Question 1

Before leaving the hospital, all newborns are screened for an autosomal recessive genetic disorder of defective enzymatic conversion in protein metabolism. With early detection and a protein-restricted diet, brain damage is prevented. This disease is

Accepted Answer

A)  cystic fibrosis. 
B)  hereditary hemochromatosis. 
C)  phenylketonuria. 
D)  Tay-Sachs disease.

Question 2

Which of the following is a form or view that is typically seen in the health record of a long-term care patient, but is rarely seen in records of a acute care patients?

Accepted Answer

A)  pharmacy consultation. 
B)  medical consultation. 
C)  physical exam. 
D)  emergency record.

Question 3

Patient was involved in an accident and has been sent to the hospital. During transport the patient develops breathing problems and, upon arrival at the hospital, an emergency transtracheal tracheostomy was performed. Following various x-rays, the patient was diagnosed, with traumatic pneumothorax and a thoracentesis with insertion of tube was performed.

Accepted Answer

A)  31603; 31612 
B)  31610; 32421 
C)  31603; 32422 
D)  31603; 32421

Question 4

Mild mental retardation due to old viral encephalitis

Accepted Answer

A)  319, 049.8 
B)  317, 326 
C)  317, 047.8 
D)  317, 139.0

Question 5

A patient was discharged from the acute care hospital with a final diagnosis of bronchial asthma. As the coder reviews the record, she notes that the patient was described as having prolonged and intractable wheezing, airway obstruction that was not relieved by bronchodilators and the lab values showed decreased respiratory function. The coder queried the physician to determine whether the code for ________ is appropriate to be added to the final diagnoses.

Accepted Answer

A)  acute and chronic bronchitis 
B)  chronic obstructive pulmonary disease 
C)  respiratory failure 
D)  status asthmaticus

Question 6

What type of database model does this simple diagram depict?

Accepted Answer

A)  hierarchical 
B)  network 
C)  relational 
D)  object oriented

Question 7

An example of a primary data source for health care statistics other than the patient health record is the

Accepted Answer

A)  disease index. 
B)  accession register. 
C)  MPI. 
D)  hospital census.

Question 8

Patient requires repair of a 6 cm meningocele.

Accepted Answer

A)  63700 
B)  63709 
C)  63180 
D)  63702

Question 9

The Darling v. Charleston Community Memorial Hospital case established the following doctrine for hospitals to observe and changed the way hospitals dealt with liability.

Accepted Answer

A)  doctrine of respondeat superior 
B)  doctrine of continuing wrong 
C)  doctrine of res ipsa loiter 
D)  doctrine of corporate negligence

Question 10

The ability to obtain the same results from different studies using different methodologies different populations is

Accepted Answer

A)  reliability. 
B)  validity. 
C)  confidence. 
D)  specificity.

Question 11

The main advantage of phonetic filing is

Accepted Answer

A)  typographical errors are eliminated. 
B)  spelling accuracy is encouraged. 
C)  emphasis is placed on a foreign language. 
D)  names that sound alike are filed together.

Question 12

What conclusion can you make from the pie graph below?

Accepted Answer

A)  A pie graph should not be used because there are too many categories for effective display. 
B)  A pie graph should not be used, because the data are representational instead of quantitative 
C)  A pie graph should not be used, because the data are qualitative instead of quantitative. 
D)  A pie graph is a good choice and is often used to display this kind of data.

Question 13

The patient is diagnosed with congestive heart failure. A drug of choice is

Accepted Answer

A)  ibuprofen. 
B)  oxytocin. 
C)  haloperidol. 
D)  digoxin.

Question 14

The American Health Information Management Association conducted a study on job stress and job satisfaction in HIM professionals with,more than 5 years of experience. The data they collected is displayed below. The next five questions will be based on this study and the data collected for it.  The researchers at AHIMA started by assuming there was no relationship between job stress a job satisfaction. This statement is generally called the

Accepted Answer

A)  study statement. 
B)  false assumption. 
C)  null hypothesis. 
D)  correlation statement.

Question 15

In systemic circulation which of the following veins carry oxygenated blood?

Accepted Answer

A)  right vena cava 
B)  renal veins 
C)  varicose veins 
D)  pulmonary veins

Question 16

You work at All Paper Hospital, a small facility with no computerized health information capacity. There are ongoing problems because many departments collect the same data, creating space problems and issues with data discrepancies. You are exhausted with all this data

Accepted Answer

A)  overload. 
B)  similarity. 
C)  transparency. 
D)  redundancy.

Question 17

Grace has been having abdominal pain for several weeks and has been vomiting blood for 2 days. Her physician performs an esophagogastroduodenoscopy and biopsies a lesion in the duodenum. The pathology report indicates Grace has acute and chronic gastritis.

Accepted Answer

A)  532.00, 789.00, 45.13 
B)  535.01, 789.00, 45.16 
C)  535.01, 535.11, 789.00. 45.13 
D)  535.01, 535.11, 45.16

Question 18

A quantitative drug assay was performed for a patient to determine digoxin level.

Accepted Answer

A)  80101 
B)  80050 
C)  80166 
D)  80162

Question 19

Mrs. Jones had an appendectomy on November 1. She was taken back to surgery on November 2 for evacuation of a hematoma of the wound site. Identify the modifier that may be reported for the November 2 visit.

Accepted Answer

A)  -58 
B)  -76 
C)  -78 
D)  -79

Question 20

Maria has received a request to update a patient's insurance number. She accesses the______ and updates the system. What system is she using?

Accepted Answer

A)  executive information system 
B)  clinical decision support system 
C)  admission-discharge-transfer system 
D)  laboratory information system

Exam 1: Registered Health Information Administrator