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CCDS EXAM WITH ALL CORRECT
AND VERIFIED ANSWERS LATEST
UPDATE
Question: A patient is admitted from the emergency department
(ED) with a diagnosis of weakness and anemia. After admission and further treatment with packed red blood cells (PRBC), GI consult, and endoscopy, the physician includes the following diagnoses in the
discharge summary: anemia, suspected bleeding gastric ulcer, and
GERD. What would be the most appropriate principle diagnosis?
- Bleeding gastric ulcer
- Anemia
C. GERD
- Weakness
Correct Answer: A. Bleeding gastric ulcer
Question: A patient is admitted with new-onset seizures. Head CT
reveals a mass in the occipital region. The physician documents possible brain tumor, and the patient is transferred to another hospital for further workup. What would be the most appropriate principal diagnosis based upon this documentation?
- Seizure
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- Neoplasm of occipital region
- Head mass
- Head tumor
Correct Answer: B. Neoplasm of occipital region
Question: A hospital's base rate or blended rate is:
Calculated annually
Dependent upon indirect costs for graduate medical education and new technology
Adjusted based upon number of low-income patients cared for
Not adjusted based upon capital expenses
- 1 and 2
- 2 and 3
- 1, 2, and 3
- 1, 2, 3, and 4
Correct Answer: C. 1, 2, and 3
Question: The final MS-DRG assigned to a patient's medical record
should:
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- Reflect the amount of time the physician spent with the patient
- Depend upon the patient's length of stay
- Be assigned by the physician
- Reflect the severity of illness (SOI) and resource consumption of
the patient's care
Correct Answer: D. Reflect the severity of illness (SOI) and
resource consumption of the patient's care
Question: A patient is admitted from the emergency department
with the diagnosis of acute respiratory failure due to overdose of pain medication and an aspiration pneumonia. What is the principal diagnosis?
- Acute respiratory failure
- Aspiration pneumonia
- Poisoning
- Adverse effect of medication
Correct Answer: C. Poisoning
Question: A patient is admitted with pneumonia, stage 1 chronic
renal failure, chronic anemia, and COPD. While hospitalized the patient receives IV antibiotics, inhalers, oxygen, IV fluids at 50mL/hr, and iron tablets. Keeping the guidelines for coding of secondary diagnoses in mind, which condition should be coded?
- Pneumonia only
- Pneumonia and COPD only
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- Pneumonia, COPD, and anemia
- All of the conditions should be coded
Correct Answer: D. All of the conditions should be coded
Question: Which of the following is an example of a hospital-
acquired condition?
- Fat embolism
- IV phlebitis
- Pneumonia
- Fractured ulna
Correct Answer: D. Fractured ulna
Question: Which of the following is an example of documentation
that would meet the present on admission criteria for coding?
- A diagnosis that is indicated in the history and physical and ruled
- A diagnosis found in a previous medical record
- A diagnosis that is listed as possible in the history and physical
- An acute condition identified on the third day of admission
out in the discharge summary
Correct Answer: C. A diagnosis that is listed as possible in the
history and physical
Question: A patient is admitted with abdominal pain and the history
and physical indicated a diagnosis of probable colon cancer. On day