Medical Billing and Coding Final Exam
Course Introduction
Medical Billing and Coding is a comprehensive course that introduces students to the essential processes of translating healthcare services, diagnoses, and procedures into standardized codes used for billing and insurance claims. The course covers key topics such as medical terminology, anatomy, healthcare regulations (such as HIPAA), coding systems including ICD-10-CM, CPT, and HCPCS, as well as the patient billing cycle, reimbursement methods, and claim processing. Students gain practical skills in accurately assigning codes, resolving claim discrepancies, and understanding the legal and ethical considerations involved in medical billing. The goal is to prepare students for entry-level roles in medical billing and coding within healthcare facilities, insurance companies, and related fields.
Recommended Textbook
Medical Language for Modern Health Care 3rd Edition by David Allan
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Chapter 1: Roots and Combining Forms
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Q1) Which of the following are the roots for the words gynecology, arthroscopy, and hypogastric?
A)gynec-, -ology, and -gastric
B)-gastric, hypo-, and -scopy
C)gynec-, arthro-, and hypo-
D)gynec-, arthr-, and -gastr
E)-ology, -scopy, and hypo-
Answer: D
Q2) Which of the following terms is spelled correctly?
A)Gastrik
B)Pneumothorax
C)Dermatitus
D)Uroligy
E)Resperatory
Answer: B
Q3) In the term gastric, the root ___________ means ________________.
Answer: gastr- and stomach
Explanation: In the term gastric the root is gastr- that means the stomach
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Chapter 2: Suffixes and Prefixes
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Q1) In the term unipolar, what is the prefix, root word, and suffix?
A)Pol- is the prefix, -ar is the root word, and uni- is the suffix
B)Uni- is the prefix, -ar is the root word, and pol- is the suffix
C)-Ar is the prefix, pol- is the root word, and uni- is the suffix
D)Uni- is the prefix, ?pol- is the root word, and -ar is the suffix
E)Pol- is the prefix, uni- is the root word, and ?-ar is the suffix
Answer: D
Q2) Hyper- and Supra- both have the same meaning of:
A)Across
B)Around
C)Below
D)Above
E)Inside
Answer: D
Q3) An endoscope is an instrument for looking ____________ the body.
Answer: inside
Explanation: The prefix endo- means inside or inner
Q4) The suffix -stenosis means __________________.
Answer: narrowing
Explanation: -stenosis means narrowing
Page 4
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Chapter 3: Word Analysis and Communication
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Q1) In the term abdominoplasty, what is the suffix and what does the suffix mean?
A)The suffix is abdomin-, and it means joint.
B)The suffix is a-, and it means without.
C)The suffix is -plasty, and it means abdomen.
D)The suffix is -plasty, and it means repair.
E)The suffix is abdomin-, and it means remove.
Answer: D
Q2) What is the proper pronunciation of hypertension?
A)HIGH-pa-tin-SHAN
B)HIGH-per-TEN-shun
C)HI-pert-EN-shiun
D)HI-por-TENS-un
Answer: B
Q3) Elements of a medical term are the:
A)individual parts of the word
B)references to Greek or Roman origins
C)multiple syllables of the word
D)combining vowels of the word
E)indicators that the word is plural
Answer: A
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Chapter 4: The Body As a Whole
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Q1) The surgeon needs to put a patient in the ________________ position to remove a lesion on the back.
Q2) Which term means a condition involving the nervous system?
A)In vitro fertilization
B)Parkinson disease
C)Metabolism
D)Epigastrium
E)Abdominopelvic
Q3) The suffix in the word homeostasis stands for:
A)blood
B)standing or control
C)pertaining to
D)a new opening
E)an action
Q4) Which of the following words means pertaining to the back?
A)Dorsal
B)Prone
C)Ventral
D)Inferior
E)Superior
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Chapter 5: Digestive System
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Q1) A disorder of the small intestine in which one is allergic to gluten is
Q2) The prefix in extracorporeal means ______________.
Q3) Which of the following words means stopping the flow of bile?
A)Cirrhosis
B)Cholestatic
C)Cholesterol
D)Choledocholithiasis
E)Cholecystitis
Q4) A synonym for swallowing is:
A)Deglutition
B)Bolus
C)Regurgitation
D)Emesis
E)Reflux
Q5) The lining that means pertaining to the membrane that lines the abdominal cavity is ______________.
Q6) Alcoholism is the most common cause of scarring of the liver, known as ___________________.
Q7) The small and large intestines are part of the ______________ system.
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Chapter 6: Urinary System
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Sample Questions
Q1) Choose the correctly spelled medical term.
A)Kegelle
B)Kegele
C)Keggle
D)Kegel
E)Kegale
Q2) The method of collection used to determine the amount of protein being excreted and to estimate the kidneys' filtration ability is:
A)Clean-catch
B)Suprapubic transabdominal needle aspiration
C)Early morning collection
D)Twenty-four-hour collection
E)Random collection
Q3) What does the root of the word permeable mean?
A)Pertaining to
B)Able
C)Process
D)Permanent
E)Pass through
Q4) A small stone is a __________________.
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Chapter 7: Male Reproductive System
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Q1) The plural form of the word anastomosis is A)anastomosises
B)anastomosi
C)anastomoses
D)anastomosum
E)anastomosa
Q2) The plural form of the word spermatozoon is
A)sperm
B)spermatid
C)spermatozoa
D)spermatoza
E)spermatozis
Q3) The head of the penis or clitoris is called the A)prepuce
B)glans
C)smegma
D)cavernosa
E)acuminate
Q4) The name of the medical specialty that focuses on diseases of the genitourinary tract is _______________________.
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Chapter 8: Female Reproductive System
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Q1) The word, ___________________, which is derived from the Latin meaning a falling, refers to the falling or slipping of a body part from its normal position.
A)pessary
B)prolapse
C)ablation
D)lanugo
E)crowning
Q2) In the term lactation, what does the root mean?
A)To create
B)Milk
C)Feed
D)Suckle
E)Nipple
Q3) A surgical method of preventing pregnancy in a female is a(n)
A)tubal ligation
B)vasectomy
C)IUD
D)diaphragm
E)estrogen/progestin patch
Q4) A baby born after 42 weeks gestation is classified as
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Chapter 9: Nervous System
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Q1) The cause of a febrile seizure is a
A)food allergy
B)temper tantrum
C)blow to the head
D)fever
E)medication allergy
Q2) Many congenital neurologic abnormalities can be prevented by the mother taking ________before conception and during early pregnancy.
A)folic acid
B)vitamin B<sub>12</sub>
C)niacin
D)iron
E)vitamin D
Q3) A disorder of multiple motor and vocal tics is called
A)Tourette syndrome
B)narcolepsy
C)cataplexy
D)Absence seizure
E)status epilepticus
Q4) The medical term for fainting is _________________________________.
11
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Chapter 10: Cardiovascular System
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Q1) Which of the following words has a prefix meaning inside?
A)Hemodynamics
B)Myocardium
C)Parietal
D)Endocardium
E)Pericardium
Q2) The term that describes the uncontrolled quivering or twitching of heart muscle is
A)cardioversion
B)palpitation
C)fibrillation
D)incompetence
E)prolapse
Q3) The normal heart rhythm begins in the____________________ which acts as the _____________________ of the heart.
A)sinoatrial node; pacemaker
B)bundle of His; conductor
C)Purkinje fibers; bundle branches
D)ventricles; muscles
E)systole; gateway
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Chapter 11: Blood
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Q1) What is the function of a fibroblast?
A)Ingests debris
B)Produces new platelets
C)Forms fibrin
D)Attaches to a diseased blood vessel as a clot
E)Forms collagen fibers
Q2) Of the following words, which one has a prefix that means deficient or below?
A)Hematocrit
B)Fibrinogen
C)Hypochromic
D)Homeostasis
E)Sedimentation
Q3) Where does erythropoiesis occur?
A)In the liver
B)In the red bone marrow
C)In the spleen
D)In the kidney
E)In the yellow bone marrow
Q4) A medical specialist in disorders of the blood is called a
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Chapter 12: Lymphatic and Immune System
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Q1) What does the combining form in the word pathogen mean?
A)To create
B)To begin
C)Disease
D)Bacteria
E)Fungus
Q2) Which of the following is NOT one of the five classes of antibodies?
A)IgA
B)IgB
C)IgD
D)IgE
E)IgM
Q3) Which of the following laboratory tests measures the quantity of HIV in the blood?
A)HIV assay
B)Viral load counts
C)Hematocrit
D)Viral percents
E)Complete blood count
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Chapter 13: Respiratory System
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Q1) Which of the following statements is true regarding the vocal cords?
A)Air movement is for breathing, not sound.
B)Intrinsic muscles maintain the shape of the neck around the cords.
C)Male vocal cords are longer and vibrate more slowly than female cords.
D)Female vocal cords are thicker and vibrate more quickly than male cords.
E)The sounds coming from the vocal cords need little modification to produce words.
Q2) The anatomical structure that connects the back of the nose to the larynx is the A)pharynx
B)nares
C)esophagus
D)cricoid cartilage
E)trachea
Q3) What is the plural form of the medical term pleura?
A)Pleuruses
B)Pleurum
C)Pleurae
D)Pleuri
E)Pleures
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Chapter 14: Musculoskeletal System
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Q1) Bone growth is affected by all of the following factors EXCEPT
A)Hydration
B)Hormones
C)Vitamins
D)Nutrition
E)Exercise
Q2) In the word metacarpal, what does the prefix mean?
A)Below
B)Behind
C)Above
D)After
E)Around
Q3) In the word malunion, the prefix means
A)Painful
B)Good
C)Bad
D)Hard
E)Crooked
Q4) A fracture that occurs at a site already weakened by a disease process such as cancer is called a ___________________________ fracture.
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Chapter 15: Integumentary System
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Q1) A condition, thought to have an auto-immune etiology in which non-pigmented white patches develop on otherwise normal skin is called
Q2) The fibrotic seam that forms when a wound heals is called a ____________________.
Q3) For the term anesthetic, choose the suffix, prefix, and root, and the correct meaning for each.
A)prefix an- means pertaining to; suffix -ic means without; root esthet- means hardening
B)prefix an- means without; suffix -ic means against; root esthet- means hardening
C)prefix an- means pertaining to; suffix -ic means without; root esthet- means sensation
D)prefix an- means without; suffix -ic means pertaining to; root esthet- means sensation
E)prefix an- means none; suffix -ic means condition; root esthet- meaning sensation
Q4) The medical specialty dealing with the structural and functional changes of a disease process or the cause, development, and structural changes in disease is
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Chapter 16: Special Senses of the Eye and Ear
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Q1) A disease of the light-sensitive innermost layer of the eyeball is called
A)scleropathy
B)retinopathy
C)papilledema
D)leukocoria
E)retinoblastoma
Q2) Which of the following conditions is a complication of chronic OME and requires surgery?
A)perforated tympanic membrane
B)cholesteatoma
C)otosclerosis
D)Ménière's disease
E)otoliths
Q3) Which of the following words has a prefix meaning together?
A)Contaminate
B)Exotropia
C)Ulcerate
D)Stereopsis
E)Periorbital
Q4) The study of hearing disorders is called
Chapter 17: Endocrine System
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Q1) Which of the following words has a suffix meaning tumor?
A)Oncology
B)Malignant
C)Catecholamine
D)Aldosteronoma
E)Aldosterone
Q2) A type of hyperthyroidism caused by an autoimmune disorder in which an antibody stimulates the thyroid gland to produce and secrete excessive quantities of thyroid hormones into the blood is called
A)Crohn's disease
B)DiGeorge syndrome
C)Hashimoto disease
D)Graves disease
E)Myxedema
Q3) The abbreviation for a hormone secreted by the parathyroid glands is
A)PT
B)PTT
C)PTH
D)PST
E)PSA
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Chapter 18: Mental Health
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Q1) Specialists on the mental health team include all of the following individuals EXCEPT
A)clinical psychologists
B)psychiatrists
C)registered nurses
D)social workers
E)physical therapists
Q2) The medical term for the condition of an individual when part of his or her personality is separated from the rest, leading to multiple personalities, is
A)dialectic disorder
B)dissociative identity disorder
C)personality development disorder
D)resecting disorder
E)antisocial personality disorder
Q3) What does the root in the term multimodal mean?
A)Many
B)Treatment
C)Method
D)Attitude
E)Pertaining to
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Chapter 19: Geriatrics
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Q1) Read this selection: Atherosclerotic plaques narrow arteries and trigger thrombosis, leading to strokes and heart attacks. In veins, valves become weaker, and blood flows back and pools in the legs, leading to poor venous return to the heart and heart failure.
Which of the following statements best describes a patient with this condition?
A)Vessels are dilated.
B)Cardiovascular accidents are unlikely.
C)This usually occurs in children and adolescents.
D)The circulatory system is functioning well.
E)Clotting and MI are complications.
Q2) The prefix in the word polypharmacy means
A)extra
B)many
C)increased
D)drugs
E)routes of administration
Q3) The medical term that refers to the inability to prevent the discharge of urine or feces is
Q4) A wasting or diminished volume of a tissue or organ is called
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Chapter 20: Cancer Oncology
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Q1) A blood test for the detection of prostate cancer is the
A)AFP
B)DRE
C)PSA
D)PET
E)ALT
Q2) The suffix in the word asbestosis means
A)Asbestos
B)Pertaining to
C)Tumor
D)Condition
E)Structure
Q3) A form of cancer treatment that uses radiation or x-rays is called
Q4) PCBs, dioxins, and arsenic are examples of A)protooncogenes
B)chemotherapy agents
C)cell receptors
D)carcinogens in cigarette smoke
E)environmental carcinogens
Page 22
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Chapter 21: Radiology and Nuclear Medicine
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Q1) The physician orders a chest x-ray on a patient where the x-rays travel from a front source to an image receiver placed behind the patient. The abbreviation for this type of x-ray is
A)DR
B)CC
C)AP
D)PA
E)MLO
Q2) The prefix in the word mediolateral means
A)slanting
B)middle
C)pertaining to D)side
E)movement
Q3) The most commonly used tracer for the destruction of thyroid tissues is
A)Gallium-67
B)Thallium-201
C)Iodine-123
D)Technetium-99m
E)Iodine-131
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Chapter 22: Pharmacology
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Q1) Drugs used to treat the symptoms of menopause are abbreviated as
A)HT
B)HRT
C)SERM
D)ERD
E)EPH
Q2) A patient with thyroid cancer would likely receive which of the following drugs to kill the cancerous thyroid cells?
A)Propylthiouracil (PTU)
B)methimazole (tapazole)
C)131-iodine
D)levothyroxine (Synthroid)
E)Lugol's solution
Q3) The medical term which means a general weight loss and wasting of the body is
Q4) An agent that is capable of dissolving or liquefying mucus is classified as a
Q5) An oral agent that promotes the expulsion of feces is called a
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