Applied Systems
Questions and Answers
- 1.
What characteristics of disease processes does the TMEF axis format of SNOP identify?
- A.
Toxicity, morphology, and enviromental factors
- B.
Topography, morphology, etiology, and function
- C.
Topography, morbidity, and enviromental factors
- D.
Topology, morphology, etiology, and function
Correct Answer
B. Topography, morphology, etiology, and functionExplanation
The TMEF axis format of SNOP identifies the characteristics of disease processes related to topography, morphology, etiology, and function. This means that the format examines the location and distribution of the disease (topography), the structural changes in tissues or organs affected (morphology), the underlying causes or origins of the disease (etiology), and the impact on the normal functioning of the body (function).Rate this question:
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- 2.
Unlike the current version of SNOMED, the earlier versions were designed to be printed in books and trained coders assigned codes manually.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
The statement suggests that the earlier versions of SNOMED were designed to be printed in books and trained coders manually assigned codes. However, this is not true. SNOMED, in all its versions, is an electronic health terminology system that is designed to be used in digital format, not in printed books. Trained coders may still assign codes manually, but the system itself is not designed for manual coding. Therefore, the correct answer is False.Rate this question:
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- 3.
Which of the following is not an axis of disease in SNOMED version 3.0?
- A.
Living organisms
- B.
Function
- C.
Etiology
- D.
Occupation
Correct Answer
C. EtiologyExplanation
The correct answer is Etiology. Etiology refers to the study of the causes or origins of diseases. In SNOMED version 3.0, the axes of disease are categorized into Living organisms, Function, and Occupation. Etiology is not included as an axis in this version.Rate this question:
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- 4.
Which version of SNOMED was the first to contain more than 100,000 terms?
- A.
SNOMED II
- B.
SNOMED Version 3.0
- C.
SNOMED International Version 3.4
- D.
SNOMED RT
Correct Answer
B. SNOMED Version 3.0Explanation
SNOMED Version 3.0 was the first version to contain more than 100,000 terms.Rate this question:
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- 5.
In SNOMED RT, the concept of axes was replaced by:
- A.
Relational tables
- B.
Reference terminologies
- C.
Equivalent meanings
- D.
Mapping
Correct Answer
A. Relational tablesExplanation
In SNOMED RT, the concept of axes was replaced by relational tables. This means that instead of organizing concepts along different axes, they are now organized in tables that establish relationships between them. This allows for more efficient and flexible querying and retrieval of information within the SNOMED CT system.Rate this question:
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- 6.
The combination of a concept and a term in SNOMED RT is called a:
- A.
Relationship
- B.
Description
- C.
Reference
- D.
Standard medical term
Correct Answer
B. DescriptionExplanation
In SNOMED RT, a combination of a concept and a term is referred to as a "Description". This term is used to describe the meaning or representation of a specific concept within the SNOMED system. Descriptions play a crucial role in capturing and organizing medical information, allowing for standardized communication and understanding among healthcare professionals.Rate this question:
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- 7.
Which of the following is not a relational table in SNOMED RT?
- A.
Concepts
- B.
Concepts history
- C.
Morphology
- D.
Relationships
Correct Answer
C. MorphologyExplanation
The option "Morphology" is not a relational table in SNOMED RT. SNOMED RT is a clinical terminology system used for the electronic exchange of health information. It consists of various relational tables that store information about medical concepts, their relationships, and their history. However, "Morphology" is not a table in SNOMED RT. It is likely that "Morphology" refers to a different aspect of medical information that is not specifically represented as a relational table in SNOMED RT.Rate this question:
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- 8.
SNOMED RT was the first version of the SNOMED family to include mapping.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
SNOMED RT was not the first version of the SNOMED family to include mapping. Therefore, the correct answer is False.Rate this question:
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- 9.
SNOMED CT resulted from the combination of:
- A.
SNOMED RT and Clinical Terms Version 3
- B.
SNOMED RT and ICD-9-CM
- C.
SNOMED RT and LOINC
- D.
SNOMED and the Convergent Medical Terminology
Correct Answer
A. SNOMED RT and Clinical Terms Version 3Explanation
SNOMED CT resulted from the combination of SNOMED RT and Clinical Terms Version 3. SNOMED RT was a reference terminology that provided a foundation for SNOMED CT, while Clinical Terms Version 3 was a clinical terminology developed by the UK National Health Service. The combination of these two terminologies allowed for a comprehensive and standardized system for representing clinical information, enabling interoperability and improved communication within the healthcare domain.Rate this question:
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- 10.
Like other classification systems, SNOMED is designed to fully describe all the clinical circumstances of a healthcare encounter in machine-readable format.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
SNOMED is not designed to fully describe all the clinical circumstances of a healthcare encounter in machine-readable format. While it is a classification system, its primary purpose is to provide a standardized terminology for clinical concepts, rather than capturing all the details of a healthcare encounter. Therefore, the correct answer is False.Rate this question:
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- 11.
SNOMED CT is capable of expressing all components of the neonatal Apgar score in coded form.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
SNOMED CT is a comprehensive clinical terminology system that is capable of representing all the components of the neonatal Apgar score in coded form. This means that each aspect of the Apgar score, such as heart rate, respiratory effort, muscle tone, reflex irritability, and color, can be accurately and precisely documented using SNOMED CT codes. Therefore, the statement "SNOMED CT is capable of expressing all components of the neonatal Apgar score in coded form" is true.Rate this question:
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- 12.
In a controlled medical terminology, all content must meet three of the following criteria. Which of the criteria listed below is not a requirement of a controlled vocabulary?
- A.
It must be structurally sound.
- B.
It must be biomedically accurate.
- C.
It must be updated on a regular and specified basis.
- D.
It must be consistent with current medical practice.
Correct Answer
C. It must be updated on a regular and specified basis.Explanation
A controlled vocabulary in a medical terminology must meet three criteria: it must be structurally sound, biomedically accurate, and consistent with current medical practice. However, it is not necessary for a controlled vocabulary to be updated on a regular and specified basis. While updating the vocabulary can be beneficial, it is not a requirement for it to be considered controlled.Rate this question:
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- 13.
Maps have been created between SNOMED CT and which of the other following terminologies?
- A.
ICD-9-CM, ICD 10, and ICD-O
- B.
LOINC, ICD-9-CM, CPT and NOC
- C.
NANDA, ICD-9-CM, ICD 10, and CPT
- D.
ICD-9-CM, ICD-O, ICD-10-PCS, and ICD-10-CM
Correct Answer
A. ICD-9-CM, ICD 10, and ICD-O -
- 14.
The terms in SNOMED CT are organized based on the underlying _____________ that they represent.
Correct Answer
conceptExplanation
The terms in SNOMED CT are organized based on the underlying concept that they represent. This means that each term in SNOMED CT is associated with a specific concept, which represents a unique clinical idea or entity. The organization of terms based on concepts allows for a more structured and standardized representation of clinical information, making it easier to capture, store, and exchange healthcare data.Rate this question:
- 15.
The function of attribute relationships is to:
- A.
Link concepts
- B.
Organize concepts
- C.
Facilitate mapping to other terminologies
- D.
All of the above
Correct Answer
A. Link conceptsExplanation
Attribute relationships are used to establish connections or links between different concepts or attributes. By defining relationships between attributes, we can understand how they are related to each other and how they interact. This helps in organizing and structuring the concepts or attributes in a meaningful way. Additionally, attribute relationships can also facilitate the mapping of concepts to other terminologies or systems, allowing for easier integration and interoperability.Rate this question:
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- 16.
A root concept is the most granular division of SNOMED CT.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
The statement is false because a root concept is not the most granular division of SNOMED CT. SNOMED CT is organized hierarchically, with each concept being more specific than its parent concept. The most granular division of SNOMED CT is the concept itself, which represents a unique clinical meaning. Root concepts, on the other hand, are high-level concepts that serve as the starting point for more specific concepts within the hierarchy.Rate this question:
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- 17.
SNOMED CT codes have embedded meaning, but no digit restrictions.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
The statement is false because SNOMED CT codes do have digit restrictions. SNOMED CT codes are alphanumeric codes that consist of a combination of numbers and letters. The codes are structured in a way that reflects the meaning and relationships between the concepts they represent. Each code has a specific format and length, and the digits within the code have significance in terms of the meaning and classification of the concept. Therefore, SNOMED CT codes do have embedded meaning and digit restrictions.Rate this question:
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- 18.
SNOMED CT is updated on a regular basis. For the United Kingdom and United States, updates are porvided:
- A.
Every January
- B.
Every June
- C.
Every January and June
- D.
October 1 of each year
Correct Answer
C. Every January and JuneExplanation
SNOMED CT is a standardized medical terminology that is regularly updated. The correct answer states that updates for SNOMED CT are provided every January and June. This means that users can expect to receive new and updated content for SNOMED CT twice a year, in both January and June. These updates ensure that the terminology remains current and reflective of the latest medical knowledge and practices.Rate this question:
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- 19.
To ensure that SNOMED CT remains useful, develpment must involve diverse clinical groups as well as medical informatics experts.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
The explanation for the given correct answer is that involving diverse clinical groups and medical informatics experts in the development of SNOMED CT ensures that it remains useful. Clinical groups provide valuable insights and perspectives based on their expertise and experience in different medical specialties, while medical informatics experts contribute their knowledge in designing and implementing effective healthcare information systems. By including these diverse stakeholders, SNOMED CT can better address the needs and requirements of various healthcare settings, leading to a more comprehensive and relevant clinical terminology.Rate this question:
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- 20.
SNOMED was originally developed by what group?
- A.
American Medical Association
- B.
College of American Pathologists
- C.
World Health Organization
- D.
American College of Surgeons
Correct Answer
B. College of American PathologistsExplanation
SNOMED (Systematized Nomenclature of Medicine) was originally developed by the College of American Pathologists. SNOMED is a comprehensive medical terminology system used for coding and categorizing clinical information in electronic health records. It provides a standardized language for healthcare professionals to accurately describe and exchange clinical data, improving communication and interoperability in the healthcare industry. The College of American Pathologists played a significant role in developing this system to enhance the quality and efficiency of healthcare delivery.Rate this question:
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- 21.
SNOMED was specificallly designed to capture and organize clinical information for use in the electronic health record enviorment.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
SNOMED (Systematized Nomenclature of Medicine) is a comprehensive medical terminology system that was indeed specifically designed to capture and organize clinical information. It is widely used in the electronic health record (EHR) environment to ensure standardized and interoperable communication between healthcare providers. Therefore, the statement that SNOMED was designed for use in the electronic health record environment is true.Rate this question:
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- 22.
The construction of a single clinical idea through the use of multiple concepts at the time of documentation into the EHR is an example of use of a pre-coordinated concept.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
The statement is true because when multiple concepts are combined to form a single clinical idea during documentation in the EHR, it is an example of using a pre-coordinated concept. Pre-coordinated concepts involve combining multiple concepts into a single term or phrase, which can help to streamline and standardize the documentation process in healthcare settings.Rate this question:
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- 23.
In SNOMED Version III, the etiology axis was further divided into what subsections?
- A.
Living organisms, chemicals, physical agents, forces and activities, and special context
- B.
Bacteria, fungi, viruses, and rickettsiae
- C.
Living organisims, chemicals, physical agents, and history
- D.
Bacteria, chemicals, physical agents, and occupational exposures
Correct Answer
A. Living organisms, chemicals, physical agents, forces and activities, and special contextExplanation
In SNOMED Version III, the etiology axis was further divided into subsections such as living organisms, chemicals, physical agents, forces and activities, and special context. This means that when categorizing the cause or origin of a particular condition or disease, SNOMED Version III provides the option to specify whether it is caused by living organisms, chemicals, physical agents, forces and activities, or if it is related to a special context.Rate this question:
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- 24.
SNOMED International Version 3.4 included mapping to which classification/terminology?
- A.
ICD-9-CM
- B.
LOINC
- C.
CPT
- D.
All of the above
Correct Answer
B. LOINCExplanation
SNOMED International Version 3.4 included mapping to LOINC. LOINC (Logical Observation Identifiers Names and Codes) is a standardized terminology used for identifying and exchanging clinical laboratory observations. SNOMED International Version 3.4 included the mapping of SNOMED concepts to LOINC codes, allowing for interoperability and integration of clinical data between different systems and healthcare organizations.Rate this question:
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- 25.
A _________________________ for clinical data is defined as a set of concepts and relationships that provides a common reference point for comparison and aggregation of data about the entire healthcare process. recorded by multiple individuals, systems, or institutions.
- A.
Clinical classification
- B.
Reference terminology
- C.
Relational database
- D.
Concept history
Correct Answer
B. Reference terminologyExplanation
A reference terminology for clinical data is a standardized system of concepts and relationships that serves as a common framework for comparing and combining data related to the entire healthcare process. It allows for consistent and meaningful interpretation of data recorded by different individuals, systems, or institutions. This helps in organizing and analyzing healthcare information in a standardized and interoperable manner, facilitating communication and data exchange between different healthcare entities.Rate this question:
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- 26.
The merger of SNOMED RT and the Read Codes resulted in:
- A.
SNOMED International
- B.
SNOMED CT
- C.
CTV3
- D.
None of the above
Correct Answer
B. SNOMED CTExplanation
The merger of SNOMED RT and the Read Codes resulted in the creation of SNOMED CT. SNOMED CT is a comprehensive and standardized clinical terminology that is used for the electronic exchange of health information. It combines the strengths of both SNOMED RT and the Read Codes, providing a unified and internationally recognized system for capturing and sharing clinical data. CTV3 is not the correct answer as it is not the result of this merger.Rate this question:
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- 27.
Read Codes were primarily used in what setting?
- A.
Pathology departments in the United States
- B.
Pathology departments in the United Kingdom
- C.
Ambulatory care clinics in the United Kingdom
- D.
Ambulatory care clinics in the United States
Correct Answer
C. Ambulatory care clinics in the United KingdomExplanation
Read Codes were primarily used in ambulatory care clinics in the United Kingdom. These codes were developed in the UK to standardize the recording and sharing of clinical information in primary care settings. They were widely used in general practice and ambulatory care clinics across the country to facilitate accurate and efficient documentation of patient information and improve communication between healthcare providers.Rate this question:
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- 28.
Because of its tremendous amount of content, SNOMED CT is a poor chioce for what function?
- A.
Reimbursement
- B.
Medical research
- C.
Application in the EHR enviroment
- D.
Documentation of clinical concepts
Correct Answer
A. ReimbursementExplanation
SNOMED CT is a poor choice for reimbursement because it is primarily a terminology system used for clinical documentation and not specifically designed for billing and coding purposes. Reimbursement requires specific codes and classifications that are not adequately covered by SNOMED CT. It is more suitable for medical research, application in the EHR environment, and documentation of clinical concepts.Rate this question:
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- 29.
The URU principle requires that all SNOMED concepts be:
- A.
Uniform,reproducible, useful
- B.
Understandable, relevant, uniform
- C.
Understandable, reproducible, useful
- D.
Understandable, reproducible, uniform
Correct Answer
C. Understandable, reproducible, usefulExplanation
The URU principle states that all SNOMED concepts should be understandable, reproducible, and useful. This means that the concepts should be clear and easily comprehensible, able to be replicated or reproduced consistently, and serve a practical purpose in the context of medical terminology and healthcare. This ensures that the concepts are effectively communicated and can be applied consistently and meaningfully across different healthcare systems and settings.Rate this question:
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- 30.
What are the three key elements of SNOMED CT?
- A.
Attributes, concepts, and codes
- B.
Codes, concepts, and hierarchies
- C.
Concepts, descriptors, and relationships
- D.
Descriptions, relationships, and identifiers
Correct Answer
C. Concepts, descriptors, and relationshipsExplanation
SNOMED CT is a comprehensive clinical terminology used in healthcare to standardize the representation of clinical concepts. The three key elements of SNOMED CT are concepts, descriptors, and relationships. Concepts represent clinical ideas or meanings, descriptors provide additional information about concepts such as synonyms or terms, and relationships establish connections between concepts to show their hierarchical or associative relationships. These three elements work together to create a robust and organized terminology system that supports accurate and consistent communication in healthcare settings.Rate this question:
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- 31.
Which of the following is not a part of the core content of SNOMED CT?
- A.
Extensions
- B.
Relationships table
- C.
ICD-9-CM mapping
- D.
Concepts table
Correct Answer
A. ExtensionsExplanation
SNOMED CT is a comprehensive clinical terminology system used for the electronic exchange of health information. It consists of a set of core content that includes concepts, relationships, and a concepts table. Extensions, on the other hand, are not a part of the core content of SNOMED CT. Extensions allow users to add additional content specific to their own needs without modifying the core content. Therefore, the correct answer is extensions.Rate this question:
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- 32.
SNOMED CT is composed of ___ main hierarchies.
- A.
15
- B.
27
- C.
18
- D.
100
Correct Answer
C. 18Explanation
SNOMED CT is composed of 18 main hierarchies. These hierarchies represent different areas of medical knowledge and provide a way to organize and classify medical concepts. Each hierarchy focuses on a specific domain or aspect of healthcare, such as anatomy, procedures, or medications. By having multiple hierarchies, SNOMED CT can cover a wide range of medical topics and allow for detailed and comprehensive representation of medical information.Rate this question:
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- 33.
A motor vehicle accident is an example from which SNOMED CT hierarchy?
- A.
Physical force
- B.
Event
- C.
Context-dependent category
- D.
Observable entity
Correct Answer
B. EventExplanation
An accident involving a motor vehicle is categorized under the hierarchy of events in SNOMED CT. This means that it is classified as an occurrence or incident rather than a physical force, context-dependent category, or observable entity. SNOMED CT uses a hierarchical structure to organize and classify medical concepts, and in this case, the accident is considered as an event within this framework.Rate this question:
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- 34.
Every SNOMED CT concept has at least one relationship to another concept.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
This statement is true because SNOMED CT is a comprehensive and structured clinical terminology that represents relationships between concepts. Each concept in SNOMED CT is linked to other concepts through relationships, which allows for the organization and classification of medical information. These relationships enable the system to capture complex clinical concepts and support accurate representation of clinical data. Therefore, it can be concluded that every SNOMED CT concept has at least one relationship to another concept.Rate this question:
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- 35.
The highest level of concept in SNOMED CT is the
- A.
Root concept
- B.
Upper-level concept
- C.
Subhierarchy
- D.
Concept
Correct Answer
A. Root conceptExplanation
The highest level of concept in SNOMED CT is the root concept. This is because the root concept is the starting point or foundation of the entire SNOMED CT hierarchy. It represents the most general and overarching concept from which all other concepts in SNOMED CT are derived. The root concept serves as the top-level category under which all other concepts are classified and organized, making it the highest level of concept in SNOMED CT.Rate this question:
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- 36.
Which of the following is not an example from the hierechy "social context"?
- A.
Economic status gender
- B.
Occupation
- C.
Ethnic group
- D.
Gender
Correct Answer
D. GenderExplanation
The given options are examples of different aspects of social context, such as economic status, occupation, and ethnic group. However, gender is not an example of social context but rather a biological characteristic. Gender refers to the social and cultural roles, behaviors, and expectations associated with being male or female, which are influenced by social context but not a direct example of it.Rate this question:
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- 37.
The association responsible for the development and maintenance of SNOMED CT is the IHTSDO.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
The IHTSDO, or International Health Terminology Standards Development Organisation, is indeed the association responsible for the development and maintenance of SNOMED CT. SNOMED CT is a comprehensive clinical terminology that is used for the electronic exchange of health information. The IHTSDO oversees the ongoing development and updates of SNOMED CT to ensure that it remains accurate, up-to-date, and relevant for use in healthcare settings worldwide.Rate this question:
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- 38.
At the time this book was published how many unique concepts were in SNOMED CT?
- A.
More than 190,000
- B.
Over 315,000
- C.
Over 900,000
- D.
More than a million
Correct Answer
B. Over 315,000Explanation
At the time this book was published, SNOMED CT had over 315,000 unique concepts. This indicates that SNOMED CT is a comprehensive and extensive terminology system that covers a wide range of medical concepts and terms. It is likely that this large number of concepts allows for detailed and specific documentation of various medical conditions, procedures, and observations.Rate this question:
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- 39.
Which of the following is the unique text assigned to a concept in SNOMED CT that completely describes that concept?
- A.
Standard phrase
- B.
Fully specified name
- C.
Common description
- D.
Unique identifier
Correct Answer
B. Fully specified nameExplanation
The fully specified name in SNOMED CT is a unique text assigned to a concept that provides a complete description of that concept. It includes additional information such as the semantic tag, which helps to differentiate between similar concepts. This name is used to ensure clarity and precision in the representation of medical concepts within the SNOMED CT terminology system.Rate this question:
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