Kaplan and Sadock Chapter
5 examination and lab
testing in psychiatry-Q , A
A patient is diagnosed with pressure ulcers on each heel. Each heel displays bone
involvement with evidence of necrosis and is identified as stage 4. Select the diagnosis
code(s). - answer-L89.614, L89.624
A patient with age-related osteoporosis suffers a pathologic fracture to her right hip. She
is being seen for this new fracture today. Select the diagnosis code(s). - answer-
M80.051A
A 55 year-old female with right hydronephrosis presents for a cystourethroscopy with a
retrograde pyelogram. What is the correct diagnosis code? - answer-N13.30
A pregnant female, at 21 weeks, is diagnosed with iron-deficiency anemia and is sent to
the clinic for a transfusion. Select the diagnosis code(s). - answer-O99.012, D50.9,
Z3A.21
Assign the code for feeding problems in newborn. - answer-P92.9
A 4 year-old male is brought to the hospital by his mother. Today he is going to have
surgery to repair his Cheiloschisis. Assign the correct code for his condition. - answer-
Q36.9
What is the diagnosis code for an elevated blood pressure reading? - answer-R03.0
A patient was prescribed an anti-depressant. She forgot she had taken her pills for the
day and took another pill by accident. She is now complaining of dizziness and
excessive sweating. Select the diagnosis codes in the correct sequence. - answer-
T43.201A, R42, R61
The patient was hit in the nose by the ball playing basketball on the varsity team last
evening at the gym and woke up with severe epistaxis. The family physician controlled
the nasal hemorrhage with cauterization and afterwards packed the nose with nasal
packs. What are the correct diagnosis codes? - answer-R04.0, W21.05XA, Y92.39,
Y93.67, Y99.8
, The patient's dense breast tissue made the screening mammogram unreadable, and
she is here today for a breast ultrasound. Her mother and sister both have history of
breast cancer. What are the correct diagnosis codes? - answer-Z12.39, R92.2, Z80.3
"CASE 1 Office note: RE: Injection, strapping of foot and ankle. Chief complaint: heel
pain(Patient complaint.), 6 months' duration. No inflammation, no heat. Diagnosis: Heel
spur.(Definitive diagnosis. The heel pain is a symptom of a heel spur.) Treatment:
Weight reduction, injection of Celestone, Xylocaine plain, pulses good, DTR, vibration
and temp normal. Orthotics suggested; better shoes suggested. Lawyer by trade.
Criminal trial attorney. Referred by his partner. Discussed diet, orthotic shoes. Return if
need be in 61 days. What diagnosis code(s) are reported?" - answer-M77.30
"CASE 2 Reason for consult: Acute renal failure (Indication for the visit.) HPI: The
patient was followed in the past by my associate for CKD, with baseline creatinine of 1.8
two weeks ago. Found to have severe ARF this morning associated with acidosis and
moderate hyperkalemia after presenting to the ER with complaint of dehydration.
(These conditions were diagnosed by another physician in the emergency room.) The
patient is admitted under observation status to the hospitalist service and the renal team
is called for a consult. ROS: Cardiovascular: Negative for CP/PND. GI: Negative for
nausea, positive for diarrhea. GU: Negative for obstructive symptoms or documented
exposure to nephrotoxins. All other systems reviewed and are negative. PFSH:
Negative family history of hereditary renal disease and negative history of tobacco or
ETOH abuse. EXAM: Constitutional: 99/52, 18, 102. NAD. Conversant. Eyes: anicteric
sclera - answer-N17.9, E86.0, N18.3, I95.9
"CASE 3 PROGRESS NOTE Chief complaint: Multiple ulcers. Subjective: The patient
returns, accompanied by her caregiver who states that she believes the ulcers have
gotten "about as good as they are going to." The edema of the leg seems to be
controlled much better. Objective: Exam reveals marked improvement of the edema
(The edema is improving.) of both lower legs, the right is better than the left. All of the
ulcers are now extremely superficial and seem to almost be partial thickness skin.(The
ulcers are healing.) There is no cellulitis. The only uncomfortable area seems to be on
the sole of the left foot where there are considerable bony abnormality and/or
tophaceous deposits which have distorted the bottom of her foot dramatically. To relieve
the left foot pain,(Location of the foot pain. Patient had foot pain likely due to
tophaceous deposits which are an indication of gout. This is not a definitive diagnosis
doc - answer-"L97.511, L97.521, R60.0, M79.672"
"CASE 4 Subjective: The patient presents today after having a cabinet fall on her.(This
describes how the injury occurred.) She states the people who put in the cabinet missed
the stud by about two inches. The patient complains of cephalgias,(Patient complaint.)
primarily occipital, extending up into the bilateral occipital and parietal regions. The
patient denies any vision changes, any taste changes or any smell changes. The patient
has marked amount of tenderness across the superior trapezius.(Patient complaint.)
Objective: Her weight is 188 which is up 5 pounds from last time, blood pressure
144/82, pulse rate 70, respirations are 18. She has full strength in her upper extremities.
5 examination and lab
testing in psychiatry-Q , A
A patient is diagnosed with pressure ulcers on each heel. Each heel displays bone
involvement with evidence of necrosis and is identified as stage 4. Select the diagnosis
code(s). - answer-L89.614, L89.624
A patient with age-related osteoporosis suffers a pathologic fracture to her right hip. She
is being seen for this new fracture today. Select the diagnosis code(s). - answer-
M80.051A
A 55 year-old female with right hydronephrosis presents for a cystourethroscopy with a
retrograde pyelogram. What is the correct diagnosis code? - answer-N13.30
A pregnant female, at 21 weeks, is diagnosed with iron-deficiency anemia and is sent to
the clinic for a transfusion. Select the diagnosis code(s). - answer-O99.012, D50.9,
Z3A.21
Assign the code for feeding problems in newborn. - answer-P92.9
A 4 year-old male is brought to the hospital by his mother. Today he is going to have
surgery to repair his Cheiloschisis. Assign the correct code for his condition. - answer-
Q36.9
What is the diagnosis code for an elevated blood pressure reading? - answer-R03.0
A patient was prescribed an anti-depressant. She forgot she had taken her pills for the
day and took another pill by accident. She is now complaining of dizziness and
excessive sweating. Select the diagnosis codes in the correct sequence. - answer-
T43.201A, R42, R61
The patient was hit in the nose by the ball playing basketball on the varsity team last
evening at the gym and woke up with severe epistaxis. The family physician controlled
the nasal hemorrhage with cauterization and afterwards packed the nose with nasal
packs. What are the correct diagnosis codes? - answer-R04.0, W21.05XA, Y92.39,
Y93.67, Y99.8
, The patient's dense breast tissue made the screening mammogram unreadable, and
she is here today for a breast ultrasound. Her mother and sister both have history of
breast cancer. What are the correct diagnosis codes? - answer-Z12.39, R92.2, Z80.3
"CASE 1 Office note: RE: Injection, strapping of foot and ankle. Chief complaint: heel
pain(Patient complaint.), 6 months' duration. No inflammation, no heat. Diagnosis: Heel
spur.(Definitive diagnosis. The heel pain is a symptom of a heel spur.) Treatment:
Weight reduction, injection of Celestone, Xylocaine plain, pulses good, DTR, vibration
and temp normal. Orthotics suggested; better shoes suggested. Lawyer by trade.
Criminal trial attorney. Referred by his partner. Discussed diet, orthotic shoes. Return if
need be in 61 days. What diagnosis code(s) are reported?" - answer-M77.30
"CASE 2 Reason for consult: Acute renal failure (Indication for the visit.) HPI: The
patient was followed in the past by my associate for CKD, with baseline creatinine of 1.8
two weeks ago. Found to have severe ARF this morning associated with acidosis and
moderate hyperkalemia after presenting to the ER with complaint of dehydration.
(These conditions were diagnosed by another physician in the emergency room.) The
patient is admitted under observation status to the hospitalist service and the renal team
is called for a consult. ROS: Cardiovascular: Negative for CP/PND. GI: Negative for
nausea, positive for diarrhea. GU: Negative for obstructive symptoms or documented
exposure to nephrotoxins. All other systems reviewed and are negative. PFSH:
Negative family history of hereditary renal disease and negative history of tobacco or
ETOH abuse. EXAM: Constitutional: 99/52, 18, 102. NAD. Conversant. Eyes: anicteric
sclera - answer-N17.9, E86.0, N18.3, I95.9
"CASE 3 PROGRESS NOTE Chief complaint: Multiple ulcers. Subjective: The patient
returns, accompanied by her caregiver who states that she believes the ulcers have
gotten "about as good as they are going to." The edema of the leg seems to be
controlled much better. Objective: Exam reveals marked improvement of the edema
(The edema is improving.) of both lower legs, the right is better than the left. All of the
ulcers are now extremely superficial and seem to almost be partial thickness skin.(The
ulcers are healing.) There is no cellulitis. The only uncomfortable area seems to be on
the sole of the left foot where there are considerable bony abnormality and/or
tophaceous deposits which have distorted the bottom of her foot dramatically. To relieve
the left foot pain,(Location of the foot pain. Patient had foot pain likely due to
tophaceous deposits which are an indication of gout. This is not a definitive diagnosis
doc - answer-"L97.511, L97.521, R60.0, M79.672"
"CASE 4 Subjective: The patient presents today after having a cabinet fall on her.(This
describes how the injury occurred.) She states the people who put in the cabinet missed
the stud by about two inches. The patient complains of cephalgias,(Patient complaint.)
primarily occipital, extending up into the bilateral occipital and parietal regions. The
patient denies any vision changes, any taste changes or any smell changes. The patient
has marked amount of tenderness across the superior trapezius.(Patient complaint.)
Objective: Her weight is 188 which is up 5 pounds from last time, blood pressure
144/82, pulse rate 70, respirations are 18. She has full strength in her upper extremities.
