Question 1

Diabetic macular or retinal edema

Accepted Answer

A)  250.51, 362.07, 262.02 
B)  362.07, 250.51, 362.02 
C)  250.50, 362.07, 362.01 
D)  362.05, 362.07, 250.50

Question 2

Photophobia or visual aura preceding a headache is characteristic of

Accepted Answer

A)  malnutrition. 
B)  mastitis. 
C)  migraines 
D)  myasthenia gravis

Question 3

You are the coding supervisor at a large inpatient facility. Recently, there has been an increase in coding errors. You have a meeting with your coders to discuss possible reasons for the problem. The group agrees on the reasons listed below:  Having determined a good list of possible reasons for the increase in coding errors, you would like to have your coders help you determine where you should place your problem resolution efforts first. Your best bet for achieving consensus is to use

Accepted Answer

A)  brainstorming. 
B)  nominal group technique. 
C)  force field analysis. 
D)  affinity grouping.

Question 4

Osteopathic manipulative treatment to three body regions.

Accepted Answer

A)  98926 
B)  98941 
C)  97110 
D)  97012

Question 5

A pathological diagnosis of transitional cell carcinoma is made. The examined tissue was removed from the

Accepted Answer

A)  bladder. 
B)  esophagus 
C)  oral cavity 
D)  pleura

Question 6

Based on this patient volume, the MS-DRG which brings in the highest total profit to the hospital is

Accepted Answer

A)  470. 
B)  247. 
C)  392. 
D)  It cannot be determined from this information.

Question 7

Historic accomplishments impacting quality in medical care include all EXCEPT

Accepted Answer

A)  ensuring competent practitioners. 
B)  Darling v. Charleston Community Hospital. 
C)  implementation of OTRA. 
D)  medical education reform (Flexner report findings).

Question 8

Which of the following is a secondary data source that be used dsto quickly gather the health records of all juvenile patients treated for diabetes within the past 6 months?

Accepted Answer

A)  disease index. 
B)  patient register. 
C)  pediatric census sheet. 
D)  procedure index.

Question 9

Eighty-year-old patient has carcinoma and presents to the operating room for placement of a tunneled implantable centrally inserted venous access port.

Accepted Answer

A)  36558 
B)  36571 
C)  36561 
D)  36481

Question 10

Which statement is an inaccurate description of the organization chart shown?

Accepted Answer

A)  The director has authority over others in the department. 
B)  The director has subordinates. 
C)  The assistant director and the supervisor have a lateral relationship. 
D)  The tumor registrar has authority over the assistant director.

Question 11

Looking at the data represented in the scatter diagram below, you would conclude that there is

Accepted Answer

A)  no correlation between Variable A and Variable B 
B)  a positive correlation between Variable A and Variable B 
C)  a negative correlation between Variable A and variable B 
D)  a cause and effect relationship between Variable A and Variable B

Question 12

Referring to the data in the previous question, determine the delinquent record rate for Springfield Hospital.

Accepted Answer

A)  55%. 
B)  32%. 
C)  33%. 
D)  54%.

Question 13

Dr. Brown has just approved the patient's request to amend the medical record. Dr. Brown has routed the request with his approval to the HIM Department. What should the HIM Department do?

Accepted Answer

A)  File the request where the erroneous information is located. 
B)  File the request where the erroneous information is located and send a copy of the amendment to anyone who has a copy of the erroneous information. 
C)  File in the front of the chart. 
D)  File the request where the erroneous information is located and send a copy of the amendment to anyone who has a copy of the erroneous information plus anyone the patient requests.

Question 14

Excision of simple internal and external hemorrhoids

Accepted Answer

A)  46255 
B)  46945 
C)  46221 
D)  46260

Question 15

Max is 80% bald. He is admitted for a hair transplant, which he undergoes without complication. Max is also treated for congestive heart failure and hypertension for which he is on medication.

Accepted Answer

A)  704.00, 402.91, 86.64 
B)  704.8, 401.9, 428.0, 86.64 
C)  704.00, 401.9, 428.0, 86.64 
D)  704.8, 402.91, 86.64

Question 16

John had a car accident on 1-65 in Birmingham while traveling from Michigan to Mobile. John is vague on his medical history. Which of the following could BEST help the physicians in the ER give him quality care?

Accepted Answer

A)  personal health record 
B)  RHIO 
C)  EHR 
D)  data warehouse

Question 17

A 69-year-old established female patient presents to the office with chronic obstructive lung disease, congestive heart failure, and hypertension. The physician conducts a comprehensive history and physical examination and makes a medical decision of moderate complexity. Physician admits the patient from the office to the hospital for acute exacerbation of CHF.

Accepted Answer

A)  402.91; 496; 99214 
B)  428.0; 496; 401.1; 99223 
C)  428.0; 496; 401.9; 99222 
D)  402.91; 496; 401.1; 99212

Question 18

Distole occurs when

Accepted Answer

A)  cardiac insufficiency is present 
B)  the atria contracts. 
C)  the ventricles contract. 
D)  the ventricles fill.

Question 19

Dizziness and blurred vision following ingestion of prescribed Allegra and a glass of wine at dinner would be reported as a(n)

Accepted Answer

A)  poisoning. 
B)  adverse reaction to a drug. 
C)  late effect of a poisoning. 
D)  late effect of an adverse reaction

Question 20

In preparing the retention schedule for health records, the most concrete guidance in determining when records may be destroyed will be

Accepted Answer

A)  the average readmission rate for the facility. 
B)  the available options for inactive records. 
C)  the statute of limitations in your state. 
D)  Joint Commission and AOA standards regarding minimum retention periods.

Exam 1: Registered Health Information Administrator