CDIP PRACTICE REAL EXAM 2 WITH
100%VERIFIED QUESTIONS AND ANSWERS
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A patient presents with a myocardial infarction (MI) and
... [Show More] intervention was carried out. It
was noted the patient does have coronary artery disease (CAD). The consulting
physician has stated to staff the CAD should be sequenced first. What should be the
principal diagnosis?
a.CAD
b.MI
c.Chest pain
d.Ill-defined condition - ANSEWRS-b No, the consultant's advice is not correct.
Sequence the AMI as the principal diagnosis since it is the acute condition and the
reason for the admission. You should continue to follow correct coding and reporting
practices and report the AMI as the principal diagnosis (AHA Third Quarter 2009, 9-10.
AHA, First Quarter 2012, 7).
At times, patients present to the hospital with hematoma. There is noted midline shift of
mass effect. Based on the diagnosis, signs or symptoms, and treatment:
a.The CDS could consider mass effect query
b.The CDS could consider cerebral blood clot query
c.The CDS could consider brain compression query
d.The CDS could have no considerations - ANSEWRS-c The coder should query the
provider and if the provider clarifies and documents that the mass effect or midline shift
is brain compression, the coder may then assign a code for the brain compression (AHA
2011, 11).
If a patient is given Levophed, the patient is most likely being treated for which of the
following diagnoses?
a.Shock
b.Infection
c.Hemorrhage
d.Infarction - ANSEWRS-a This is a treatment for shock (septic and cardiogenic).
(Society of Critical Care Medicine 2013)
A 68-year-old nursing home patient with status post CVA 2 weeks ago presents via the
emergency department with a 1-day history of fever, and elevated blood sugars in the
180-210 range. The patient has stated they have significant pain of the right buttock
since the previous admission. The patient has a history of diabetes, and is on long-term
insulin. On physical exam, it is noted the patient had a fever of 101.3 with purulent
drainage with exposure of subcutaneous fat. This type of ulcer can be called a:
a.Stage I
b.Stage II
c.Stage III
d.Stage IV - ANSEWRS-c This is a Stage III ulcer; Full thickness skin loss. The National
Pressure Ulcer Advisory Panel (NPUAP) has redefined the definition of a pressure ulcer
and the stages of pressure ulcers. (AHA Fourth Quarter 2008, 132) [Show Less]