AHIMA CCA: EXAM 2024 WITH 100% ACC
m m m m m m
URATE SOLUTIONS m
1.
Am65-year-
oldmwhite mmale mwasmadmittedmtomthemhospitalmonm1/15mcomplainingmofmabdominalmpain.mThemattending
m physician m requested m anm upperm GIm series m andm laboratory m evaluation m of m CBCm andm UA. m The m x-
raymrevealedmpossible mcholelithiasis, mandmthemUAmshowedmanmincreasedmwhite mbloodmcellmcount.mThempa
tientmwasmtakenmtomsurgerymformanmexploratorymlaparoscopy,mandmamrupturedmappendix mwasmdiscovered.
m The m chief m complaintm was:
a.mRupturedmappendix
b.mExploratorymlaparoscopy
c.mAbdominalmpain
d.mCholelithiasism-mcorrectmanswer✔✔mc.mAbdominalmpain
The mnature mandmdurationmofmthemsymptomsmthatmcausedmthempatientmtomseekmmedicalmattentionmasmstat
edminmthe mpatient'smownmwordsm(Odom-Wesleymetmal.m2009,m331).
2.
84.mAnmindividualmstole mandmusedmanothermperson'sminsuranceminformationmtomobtainmmedicalmcare.mThi
smactionmwouldmbe mconsidered:
m a.mViolationmofmbioethics
b.mFraudmandmabuse
,m c.mMedicalmidentitymtheft
m d.mAbuse m-mcorrectmanswer✔✔mc.mMedicalmidentitymtheft
CorrectmAnswer:m84.mc.mMedicalmidentitymtheftmoccursmwhenmsomeonemusesmamperson'smnamemandmsome
timesmothermpartsmofmtheirmidentitymwithoutmthemvictim'smknowledgemormconsentmtomobtainmmedicalmserv
icesmormgoodsm(Johnsm2011,m773).
3.
Identifymthe mICD-9-CMmdiagnosticmcode(s) mformacute mosteomyelitismofmankle mdue mtomStaphylococcus.
a.m730.06
b.m730.07
c.m730.07,m041.1
d.m730.07,m041.10m-mcorrectmanswer✔✔md.m730.07,m041.10
CorrectmAnswer:mDmIndex mOsteomyelitis, macutemormsubacute.mRefermtomthemtable minmthe mIndex mformthe mfif
thmdigitm5,mankle mandmfoot.mInfection,mstaphylococcalmNECm(Schraffenbergerm2012,m305-306).
4.
Amsystemmthatmprovidesmalertsmandmremindersmtomcliniciansmisma(n):
a.mClinicalmdecisionmsupportmsystem
b.mElectronicmdataminterchange
c.mPointmofmcare mchartingmsystem
,d.mKnowledge mdatabase m-
m correctm answer✔✔mCorrectmAnswer:mA mClinicalm decision msupportmincludes mprovidingmdocumentation mof
m clinicalm findings m andm procedures, mactivem reminders maboutm medication m administration, msuggestions m form
prescribingmlessmexpensivembutmequallymeffective mdrugs,mprotocolsmformcertainmhealthmmaintenance mproc
edures,malertsmthatmamduplicate mlabmtestmismbeingmordered,mandmcountlessmothermdecision-
makingmaidsmformallmstakeholdersminmthe mcare mprocessm(Johnsm2011,m138).
5.
Whatmdoesmanmauditmtrailmcheckmfor?
a.mUnauthorizedmaccessmtomamsystem
b.mLossmof mdata
c.mPresence mof mamvirus
d.mSuccessfulmcompletionmofmambackupm-mcorrectmanswer✔✔mCorrectmAnswer:mAm
Auditmtrailsmcanmprovidemtrackingminformationmsuchmasmwhomaccessedmwhichmrecordsmandmformwhatmpur
pose m(Johnsm2011,m403).
6.
Thismismamconditionmwithmanmimprecise mdiagnosismwithmvariousmcharacteristics.mThemconditionmmaymbemdi
agnosedmwhenmampatientmpresentsmwithmsinusmarrest,msinoatrialmexitmblock,mormpersistentmsinusmbradycar
dia.mThismsyndromemismoftenmthemresultmofmdrugmtherapy,msuchmasmdigitalis,mcalciummchannelmblockers,mb
eta-
blockers,msympatholyticmagents,mormantiarrhythmics.mAnothermpresentationmincludesmrecurrentmsuprave
ntricularmtachycardiasmassociatedmwithmbradyarrhythmias.mProlongedmambulatorymmonitoringmmaymbe mi
ndicatedmtomestablishmamdiagnosismof mthismcondition.mTreatmentmincludesminsertionmofmampermanentmcar
diacmpacemaker.
a.mAtrialmfibrillationm(427.31)
, b.mAtrialmflutterm(427.32)
c.mParoxysmalmsupraventricularmtachycardiam(427.0)
d.mSickmsinusmsyndrome m(SSS) m(427.81) m-mcorrectmanswer✔✔md.mSickmsinusmsyndrome m(SSS) m(427.81)
CorrectmAnswer:mDmSSSmismthemimprecise mdiagnosismwithmvariousmcharacteristicsmtreatedmwithmtheminserti
onmof mampermanentmcardiacmpacemaker.mThe mothermthree mconditionsmare mtreatedmwithmcardioversionman
dmdifferentmpharmacologicalmtherapym(Schraffenbergerm2012,m194-195).
7.
Identifymthe mICD-9-CMmdiagnosticmcode mformprimarymlocalizedmosteoarthrosismof mthe mhip.
a.m715.95
b.m715.15
c.m721.90
d.m715.16m-mcorrectmanswer✔✔mb.m715.15
CorrectmAnswer:mBmIndex mOsteoarthrosis, mlocalized,mprimary.mFormcategorym715,mrefermtomthemtable mformt
he mfifthmdigitmofm5mformpelvicmregionmandmthighm(Schraffenbergerm2012,m303-304).
8.
Amhealthmrecordmwithmdeficienciesmthatmismnotmcompletemwithinmthemtimeframe mspecifiedminmthe mmedical
m staff m rules m andm regulations m ism calledm a(n):
a.mSuspendedmrecord
m m m m m m
URATE SOLUTIONS m
1.
Am65-year-
oldmwhite mmale mwasmadmittedmtomthemhospitalmonm1/15mcomplainingmofmabdominalmpain.mThemattending
m physician m requested m anm upperm GIm series m andm laboratory m evaluation m of m CBCm andm UA. m The m x-
raymrevealedmpossible mcholelithiasis, mandmthemUAmshowedmanmincreasedmwhite mbloodmcellmcount.mThempa
tientmwasmtakenmtomsurgerymformanmexploratorymlaparoscopy,mandmamrupturedmappendix mwasmdiscovered.
m The m chief m complaintm was:
a.mRupturedmappendix
b.mExploratorymlaparoscopy
c.mAbdominalmpain
d.mCholelithiasism-mcorrectmanswer✔✔mc.mAbdominalmpain
The mnature mandmdurationmofmthemsymptomsmthatmcausedmthempatientmtomseekmmedicalmattentionmasmstat
edminmthe mpatient'smownmwordsm(Odom-Wesleymetmal.m2009,m331).
2.
84.mAnmindividualmstole mandmusedmanothermperson'sminsuranceminformationmtomobtainmmedicalmcare.mThi
smactionmwouldmbe mconsidered:
m a.mViolationmofmbioethics
b.mFraudmandmabuse
,m c.mMedicalmidentitymtheft
m d.mAbuse m-mcorrectmanswer✔✔mc.mMedicalmidentitymtheft
CorrectmAnswer:m84.mc.mMedicalmidentitymtheftmoccursmwhenmsomeonemusesmamperson'smnamemandmsome
timesmothermpartsmofmtheirmidentitymwithoutmthemvictim'smknowledgemormconsentmtomobtainmmedicalmserv
icesmormgoodsm(Johnsm2011,m773).
3.
Identifymthe mICD-9-CMmdiagnosticmcode(s) mformacute mosteomyelitismofmankle mdue mtomStaphylococcus.
a.m730.06
b.m730.07
c.m730.07,m041.1
d.m730.07,m041.10m-mcorrectmanswer✔✔md.m730.07,m041.10
CorrectmAnswer:mDmIndex mOsteomyelitis, macutemormsubacute.mRefermtomthemtable minmthe mIndex mformthe mfif
thmdigitm5,mankle mandmfoot.mInfection,mstaphylococcalmNECm(Schraffenbergerm2012,m305-306).
4.
Amsystemmthatmprovidesmalertsmandmremindersmtomcliniciansmisma(n):
a.mClinicalmdecisionmsupportmsystem
b.mElectronicmdataminterchange
c.mPointmofmcare mchartingmsystem
,d.mKnowledge mdatabase m-
m correctm answer✔✔mCorrectmAnswer:mA mClinicalm decision msupportmincludes mprovidingmdocumentation mof
m clinicalm findings m andm procedures, mactivem reminders maboutm medication m administration, msuggestions m form
prescribingmlessmexpensivembutmequallymeffective mdrugs,mprotocolsmformcertainmhealthmmaintenance mproc
edures,malertsmthatmamduplicate mlabmtestmismbeingmordered,mandmcountlessmothermdecision-
makingmaidsmformallmstakeholdersminmthe mcare mprocessm(Johnsm2011,m138).
5.
Whatmdoesmanmauditmtrailmcheckmfor?
a.mUnauthorizedmaccessmtomamsystem
b.mLossmof mdata
c.mPresence mof mamvirus
d.mSuccessfulmcompletionmofmambackupm-mcorrectmanswer✔✔mCorrectmAnswer:mAm
Auditmtrailsmcanmprovidemtrackingminformationmsuchmasmwhomaccessedmwhichmrecordsmandmformwhatmpur
pose m(Johnsm2011,m403).
6.
Thismismamconditionmwithmanmimprecise mdiagnosismwithmvariousmcharacteristics.mThemconditionmmaymbemdi
agnosedmwhenmampatientmpresentsmwithmsinusmarrest,msinoatrialmexitmblock,mormpersistentmsinusmbradycar
dia.mThismsyndromemismoftenmthemresultmofmdrugmtherapy,msuchmasmdigitalis,mcalciummchannelmblockers,mb
eta-
blockers,msympatholyticmagents,mormantiarrhythmics.mAnothermpresentationmincludesmrecurrentmsuprave
ntricularmtachycardiasmassociatedmwithmbradyarrhythmias.mProlongedmambulatorymmonitoringmmaymbe mi
ndicatedmtomestablishmamdiagnosismof mthismcondition.mTreatmentmincludesminsertionmofmampermanentmcar
diacmpacemaker.
a.mAtrialmfibrillationm(427.31)
, b.mAtrialmflutterm(427.32)
c.mParoxysmalmsupraventricularmtachycardiam(427.0)
d.mSickmsinusmsyndrome m(SSS) m(427.81) m-mcorrectmanswer✔✔md.mSickmsinusmsyndrome m(SSS) m(427.81)
CorrectmAnswer:mDmSSSmismthemimprecise mdiagnosismwithmvariousmcharacteristicsmtreatedmwithmtheminserti
onmof mampermanentmcardiacmpacemaker.mThe mothermthree mconditionsmare mtreatedmwithmcardioversionman
dmdifferentmpharmacologicalmtherapym(Schraffenbergerm2012,m194-195).
7.
Identifymthe mICD-9-CMmdiagnosticmcode mformprimarymlocalizedmosteoarthrosismof mthe mhip.
a.m715.95
b.m715.15
c.m721.90
d.m715.16m-mcorrectmanswer✔✔mb.m715.15
CorrectmAnswer:mBmIndex mOsteoarthrosis, mlocalized,mprimary.mFormcategorym715,mrefermtomthemtable mformt
he mfifthmdigitmofm5mformpelvicmregionmandmthighm(Schraffenbergerm2012,m303-304).
8.
Amhealthmrecordmwithmdeficienciesmthatmismnotmcompletemwithinmthemtimeframe mspecifiedminmthe mmedical
m staff m rules m andm regulations m ism calledm a(n):
a.mSuspendedmrecord
