CDIP FINAL EXAM 2023-2024 /CDIP EXAM TEST
BANK ACTUAL EXAM 65 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) | ALREADY GRADED A+
Terms in this set (65)
1. All cases that were reviewed
2. Number of cases with queries
CDI program data includes:
3. Nature of the query
4. Physician response to the query
1. If there is clinical evidence that the documentation is
imcomplete or does not meet one of the seven criteria
for high-quality clinical documentation.
2. By an individual with solid clinical knowledge.
Queries should only be
3. In an open-ended manner (no yes or no questions)
asked:
4. In a nonleading manner.
5. To the individual whose documentaion is in question
or who is responible for interpreting test results or other
data in the patient's record.
1. When queries will be asked.
2. Who will ask queries and to whom queries will be
asked.
Query process and
3. The hospital's responsibility in supporting the quering
procedure should address:
process.
4. The physician's responsibility in responding to queries.
5. Acceptable ways to responding to queries.
, 1. Documentation of reportable conditions or
procedures is conflicting, ambigious, or is otherwise
incomplete.
2. Abnormal diagnostic test results indicate the possible
addition of a secondary diagnosis or higher specificity of
Examples of when a query an already documented condition.
is required may include: 3. The patient is receiving treatment for a condition that
has not been documented.
4. Abnormal operative or procedureal findings are not
documented.
5. It is unclear as to whether a condition was ruled out.
6. The pricipal diagnosis is not clearly identified.
A systemic disease with the presence and persistence of
Septicemia pathogenic micro-organisms or toxins in the blood. No
longer considered synonymous with sepsis.
Sepsis is SIRS due to an infection . Infection can
Sepsis originate anywhere in the body and be triggered by a
bacterial, viral, parasitic, or fungal infection.
SIRS due to infection with organ dysfunction.
Sepsis associated with acute dysfunction in one or more
organs.
Severe Sepsis
Organ dysfunction bay be cardiovascular, renal,
respiratory, hepatic, hematological, central nervous
system, or metabolic acidosis.
SIRS is the systemic response to infection or trauma.
The systemic response is manifested by a variety of
clinical signs and symptoms such as:
Fever (>100.4 degrees F), Hypothermia (<96.8 degrees F),
SIRS
WBC >= to 12000 cellsmm3 (leukocytosis), WBC <= to
4000 cells/mm3 or 10% immature cells, heart reat >90
bpm, respirations >20 breaths/minute or PcCO2 <32 mg
of mercury, hypotension, altered mental status.
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