Ch10 Verified Test Bank + Coding Dysfunction Of The Optical

Let’s Code It!, 1e (Safian)

Chapter 10 Coding Dysfunction of the Optical and Auditory Systems

1) Which of the following are portions of the interior of the eye?

A) Eyeball

B) Optic nerves

C) Extraocular muscles

D) All of these

2) What is the outer protective layer of the eyeball known as?

A) Cornea

B) Iris

C) Pupil

D) Sclera

3) Which of these is the curved, multilayer, transparent portion of the eye?

A) Cornea

B) Iris

C) Pupil

D) Sclera

4) How many layers make up the cornea?

A) 4

B) 5

C) 6

D) 7

5) What is the function of the cornea?

A) To refract light rays

B) To connect to the optic nerve

C) To process light and color

D) To adjust for varying focal distances

6) Which of the following is not in the middle layer of the eye?

A) Ciliary body

B) Choroid

C) Cornea

D) Iris

7) Which of the following is the round, pigmented part of the eye?

A) Ciliary body

B) Choroid

C) Cornea

D) Iris

8) Which of the following is the opening in the center of the iris that permits light to enter and continue on to the lens and retina?

A) Retina

B) Rod

C) Pupil

D) Iris

9) Which of the following is the area of the eye that contains nerve endings?

A) Retina

B) Rod

C) Pupil

D) Iris

10) Which of the following is photosensitive in low light?

A) Retina

B) Rod

C) Pupil

D) Iris

11) Which of the following is a receptor in the retina that is responsible for light and color?

A) Cone

B) Rod

C) Pupil

D) Lens

12) What is the correct code for a hordeolum externum, right upper eyelid?

A) H00.011

B) H00.012

C) H00.013

D) H00.014

13) Jane Janson is seen today for cellulitis of her left orbit. The coder should assign code:

A) H05.011

B) H05.012

C) H05.013

D) H05.019

14) What are the correct codes for a patient who has myopathy of the extraocular muscles of the right orbit and a cyst and atrophy of the left orbit?

A) H05.821, H05.811, H05.312

B) H05.821, H05.812, H05.312

C) H05.822, H05.811, H05.312

D) H05.822, H05.812, H05.312

15) What is another name for the eyelids?

A) Levator

B) Palpebrae

C) Superioris

D) Bulbar

16) Which of the following is not a gland within the palpebrae?

A) Moll's

B) Meibomian

C) Bulbar

D) Zeis

17) ________ is a condition in which the rims of the eyelids become inflamed and appear red.

A) Conjunctivitis

B) Blepharitis

C) Dacryocystitis

D) Keratitis

18) What is the correct code for a patient with a corneal abscess of the left eye?

A) H16.311

B) H16.312

C) H16.313

D) H16.3129

19) What is the correct code for cellulitis of the right orbit?

A) H05.01

B) H05.11

C) H05.011

D) H05.0113

20) What are the correct codes for a patient with blepharitis of the left lower eyelid and chronic dacryocystitis of the right lacrimal passage?

A) H01.005, H04.411

B) H01.005, H04.412

C) H01.006, H04.411

D) H01.006, H04.412

21) John Johnson is seen by the optometrist today for a granuloma of the left orbit, xeroderma of the right lower eyelid, and bilateral aphakia. What are the correct codes assigned?

A) H05.111, H01.141, H27.00

B) H05.111, H01.142, H27.01

C) H05.112, H01.141, H27.02

D) H05.112, H01.142, H27.03

22) Which of the following is a condition also known as exophthalmos?

A) Blepharitis

B) Dacryocystitis

C) Proptosis

D) Conjunctivitis

23) Which of the following is an abnormal displacement of the eyeball?

A) Blepharitis

B) Dacryocystitis

C) Proptosis

D) Conjunctivitis

24) What is the correct code for acute conjunctivitis of the left eye?

A) H10.31

B) H10.32

C) H10.401

D) H10.402

25) What is the correct code for recurrent pterygium of both eyes?

A) H11.051

B) H11.063

C) H11.069

D) H11.113

26) Which of the following is also known as pink eye?

A) Blepharitis

B) Dacryocystitis

C) Proptosis

D) Conjunctivitis

27) Mary Matheson is seen in the eye clinic today for pain in her left eye. The physician determines she has Soemmering's ring of the left eye with a cyst of the ora serrata. The coders should assign codes:

A) H26.411, H33.112

B) H26.412, H33.112

C) H26.413, H33.119

D) H26.419, H33.119

28) What is the correct code assigned for a patient with anterior scleritis of the right eye?

A) H15.011

B) H15.012

C) H15.001

D) H15.002

29) What is the correct code assigned for a patient with deep vascularization of the cornea in both eyes?

A) H16.432

B) H16.433

C) H16.443

D) H16.449

30) What is the correct code assigned for a patient with adherent leukoma of the left eye?

A) H17.00

B) H17.01

C) H17.02

D) H17.03

31) Which of the following is not a sign or symptom of retinal detachment?

A) Floaters

B) Photopsia

C) Headache

D) Loss of vision

32) Which of the following conditions is a malfunction of the fluid pressure within the eye?

A) Cataract

B) Glaucoma

C) Macular degeneration

D) Hordeolum

33) How many categories of glaucoma are there?

A) 1

B) 2

C) 3

D) 4

34) What is the correct code for capsular glaucoma with pseudoexfoliation of lens in the right eye, moderate stage?

A) H40.141

B) H40.131

C) H40.1412

D) H40.1310

35) Which of the following is a sign or symptom of diabetic retinopathy?

A) Blurry vision

B) Blank spots

C) Pain in one or both eyes

D) All of these

36) How many stages of diabetic retinopathy development are there?

A) 1

B) 2

C) 3

D) 4

37) What are the correct codes for a patient with proliferative bilateral retinopathy with bilateral bullous keratopathy?

A) H35.23, H18.10

B) H35.23, H18.11

C) H35.23, H18.12

D) H35.23, H18.13

38) Which is the first stage of diabetic retinopathy?

A) Mild nonproliferative retinopathy

B) Moderate nonproliferative retinopathy

C) Severe nonproliferative retinopathy

D) Proliferative retinopathy

39) What is the correct code assigned for a patient with Coats retinopathy, left eye?

A) H35.00

B) H35.02

C) H35.20

D) H35.022

40) What is the correct code assigned for a patient with bilateral stage 5 retinopathy of prematurity?

A) H35.151

B) H35.109

C) H35.123

D) H35.163

41) Which of the following is not a sign or symptom of hypertensive retinopathy?

A) Headache

B) Double vision

C) Vision loss

D) Nausea

42) What is/are the correct code(s) assigned for a patient with hypertensive retinopathy of the left eye?

A) H35.031

B) H35.032, I10

C) H35.033, I10

D) H35.039, I11

43) What is the correct code assigned for a patient with Eales disease in the right eye?

A) H35.06

B) H35.061

C) H35.062

D) H35.069

44) What are the correct codes assigned for a patient with a horseshoe tear of the left eye, Harada's disease of both eyes, and retinal vasculitis of the right eye?

A) H33.312, H30.813, H35.061

B) H33.311, H30.813, H35.061

C) H33.313, H30.813, H35.069

D) H33.319, H30.819, H.35.069

45) Refer to the ICD-10-Cm Official Guidelines I.C.7.a.1 which states: Assign as many codes from category ________, Glaucoma, as needed to identify the type of glaucoma, the affected eye, and the glaucoma stage.

A) H39

B) H40

C) H41

D) H42

46) Refer to the ICD-10-CM Official Guidelines I.C.7.a.5 which states: Assignment of the seventh character ________ for "indeterminate stage" should be based on the clinical documentation.

A) 2

B) 3

C) 4

D) 5

47) What is another name for earwax?

A) Cerumen

B) Vestibule

C) Cochlea

D) Saccule

48) What is the correct code for chronic serous otitis media of the left ear?

A) H65.21

B) H65.22

C) H65.31

D) H65.32

49) Which of the following is the correct code for acute reactive otitis externa, bilateral?

A) H60.551

B) H60.552

C) H60.553

D) H60.559

50) Which of the following can contribute to hearing loss?

A) Genetics

B) Congenital anomalies

C) Pathogens

D) All of these

51) Which of the following is not a function of cerumen?

A) Protecting the skin of the ear canal

B) Protecting the middle ear from bacteria

C) Enabling cleaning and lubrication

D) Transferring sound waves from the eardrum to the incus

52) Which of the following medications might cause ototoxic hearing loss?

A) Gentamicin

B) Cisplatin

C) Carboplatin

D) All of these

53) What is the correct code for presbycusis, left ear?

A) H91.10

B) H91.11

C) H91.12

D) H91.13

54) What are the correct codes for ototoxic hearing loss, right ear, after taking gentamicin?

A) H91.01, T36.5X5A

B) H91.02, T36.5X1A

C) H91.01, T36.5X5

D) H91.02, T36.5X1

55) What is the correct code for mixed conductive and sensorineural hearing loss, unilateral, left ear, with unrestricted hearing on the contralateral side?

A) H90.42

B) H90.5

C) H90.72

D) H90.8

56) What is the correct code for high-frequency deafness, right ear?

A) H91.90

B) H91.91

C) H91.92

D) H91.93

57) Which of the following is a symptom of hearing loss?

A) Hearing muffled speech

B) Asking others to speak more slowly

C) Avoiding some social settings

D) All of these

58) What is the correct code for noise effects on the right inner ear?

A) H83.3X1

B) H83.3X2

C) H83.3X3

D) H83.3X9

59) Which unit of measurement determines the intensity, or loudness, of sound?

A) dB

B) Hz

C) Db

D) hZ

60) What is the correct code for a patient with an osseous obstruction of the left eustachian tube?

A) H68.101

B) H68.102

C) H68.112

D) H68.122

61) Max Maxwell was seen in the office today for left cochlear otosclerosis and recurrent cholesteatoma of a postmastoidectomy cavity of the right ear. What are the correct codes?

A) H80.21, H95.01

B) H80.21, H92.03

C) H80.22, H95.01

D) H80.22, H95.02

62) Callin Collin is seen in the office today for bilateral hyperacusis and bilateral perceptive hearing loss. What are the correct codes?

A) H93.231, H90.0

B) H93.232, H90.3

C) H93.233, H90.3

D) H93.239, H90.8

63) Which of the following is an inflammation of the middle ear?

A) Otitis media

B) Otitis externa

C) Ménière's disease

D) Otosclerosis

64) Which of the following is a condition of increasing growth of spongy bone in the otic capsule?

A) Otitis media

B) Otitis externa

C) Ménière's disease

D) Otosclerosis

65) What is the correct code assigned for a patient with Ménière's disease of the left ear?

A) H81.01

B) H81.02

C) H81.03

D) H81.09

66) What is the correct code assigned for a patient with an abscess of the right external ear?

A) H60.00

B) H60.01

C) H60.02

D) H60.03

67) What is the correct code assigned for a patient with swimmer's ear, left ear?

A) H60.331

B) H60.332

C) H60.333

D) H60.339

68) What is the correct code assigned for a patient with impacted cerumen of the left ear?

A) H61.20

B) H61.21

C) H61.22

D) H61.23

69) What is the correct code assigned for a patient with acute mastoiditis, right ear?

A) H70.001

B) H70.091

C) H70.11

D) H70.221

70) What is the correct code assigned for a patient with a cholesteatoma of the mastoid in his left ear?

A) H71.11

B) H71.12

C) H71.21

D) H71.22