AHIMA CCA: Exam UPDATED Study
Guide QUESTIONS AND CORRECT
ANSWERS
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 - CORRECT ANSWERS 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 theft
d. Abuse - CORRECT ANSWERS c. Medical identity theft
Correct Answer: 84. c. Medical identity theft 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 - CORRECT ANSWERS d. 730.07, 041.10
Correct Answer: D Index Osteomyelitis, acute or subacute. Refer to the table in
the Index for the fifth 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 often 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) - CORRECT ANSWERS 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
Guide QUESTIONS AND CORRECT
ANSWERS
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 - CORRECT ANSWERS 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 theft
d. Abuse - CORRECT ANSWERS c. Medical identity theft
Correct Answer: 84. c. Medical identity theft 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 - CORRECT ANSWERS d. 730.07, 041.10
Correct Answer: D Index Osteomyelitis, acute or subacute. Refer to the table in
the Index for the fifth 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 - CORRECT ANSWERS 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 - CORRECT ANSWERS 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 often 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) - CORRECT ANSWERS 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
