Question 1

An example of a sarcoma malignancy is a malignant ____.

Accepted Answer

Sarcomas are cancers that originate from connective tissues such as bone, muscle, cartilage, and fat. Therefore, the best choice is C - tumor in the muscle.

Question 2

Neutropenic fever with neutropenia due to chemotherapy for acute lymphocytic leukemia.

Accepted Answer

Neutropenic fever due to chemotherapy for acute lymphocytic leukemia involves coding for neutropenia (D70.1), adverse effect of chemotherapy (T45.1x5A), fever of unknown origin (R50.81), and the primary condition of acute lymphocytic leukemia (C91.00).

Question 3

____ is the use of high-energy radiation to treat cancer.

Accepted Answer

Radiation therapy is the use of high-energy radiation to treat cancer.

Question 4

____ carcinoma is primary neoplasm of the liver.

Accepted Answer

Hepatocellular carcinoma (HCC) is the primary neoplasm of the liver. Squamous cell carcinoma is a type of skin cancer, bronchogenic carcinoma is cancer that originates in the lung, and invasive ductal carcinoma is the most common type of breast cancer.

Question 5

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?

Accepted Answer

C78.7 is the ICD-10 code for secondary malignant neoplasm of liver and intrahepatic bile duct, indicating the metastasis to the liver. C34.90 is the ICD-10 code for unspecified part of unspecified bronchus or lung, indicating the primary site of the small-cell lung carcinoma. 0FB00ZZ is the ICD-10-PCS code for excision of liver, open approach, indicating the surgical procedure performed. This combination correctly reflects the patient's diagnosis and the procedure performed.

Question 6

An example of a carcinoma malignancy is a malignant ____.

Accepted Answer

The answer of An example of a carcinoma malignancy is...

Question 7

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

Accepted Answer

Epogen (also called erythropoietin) is a medication that stimulates the production of red blood cells, which can help alleviate anemia due to malignancy. Nolvadex is a breast cancer medication and is not used to treat anemia. Neupogen and Neulasta are used to stimulate the production of white blood cells, not red blood cells.

Question 8

Ovarian (left) malignancy with malignant ascites. Diagnostic paracentesis was performed and confirmed the malignant ascites.

Accepted Answer

C56.2 is the ICD-10 code for malignant neoplasm of the left ovary, R18.0 is for malignant ascites, and 0W9G3ZX is the ICD-10-PCS code for diagnostic paracentesis.

Question 9

The patient was admitted for chemotherapy for stage 3A 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 3A (spread to axillary lymph nodes) Procedure: Chemotherapy via central vein

Accepted Answer

C50.912 is the ICD-10 code for breast cancer, Z51.11 is the code for Encounter for antineoplastic chemotherapy, C77.3 is the code for Secondary and unspecified malignant neoplasm of axillary lymph nodes, and 3E04305 represents the administration of chemotherapy via central vein. Choice B is the correct answer as it includes all of the necessary codes for this diagnosis and procedure.

Question 10

A patient is admitted with severe anemia due to inoperable pancreatic cancer. Four units of packed red blood cells are given (via peripheral vein). What codes are applicable?

Accepted Answer

C25.9 - pancreatic cancer, unspecified
D63.0 - anemia in neoplastic disease
30233N1 - transfusion of packed red blood cells, peripheral vein

Question 11

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

Accepted Answer

The correct codes are D25.1 for intramural uterine fibroids, N92.0 for menorrhagia, D50.0 for iron deficiency anemia secondary to chronic blood loss, and 0UB90ZZ for the myomectomy procedure. These codes accurately reflect the diagnosis and procedure described in the scenario.

Question 12

A 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 with prostatectomy 2 years ago. Beam radiation with heavy particles was administered.

Accepted Answer

The correct codes are C79.51 for secondary malignant neoplasm of bone and bone marrow (indicating the vertebral metastasis from prostate cancer), G89.3 for neoplasm related pain (due to the vertebral metastasis), Z85.46 for personal history of malignant neoplasm of prostate (indicating the patient's history of prostate cancer), Z90.79 for acquired absence of other genital organ(s) (indicating the patient had a prostatectomy), and DP0C4ZZ for the radiation treatment administered. This combination accurately reflects the patient's condition and treatment history.

Question 13

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

Accepted Answer

The correct codes are C22.0 for hepatocellular carcinoma, B18.2 for chronic hepatitis C, and 0FB00ZZ for open partial hepatectomy.

Question 14

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

Accepted Answer

According to the National Cancer Institute, the most common sites for cancer in the United States are breast, lung, and skin cancers, but brain cancer is not considered to be one of the most common sites.

Question 15

Cells that are slightly abnormal and well differentiated are classified as grade ____ cells.

Accepted Answer

Cells that are slightly abnormal and well differentiated are classified as grade 1 cells. This grading system is used to describe how much tumor cells resemble healthy cells, with grade 1 indicating cells that look similar to normal cells and are well differentiated.

Question 16

What drug could be given to treat neutropenia due to chemotherapy?

Accepted Answer

Neulasta is a drug used to treat neutropenia (low white blood cell count) in patients receiving chemotherapy. It works by stimulating the bone marrow to produce more white blood cells, which helps prevent infections. Procrit and Aranesp are used to treat anemia (low red blood cell count), and tamoxifen is used to treat breast cancer. None of these drugs are indicated for the treatment of neutropenia.

Question 17

All of the following are factors influencing which kind of biopsy will be performed for a patient EXCEPT the ____.

Accepted Answer

The weight of the patient is not a factor that typically influences the type of biopsy that will be performed. Factors such as the location of the mass, age of the patient, and available technology are more likely to play a role in determining the appropriate biopsy method.

Question 18

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?

Accepted Answer

Z51.11 - encounter for antineoplastic chemotherapy
C85.97 - non-Hodgkin lymphoma of spleen
E86.0 - dehydration
R11.2 - nausea and vomiting
3E04305 - administration of antineoplastic chemo, central vein, initial encounter

All codes are necessary to fully describe the patient's condition and the treatment received.

Question 19

A 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.

Accepted Answer

The correct codes are Z40.02 for prophylactic removal of ovaries, Z80.41 for family history of ovarian cancer, Z15.02 for genetic susceptibility to malignant neoplasm of ovary, and 0UT24ZZ for laparoscopic removal of both ovaries.

Question 20

____ is the placement of radioactive material directly in or near the site of the cancer.

Accepted Answer

Brachytherapy involves the placement of radioactive material directly in or near the site of the cancer. Chemotherapy and palliative procedures are not directly related to the placement of radioactive material, while radiation can refer to various types of radiation therapy, some of which do not involve brachytherapy.

Quiz 11: Neoplasms