Knowing the definition of the term, principal diagnosis, is necessary for accurate coding and billing purposes. The collection of the principal diagnosis is part of the UHDDS data set.
Principal Diagnosis Quiz
This quiz will evaluate your knowledge of the definition of Principal Diagnosis. There are also a couple of questions about Complications and Comorbidities. There is one correct answer for each question and no time limit on this quiz.
Each correct answer is worth one point. Good luck.
Disclaimer - All answers are felt to be correct. However, if you disagree, please research the issue. Mistakes happen.
This quiz has been reviewed and approved by Health Information Professionals who serve as HITNOTS Reviewers.
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Principal Diagnosis Quiz You can make a copy of your quiz result and email it to a recipient by pressing the Alt and PrtScr buttons at the same time while viewing your score. Then, paste the image into a word processing program and send it as a file attachment to the intended recepient. Principal Diagnosis Quiz
Your answers are highlighted below.
Grace, who is 81 and suffers from dementia, was admitted due to a fracture of the femur, pathological in nature. She suffers from metastatic bone cancer as a result of uterine cancer. Grace expired on day 4 of her hospitalization. What is the principal diagnosis?
Pathological fracture of the femur
Metastatic bone cancer
Nancy had a left mastectomy in October for breast carcinoma, stage II. Currently, she is receiving chemotherapy once per week. She also suffers from anxiety, as a result of the disease. Today, Nancy is being admitted for her anxiety. What is her principal diagnosis?
Fred, age 88, who suffers from diabetes, type I, and dementia, was admitted from home with a stage 3 pressure ulcer, right buttock area. The area was covered and surrounded by gangrene. Removal of the necrotic skin took place in surgery the following day. Antibiotics were administered both orally and by ointment to the site. In addition, his diabetic and dementia medications were administered. On day 5 of his hospitalization, Fred experienced a stroke, and expired. Did Fred have any complication(s)? If so, what was (were) it (they)?
Yes. The complications were the diabetes and the dementia.
Yes. The complication was the stroke.
Yes. The complication was the pressure ulcer with gangrene.
Fred had no complications.
Bernie, age 76, has suffered from Parkinson's disease for 5 years. He wears a hearing aid due to his unilateral hearing loss. Coming in through the ER today, he complains of a migraine headache. After workup, and a 7 day stay in the hospital, his diagnosis is ruptured berry aneurysm. What is Bernie's principal diagnosis?
Ruptured berry aneurysm
Jed was admitted because of intense pain in his neck and shoulder over the last 4 weeks He had an MRI which showed herniation of C4-C5. He underwent surgery for this cervical herniation (laminotomy and diskectomy). He is also currently being treated for hypertension and diabetes as well as COPD. What is Jed's principal diagnosis?
As a result of an automobile accident on I-95, a patient is admitted with a left fractured hip. She has surgery and is healing well. Her history reveals that she is a type I diabetic. As a result, her medication for diabetes is begun. On day 4 of the hospitalization, she accidentally falls out of bed while trying to visit the restroom unassisted. As a result, she fractures her left arm. She has surgery for that fracture on day 5. She is released from the hospital on day 10 to a rehab facility. What is her principal diagnosis?
Fractured left hip
Fractured left arm
Fall from bed
Jason, who is a type I diabetic, is admitted to the hospital due to a GI hemorrhage due to an ulcer and diverticulitis. Jason's diabetes would be the:
Sally suffers from atrial fibrillation as well as COPD. She is being admitted today because of nausea, vomiting and fatigue. She was diagnosed as being dehydrated. She stays in an inpatient facility for 3 days for IV fluid rehydration. What is Sally's principal diagnosis?
Nausea and vomiting
Ten year old Alex was admitted through the ER today as a result of a severe burns to his right face (third degree) and right upper arm (second degree). He was roasting marshmallows with friends at a camp fire when he lost his balance and fell into the fire. On admission, he was experiencing severe anxiety, and was sedated. Alex has asthma and uses an inhaler when he feels it is necessary. He stayed in the hospital for 14 days and received a split thickness skin graft to his right facial area. What is his principal diagnosis?
Second degree burn, right arm
Third degree burn, right face
Nora, age 62, who suffers from diabetes, type I, and dementia, Alzhemiers type, was admitted from a long term care facility with a stage 3 pressure ulcer, right buttock area. The area was covered and surrounded by gangrene. Removal of the necrotic skin took place in surgery the following day. Antibiotics were administered both orally and by ointment to the site. In addition, her diabetic medications were regularly administered. On day 3 of her hospitalization, Nora experienced an inferior wall MI and expired. Did Nora have any comorbidities? If so, what were they?
Yes. The cormibidity was the pressure ulcer.
Yes. The comorbidities were diabetes and dementia.
Yes. The comorbidity was the myocardial infarction.
Nora had no comorbidities.
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