1.
A 65-year-old white male was admitted to the hospital on 1/15 complaining of abdominal pain. The
attending physician requested an upper GI series and laboratory evaluation of CBC and UA. The x-ray
revealed possible
...
1.
A 65-year-old white male was admitted to the hospital on 1/15 complaining of abdominal pain. The
attending physician requested an upper GI series and laboratory evaluation of CBC and UA. The x-ray
revealed possible cholelithiasis, and the UA showed an increased white blood cell count. The patient
was taken to surgery for an exploratory laparoscopy, and a ruptured appendix was discovered. The chief
complaint was:
a. Ruptured appendix
b. Exploratory laparoscopy
c. Abdominal pain
d. Cholelithiasis - ✔✔c. Abdominal pain
The nature and duration of the symptoms that caused the patient to seek medical attention as stated in
the patient's own words (Odom-Wesley et al. 2009, 331).
2.
84. An individual stole and used another person's insurance information to obtain medical care. This
action would be considered:
a. Violation of bioethics
b. Fraud and abuse
c. Medical identity theftd. Abuse - ✔✔c. Medical identity theft
Correct Answer: 84. c. Medical identity theft occurs when someone uses a person's name and
sometimes other parts of their identity without the victim's knowledge or consent to obtain medical
services or goods (Johns 2011, 773).
3.
Identify the ICD-9-CM diagnostic code(s) for acute osteomyelitis of ankle due to Staphylococcus.
a. 730.06
b. 730.07
c. 730.07, 041.1
d. 730.07, 041.10 - ✔✔d. 730.07, 041.10
Correct Answer: D Index Osteomyelitis, acute or subacute. Refer to the table in the Index for the fifth
digit 5, ankle and foot. Infection, staphylococcal NEC (Schraffenberger 2012, 305-306).
4.
A system that provides alerts and reminders to clinicians is a(n):
a. Clinical decision support system
b. Electronic data interchange
c. Point of care charting systemd. Knowledge database - ✔✔Correct Answer: A Clinical decision support includes providing
documentation of clinical findings and procedures, active reminders about medication administration,
suggestions for prescribing less expensive but equally effective drugs, protocols for certain health
maintenance procedures, alerts that a duplicate lab test is being ordered, and countless other decisionmaking aids for all stakeholders in the care process (Johns 2011, 138).
5.
What does an audit trail check for?
a. Unauthorized access to a system
b. Loss of data
c. Presence of a virus
d. Successful completion of a backup - ✔✔Correct Answer: A
Audit trails can provide tracking information such as who accessed which records and for what purpose
(Johns 2011, 403).
6.
This is a condition with an imprecise diagnosis with various characteristics. The condition may be
diagnosed when a patient presents with sinus arrest, sinoatrial exit block, or persistent sinus
bradycardia. This syndrome is often the result of drug therapy, such as digitalis, calcium channel
blockers, beta-blockers, sympatholytic agents, or antiarrhythmics. Another presentation includes
recurrent supraventricular tachycardias associated with bradyarrhythmias. Prolonged ambulatory
monitoring may be indicated to establish a diagnosis of this condition. Treatment includes insertion of a
permanent cardiac pacemaker.
a. Atrial fibrillation (427.31)
b. Atrial flutter (427.32)c. Paroxysmal supraventricular tachycardia (427.0)
d. Sick sinus syndrome (SSS) (427.81) - ✔✔d. Sick sinus syndrome (SSS) (427.81)
Correct Answer: D SSS is the imprecise diagnosis with various characteristics treated with the insertion
of a permanent cardiac pacemaker. The other three conditions are treated with cardioversion and
different pharmacological therapy (Schraffenberger 2012, 194-195).
7.
Identify the ICD-9-CM diagnostic code for primary localized osteoarthrosis of the hip.
a. 715.95
b. 715.15
c. 721.90
d. 715.16 - ✔✔b. 715.15
Correct Answer: B Index Osteoarthrosis, localized, primary. For category 715, refer to the table for the
fifth digit of 5 for pelvic region and thigh (Schraffenberger 2012, 303-304).
8.
A health record with deficiencies that is not complete within the timeframe specified in the medical staff
rules and regulations is called a(n):
a. Suspended record
b. Delinquent recordc. Pending record
d. Illegal record - ✔✔Correct Answer: B
An incomplete record not rectified within a specific number of days as indicated in the medical staff
rules and regulations is considered to be delinquent (Johns 2011, 412).
9.
A hospital HIM department wants to purchase an electronic system that records the location of health
records removed from the filing system and documents the date of their return to the HIM department.
Which of the following electronic systems would fulfill this purpose?
a. Chart deficiency system
b. Chart tracking system
c. Chart abstracting system
d. Chart encoder - ✔✔Correct Answer: B
With an automated tracking system, it is easy to track how many records are charged out of the system,
their location, and whether they have been returned on the due dates indicated (Johns 2011, 402).
10.
Identify the appropriate ICD-9-CM diagnosis code for Lou Gehrig's disease.
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