CCS Exam Practice Questions Domain 1:
Clinical Documentation
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b. myocardial infarction 1. The patient was admitted from the emergency
department because of chest pain. Following
blood work, it was determined that the patient had
elevated CPKs and MB enzymes. The EKG shows
nonspecific ST changes. What type of diagnosis
might this indicate?
a. Unstable angina
b. Myocardial infarction
c. Congestive heart failure
d. Mitral valve stenosis
d. urinary tract infection, escherichia 1. A patient is admitted and diagnosed with fever
coli and urinary burning. The discharge diagnosis is
Escherichia coli, urinary tract infection. Which of
the following represents the correct diagnoses and
appropriate sequence of those conditions?
a. Fever, urinary burning, urosepsis
b. Fever, urinary burning, sepsis
c. Escherichia coli, urinary tract infection
d. Urinary tract infection, Escherichia coli
, a. query the physician 1. A patient was admitted with heart failure within
one week of a heart transplant. Due to the timing,
the coder thought that it may represent a
postoperative transplant rejection following heart
transplant. What action(s) should the coding staff
take?
a. Query the physician
b. Assign the codes for the postoperative
transplant rejection
c. Assign only the code for the transplant rejection
d. Assign only the code for heart failure
b. major depression 1. A patient is admitted to a psychiatric unit of an
acute-care facility. The patient experienced the
following symptoms almost every day for the last
month: loss of interest or pleasure in most or all
activities, which is a change from her prior level of
functioning. She has also gained 15 lbs., has
difficulty falling asleep, feels fatigued, and has
difficulty making decisions. What potential
diagnosis most closely fits the patient's overall
symptoms?
a. Insomnia
b. Major depression
c. Reye's syndrome
d. Bipolar disorder
Clinical Documentation
Leave the first rating
Save
Terms in this set (14) Hide definitions
b. myocardial infarction 1. The patient was admitted from the emergency
department because of chest pain. Following
blood work, it was determined that the patient had
elevated CPKs and MB enzymes. The EKG shows
nonspecific ST changes. What type of diagnosis
might this indicate?
a. Unstable angina
b. Myocardial infarction
c. Congestive heart failure
d. Mitral valve stenosis
d. urinary tract infection, escherichia 1. A patient is admitted and diagnosed with fever
coli and urinary burning. The discharge diagnosis is
Escherichia coli, urinary tract infection. Which of
the following represents the correct diagnoses and
appropriate sequence of those conditions?
a. Fever, urinary burning, urosepsis
b. Fever, urinary burning, sepsis
c. Escherichia coli, urinary tract infection
d. Urinary tract infection, Escherichia coli
, a. query the physician 1. A patient was admitted with heart failure within
one week of a heart transplant. Due to the timing,
the coder thought that it may represent a
postoperative transplant rejection following heart
transplant. What action(s) should the coding staff
take?
a. Query the physician
b. Assign the codes for the postoperative
transplant rejection
c. Assign only the code for the transplant rejection
d. Assign only the code for heart failure
b. major depression 1. A patient is admitted to a psychiatric unit of an
acute-care facility. The patient experienced the
following symptoms almost every day for the last
month: loss of interest or pleasure in most or all
activities, which is a change from her prior level of
functioning. She has also gained 15 lbs., has
difficulty falling asleep, feels fatigued, and has
difficulty making decisions. What potential
diagnosis most closely fits the patient's overall
symptoms?
a. Insomnia
b. Major depression
c. Reye's syndrome
d. Bipolar disorder
