CDIP FINAL EXAM SCRIPT 2026
QUESTIONS AND ALL ACCURATE
SOLUTIONS
⩥ B. Neoplasm of occipital region. Answer: A patient is admitted with
new-onset seizures. Head CT reveals a mass in the occipital region. The
physician documents possible brain tumor, and the patient is transferred
to another hospital for further workup. What would be the most
appropriate principal diagnosis based upon this documentation?
A. Seizure
B. Neoplasm of occipital region
C. Head mass
D. Head tumor
⩥ C. 1,2, and 3
1. Calculated annually
2. Dependent upon indirect costs for graduate medical education and
new technology
3. Adjusted based upon number of low-income patients cared for.
Answer: A hospital's base rate or blended rate is:
,1. Calculated annually
2. Dependent upon indirect costs for graduate medical education and
new technology
3. Adjusted based upon number of low-income patients cared for
4. Not adjusted based upon capital expenses
A. 1 and 2
B. 2 and 3
C. 1,2, and 3
D. 1,2,3, and 4
⩥ D. Reflect the severity of illness (SOI) and resource consumption of
the patient's care. Answer: The final MS-DRG assigned to a patient's
medical record should:
A. Reflect the amount of time the physician spent with the patient
B. Depend upon the patient's length of stay
C. Be assigned by the physician
D. Reflect the severity of illness (SOI) and resource consumption of the
patient's care
⩥ C. Poisoning. Answer: A patient is admitted from the emergency
department with the diagnosis of acute respiratory failure due to
,overdose of pain medication and an aspiration pneumonia. What is the
principal diagnosis?
A. Acute respiratory failure
B. Aspiration pneumonia
C. Poisoning
D. Adverse effect of medication
⩥ D. All of the conditions should be coded. Answer: A patient is
admitted with pneumonia, stage 1 chronic renal failure, chronic anemia,
and COPD, While hospitalized the patient receives IV antibiotics,
inhalers, oxygen, IV fluids at 50mL/hr, and iron tablets. Keeping the
guidelines for coding of secondary diagnoses in mind, which condition
should be coded?
A. Pneumonia only
B. Pneumonia and COPD only
C. Pneumonia, COPD, and anemia
D. All of the conditions should be coded
⩥ D. Fractured ulna. Answer: Which of the following is an example of a
hospital-acquired condition?
A. Fat embolism
, B. IV phlebitis
C. Pneumonia
D. Fractured ulna
⩥ C. A diagnosis that is listed as possible in the history and physical.
Answer: Which of the following is an example of documentation that
would meet the present on admission criteria for coding?
A. A diagnosis that is indicated in the history and physical and ruled out
in the discharge summary
B. A diagnosis found in a previous medical record
C. A diagnosis that is listed as possible in the history and physical
D. An acute condition identified on the third day of admission
⩥ A. Colon cancer. Answer: A patient is admitted with abdominal pain
and the history and physical indicated a diagnosis of probable colon
cancer. On day two, the physician documents acute renal failure in the
progress notes and the patient receives IV fluids. The discharge
summary lists possible metastatic colon cancer and acute renal failure.
The principal diagnosis would be:
A. Colon cancer
B. Acute renal failure
C. Abdominal pain
QUESTIONS AND ALL ACCURATE
SOLUTIONS
⩥ B. Neoplasm of occipital region. Answer: A patient is admitted with
new-onset seizures. Head CT reveals a mass in the occipital region. The
physician documents possible brain tumor, and the patient is transferred
to another hospital for further workup. What would be the most
appropriate principal diagnosis based upon this documentation?
A. Seizure
B. Neoplasm of occipital region
C. Head mass
D. Head tumor
⩥ C. 1,2, and 3
1. Calculated annually
2. Dependent upon indirect costs for graduate medical education and
new technology
3. Adjusted based upon number of low-income patients cared for.
Answer: A hospital's base rate or blended rate is:
,1. Calculated annually
2. Dependent upon indirect costs for graduate medical education and
new technology
3. Adjusted based upon number of low-income patients cared for
4. Not adjusted based upon capital expenses
A. 1 and 2
B. 2 and 3
C. 1,2, and 3
D. 1,2,3, and 4
⩥ D. Reflect the severity of illness (SOI) and resource consumption of
the patient's care. Answer: The final MS-DRG assigned to a patient's
medical record should:
A. Reflect the amount of time the physician spent with the patient
B. Depend upon the patient's length of stay
C. Be assigned by the physician
D. Reflect the severity of illness (SOI) and resource consumption of the
patient's care
⩥ C. Poisoning. Answer: A patient is admitted from the emergency
department with the diagnosis of acute respiratory failure due to
,overdose of pain medication and an aspiration pneumonia. What is the
principal diagnosis?
A. Acute respiratory failure
B. Aspiration pneumonia
C. Poisoning
D. Adverse effect of medication
⩥ D. All of the conditions should be coded. Answer: A patient is
admitted with pneumonia, stage 1 chronic renal failure, chronic anemia,
and COPD, While hospitalized the patient receives IV antibiotics,
inhalers, oxygen, IV fluids at 50mL/hr, and iron tablets. Keeping the
guidelines for coding of secondary diagnoses in mind, which condition
should be coded?
A. Pneumonia only
B. Pneumonia and COPD only
C. Pneumonia, COPD, and anemia
D. All of the conditions should be coded
⩥ D. Fractured ulna. Answer: Which of the following is an example of a
hospital-acquired condition?
A. Fat embolism
, B. IV phlebitis
C. Pneumonia
D. Fractured ulna
⩥ C. A diagnosis that is listed as possible in the history and physical.
Answer: Which of the following is an example of documentation that
would meet the present on admission criteria for coding?
A. A diagnosis that is indicated in the history and physical and ruled out
in the discharge summary
B. A diagnosis found in a previous medical record
C. A diagnosis that is listed as possible in the history and physical
D. An acute condition identified on the third day of admission
⩥ A. Colon cancer. Answer: A patient is admitted with abdominal pain
and the history and physical indicated a diagnosis of probable colon
cancer. On day two, the physician documents acute renal failure in the
progress notes and the patient receives IV fluids. The discharge
summary lists possible metastatic colon cancer and acute renal failure.
The principal diagnosis would be:
A. Colon cancer
B. Acute renal failure
C. Abdominal pain
