Question 1

"Pill-rolling" tremor is a characteristic symptom of

Accepted Answer

A)  epilepsy. 
B)  Guillain-Barre syndrome. 
C)  myasthenia gravis. 
D)  Parkinson disease.

Question 2

If a participating provider's usual fee for a service is $700.00 and Medicare's allowed amount is $450.00, what amount is written off by the physician?

Accepted Answer

A)  none of it is written off. 
B)  $250.00 
C)  $450.00 
D)  $391.00

Question 3

The Conditions of Participation requires that the medical staff bylaws, rules, and regulations address the status of consultants. Which of the following reports would normally be considered a consultation?

Accepted Answer

A)  tissue examination done by the pathologist 
B)  impressions of a cardiologist asked to determine whether patient is a good surgical risk 
C)  interpretation of a radiologic study 
D)  technical interpretation of electrocardiogram

Question 4

The major purpose of random assignment in a clinical trial is to

Accepted Answer

A)  reduce selection bias in allocation of treatment. 
B)  help ensure that study subjects are representative of the general population. 
C)  facilitate double-blinding. 
D)  ensure that the study groups are comparable on baseline characteristics.

Question 5

Injection of anesthesia for nerve block of the brachial plexus

Accepted Answer

A)  64415 
B)  64413 
C)  64530 
D)  64510

Question 6

Estelle has had nausea and vomiting and is unable to eat. She develops dehydration and is subsequently admitted for rehydration with intravenous fluids.

Accepted Answer

A)  276.51, 787.01 
B)  276.51 
C)  276.51, 787.02 
D)  276.51, 787.02, 787.03

Question 7

Patient undergoes x-ray of the foot with three views.

Accepted Answer

A)  73620 
B)  73610 
C)  73630 
D)  27648; 73615

Question 8

A preliminary step prior to issuing a formal RFP, which allows the facility to narrow down the field of potential vendors for procurement of a new hospital-wide computer system, would be to

Accepted Answer

A)  select the system to be purchased. 
B)  create a Gantt chart to monitor project progress. 
C)  issue a request for information (RFI) to potential vendors. 
D)  initiate contract negotiations.

Question 9

In ___________ anemia the red blood cells become shaped like elongated crescents in the presence of low oxygen concentration.

Accepted Answer

A)  aplastic 
B)  folic acid 
C)  sickle cell 
D)  Vitamin B

Question 10

Trauma patient is rushed to the operating room with multiple injuries. The patient had his spleen, removed due to massive rupture with repair of lacerated diaphragm.

Accepted Answer

A)  38115; 39501 
B)  38120; 39599 
C)  38102; 39540 
D)  38100; 39501

Question 11

This is the amount the facility actually bills for the services it provides.

Accepted Answer

A)  costs 
B)  charge accounting 
C)  reimbursement 
D)  contractual allowance

Question 12

Select the appropriate situation for which a final progress note may legitimately be substituted for a discharge summary in an inpatient medical record.

Accepted Answer

A)  patient admitted with COPD 1/4/2008 and discharged 1/7/2008 
B)  Baby Boy Hiltz's born 1/5/2008, maintained normal status, discharged 1/7/2008 
C)  Baby Boy Hiltz's mother admitted 1/5/2008, C-section delivery, discharged 1/7/2008 
D)  Baby Boy Doe admitted 1/3/2008, died 1/4/2008

Question 13

Carson surveyed members of AHIMA's student CoP regarding the relationship between clinical experiences and job opportunities. All respondents were seniors in HIA programs and each one expected to graduate and take the national exam within the next 6 months. Fifteen of the eighteen respondents indicated at least one clinical rotation had resulted in a job offer. Based on this information, Carson expects to be offered a job during senior clinical rotations. Carson is basing this expectation on

Accepted Answer

A)  scientific inquiry. 
B)  empiricism. 
C)  inductive reasoning. 
D)  deductive reasoning.

Question 14

The EHR system selection committee evaluated three systems on a scale of 1-3 with a score being the best. The priority is ranked on a scale of 1-3 with 3 being the highest. Based on evaluation above, which of the following systems should be purchased?

Accepted Answer

A)  system A 
B)  system B 
C)  system C 
D)  none of the above

Question 15

If there is more than one patient with the identical last name, first name, and middle initial, the master patient index entries are then arranged according to

Accepted Answer

A)  date of birth. 
B)  date of admission. 
C)  social security number. 
D)  mother's maiden name.

Question 16

Which of the following is false in regard to budget variances?

Accepted Answer

A)  Variances are often calculated on the monthly budget report. 
B)  Permanent budget variances do not resolve during the current fiscal year. 
C)  A variance analysis identifies whether the variance is favorable or unfavorable. 
D)  Temporary budget variances are expected to continue in subsequent months.

Question 17

Patient came in for excision of a middle ear lesion.

Accepted Answer

A)  11440 
B)  69540 
C)  69552 
D)  69535

Question 18

A patient is admitted to the hospital with listlessness, fever, and persistent cough. Work-up reveals HIV infection with HIV-related pneumonia. The patient is treated for pneumonia.

Accepted Answer

A)  486, 042 
B)  042, 486 
C)  486,795.71 
D)  486, V08

Question 19

Most carbon dioxide is carried in the

Accepted Answer

A)  blood as CO2 gas. 
B)  blood bound to hemoglobin 
C)  blood plasma in the form of carbonic acid. 
D)  red blood cells

Question 20

Joint Commission standards require that a complete history and physical be documented on the health records of operative patients. Does this report carry a time requirement?

Accepted Answer

A)  yes, within 8 hours post-surgery. 
B)  no, as long as it is dictated before surgery. 
C)  yes, prior to surgery. 
D)  yes, within 24 hours post-surgery.

Exam 1: Registered Health Information Administrator