AHIMA AHIMA Certifications RHIA Questions & Answers

• Question 881:

  Jane Doe is 6 weeks post mastectomy for carcinoma of the breast. She is admitted for chemotherapy. What is the correct sequencing of the codes?

  A. V58.11 (chemotherapy), 174.9 (malignant neoplasm of the breast), V45.71 (acquired absence of breast)

  B. V58.11 (chemotherapy), V10.3 (personal history of malignant neoplasm of breast), V45.71 (acquired absence of breast)

  C. V67.00 (follow-up exam after surgery), V58.11 (chemotherapy)

  D. V10.3 (personal history of malignant neoplasm of breast)

  Correct Answer: A

• Question 882:

  The patient has had abnormal heavy uterine bleeding and abdominal pain. There was bright red blood in the vagina and the right adnexa was enlarged. The woman was admitted. In surgery, a laparoscopy revealed a right follicular ovarian cyst. A laparoscopic ovarian cystectomy was performed. Following surgery she was transfused two units of packed red blood cells for acute blood-loss anemia.

  

  A. 620.0, 285.1, 65.25

  B. 620.0, 280.0, 65.39

  C. 620.0, 285.1, 65.39

  D. 620.0, 280.0, 65.25

  Correct Answer: A

• Question 883:

  The patient has hypertensive heart disease and nephrosclerosis with chronic kidney failure. The patient had placement of arteriovenous fistula in his left wrist to prepare for the hemodialysis. Dialysis was also performed on this admission.

  

  A. 404.93, 585.9, 54.98, 39.27

  B. 404.92, 585.6, 39.95, 39.27

  C. 404.93, 585.6, 39.95, 39.27

  D. 404.92, 585.9, 38.95, 39.27

  Correct Answer: B

• Question 884:

  Patient was admitted from the nursing home in acute respiratory failure that was due to congestive heart failure. Chest x-ray also showed pulmonary edema. Patient was intubated and placed on mechanical ventilation and expired the day after admission.

  

  A. 428.1, 518.84, 518.4, 96.71, 96.04

  B. 428.20, 428.0, 518.81, 518.4, 96.71, 96.04

  C. 518.81, 428.0, 96.71, 96.04

  D. 428.0, 518.4, 96.04, 96.71

  Correct Answer: C

• Question 885:

  A female patient was admitted with uncontrolled type II diabetes. Patient also had an abscessed diabetic ulcer of the foot that was treated with incision and drainage. Culture and sensitivity of abscess shows growth of Staphylococcus aureus, methicillin resistant. Patient was started on the appropriate antibiotic. Patient is on oral as well as injectional insulin for control of diabetes.

  

  A. 250.83, 682.8, V09.0, 86.04

  B. 682.7, 682.7, 707.15, 041.19, 86.01

  C. 682.8, 041.19, 250.82, 707.00, 86.04,

  D. 250.82, 682.7, 707.15, 041.11, V09.0, 86.04

  Correct Answer: D

• Question 886:

  A 32-year-old female known to be HIV positive was admitted with lesions of the anterior trunk. Excisional biopsies of the skin lesions were positive for Kaposi's sarcoma. Further examination revealed thrush.

  

  A. 042, 686.00, 112.0, 86.22

  B. 042, 176.0, 112.0, 86.11

  C. 795.71, 176.0, 528.9, 86.] 1

  D. 795.71, 686.00, 528.9, 86.22

  Correct Answer: B

• Question 887:

  Screening examination for lung cancer

  A. V72.82

  B. 162.9

  C. - V72.5

  D. V76.0

  Correct Answer: D

• Question 888:

  Patient admitted for observation for head injury following a fall. Patient also suffered a minor laceration to the forehead. Head injury was ruled out.

  A. V71.4, 873.42, E888.9

  B. 873.42, E888.9

  C. 959.01, 873.42, E888.9

  D. V71.4, E888.9

  Correct Answer: A

• Question 889:

  Elderly man was admitted through the emergency department for severe urinary retention. Upon study, it was determined that his hypertension was uncontrolled (215/108). Prior medical records show admission 8 weeks ago for the same problem. As per conditions on previous admission, his BPH is complicated by acute cystitis. He is noncompliant with medications. Medication for the hypertension was immediately started and his hypertension was quickly brought under control. Urinary retention was relieved by placement of a Foley

  

  A. 600.01, 595.0, 788.20, 401.9, V15.81, 57.94, 60.29

  B. 600.3, 595.0, 401.0, V15.81, 57.92, 60.61

  C. 600.00, 595.9, 788.20, 401.9, V15.81, 57.94, 60.61

  D. 600.3, 595.0, 788.20, 401.0, V15.81, 57.94, 60.61

  Correct Answer: A

• Question 890:

  The patent is being admitted for a preoperative EKG on an outpatient basis. He is scheduled to have an elective cholecystectomy tomorrow for chronic cholecystitis and cholelithiasis. EKG reveals atrial flutter.

  A. 574.10

  B. V72.81, 51.23

  C. V72.81, 574.10, 427.32

  D. 427.32

  Correct Answer: C