Professional Documents
Culture Documents
• Eg: Suffixes,
• -centesis (Puncture a cavity to remove fluid)
• Thoracocentesis (Puncture a thoracic cavity to remove fluid)
• Arthrocentesis (Puncture a joint cavity to remove fluid)
• -ectomy (Surgical removal or excision)
• Oophorectomy (Surgical removal or excision of Ovary)
• Hysterectomy (Surgical removal or excision of Uterus)
• -ostomy (A new opening)
• Gastrostomy (Surgical opening into the stomach)
• Cystostomy (Surgical opening into the bladder)
• -otomy (Incision or cutting into)
• Nephrotomy (Incision or cutting in the Kidney)
• Myringotomy (Incision or cutting in the Tympanic membrane)
• -oplasty (Surgical repair)
• Arthroplasty (Surgical replacement or reconstruction of a joint)
• Angioplasty (Open blocked arteries and restore normal blood flow)
• -opexy (Surgical fixation)
• Nephropexy (Surgical fixation of a floating kidney)
• Gastropexy (Surgical fixation of the stomach with the abdominal wall)
• -orrhaphy (Surgical repair or suture)
• Neurorrhaphy (Surgical suture of a divided nerve)
• Renorrhaphy (Surgical suture of the kidney)
• Eg: Prefixes,
• Brady- (Decrease)
• Bradycardia (Decreased heart rate)
• Bradypnea (Decreased breath rate)
• Tachy- (Increase)
• Tachycardia (increase heart rate)
• Tachypnea (Increase breath rate)
• The acronym MMRV stands for Measles, Mumps, Rubella, and Varicella
• .MRI Stands for Magnetic Resonance Imaging
• The term “Salpingo-Oophorectomy” refers to the removal of fallopian
tubes and ovaries
• PERRLA stands for Pupils Equal, Round, Reactive to Light and Accommodation
• .Cryopreservation is a means of preserving something through freezing
• Which of the following describes the removal of fluid from a body cavity-
paracentesis
• If a surgeon cuts into a patient’s stomach he has performed a gastrotomy
• .In the medical term myopathy the term pathy means disease. What is
diseased? Muscle
• The Radius is the outer bone located in the forearm
• The spleen belongs to what organ system? Hemic and Lymphatic
• The portion of the femur bone that helps makes up the knee cap is
considered what? THE DISTAL PORTION
• . How many regions are in the abdominopelvic cavity? NINE
• The Midsagittal plane refers to what portion of the body? MIDDLE
• Which of the following is not part of the small intestine? CECUM
• The round window is located in the INNER EAR
• The point of an organ or body part nearest the point of attachments is
PROXIMAL
• One of the six major scapulohumeral muscles- TERES
• The cardia fundus is WHERE THE ESOPHEGUS JOINS THE STOMACH
• CPT codes 22840-22848 are modifier 62 exempt? TRUE
• An ABN must be signed when? Before the service or procedure is provided
to the patient
• Wound exploration codes include the following service (s) : Exploration,
including enlargement, debridement, removal of foreign body(ies), minor
vessel
• Medical necessity means what? The condition of the patient justifies the service
provided
• Which of the statement is false- External cause codes are only used in the
initial encounter
• Which of the following codes allows the use of modifier 51? 45392
• Category III codes are temporary codes for emerging technology, services,
and procedures. If a category III code exists it should be used instead of an
“unlisted procedure” code in category I (example of an unlisted category I
code: 60699. Answer- TRUE
• .Which of the following statements is not true regarding Medicare Part A:
IT HELPS COVER OUTPATIENT CHARGES
• Which of the following is not one of the three components of HIPAA that is
enforced by the office for civil rights? Setting national standards regarding the
transmission and use of protected health information
• Signs and symptoms that are associated routinely with a disease process
should not be assigned as additional codes, unless otherwise instructed by
classification- TRUE
• Which of the following procedures can be coded separately when
performed by the anesthesiologist? Monitoring of a central venous line
• Adding together the lesion diameter and the narrowest margins necessary
to adequately excise the lesion
• A skin graft where the donor skin comes from another human (often a
cadaver) is known as a/an ALLOGRAFT
• A Scapulopexy is found under what heading REPAIR REVISION OR
RECONSTRUCTION
• An indirect laryngoscopy, as described in code 31505, utilizes a mirror in
which the physician can view the reflection of the larynx. A direct
laryngoscopy, as described by code 31515, utilizes a scope in which the
physician peers through and views the larynx. FALSE
• If a surgeon is performing a surgical sinus endoscopy to control a nasal
hemorrhage and chooses to perform a necessary sinusotomy while he’s
there, he can bill for each individual service. TRUE
• The vestibule is part of the oral cavity outside the dentoalveolar structures
and includes the mucosal and submucosal tissue of the lips and cheeks.
TRUE
• Blood: The human body contains about 4 to 5 litres of blood. Blood is
made up of RBC, WBC, platelets and plasma
• RBC (RED BLOOD CELLS) / ERYTHROCYTES
• WBC (WHITE BLOOD CELLS) / LEUKOCYTES
• PLATELETS / Thrombocytes Responsible for the clotting of blood
• PLASMA The liquid portion of the blood that makes up about 55% of the
blood’s volume. Around 90% of plasma is made of water.
• There are four valves present in the human heart,
o Aortic valve - Between left ventricle and Aorta.
o Pulmonary valve - Between the right ventricle and pulmonary artery.
o Bicuspid valve / mitral valve - Between left atrium and left ventricle.
o Tricuspid valve - Between right atrium and right ventricle.
• 206 bones form the skeletal system
MEDICAL TERMS:
1. Heart - Cardio
2. Vessels - Angio / Vasculo / Vaso
3. Artery - Arterio
4. Veins - Phlebo
5. Blood - Hemato
6. RBC - Erythrocytes
7. WBC - Leukocytes
8. Platelet - Thrombocytes
MEDICAL ABBREVIATIONS:
1. ABI - Ankle-brachial index
2. ABG - Arterial blood gas
3. ASHD - Arteriosclerotic heart disease
4. BP - Blood pressure
5. CABG - Coronary artery bypass graft
6. CAD - Coronary artery disease
7. CHF - Congestive heart failure
8. CPR - Cardiopulmonary resuscitation
9. CVP - Central venous pressure
10. DVT - Deep vein thrombosis
11. ECG – Electrocardiogram
12. ESR - Erythrocyte sedimentation rate
13. FHT - Fetal heart tones
14. HB – Hemoglobin
15. HDL - High-density lipoprotein
18. LAD - left anterior descending
19. LCA - Left coronary artery
20. LDL - Low-density lipoprotein
21. LVH - Left ventricular hypertrophy
22. MI - Mitral insufficiency; myocardial infarction
23. PICC - Peripherally inserted central catheter
24. PTCA - Percutaneous transluminal coronary angioplasty
25. RVH - Right ventricular hypertrophy
26. SVT - Supraventricular tachycardia
27. WBC - White blood cell
16. HTN – Hypertension
17. ICA - Internal carotid artery
ANATOMY QUESTION
Questions
1) Which of the following terms describes the body's ability to maintain its normal state?
(D) Homeostasis
2) Which of the following best describes the human body's defense mechanism against
environmental bacteria?
(C) Erythrocyte
4) Which of the following is flexible connective tissue that is attached to bones at the joints?
(B) Cartilage
(A) Aorta
(B) Esophagus
(C) Heart
(D) Pancreas
(E) Trachea
6) Which of the following is the body cavity that contains the pituitary gland?
(A) Abdominal
(B) Cranial
(C) Pleural
(D) Spinal
(E) Thoracic
7) Which of the following closes and seals off the lower airway during swallowing?
(A) Alveoli
(B) Epiglottis
(C) Larynx
(D) Uvula
(E) Vocal cords
8) Which of the following is located beneath the diaphragm in the left upper quadrant of the
abdominal cavity?
(A) Appendix
(B) Duodenum
(C) Gallbladder
(D) Pancreas
(E) Spleen
9) Which of the following anatomical regions of abdomen lies just distal to the sternum?
(A) Epigastric
(B) Hypochondriac
(C) Hypogastric
(D) Lumbar
(E) Umbilical
11) Which of the following terms describes the motion of bending the forearm toward the
body?
(A) Abduction
(B) Eversion
(C) Flexion
(D) Pronation
(E) Supination
12) In which of the following positions does a patient lie face down?
(A) Dorsal
(B) Erect
(C) Lateral
(D) Prone
(E) Supine
(A) Inward
(B) Outward
(C) Upward
(D) Downward
(A) caudal
(B) dorsal
(C) frontal
(D) transverse
(E) ventral
15) Which of the following is a structural, fibrous protein found in the dermis?
(A) Collagen
16) A patient has a fracture in which the radius is bent but not displaced, and the skin is
intact. This type of fracture is known as which of the following?
17) Which of the following is the large bone found superior to the patella and inferior to the
ischium?
(A) Calcaneus
(B) Femur LONGEST AND STRONGEST BONE
(C) Symphysis pubis
(D) Tibia
(E) Ulna
18) The physician directs the medical assistant to complete a request form for an X-ray
study of the fibula. The procedure will be performed on which of the following structures?
(A) Heel
(B) Lower leg
20) Which of the following is the point at which an impulse is transmitted from one neuron to
another neuron?
(D) Synapse
21) Which of the following controls body temperature, sleep, and appetite?
(B) Hypothalamus
22) Which of the following cranial nerves is related to the sense of smell?
(C) Olfactory
23) Which of the following is a substance that aids the transmission of nerve impulses to the
muscles?
(A) Acetylcholine
24) Which of the following best describes the location where the carotid pulse can be
found?
25) A patient sustains severe blunt trauma to the left upper abdomen and requires surgery.
Which one of the following organs is most likely to be involved?
(E) Spleen
27) Blood flows from the right ventricle of the heart into which of the following structures?
28) Oxygenated blood is carried to the heart by which of the following structures?
(D) Pulmonary veins
29) The thoracic cage is a structural unit important for which of the following functions?
(D) Respiration
30) Which of the following substances is found in greater quantity in exhaled air?
(C) Nitrogen
(A) Alveoli
32) At which of the following locations does bile enter the digestive tract?
(B) Duodenum
(C) Ileum
35) Which of the following organs removes bilirubin from the blood, manufactures plasma
proteins, and is involved with the production of prothrombin and fibrinogen?
(C) Liver
36) Which of the following is an accessory organ of the gastrointestinal system that is
responsible for secreting insulin?
(D) Pancreas
37) Which of the following is the lymphoid organ that is a reservoir for red blood cells and
filters organisms from the blood?
(D) Spleen
38) Which of the following best describes the process whereby the stomach muscles
contract to propel food through the digestive tract?
(C) Peristalsis
39) Saliva contains an enzyme that acts upon which of the following nutrients?
(A) Starches
40) In men, specimens for gonococcal cultures are most commonly obtained from which of
the following structures?
(E) Urethra
41) Which of the following describes the cluster of blood capillaries found in each nephron
in the kidney?
(B) Glomerulus
42) Which of the following conditions is characterized by the presence of kidney stones
(renal calculi)?
(C) Nephrolithiasis
43) Which of the following best describes the structure that collects urine in the body?
(A) Bladder
44) In men, which of the following structures is located at the neck of the bladder and
surrounds the urethra?
(B) Prostate
(D) Testes
46) Which of the following are mucus-producing glands located on each side of the vaginal
opening?
(B) Bartholin's
48) Calcium, potassium, and sodium are classified as which of the following?
(C) Electrolytes
49) Which of the following is the master gland of the endocrine system?
(D) Pituitary
50) Patients with which of the following diseases are treated with injections of vitamin B-12?
1. What term could describe an inflammation of the plantar, causing foot or heel pain when walking or
running?
A. Plantar fasciitis B. Tenodesis C. Tenolysis D. Tendon fascitis
5. A patient suffered a burn that involved the epidermis, dermis, and subcutaneous layers with some
muscle involvement. What degree of burn would describe this injury?
A. First-degree, superficial with blisters B. Second-degree, partial thickness with muscle
C. Third-degree, full thickness D. None of the above
13. What is an episiotomy and why would a patient need to have this procedure?
A. Surgical suturing of the rectum caused by extensive tissue damage following a bowel repair
B. Surgical incision of the vulva to facilitate delivery of a baby
C. Surgical puncture of the cervix to remove fluid
D. Surgical creation of an opening into the small intestine to provide relief of excessive gastritis
14. What direction describes raising the foot, pulling the toes toward the shin?
A. Protraction B. Dorsiflection C. Plantar flexion D. Pronation
15. Which artery opens to allow oxygen-rich blood to pass from the left ventricle into the aorta where
the blood is delivered to the rest of the body?
A. Renal B. Aortic C. Superior vena cava D. Inferior vena cava
16. What syndrome is a condition caused by abnormal production of the hormone gastrin?
A. Vogt-Koyanagi B. Silvestroni-Bianco C. Sudeck-Leriche D. Zollinger-Ellison
17. How can air pass through the upper respiratory tract?
A. Via the nose, nasal cavity, nasopharynx, oropharynx, laryngopharynx, and larynx into the lower
respiratory system.
B. Via the nose, larynx, and bronchus
C. Via nose, larynx, bronchus, and trachea
D. Via nose, larynx, bronchus, trachea, and pleura
24. What type of graft is used when pigskin is applied to a burn wound?
A. Xenograft B. Allograft C. Autograft D. Pinch graft
27. When a patient is having a tenotomy performed on the abductor hallucis muscle, where is this
muscle located?
A. Foot B. Upper Arm C. Upper Leg D. Hand
28. What is the term used for inflammation of the bone and bone marrow?
A. Chondromatosis B. Osteochondritis C. Costochondritis D. Osteomyelitis
30. Complete this series: Frontal lobe, Parietal lobe, Temporal lobe, ____________.
A. Medulla lobe B. Occipital lobe C. Middle lobe D. Inferior lobe
31. A patient is having pyeloplasty performed to treat a uretero-pelvic junction obstruction. What is
being performed?
A. Surgical repair of the bladder B. Removal of the kidney
C. Cutting into the ureter D. Surgical reconstruction of the renal pelvis
33. Which of the following health plans does not fall under HIPAA?
A. Medicaid B. Medicare C. Workers’ compensation D. Private plans
34. Guidelines from which of the following code sets are included as part of the code set requirements
under HIPAA?
A. CPT® B. ICD-10-CM C. HCPCS Level II D. ADA Dental Codes
35. Which of the following is an example of a case in which a diabetes-related problem exists and the
code for diabetes is never sequenced first?
A. If the patient has an underdose of insulin due to an insulin pump malfunction
B. If the patient is being treated for secondary diabetes
C. If the patient is being treated for Type II diabetes
D. If the patient has hyperglycemia that is not responding to medication
37. When a patient has fractured the proximal end of his humerus, where is the fracture located?
A. Upper end of the arm B. Lower end of the leg
C. Upper end of the leg D. Lower end of the arm
38. What is another term for when a physician performs a reduction on a displaced fracture?
A. Casting B. Manipulation C. Skeletal traction D. External fixation
39. What does oligiospermia mean?
A. Presence of blood in the semen B. Deficiency of sperm in semen
C. Having sperm in urine D. Formation of spermatozoa
43. Which place of service code should be reported on the physician’s claim for a surgical procedure
performed in an ASC?
A. 21 B. 22 C. 24 D. 12
45. The wound was debrided. What was done to the wound?
A. It was closed with layered sutures and dressed
B. It was medicated and left open to heal
C. It was cleansed of foreign materials or dead tissue
D. It was examined radiographically for defects
46. Which of the following patients might be documented as having meconium staining?
A. Woman with renal failure B. Teenage boy with sickle cell anemia
C. Newborn with pneumonia D. Man with alcoholic cirrhosis of liver
49. Which of the following place of service codes is reported for fracture care performed by an
orthopedic physician in the emergency department?
A. 11 B. 20 C. 22 D. 23
55. For a patient who has had a primary malignancy of the thyroid cartilage that was completely excised
a year ago, which of the following statements is TRUE?
A. When no further treatment is provided and there is no evidence of any existing primary malignancy,
code HISTORY CODE
B. When further treatment is provided and there is evidence of an existing metastasis, code first
HISTORY CODE and then PRIMARY MALIGNANACY.
C. Any mention of extension, invasion, or metastasis to another site is coded as a SECONDARY
MALIGNANCY.
D. When further treatment is provided and there is evidence of an existing metastasis, code first
PRIMARY MALIGNANACY
56. In order to use the critical care codes, which of the following statements is TRUE?
A. Critical care services can be provided in an internist’s office
B. Critical care services provided for more than 15 minutes but less than 30 minutes should be billed
with 99291 and modifier 52.
C. Time spent reviewing laboratory test results or discussing the critically ill patient’s care with other
medical staff in the unit or at the nursing station on the floor cannot be included in the determination of
critical care time.
D. Critical care services can only be billed if the patient is in a licensed emergency room or intensive care
type unit (i.e., cardiac, surgical, respiratory).
57. Which of the following statements regarding advanced beneficiary notices (ABN) is TRUE?
A. ABN must specify only the CPT® code that Medicare is expected to deny.
B. Generic ABN which states that a Medicare denial of payment is possible or the internist is unaware
whether Medicare will deny payment or not is acceptable.
C. An ABN must be completed before delivery of items or services are provided.
D. An ABN must be obtained from a patient even in a medical emergency when the services to be
provided are not covered.
65. Which of the following conditions would most likely be attributed to hyperlipidemia?
A. Atherosclerosis B. Multiple myeloma
C. Kwashiorkor D. Pernicious anemia
66. Which of the following statements regarding the ICD-10-CM coding conventions is TRUE?
A. If the same condition is described as both acute and chronic and separate subentries exist in the
Alphabetic Index at the same indentation level, code only the acute condition.
B. Only assign a combination code when the Alphabetic Index explanation directs the coder to use it.
C. An ICD-9-CM code is still valid even if it has not been coded to the full number of digits required for
that code.
D. Signs and symptoms that are integral to the disease process should not be assigned as additional
codes, unless otherwise instructed.
67. Which modifier should be append to a CPT®, for which the provider had a patient sign an ABN form
because there is a possibility the service may be denied because the patient’s diagnosis might not meet
medical necessity for the covered service?
A. GJ B. GA C. GB D. GY
68. What is the patient’s right when it involves making changes in the personal medical record?
A. Patient must work through an attorney to revise any portion of the personal medical information.
B. They should be able to obtain copies of the medical record and request corrections of errors and
mistakes.
C. It is a violation of federal health care law to revise a patient medical record.
D. Revision of the patient medical record depends solely on the facility’s compliance program policy.
9. Icd 10 cm guidelines for neoplasm states that if histology s documented then the histological term in
the alphabetical index should be referenced first to locate the correct code
10. CMS 1500 is used for billing physician services performed at an outpatient facility
11. Office of Inspector General offers compliance programs guidance for physician practice
13. Digestive system includes, mouth, salivary glands, esophagus, pancreas, stomach, liver, gall bladder,
Anus and intestines
14. Wound that is proximal to her right knee is between her right knee and right thigh
15. Corpus Luteum secrets progesterone that thickens the endometrium for implantation and is
necessary to sustain pregnancy
16. Epilepsy is caused by sudden abnormal discharge of cerebral neurons in the brain
17. Endotracheal tube is placed inside the trachea to open the airways
21. Function of spleen is to dstroy red blood cells that are no longer efficient
28. Followying whichever set of guidelines 965 and 97 that leads to higher paid code is most common
fraud scenario
29. Hippa was created to provide an incentive for providers who maintain patient privacy
31. Proximal end of humerus fracture means upper end of the arm
41.