AHIMA CCA EXAM 2026 TEST BANK PROVIDING SOLVED ITEMS AND
DETAILED RATIONALES, Exams of Advanced Accounting
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 - ANSWERc. 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 - ANSWERc. 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 - ANSWERd. 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 - ANSWERCorrect 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 - ANSWERCorrect 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)
DETAILED RATIONALES, Exams of Advanced Accounting
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 - ANSWERc. 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 - ANSWERc. 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 - ANSWERd. 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 - ANSWERCorrect 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 - ANSWERCorrect 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)
