IHI 107.doc



Part A: Complete the following multiple-choice questions. Choose the best answer for each question.
1. The physical presence or existence of a condition that can be observed by the physician is a/an
A. lesion. C. injury.
B. sign. D. symptom.
2. One of the reasons E codes are used is to indicate which of the following?
A. Specific disease processes C. Myocardial infarctions
B. Birth details D. Where an accident occurred
3. Which of the following best describes late effects?
A. Residual effects that remain after the acute phase of an injury or illness
B. Effects that are always coded alone
C. Effects categorized according to the nature and time of the disease, condition, or injury
D. E codes that describe where the injury, illness, or condition occurred
4. When two or more diagnoses equally meet the criteria for principal diagnosis, what action should the coder take?
A. Code both diagnoses with either of the diagnoses sequenced first.
B. Code both of the diagnoses, sequencing the codes based on which diagnosis the physician listed first on the discharge sheet.
C. Code only the diagnosis most closely related to the treatment.
D. Code only the diagnosis that’s the most resource-intensive.
5. In an acute care hospital, when is it appropriate to assign a code such as 794.31—nonspecific abnormal electrocardiogram?
A. When the laboratory or testing report shows that the abnormal finding meets Uniform Hospital Discharge Data Set (UHDDS) criteria
B. When the physician has documented the abnormal finding in the Progress Notes
C. When the physician hasn’t been able to arrive at a diagnosis, and the condition meets the guidelines for that particular code
D. It’s never appropriate to assign codes of this type for an acute care setting.
6. Which of the following would not be a valid principal diagnosis?
A. 873.42 C. 496
B. E880.9 D. V25.12
7. Which of the following codes fall under the category of providing codes for reporting factors
influencing health status and health service?
A. V67.4 C. 47.09
B. E884.2 D. A4510
8. Unknown causes of morbidity or mortality should be coded only when
A. the physician documents them on laboratory reports.
B. a more definitive diagnosis isn’t available.
C. reporting acute care hospital codes.
D. they meet UHDDS guidelines.
9. Which of the following scenarios could be classified within code ranges 960–979?
A. Patient has lethargy for unintentionally taking too much of her prescribed sleeping pill.
B. Patient had an allergic reaction to her normal dose of antihistamine.
C. Patient experienced lightheadedness due to the interaction of two drugs prescribed by her family doctor.
D. Patient is experiencing increased heart rate due to daily dose of Valium that has been taken as prescribed.
10. A patient was admitted to the hospital with a deep burn to the dermis of the arm. For coding purposes, you would classify this condition as
A. a first-degree burn.
B. a second-degree burn.
C. a third-degree burn.
D. undeterminable until the physician clarified with more information.