CCS: DOMAIN #1: CLINICAL DOCUMENTATION
PRACTICE EXAM QUESTIONS WITH CORRECT
ANSWERS
b. myocardial infarction - Answer-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 coli - Answer-1. A patient is admitted and
diagnosed with fever 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 - Answer-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 - Answer-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
c. abdominal adhesions with obstruction, lysis of adhesions - Answer-1. A patient is
admitted to the hospital complaining of abdominal pain. Following evaluation, it was
PRACTICE EXAM QUESTIONS WITH CORRECT
ANSWERS
b. myocardial infarction - Answer-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 coli - Answer-1. A patient is admitted and
diagnosed with fever 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 - Answer-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 - Answer-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
c. abdominal adhesions with obstruction, lysis of adhesions - Answer-1. A patient is
admitted to the hospital complaining of abdominal pain. Following evaluation, it was
