Question 1

Use the statistics provided in the table to compute the fetal death rate at All Women's Hospital March.

Accepted Answer

A)  4.0% 
B)  1.78% 
C)  2.2% 
D)  1.77%

Question 2

Attempted vaginal delivery in a previous cesarean section patient, which resulted in a repeat cesarean section.

Accepted Answer

A)  59409 
B)  59612 
C)  59620 
D)  59514

Question 3

Comprehensive electrophysiologic evaluation (EPS) with induction of arrhythmia.

Accepted Answer

A)  93618; 93620 
B)  93620 
C)  93640; 93623 
D)  93619; 93620

Question 4

In addition to diagnostic and therapeutic orders from the attending physician, you would expect every completed inpatient health record to contain

Accepted Answer

A)  standing orders. 
B)  telephone orders. 
C)  stop orders. 
D)  discharge order.

Question 5

A culture and sensitivity report was returned to the inpatient unit of Brian Hospital. The sensitivity showed bacterial resistance to the current antibiotic the patient was receiving. The patient continued on the same antibiotic without improvement. A generic quality screen identified this case for review. At a minimum, which committee should review this case?

Accepted Answer

A)  Surgical Case Review 
B)  Safety Committee 
C)  Information Management Committee 
D)  Pharmacy and Therapeutics Committee

Question 6

Ruth is admitted for an axillary lymph node biopsy to determine the cause of her chronic lymphadenitis. She is on medication for gout and atrial fibrillation.

Accepted Answer

A)  289.1, 274.9, 427.31, 40.11 
B)  274.9, 289.2, 427.31, 40:11 
C)  289.1, 427.31, 40.23 
D)  289.1, 427.31, 274.9, 40.51

Question 7

Chronic obstructive pulmonary disease with an exacerbation of acute bronchitis

Accepted Answer

A)  491.22 
B)  496, 466.0 
C)  466.0, 496 
D)  491.22, 466.0

Question 8

Which of the following is NOT included as a part of the minimum data maintained in the MPI?

Accepted Answer

A)  principal diagnosis. 
B)  patient medical record number. 
C)  full name (last, first, and middle). 
D)  date of birth.

Question 9

With data exchange standards, the ability to transfer data from one system to another system called

Accepted Answer

A)  electronic data interchange. 
B)  messaging standards. 
C)  interfaces. 
D)  interoperability.

Question 10

Which of the following describes the act that requires employers to make reasonable accommodations in the workplace for individuals to perform essential job functions?

Accepted Answer

A)  Age Discrimination Act 
B)  Americans with Disabilities Act 
C)  Rehabilitation Act 
D)  Equal Opportunity Employment Act

Question 11

Patient presents to the emergency room with ascites. Paracentesis done.

Accepted Answer

A)  789.30, 54.91 
B)  789.51, 54.91 
C)  789.59, 54.91 
D)  782.3, 54.91

Question 12

Caloric vestibular test using air

Accepted Answer

A)  92543; 92700 
B)  92543; 92543 
C)  92700 
D)  92543

Question 13

A direction to "code first underlying disease" should be considered

Accepted Answer

A)  only when coding inpatient records. 
B)  a mandatory instruction. 
C)  mandatory dependent upon the code selection. 
D)  a suggestion only.

Question 14

Christina is a pharmacy tech and has recently earned her RHIA. She is interviewing to become a. representative of an international pharmaceutical firm. She would work from home, login to the. corporate Web site several times a day, and make calls on various pharmacies in her territory. She would visit headquarters about once a quarter. This proposed work arrangement can best be. described as

Accepted Answer

A)  flex time. 
B)  outsourcing. 
C)  consulting 
D)  telecommuting.

Question 15

Patient presents to the hospital with right ureteral calculus. Patient is taken to the operating room where a cystoscopy with ureteroscopy is performed to remove the calculus.

Accepted Answer

A)  52353 
B)  52310 
C)  51065 
D)  52352

Question 16

A 32-year-old patient has a colonoscopy with removal of three polyps by snare. Moderate sedation was used and provided by the physician. The intraservice time was 30 minutes

Accepted Answer

A)  45385; 45385-51; 45385-51 
B)  45385; 99144 
C)  45385 
D)  45385, 45385-51, 45385-51,99144

Question 17

The Cancer Committee at Wharton General Hospital want sto compare long-term survival rates for pancreatic cancer by evaluating medical versus surgical treatment of the cancer. The best source of this data is the

Accepted Answer

A)  disease index. 
B)  operation index. 
C)  master patient index. 
D)  cancer registry abstracts.

Question 18

Cervical spina bifida with hydrocephalus

Accepted Answer

A)  741.02 
B)  741.93 
C)  741.01 
D)  741.91

Question 19

The Credentials Committee of the medical staff reviews information about applicants for staff membership and makes recommendations for staff appointment and reappointment to the

Accepted Answer

A)  QI/UR Committee. 
B)  Medical Record Committee. 
C)  facility's governing body. 
D)  Director of Health Information Management Services.

Question 20

A surgeon requests the name of a patient he admitted on January 4, 2009. Which of the following would be used to retrieve this information?

Accepted Answer

A)  master patient index 
B)  number index 
C)  admission register 
D)  operation index

Exam 1: Registered Health Information Administrator