About This Chapter
This quiz bank addresses providing assessment items covering subjects like septicemia other blood infections. presents meticulously developed s featuring correct responses, thorough explanations, and comprehensive terminology guides categorized by complexity with correct responses, detailed explanations, and key term definitions. Instant answer confirmation with thorough explanatory guidance ensures efficient practice and concept understanding. The learning goals are as follows: Apply diagnosis/procedure codes according to current
Question 1

A physical reaction, such as fever and chills, to an unspecified pathogen is a diagnosis referred to by the acronym:

  • HIV.
  • HPV.
  • SIRS.
  • ICPs.
Correct Answer: SIRS.
Explanation:

Systemic inflammatory response syndrome (SIRS) is a definite physical reaction to an unspecified pathogen.

Glossary:

Diagnosis: A physician’s determination of a patient’s condition, illness, or injury.

Question 2

The diagnosis of severe sepsis must include a(n):

  • known pathogen.
  • fever.
  • organ dysfunction.
  • HIV-positive status.
Correct Answer: organ dysfunction.
Explanation:

The diagnosis of severe sepsis includes an organ dysfunction.

Glossary:

Severe Sepsis: Sepsis with signs of acute organ dysfunction.

Question 3

The diagnosis of sepsis must include:

  • a specified pathogen.
  • acute organ dysfunction.
  • an unknown pathogen.
  • HIV-positive status.
Correct Answer: a specified pathogen.
Explanation:

The diagnosis of sepsis begins with the identification of the underlying system infection, the pathogen that initiated the septic condition.

Glossary:

Severe Sepsis: Sepsis with signs of acute organ dysfunction.

Question 4

What is the correct code for a patient diagnosed with sepsis due to group D Streptococcus?

  • A40.0
  • A40.1
  • A41.81
  • A40.8
Correct Answer: A41.81
Explanation:

The correct code for a patient with sepsis due to group D Streptococcus is A41.81. A41.81: Index>sepsis>streptococcus>group>D.

Glossary:

Sepsis: Condition typified by two or more systemic responses to infection; a specified pathogen.

Question 5

The diagnosis of severe sepsis must include:

  • identification of the underlying infection.
  • which organ system failed.
  • the age of the patient.
  • identification of the underlying infection and which organ failed.
Correct Answer: identification of the underlying infection and which organ failed.
Explanation:

Three codes are required: the severe sepsis code + underlying infection and specific organ that failed.

Glossary:

Severe Sepsis: Sepsis with signs of acute organ dysfunction.

Question 6

Coding for septic shock will require:

  • 1 code.
  • 2 codes.
  • 3 codes.
  • 4 codes.
Correct Answer: 3 codes.
Explanation:

There are 3 codes, one for the systemic infection, one for the severe sepsis with septic shock, and one for the organ dysfunction.

Glossary:

E Codes: Codes that report how and/or where an injury or poisoning happened.

Question 7

Zena is diagnosed with acute meningococcal septicemia. Report this with code:

  • A39.2.
  • A39.3.
  • A39.4.
  • A39.5.
Correct Answer: A39.2.
Explanation:

Acute meningococcal septicemia is coded as A39.2. A39.2: Index>sepsis>meningococcal>acute.

Glossary:

Acute: Severe; serious.

Question 8

Which of the following is not a common source for Salmonella?

  • Dairy products
  • Eggs
  • Raw poultry
  • Untreated water
Correct Answer: Untreated water
Explanation:

Salmonella is not present in untreated water.

Glossary:

Chemicals: Substances used in, or made by, the process of chemistry. Examples include benzene, turpentine, and bleach.