Question 1

Carpal tunnel syndrome is caused by entrapment of the

Accepted Answer

A)  medical nerve. 
B)  tibial nerve. 
C)  radial nerve. 
D)  ulnar nerve.

Question 2

In which of the following circumstances would a data use agreement be required?

Accepted Answer

A)  The hospital is contracting with a new release of information company. 
B)  The IRB is approving the release of a limited data set to researchers. 
C)  The hospital needs to destroy records on the imaging system. 
D)  The hospital needs to destroy records more than 10 years old.

Question 3

Choosing to be in the directory means which of the following?

Accepted Answer

A)  friends and family can find out what room you are in 
B)  your condition can be released to any caller in specific terms 
C)  your condition can be released to the public 
D)  no information can be released

Question 4

Courts have released adoption records based upon

Accepted Answer

A)  the request of the adoptee. 
B)  the request of the biological parent(s). 
C)  the Freedom of Information Act. 
D)  a court order for good cause.

Question 5

What quality indicator would prove useful in tracking customer satisfaction in the correspondence/release of information function?

Accepted Answer

A)  the number of medical record personnel required to perform the function 
B)  the amount of overtime necessary to stay current 
C)  the number of charts pulled for correspondence requests 
D)  the turnaround time from the date a request is received to the date the information is provided to the requester

Question 6

Without even performing any complex calculations, you can get a quick, simple measure of dispersion in the LOS for yesterday's discharges by computing the

Accepted Answer

A)  range of the data set. 
B)  mean of the data set. 
C)  variance of the data set 
D)  coefficient of variation of the data set.

Question 7

Jackie has developed a lesion on her right shoulder. A biopsy was obtained and was positive for malignant melanoma. She is now admitted for radical excision of the melanoma lesion and full-thickness skin graft.

Accepted Answer

A)  172.6, 86.4, 86.63 
B)  172.5, 86.4, 86.63 
C)  173.5, 86.3, 86.63 
D)  172.6, 86.3, 86.63

Question 8

You are preparing data from a series of weight loss studies for display. The data collected during the study is as follows: If you want to allow. the reader to compare the results of Group A with those of Group B on one graphic display, your best choice would be to construct a

Accepted Answer

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

Question 9

Patient is admitted for contact laser vaporization of the prostate. The physician performed a TURP and transurethral resection of the bladder neck at the same time.

Accepted Answer

A)  52648 
B)  52648; 52450; 52500 
C)  52450; 53500 
D)  52648; 52450

Question 10

Which of the following situations violate a patient's privacy?

Accepted Answer

A)  The hospital sends patients who are scheduled for deliveries information on free childbirth classes. 
B)  The physician on the quality improvement committee reviews medical records for potential quality problems. 
C)  The hospital provides patient names and addresses to a pharmaceutical company to be used in a mass mailing of free drug samples. 
D)  The hospital uses aggregate data to determine whether or not to add a new operating room suite.

Question 11

Look at the graph grid displayed above. If you want to follow accepted principles for graph construction, you'll follow the three-quarter-high rule. That means the

Accepted Answer

A)  height of the graph should be three-fourths the length of the graph. 
B)  length of the graph should be three-fourths the height of the graph. 
C)  height of the graph should display three-fourths of the data in the graph. 
D)  length of the graph should display three-fourths of the data in the graph.

Question 12

Reporting the number of incomplete charts over a 6-month period using a run or line chart will prove valuable in the following two ways:

Accepted Answer

A)  The run or line chart data can show how much and how far service goes. 
B)  Over time, the data can reveal trends and point out areas for improvement. 
C)  The data in the run or line chart can indicate the level of customer satisfaction related to transcription errors. 
D)  Over time, the data can reveal an increase in office morale and productivity.

Question 13

In a manual record tracking system, outguides replace a file that has been checked out of the system. A secondary function of outguides is to

Accepted Answer

A)  serve as a visual check for misfiled records. 
B)  expedite correct placement of refilled records. 
C)  enhance the use of file guides. 
D)  cross-reference a file that has been moved forward to a new number.

Question 14

A patient is admitted for treatment of peripheral vascular disease, renal failure, and diabetes mellitus. The coder would

Accepted Answer

A)  assign codes for PVD, renal failure, and diabetes. 
B)  assign codes for diabetes with peripheral vascular and renal manifestations. 
C)  query physician for causal relationship between the PVD, renal failure, and diabetes. 
D)  assign codes of diabetes with PVD and a code for renal failure.

Question 15

Given the following diagnosis: "Carcinoma of axillary lymph nodes and lungs, metastatic from breast." What is the primary cancer site(s)?

Accepted Answer

A)  axillary lymph nodes 
B)  lungs 
C)  breast 
D)  both A and B

Question 16

Health plans that use _________ reimbursement methods issue lump-sum payments to providers to compensate them for all the health care services delivered to a patient fro a specific illness and/or over a specific period of time.

Accepted Answer

A)  episode-of-care (EO
C)  
B)  capitation 
C)  fee-for-service 
D)  bundled

Question 17

Injection snoreplasty for treatment of palatal snoring.

Accepted Answer

A)  42299 
B)  42145 
C)  42999 
D)  40899

Question 18

To comply with ORYX, a nursing home administrator would need to

Accepted Answer

A)  implement RUGS appropriateness screening. 
B)  collect performance measure data that apply to the residents. 
C)  conduct ongoing open record review. 
D)  submit MDS data directly to the Joint Commission.

Question 19

Everyone in the Health Information Department has been working overtime to complete a major record conversion. The supervisor will have to plan for overtime pay for all personnel who are not

Accepted Answer

A)  hourly employees. 
B)  salaried exempt employees. 
C)  salaried nonexempt employees. 
D)  temporary employees.

Question 20

Patient has a bone marrow aspiration of the iliac crest and of the tibia.

Accepted Answer

A)  38220, 38220-59 
B)  38221 
C)  38230 
D)  38220

Exam 1: Registered Health Information Administrator