol) and fell down the steps at home (a single-family home) . The patient also sustained an open wound of the lip and an abrasion of the forehead.

Patient was seen with an abrasion with laceration of the left knee, initial encounter. Assign only the injury code.

All of the following are true of external cause codes EXCEPT they capture____.

A patient suffered a blowout fracture 1 week ago and is being seen by an orthopedic consultant and is scheduled to have surgery in 2 days. Assign only the injury code.

All of the following are symptoms of fat embolism syndrome EXCEPT ____.

The displacement of the bones that form a joint is called ____.

When the surgeon makes an incision at the fracture site to reduce or manipulate the fracture into anatomic position, this is called ____ of a fracture.

The patient (civilian) has chronic posttraumatic stress syndrome after a terrorist attack.

External cause codes identify ____.

A ____ is a stretch and/or tear of a ligament.

A patient is admitted with a parietal bone fracture and fracture of the left fifth rib. Assign only the injury code.

Which of the following is NOT an external cause code guideline?

Which of the following is NOT a common site for a laceration?

A ____ is an injury to a muscle or a tendon.

Which of the following would NOT be an upper limb fracture?

A ____ fracture is a common fracture in adults in which the lower end of the radius is fractured and the wrist and hand are displaced backward.