ICD-10 Competency Assessment for Coders: Anatomy and Physiology

54 Pages·2011·0.68 MB·English

by  HCPro Inc., Adrianne E. Avillion DEd RN Reviewer

ICD-10
Competency
Assessment
for Coders
Anatomy and Physiology
Also AvAilAble
As pArt of
the iCD-10 trAining
toolkit
ICD-10
Competency
Assessment
for Coders
Anatomy and Physiology
ICD-10 Competency Assessment for Coders: Anatomy and Physiology is published by HCPro, Inc.
Copyright © 2011 HCPro, Inc.
All rights reserved. Printed in the United States of America. 5 4 3 2 1
ISBN: 978-1-60146-874-1
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Adrianne E. Avillion, DEd, RN, Reviewer
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11/2011
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Contents
About the Reviewer .........................................................................................v
Anatomy and Physiology Assessment ............................................................1
Blood ..............................................................................................................................................1
Cardiac/Circulatory System ..............................................................................................................3
Ear ..................................................................................................................................................5
Endocrine System ............................................................................................................................6
Eye ..................................................................................................................................................7
Gastrointestinal System ....................................................................................................................9
Genitourinary System .....................................................................................................................11
Infectious Diseases .........................................................................................................................12
Integumentary System ...................................................................................................................14
Medical Terminology .....................................................................................................................16
Musculoskeletal System .................................................................................................................18
Neoplasms .....................................................................................................................................19
Nervous System .............................................................................................................................20
Pregnancy .....................................................................................................................................22
Respiratory System ........................................................................................................................24
Signs and Symptoms ......................................................................................................................25
Grab Bag Questions .......................................................................................................................27
© 2011 HCPro, Inc. iii

About the Reviewer
Adrianne E. Avillion, DEd, RN
Adrianne E. Avillion is the owner of Avillion’s Curriculum Design in York, PA, and she specializes
in designing continuing education programs for healthcare professionals and freelance medical
writing. She is the editor of the e-newsletter Staff Development Weekly, and is a frequent presenter
at National Nursing Staff Development Organization and various conferences and conventions
devoted to continuing education and staff development. She is the author of Evidence-Based Staff
Development: Strategies to Create, Measure, and Refine Your Program; A Practical Guide to Staff
Development: Evidence-Based Tools and Techniques for Effective Education; and Nurse Educator
Manual: Essential Skills and G uidelines for Effective Practice.
© 2011 HCPro, Inc. v

Anatomy and Physiology Assessment
Blood
1. Which of the following statements is false?
a. Genetic factor V Leiden deficiency is the most common genetic reason for abnormal clot formation.
b. Antithrombin III (ATIII), protein C, and protein S participate in breaking down clots or inactivat-
ing the coagulation cascade; otherwise clots would form with no apparent cause.
c. Platelets are the smallest cells in the blood and are formed in the bone marrow.
d. Because arterial blood looks red and carries oxygen to the cells, it contains different cells then
venous blood.
2. Which of the following statements is false?
a. Hemolytic anemias can be hereditary or acquired, warm antibody (IgG) or cold agglutinin (IgM);
present at body temperature or in cold temperatures; and idiopathic or secondary to other diseases
like lymphoma and autoimmune disease, as wells as viral infections or medications.
b. Hemolytic anemia can be caused when red blood cells (RBC) are fragile and cannot withstand the
routine stress of the circulatory system and rupture prematurely.
c. Many cancers cause anemia from decreased RBC production by consuming the new RBCs.
d. In chronic kidney disease (CKD) the kidney stops producing erythropoietin so patients
develop anemia.
© 2011 HCPro, Inc. 1
ICD-10 Competency Assessment for Coders: Anatomy and Physiology
3. Which of the following statements is false?
a. Hemolytic anemia can be an acquired autoimmune disease where the body forms antibodies
against its own RBCs.
b. Peripheral blood is found in the bone marrow.
c. Physicians must not prescribe sulfa drugs to patients with glucose-6-phosphate dehydrogenase
(G6PD) deficiency because it will result in hemolytic anemia.
d. In hereditary spherocytosis, the cell membrane is weak due to lack of structural protein.
4. Which of the following statements provides accurate information about sarcoidosis?
a. Sarcoidosis is an autoimmune disease in which collections of inflammatory cells replace normal
tissue, causing organ dysfunction.
b. Common opportunistic diseases seen in sarcoidosis are pneumocystis pneumonia, cytomegalovi-
rus, mycobacterium avium, and tuberculosis.
c. Sarcoidosis only affects the lungs.
d. Sarcoidosis is a group of genetic immune diseases involving inadequate antibody production to
fight pathogens.
5. Match the following blood conditions to their definitions.
1. Nutritional anemias a. Identified by appearance of microcytic and hypochromic RBCs.
2. Hemolytic anemias b. Destruction in the peripheral blood of fully formed RBCs.
3. Aplastic anemias c. In megaloblastic anemias, RBCs are abnormally large
and hyperchromic.
4. Iron deficiency anemia
d. Anemia that results from inadequate intake or assimi lation of
5. Vitamin B12 and folate
materials essential for the production of RBCs and hemoglobin.
deficiency anemias
e. The myeloid stem cell is damaged or destroyed so fewer RBCs
are produced.
2 © 2011 HCPro, Inc.
ICD-10 Competency Assessment for Coders: Anatomy and Physiology
6. Match the following blood conditions with their definitions.
1. Pernicious anemia a. Genetic blood disorder that prevents proper formation of the
hemoglobin molecule
2. G6PD
b. Genetic disease that causes RBCs to change shape, especially
3. Thalassemia
when oxygen is low
4. Sickle-cell disease
c. Deficiency of gastrointestinal (GI) tract secretion called
intrinsic factor
d. Causes older RBCs to break open; a hemolytic anemia
Cardiac/Circulatory System
7. Occlusion of a coronary artery can cause all except which of the following?
a. Angina
b. Arrhythmias
c. Myocardial infarction
d. Phlebitis
8. Which of the following statements about atrial fibrillation is false?
a. Episodic quivering of atrial muscles may be asymptomatic and can cause blood clots to form on
the heart wall.
b. The ECG has no P waves and irregular QRS complexes.
c. The patient has increased risk of death, stroke, heart failure, and heart attack.
d. Treatment may include medication to increase heart rate.
© 2011 HCPro, Inc. 3