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ICD611S - ICD621S - INTERNATIONAL CLASSIFICATION OF DISEASE 1A - INTERNATIONAL CLASSIFICATION OF DISEASE - 1ST OPP - NOVEMBER 2023 |
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QUALIFICATION: BACHELOR OF SCIENCE IN HEALTH INFORMATION SYSTEMS
MANAGEMENT
QUALIFICATIONCODE: 07BSHM
LEVEL:6
COURSE: INTERNATIONAL CLASSIFICATION OF DISEASE 1 A COURSECODE: ICD611S
DATE: JANUARY 2024
SESSION: 2
DURATION: 3 HOURS
MARKS: 100
EXAMINER:
MODERATOR:
SECOND OPPORTUNITY/SUPPLEMENTARY: QUESTION PAPER
MS INDAA PAULUS
DR LARAI AKU AKAi
INSTRUCTIONS
1. Answer all questions on the separate answer sheet.
2. Please write neatly and legibly.
3. Do not use the left side margin of the exam paper. This must be allowed for the
examiner.
4. No books, notes and other additional aids are allowed.
5. Mark all answers clearly with their respective question numbers.
6. Students are allowed to refer to only 3 volumes of ICD-10 CM Pdf file. No other
Windows & Internet applications are allowed.
PERMISSIBLE MATERIALS
1. Three volumes of ICD-10 CM Pdf.
ATTACHMENTS
1. None
This question paper consists of 4 pages including this front page.
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[SECTION A
QUESTION 1
1
[40 MARKS)
1. Code the following diagnostic terms using ICD- lOCM. Write the appropriate code next to the
number of the statement/phrase in the ANSWERBOOK.Sequencing carries 1 (one) mark where
applicable.
1.1 Compulsive gambling
(1)
1.2 Depression with anxiety
(1)
1.3 Bilateral acute serous otitis media (nonsuppressive)
(1)
1.4 Profound mental retardation
(1)
1.5 Meningitis due to Proteus morganii
(3)
1.6 Accidental overdose due to therapeutically prescribed valium, initial encounter
(1)
1.7 Alzheimer's dementia with aggressive behaviour
(3)
1.8 Stenosis of left lacrimal sac
(1)
1.9 Claustrophobia
(1)
1.10 Transfusion-related hemochromatosis
(1)
1.11 Tubular adenoma of the descending colon
(1)
1.12 Myxoma of the antrum of the stomach
(1)
1.13 Ewing's Sarcoma
(1)
1.14 Stroke due to vertebral artery occlusion
(1)
1.15 Allergic and dietetic gastroenteritis and colitis
(1)
1.16 Seizure complex, febrile with status epilepticus
(1)
1.17 Rheumatoid neuritis with localized amyloidosis
(3)
1.18 Withdrawal from heroin dependence, daily use
(1)
1.19 Poisoning by ingestion of ethanol, subsequent encounter, undetermined cause
(1)
1.20 Cocaine abuse with cocaine-induced psychotic disorder with hallucinations
(1)
1.21 Subconjunctival hemorrhage, bilateral
(1)
1.22 Delirium tremens due to withdrawal in alcohol depend patient
(1)
1.23 Initial encounter for infected breasts implants
(1)
1.24 Tobacco use and abuse complicating pregnancy, 2nd trimester
(1)
1.25 A provider performs an incision and drainage on a large abscess on the patient's left leg (1)
1.26 Recurrent, brief depressive episodes
(1)
1.27 Age-related nuclear cataract, left eye
(1)
1.28 Grave's disease with thyrotoxic crisis
(1)
1.29 Recurrent, brief depressive episodes
(1)
INTERNATIONAL DISEASECLASSIFICATION AND CODING 1 A (ICD611S)
2nd Opportunity January 2024
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1.30 Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular
edema
(1)
1.31 Acute hepatitis B without delta-agent with hepatic coma
(1)
1.32 Subphrenic abscess following a procedure
(1)
1.33 Hodgkin's Disease
(1)
1.34 Syphilis of thyroid gland
(1)
[SECTIONB
:
(30 MARKSf
Question 2
2. Identify the most suitable codes from ICD-10 CM by using chapter specific guidelines for the
following cases. Sequencing carries 1 (one) mark where appropriate.
2.1 A patient is admitted with Pneumonia and Acute Hypoxic Respiratory Failure. On day
three, the patient worsens and becomes hypotensive with fever and Tachycardia
and is diagnosed with Sepsis, septic shock, and Acute Renal Failure. On the discharge
discharge summary, Pneumonia is documented as the principal diagnosis
(6)
2.2 Secondary Glaucoma due to ocular inflammation was discovered in a patient with
recurrent Acute lridocyclitis in both eyes. The left eye is in a severe condition, while the
right eye is at a moderate level.
(3)
2.3 A 45-year-old woman presents with severe stomach ache, fever, vomiting, and bloating.
The Computed Tomography (CT) scan reveals a perforated bowel with an abscess.
The patient has Sepsis and meets Systematic Inflammatory Response Syndrome
(SIRS)criteria with a peritoneal abscess as the source. The peritoneal fluid and blood
cultures are positive for Enterococcus (Group D Strep).
(4)
2.4 A 40-year-old woman was admitted with worsening headaches and nausea.
She was investigated and a diagnosis of metastatic Cancer to the brain was made. Her
symptoms were controlled, and she was discharged. The patient is undergoing treatment
for primary ovarian cancer.
(3)
2.5 Patient is diagnosed with an ectopic pregnancy that is found to be in the fallopian tubes,
Weeks of pregnancy gestation not specified.
(2)
2.6 Acute maxillary sinusitis due to Hemophilus influenza.
(3)
2.7 Respiratory failure due to congestive heart failure.
(2)
2.8 A 43-year-old obese female with secondary Diabetes Mellitus due to Acute Idiopathic
Pancreatitis. She has been on insulin for 3 years and today her blood sugar is 300 mg/di. (4)
INTERNATIONAL DISEASE CLASSIFICATION AND CODING 1 A (ICD611S)
2nd Opportunity January 2024
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2.9 Mr Murphy was diagnosed with Cardiomyopathy from alcohol abuse.
(3)
[SECTIONC: STRUCTUREDANSWERQUESTIONS
QUESTION 3
[30 MARKS)I
3. Identify the most suitable codes from ICD-10 CM by using chapter specific guidelines for the
following cases.Sequencing carries 1 (one) mark
3.1 A 57-year-old male has Hypertension with Stage 4 Chronic Kidney Disease. He walked
into clinic reporting blood in urine and severe lower abdominal pain. Urine was
positive for heavy blood and abdomen is distended. Emergency medical service was
called.
(5)
3.2 Patient presents for immunotherapy for a malignant, primary Neoplasm of the trigone
of the bladder.
(3)
3.3 A patient who is allergic to Penicillin is admitted to the hospital for treatment
of Pneumonia using intravenous therapy (IV) antibiotics.
(3)
3.4 A ventilator-dependent patient (due to Chronic Obstructive Pulmonary Disease
with Emphysema) is admitted to the hospital for dehydration. IV fluids are started
for hydration and the patient is placed on the hospital's ventilator.
(3)
3.5 A patient with Sepsis due to Hemophilus influenza is also found to have Acute
Renal Failure.
(4)
3.6 Gabby returns to the physician's office for follow up on her asymptomatic Human
Immunodeficiency Virus (HIV). Upon examination, the physician notices lesions
on the patient's upper torso. Confident of his finding, the physician diagnosis Gabby
with HIV and Kaposi's Sarcoma of the skin.
(3)
3.7 A 20 year-old female was admitted complaining of dysuria and lower abdominal pain.
A diagnosis of Urinary Tract Infection (UTI) was made and she was commenced
on IV antibiotics Mid-stream specimen of urine (MSU) grew Pseudomonas aeruginosa
and this was confirmed by the clinician to be the cause of her UTI.
(3)
3.8 This Type 1 Diabetic patient has a severe Chronic Diabetic left foot Ulcer with Diabetic
Peripheral Angiopathy. He also has Diabetic Stage 2 Chronic Kidney Disease. He is
being examined to see if debridement is required for this Ulcer with breakdown of
skin.
(6)
END OF QUESTION PAPER
INTERNATIONAL DISEASE CLASSIFICATION AND CODING 1 A (ICD611S)
2nd Opportunity January 2024
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