AHIMA CCA: Exam
1.
A 65-year-old white male was admitted to the hospital on 1/15 complaining of abdominal pain.
The attending physician requested an upper GI series and laboratory evaluation of CBC and UA.
The x-ray revealed possible cholelithiasis, and the UA showed an increased white blood cell
count. The patient was taken to surgery for an exploratory laparoscopy, and a ruptured appendix
was discovered. The chief complaint was:
a. Ruptured appendix
b. Exploratory laparoscopy
c. Abdominal pain
d. Cholelithiasis - Ans ✔c. Abdominal pain
The nature and duration of the symptoms that caused the patient to seek medical attention as
stated in the patient's own words (Odom-Wesley et al. 2009, 331).
2.
84. An individual stole and used another person's insurance information to obtain medical care.
This action would be considered:
a. Violation of bioethics
b. Fraud and abuse
c. Medical identity thef
d. Abuse - Ans ✔c. Medical identity thef
,Correct Answer: 84. c. Medical identity thef occurs when someone uses a person's name and
sometimes other parts of their identity without the victim's knowledge or consent to obtain
medical services or goods (Johns 2011, 773).
3.
Identify the ICD-9-CM diagnostic code(s) for acute osteomyelitis of ankle due to Staphylococcus.
a. 730.06
b. 730.07
c. 730.07, 041.1
d. 730.07, 041.10 - Ans ✔d. 730.07, 041.10
Correct Answer: D Index Osteomyelitis, acute or subacute. Refer to the table in the Index for the
fifh digit 5, ankle and foot. Infection, staphylococcal NEC (Schraffenberger 2012, 305-306).
4.
A system that provides alerts and reminders to clinicians is a(n):
a. Clinical decision support system
b. Electronic data interchange
c. Point of care charting system
,d. Knowledge database - Ans ✔Correct Answer: A Clinical decision support includes providing
documentation of clinical findings and procedures, active reminders about medication
administration, suggestions for prescribing less expensive but equally effective drugs, protocols
for certain health maintenance procedures, alerts that a duplicate lab test is being ordered, and
countless other decision-making aids for all stakeholders in the care process (Johns 2011, 138).
5.
What does an audit trail check for?
a. Unauthorized access to a system
b. Loss of data
c. Presence of a virus
d. Successful completion of a backup - Ans ✔Correct Answer: A
Audit trails can provide tracking information such as who accessed which records and for what
purpose (Johns 2011, 403).
6.
This is a condition with an imprecise diagnosis with various characteristics. The condition may be
diagnosed when a patient presents with sinus arrest, sinoatrial exit block, or persistent sinus
bradycardia. This syndrome is ofen the result of drug therapy, such as digitalis, calcium channel
blockers, beta-blockers, sympatholytic agents, or antiarrhythmics. Another presentation includes
recurrent supraventricular tachycardias associated with bradyarrhythmias. Prolonged
ambulatory monitoring may be indicated to establish a diagnosis of this condition. Treatment
includes insertion of a permanent cardiac pacemaker.
a. Atrial fibrillation (427.31)
b. Atrial flutter (427.32)
, c. Paroxysmal supraventricular tachycardia (427.0)
d. Sick sinus syndrome (SSS) (427.81) - Ans ✔d. Sick sinus syndrome (SSS) (427.81)
Correct Answer: D SSS is the imprecise diagnosis with various characteristics treated with the
insertion of a permanent cardiac pacemaker. The other three conditions are treated with
cardioversion and different pharmacological therapy (Schraffenberger 2012, 194-195).
7.
Identify the ICD-9-CM diagnostic code for primary localized osteoarthrosis of the hip.
a. 715.95
b. 715.15
c. 721.90
d. 715.16 - Ans ✔b. 715.15
Correct Answer: B Index Osteoarthrosis, localized, primary. For category 715, refer to the table
for the fifh digit of 5 for pelvic region and thigh (Schraffenberger 2012, 303-304).
8.
A health record with deficiencies that is not complete within the timeframe specified in the
medical staff rules and regulations is called a(n):
a. Suspended record
1.
A 65-year-old white male was admitted to the hospital on 1/15 complaining of abdominal pain.
The attending physician requested an upper GI series and laboratory evaluation of CBC and UA.
The x-ray revealed possible cholelithiasis, and the UA showed an increased white blood cell
count. The patient was taken to surgery for an exploratory laparoscopy, and a ruptured appendix
was discovered. The chief complaint was:
a. Ruptured appendix
b. Exploratory laparoscopy
c. Abdominal pain
d. Cholelithiasis - Ans ✔c. Abdominal pain
The nature and duration of the symptoms that caused the patient to seek medical attention as
stated in the patient's own words (Odom-Wesley et al. 2009, 331).
2.
84. An individual stole and used another person's insurance information to obtain medical care.
This action would be considered:
a. Violation of bioethics
b. Fraud and abuse
c. Medical identity thef
d. Abuse - Ans ✔c. Medical identity thef
,Correct Answer: 84. c. Medical identity thef occurs when someone uses a person's name and
sometimes other parts of their identity without the victim's knowledge or consent to obtain
medical services or goods (Johns 2011, 773).
3.
Identify the ICD-9-CM diagnostic code(s) for acute osteomyelitis of ankle due to Staphylococcus.
a. 730.06
b. 730.07
c. 730.07, 041.1
d. 730.07, 041.10 - Ans ✔d. 730.07, 041.10
Correct Answer: D Index Osteomyelitis, acute or subacute. Refer to the table in the Index for the
fifh digit 5, ankle and foot. Infection, staphylococcal NEC (Schraffenberger 2012, 305-306).
4.
A system that provides alerts and reminders to clinicians is a(n):
a. Clinical decision support system
b. Electronic data interchange
c. Point of care charting system
,d. Knowledge database - Ans ✔Correct Answer: A Clinical decision support includes providing
documentation of clinical findings and procedures, active reminders about medication
administration, suggestions for prescribing less expensive but equally effective drugs, protocols
for certain health maintenance procedures, alerts that a duplicate lab test is being ordered, and
countless other decision-making aids for all stakeholders in the care process (Johns 2011, 138).
5.
What does an audit trail check for?
a. Unauthorized access to a system
b. Loss of data
c. Presence of a virus
d. Successful completion of a backup - Ans ✔Correct Answer: A
Audit trails can provide tracking information such as who accessed which records and for what
purpose (Johns 2011, 403).
6.
This is a condition with an imprecise diagnosis with various characteristics. The condition may be
diagnosed when a patient presents with sinus arrest, sinoatrial exit block, or persistent sinus
bradycardia. This syndrome is ofen the result of drug therapy, such as digitalis, calcium channel
blockers, beta-blockers, sympatholytic agents, or antiarrhythmics. Another presentation includes
recurrent supraventricular tachycardias associated with bradyarrhythmias. Prolonged
ambulatory monitoring may be indicated to establish a diagnosis of this condition. Treatment
includes insertion of a permanent cardiac pacemaker.
a. Atrial fibrillation (427.31)
b. Atrial flutter (427.32)
, c. Paroxysmal supraventricular tachycardia (427.0)
d. Sick sinus syndrome (SSS) (427.81) - Ans ✔d. Sick sinus syndrome (SSS) (427.81)
Correct Answer: D SSS is the imprecise diagnosis with various characteristics treated with the
insertion of a permanent cardiac pacemaker. The other three conditions are treated with
cardioversion and different pharmacological therapy (Schraffenberger 2012, 194-195).
7.
Identify the ICD-9-CM diagnostic code for primary localized osteoarthrosis of the hip.
a. 715.95
b. 715.15
c. 721.90
d. 715.16 - Ans ✔b. 715.15
Correct Answer: B Index Osteoarthrosis, localized, primary. For category 715, refer to the table
for the fifh digit of 5 for pelvic region and thigh (Schraffenberger 2012, 303-304).
8.
A health record with deficiencies that is not complete within the timeframe specified in the
medical staff rules and regulations is called a(n):
a. Suspended record
