Question 1

Patient was admitted with a cystocele and rectocele. An anterior colporrhaphy was performed.

Accepted Answer

A)  57250 
B)  57260 
C)  57240 
D)  57110

Question 2

Drainage of simple external ear abscess

Accepted Answer

A)  69000 
B)  69100 
C)  10060 
D)  69020

Question 3

Crystal has been vomiting for 24 hours with complaint of right lower quadrant pain. Examination is suspicious for acute appendicitis. Crystal is taken to surgery and laparoscopic appendectomy is carried out. Pathological diagnosis is consistent with acute appendicitis.

Accepted Answer

A)  540.0, 997.4, 47.11 
B)  540.0, 997.4, 47.09 
C)  540.9, 997.4, 560.1, 47.01 
D)  997.4, 560.1, 540.9, 47.09

Question 4

According to the Federal Register, the definition of a "new" patient when assigning a CPT Evaluation and Management (medical visit) code to a Medicare hospital outpatient under the prospective payment system is a patient that has

Accepted Answer

A)  not seen the physician within the last 3 years. 
B)  not seen the physician within the last 5 years. 
C)  not already been assigned a medical record number. 
D)  never seen the physician before.

Question 5

Male with urinary incontinence. Sling procedure was performed 6 months ago and now the patient has returned for a revision of the sling procedure.

Accepted Answer

A)  53449 
B)  53442 
C)  53440 
D)  53431

Question 6

Older age, obesity, and family history of diabetes are all characteristics of

Accepted Answer

A)  type I diabetes. 
B)  type II diabetes 
C)  type III diabetes 
D)  type IV diabetes

Question 7

A 32-year-old female known to be HIV positive was admitted with lesions of the anterior trunk. Excisional biopsies of the skin lesions were positive for Kaposi's sarcoma. Further examination revealed thrush.

Accepted Answer

A)  042, 686.00, 112.0, 86.22 
B)  042, 176.0, 112.0, 86.11 
C)  795.71, 176.0, 528.9, 86.] 1 
D)  795.71, 686.00, 528.9, 86.22

Question 8

A patient asked for an amendment to her medical record. The hospital has denied the request. According to HIPAA, this can be done if

Accepted Answer

A)  the facility created the documentation. 
B)  it is part of the designated record set. 
C)  it is accurate and complete. 
D)  it is part of the medical record.

Question 9

As the HIM manager in charge of your department's budget, you are mandated to report on variances of more than 6% either positive or negative to your Chief Financial Officer and include the reasons for the variance and any action plans necessary. Based on the table below for the December variance report, what category would you be required to report on to the CFO?

Accepted Answer

A)  office supplies 
B)  contract services 
C)  travel 
D)  education

Question 10

You recently installed a new computer system and you just learned that the vendor does not ha the right to use one portion of the system. Another company owns the rights to the informa contained in this portion of the system. What clause in your contract would you review to see you are protected from being sued by the other company?

Accepted Answer

A)  warranties 
B)  indemnification 
C)  support 
D)  force majeure

Question 11

Which of the following acts was passed to stimulate the development of standards to facilitate electronic maintenance and transmission of health information?

Accepted Answer

A)  Health Insurance for the Aged 
B)  Health Insurance Portability and Accountability Act 
C)  Conditions of Participation 
D)  Hospital Survey and Construction Act

Question 12

Patient admitted with carotid artery disease and acute cerebral infarction with left hemiparesis, dysphagia, and aphasia. Dysphagia and aphasia have resolved by discharge, but residual hemiparesis remains.

Accepted Answer

A)  433.11, 342.90 
B)  433.11, 434.91, 342.90, 784.3, 787.20 
C)  436, 342.90, 784.3, 787.20 
D)  433.11, 342.90, 784.3, 787.20

Question 13

Which of the following techniques would a facility employ for access control?

Accepted Answer

A)  1 and 4 
B)  1 and 2 only 
C)  2 and 4 only 
D)  all of the above

Question 14

Patient presents to the hospital with ulcer of the right foot. Patient is taken to the operating room where a revision of the right metatarsal head is performed.

Accepted Answer

A)  28104-RT 
B)  28111-RT 
C)  28288-RT 
D)  28899-RT

Question 15

The most fatal type of lungs cancer is

Accepted Answer

A)  adenocarcinomA. 
B)  large cell cancer 
C)  small cell cancer 
D)  squamous cell cancer

Question 16

Laura is 7 years old and has acute bronchitis and cystic fibrosis. She is admitted to ambulatory surgery for bronchoscopy.

Accepted Answer

A)  466.0, 277.00, 33.23 
B)  466.0, 277.01, 33.24 
C)  277.00, 96.56, 33.23 
D)  277.00, 33.23, 33.24, 96.56

Question 17

You want to review the one document in your facility that will spell out the documentation requirements for patient records; designate the time frame for completion by the active medical staff; and indicate the penalties for failure to comply with these record standards. Your best resource will be

Accepted Answer

A)  medical staff bylaws. 
B)  quality management plan. 
C)  Joint Commission accreditation manual. 
D)  medical staff rules and regulations.

Question 18

A stapedectomy is a common treatment for

Accepted Answer

A)  atherosclerosis. 
B)  multiple sclerosis. 
C)  otosclerosis. 
D)  scoliosis.

Question 19

Which of the following is NOT an alternative storage method for paper records?

Accepted Answer

A)  microfilm 
B)  optical imaging 
C)  computer 
D)  outguide

Question 20

The hypothalamus, thalamus, and pituitary gland are all parts of the

Accepted Answer

A)  brainstem. 
B)  cerebellum 
C)  exocrine system 
D)  limbic system

Exam 1: Registered Health Information Administrator