RHIT EXAM PREP PRACTICE QUESTIONS
WITH CORRECT ANSWERS
(113) |If |a |patient |has |an |excision |of |a |malignant |lesion |of |the |skin, |the |CPT |code |is |determined
|by |the |body |area |from |which |the |excision |occurs |and |which |of |the |following?
A) |Length |of |the |lesion |as |described |in |the |pathology |report
B) |Dimension |of |the |specimen |submitted |as |described |in |the |pathology |report
C) |Width |times |the |length |of |the |lesion |as |described |in |the |operative |report
D) |Diameter |of |the |lesion |as |well |as |the |margins |excised |as |described |in |the |operative |report |-
|CORRECT |ANSWER✔✔-D) |Diameter |of |the |lesion |as |well |as |the |margins |excised |as |described |
in |the |operative |report
(114) |According |to |CPT, |a |repair |of |a |laceration |that |includes |retention |sutures |would |be |
considered |what |type |of |closure?
A) |Complex
B) |Intermediate
C) |Not |specified
D) |Simple |- |CORRECT |ANSWER✔✔-A) |Complex
(115) |The |patient |was |admitted |with |nausea, |vomiting |and |abdominal |pain. |The |physician |
documents |the |following |on |the |discharge |summary: |acute |cholecystitis, |nausea, |vomiting |and
|abdominal |pain. |Which |of |the |following |would |be |the |correct |coding |and |sequencing |for |this |
case?
,A) |Acute |cholecystitis, |nausea, |vomiting, |abdominal |pain
B) |Abdominal |pain, |vomiting, |nausea, |acute |cholecystitis
C) |Nausea, |vomiting, |abdominal |pain
D) |Acute |cholecystitis |- |CORRECT |ANSWER✔✔-D) |Acute |cholecystitis
(116) |A |patient |is |admitted |with |spotting. |She |had |been |treated |two |weeks |previously |for |a |
miscarriage |with |sepsis. |The |sepsis |had |resolved, |and |she |is |afebrile |at |this |time. |She |is |
treated |with |an |aspiration |dilation |and |curettage. |Products |of |conception |are |found. |Which |of |
the |following |should |be |the |principal |diagnosis?
A) |Miscarriage
B) |Complications |of |spontaneous |abortion |with |sepsis
C) |Sepsis
D) |Spontaneous |abortion |with |sepsis |- |CORRECT |ANSWER✔✔-A) |Miscarriage
(117) |An |80-year-old |female |is |admitted |with |fever, |lethargy, |hypotension, |tachycardia, |
oliguria, |and |elevated |WBC. |The |patient |has |more |than |100,000 |organisms |of |Escherichia |coli |
per |cc |of |urine. |The |attending |physician |documents |"urosepsis". |How |should |this |case |be |
coded?
A) |Code |sepsis |as |the |principal |diagnosis |with |urinary |tract |infection |due |to |E.coli |as |secondary
|diagnosis
B) |Code |urinary |tract |infection |with |sepsis |as |the |principal |diagnosis
C) |Query |the |physician |to |ask |if |the |patient |has |septicemia |because |of |the |symptomatology
D) |Query |the |physician |to |ask |if |the |patient |had |septic |shock |so |that |this |may |be |used |as |the |
principal |diagnosis |- |CORRECT |ANSWER✔✔-C) |Query |the |physician |to |ask |if |the |patient |has |
septicemia |because |of |the |symptomatology
, (118) |The |practice |of |using |a |code |that |results |in |a |higher |payment |to |the |provider |than |the |
code |that |actually |reflects |the |service |or |item |provided |is |known |as:
A) |Unbundling
B) |Upcoding
C) |Medically |unnecessary |services
D) |Billing |for |services |not |provided |- |CORRECT |ANSWER✔✔-B) |Upcoding
(119) |A |65 |year-old |patient |with |a |history |of |lung |cancer |is |admitted |to |a |healthcare |facility |
with |ataxia |and |syncope |and |a |fractured |arm |as |a |result |of |falling. |The |patient |undergoes |a |
closed |reduction |of |the |fracture |in |the |emergency |department |as |well |as |a |complete |workup |
for |metastatic |carcinoma |of |the |brain. |The |patient |is |found |to |have |metastatic |carcinoma |of |
the |lung |to |the |brain |and |undergoes |radiation |therapy |to |the |brain. |Which |of |the |following |
would |be |the |principal |diagnosis |in |this |case?
A) |Ataxia
B) |Fractured |arm
C) |Metastatic |carcinoma |of |the |brain |
D) |Carcinoma |of |the |lung |- |CORRECT |ANSWER✔✔-C) |Metastatic |carcinoma |of |the |brain
(120) |A |patient |was |admitted |for |abdominal |pain |with |diarrhea |and |was |diagnosed |with |
infectious |gastroenteritis. |The |patient |also |had |angina |and |chronic |obstructive |pulmonary |
disease. |Which |of |the |following |would |be |the |correct |coding |and |sequencing |for |this |case?
A) |Abdominal |pain; |infectious |gastroenteritis; |chronic |obstructive |pulmonary |disease; |angina
B) |Infectious |gastroenteritis; |chronic |obstructive |pulmonary |disease; |angina
C) |Gastroenteritis; |abdominal |pain; |angina
WITH CORRECT ANSWERS
(113) |If |a |patient |has |an |excision |of |a |malignant |lesion |of |the |skin, |the |CPT |code |is |determined
|by |the |body |area |from |which |the |excision |occurs |and |which |of |the |following?
A) |Length |of |the |lesion |as |described |in |the |pathology |report
B) |Dimension |of |the |specimen |submitted |as |described |in |the |pathology |report
C) |Width |times |the |length |of |the |lesion |as |described |in |the |operative |report
D) |Diameter |of |the |lesion |as |well |as |the |margins |excised |as |described |in |the |operative |report |-
|CORRECT |ANSWER✔✔-D) |Diameter |of |the |lesion |as |well |as |the |margins |excised |as |described |
in |the |operative |report
(114) |According |to |CPT, |a |repair |of |a |laceration |that |includes |retention |sutures |would |be |
considered |what |type |of |closure?
A) |Complex
B) |Intermediate
C) |Not |specified
D) |Simple |- |CORRECT |ANSWER✔✔-A) |Complex
(115) |The |patient |was |admitted |with |nausea, |vomiting |and |abdominal |pain. |The |physician |
documents |the |following |on |the |discharge |summary: |acute |cholecystitis, |nausea, |vomiting |and
|abdominal |pain. |Which |of |the |following |would |be |the |correct |coding |and |sequencing |for |this |
case?
,A) |Acute |cholecystitis, |nausea, |vomiting, |abdominal |pain
B) |Abdominal |pain, |vomiting, |nausea, |acute |cholecystitis
C) |Nausea, |vomiting, |abdominal |pain
D) |Acute |cholecystitis |- |CORRECT |ANSWER✔✔-D) |Acute |cholecystitis
(116) |A |patient |is |admitted |with |spotting. |She |had |been |treated |two |weeks |previously |for |a |
miscarriage |with |sepsis. |The |sepsis |had |resolved, |and |she |is |afebrile |at |this |time. |She |is |
treated |with |an |aspiration |dilation |and |curettage. |Products |of |conception |are |found. |Which |of |
the |following |should |be |the |principal |diagnosis?
A) |Miscarriage
B) |Complications |of |spontaneous |abortion |with |sepsis
C) |Sepsis
D) |Spontaneous |abortion |with |sepsis |- |CORRECT |ANSWER✔✔-A) |Miscarriage
(117) |An |80-year-old |female |is |admitted |with |fever, |lethargy, |hypotension, |tachycardia, |
oliguria, |and |elevated |WBC. |The |patient |has |more |than |100,000 |organisms |of |Escherichia |coli |
per |cc |of |urine. |The |attending |physician |documents |"urosepsis". |How |should |this |case |be |
coded?
A) |Code |sepsis |as |the |principal |diagnosis |with |urinary |tract |infection |due |to |E.coli |as |secondary
|diagnosis
B) |Code |urinary |tract |infection |with |sepsis |as |the |principal |diagnosis
C) |Query |the |physician |to |ask |if |the |patient |has |septicemia |because |of |the |symptomatology
D) |Query |the |physician |to |ask |if |the |patient |had |septic |shock |so |that |this |may |be |used |as |the |
principal |diagnosis |- |CORRECT |ANSWER✔✔-C) |Query |the |physician |to |ask |if |the |patient |has |
septicemia |because |of |the |symptomatology
, (118) |The |practice |of |using |a |code |that |results |in |a |higher |payment |to |the |provider |than |the |
code |that |actually |reflects |the |service |or |item |provided |is |known |as:
A) |Unbundling
B) |Upcoding
C) |Medically |unnecessary |services
D) |Billing |for |services |not |provided |- |CORRECT |ANSWER✔✔-B) |Upcoding
(119) |A |65 |year-old |patient |with |a |history |of |lung |cancer |is |admitted |to |a |healthcare |facility |
with |ataxia |and |syncope |and |a |fractured |arm |as |a |result |of |falling. |The |patient |undergoes |a |
closed |reduction |of |the |fracture |in |the |emergency |department |as |well |as |a |complete |workup |
for |metastatic |carcinoma |of |the |brain. |The |patient |is |found |to |have |metastatic |carcinoma |of |
the |lung |to |the |brain |and |undergoes |radiation |therapy |to |the |brain. |Which |of |the |following |
would |be |the |principal |diagnosis |in |this |case?
A) |Ataxia
B) |Fractured |arm
C) |Metastatic |carcinoma |of |the |brain |
D) |Carcinoma |of |the |lung |- |CORRECT |ANSWER✔✔-C) |Metastatic |carcinoma |of |the |brain
(120) |A |patient |was |admitted |for |abdominal |pain |with |diarrhea |and |was |diagnosed |with |
infectious |gastroenteritis. |The |patient |also |had |angina |and |chronic |obstructive |pulmonary |
disease. |Which |of |the |following |would |be |the |correct |coding |and |sequencing |for |this |case?
A) |Abdominal |pain; |infectious |gastroenteritis; |chronic |obstructive |pulmonary |disease; |angina
B) |Infectious |gastroenteritis; |chronic |obstructive |pulmonary |disease; |angina
C) |Gastroenteritis; |abdominal |pain; |angina
