Question 1

Willful disregard of a subpoena is considered

Accepted Answer

A)  breach of contract. 
B)  abuse of process. 
C)  contributory negligence. 
D)  contempt of court. 
A)  breach of contract. 
B)  abuse of process. 
C)  contributory negligence. 
D)  contempt of court.

Question 2

Chlamydia culture

Accepted Answer

A)  87110 
B)  87106 
C)  87118 
D)  87109; 87168 
A)  87110 
B)  87106 
C)  87118 
D)  87109; 87168

Question 3

A service provide by a physician whose opinion or advice regarding evaluation and/or management of a specific problem is requested by another physician is referred to as

Accepted Answer

A)  a referral. 
B)  a consultation. 
C)  risk factor intervention. 
D)  concurrent care. 
A)  a referral. 
B)  a consultation. 
C)  risk factor intervention. 
D)  concurrent care.

Question 4

A patient is admitted for a diagnostic workup for cachexia. The final diagnosis is malignant neoplasm of lung with metastasis.

Accepted Answer

A)  Y 
B)  N 
C)  U 
D)  W 
A)  Y 
B)  N 
C)  U 
D)  W

Question 5

According to the UHDDS guidelines, the principal procedure is performed for- rather than for

Accepted Answer

A)  diagnostic or exploratory purposes; definitive treatment 
B)  exploratory purposes; complications 
C)  definitive treatment; diagnostic or exploratory purposes 
D)  complications; definitive treatment 
A)  diagnostic or exploratory purposes; definitive treatment 
B)  exploratory purposes; complications 
C)  definitive treatment; diagnostic or exploratory purposes 
D)  complications; definitive treatment

Question 6

Which of the following microform types is the least expensive to prepare and results in the greatest storage density?

Accepted Answer

A)  microfilm jackets 
B)  roll microfilm 
C)  microfiche 
D)  ultrafiche 
A)  microfilm jackets 
B)  roll microfilm 
C)  microfiche 
D)  ultrafiche

Question 7

You have been conducting productivity studies on your coders and find that 20% of their time devoted to querying physicians about missing or unclear diagnoses. Assuming your coders wi a 7-hour day, how many minutes do they spend per day querying physicians?

Accepted Answer

A)  21 
B)  56 
C)  84 
D)  140 
A)  21 
B)  56 
C)  84 
D)  140

Question 8

The Director of the Health Information Services Department has asked that the supervisor pf coding institute a method to monitor the accuracy of coding. What method would be the most effective approach?

Accepted Answer

A)  Perform a 100% review of one of the employees' work each day. 
B)  Review a sample of each employee's work annually. 
C)  Review a random sample of each employee's work monthly. 
D)  Have each employee check each other's work and report any problems to the supervisor. 
A)  Perform a 100% review of one of the employees' work each day. 
B)  Review a sample of each employee's work annually. 
C)  Review a random sample of each employee's work monthly. 
D)  Have each employee check each other's work and report any problems to the supervisor.

Question 9

Patient has carcinoma of the breast and undergoes proton beam delivery of radiation to the breast with a single port.

Accepted Answer

A)  77523 
B)  77432 
C)  77520 
D)  77402 
A)  77523 
B)  77432 
C)  77520 
D)  77402

Question 10

Henrietta Dawson presents with a chief complaint of pain and weakness in her arms and neck. After an H&P and review of diagnostic tests that include a myelogram, her doctor diagnoses a herniated nucleus pulposus at the __________ level of her spine.

Accepted Answer

A)  cervical. 
B)  lumbar 
C)  sacral 
D)  thoracic 
A)  cervical. 
B)  lumbar 
C)  sacral 
D)  thoracic

Question 11

Sex-linked genetic diseases

Accepted Answer

A)  are transmitted during sexual activity. 
B)  involve a defect on a chromosome. 
C)  occur equally between males and females. 
D)  occur only in males. 
A)  are transmitted during sexual activity. 
B)  involve a defect on a chromosome. 
C)  occur equally between males and females. 
D)  occur only in males.

Question 12

A 335-bed hospital opened a new wing on June 1 of a nonleap year, increasing its bed count to 350 beds. The total bed count days for the year at the hospital was

Accepted Answer

A)  122,275. 
B)  125,485. 
C)  127,750. 
D)  The answer cannot be calculated with the information provided. 
A)  122,275. 
B)  125,485. 
C)  127,750. 
D)  The answer cannot be calculated with the information provided.

Question 13

Eva Pulaski supervises the electronic document management (EDM) section. She is preparing a report that includes a graphic that displays data over time and provides an excellent visualization of trends. It is called a(n)

Accepted Answer

A)  Pareto chart. 
B)  correlation analysis. 
C)  run or line chart. 
D)  scatter diagram. 
A)  Pareto chart. 
B)  correlation analysis. 
C)  run or line chart. 
D)  scatter diagram.

Question 14

A secondary data source that houses and aggregates extensive data about patients with a certain diagnosis is a

Accepted Answer

A)  disease index. 
B)  master patient index. 
C)  disease registry. 
D)  admissions register. 
A)  disease index. 
B)  master patient index. 
C)  disease registry. 
D)  admissions register.

Question 15

Where in the health record would the following statement be located: "Microscopic Diagnosis: Live (needle biopsy), metastatic adenocarinoma"?

Accepted Answer

A)  operative report 
B)  pathology report 
C)  anesthesia report 
D)  radiology report 
A)  operative report 
B)  pathology report 
C)  anesthesia report 
D)  radiology report

Question 16

Which of the following indices might be protected from unauthorized access through t he use of unique identifier codes assigned to members of the medical staff?

Accepted Answer

A)  disease index. 
B)  procedure index. 
C)  master patient index. 
D)  physician index. 
A)  disease index. 
B)  procedure index. 
C)  master patient index. 
D)  physician index.

Question 17

Documentation of record destruction should include all but which one of the following?

Accepted Answer

A)  statement that records were destroyed in the normal course of business 
B)  method of destruction 
C)  signature of the individual supervising and witnessing the destruction 
D)  dates not covered in destruction 
A)  statement that records were destroyed in the normal course of business 
B)  method of destruction 
C)  signature of the individual supervising and witnessing the destruction 
D)  dates not covered in destruction

Question 18

Blood transfusion of three units of packed red blood cells

Accepted Answer

A)  36430 
B)  36430; 36430; 36430 
C)  36460 
D)  36455 
A)  36430 
B)  36430; 36430; 36430 
C)  36460 
D)  36455

Question 19

The data displayed in the histogram below could best be described as

Accepted Answer

A)  negatively skewed. 
B)  positively skewed. 
C)  evenly distributed 
D)  normally distributed 
A)  negatively skewed. 
B)  positively skewed. 
C)  evenly distributed 
D)  normally distributed

Question 20

As HIM Director, you receive a call from the CEO informing you that she has received a complaint from a patient. The patient reports that one of the coders in your department revealed the patient's diagnosis to the patient's neighbor. What action is recommended?

Accepted Answer

A)  Gather all the facts prior to meeting with the employee. 
B)  Give the employee a written warning. 
C)  Terminate the employee immediately for violation of the confidentiality policy. 
D)  Immediately call a departmental meeting to discuss the importance of maintaining confidentiality. 
A)  Gather all the facts prior to meeting with the employee. 
B)  Give the employee a written warning. 
C)  Terminate the employee immediately for violation of the confidentiality policy. 
D)  Immediately call a departmental meeting to discuss the importance of maintaining confidentiality.

Exam 1: Registered Health Information Administrator