CCDS EXAM QUESTIONS AND ANSWERS
1. A patient is admitted from the emergency department (ED) with a
diagnosis of weakness and anemia. After admission and further
treatment with packed red blood cells (PRBC), GI consult, and
endoscopy, the physician includes the following diagnoses in the
discharge summary anemia, suspected bleeding gastric ulcer, and
GERD. What would be the most appropriate principle diagnosis?
A. Bleeding gastric ulcer
B. Anemia
C. GERD
D. Weakness
Answer A. Bleeding gastric ulcer
2. 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
Answer B. Neoplasm of occipital region
3. 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
Answer 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
4. 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
Answer D. Reflect the severity of illness (SOI) and resource consumption of the patient's care
5. 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
Answer C. Poisoning
6. A patient is admitted with pneumonia, stage 1 chronic renal
failure, chronic anemia, and COPD, While hospitalized the patient
receives IV antibiotics, in- halers, 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
Answer D. All of the conditions should be coded
7. Which of the following is an example of a hospital-acquired
condition?
A. Fat embolism
B. IV phlebitis
C. Pneumonia
D. Fractured ulna
Answer D. Fractured ulna
8. 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
Answer C. A diagnosis that is listed as possible in the history and physical
1. A patient is admitted from the emergency department (ED) with a
diagnosis of weakness and anemia. After admission and further
treatment with packed red blood cells (PRBC), GI consult, and
endoscopy, the physician includes the following diagnoses in the
discharge summary anemia, suspected bleeding gastric ulcer, and
GERD. What would be the most appropriate principle diagnosis?
A. Bleeding gastric ulcer
B. Anemia
C. GERD
D. Weakness
Answer A. Bleeding gastric ulcer
2. 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
Answer B. Neoplasm of occipital region
3. 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
Answer 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
4. 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
Answer D. Reflect the severity of illness (SOI) and resource consumption of the patient's care
5. 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
Answer C. Poisoning
6. A patient is admitted with pneumonia, stage 1 chronic renal
failure, chronic anemia, and COPD, While hospitalized the patient
receives IV antibiotics, in- halers, 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
Answer D. All of the conditions should be coded
7. Which of the following is an example of a hospital-acquired
condition?
A. Fat embolism
B. IV phlebitis
C. Pneumonia
D. Fractured ulna
Answer D. Fractured ulna
8. 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
Answer C. A diagnosis that is listed as possible in the history and physical
