This Mоck Exаm hаs а time limit оf 4 hоurs (240 minutes).This Mock Exam consists of 124 multiple choice questions. #1-100 are general questions that cover Domains 1-5. #101-124 are medical scenario questions, which are divided into 8 different patient scenarios.Some of the medical scenario questions will require multiple answer selections for the secondary diagnoses and procedures.Questions #1-100 are worth 1 point each; The medical scenario questions are worth 2 points each for the first-listed/principal diagnosis code questions and 10 points for the secondary diagnosis(es) and procedure(s).Partial credit is awarded for the secondary diagnoses and procedure codes, as applicable.This Mock Exam will save and submit automatically when the time expires.The timer will continue to run if you leave the Mock Exam, so you should plan to take this Mock Exam in one sitting.This Mock Exam is due on July 27, 2026 11:59:00 PM EDT.The use of a secondary device (laptops, smartphones, smartwatches, tablets, etc.) is not allowed and considered a form of academic dishonesty and the consequences of doing so may result in a zero for a first offense and WF for repeated offenses. Honorlock flags students who are caught using a secondary device. Also prohibited are the following: notes, texts, online materials or other such unauthorized materials; for example, connecting with classmates by phone, email, Snapchat, GroupMe etc. while taking quizzes and tests.You are PERMITTED to use your ICD-10-CM, CPT, and ICD-10-PCS 2026 Coding Manuals. These are the ONLY resources that may be used. You may use blank scratch paper to write down code possibilities.
Inpаtient Recоrd - Pаtient 6 Use the chаrt dоcumentatiоn below for questions 116-118. ___________________________________________________________________________________________________________________________ Discharge Summary DATE OF ADMISSION: 10/21 DATE OF DISCHARGE: 10/22 DISCHARGE DIAGNOSIS: Retained products of conception with vaginal bleeding following dilation and curettage (D&C) for miscarriage and tobacco and alcohol abuse. COURSE IN HOSPITAL: The patient was admitted to the emergency department due to fainting and vaginal bleeding. Lab results indicated acute blood loss anemia that began to rebound post-surgery. The patient was taken to the OR for D&C. Pathology revealed decidua and chorionic villi. She previously underwent a D&C for a 14-week miscarriage last week at another institution. The patient was encouraged to decrease her alcohol intake and to stop smoking. The patient appeared depressed over her recent miscarriage. A psych consult was ordered. INSTRUCTIONS ON DISCHARGE: If heavy bleeding occurs, contact my office immediately. A follow-up visit is scheduled with the psychiatrist in 2 weeks. The patient was also given information about Alcoholics Anonymous as well as a prescription for bupropion to be taken as directed for depression and smoking cessation. ________________________________________________________________________________________________________ History and Physical Exam ADMITTED: 10/21 REASON FOR ADMISSION: Heavy bleeding from vagina HISTORY OF PRESENT ILLNESS: She has had irregular spotting and light flow on and off since a spontaneous abortion that occurred last week. She was admitted to another hospital at that time and underwent a D&C due to a spontaneous abortion at 14 weeks. The patient noted heavy bleeding today. She fainted in the bathroom and was brought to the emergency department by her family. PAST MEDICAL HISTORY: The patient developed bronchitis as a child but was not treated other than with decongestant. Her last menstrual period was 15 weeks ago. ALLERGIES: None known CHRONIC MEDICATIONS: None FAMILY HISTORY: Mother has hypertension. Two sisters have had heart surgery for congenital heart problems. SOCIAL HISTORY: The patient smokes one pack of cigarettes per day and reports intake of one 6-pack of beer every few days during the week. The patient tried to abstain from alcohol during her pregnancy but was not successful. REVIEW OF SYSTEMS: The patient is normally healthy. She has had a runny nose for about two days. Her bowel movements are normal, once every 2 to 3 days and her urinary function is normal. She eats three meals per day. She gets heartburn when she eats spicy foods. She drinks with her meals and into the evening on a continual basis. PHYSICAL EXAMINATION: HEENT: PERRLA, EOM normal, thyroid not enlarged CHEST: Clear to P&A without CVA tenderness HEART: NSR without murmur ABDOMEN: Soft and nontender with active bowel sounds EXTREMITIES: Without edema, cyanosis, or clubbing MUSCULOSKELETAL: Patient appears pale and is lightheaded NEURO: CN’s II–XII grossly intact. Reflexes are normal. No sensory or motor defects noted. PELVIC: Uterus is of normal size with AV and femoral adnexa negative. Vaginal vault filled with serum fluid and clots. Cervix reveals pink with blood oozing from OS—no foreign body or laceration noted. ASSESSMENT: Dysfunctional uterine bleeding PLAN: D&C ___________________________________________________________________________________________________________________________ Psych Consult Thank you for requesting a consult with this patient. I met with her and found her to be moderately depressed in this single episode secondary to recent miscarriage. There was no evidence of suicidal thoughts. She denies any thoughts of harming herself or others. The patient has a history of alcohol abuse, three 6-packs of beer per week, and tobacco 1 ppd. IMPRESSION: 1. Major depression—secondary to recent miscarriage 2. Alcohol abuse 3. Tobacco abuse Will treat with bupropion 150 mg PO daily × 3 days then BID thereafter. Follow up in 2 weeks. ___________________________________________________________________________________________________________________________ Progress Notes Progress Notes ________________________________________________________________________________________________________ Physician's Orders
Dоmаin 5: Infоrmаtiоn Technologies
If а diаgnоsis in the pаtient’s discharge summary cоnflicts with a diagnоsis documented by the cardiology specialist in a consultation report, and the consultant’s diagnosis would impact MS-DRG assignment, what should the coding professional do?