Exam Prep Questions -AHIMA 6th
Edition Questions and Answers
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CarcinomaMinMsituM-
MAnswerMTumorMcellsMthatMareMundergoingMmalignantMchangesMbutMareMstillMconfined
MtoMtheMpointMofMoriginMwithoutMinvasionMofMtheMsurroundingMnormalMtissue
ExamplesMofMcarcinomaMinMsituM-MAnswerMIntraepithelialMinfiltrating
TheMpatientMwasMadmittedMfromMtheMemergencyMdepartmentMbecauseMofMchestMpain.
MFollowingMbloodMwork,MitMwasMdeterminedMthatMtheMpatientMhadMelevatedMCPKsMan
dMMBMenzymes.MTheMEKGMshowsMnonspecificMSTMchanges.M
WhatMtypeMofMdiagnosisMmightMthisMindicate?
Ma.MUnstableMangina
Mb.MMyocardialMinfarctionM
c.MCongestiveMheartMfailureM
d.MMitralMvalveMstenosisM-MAnswerMbM
TheMCPKMelevationMwithMMBMenzymesMelevatedMandMtheMEKGMSTMchangesMdenoteMa
MpossibleMMlM(Leon-ChisenM2013,M386-387).
AMpatientMisMadmittedMandMdiagnosedMwithMfeverMandMurinaryMburning.MTheMdischarge
Mdiagnosis·MisMEscherichiaMcoli,MurinaryMtractMinfection.M
WhichMofMtheMfollowingMrepresentsMtheMcorrectMdiagnosesMandMappropriateMsequenceM
ofMthoseMconditions?M
a.MFever,MurinaryMburning,MurosepsisM
b.MFever,MurinaryMburning,MsepsisM
c.MEscherichiaMcoli,MurinaryMtractMinfectionM
d.MUrinaryMtractMinfection,MEscherichiaMcoliM-MAnswerMdM
SymptomsMareMnotMcodedMwhenMaMdefinitiveMdiagnosisMisMpresentMonMdischarge.MThe
MpatientMdischargeMdiagnosisMofMurinaryMtractMinfection.MTheMorganismM(E.Mcoli)MisMco
,dedMwithMaMsecoMdiagnosisMcodeM(B96.20)MwhichMisMtoMbeMaddedMasManMadditional
McodeMtoMidentifyMtheMbacterialMagentM(HHSM2014,MSectionMII.A.,M98).
AMpatientMwasMadmittedMwithMheartMfailureMwithinMoneMweekMofMaMheartMtransplant.
MDueMtoMtheMtiming,MtheMcoderMthoughtMthatMitMmayMrepresentMaMpostoperativeMtra
nsplantMrejectionMfollowingMheartMtransplant.M
WhatMaction(s)MshouldMtheMcodingMstaffMtake?
Ma.MQueryMtheMphysician.
Mb.MAssignMtheMcodesMforMtheMpostoperativeMtransplantMrejection.M
c.MAssignMonlyMtheMcodeMforMtheMtransplantMrejection.M
d.MAssignMonlyMtheMcodeMforMheartMfailure.M-MAnswerMaM
WhenMtheMdocumentationMisMnotMclearMregardingMaMpotentialMcomplication,MitMisMappr
opriateMqueryMtheMphysicianM(HHSM2014,MSectionMI.B.16,M16;MLeon-ChisenM2013,M43-
44).
AMpatientMisMadmittedMtoMaMpsychiatricMunitMofManMacute-
careMfacility.MTheMpatientMexperiencedMtheMfollowingMsymptomsMalmostMeveryMdayMfor
MtheMlastMmonth:MlossMofMinterestMorMpleasureMinMmostMorMallMactivities,MwhichMisM
aMchangeMfromMherMpriorMlevelMofMfunctioning.MSheMhasMalsoMgainedM15Mlbs,MhasMdi
fficultyMfallingMasleep,MfeelsMfatigued,MandMhasMdifficultyMmakingMdecisions.M
WhatMpotentialMdiagnosisMmostMcloselyMfitsMtheMpatient'sMoverallMsymptoms?M
a.MInsomniaM
b.MMajorMdepressionM
c.MReye'sMsyndromeM
d.MBipolarMdisorderM-MAnswerMb
MTheMsymptomsMprovidedMareMindicativeMofMaMdepressiveMdisorderM(Leon-
ChisenM2013,M175).
Inpatient:
AdmissionMforMinguinalMherniaMrepair.MThisM30-year-
oldMpatientMhasMacquiredMimmunodeficiencyMsyndromeM(AIDS)MbutMisMnotMsymptomatic
, MatMthisMtimeMdueMtoMmedicationMregimen.MTheMprocedureMperformedMwasMaMrightM
indirectMinguinalMherniorrhaphyMviaMopenMapproach.M-MAnswerMICD-10-CM:MK40.90,MB20,
MICD-10-PCS:MOYQ50ZZM(SchraffenbergerM2013,M82-84,252)
Inpatient:
AM75-year-
oldMmaleMpatientMwasMadmittedMfromMaMnursingMhomeMwithMdehydrationMandMdyspha
giaMdueMtoMaMpreviousMstroke.MDuringMhospitalizationMtheMpatientMwasMrehydratedMan
dMtransferredMbackMtoMtheMnursingMhome.M-MAnswerMICD-10-CM:ME86.0,MI69.391M
(SchraffenbergerM2013,M131,M209-210).
Stroke=McerebralMinfarction
Inpatient:
AMpatientMisMadmittedMtoManMacuteMcareMfacilityMforMdetoxificationMfromMalcoholMand
MbarbiturateMintoxicationMwithMchronicMalcoholismMandMbarbiturateMabuse.MTheMpatient
MalsoMhasMcirrhosisMofMtheMliverMdueMtoMalcoholism.M-MAnswerMICD-10-
CM:MF10.229,MF13.129,MK70.30,M
(SchraffenbergerM2013,M140-143.)
ICD-10-PCSMHZ2ZZZZM
(Leon-ChisenM2014,M186).
Inpatient:
AM30-year-
oldMpatientMwasMseenMinMtheMemergencyMdepartmentMforMrecurrentMepilepticMseizures.
MTheMpatientMalsoMhadMticMdouloureux.M-MAnswerMICD-10-CM:MG40.909,MG50.0M