Question 1

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 2

The patient was admitted for observation 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 patient was admitted for observation after an accident at work. The specific injury was a contusion on the forehead, which is represented by the ICD-10 code S00.83xA. The CT scan and X-rays were taken to evaluate for internal injury, but none were noted, so there is no need for additional diagnosis codes. The patient was discharged on the following morning with no complaints, so there are no additional diagnoses to include. The external cause codes Y92.69 (Other specified places as the place of occurrence of the external cause) and Y99.0 (Other external cause status) are appropriate as the accident occurred at work. The code W17.2xxA (Fall from one level to another, initial encounter) is appropriate for the mechanism of injury (falling into a pit) and the initial encounter status. The code Z04.2 (Examination and observation for other reasons) is appropriate for the reason for admission (observation) and also identifies that there were no other injuries or conditions found during the evaluation.

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

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

While lacerations can occur on any part of the body, the stomach is not typically a common site for lacerations. The other options listed are all common sites for lacerations.

Question 5

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's

Accepted Answer

A Colles' fracture is a specific type of wrist fracture, where the lower end of the radius (a bone in the forearm) breaks and is displaced towards the back of the hand. This injury is quite common in older adults who may have osteoporosis or other bone conditions that make fractures more likely. Hangman's fracture is a specific type of a spinal cord injury, subluxation refers to an incomplete or partial dislocation of a joint, and Moore's fracture is a fracture of a specific bone in the foot.

Question 6

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 a bone in the lower limb, not the upper limb. The other options all refer to bones in the upper limb.

Question 7

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 answer of A patient is admitted with a parietal...

Question 8

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 bones that form a joint. A fracture is a break in a bone, a sprain is an injury to ligaments, and a strain is an injury to muscles or tendons.

Question 9

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 codes describe how the injury or condition occurred, while the actual injury or condition is represented with the diagnosis code.

Question 10

The patient (civilian) has chronic posttraumatic stress syndrome following a terrorist attack,subsequent encounter.
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 correct ICD-10 code for chronic posttraumatic stress disorder, and Y38.9x2S is the correct code for a subsequent encounter related to terrorism.

Question 11

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 the surgical exposure of the fracture site, usually through an incision, to allow for direct visualization and manipulation of the fractured bone. This is in contrast to closed reduction, which does not involve a surgical incision and instead relies on external manipulation and traction to realign the bone fragments. Suture and Dermabond are methods of wound closure, which may be used after either open or closed reduction.

Question 12

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

Accepted Answer

Symptoms of fat embolism syndrome include tachycardia, elevated temperature, hypoxemia, respiratory distress, confusion, and petechiae. Decreased temperature is not typically associated with fat embolism syndrome.

Question 13

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

Accepted Answer

A strain is an injury that occurs when a muscle or tendon is overstretched or torn. A dislocation is a joint injury where the ends of the bones are forced out of position. A subluxation is a partial dislocation where the bones in a joint are partially separated. A sprain is an injury to a ligament, not a muscle or tendon.

Question 14

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 these aspects of an event, including the activity at the time of the event, the cause of an injury, and the intent or place of occurrence. These codes are used in healthcare settings for injury surveillance and research, as well as for tracking trends and identifying opportunities for prevention.

Question 15

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 (single-family).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

The patient's closed head injury with concussion is coded as S06.0x1A, with an additional external cause code of W10.9xxA for the fall down the steps at home. The open wound of the lip is coded as S01.501A, and the alcohol intoxication is coded as F10.129. The abrasion of the forehead does not meet the minimum level of significance to be coded separately. The external cause code Y92.019 is used to indicate the place of occurrence as the residence.

Question 16

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 17

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 injury code for a blowout fracture is S02.3. The "x" placeholder indicates that the fourth character is a variable for identifying the specific site of fracture. Since the surgeon has not yet performed surgery, it is not yet known which specific site will be affected. The "A" in the fifth character indicates that this is the initial encounter for the injury.

Question 18

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 has a closed head injury due to a fall (S06.9x1A), with no abnormalities found on CT of the head and neck. The patient also has pneumonia (J18.9) and acute otitis media (H66.90), which are being treated with oral antibiotics. The external cause code W10.9xxA is appropriate for a fall on the same level from slipping, tripping, or stumbling, and the intent is accidental (Y92.019).

Question 19

The patient is a 12-year-old female who was involved in an 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 examination 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,2W3BX1Z
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 nondisplaced fracture of the left proximal humerus, S82.201A for nondisplaced fracture of the right tibial diaphysis, V43.62xA for the car accident as a passenger, and Y92.414 for the location of the accident. The procedure codes 2W3QX2Z and 2W3BX1Z correspond to the application of a sling and a cast, respectively.

Question 20

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

Accepted Answer

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

Quiz 23: Injuries and Certain Other Consequences of External Cases and External Causes of Morbidity

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____.

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

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.

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

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

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

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

The patient (civilian) has chronic posttraumatic stress syndrome following a terrorist attack,subsequent encounter.

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.

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

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

External cause codes identify ____.

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 (single-family) .The patient also sustained an open wound of the lip and an abrasion of the forehead.

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