Chima Mock Exam Part A

88 Questions | Total Attempts: 1567

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Chima Mock Exam Part A

The Canadian health information management association exam is designed to help you test out what you learnt in order to be a certified in health information management and what is expected of you. Take up this Chima mock exam part A and gauge your preparedness for the upcoming exam. All the best!


Questions and Answers
  • 1. 
    The most common blood borne infection in the Canada is
    • A. 

      Helicobacter pylori

    • B. 

      Hepatitis A

    • C. 

      Hepatitis C

    • D. 

      Hemophilia

  • 2. 
    A pharyngeal culture is taken from a 13-year-old male patient presenting to the ER with fever, painful cervical lymph nodes, purulent tonsillar exudate, and difficulty swallowing. A blood agar culture plate shows complete hemolysis around Streptococcus pyogenes bacterial colonies. The patient is given a prescription for erythromycin. The diagnosis in this case is 
    • A. 

      A group A beta-hemolytic streptococcal throat infection

    • B. 

      A methicillin-resistant Staphylococcus aureus skin infection

    • C. 

      Tuberculosis with drug-resistant Mycobacterium tuberculosis-positive sputum.

    • D. 

      Meningitis due to Neisseria meningitidis-positive cerebrospinal fluid.

  • 3. 
    ______________ is the most common type of skin cancer and ________________ is the most deadly type of skin cancer.
    • A. 

      Malignant melanoma, basal cell carcinoma

    • B. 

      Basal cell carcinoma, malignant melanoma

    • C. 

      Oat cell carcinoma, squamous cell carcinoma

    • D. 

      Squamous cell carcinoma​, oat cell carcinoma

  • 4. 
    Process, test, or procedure in which something is measured or observed in a living organism.
    • A. 

      In vitro

    • B. 

      In vivo

    • C. 

      Uptake

    • D. 

      Bone scan

  • 5. 
    Cancer derived from epithelial tissue is classified as a(n)
    • A. 

      Adenoma

    • B. 

      Carcinoma

    • C. 

      Lipoma

    • D. 

      Sarcoma

  • 6. 
    Mary has diabetes. Her physician has told her about some factors that put her more at risk for infections. Which of the following factors would probably NOT be applicable?
    • A. 

      Hypoxia

    • B. 

      Increased glucose in body fluids

    • C. 

      Increased blood supply

    • D. 

      Both A and C

  • 7. 
    What is the rule when coding a patient who had a lithotripsy performed for a condition of bladder stones followed by a subsequent extraction of the fragments?
    • A. 

      The condition of hydronephrosis is assumed to be with calculus obstruction and is MRDx with an additional code for urolithiasis as a type 3

    • B. 

      When extraction follows lithotripsy, both the destruction and the extraction are coded

    • C. 

      In jurisdictions not requiring extraction to be recorded, only the code for destruction is assigned.

    • D. 

      Always code extraction whether or not there was an extraction

  • 8. 
    Small hole between the upper heart chambers; congenital anomaly 
    • A. 

      Coronary artery disease

    • B. 

      Atrial septal defect

    • C. 

      Tetralogy of Fallot

    • D. 

      Patent Ductus Arteriosus

  • 9. 
    Which of the following is NOT the cause cirrhosis
    • A. 

      Alcoholic

    • B. 

      Hepatitis

    • C. 

      Ascites

    • D. 

      Pancreatitis

  • 10. 
    Immediately after an action potential is propagated, which one of the following ions rapidly diffuses out of the cell into the tissue fluid: 
    • A. 

      Potassium

    • B. 

      Calcium

    • C. 

      Sodium

    • D. 

      magnesium

  • 11. 
    Sally has a brain injury; she knows what she wants to say but canʹt vocalize the words. The part of her brain that deals with the ability to speak is the: 
    • A. 

      Central sulcus

    • B. 

      Brocaʹs area

    • C. 

      Primary motor area

    • D. 

      Gyrus

  • 12. 
    What is the effect of an enlarging brain abscess on cardiovascular activity?
    • A. 

      Immediate depression of the cardiac control centers

    • B. 

      Systemic vasoconstriction and slower heart rate

    • C. 

      Low blood pressure and irregular heart and respiratory rates

    • D. 

      Increased heart rate and systemic vasodilation

  • 13. 
    All of the following may precipitate a seizure EXCEPT:  
    • A. 

      Hypoglycemia

    • B. 

      Severe acidosis

    • C. 

      Brain abscess

    • D. 

      High fever in young child

  • 14. 
    The brachial vein: 
    • A. 

      Drains blood from the axillary vein, then empties that blood into the superior vena cava

    • B. 

      Drains blood from the popliteal vein, then empties that blood into the external iliac vein

    • C. 

      Drains blood from the radial and ulnar veins, then empties that blood into the axillary vein

    • D. 

      Drains blood from the internal jugular vein, then empties that blood into the superior vena cava

  • 15. 
     Which one of the following is true concerning the lub-dup sounds of the heart:   
    • A. 

      The first sound is shorter and sharper and is caused by closure of the semilunar valves; the second sound is longer and louder and is caused by closure of the AV valves

    • B. 

      The first sound is longer and louder and is caused by closure of the tricuspid valve; the second sound is shorter and sharper and is caused by closure of the mitral valve

    • C. 

      The first sound is shorter and sharper and is caused by closure of the tricuspid valve; the second sound is longer and louder and is caused by closure of the mitral valve

    • D. 

      The first sound is longer and louder and is caused by closure of the AV valves; the second sound is shorter and sharper and is caused by closure of the semilunar valves

  • 16. 
    The path of blood flow within the systemic vascular system is:  
    • A. 

      Arteries, arterioles, capillary beds, veins, venules

    • B. 

      Arteries, arterioles, capillary beds, venules, veins

    • C. 

      Arterioles, arteries, capillary beds, veins, venules

    • D. 

      Arterioles, arteries, capillary beds, venules, veins

  • 17. 
    This disease is classified as primary, secondary or congenital and can be treated with iridotomy/partial iridectomy, or drainage of anterior chamber, or scleral drainage.
    • A. 

      Retinal detachment

    • B. 

      Retinopathy

    • C. 

      Glaucoma

    • D. 

      Macular Degeneration

  • 18. 
    Seventy-five-year-old Beatrice had been a pack-a-day smoker all of her adult life. Over the previous 3 months she noticed a persistent cough, weight loss, blood in her sputum __________________ and dyspnea. A chest CT scan revealed a mass. Biopsy confirmed the diagnosis of ______________________, which is a type of _____________________ lung cancer. 
    • A. 

      Hematemesis, small cell, pneumoconiosis

    • B. 

      Hemoptysis, small cell, adenocarcinoma

    • C. 

      Hemoptysis, non–small cell, adenocarcinoma

    • D. 

      Asbestosis, non–small cell, tuberculosis

  • 19. 
    Visual examination of the chest via endoscope and a video monitor. 
    • A. 

      Video-assisted thoracic surgery

    • B. 

      PET scan

    • C. 

      Cardiopulmonary resuscitation

    • D. 

      Chest X-Ray

  • 20. 
    Which of the following is NOT circulatory complication of Diabetes mellitus
    • A. 

      Hypertension

    • B. 

      DVT

    • C. 

      COPD

    • D. 

      Acute myocardial infarction

  • 21. 
    James has significant lower back pain radiating down his left leg. This condition is called ______________. MRI shows an intervertebral ____________________ impinging on spinal nerves at the __________________ level. Bed rest produced no improvement. His orthopedist decided to perform a ____________________ to relieve pressure on his nerves. 
    • A. 

      Fibromyalgia, exostosis, C2–C3, microdiskectomy

    • B. 

      Talipes, disk, L5–S1, tenorrhaphy

    • C. 

      Talipes, bunion, T3–T5, bunionectomy

    • D. 

      Sciatica, disk, L5–S1, microdiskectomy

  • 22. 
    Alice and her friends had been staying up late for weeks, cramming for exams. She developed a sore throat and swollen lymph nodes in her neck and felt fatigued all the time. Dr. Smith did a blood test, and the results showed lymphocytosis and antibodies to EBV in the bloodstream. His diagnosis was 
    • A. 

      Leukapheresis

    • B. 

      Lymphocytopenia

    • C. 

      Mononucleosis

    • D. 

      Thalassemia

  • 23. 
    A system of preferred terminology for naming disease processes is known as a
    • A. 

      Set of categories

    • B. 

      Classification system

    • C. 

      Medical nomenclature

    • D. 

      Diagnosis listing

  • 24. 
    In reviewing the medical record of a patient admitted for a left herniorrhaphy, the coder discovers an extremely low potassium level on the laboratory report. In examining the physician's orders, the coder notices that intravenous potassium was ordered. The physician has not listed any indication of an abnormal potassium level or any related condition on the discharge summary.The best course of action for the coder to take is to
    • A. 

      Confer with the physician and ask him or her to list the condition as a final diagnosis if he or she considers the abnormal potassium level to be clinically significant.

    • B. 

      Code the record as is

    • C. 

      Code the condition as abnormal blood chemistry

    • D. 

      Code the abnonnal potassium level as a complication following surgery

  • 25. 
    Coders must assign this procedure on the basis of the title of the report and not on the structures that were viewed or by the findings listed on the report.
    • A. 

      Ultrasound of the abodmen

    • B. 

      CT scan of head

    • C. 

      CT scan of brain

    • D. 

      Gastroscopy