Professional Documents
Culture Documents
MULTIPLE CHOICE
1. Tuberculosis usually occurs in populations with weaker immune systems. This would include
all of the following EXCEPT ____.
a. people with HIV
b. substance abusers
c. teenagers
d. young children
ANS: C DIF: E REF: p.196 OBJ: 2
TOP: Disease Conditions
7. Clostridium difficile usually is tested for in ____ when physicians suspect an infection.
a. saliva
b. blood
c. a stool specimen
d. none of the above is correct
ANS: C DIF: M REF: p.195 OBJ: 2
TOP: Disease Conditions
8. ____ is an infection caused by a mycobacterium; it can attack any body part, but it usually
attacks the lungs.
a. Anthrax
b. Tuberculosis
c. Meningococcus
d. Clostridium difficile
ANS: B DIF: M REF: p.195 OBJ: 2
TOP: Disease Conditions
10. When a person carries an infectious disease and shows no ill effects, he or she is known as
a(n) ____.
a. septicemic
b. asymptomatic carrier
c. symptomatic carrier
d. transmitter
ANS: B DIF: M REF: p.197 OBJ: 2
TOP: Disease Conditions
11. Anthrax is most common in the agricultural regions of which of these countries?
a. Central America
b. Africa
c. Caribbean
d. All of the above
ANS: D DIF: M REF: p.197 OBJ: 2
TOP: Disease Conditions
12. Hepatitis ____ is most commonly spread through food or water that has been contaminated by
feces from an infected person.
a. A
b. B
c. C
d. D
ANS: A DIF: M REF: p.204 OBJ: 2
TOP: Disease Conditions
13. Hepatitis ____ is spread through contact with infected blood, through sex with an infected
person, or during childbirth. There is a vaccine for this kind of hepatitis.
a. A
b. B
c. C
d. D
ANS: B DIF: E REF: p.204 OBJ: 2
TOP: Disease Conditions
18. A patient is admitted with pneumonia. Chest X-ray confirms the pneumonia. The physician
suspects sepsis and orders blood cultures, which are positive for pneumococcus. Discharge
summary lists principal diagnosis as pneumococcal sepsis.
a. J18.9, A40.3, R65.2
b. R65.2, J18.9, A40.3
c. A40.3, J18.9
d. J18.9, A41.9, R65.10
ANS: C DIF: D REF: p.199 OBJ: 1
TOP: Coding
20. A patient is HIV positive and is currently being treated for Burkitt’s lymphoma of inguinal
region.
a. Z21, C83.74
b. Z21, C83.75
c. B20, C83.74
d. B20, C83.75
ANS: D DIF: D REF: p.205 OBJ: 1|3
TOP: Coding
21. A patient was admitted to the hospital with jaundice and elevated liver function tests. Upon
discharge the physician documents jaundice due to acute hepatitis B.
a. B16.9
b. B16.9, R17
c. R17, R79.89, B16.9
d. B18.1
ANS: A DIF: M REF: pp.203-204 OBJ: 1
TOP: Coding
22. A patient was admitted to the hospital with fever, cough, and low blood pressure. Chest X-ray
shows infiltrates, and sputum culture is positive for MRSA. The discharge summary indicates
that the patient was admitted and was given IV antibiotics for MRSA pneumonia.
a. Z16.11, J15.212
b. J15.212, Z16.11
c. B95.62, Z16.11
d. J15.212
ANS: D DIF: M REF: p.209 OBJ: 1
TOP: Coding
23. A patient was admitted with a diagnosis of urosepsis. Urine and blood cultures were
performed on admittance. Blood cultures came back positive for Escherichia coli. Discharge
summary documents sepsis due to Escherichia coli. Urinary tract infection.
a. N39.0, B96.20
b. A41.51, N39.0
c. A41.5, R65.20
d. N39.0, B96.20, R65.20
ANS: B DIF: D REF: p.190 OBJ: 1
TOP: Coding
24. A patient is admitted to the hospital with severe diarrhea. Upon examination the patient is
found to be severely dehydrated. She is given IV fluids to correct the hydration. In the
assessment the physician suspects gastroenteritis. After stool cultures, it is determined that the
patient has Clostridium difficile colitis.
a. K52.9, E86.0, R19.7
b. A04.7, E86.0
c. A04.7, R19.7
d. K52.9, R19.7
ANS: B DIF: M REF: p.195 OBJ: 1
TOP: Coding
25. A patient known to be positive for HIV is admitted to the hospital with high fever, malaise,
and cough. Pneumocystis carinii pneumonia is suspected and is ruled out. Tests reveal that the
patient has infectious mononucleosis.
a. B20, B59
b. B59, B20
c. B27.90, Z21
d. Z21, B27.90
ANS: C DIF: M REF: p.206 OBJ: 1|3
TOP: Coding
26. The patient was admitted with septic shock. Blood cultures were positive for
coagulase-negative Staphylococcus (CONS). Patient was also treated for pneumonia. BAL
was performed (right middle lobe bronchus). Physician documents sepsis due to
coagulase-negative Staphylococcus with septic shock and CONS pneumonia.
a. A41.02, R65.11, J15.4, 3E0F7KZ
b. R65.20, A41.1, J18.9, 3E0F8KZ
c. A41.2, R65.21, J15.29, 0B958ZZ
d. A41.1, R65.21, J15.29, 0B958ZX
ANS: D DIF: M REF: p.190|p.198 OBJ: 1|3
TOP: Coding
27. The patient was admitted with sepsis caused by a UTI due to Escherichia coli. The patient
also had acute kidney injury due to sepsis. Discharge summary states sepsis due to
Escherichia coli.
a. N39.0, A45.51, N17.9, R65.20
b. A41.51, N39.0, R65.20, N17.9
c. R65.21, N39.0, A41.51, N17.9
d. A41.9, N39.0, N17.9, R65.10
ANS: B DIF: M REF: p.190 OBJ: 1
TOP: Coding
28. Patient has elevated liver function tests and was diagnosed with viral hepatitis C.
a. B19.20
b. B19.21
c. B19.9
d. B19.20, R79.89
ANS: A DIF: M REF: p.204 OBJ: 1
TOP: Coding
29. A homeless man presented to the ER with skin ulcers of the right calf of the leg that are
infested with cutaneous maggots.
a. B87.1
b. B87.0
c. L97.219, B87.0, Z59.0
d. L97.219, B87.8
ANS: C DIF: M REF: p.208 OBJ: 1|3
TOP: Coding
30. Patient was admitted with difficulty swallowing. EGD showed esophageal candidiasis. Patient
is HIV positive.
a. B37.81, Z21, 0DJ08ZZ
b. B37.89, B20, 0DB17ZX
c. B20, B37.81, 0DJ08ZZ
d. B20, B37.0, 0DB38ZZ
ANS: C DIF: M REF: pp.204-205 OBJ: 1
TOP: Coding
TRUE/FALSE
1. Infectious diseases are characterized often by a disease code and an organism code. When this
occurs, it is appropriate to use two codes.
4. If sepsis is present on admission and meets the definition of principal diagnosis, the systemic
infection code should be assigned as the principal diagnosis.
COMPLETION
ANS: Thrush
ANS:
HIV infections, AIDS, symptomatic HIV
HIV infections
AIDS
symptomatic HIV
ANS: tuberculosis
MATCHING
a. SIRS
b. Bacteremia
c. Septicemia
d. Gonorrhea
e. Septic shock
f. Sepsis
1. Bacteria in the blood
2. Systemic disease with the presence of microorganisms or toxins in the blood, including
bacteria, viruses, fungi, or others
3. The systemic inflammatory response to infection or trauma; includes fevers, tachycardia, and
leukocytosis
4. SIRS due to infection
5. Sepsis with hypotension, also known as endotoxic shock and gram-negative shock, is failure
of the cardiovascular system; as such, meets the definition of severe sepsis
6. Spread by sexual contact; men are more likely to have symptoms such as burning while
urinating and discharge from the penis; treated with antibiotic
SHORT ANSWER
ANS:
West Nile virus
ANS:
Possible answers include the following: Mycobacterium avium complex, MAC or MAI, and
many others.
3. What disease causes inflammation of the liver and can be caused by several different viruses?
ANS:
Hepatitis
ANS:
Z21
ANS:
Z11.4
ANS:
B01.9
ANS:
L22, B37.2
ANS:
Z22.330
ANS:
A20.0
ANS:
A38.9
ANS:
B06.9
ANS:
A93.2
ANS:
A98.4
15. According to the discharge summary, a patient is admitted with bacterial pneumonia. Three
days after admission, the patient spikes a fever and is tachycardic with a WBC of 18,000.
Physician documents that the blood cultures confirm staphylococcal sepsis.
ANS:
J15.9, A41.2
16. A patient was admitted with difficulty swallowing and is HIV positive. An EGD was
performed and revealed candidal esophagitis. Patient was treated and discharged home in
stable condition.
ANS:
B20, B37.81, 0DJ08ZZ