Question 1

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

Accepted Answer

Elevated temperature, tachycardia, and hypoxemia are all common symptoms of fat embolism syndrome, but decreased temperature is not typically associated with this condition. Instead, hypothermia may be a symptom of other conditions such as sepsis or hypothyroidism.

Question 2

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 appropriate injury code for a blowout fracture is S02.3xx. The 3rd digit in the code represents the specific bone fractured. Since the specific bone fractured is not given in the scenario, it is appropriate to use the placeholder "x" in the code. The final character in the code represents the characterization of the encounter, which in this case is initial encounter, hence "A" is the appropriate option.

Question 3

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 4

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. A fracture is a break in bone, a sprain is an injury to the ligaments in a joint, and a strain is an injury to a muscle or tendon.

Question 5

The patient (civilian)has chronic posttraumatic stress syndrome following 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, and Y38.9x2S is the code for a civilian involved in a terrorist attack, subsequent encounter.

Question 6

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 ICD-10 codes assigned should accurately reflect the patient's condition and reason for admission. In this case, the patient was admitted for observation of internal injury but was discharged with a diagnosis of a contusion on the forehead. Therefore, the most appropriate codes would be:
- Z04.2 Encounter for examination and observation for other specified reasons 
- S00.83xA Contusion of forehead 
- W17.2xxA Fall from one level to another, initial encounter 
- Y92.69 Other specified places of occurrence of external cause 
- Y99.0 Other external cause status

Z04.2 accurately reflects the reason for admission, S00.83xA describes the forehead contusion, W17.2xxA indicates the patient's fall from one level to another, Y92.69 accounts for the location where the accident occurred, and Y99.0 describes the external cause status. The other answer options include incorrect codes or do not accurately reflect the patient's condition.

Question 7

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. Dislocation refers to the displacement of a bone from its normal joint socket. Subluxation is a partial dislocation. A strain is a stretch and/or tear of a muscle or tendon.

Question 8

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). The codes J18.9 and H66.90 indicate pneumonia and AOM respectively, which are comorbid conditions and not the reason for admission. W10.9xxA indicates a fall from stairs, which is the cause of injury, and Y92.019 indicates the location of the accident at the patient's house.

Question 9

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

- S06.0x1A: Closed traumatic brain injury with no loss of consciousness for less than 30 minutes, initial encounter 
- S01.501A: Open wound of lip, initial encounter
- F10.129: Alcohol abuse with intoxication, unspecified
- W10.9xxA: Fall on and from stairs and steps, unspecified, initial encounter
- Y92.019: Single-family (private) house as the place of occurrence of the external cause

Option A is incorrect because it includes the code S06.0x1D, which is for closed traumatic brain injury with loss of consciousness for less than 30 minutes, subsequent encounter. This patient is being seen for the initial encounter.
Option B is incorrect because it includes the code S01.501A, which is for an open wound of the lip, not a closed head injury with concussion.
Option D is incorrect because it does not include the code for the closed head injury with concussion, which is a significant injury that needs to be reported.

Question 10

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

Question 11

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 primarily capture the cause and location of an event or injury, as well as the intent in cases of intentional harm.

Question 12

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 common fracture in adults in which the lower end of the radius is fractured and the wrist and hand are displaced backward. Hangman's fracture is a fracture of the second cervical vertebra, subluxation is a partial dislocation, and Moore's fracture is a fracture of the distal part of the radius.

Question 13

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 14

The patient is a 12-year-old female who was involved in a motor vehicle collision (MVC).She was a restrained passenger in a backseat 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,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 diagnoses and circumstances are: S42.295A for nondisplaced fracture of the proximal humerus, left arm; S82.201A for nondisplaced fracture of the tibial diaphysis, right leg; V43.62xA for a car passenger injured in a collision with another car; Y92.414 for the location being a street in a city; 2W3QX2Z for the application of a sling to the left arm; and 2W3BXYZ for the application of a cast to the right leg.

Question 15

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 anywhere on the body, the stomach is not typically a common site for lacerations. However, it is still possible to sustain a laceration in that area. The other answer choices are all common sites for lacerations.

Question 16

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 to a muscle or a tendon, typically caused by overstretching or excessive force. Dislocation and subluxation refer to joint injuries where the joint is either completely or partially displaced from its normal position. A sprain, on the other hand, is an injury to a ligament, which is the tissue that connects bones to each other at a joint.

Question 17

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 manipulate the bone fragments into anatomical position. Closed reduction, on the other hand, involves manipulating the bone fragments from outside the body without making an incision. Suture and Dermabond are methods used to close incisions, but they are not related to the reduction of a fracture.

Question 18

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

The answer of Patient was seen with an abrasion with...

Question 19

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 never the principal diagnosis; they are supplemental codes used to provide more information about the cause or circumstances of an injury or condition. The other options (A, B, and D) are all valid external cause code guidelines.

Question 20

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 not part of the upper limb, it is a bone in the lower limb. Fractures to the other options listed (shoulder, clavicle, and upper humerus) would be considered upper limb fractures.

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

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

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.

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

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

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

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.

External cause codes identify ____.

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

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 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 a common site for a laceration?

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

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.

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

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

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