RHIT Domain 4c: Questions & Answers
A patient has end-stage kidney disease, which resulted from malignant hypertension.
1. I13.11, N18.6
2. I15.1, N18.6
3. I12.0, N18.6
4. I10, N18.6
(Ans- 3. I12.0, N18.6
** Note: know difference between Hypertensive kidney disease and
Hypertensive heart and kidney disease
A patient has intractable status epilepticus.
1. G40.201
2. G40.319
3. G40.301
4. G40.311
(Ans- 4. G40.311
A patient is admitted with bleeding esophageal varices with alcoholic liver cirrhosis and portal hypertension. The patient is alcohol dependent.
1. K70.0. I85.11, K76.6
2. I85.11, K76.6, K70.30
3. K76.6, I85.11, K70.30
4. I85.01, K70.30, K76.6, F10.288
(Ans- 4. I85.01, K70.30, K76.6, F10.288
An infant has hypoglycemia and a mother who had been diagnosed with type 2 diabetes 5 years ago.
1. P70.0 1 / 3
2. P70.2
3. P70.1
4. P70.4
(Ans- 3. P70.1 ** The documentation that the mother was diagnosed with diabetes mellitus
- years ago confirms that her diabetes was preexisiting to the pregnancy.
A patient is admitted with cervical spina bifida with hydrocephalus.
1. Q05.5
2. Q76.0
3. Q05
4. Q05.0
(Ans- 4. Q05.0
Identify the correct root operation, used in ICD-10-PCS, for the following:
Cystoscopy
- inspection
- endoscopy
- drainage
- insertion
(Ans- 1. inspection
A patient is admitted with a through and through gunshot wound, accidentally discharged while cleaning the gun, to the right upper quadrant of the abdomen, which involves a moderate laceration to the liver, initial encounter.
1. S36.115A, S31.101A
2. S36.115A
- S31.130A, S36.115A, W34.00xA
- S36.118A, W34.00xA
(Ans- 3. S31.130A, S36.115A, W34.00xA 2 / 3
** "through gunshot" doesn't mean there is a penetration into peritoneal cavity.
A female, 68 years old, was admitted with type 2 diabetes mellitus with a diabetic ulcer of the left heel involving the subcutaneous layer of the skin.The patient will be scheduled for wound care with whirlpool treatments.
1. L97.421, E11.621
2. E11.621
3. E11.621, L97.421
4. E11.620, L97.421
(Ans- 3. E11.621, L97.421
In ICD-10-PCS, beam radiation was administered using electrons for a femoral bone tumor.
1. DP005ZZ
2. DP093ZZ
3. DPY97ZZ
4. DT023ZZ
(Ans- 2. DP093ZZ
The physician's H&P for admission makes no mention of the patient's UTI.The present on admission indicator is ___.
- N = No
- U = Unknown
- Unreported/Not Used (Exempt from POA) Reporting
- W = Clinically Undetermined
- Y = Yes
(Ans- 1. N = No ** Present on admission (POA) guidelines were established to identify and report diagnoses that are present at the time of a patient's admission. The
reporting options for each ICD-10-CM code are:
Y = Yes;
- / 3