Question 1

The organism transmitted by a mosquito bite that causes malaria is a

Accepted Answer

The answer of The organism transmitted by a mosquito bite...

Question 2

Nephropathy due to tuberculosis (confirmed histologically) of the kidney. Patient has a right nephrectomy performed.

Accepted Answer

Nephropathy due to tuberculosis (confirmed histologically) of the kidney is coded as 016.05. Right nephrectomy is coded as 55.51. Tuberculosis of the kidney is coded as 583.81.

Question 3

Nurse Jones suffers a needle stick and presents for HIV testing. She sees her physician for the test results and counseling.

Accepted Answer

The answer of Nurse Jones suffers a needle stick and...

Question 4

Malignant melanoma, skin of back. Patient undergoes a radical excision of the melanoma with full-thickness skin graft.

Accepted Answer

The correct codes for radical excision of a malignant melanoma on the skin of the back with full-thickness skin graft are:

173.5 - Malignant melanoma of skin, trunk, except scrotum and penis; 
86.4 - Excision of skin and subcutaneous tissue, trunk; 
86.63 - Skin graft, trunk.

Option B has the correct codes. Option A has incorrect first code (off by 1 digit), Option C has incorrect second code (off by 1 digit), and Option D has incorrect first and second codes (both off by 1 digit).

Question 5

Patient is admitted with a left ankle fracture. Patient also has AIDS with Kaposi's sarcoma of the skin. Patient received a closed reduction with internal fixation of the ankle fracture.

Accepted Answer

The answer of Patient is admitted with a left ankle...

Question 6

Sam Spade has been injured in a MVA. The organ in his body, situated at the upper left of his abdominal cavity, under the ribs, that is part of his lymphatic system has been ruptured and he is bleeding internally. Sam needs a surgical procedure known as a

Accepted Answer

The organ located in the upper left of the abdominal cavity, under the ribs, that is part of the lymphatic system is the spleen. If Sam's spleen has been ruptured due to the MVA, he would be bleeding internally and require a splenectomy, which is a surgical procedure to remove the spleen. A sequestrectomy is a surgical procedure to remove dead bone tissue, a sialoadenectomy is the removal of a salivary gland, and a sigmoidoscopy is a diagnostic procedure to examine the sigmoid colon.

Question 7

Female, 68 years old, was admitted with type II diabetes mellitus with a diabetic ulcer of the left heel. Patient was taken to the operating room for excisional debridement of the ulcer.

Accepted Answer

The correct ICD-9-CM codes for type II diabetes with a diabetic ulcer are 250.80 (diabetes with other specified manifestations) and 707.14 (ulcer of heel and midfoot). The procedure code for excisional debridement is 86.22.

Question 8

Septicemia due to methicillin-resistant Staphylococcus aureus. Patient also was admitted with septic shock and decubitus ulcer of the sacrum. Patient had a central line inserted and infusion of drotrecogin alfa.

Accepted Answer

The correct codes are: 038.11 for MRSA septicemia, V09.0 for infection with drug-resistant microorganisms, 707.03 for decubitus ulcer of the sacrum, 995.92 for severe sepsis, 785.52 for septic shock, 38.93 for central line insertion, and 00.11 for infusion of drotrecogin alfa.

Question 9

Patient is admitted with abdominal pain. Needle biopsy of the liver reveals secondary malignancy. of the liver. Patient has an exploratory laparotomy to determine primary site. Primary site is unknown at time of discharge.

Accepted Answer

The answer of Patient is admitted with abdominal pain. Needle...

Question 10

Carpal tunnel syndrome is caused by entrapment of the

Accepted Answer

Carpal tunnel syndrome is caused by the entrapment of the median nerve as it passes through the carpal tunnel in the wrist.

Question 11

Patient is admitted for chemotherapy, for treatment of breast cancer with liver metastasis. Patient had a mastectomy 4 months ago. Chemotherapy is given.

Accepted Answer

The correct codes are V58.11 (chemotherapy), 174.9 (malignant neoplasm of female breast), V45.71 (liver metastasis), 197.7 (chemotherapy for malignant neoplasm), and 99.25 (chemotherapy administration).

Question 12

Patient with a history of cancer of the colon and status post-colostomy is admitted for closure of the colostomy. Patient is also being treated for chronic obstructive pulmonary disease and diastolic heart failure. Patient has a takedown of the colostomy.

Accepted Answer

V55.3 is the ICD-10 code for a colostomy status post-closure. 496 is the ICD-10 code for chronic obstructive pulmonary disease. V10.05 is the ICD-10 code for a history of malignant neoplasm of the colon. 428.30 is the ICD-10 code for diastolic heart failure. 46.52 is the ICD-10 code for a colostomy takedown. Therefore, B is the best choice as it includes all relevant diagnoses and procedures.

Question 13

Henrietta Dawson presents with a chief complaint of pain and weakness in her arms and neck. After an H&P and review of diagnostic tests that include a myelogram, her doctor diagnoses a herniated nucleus pulposus at the __________ level of her spine.

Accepted Answer

Pain and weakness in the arms and neck suggest a cervical spine issue, and a herniated nucleus pulposus is a common cause of such symptoms. The myelogram would have helped identify the level at which the herniation is present, and in this case, it is at the cervical level. Lumbar herniations can cause leg pain and weakness, sacral herniations can cause bowel or bladder dysfunction, and thoracic herniations can cause pain in the chest or back.

Question 14

Sixty-seven-year-old is admitted with acute dehydration secondary to nausea and vomiting that is due to acute gastroenteritis. Patient is treated for dehydration. Esophagogastroduodenoscopy is performed.

Accepted Answer

The answer of Sixty-seven-year-old is admitted with acute dehydration secondary...

Question 15

A patient is admitted with fever and severe headache. Diagnostic workup revealed viral meningitis. Patient also has asthma with acute exacerbation and hypertension, both of which are treated.

Accepted Answer

The answer of A patient is admitted with fever and...

Question 16

Ingrid Anderson presents with a skin infection that began as a raised itchy bump, resembling an insect bite Within 1 to 2 days it developed into a vesicle. Now it is a painless ulcer, about 2 cm in diameter, with a black necrotic area in the center. During the history, her doctor learns that she may has recently returned from an overseas vacation and becomes concerned that she may have become infected with anthrax. He will prescribe an

Accepted Answer

Given the patient's recent overseas travel and the progression of her skin infection, her doctor is concerned about anthrax, which is caused by the bacteria Bacillus anthracis. Anthrax is treated with antibiotics, such as ciprofloxacin, doxycycline, or penicillin. Therefore, the best choice in this situation is an antibiotic. Both B and C are not appropriate choices for a suspected bacterial infection like anthrax, and D is not appropriate as anthrax is not caused by a virus.

Question 17

Patient with a history of malignant neoplasm of the lung is admitted with seizures. Workup revealed metastasis of the lung cancer to the brain.

Accepted Answer

The patient has a history of malignant neoplasm of the lung, represented by V10.11. The patient is now presenting with seizures, which are indicative of metastasis to the brain, represented by 198.3. Finally, the patient's seizures are also represented by 780.39. Therefore, the correct code choices are V10.11, 198.3, and 780.39 in the order presented in choice C.

Question 18

Contributing factors of mental disorders include

Accepted Answer

Mental disorders can have multiple contributing factors, including genetics and heredity, traumatic experiences, and ongoing stress. It is important to consider all of these factors in understanding and treating mental health concerns.

Question 19

Etiologies of dementia include

Accepted Answer

Dementia can be caused by various factors, including brain tumors, traumatic brain injury, and ischemic brain damage. These factors can lead to the degeneration and death of brain cells, which in turn causes cognitive decline and other symptoms associated with dementia.

Question 20

Patient is admitted to the hospital for treatment of dehydration following chemotherapy as treatment for ovarian cancer.

Accepted Answer

The primary reason for admission is dehydration, coded as 276.51. The secondary diagnosis is ovarian cancer, coded as 183.0.

Exam 1: Registered Health Information Administrator