CHIM NCE Practice Exam 1 Questions and Answers

3. minor vaginal bleeding or spotting - ANSWER-1.1) What is a significant early sign of endometrial carcinoma? 1. positive Pap test 2. infection resistant to treatment 3. minor vaginal bleeding or spotting 4. painful intercourse 4. protein fibers and ground substance - ANSWER-1.2) The extracellular matrix of connective tissue consists of calcified crystals of 1. minerals and enzymes 2. enzymes and membranous organelles 3. keratinized cells and protein fibers 4. protein fibers and ground substance 1. acidic - ANSWER-1.3) A solution with a pH value less than 7 is 1. acidic 2. alkaline 3. basic 4. neutral 3. One possible diagnosis - ANSWER-1.4) A differential diagnosis is the: 1. Admitting diagnosis 2. Final diagnosis 3. One possible diagnosis 4. Post operative diagnosis 2. fibroid - ANSWER-1.5) A leiomyoma is also known as: 1. endometrial adenocarcinoma 2. fibroid 3. prolapsed uterus 4. uterine sarcoma 3. Stress incontinence - ANSWER-1.6) The Burch procedure is performed for: 1. BPH 2. Fixation of humerus 3. Stress incontinence 4. Uterine malignancy 4. contain the same active ingredients to brand name drugs but different non-medicinal ingredients - ANSWER-1.7) Generic drugs: 1. contain completely different ingredients to brand name drugs 2. contain completely the same ingredients as brand name drugs 3. contain different active ingredients to brand name drugs but the same non-medicinal ingredients 4. contain the same active ingredients to brand name drugs but different non-medicinal ingredients 3. the database; a problem list; initial plans; and progress notes - ANSWER-1.8) What are the parts of the Problem Oriented Medical Record? 1. initial plans; progress notes; problem list; standing orders 2. progress notes; initial plans; and physician orders 3. the database; a problem list; initial plans; and progress notes 4. the database; progress notes; standing orders; and a problem list 2. current burn - ANSWER-1.9) When a patient presents with burns which are described by the physician as "non healing" or "necrotic", code them as: 1. complication of a burn 2. current burn 3. infection of a burn 4. sequelae of a burn 2. Number of MPI duplicates - ANSWER-1.10) There are many risks in an HIM environment. Which of the following is an example of an HIM operational risk? 1. Number of CIHI edits 2. Number of MPI duplicates 3. Number of inpatient deaths 4. Number of requests for information from lawyers 2. It is not life threatening - ANSWER-1.11) Which is FALSE about disseminated intravascular coagulation? 1. Could lead to organ failure 2. It is not life threatening 3. Thrombi may occur 4. Uncontrollable hemorrhage may result 2. Consent for operative procedure, history, physical examination - ANSWER-1.12) Which of the following documentation must be included in a patient's medical record prior to performing a surgical procedure? 1. Consent for operative procedure, anaesthetic record, surgical report 2. Consent for operative procedure, history, physical examination 3. History, physical examination, anaesthetic record 4. Physical exam, problem list, anaesthetic record 2. History - ANSWER-1.13) Documentation regarding a patient's marital status, dietary, sleep, and exercise patterns, use of coffee, tobacco, alcohol, and other drugs may be found in the _____________. 1. Admission form 2. History 3. Operative note 4. Physical exam 2. inability to absorb Vitamin B12 and iron - ANSWER-1.14) Which factor contributes to severe anemia in individuals with chronic renal failure? 1. compensatory increase in bone marrow activity 2. inability to absorb Vitamin B12 and iron 3. increased erythropoietin secretion 4. limited protein intake 4. it is the most convenient way to quickly access current data - ANSWER-1.15) While a patient is receiving care, most paper records will be filed in reverse chronologic order. This is because: 1. coders need data in that way 2. it is easier to file loose reports 3. it is required by legislation 4. it is the most convenient way to quickly access current data 2. circulating hormone - ANSWER-1.16) Since insulin released from the pancreas is carried in the bloodstream to distant target cells, like muscle cells, it is considered to be a: 1. autocrine 2. circulating hormone 3. local hormone 4. neurotransmitter 5. paracrine 2. continuous quality improvement - ANSWER-1.17) A management philosophy that emphasizes the importance of knowing and meeting customer expectations, reducing variation within processes and relying on data for process improvement is known as: 1. clinical decision support 2. continuous quality improvement 3. process diagramming 4. workload measurement 4. remove the document and refile it in the correct record - ANSWER-1.18) When you find a document in the wrong record, you should: 1. advise the attending physician 2. delete the document and complete an incident report 3. leave the document in the record and write on it 'wrong patient' 4. remove the document and refile it in the correct record 2. corneum - ANSWER-1.19) Constant exposure of skin to friction stimulates the formation of a callus, which is the thickening of the stratum ________ of the epidermis. 1. basale 2. corneum 3. granulosum 4. lucidum 3. staggering gait, disorientation, and confusion - ANSWER-1.20) Which of the following indicates hypoglycemia in a diabetic? 1. deep, rapid respirations 2. flushed dry skin and mucosa 3. staggering gait, disorientation, and confusion 4. thirst and oliguria 3. mast cells - ANSWER-1.21) Which cells produce histamine in a type 1 hypersensitivity reaction? 1. lymphocyte 2. macrophages 3. mast cells 4. neutrophils 4. reduce friction between neighboring organs. - ANSWER-1.22) The function of the secretions of a serous membrane, like the pleura, is to: 1. carry nervous impulses. 2. prevent infection. 3. protect the central nervous system. 4. reduce friction between neighboring organs. 5. separate the thoracic and abdominal cavities. 2. blood, semen, and vaginal secretions from an infected person - ANSWER-1.23) HIV is transmitted by: 1. any contaminated surface and skin 2. blood, semen, and vaginal secretions from an infected person 3. infected secretions on toilet seats 4. kissing or coughing into another's face 3. Fracture - ANSWER-1.24) A fracture with dislocation of the femur should be coded as: 1. Both a dislocation and a fracture 2. Dislocation 3. Fracture 4. open fracture 2. cerebrospinal fluid analysis - ANSWER-1.25) Diagnostic testing for meningitis involves: 1. blood cultures 2. cerebrospinal fluid analysis 3. stool C&S 4. urinalysis 3. The ingested vitamin would not be absorbed into the blood. - ANSWER-1.26) Why is pernicious anemia treated with injections of vitamin B12? 1. An immune reaction in the stomach would destroy the vitamin. 2. Digestive enzymes would destroy the vitamin. 3. The ingested vitamin would not be absorbed into the blood. 4. The vitamin irritates the gastric mucosa. 4. all of the above - ANSWER-1.27) Which criteria need to be met in order for by-laws to become valid internal legislation? 1. the by-laws must be adopted according to the procedure established in the articles of the incorporating documents of the corporation 2. they must not contravene any provincial or federal act or regulation 3. they must not deal with any subject outside the purpose for which the corporation has been established 4. all of the above 5. none of the above 3. Health records must be available for patient care - ANSWER-1.28) Record control is an important function of the HIM department because: 1. Efficiency decreases when records cannot be located 2. Health records are required for QA activities 3. Health records must be available for patient care 4. Lost records may result in the hospital being sued. 1. chlamydia - ANSWER-1.29) Which frequently causes PID and subsequent infertility? 1. chlamydia 2. genital warts 3. herpes simplex 4. trichomoniasis 1. An MPI collects all aliases of a person - ANSWER-1.30) Which of the following statements about MPIs is incorrect? 1. An MPI collects all aliases of a person 2. An MPI collects all clinical information about a person 3. An MPI collects all legal names of a person 4. An MPI collects demographic information about a person 3. hypotonic - ANSWER-1.31) Most sports drinks that help rehydrate the body are _________ relative to your body's cells. 1. hemolytic 2. hypertonic 3. hypotonic 4. isotonic 5. tonic 2. WBC diff. - ANSWER-1.32) A hematology laboratory test to determine the relative number and percentage of each type of leukocytes is a: 1. CBC 2. WBC diff. 3. hematocrit 4. hemoglobin deterioration 4. Prolactin - ANSWER-1.33) Which anterior pituitary hormone stimulates milk production? 1. Adrenocorticotropic hormone 2. Luteinizing hormone 3. Melanocyte stimulating hormone 4. Prolactin 5. Thyrotropin 1. antibiotic - ANSWER-1.34) A physician will prescribe an _________ if she suspects that a person has been exposed to anthrax. 1. antibiotic 2. antineoplastic 3. antiparasitic 4. antiviral 3. small cell cancer - ANSWER-1.35) The most fatal type of lung cancer is: 1. adenocarcinoma 2. large cell cancer 3. small cell cancer 4. squamous cell cancer 4. Maxilla - ANSWER-1.36) Which of the following bones cannot be elevated or depressed? 1. Clavicle 2. Hyoid 3. Mandible 4. Maxilla 5. Ribs