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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 - CORRECTANSWER c. 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 - CORRECTANSWER c. Medical identity theft
Correct CORRECTANSWER: 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 - CORRECTANSWER d. 730.07, 041.10
Correct CORRECTANSWER: 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 - CORRECTANSWER Correct CORRECTANSWER: 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 - CORRECTANSWER Correct CORRECTANSWER: 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)
c. Paroxysmal supraventricular tachycardia (427.0)
d. Sick sinus syndrome (SSS) (427.81) - CORRECTANSWER d. Sick sinus syndrome (SSS) (427.81)