AHIMA CCA: EXAM
1.
Aio65-year-
oldiowhiteiomaleiowasioadmittediotoiotheiohospitalioonio1/15iocomplainingioofioabdominaliopain
.ioTheioattendingiophysicianiorequestedioanioupperioGIioseriesioandiolaboratoryioevaluationioo
fioCBCioandioUA.ioTheiox-
rayiorevealediopossibleiocholelithiasis,ioandiotheioUAioshowedioanioincreasediowhiteiobloodioc
elliocount.ioTheiopatientiowasiotakeniotoiosurgeryioforioanioexploratoryiolaparoscopy,ioandioaior
upturedioappendixiowasiodiscovered.ioTheiochiefiocomplaintiowas:
a.ioRupturedioappendix
b.ioExploratoryiolaparoscopy
c.ioAbdominaliopain
d.ioCholelithiasisio-ioansio--c.ioAbdominaliopain
Theionatureioandiodurationioofiotheiosymptomsiothatiocausediotheiopatientiotoioseekiomedicalio
attentionioasiostatedioiniotheiopatient'sioowniowordsio(Odom-Wesleyioetioal.io2009,io331).
2.
84.ioAnioindividualiostoleioandiousedioanotherioperson'sioinsuranceioinformationiotoioobtainiom
edicaliocare.ioThisioactioniowouldiobeioconsidered:
a.ioViolationioofiobioethics
io
b.ioFraudioandioabuse
c.ioMedicalioidentityiotheft
io
d.ioAbuseio-ioansio--c.ioMedicalioidentityiotheft
io
CorrectioAnswer:io84.ioc.ioMedicalioidentityiotheftiooccursiowheniosomeoneiousesioaioperson's
ionameioandiosometimesiootheriopartsioofiotheirioidentityiowithoutiotheiovictim'sioknowledgeioori
oconsentiotoioobtainiomedicalioservicesiooriogoodsio(Johnsio2011,io773).
3.
,IdentifyiotheioICD-9-
CMiodiagnosticiocode(s)ioforioacuteioosteomyelitisioofioankleiodueiotoioStaphylococcus.
a.io730.06
b.io730.07
c.io730.07,io041.1
d.io730.07,io041.10io-ioansio--d.io730.07,io041.10
CorrectioAnswer:ioDioIndexioOsteomyelitis,ioacuteiooriosubacute.ioReferiotoiotheiotableioiniothe
ioIndexioforiotheiofifthiodigitio5,ioankleioandiofoot.ioInfection,iostaphylococcalioNECio(Schraffen
bergerio2012,io305-306).
4.
Aiosystemiothatioprovidesioalertsioandioremindersiotoiocliniciansioisioa(n):
a.ioClinicaliodecisioniosupportiosystem
b.ioElectroniciodataiointerchange
c.ioPointioofiocareiochartingiosystem
d.ioKnowledgeiodatabaseio-ioansio--
CorrectioAnswer:ioAioClinicaliodecisioniosupportioincludesioprovidingiodocumentationioofioclin
icaliofindingsioandioprocedures,ioactiveioremindersioaboutiomedicationioadministration,iosug
gestionsioforioprescribingiolessioexpensiveiobutioequallyioeffectiveiodrugs,ioprotocolsioforiocer
tainiohealthiomaintenanceioprocedures,ioalertsiothatioaioduplicateiolabiotestioisiobeingioordere
d,ioandiocountlessiootheriodecision-
makingioaidsioforioalliostakeholdersioiniotheiocareioprocessio(Johnsio2011,io138).
5.
Whatiodoesioanioauditiotrailiocheckiofor?
a.ioUnauthorizedioaccessiotoioaiosystem
b.ioLossioofiodata
c.ioPresenceioofioaiovirus
d.ioSuccessfuliocompletionioofioaiobackupio-ioansio--CorrectioAnswer:ioAio
Auditiotrailsiocanioprovideiotrackingioinformationiosuchioasiowhoioaccessediowhichiorecordsioa
ndioforiowhatiopurposeio(Johnsio2011,io403).
,6.
Thisioisioaioconditioniowithioanioimpreciseiodiagnosisiowithiovariousiocharacteristics.ioTheioco
nditioniomayiobeiodiagnosediowhenioaiopatientiopresentsiowithiosinusioarrest,iosinoatrialioexitio
block,iooriopersistentiosinusiobradycardia.ioThisiosyndromeioisioofteniotheioresultioofiodrugiothe
rapy,iosuchioasiodigitalis,iocalciumiochannelioblockers,iobeta-
blockers,iosympatholyticioagents,ioorioantiarrhythmics.ioAnotheriopresentationioincludesiorec
urrentiosupraventriculariotachycardiasioassociatediowithiobradyarrhythmias.ioProlongedioa
mbulatoryiomonitoringiomayiobeioindicatediotoioestablishioaiodiagnosisioofiothisiocondition.ioTr
eatmentioincludesioinsertionioofioaiopermanentiocardiaciopacemaker.
a.ioAtrialiofibrillationio(427.31)
b.ioAtrialioflutterio(427.32)
c.ioParoxysmaliosupraventriculariotachycardiaio(427.0)
d.ioSickiosinusiosyndromeio(SSS)io(427.81)io-ioansio--
d.ioSickiosinusiosyndromeio(SSS)io(427.81)
CorrectioAnswer:ioDioSSSioisiotheioimpreciseiodiagnosisiowithiovariousiocharacteristicsiotreat
ediowithiotheioinsertionioofioaiopermanentiocardiaciopacemaker.ioTheiootheriothreeioconditions
ioareiotreatediowithiocardioversionioandiodifferentiopharmacologicaliotherapyio(Schraffenberg
erio2012,io194-195).
7.
IdentifyiotheioICD-9-
CMiodiagnosticiocodeioforioprimaryiolocalizedioosteoarthrosisioofiotheiohip.
a.io715.95
b.io715.15
c.io721.90
d.io715.16io-ioansio--b.io715.15
CorrectioAnswer:ioBioIndexioOsteoarthrosis,iolocalized,ioprimary.ioForiocategoryio715,ioreferio
toiotheiotableioforiotheiofifthiodigitioofio5ioforiopelvicioregionioandiothighio(Schraffenbergerio2012,
io303-304).
8.
Aiohealthiorecordiowithiodeficienciesiothatioisionotiocompleteiowithiniotheiotimeframeiospecifiedi
oiniotheiomedicaliostaffiorulesioandioregulationsioisiocalledioa(n):
a.ioSuspendediorecord
, b.ioDelinquentiorecord
c.ioPendingiorecord
d.ioIllegaliorecordio-ioansio--CorrectioAnswer:ioB
ioAnioincompleteiorecordionotiorectifiediowithinioaiospecificionumberioofiodaysioasioindicatedioini
o theiomedicaliostaffiorulesioandioregulationsioisioconsiderediotoiobeiodelinquentio(Johnsio2011,
io412).
9.
AiohospitalioHIMiodepartmentiowantsiotoiopurchaseioanioelectroniciosystemiothatiorecordsiothe
iolocationioofiohealthiorecordsioremovediofromiotheiofilingiosystemioandiodocumentsiotheiodatei
oofiotheirioreturniotoiotheioHIMiodepartment.ioWhichioofiotheiofollowingioelectroniciosystemsiow
ouldiofulfilliothisiopurpose?
a.ioChartiodeficiencyiosystem
b.ioChartiotrackingiosystem
c.ioChartioabstractingiosystem
d.ioChartioencoderio-ioansio--CorrectioAnswer:ioBio
Withioanioautomatediotrackingiosystem,ioitioisioeasyiotoiotrackiohowiomanyiorecordsioareiochar
gediooutioofiotheiosystem,iotheiriolocation,ioandiowhetheriotheyiohaveiobeenioreturnediooniotheio
dueiodatesioindicatedio(Johnsio2011,io402).
10.
IdentifyiotheioappropriateioICD-9-CMiodiagnosisiocodeioforioLouioGehrig'siodisease.
a.io335.20
b.io334.8
c.io335.29
d.io335.2io-ioansio--CorrectioAnswer:ioAio
IndexioDisease,ioLouioGehrig'sioorioLouioGehrig'siodisease.ioAmyotrophiciolateraliosclerosisio
isioanotherionameioforioLouioGehrig'siodisease.ioManyiodiseasesiocarryiotheionameioofioaioper
sonioorioanioeponym.ioTheiomainiotermsioforioeponymsioareiolocatedioiniotheioAlphabeticioInde
xiounderiotheioeponymiooriotheiodisease,iosyndrome,iooriodisorderio(Schraffenbergerio2012,io
13).
11.
1.
Aio65-year-
oldiowhiteiomaleiowasioadmittediotoiotheiohospitalioonio1/15iocomplainingioofioabdominaliopain
.ioTheioattendingiophysicianiorequestedioanioupperioGIioseriesioandiolaboratoryioevaluationioo
fioCBCioandioUA.ioTheiox-
rayiorevealediopossibleiocholelithiasis,ioandiotheioUAioshowedioanioincreasediowhiteiobloodioc
elliocount.ioTheiopatientiowasiotakeniotoiosurgeryioforioanioexploratoryiolaparoscopy,ioandioaior
upturedioappendixiowasiodiscovered.ioTheiochiefiocomplaintiowas:
a.ioRupturedioappendix
b.ioExploratoryiolaparoscopy
c.ioAbdominaliopain
d.ioCholelithiasisio-ioansio--c.ioAbdominaliopain
Theionatureioandiodurationioofiotheiosymptomsiothatiocausediotheiopatientiotoioseekiomedicalio
attentionioasiostatedioiniotheiopatient'sioowniowordsio(Odom-Wesleyioetioal.io2009,io331).
2.
84.ioAnioindividualiostoleioandiousedioanotherioperson'sioinsuranceioinformationiotoioobtainiom
edicaliocare.ioThisioactioniowouldiobeioconsidered:
a.ioViolationioofiobioethics
io
b.ioFraudioandioabuse
c.ioMedicalioidentityiotheft
io
d.ioAbuseio-ioansio--c.ioMedicalioidentityiotheft
io
CorrectioAnswer:io84.ioc.ioMedicalioidentityiotheftiooccursiowheniosomeoneiousesioaioperson's
ionameioandiosometimesiootheriopartsioofiotheirioidentityiowithoutiotheiovictim'sioknowledgeioori
oconsentiotoioobtainiomedicalioservicesiooriogoodsio(Johnsio2011,io773).
3.
,IdentifyiotheioICD-9-
CMiodiagnosticiocode(s)ioforioacuteioosteomyelitisioofioankleiodueiotoioStaphylococcus.
a.io730.06
b.io730.07
c.io730.07,io041.1
d.io730.07,io041.10io-ioansio--d.io730.07,io041.10
CorrectioAnswer:ioDioIndexioOsteomyelitis,ioacuteiooriosubacute.ioReferiotoiotheiotableioiniothe
ioIndexioforiotheiofifthiodigitio5,ioankleioandiofoot.ioInfection,iostaphylococcalioNECio(Schraffen
bergerio2012,io305-306).
4.
Aiosystemiothatioprovidesioalertsioandioremindersiotoiocliniciansioisioa(n):
a.ioClinicaliodecisioniosupportiosystem
b.ioElectroniciodataiointerchange
c.ioPointioofiocareiochartingiosystem
d.ioKnowledgeiodatabaseio-ioansio--
CorrectioAnswer:ioAioClinicaliodecisioniosupportioincludesioprovidingiodocumentationioofioclin
icaliofindingsioandioprocedures,ioactiveioremindersioaboutiomedicationioadministration,iosug
gestionsioforioprescribingiolessioexpensiveiobutioequallyioeffectiveiodrugs,ioprotocolsioforiocer
tainiohealthiomaintenanceioprocedures,ioalertsiothatioaioduplicateiolabiotestioisiobeingioordere
d,ioandiocountlessiootheriodecision-
makingioaidsioforioalliostakeholdersioiniotheiocareioprocessio(Johnsio2011,io138).
5.
Whatiodoesioanioauditiotrailiocheckiofor?
a.ioUnauthorizedioaccessiotoioaiosystem
b.ioLossioofiodata
c.ioPresenceioofioaiovirus
d.ioSuccessfuliocompletionioofioaiobackupio-ioansio--CorrectioAnswer:ioAio
Auditiotrailsiocanioprovideiotrackingioinformationiosuchioasiowhoioaccessediowhichiorecordsioa
ndioforiowhatiopurposeio(Johnsio2011,io403).
,6.
Thisioisioaioconditioniowithioanioimpreciseiodiagnosisiowithiovariousiocharacteristics.ioTheioco
nditioniomayiobeiodiagnosediowhenioaiopatientiopresentsiowithiosinusioarrest,iosinoatrialioexitio
block,iooriopersistentiosinusiobradycardia.ioThisiosyndromeioisioofteniotheioresultioofiodrugiothe
rapy,iosuchioasiodigitalis,iocalciumiochannelioblockers,iobeta-
blockers,iosympatholyticioagents,ioorioantiarrhythmics.ioAnotheriopresentationioincludesiorec
urrentiosupraventriculariotachycardiasioassociatediowithiobradyarrhythmias.ioProlongedioa
mbulatoryiomonitoringiomayiobeioindicatediotoioestablishioaiodiagnosisioofiothisiocondition.ioTr
eatmentioincludesioinsertionioofioaiopermanentiocardiaciopacemaker.
a.ioAtrialiofibrillationio(427.31)
b.ioAtrialioflutterio(427.32)
c.ioParoxysmaliosupraventriculariotachycardiaio(427.0)
d.ioSickiosinusiosyndromeio(SSS)io(427.81)io-ioansio--
d.ioSickiosinusiosyndromeio(SSS)io(427.81)
CorrectioAnswer:ioDioSSSioisiotheioimpreciseiodiagnosisiowithiovariousiocharacteristicsiotreat
ediowithiotheioinsertionioofioaiopermanentiocardiaciopacemaker.ioTheiootheriothreeioconditions
ioareiotreatediowithiocardioversionioandiodifferentiopharmacologicaliotherapyio(Schraffenberg
erio2012,io194-195).
7.
IdentifyiotheioICD-9-
CMiodiagnosticiocodeioforioprimaryiolocalizedioosteoarthrosisioofiotheiohip.
a.io715.95
b.io715.15
c.io721.90
d.io715.16io-ioansio--b.io715.15
CorrectioAnswer:ioBioIndexioOsteoarthrosis,iolocalized,ioprimary.ioForiocategoryio715,ioreferio
toiotheiotableioforiotheiofifthiodigitioofio5ioforiopelvicioregionioandiothighio(Schraffenbergerio2012,
io303-304).
8.
Aiohealthiorecordiowithiodeficienciesiothatioisionotiocompleteiowithiniotheiotimeframeiospecifiedi
oiniotheiomedicaliostaffiorulesioandioregulationsioisiocalledioa(n):
a.ioSuspendediorecord
, b.ioDelinquentiorecord
c.ioPendingiorecord
d.ioIllegaliorecordio-ioansio--CorrectioAnswer:ioB
ioAnioincompleteiorecordionotiorectifiediowithinioaiospecificionumberioofiodaysioasioindicatedioini
o theiomedicaliostaffiorulesioandioregulationsioisioconsiderediotoiobeiodelinquentio(Johnsio2011,
io412).
9.
AiohospitalioHIMiodepartmentiowantsiotoiopurchaseioanioelectroniciosystemiothatiorecordsiothe
iolocationioofiohealthiorecordsioremovediofromiotheiofilingiosystemioandiodocumentsiotheiodatei
oofiotheirioreturniotoiotheioHIMiodepartment.ioWhichioofiotheiofollowingioelectroniciosystemsiow
ouldiofulfilliothisiopurpose?
a.ioChartiodeficiencyiosystem
b.ioChartiotrackingiosystem
c.ioChartioabstractingiosystem
d.ioChartioencoderio-ioansio--CorrectioAnswer:ioBio
Withioanioautomatediotrackingiosystem,ioitioisioeasyiotoiotrackiohowiomanyiorecordsioareiochar
gediooutioofiotheiosystem,iotheiriolocation,ioandiowhetheriotheyiohaveiobeenioreturnediooniotheio
dueiodatesioindicatedio(Johnsio2011,io402).
10.
IdentifyiotheioappropriateioICD-9-CMiodiagnosisiocodeioforioLouioGehrig'siodisease.
a.io335.20
b.io334.8
c.io335.29
d.io335.2io-ioansio--CorrectioAnswer:ioAio
IndexioDisease,ioLouioGehrig'sioorioLouioGehrig'siodisease.ioAmyotrophiciolateraliosclerosisio
isioanotherionameioforioLouioGehrig'siodisease.ioManyiodiseasesiocarryiotheionameioofioaioper
sonioorioanioeponym.ioTheiomainiotermsioforioeponymsioareiolocatedioiniotheioAlphabeticioInde
xiounderiotheioeponymiooriotheiodisease,iosyndrome,iooriodisorderio(Schraffenbergerio2012,io
13).
11.
