Health Professions - Medical Billing Coding Insurance; Pre Quiz 2

During an anaphylactic reaction, what chemical is released that causes vasodilation resulting in hypotension?

When histamine is released during immediate hypersensitivity, what property does it have that causes anaphylaxis?

Your patient is a 31-year-old male who is experiencing dyspnea, nausea, and angioedema that started 5 minutes after being stung by a yellow jacket. What chemical in his system was released that is directly responsible for these symptoms?

4

Your patient is a 19-year-old female. She is complaining of urticaria and itching on bilateral upper extremities, across her chest, and on her neck. She states that, to her knowledge, she is not allergic to anything. She states that she started taking an antibiotic the previous morning for a urinary tract infection. She took her medicine this morning as prescribed. What would you consider as the field diagnosis?

5

What specific types of cells are responsible for producing antibodies in response to an antigen?

6

What is the most common medication that can lead to anaphylaxis?

7

Of the following signs and symptoms, what is the clear indication a patient is having an anaphylactic reaction?

8

The patient is suffering an anaphylactic reaction. The paramedic administered 2 Sub-Q injections of epinephrine and 1 dose of diphenhydramine by IV push. The patient is now being transported and is still dyspneic with mild bilateral wheezes. The patient's vital signs are as follows: P, 120 beats/min; R, 22 breaths/min; BP, 118/70 mm Hg; and pulse oximetry, 93%. What intervention should be done next?

9

You would suspect hypoglycemia in a patient with diabetes who:

10

Which of the following cell types release insulin?

11

Signs and symptoms of diabetic ketoacidosis include:

12

You are called to assess a patient with respiratory distress. Your patient is a 27-year-old female at a local community college classroom with altered mental status and deep, rapid respirations. Witnesses state that she seemed confused when class started, and then she became unresponsive and collapsed on the floor. A rapid medical assessment shows the presence of a strong radial pulse and deep, rapid respirations at a rate of 28 breaths/min. Also, an insulin pump is attached to the patient's abdomen with an error message on the display screen. On the initial assessment, you find no trauma or abnormalities. Based on your initial assessment findings, what is the most likely cause of this patient's condition?

13

The end product of glycogenolysis is:

14

Diabetes is caused primarily by a disorder of the:

15

The medical term for increased urination is:

16

Type 1 diabetes differs from type 2 diabetes in what ways?

17

Endocrine glands secrete their hormones into the:

18

The following patient is being assessed in the field for altered mental status. What assessment findings are most consistent with diabetic ketoacidosis?

in Health Professions

A) "Red hot skin, wet mucous membranes, weak tachycardic pulses, hypotension, shallow rapid respirations, and family members report that the patient spoke of a loss of appetite for several days before calling 9-1-1"
B) "Dry doughy-looking skin that is cool to the touch, unresponsiveness, bradycardic pulse, normal blood pressure and slow shallow respirations, and family members report that the patient spoke of increasing intolerance to cold"
C) "Dry skin, altered mental status, dry mucous membranes, hypotension, shallow rapid respirations, and family members report that the patient spoke of increased thirst and frequent urination for several days before calling 9-1-1"
D) "Cool moist skin, altered mental st
satus, wet mucous membranes, normal pulses and blood pressure, with shallow respirations, and family members report increasing hunger and then nausea in the patient before calling 9-1-1"

19

Your patient reports developing symptoms over a 3-day period, which is consistent with:

20

Which of the following is a reportable accident?

21

Which of the following does NOT align with TPO (Treatment, Payment and Health Care Operations) activities?

22

Which of the following would be a violation of the HIPAA Privacy Rule?

23

According to HIPAA, Which of the following does not require an authorization for disclosure of protected health information (PHI)?

24

ICD-10 created ________________ codes for poisonings so that in many cases only one code will be required.

25

Medicaid is a federal health care program that covers low-income people not covered under state or employer plans.

26

What POA indicator would be assigned for pneumonia that developed four days after the patient's admission, requiring prolonged stay and care?

27

What POA indicator would be assigned for atrial fibrillation that occurred during outpatient surgery when the patient was subsequently admitted to inpatient status for treatment?

28

What POA indicator would be assigned for a fractured hip when the patient fell out of bed during the hospital admission

29

What POA indicator would be assigned for sepsis that when queried, the provider states she is not sure if it occurred before or after admission

30

When may the POA field be left blank?

31

What POA indicator would be assigned for asthma diagnosed 1 year ago?

32

What is considered present on admission?

33

If there is inconsistent or missing documentation by the provider, the coder can make the best choice to assign the POA

34

Which of the following hospital departments has different procedures for collecting patients’ personal and insurance information?

35

What is considered present on admission?

36

Compression burn garment, chin strap, custom fabricated. Select the proper code.

37

Which section of the OGCR contains the most commonly used conventions?

38

Among the symptoms of hyperglycemia, the patient may complain of __________

39

Endoscopy codes 31622-31629 are reported to:

40

When maintaining EHR summary lists, the office workflow process must be _______.

41

A person who performs services for another under an expressed or implied agreement is called a(n):

42

Which is the medical term for the resultant backflow of blood when two valvular flaps do not close properly?

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Health Professions - Medical Billing Coding Insurance; Pre Quiz 2

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