CAISS EXAM CERTIFICATION EXAM 2 LATEST VERSIONS ACTUAL EXAM
400 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
Origins of AIS (3) - ANSWER: 1) Standardized system
2) Classify type/severity of injury from MVC
3) Consensus
Injury descriptors are organized _________________________ ? - ANSWER:
Anatomically
Injury severity is ranked relative to its importance to _______________? - ANSWER:
The whole body
AIS reflects severity of single injuries and are unaffected by what three things? -
ANSWER: 1) time
2) sequela
3) outcome
What type of scale does AIS use? - ANSWER: 6 point ordinal scale
Which type of measurement is more variable? Anatomic or Physiologic? - ANSWER:
Physiologic
Is clinical training necessary for collecting injury data? - ANSWER: NO
AIS is based on what three (3) factors? - ANSWER: 1) anatomically- based
2) consensus driven
3) global
Severity is NOT contingent upon what two (2) factors? - ANSWER: 1) Outcome
2) time
Numerical ranking of severity: 1 - ANSWER: minor
Numerical ranking of severity: 2 - ANSWER: moderate
Numerical ranking of severity: 3 - ANSWER: serious
Numerical ranking of severity: 4 - ANSWER: severe
Numerical ranking of severity: 5 - ANSWER: critical
Numerical ranking of severity: 6 - ANSWER: maximum (currently untreatable)
Is mortality a sole determinant of AIS severity? - ANSWER: NO
,Are all AIS data comparable from year to year? - ANSWER: NO (updates)
Is "DEATH" part of the severity scale? - ANSWER: NO
Is a patient who dies automatically assigned the highest AIS severity of 6? - ANSWER:
NO (patients w/ minor injuries can die)
Does a linear relationship exist between AIS severity codes? - ANSWER: NO (AIS 4 is
more, NOT twice as severe as AIS 2)
Are all injuries within the same AIS code strictly compatible? - ANSWER: NO (tibia fx
& alveolar ridge are both AIS - 2, although one may be worse than the other, both
are considered 'moderate')
What AIS code is assigned to a patient with inadequate information regarding an
injury? - ANSWER: 9
AIS single digit severity codes are based on what type of patient? - ANSWER: Average
What four (4) things define the "average" patient? - ANSWER: 1) 25-40 yrs old
2) no pre-existing conditions
3) no tx complications
4) received timely/appropriate care
Approximately how many injury descriptors are included in AIS? - ANSWER: 2000
What part of the AIS code is considered the "Pre-Dot Code?" - ANSWER: 6 digits
BEFORE the decimal point (left)
What part of the AIS code is considered the "AIS Severity Number?" - ANSWER:
single digit after the decimal (right)
(T/F) The 6 digit pre-dot codes are unique and allow for more specificity and
accurate coding? - ANSWER: TRUE
The first digit in the pre-dot code corresponds to what? - ANSWER: Body Region
The second digit in the pre-dot code corresponds to what? - ANSWER: Type of
anatomic structure (skeletal, solid organ)
The third/fourth digits in the pre-dot code correspond to what? - ANSWER: Specific
anatomic structure (femur)
The fifth/sixth digits in the pre-dot code correspond to what? - ANSWER: Level of
injury within the specific body region and anatomic structure (NFS, minor, major)
,Parenthesis in the AIS dictionary indicate what? - ANSWER: synonyms or definitions
for injury types
Brackets in the AIS dictionary indicate what? - ANSWER: inclusionary/exclusionary
info, OIS Grades
Boxed bold type in the AIS dictionary indicates what? - ANSWER: directions to help
coder choose appropriate code
Semicolons in the AIS dictionary indicate what? - ANSWER: separate injury
descriptors that are comparable in severity
Italics in the AIS dictionary indicate what? - ANSWER: proper-named
injuries/structures, OIS grades
Does AIS assess the severity of multiple injuries? - ANSWER: NO (single injury
severity only)
The injury Severity Score (ISS) is defined as what? - ANSWER: Sum of the squares of
highest AIS in each of three most severely injured ISS body regions.
What are the six body regions used in the ISS? - ANSWER: 1) head & neck
2) face
3) chest
4) abdomen & pelvic organs
5) extremities & pelvis
6) external
Asphyxia is assigned to which ISS region? - ANSWER: Head and Neck
Drowning is assigned to which ISS region? - ANSWER: Chest
Lumbar spine lesions would be assigned to which ISS region? - ANSWER: Abdomen &
pelvic contents
Are external injuries coded independent of their body region? - ANSWER: YES
Hypothermia, electrical injuries, and whole body injuries are coded to which ISS
region? - ANSWER: External
The ISS score ranged from _____ to _____ ? - ANSWER: 1 to 75
What are the two ways an ISS of 75 can be achieved? - ANSWER: 1) AIS of 5 in each
of three different body regions
2) AIS of 6 in a single body region
Do patients with an AIS 9 achieve an accurate ISS score? - ANSWER: NO
, Can less than three regions be used to calculate an ISS? - ANSWER: YES
Can more than three regions be used to calculate an ISS? - ANSWER: NO
Do all ISS scores have the same mortality rates? - ANSWER: NO (depends on body
regions affected)
Assigning injuries to too few body regions results in what? - ANSWER:
underestimation of ISS
Assigning injuries to too many body regions results in what? - ANSWER:
overestimation of ISS
Are complications or sequela included in the definition of an injury? - ANSWER: NO
Define injury? - ANSWER: Anatomic lesion resulting from transfer of injury.
List seven (7) examples of sequela that are coded in AIS as injuries? - ANSWER: 1)
HTX/PTX
2) retroperitoneal hemorrhage
3) cerebral edema/swelling
4) ischemic brain damage r/t head trauma
5) blood loss
6) asphyxia
7) compartment syndrome
Are preliminary (suspected, possible, rule out) dx codeable? - ANSWER: NO
Are all clinical dx alone codeable? - ANSWER: NO (some require radiologic/autopsy
findings)
Cranial nerve contusion is coded when there is what documented? - ANSWER:
weakness/paresthesia subtotal loss of function
Cranial nerve laceration is coded when what is documented? - ANSWER:
paralysis/total loss of function
What five (5) physical signs/manifestations are codeable as basilar skull fx? -
ANSWER: 1) raccoon's eyes (periorbital ecchymosis)
2) Battle's sign (mastoid ecchymosis)
3) CSF rhinorrhea
4) CSF otorrhea
5) hemotympanum
What must also exists to code a basilar skull fx when only physical manifestations are
present? - ANSWER: evidence of head trauma (not r/t facial fx/injury)
400 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(VERIFIED ANSWERS) |ALREADY GRADED A+
Origins of AIS (3) - ANSWER: 1) Standardized system
2) Classify type/severity of injury from MVC
3) Consensus
Injury descriptors are organized _________________________ ? - ANSWER:
Anatomically
Injury severity is ranked relative to its importance to _______________? - ANSWER:
The whole body
AIS reflects severity of single injuries and are unaffected by what three things? -
ANSWER: 1) time
2) sequela
3) outcome
What type of scale does AIS use? - ANSWER: 6 point ordinal scale
Which type of measurement is more variable? Anatomic or Physiologic? - ANSWER:
Physiologic
Is clinical training necessary for collecting injury data? - ANSWER: NO
AIS is based on what three (3) factors? - ANSWER: 1) anatomically- based
2) consensus driven
3) global
Severity is NOT contingent upon what two (2) factors? - ANSWER: 1) Outcome
2) time
Numerical ranking of severity: 1 - ANSWER: minor
Numerical ranking of severity: 2 - ANSWER: moderate
Numerical ranking of severity: 3 - ANSWER: serious
Numerical ranking of severity: 4 - ANSWER: severe
Numerical ranking of severity: 5 - ANSWER: critical
Numerical ranking of severity: 6 - ANSWER: maximum (currently untreatable)
Is mortality a sole determinant of AIS severity? - ANSWER: NO
,Are all AIS data comparable from year to year? - ANSWER: NO (updates)
Is "DEATH" part of the severity scale? - ANSWER: NO
Is a patient who dies automatically assigned the highest AIS severity of 6? - ANSWER:
NO (patients w/ minor injuries can die)
Does a linear relationship exist between AIS severity codes? - ANSWER: NO (AIS 4 is
more, NOT twice as severe as AIS 2)
Are all injuries within the same AIS code strictly compatible? - ANSWER: NO (tibia fx
& alveolar ridge are both AIS - 2, although one may be worse than the other, both
are considered 'moderate')
What AIS code is assigned to a patient with inadequate information regarding an
injury? - ANSWER: 9
AIS single digit severity codes are based on what type of patient? - ANSWER: Average
What four (4) things define the "average" patient? - ANSWER: 1) 25-40 yrs old
2) no pre-existing conditions
3) no tx complications
4) received timely/appropriate care
Approximately how many injury descriptors are included in AIS? - ANSWER: 2000
What part of the AIS code is considered the "Pre-Dot Code?" - ANSWER: 6 digits
BEFORE the decimal point (left)
What part of the AIS code is considered the "AIS Severity Number?" - ANSWER:
single digit after the decimal (right)
(T/F) The 6 digit pre-dot codes are unique and allow for more specificity and
accurate coding? - ANSWER: TRUE
The first digit in the pre-dot code corresponds to what? - ANSWER: Body Region
The second digit in the pre-dot code corresponds to what? - ANSWER: Type of
anatomic structure (skeletal, solid organ)
The third/fourth digits in the pre-dot code correspond to what? - ANSWER: Specific
anatomic structure (femur)
The fifth/sixth digits in the pre-dot code correspond to what? - ANSWER: Level of
injury within the specific body region and anatomic structure (NFS, minor, major)
,Parenthesis in the AIS dictionary indicate what? - ANSWER: synonyms or definitions
for injury types
Brackets in the AIS dictionary indicate what? - ANSWER: inclusionary/exclusionary
info, OIS Grades
Boxed bold type in the AIS dictionary indicates what? - ANSWER: directions to help
coder choose appropriate code
Semicolons in the AIS dictionary indicate what? - ANSWER: separate injury
descriptors that are comparable in severity
Italics in the AIS dictionary indicate what? - ANSWER: proper-named
injuries/structures, OIS grades
Does AIS assess the severity of multiple injuries? - ANSWER: NO (single injury
severity only)
The injury Severity Score (ISS) is defined as what? - ANSWER: Sum of the squares of
highest AIS in each of three most severely injured ISS body regions.
What are the six body regions used in the ISS? - ANSWER: 1) head & neck
2) face
3) chest
4) abdomen & pelvic organs
5) extremities & pelvis
6) external
Asphyxia is assigned to which ISS region? - ANSWER: Head and Neck
Drowning is assigned to which ISS region? - ANSWER: Chest
Lumbar spine lesions would be assigned to which ISS region? - ANSWER: Abdomen &
pelvic contents
Are external injuries coded independent of their body region? - ANSWER: YES
Hypothermia, electrical injuries, and whole body injuries are coded to which ISS
region? - ANSWER: External
The ISS score ranged from _____ to _____ ? - ANSWER: 1 to 75
What are the two ways an ISS of 75 can be achieved? - ANSWER: 1) AIS of 5 in each
of three different body regions
2) AIS of 6 in a single body region
Do patients with an AIS 9 achieve an accurate ISS score? - ANSWER: NO
, Can less than three regions be used to calculate an ISS? - ANSWER: YES
Can more than three regions be used to calculate an ISS? - ANSWER: NO
Do all ISS scores have the same mortality rates? - ANSWER: NO (depends on body
regions affected)
Assigning injuries to too few body regions results in what? - ANSWER:
underestimation of ISS
Assigning injuries to too many body regions results in what? - ANSWER:
overestimation of ISS
Are complications or sequela included in the definition of an injury? - ANSWER: NO
Define injury? - ANSWER: Anatomic lesion resulting from transfer of injury.
List seven (7) examples of sequela that are coded in AIS as injuries? - ANSWER: 1)
HTX/PTX
2) retroperitoneal hemorrhage
3) cerebral edema/swelling
4) ischemic brain damage r/t head trauma
5) blood loss
6) asphyxia
7) compartment syndrome
Are preliminary (suspected, possible, rule out) dx codeable? - ANSWER: NO
Are all clinical dx alone codeable? - ANSWER: NO (some require radiologic/autopsy
findings)
Cranial nerve contusion is coded when there is what documented? - ANSWER:
weakness/paresthesia subtotal loss of function
Cranial nerve laceration is coded when what is documented? - ANSWER:
paralysis/total loss of function
What five (5) physical signs/manifestations are codeable as basilar skull fx? -
ANSWER: 1) raccoon's eyes (periorbital ecchymosis)
2) Battle's sign (mastoid ecchymosis)
3) CSF rhinorrhea
4) CSF otorrhea
5) hemotympanum
What must also exists to code a basilar skull fx when only physical manifestations are
present? - ANSWER: evidence of head trauma (not r/t facial fx/injury)
