Question 1

The network topology that our system uses paused to prevent data from colliding with oth network traffic. This is

Accepted Answer

A)  FDDI. 
B)  token ring. 
C)  Ethernet. 
D)  ATM.

Question 2

When the physician failed to give the patient the lips of the famous actress she requested, the physician engaged in which of the following?

Accepted Answer

A)  slander. 
B)  a breach of contract. 
C)  libel. 
D)  invasion of privacy.

Question 3

A record that has been requested by subpoena duces tecum is currently located at an off-site microfilm company. By contacting the microfilm provider, you learn that the microfilm is ready and the original copy of the record still exists. What legal requirement would compel you to produce the original record for the court?

Accepted Answer

A)  best evidence rule 
B)  hearsay rule 
C)  motion to quash 
D)  subpoena instanter

Question 4

What is the chief criterion for determining record inactivity?

Accepted Answer

A)  Medicare's definition of inactivity 
B)  amount of space available for storage of newer records 
C)  efficiency of microfilming 
D)  preference of the medical staff

Question 5

A patient, who is HIV positive, has raised lesions, red or purple in color, appearing on the skin, in the mouth, or anywhere on the body. What is the stage of his disease process in today's medical terminology?

Accepted Answer

A)  ARC 
B)  AIDS 
C)  AZT 
D)  HIV positive

Question 6

A number of key elements for your facility's computerized patient record are still input by clerical staff from handwritten data entry sheets. You are concerned about the transfer of data. If the vital signs stored in the database are not what were originally recorded, the impact on patient care could be severe. You are concerned about the

Accepted Answer

A)  stability of the data. 
B)  validity of the data. 
C)  legitimacy of the data. 
D)  reliability of the data.

Question 7

Crystal has received a copy of some documents from her medical record. In the request, she had specifically requested the discharge summary, history and physical, operative report, pathology report, laboratory results, and x-ray reports. The records that she received only included the discharge summary and history and physical. The enclosed letter said that the other documents were not enclosed because of the minimum necessary rule. What should the director tell Crystal when she calls?

Accepted Answer

A)  The clerk was appropriate in what was sent. 
B)  The operative report should have been included too. 
C)  The operative report and pathology report should have been included. 
D)  All of the requested information should have been sent because the patient is an exception to the minimum necessary rule.

Question 8

When a health care facility makes a decision to destroy computerized data, AHIMA recommends all but which one of the following as methods of destruction?

Accepted Answer

A)  overwriting data with a series of characters 
B)  reformatting the disk 
C)  deleting the file on the disk 
D)  overwriting the backup tapes

Question 9

The best form/graph for demonstrating trends over time would be

Accepted Answer

A)  frequency polygon. 
B)  line graph. 
C)  pie chart. 
D)  histogram.

Question 10

According to the UHDDS, a procedure that is surgical in nature, carries a procedural or anesthetic risk, or requires special training is defined as a

Accepted Answer

A)  principal procedure. 
B)  significant procedure. 
C)  operating room procedure. 
D)  therapeutic procedure.

Question 11

When developing a data collection system, the most effective approach first considers

Accepted Answer

A)  the end user's needs. 
B)  applicable accreditation standards. 
C)  hardware requirements. 
D)  facility preference.

Question 12

A file area has limited space, medium file activity, and two file clerks. The HIM department would benefit from choosing which type of storage equipment?

Accepted Answer

A)  compressible filing units 
B)  lateral filing cabinets 
C)  open shelf files 
D)  motorized revolving units

Question 13

The policy and procedure manual no longer reflects current practices. This situation is a risk management issue because

Accepted Answer

A)  supervisory time and effort will be wasted to correct the manual. 
B)  training of new personnel will not be standardized. 
C)  broad and permissive policy statements cannot commit the organization to a course of action. 
D)  the manual represents the normal course of business.

Question 14

HIM personnel charged with the responsibility of bringing a medical record to court would ordinarily do so in answer to a

Accepted Answer

A)  personal subpoena. 
B)  deposition. 
C)  subpoena duces tecum. 
D)  judgment.

Question 15

A condition that involves the fifth cranial nerve, also known as "tic douloureux," causes intense pain in either the eye and forehead; lower lip, the section of the cheek closest to the ear and the outer segment of the tongue; or the upper lip, nose and cheek.

Accepted Answer

A)  Bell palsy. 
B)  thrush 
C)  trigeminal neuralgia 
D)  Tourette disorder

Question 16

Post-operative hemorrhage resulting in acute blood-loss anemia

Accepted Answer

A)  997.72, 285.1 
B)  999.1, 285.1 
C)  998.11, 285.1 
D)  998.11

Question 17

Based on the information displayed in the decision matrix below, which

Accepted Answer

A)  Vendor A 
B)  Vendor B 
C)  Vendor C 
D)  Vendor D

Question 18

When evaluating a microfilm service bureau, all but which of the following are important factors to rate?

Accepted Answer

A)  cost 
B)  emergency returns 
C)  storage after filming 
D)  cache memory

Question 19

Patient presents to the emergency room with right lower abdominal pains. Emergency room physician suspects possible appendicitis. Patient was taken to the operating room where a laparoscopic appendectomy was performed. Pathology report was negative for appendicitis.

Accepted Answer

A)  44950 
B)  44950; 49320 
C)  44970 
D)  44901

Question 20

Mandatory reporting requirements for vital statistics generally

Accepted Answer

A)  do not require authorization by the patient. 
B)  require authorization by the physician. 
C)  require authorization by the payer. 
D)  do not apply to health care facilities.

Exam 1: Registered Health Information Administrator