Question 1

Estelle has had nausea and vomiting and is unable to eat. She develops dehydration and is subsequently admitted for rehydration with intravenous fluids.

Accepted Answer

The answer of Estelle has had nausea and vomiting and...

Question 2

Steven, a 7-year-old, is seen in the emergency department with severe joint pain. Following work-up it is discovered that he is having a severe crisis due to sickle cell anemia.

Accepted Answer

The correct code for a crisis due to sickle cell anemia is 282.62. The other options are not specific to sickle cell crisis or do not accurately reflect the severity of the condition.

Question 3

Ruth is admitted for an axillary lymph node biopsy to determine the cause of her chronic lymphadenitis. She is on medication for gout and atrial fibrillation.

Accepted Answer

The answer of Ruth is admitted for an axillary lymph...

Question 4

Lou has profound mental retardation due to mongolism.

Accepted Answer

The answer of Lou has profound mental retardation due to...

Question 5

Sally has been diagnosed with panic attacks and is prescribed Xanax. She has been taking the medication as prescribed by her physician for 3 days and is now having hallucinations. Her physician advises her to stop taking the medication and her symptoms abate. Her doctor determines that the hallucinations were due to the Xanax.

Accepted Answer

The answer of Sally has been diagnosed with panic attacks...

Question 6

A patient is admitted for treatment of peripheral vascular disease, renal failure, and diabetes mellitus. The coder would

Accepted Answer

The answer of A patient is admitted for treatment of...

Question 7

Sheila has paranoid alcoholic psychosis with chronic alcoholism, continuous. She is admitted for treatment of her psychosis.

Accepted Answer

The answer of Sheila has paranoid alcoholic psychosis with chronic...

Question 8

Sybil has been admitted to Shady Acres Psychiatric facility for treatment of schizophrenia. Sybil is also manic depressive and has been noncompliant with her medications.

Accepted Answer

The answer of Sybil has been admitted to Shady Acres...

Question 9

Liza has been diagnosed with anemia. She is being admitted for a bone marrow aspiration to determine the specific type of anemia. The pathology report indicates that she has iron-deficiency anemia.

Accepted Answer

The diagnosis code for iron-deficiency anemia is 280.9, and the procedure code for bone marrow aspiration is 41.31. Choice A is incorrect because the procedure code is incorrect. The correct code for bone marrow aspiration is 41.31, not 41.38. Choice C is incorrect because the diagnosis code is not specific enough. Iron-deficiency anemia is coded as 280.9, not 280.91. Choice D is incorrect because the procedure code is incorrect. The correct code for bone marrow aspiration is 41.31, not 41.38.

Question 10

Acute epileptic twilight state with delirium

Accepted Answer

The answer of Acute epileptic twilight state with delirium 
...

Question 11

Lucy is admitted because of diabetic coma. She is a type II diabetic with nephritic syndrome and gangrene of her toes, all due to her diabetes.

Accepted Answer

The answer of Lucy is admitted because of diabetic coma....

Question 12

Edward is diagnosed with syndrome of inappropriate antidiuretic hormone with resultant electrolyte imbalance.

Accepted Answer

The answer of Edward is diagnosed with syndrome of inappropriate...

Question 13

George is a type II diabetic who is admitted in a coma with a blood glucose of 876. He is diagnosed with diabetic ketoacidosis. George also has a diabetic cataract.

Accepted Answer

The answer of George is a type II diabetic who...

Question 14

Joe is being admitted for treatment of chronic alcoholism. As a result of Joe's drinking he also has chronic alcoholic gastritis for which he receives medication. Joe is scheduled to spend 30 days in the inpatient rehab unit of Sunshine Hospital.

Accepted Answer

The answer of Joe is being admitted for treatment of...

Question 15

Aaron has suffered a hypoglycemic reaction due to alcohol intoxication. Hypoglycemia is treated.

Accepted Answer

The answer of Aaron has suffered a hypoglycemic reaction due...

Question 16

Elizabeth has a history of von Willebrand's disease and frequently requires transfusions for chronic blood loss anemia associated with her condition. She presents to the outpatient department for routine blood transfusion.

Accepted Answer

The answer of Elizabeth has a history of von Willebrand's...

Question 17

Spencer has hypercholesterolemia and is treated with medication.

Accepted Answer

The answer of Spencer has hypercholesterolemia and is treated with...

Question 18

Peggy has thymic dysplasia with immunodeficiency.

Accepted Answer

The answer of Peggy has thymic dysplasia with immunodeficiency. 
...

Question 19

Angela has just undergone orthopedic surgery. Documentation indicates that she lost 700 cc of blood during surgery. Her hemoglobin and hematocrit are monitored following surgery. Subsequently she is transfused. The physician documents anemia as a secondary diagnosis. The coder would

Accepted Answer

The coder should query the physician to clarify the type of anemia as acute blood loss because the documentation indicates significant blood loss during surgery, which could suggest acute blood loss anemia, but it needs to be explicitly confirmed by the physician.

Question 20

Allen is addicted to Vicodin. He has stopped taking the drug and is now having withdrawal symptoms. Allen has chronic back pain for which he has been prescribed the medication. Allen is admitted for treatment of his withdrawal symptoms.

Accepted Answer

The answer of Allen is addicted to Vicodin. He has...

Exam 1: Registered Health Information Administrator