ACTUAL EXAM 350 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |
ALREADY GRADED A+
If a patient undergoes a biopsy immediately before the definitive surgery for a
frozen section, how should this be coded with ICD-10_PCS codes?
A) The approach to the definitive surgery
B) Suture method
C) Exploratory surgery
D) Open biopsy and definitive surgery - ANSWER- D) Open biopsy and definitive
surgery
A patient had a liver transplant 2 years ago. She has been experiencing problems
with her kidneys with a GFR of 20 and Stage IV CKD. She is noted to have some
jaundice. Based on this:
A) Query should be performed for complication of liver transplant
B) Query should be performed for complication of liver transplant
C) Query should not be performed as there are no liver complications
D) No additional documentation needed for reporting - ANSWER- A) Query
should be performed for complication of liver transplant
When a patient is admitted for treatment of a secondary malignancy with an active
primary site the principle diagnosis should be:
A) The primary malignancy
B) The secondary malignancy
,C) Either condition
D) Query should be performed - ANSWER- B) The secondary malignancy
The Glasgow Coma Scale includes evaluation of:
A) Eye opening response, verbal response, and motor response
B) Visual response, verbal response, and motor response
C) Eye opening response, verbal response, and neurological response
D) None of the above - ANSWER- A) Eye opening response, verbal response, and
motor response
Severe sepsis with acute organ dysfunction requires a code for severe sepsis and:
A) Specific organ dysfunction
B) Underlying infection
C) Sepsis only
D) Multiple organ dysfunction - ANSWER- B) Underlying infection
This root operation alters the diameter or route of a tubular body part and
completely closes an orifice orlumen; for example, tubal ligation of Fallopian
tubes:
A) Dilation
B) Ligation
C) Occlusion
D) Restriction - ANSWER- C) Occlusion
The patient underwent laparotomy to determine if repair was needed to a patient's
gastric bypass due to a fall later the day of procedure while in the hospital. No
,damage was identified and the would was closed. The CDS is not sure what root
operation to use. The most appropriate root operation would be:
A) Inspection
B) Revision
C) Exploration
D) Repair - ANSWER- A) Inspection
Which of the following would generally be found in a query to a physician?
A) Health record number and demographic information
B) Name and contact number of the individual initiating the query and account
number
C) Date query initiated and date query must be completed
D) Demographic information and name and contact number of individual initiating
the query - ANSWER- B) Name and contact number of the individual initiating the
query and account number
(A query generally includes:
Patient name, admission date or DOS, health record number, account number, date
query initiated, name and contact information of the individual initiating the query,
and statement of the issue in the form of a question along with clinical indicators
specified from the chart)
Modifier 59 provides guidance that a service is distinct and separate. Beginning
January 2015, 4 new modifiers were created to provide greater reporting specificity
in situations where modifier 59 was previously reported and may be utilized in lieu
of modifier 59 whenever possible. These modifiers are:
A) XA, XB, XC, XD
B) CC44, CC45, CC46, CC47
C) XE, XS, XP, XU
D) 44, 45, 46, 47 - ANSWER- C) XE, XS, XP, XU
, Anywhere Hospital has been experiencing problems interacting with the medical
staff. Anywhere should utilize which committee to assist these problems?
A) Compliance committee
B) Executive committee
C) Medical staff committee
D) Oversight committee - ANSWER- D) Oversight committee
Dr. Smith is the physician advisor for a 200-bed hospital in the south. He has a
very close relationship with the physicians within this small facility and they all
share many of the patients. Dr Smith should:
A) Tell the physicians he has the best relationships with the physicians and can tell
them what to document
B) Document specifically what is needed in the health record for the patient
C) Not tell or ask a treating physician to document something specifically
D) Respond to queries on patients they both have seen in the past 3 years -
ANSWER- C) Not tell or ask a treating physician to document something
specifically
To ensure a CDI program is successful and sustainable it should have:
A) Physician leadership
B) Metrics
C) A CDI manager
D) Resources such as CDI software - ANSWER- A) Physician leadership
Terms synonymous with query are clarification, clinical clarification,
documentation alert, and ______?
A) Inquiry