Exam (elaborations)
CCS EXAM PREPARATION QUESTIONS AND ANSWERS A GRADED
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Customs Certified Specialist
Institution
Customs Certified Specialist
CCS EXAM PREPARATION QUESTIONS AND ANSWERS A GRADED
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CCS EXAM PREPARATION QUESTIONS
AND ANSWERS A GRADED
Aapatientawasaadmittedafromatheaemergencyadepartmentabecauseaofachestapain.aFollowing
abloodawork,aitawasadeterminedathatatheapatientahadaelevatedaCK-
MBaenzymes.aTheaEKGashowsanonspecificaSTachanges.aWhatatypeaofadiagnosisamightathi
saindicate?
a)amitralavalveastenosis
b)aunstableaangina
c)amyocardialainfarction
d)acongestiveaheartafailurea-aMyocardialainfarction
Aapatientaisaadmittedatoatheapsychiatricaunitaofaanaacute-
careafacility.aAlmostaeveryadayaforatheapastamonth,atheapatientahasaexperiencedalossaofainte
restainamostaoraallaactivities,awhichaisaaachangeafromaheraprioralevelaofafunctioning.aSheahada
alsoagaineda15aLBS,adifficultyafallingaasleep,afeelsafatiguedaandahasadifficultyamakingadecisi
on.aWhatapotentialadiagnosisamostacloselyafitsatheapatientsaoverallasymptoms?
a)abipolaradisordera
b)ainsomniaa
c)aReye'sasyndromea
d)amajoradepressiona-aMajoradepression
Aapatientaisaadmittedatoatheahospitalacomplainingaofaabdominalapain.aFollowingaevaluation,a
itawasadeterminedathatatheapatientahadaanaobstructionaofathealeftacolonadueatoaadhesionsafro
maaaprioraabdominalasurgery.aTheapatientaunderwentalaparotomyawithalysisaofaadhesions.a
Whataconditionsaandaproceduresashouldabeacoded?
a)aabdominalapain,aabdominalaobstruction,alaparotomy,alysisaofaadhesions
b)aabdominalaadhesionsawithaobstruction,alysisaofaadhesionsa
c)aabdominalaadhesions,aabdominalaobstruction,apostoperativeacomplicationsaofatheadiges
tiveasystem,alaparotomy,alysisaofaadhesions
d)aabdominalaadhesions,aabdominalaobstruction,apostoperativeacomplicationsaofatheadiges
tiveasystem,alysisaofaadhesionsa-
aAbdominalaadhesionsawithaobstruction,alysisaofaadhesions
, AaPatientaisadiagnosedawithainfertilityadueatoaendometriosisaandaundergoesaanaoutpatiental
aparoscopicalaseradestructionaofapelvicaendometriosis.aInaorderatoacodeathisaencounteraacc
urately,awhatastepsamustatheacodingaprofessionalatake?
a)areviewatheaoperativeareportatoadetermineawhataprocedureacodeatoause.aDetermineatheasit
aorasitesaofaendometriosisasoacodesawithatheahighestaspecificityamayabeaassigned.aUseainfer
tilityaasaaaprincipaladiagnosis.a
b)areviewatheaoperativeareportatoadetermineawhereathealaserawasausedainatheapelvisasoathea
siteaorasitesaofaendometriosisacanabeaspecified.aAssignaaaprincipalaofainfertility.a
c)areceiveatheaoperativeareportatoadetermineawhereathealaserawasausedainatheapelvisasoathea
siteaorasitesaofaendometriosisacanabeaspecifiedaasaprincipal.aAssignaaasecondaryadiagnosisa
ofainfertility.
c)areviewatheaoperativeareportatoadetermineawhataproceduresacodesatoause.aDetermineathea
siteaorasitesaofaenda-
areviewatheaoperativeareportatoadetermineawhataproceduresacodesatoause.aDetermineatheasi
teaorasitesaofaendometriosisasoacodesawithatheahighestaspecifyamayabeaassigned.aAssignaen
dometriosisaasatheaprincipaladiagnosis.aAssignainfertilityaasaaasecondaryacondition.
WhenacodingaaacardiacaCatheterizationainaCPT,ainaadditionatoatheaapproachaandatheasideao
fatheaheartaintoawhichatheacatheterawasainserted,awhataelseaneedatoabeadetermined?
a)atheatypeaofaanesthesiaa
b)aifaadditionalaproceduresawereaperformed
c)atheadurationaofatheaprocedure
d)adocumentationathatastentsawereaconsidereda-aIfaadditionalaproceduresawereaperformed
Aafemaleapatientaisaadmittedaforaaasecond-
degreeacystocele.aAarepairaisaperformed.aWhichareportaprovidesatheadocumentationaneces
saryatoaaccuratelyacodeathearepair?
a)ahistoryaandaphysicala
b)adischargeasummarya
c)aconsultationa
d)aoperativeareporta-aOperativeareport
ToaaccuratelyareportawouldaclosuresawithaCPTacodes,ainaadditionatoaknowingatheasiteaandal
engthaofatheaclosure,awhataotherainformationaisanecessary?
a)aifaanesthesiaawasausedaandawhatakind
b)athearepairatype:asimple,aintermediateaoracomplexa
c)atheasuppliesathat'sawereaused
d)aifaexplorationaofatendonsaorabloodavesselsaoccurreda-
aThearepairatype:asimple,aintermediate,aoracomplex
Aa64-year-
oldafemaleaisaadmittedatoatheahospitalawithanausea,avomitingaandaedema.aLabavaluesaindic
ateatheapatientahasadehydration.aTheapatientatakesalisinoprilaasaprescribedaalongawithalevot
hyroxineaforahypothyroidism.aOnatheadischargeasummary,a5)3afinaladiagnosesaofaacutearen