Briefly describe the coding rule to be applied when an ‘exploratory laparotomy’ results in another procedure being performed during the same theatre visit.

 

     

 

 

    

  1. When the type of endoscope has not been stated in the medical record does the OPCS-4.6 Tabular List, default to fibreoptic (flexible) or rigid endoscope.?

 

 

Value 1 mark

………………………………………………………………………………….

 

………………………………………………………………………………….

 

 

 

  1. Briefly describe the coding rule to be applied when an ‘exploratory laparotomy’ results in another procedure being performed during the same theatre visit.

 

 

Value 1 mark

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………..

 

…………………………………………………………………………………………………..

 

 

 

  1. What two special symbols can be found in the Neoplasm Table of the ICD-10 Alphabetical Index, Volume 3?

 

 

Value 2 marks

………………………………………………………………………………….

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………..

 

 

 

 

 

 

 

 

  1. How must a hernia be coded when both obstruction and gangrene are present? [Actual codes not required].

Value 1 mark

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

 

 

  1. What is the OPCS-4.6 definition of an ‘emergency’ procedure?

 

Value 1 mark

………………………………………………………………………………….

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………..

 

………………………………………………………………………………………………….

 

 

 

  1. Name in full two of the four specific abbreviations used in the OPCS-

4.6 Tabular List.

 

Value 2 marks

………………………………………………………………………………….

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………..

 

 

 

  1. Which two personal history problem codes found in the ICD-10 Tabular

List, Volume 1 are permissible to be assigned in a primary position?

 

Value 2 marks

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………..

 

…………………………………………………………………………………………………..

 

…………………………………………………………………………………………………..

 

  1. What coding rule must be adhered to when a Coronary Artery Bypass Graft (CABG) is performed simultaneously with a procedure on the heart valves?

Value 1 mark

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

 

 

  1. What type of code(s) must be recorded on the first day of the first cycle of chemotherapy given to a patient as an outpatient/daycase? [Actual codes not required]

                                                                                         Value 2 marks

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

 

 

  1. Give three examples of types of ICD-10 codes that would never be used in a primary diagnostic position. [Actual codes not required]

 

Value 3 marks

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………..

 

………………………………………………………………………………………………….

 

………………………………………………………………………………………………….

 

………………………………………………………………………………………………….

 

…………………………………………………………………………………………………

 

…………………………………………………………………………………………………

 

…………………………………………………………………………………………………

 

…………………………………………………………………………………………………

 

  1. Name the ICD-10 three dimensions of coding accuracy.

 

Value 3 marks

…………………………………………………………………………………..

 

…………………………………………………………………………………..

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

 

 

  1. What exact position would a code from ICD-10 categories U80- U89 Antibiotic resistant bacteria be assigned?

 

Value 1 mark

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

……………………………………………………………………………………

 

 

 

  1. Is coding of High Cost Drugs completed for each Consultant Episode or the Hospital Provider Spell?

Value 1 mark

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

 

 

  1. Briefly explain the nature of instructional ‘Excludes’ notes found within the OPCS-4.6 Tabular List, Volume 1.

 

Value 2 marks

………………………………………………………………………………….

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………..

 

…………………………………………………………………………………………………..

  1. What is the coding rule when angioplasty and stent procedures are performed concurrently and why?

Value 2 marks

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………..

 

…………………………………………………………………………………………………..

 

 

 

  1. Briefly describe the nature of the ‘Colon’ or ‘:’ punctuation found in ICD-

10 Tabular List, Volume 1.                                                                                                                                                                                                    Value 2 marks

………………………………………………………………………………….

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

 

 

  1. When both gestational age and birth weight of a premature baby are known, which code(s) require coding and why? [Actual codes not required]

Value 2 marks

…………………………………………………………………………………..

 

…………………………………………………………………………………..

 

…………………………………………………………………………………..

 

…………………………………………………………………………………………………..

 

…………………………………………………………………………………………………..

 

 

 

 

 

 

 

 

 

  1. Briefly describe the coding rule and sequencing position associated

with the ICD-10 code R57.2 Septic shock                                                                           

 

Value 2 marks

………………………………………………………………………………….

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………..

 

…………………………………………………………………………………………………..

 

…………………………………………………………………………………………………..

 

 

 

  1. Describe in full Step three of the ICD-10 four step coding process.

 

Value 3 marks

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………..

 

…………………………………………………………………………………………………..

 

 

 

  1. Briefly describe the nature and sequencing rule for paired codes found in the OPCS-4.6 Tabular List, Volume 1.

Value 3 marks

 

 

…………………………………………………………………………………..

 

…………………………………………………………………………………..

 

…………………………………………………………………………………..

 

……………………………………………………………………………………………………

 

……………………………………………………………………………………………………

 

……………………………………………………………………………………………………

 

 

Section D – General Theory Questions

 

Please use separate Answer Sheets found at the end of this question paper, to answer each question in Section D.  

  • You must use a new Answer Sheet for each question
  • Write on only one side of the Answer Sheet
  • You must write your candidate number in the top right hand corner of each Answer Sheet that you use
  • You must write the question number in the top left hand corner of each Answer Sheet that you use

 

Section D [1] – ICD-10 Theory   [15% of the marks]

 

Answer either Part A or Part B of the following:

 

Please use a separate Answer Sheet making it clear which question you are answering and label each Section accordingly.

 

 

Question D1 Part A: [Answer all parts of this question i, ii and iii]  

 

  1. Name and fully describe the three types of cross references found in the ICD-10 Alphabetical Index, Volume 3. Value 8 marks

 

 

  1. Describe four circumstances where the convention of ‘Parentheses’ are used in the ICD-10 Tabular List, Volume 1.

Value 4 marks

  • Describe the ICD-10 coding guidance for the use of ‘Sequelae’ codes.

Value 3 marks

OR

 

Question D1 Part B: [Answer all parts of this question i, ii and iii]

 

  1. Describe the purpose, selection and sequencing rules of the

ICD-10 classification dagger and asterisk system.

Value 8 marks

 

  1. For the purpose of clinical coding, what is the definition of a co-morbidity?

Value 4 marks

 

 

  • Briefly describe three of the possible six scenarios when it would be permissible to use an ICD-10 sign or symptom code.

Value 3 marks

– OPCS-4 Theory [15% of the marks]

 

Answer either Part A or Part B of the following:

 

Please use a separate Answer Sheet making it clear which question you are answering and label each Section accordingly.

 

Question D2 Part A: [Answer all parts of this question i, ii and iii]

 

  1. Name the four levels of complexity of interventions as referenced within the OPCS-4.6 Clinical Coding Instruction Manual (Version 4.0).

Value 4 marks

 

 

  1. Name the five different types of resources that might affect code assignment when coding radiological examinations within the OPCS-

4.6 code range Y97 Radiology with contrast and Y98 Radiology procedures.

Value 5 marks

 

 

  • Name four of the nine diagnostic imaging procedures which must   always be coded when performed on inpatient episodes of care. [Actual codes not required]

Value 4 marks

 

 

OR

 

Question D2 Part B: [Answer all parts of this question i, ii and iii] 

 

  1. Describe the nature and sequencing of codes when different types of     scans take place during the same visit to the Radiology Department.

Value 4 marks

 

 

  1. Briefly describe and explain the purpose of ‘Principal’ and ‘Extended’ categories that are found within the OPCS-4.6 classification.

Value 6 marks

 

  • What type of codes are required, and how must they be sequenced, when a therapeutic endoscopic procedure is performed and a biopsy

taken at the same time during the same theatre visit? [Actual codes not required]

Value 3 marks

 

 

 

 

– Clinical Terms [10% of the marks]

 

Answer either Part A or Part B of the following:

 

Please use a separate Answer Sheet making it clear which question you are answering and label each Section accordingly.

 

 

Question D3 Part A [Answer all parts of this question i, ii and iii]

 

 

  • Give a brief description of the following components of a SNOMED CT concept:

              

  • Fully Specified Name
  • Preferred term
  • Synonym Value 3 marks

 

 

  • The cross-mapping methodology uses a series of flags to apply standards, rules and conventions of the ICD-10 and OPCS-4.6 classifications. Give three examples of a standard or rule or convention found within one of these classifications.

 

Value 3 marks

 

 

iii)        Name the two types of ‘relationships’ a SNOMED CT concept can have.

Value 2 marks

 

OR      

 

Question D3 Part B [Answer all parts of this question i, ii and iii]

 

 

  • Give the full names of the two original source terminologies used in the development of the Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT).

Value 2 marks

 

 

  • List three possible drivers for additions or changes to the cross-maps between SNOMED CT and the classifications that are used by the

NHS.                                                                            Value 3 marks

 

 

 

  • SNOMED CT is the chosen clinical terminology for the NHS in England. What is a ‘clinical terminology’ and what areas does it cover?

Value 3 marks

 

– Miscellaneous Section [5% of the marks]

 

Answer either Part A or Part B of the following:

 

Please use a separate Answer Sheet making it clear which question you are answering and label each Section accordingly.

 

Question D4 Part A: [Answer this question]

  

  1. i) Name and describe the two types of modifiers which appear in the

ICD-10 Alphabetical Index, Volume 3.                               Value 8 marks

 

 

                                                                 OR

 

 

Question D4 Part B: [Answer parts i and ii of this question]

 

 

  1. List the six components that a regimen describes according to guidance found in the Chemotherapy Regimen Clinical Coding

Guidance – OPCS-4.6 (April 2013-14 V3.1)                     Value 6 marks

 

 

  1. Name the twofact’ codes which are mandatory to record from Chapter XXI Factors influencing health status and contact with the health service that are not representative of a ‘service’ or ‘problem’.                                                           Value 2 marks

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION E –    Anatomy & Physiology (including Medical Terminology)   [35% of the marks]

 

Please be aware that spelling will be taken into account during the marking process.

 

Section E [1] – Anatomy & Physiology

 

Answer ALL 15 questions in this Section, writing your answers in the spaces provided.

 

  1. How many lobes does the left lung contain?

Value 1 mark                                                                                                                            

 

……………………………………………………………………………………………………………

 

 

  1. What is the medical term for the contraction stage of the cardiac cycle?

Value 1 mark

 

………………………………………………………………………………….

 

 

  1. Name the three main types of muscle tissue. Value 3 marks

 

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………..

 

…………………………………………………………………………………………………..

 

 

  1. Name the tubes which extend from each of the kidneys to the bladder

that convey urine.                                                            Value 1 mark

 

 

…………………………………………………………………………………………………..

 

…………………………………………………………………………………………………..

 

 

 

 

 

 

 

 

 

 

 

 

 

  1. Each hemisphere of the cerebrum is divided into lobes. Name the four Value 4 marks

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………

 

………………………………………………………………………………………………….

 

………………………………………………………………………………………………….

 

 

 

  1. Name the five pairs of spinal nerves which are associated with the five

areas of the vertebral column.                                    Value 5 marks

 

…………………………………………………………………………….

 

……………………………………………………………………………………………..

 

………………………………………………………………………………………………

 

……………………………………………………………………………………………….

 

…………………………………………………………………………………………………

 

 

  1. What shape is the ‘Tympanic membrane’ (Ear drum)?

Value 1 mark      

……………………………………………………………………………..

 

………………………………………………………………………………

 

 

  1. Skin colour is affected by which three main factors? Value 3 marks

 

……………………………………………………………………………..

 

………………………………………………………………………………………………

 

………………………………………………………………………………………………

 

………………………………………………………………………………………………

 

………………………………………………………………………………………………

 

 

 

 

  1. Name the circular muscle that controls the opening of the anus.

Value 1 mark      

……………………………………………………………………………..

 

 

  1. Name four of the 12 pairs of cranial nerves which originate from the

brain.                                                                         Value 4 marks

 

……………………………………………………………………………..

 

……………………………………………………………………………..

 

………………………………………………………………………………………………

 

………………………………………………………………………………………………

 

………………………………………………………………………………………………

 

 

  1. Name the gas, formed in tissue cells, which is a by-product of metabolism.

Value 1 mark

 

………………………………………………………………………………

 

 

  1. Name the strongest and largest bone in the human body.

Value 1 mark

 

……………………………………………………………………………..

 

 

 

  1. What is a ‘medullary canal’ and what does it contain?

 

Value 2 marks

……………………………………………………………………………..

 

……………………………………………………………………………………………..

 

……………………………………………………………………………………………..

 

…………………………………………………………………………………………….

 

 

 

 

 

 

 

  1. What is the collective term given to the malleus, incus and stapes?

Value 1 mark

……………………………………………………………………………..

 

 

  1. How many carpal bones form each wrist joint? Value 1 mark

 

 

……………………………………………………………………………

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please be aware spelling will be taken into account during the marking process.

 

Section E [2] – Medical Terminology

 

Answer ALL 10 questions in this Section, writing your answers in the spaces provided.

 

 

  1. Circle the four prefixes in the list below: Value 4 marks

 

sub chol desis  
aden pexy trans  
hemi ec tripsy  

 

 

 

  1. Describe the active or passive circular movement of a limb.

 

Value 1 mark

 

……………………………………………………………………………

 

 

 

  1. Name the four components that make up a medical term.

Value 4 marks

 

…………………………………………………………………………….

 

…………………………………………………………………………………………….

 

…………………………………………………………………………………………….

 

…………………………………………………………………………………………….

 

 

  1. What is the meaning of the root word ‘Ost’?

Value 1 mark

 

………………………………………………………………………………

 

 

 

  1. What is the root word that means joint?

 

Value 1 mark

 

…………………………………………………………………………………….

 

 

  1. The ending that follows a root word is known as what?

Value 1 mark

 

 

…………………………………………………………………………………

 

 

  1. What does the medical term ‘Ectopic pregnancy’ denote?

Value 1 mark

 

………………………………………………………………………………..

 

 

………………………………………………………………………………………………..

 

 

  1. Physiology is the study of what? Value 1 mark

 

……………………………………………………………………………………………….

 

 

………………………………………………………………………………

 

 

………………………………………………………………………………………………

 

  1. ‘Anterior’ views describe which body views? Value 1 mark

 

 

………………………………………………………………………………

 

 

  1. What is the prefix in the term ‘Abnormal’? Value 1 mark

 

 

……………………………………………………………………………….

 

………………………………………………………………………………………………..

 

 

 

 

 

 

 

 

 

 

Section E [3] Diagrams

Precisely label the anatomical structure indicated by each line on the following two diagrams. Write your answers in the boxes below 

 

E 3 [a] Hip Joint Value 9 marks

 

 

 

 

 

 

1   6  
2   7  
3   8  
4   9  
5      

 

 

 

 

E 3 [b] Name the following muscles Value 10 marks

 

 

 

 

  6  
  7  
  8  
  9  
  10  

 

                         

END OF QUESTION PAPER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Question No._

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Question No.______
Question No.______
Question No.______

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The National Clinical Coding Examination [UK]

 

25 March 2014

 

Paper 2 Theory

 

1:30 pm – 4:35pm

[THREE HOURS]

 

The first 5 minutes will be spent reading through this Examination Paper

 

Instructions to Candidates

 

  • Write your Candidate Number at the top of each Answer Sheet of paper. If you do not enter your Candidate Number the work will not be marked. 
  • Please make sure you cross out any rough work or any mistakes which you have made.
  • You may not use ICD-10 or OPCS-4, dictionaries or any other books or documents for this paper.
  • Spelling will be taken into account during the marking process.
  • For Section D indicate clearly which question you have answered. All papers must be handed in to the invigilator.

 

This Examination Paper consists of 3 sections: C, D and E.

Section C General Short Theory Questions [20% of the marks] Answer all questions in the spaces provided on the Examination Paper.

 

Section D [45% of the marks]

Answer all questions on the lined paper provided. Use a new sheet of paper for each answer.  Write only on one side of the paper.

 

General Theory ICD-10 Questions D1 [15% of the marks]

Answer either D1A or D1B

General Theory OPCS-4 Questions D2 [15% of the marks]

Answer either D2A or D2B

Clinical Terms Questions D3 [10% of the marks]

Answer either D3A or D3B

Miscellaneous Questions D4 [5% of the marks]

Answer either D4A or D4B

 

Section E Anatomy and Physiology (including Medical Terminology) 

[35% of the marks]

Answer all questions in the spaces provided on the Examination Paper.

 

 

Section C – General Theory Short Questions [20% of the marks]

 

Answer ALL 20 questions in this Section writing your answers in the spaces provided.

 

  1. When the type of endoscope has not been stated in the medical record does the OPCS-4.6 Tabular List, default to fibreoptic (flexible) or rigid endoscope.?

 

 

Value 1 mark

………………………………………………………………………………….

 

………………………………………………………………………………….

 

 

 

  1. Briefly describe the coding rule to be applied when an ‘exploratory laparotomy’ results in another procedure being performed during the same theatre visit.

 

 

Value 1 mark

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………..

 

…………………………………………………………………………………………………..

 

 

 

  1. What two special symbols can be found in the Neoplasm Table of the ICD-10 Alphabetical Index, Volume 3?

 

 

Value 2 marks

………………………………………………………………………………….

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………..

 

 

 

 

 

 

 

 

  1. How must a hernia be coded when both obstruction and gangrene are present? [Actual codes not required].

Value 1 mark

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

 

 

  1. What is the OPCS-4.6 definition of an ‘emergency’ procedure?

 

Value 1 mark

………………………………………………………………………………….

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………..

 

………………………………………………………………………………………………….

 

 

 

  1. Name in full two of the four specific abbreviations used in the OPCS-

4.6 Tabular List.

 

Value 2 marks

………………………………………………………………………………….

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………..

 

 

 

  1. Which two personal history problem codes found in the ICD-10 Tabular

List, Volume 1 are permissible to be assigned in a primary position?

 

Value 2 marks

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………..

 

…………………………………………………………………………………………………..

 

…………………………………………………………………………………………………..

 

  1. What coding rule must be adhered to when a Coronary Artery Bypass Graft (CABG) is performed simultaneously with a procedure on the heart valves?

Value 1 mark

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

 

 

  1. What type of code(s) must be recorded on the first day of the first cycle of chemotherapy given to a patient as an outpatient/daycase? [Actual codes not required]

                                                                                         Value 2 marks

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

 

 

  1. Give three examples of types of ICD-10 codes that would never be used in a primary diagnostic position. [Actual codes not required]

 

Value 3 marks

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………..

 

………………………………………………………………………………………………….

 

………………………………………………………………………………………………….

 

………………………………………………………………………………………………….

 

…………………………………………………………………………………………………

 

…………………………………………………………………………………………………

 

…………………………………………………………………………………………………

 

…………………………………………………………………………………………………

 

  1. Name the ICD-10 three dimensions of coding accuracy.

 

Value 3 marks

…………………………………………………………………………………..

 

…………………………………………………………………………………..

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

 

 

  1. What exact position would a code from ICD-10 categories U80- U89 Antibiotic resistant bacteria be assigned?

 

Value 1 mark

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

……………………………………………………………………………………

 

 

 

  1. Is coding of High Cost Drugs completed for each Consultant Episode or the Hospital Provider Spell?

Value 1 mark

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

 

 

  1. Briefly explain the nature of instructional ‘Excludes’ notes found within the OPCS-4.6 Tabular List, Volume 1.

 

Value 2 marks

………………………………………………………………………………….

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………..

 

…………………………………………………………………………………………………..

  1. What is the coding rule when angioplasty and stent procedures are performed concurrently and why?

Value 2 marks

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………..

 

…………………………………………………………………………………………………..

 

 

 

  1. Briefly describe the nature of the ‘Colon’ or ‘:’ punctuation found in ICD-

10 Tabular List, Volume 1.                                                                                                                                                                                                    Value 2 marks

………………………………………………………………………………….

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

 

 

  1. When both gestational age and birth weight of a premature baby are known, which code(s) require coding and why? [Actual codes not required]

Value 2 marks

…………………………………………………………………………………..

 

…………………………………………………………………………………..

 

…………………………………………………………………………………..

 

…………………………………………………………………………………………………..

 

…………………………………………………………………………………………………..

 

 

 

 

 

 

 

 

 

  1. Briefly describe the coding rule and sequencing position associated

with the ICD-10 code R57.2 Septic shock                                                                           

 

Value 2 marks

………………………………………………………………………………….

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………..

 

…………………………………………………………………………………………………..

 

…………………………………………………………………………………………………..

 

 

 

  1. Describe in full Step three of the ICD-10 four step coding process.

 

Value 3 marks

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………..

 

…………………………………………………………………………………………………..

 

 

 

  1. Briefly describe the nature and sequencing rule for paired codes found in the OPCS-4.6 Tabular List, Volume 1.

Value 3 marks

 

 

…………………………………………………………………………………..

 

…………………………………………………………………………………..

 

…………………………………………………………………………………..

 

……………………………………………………………………………………………………

 

……………………………………………………………………………………………………

 

……………………………………………………………………………………………………

 

 

Section D – General Theory Questions

 

Please use separate Answer Sheets found at the end of this question paper, to answer each question in Section D.  

  • You must use a new Answer Sheet for each question
  • Write on only one side of the Answer Sheet
  • You must write your candidate number in the top right hand corner of each Answer Sheet that you use
  • You must write the question number in the top left hand corner of each Answer Sheet that you use

 

Section D [1] – ICD-10 Theory   [15% of the marks]

 

Answer either Part A or Part B of the following:

 

Please use a separate Answer Sheet making it clear which question you are answering and label each Section accordingly.

 

 

Question D1 Part A: [Answer all parts of this question i, ii and iii]  

 

  1. Name and fully describe the three types of cross references found in the ICD-10 Alphabetical Index, Volume 3. Value 8 marks

 

 

  1. Describe four circumstances where the convention of ‘Parentheses’ are used in the ICD-10 Tabular List, Volume 1.

Value 4 marks

  • Describe the ICD-10 coding guidance for the use of ‘Sequelae’ codes.

Value 3 marks

OR

 

Question D1 Part B: [Answer all parts of this question i, ii and iii]

 

  1. Describe the purpose, selection and sequencing rules of the

ICD-10 classification dagger and asterisk system.

Value 8 marks

 

  1. For the purpose of clinical coding, what is the definition of a co-morbidity?

Value 4 marks

 

 

  • Briefly describe three of the possible six scenarios when it would be permissible to use an ICD-10 sign or symptom code.

Value 3 marks

– OPCS-4 Theory [15% of the marks]

 

Answer either Part A or Part B of the following:

 

Please use a separate Answer Sheet making it clear which question you are answering and label each Section accordingly.

 

Question D2 Part A: [Answer all parts of this question i, ii and iii]

 

  1. Name the four levels of complexity of interventions as referenced within the OPCS-4.6 Clinical Coding Instruction Manual (Version 4.0).

Value 4 marks

 

 

  1. Name the five different types of resources that might affect code assignment when coding radiological examinations within the OPCS-

4.6 code range Y97 Radiology with contrast and Y98 Radiology procedures.

Value 5 marks

 

 

  • Name four of the nine diagnostic imaging procedures which must   always be coded when performed on inpatient episodes of care. [Actual codes not required]

Value 4 marks

 

 

OR

 

Question D2 Part B: [Answer all parts of this question i, ii and iii] 

 

  1. Describe the nature and sequencing of codes when different types of     scans take place during the same visit to the Radiology Department.

Value 4 marks

 

 

  1. Briefly describe and explain the purpose of ‘Principal’ and ‘Extended’ categories that are found within the OPCS-4.6 classification.

Value 6 marks

 

  • What type of codes are required, and how must they be sequenced, when a therapeutic endoscopic procedure is performed and a biopsy

taken at the same time during the same theatre visit? [Actual codes not required]

Value 3 marks

 

 

 

 

– Clinical Terms [10% of the marks]

 

Answer either Part A or Part B of the following:

 

Please use a separate Answer Sheet making it clear which question you are answering and label each Section accordingly.

 

 

Question D3 Part A [Answer all parts of this question i, ii and iii]

 

 

  • Give a brief description of the following components of a SNOMED CT concept:

              

  • Fully Specified Name
  • Preferred term
  • Synonym Value 3 marks

 

 

  • The cross-mapping methodology uses a series of flags to apply standards, rules and conventions of the ICD-10 and OPCS-4.6 classifications. Give three examples of a standard or rule or convention found within one of these classifications.

 

Value 3 marks

 

 

iii)        Name the two types of ‘relationships’ a SNOMED CT concept can have.

Value 2 marks

 

OR      

 

Question D3 Part B [Answer all parts of this question i, ii and iii]

 

 

  • Give the full names of the two original source terminologies used in the development of the Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT).

Value 2 marks

 

 

  • List three possible drivers for additions or changes to the cross-maps between SNOMED CT and the classifications that are used by the

NHS.                                                                            Value 3 marks

 

 

 

  • SNOMED CT is the chosen clinical terminology for the NHS in England. What is a ‘clinical terminology’ and what areas does it cover?

Value 3 marks

 

– Miscellaneous Section [5% of the marks]

 

Answer either Part A or Part B of the following:

 

Please use a separate Answer Sheet making it clear which question you are answering and label each Section accordingly.

 

Question D4 Part A: [Answer this question]

  

  1. i) Name and describe the two types of modifiers which appear in the

ICD-10 Alphabetical Index, Volume 3.                               Value 8 marks

 

 

                                                                 OR

 

 

Question D4 Part B: [Answer parts i and ii of this question]

 

 

  1. List the six components that a regimen describes according to guidance found in the Chemotherapy Regimen Clinical Coding

Guidance – OPCS-4.6 (April 2013-14 V3.1)                     Value 6 marks

 

 

  1. Name the twofact’ codes which are mandatory to record from Chapter XXI Factors influencing health status and contact with the health service that are not representative of a ‘service’ or ‘problem’.                                                           Value 2 marks

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION E –    Anatomy & Physiology (including Medical Terminology)   [35% of the marks]

 

Please be aware that spelling will be taken into account during the marking process.

 

Section E [1] – Anatomy & Physiology

 

Answer ALL 15 questions in this Section, writing your answers in the spaces provided.

 

  1. How many lobes does the left lung contain?

Value 1 mark                                                                                                                            

 

……………………………………………………………………………………………………………

 

 

  1. What is the medical term for the contraction stage of the cardiac cycle?

Value 1 mark

 

………………………………………………………………………………….

 

 

  1. Name the three main types of muscle tissue. Value 3 marks

 

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………..

 

…………………………………………………………………………………………………..

 

 

  1. Name the tubes which extend from each of the kidneys to the bladder

that convey urine.                                                            Value 1 mark

 

 

…………………………………………………………………………………………………..

 

…………………………………………………………………………………………………..

 

 

 

 

 

 

 

 

 

 

 

 

 

  1. Each hemisphere of the cerebrum is divided into lobes. Name the four Value 4 marks

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………

 

………………………………………………………………………………………………….

 

………………………………………………………………………………………………….

 

 

 

  1. Name the five pairs of spinal nerves which are associated with the five

areas of the vertebral column.                                    Value 5 marks

 

…………………………………………………………………………….

 

……………………………………………………………………………………………..

 

………………………………………………………………………………………………

 

……………………………………………………………………………………………….

 

…………………………………………………………………………………………………

 

 

  1. What shape is the ‘Tympanic membrane’ (Ear drum)?

Value 1 mark      

……………………………………………………………………………..

 

………………………………………………………………………………

 

 

  1. Skin colour is affected by which three main factors? Value 3 marks

 

……………………………………………………………………………..

 

………………………………………………………………………………………………

 

………………………………………………………………………………………………

 

………………………………………………………………………………………………

 

………………………………………………………………………………………………

 

 

 

 

  1. Name the circular muscle that controls the opening of the anus.

Value 1 mark      

……………………………………………………………………………..

 

 

  1. Name four of the 12 pairs of cranial nerves which originate from the

brain.                                                                         Value 4 marks

 

……………………………………………………………………………..

 

……………………………………………………………………………..

 

………………………………………………………………………………………………

 

………………………………………………………………………………………………

 

………………………………………………………………………………………………

 

 

  1. Name the gas, formed in tissue cells, which is a by-product of metabolism.

Value 1 mark

 

………………………………………………………………………………

 

 

  1. Name the strongest and largest bone in the human body.

Value 1 mark

 

……………………………………………………………………………..

 

 

 

  1. What is a ‘medullary canal’ and what does it contain?

 

Value 2 marks

……………………………………………………………………………..

 

……………………………………………………………………………………………..

 

……………………………………………………………………………………………..

 

…………………………………………………………………………………………….

 

 

 

 

 

 

 

  1. What is the collective term given to the malleus, incus and stapes?

Value 1 mark

……………………………………………………………………………..

 

 

  1. How many carpal bones form each wrist joint? Value 1 mark

 

 

……………………………………………………………………………

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please be aware spelling will be taken into account during the marking process.

 

Section E [2] – Medical Terminology

 

Answer ALL 10 questions in this Section, writing your answers in the spaces provided.

 

 

  1. Circle the four prefixes in the list below: Value 4 marks

 

sub chol desis  
aden pexy trans  
hemi ec tripsy  

 

 

 

  1. Describe the active or passive circular movement of a limb.

 

Value 1 mark

 

……………………………………………………………………………

 

 

 

  1. Name the four components that make up a medical term.

Value 4 marks

 

…………………………………………………………………………….

 

…………………………………………………………………………………………….

 

…………………………………………………………………………………………….

 

…………………………………………………………………………………………….

 

 

  1. What is the meaning of the root word ‘Ost’?

Value 1 mark

 

………………………………………………………………………………

 

 

 

  1. What is the root word that means joint?

 

Value 1 mark

 

…………………………………………………………………………………….

 

 

  1. The ending that follows a root word is known as what?

Value 1 mark

 

 

…………………………………………………………………………………

 

 

  1. What does the medical term ‘Ectopic pregnancy’ denote?

Value 1 mark

 

………………………………………………………………………………..

 

 

………………………………………………………………………………………………..

 

 

  1. Physiology is the study of what? Value 1 mark

 

……………………………………………………………………………………………….

 

 

………………………………………………………………………………

 

 

………………………………………………………………………………………………

 

  1. ‘Anterior’ views describe which body views? Value 1 mark

 

 

………………………………………………………………………………

 

 

  1. What is the prefix in the term ‘Abnormal’? Value 1 mark

 

 

……………………………………………………………………………….

 

………………………………………………………………………………………………..

 

 

 

 

 

 

 

 

 

 

Section E [3] Diagrams

Precisely label the anatomical structure indicated by each line on the following two diagrams. Write your answers in the boxes below 

 

E 3 [a] Hip Joint Value 9 marks

 

 

 

 

 

 

1   6  
2   7  
3   8  
4   9  
5      

 

 

 

 

E 3 [b] Name the following muscles Value 10 marks

 

 

 

 

  6  
  7  
  8  
  9  
  10  

 

                         

END OF QUESTION PAPER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Question No._

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Question No.______
Question No.______
Question No.______

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The National Clinical Coding Examination [UK]

 

25 March 2014

 

Paper 2 Theory

 

1:30 pm – 4:35pm

[THREE HOURS]

 

The first 5 minutes will be spent reading through this Examination Paper

 

Instructions to Candidates

 

  • Write your Candidate Number at the top of each Answer Sheet of paper. If you do not enter your Candidate Number the work will not be marked. 
  • Please make sure you cross out any rough work or any mistakes which you have made.
  • You may not use ICD-10 or OPCS-4, dictionaries or any other books or documents for this paper.
  • Spelling will be taken into account during the marking process.
  • For Section D indicate clearly which question you have answered. All papers must be handed in to the invigilator.

 

This Examination Paper consists of 3 sections: C, D and E.

Section C General Short Theory Questions [20% of the marks] Answer all questions in the spaces provided on the Examination Paper.

 

Section D [45% of the marks]

Answer all questions on the lined paper provided. Use a new sheet of paper for each answer.  Write only on one side of the paper.

 

General Theory ICD-10 Questions D1 [15% of the marks]

Answer either D1A or D1B

General Theory OPCS-4 Questions D2 [15% of the marks]

Answer either D2A or D2B

Clinical Terms Questions D3 [10% of the marks]

Answer either D3A or D3B

Miscellaneous Questions D4 [5% of the marks]

Answer either D4A or D4B

 

Section E Anatomy and Physiology (including Medical Terminology) 

[35% of the marks]

Answer all questions in the spaces provided on the Examination Paper.

 

 

Section C – General Theory Short Questions [20% of the marks]

 

Answer ALL 20 questions in this Section writing your answers in the spaces provided.

 

  1. When the type of endoscope has not been stated in the medical record does the OPCS-4.6 Tabular List, default to fibreoptic (flexible) or rigid endoscope.?

 

 

Value 1 mark

………………………………………………………………………………….

 

………………………………………………………………………………….

 

 

 

  1. Briefly describe the coding rule to be applied when an ‘exploratory laparotomy’ results in another procedure being performed during the same theatre visit.

 

 

Value 1 mark

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………..

 

…………………………………………………………………………………………………..

 

 

 

  1. What two special symbols can be found in the Neoplasm Table of the ICD-10 Alphabetical Index, Volume 3?

 

 

Value 2 marks

………………………………………………………………………………….

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………..

 

 

 

 

 

 

 

 

  1. How must a hernia be coded when both obstruction and gangrene are present? [Actual codes not required].

Value 1 mark

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

 

 

  1. What is the OPCS-4.6 definition of an ‘emergency’ procedure?

 

Value 1 mark

………………………………………………………………………………….

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………..

 

………………………………………………………………………………………………….

 

 

 

  1. Name in full two of the four specific abbreviations used in the OPCS-

4.6 Tabular List.

 

Value 2 marks

………………………………………………………………………………….

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………..

 

 

 

  1. Which two personal history problem codes found in the ICD-10 Tabular

List, Volume 1 are permissible to be assigned in a primary position?

 

Value 2 marks

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………..

 

…………………………………………………………………………………………………..

 

…………………………………………………………………………………………………..

 

  1. What coding rule must be adhered to when a Coronary Artery Bypass Graft (CABG) is performed simultaneously with a procedure on the heart valves?

Value 1 mark

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

 

 

  1. What type of code(s) must be recorded on the first day of the first cycle of chemotherapy given to a patient as an outpatient/daycase? [Actual codes not required]

                                                                                         Value 2 marks

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

 

 

  1. Give three examples of types of ICD-10 codes that would never be used in a primary diagnostic position. [Actual codes not required]

 

Value 3 marks

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………..

 

………………………………………………………………………………………………….

 

………………………………………………………………………………………………….

 

………………………………………………………………………………………………….

 

…………………………………………………………………………………………………

 

…………………………………………………………………………………………………

 

…………………………………………………………………………………………………

 

…………………………………………………………………………………………………

 

  1. Name the ICD-10 three dimensions of coding accuracy.

 

Value 3 marks

…………………………………………………………………………………..

 

…………………………………………………………………………………..

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

 

 

  1. What exact position would a code from ICD-10 categories U80- U89 Antibiotic resistant bacteria be assigned?

 

Value 1 mark

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

……………………………………………………………………………………

 

 

 

  1. Is coding of High Cost Drugs completed for each Consultant Episode or the Hospital Provider Spell?

Value 1 mark

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

 

 

  1. Briefly explain the nature of instructional ‘Excludes’ notes found within the OPCS-4.6 Tabular List, Volume 1.

 

Value 2 marks

………………………………………………………………………………….

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………..

 

…………………………………………………………………………………………………..

  1. What is the coding rule when angioplasty and stent procedures are performed concurrently and why?

Value 2 marks

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………..

 

…………………………………………………………………………………………………..

 

 

 

  1. Briefly describe the nature of the ‘Colon’ or ‘:’ punctuation found in ICD-

10 Tabular List, Volume 1.                                                                                                                                                                                                    Value 2 marks

………………………………………………………………………………….

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

 

 

  1. When both gestational age and birth weight of a premature baby are known, which code(s) require coding and why? [Actual codes not required]

Value 2 marks

…………………………………………………………………………………..

 

…………………………………………………………………………………..

 

…………………………………………………………………………………..

 

…………………………………………………………………………………………………..

 

…………………………………………………………………………………………………..

 

 

 

 

 

 

 

 

 

  1. Briefly describe the coding rule and sequencing position associated

with the ICD-10 code R57.2 Septic shock                                                                           

 

Value 2 marks

………………………………………………………………………………….

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………..

 

…………………………………………………………………………………………………..

 

…………………………………………………………………………………………………..

 

 

 

  1. Describe in full Step three of the ICD-10 four step coding process.

 

Value 3 marks

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………..

 

…………………………………………………………………………………………………..

 

 

 

  1. Briefly describe the nature and sequencing rule for paired codes found in the OPCS-4.6 Tabular List, Volume 1.

Value 3 marks

 

 

…………………………………………………………………………………..

 

…………………………………………………………………………………..

 

…………………………………………………………………………………..

 

……………………………………………………………………………………………………

 

……………………………………………………………………………………………………

 

……………………………………………………………………………………………………

 

 

Section D – General Theory Questions

 

Please use separate Answer Sheets found at the end of this question paper, to answer each question in Section D.  

  • You must use a new Answer Sheet for each question
  • Write on only one side of the Answer Sheet
  • You must write your candidate number in the top right hand corner of each Answer Sheet that you use
  • You must write the question number in the top left hand corner of each Answer Sheet that you use

 

Section D [1] – ICD-10 Theory   [15% of the marks]

 

Answer either Part A or Part B of the following:

 

Please use a separate Answer Sheet making it clear which question you are answering and label each Section accordingly.

 

 

Question D1 Part A: [Answer all parts of this question i, ii and iii]  

 

  1. Name and fully describe the three types of cross references found in the ICD-10 Alphabetical Index, Volume 3. Value 8 marks

 

 

  1. Describe four circumstances where the convention of ‘Parentheses’ are used in the ICD-10 Tabular List, Volume 1.

Value 4 marks

  • Describe the ICD-10 coding guidance for the use of ‘Sequelae’ codes.

Value 3 marks

OR

 

Question D1 Part B: [Answer all parts of this question i, ii and iii]

 

  1. Describe the purpose, selection and sequencing rules of the

ICD-10 classification dagger and asterisk system.

Value 8 marks

 

  1. For the purpose of clinical coding, what is the definition of a co-morbidity?

Value 4 marks

 

 

  • Briefly describe three of the possible six scenarios when it would be permissible to use an ICD-10 sign or symptom code.

Value 3 marks

– OPCS-4 Theory [15% of the marks]

 

Answer either Part A or Part B of the following:

 

Please use a separate Answer Sheet making it clear which question you are answering and label each Section accordingly.

 

Question D2 Part A: [Answer all parts of this question i, ii and iii]

 

  1. Name the four levels of complexity of interventions as referenced within the OPCS-4.6 Clinical Coding Instruction Manual (Version 4.0).

Value 4 marks

 

 

  1. Name the five different types of resources that might affect code assignment when coding radiological examinations within the OPCS-

4.6 code range Y97 Radiology with contrast and Y98 Radiology procedures.

Value 5 marks

 

 

  • Name four of the nine diagnostic imaging procedures which must   always be coded when performed on inpatient episodes of care. [Actual codes not required]

Value 4 marks

 

 

OR

 

Question D2 Part B: [Answer all parts of this question i, ii and iii] 

 

  1. Describe the nature and sequencing of codes when different types of     scans take place during the same visit to the Radiology Department.

Value 4 marks

 

 

  1. Briefly describe and explain the purpose of ‘Principal’ and ‘Extended’ categories that are found within the OPCS-4.6 classification.

Value 6 marks

 

  • What type of codes are required, and how must they be sequenced, when a therapeutic endoscopic procedure is performed and a biopsy

taken at the same time during the same theatre visit? [Actual codes not required]

Value 3 marks

 

 

 

 

– Clinical Terms [10% of the marks]

 

Answer either Part A or Part B of the following:

 

Please use a separate Answer Sheet making it clear which question you are answering and label each Section accordingly.

 

 

Question D3 Part A [Answer all parts of this question i, ii and iii]

 

 

  • Give a brief description of the following components of a SNOMED CT concept:

              

  • Fully Specified Name
  • Preferred term
  • Synonym Value 3 marks

 

 

  • The cross-mapping methodology uses a series of flags to apply standards, rules and conventions of the ICD-10 and OPCS-4.6 classifications. Give three examples of a standard or rule or convention found within one of these classifications.

 

Value 3 marks

 

 

iii)        Name the two types of ‘relationships’ a SNOMED CT concept can have.

Value 2 marks

 

OR      

 

Question D3 Part B [Answer all parts of this question i, ii and iii]

 

 

  • Give the full names of the two original source terminologies used in the development of the Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT).

Value 2 marks

 

 

  • List three possible drivers for additions or changes to the cross-maps between SNOMED CT and the classifications that are used by the

NHS.                                                                            Value 3 marks

 

 

 

  • SNOMED CT is the chosen clinical terminology for the NHS in England. What is a ‘clinical terminology’ and what areas does it cover?

Value 3 marks

 

– Miscellaneous Section [5% of the marks]

 

Answer either Part A or Part B of the following:

 

Please use a separate Answer Sheet making it clear which question you are answering and label each Section accordingly.

 

Question D4 Part A: [Answer this question]

  

  1. i) Name and describe the two types of modifiers which appear in the

ICD-10 Alphabetical Index, Volume 3.                               Value 8 marks

 

 

                                                                 OR

 

 

Question D4 Part B: [Answer parts i and ii of this question]

 

 

  1. List the six components that a regimen describes according to guidance found in the Chemotherapy Regimen Clinical Coding

Guidance – OPCS-4.6 (April 2013-14 V3.1)                     Value 6 marks

 

 

  1. Name the twofact’ codes which are mandatory to record from Chapter XXI Factors influencing health status and contact with the health service that are not representative of a ‘service’ or ‘problem’.                                                           Value 2 marks

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION E –    Anatomy & Physiology (including Medical Terminology)   [35% of the marks]

 

Please be aware that spelling will be taken into account during the marking process.

 

Section E [1] – Anatomy & Physiology

 

Answer ALL 15 questions in this Section, writing your answers in the spaces provided.

 

  1. How many lobes does the left lung contain?

Value 1 mark                                                                                                                            

 

……………………………………………………………………………………………………………

 

 

  1. What is the medical term for the contraction stage of the cardiac cycle?

Value 1 mark

 

………………………………………………………………………………….

 

 

  1. Name the three main types of muscle tissue. Value 3 marks

 

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………..

 

…………………………………………………………………………………………………..

 

 

  1. Name the tubes which extend from each of the kidneys to the bladder

that convey urine.                                                            Value 1 mark

 

 

…………………………………………………………………………………………………..

 

…………………………………………………………………………………………………..

 

 

 

 

 

 

 

 

 

 

 

 

 

  1. Each hemisphere of the cerebrum is divided into lobes. Name the four Value 4 marks

 

………………………………………………………………………………….

 

…………………………………………………………………………………………………

 

………………………………………………………………………………………………….

 

………………………………………………………………………………………………….

 

 

 

  1. Name the five pairs of spinal nerves which are associated with the five

areas of the vertebral column.                                    Value 5 marks

 

…………………………………………………………………………….

 

……………………………………………………………………………………………..

 

………………………………………………………………………………………………

 

……………………………………………………………………………………………….

 

…………………………………………………………………………………………………

 

 

  1. What shape is the ‘Tympanic membrane’ (Ear drum)?

Value 1 mark      

……………………………………………………………………………..

 

………………………………………………………………………………

 

 

  1. Skin colour is affected by which three main factors? Value 3 marks

 

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………………………………………………………………………………………………

 

 

 

 

  1. Name the circular muscle that controls the opening of the anus.

Value 1 mark      

……………………………………………………………………………..

 

 

  1. Name four of the 12 pairs of cranial nerves which originate from the

brain.                                                                         Value 4 marks

 

……………………………………………………………………………..

 

……………………………………………………………………………..

 

………………………………………………………………………………………………

 

………………………………………………………………………………………………

 

………………………………………………………………………………………………

 

 

  1. Name the gas, formed in tissue cells, which is a by-product of metabolism.

Value 1 mark

 

………………………………………………………………………………

 

 

  1. Name the strongest and largest bone in the human body.

Value 1 mark

 

……………………………………………………………………………..

 

 

 

  1. What is a ‘medullary canal’ and what does it contain?

 

Value 2 marks

……………………………………………………………………………..

 

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……………………………………………………………………………………………..

 

…………………………………………………………………………………………….

 

 

 

 

 

 

 

  1. What is the collective term given to the malleus, incus and stapes?

Value 1 mark

……………………………………………………………………………..

 

 

  1. How many carpal bones form each wrist joint? Value 1 mark

 

 

……………………………………………………………………………

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Please be aware spelling will be taken into account during the marking process.

 

Section E [2] – Medical Terminology

 

Answer ALL 10 questions in this Section, writing your answers in the spaces provided.

 

 

  1. Circle the four prefixes in the list below: Value 4 marks

 

sub chol desis  
aden pexy trans  
hemi ec tripsy  

 

 

 

  1. Describe the active or passive circular movement of a limb.

 

Value 1 mark

 

……………………………………………………………………………

 

 

 

  1. Name the four components that make up a medical term.

Value 4 marks

 

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  1. What is the meaning of the root word ‘Ost’?

Value 1 mark

 

………………………………………………………………………………

 

 

 

  1. What is the root word that means joint?

 

Value 1 mark

 

…………………………………………………………………………………….

 

 

  1. The ending that follows a root word is known as what?

Value 1 mark

 

 

…………………………………………………………………………………

 

 

  1. What does the medical term ‘Ectopic pregnancy’ denote?

Value 1 mark

 

………………………………………………………………………………..

 

 

………………………………………………………………………………………………..

 

 

  1. Physiology is the study of what? Value 1 mark

 

……………………………………………………………………………………………….

 

 

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  1. ‘Anterior’ views describe which body views? Value 1 mark

 

 

………………………………………………………………………………

 

 

  1. What is the prefix in the term ‘Abnormal’? Value 1 mark

 

 

……………………………………………………………………………….

 

………………………………………………………………………………………………..

 

 

 

 

 

 

 

 

 

 

Section E [3] Diagrams

Precisely label the anatomical structure indicated by each line on the following two diagrams. Write your answers in the boxes below 

 

E 3 [a] Hip Joint Value 9 marks

 

 

 

 

 

 

1   6  
2   7  
3   8  
4   9  
5      

 

 

 

 

E 3 [b] Name the following muscles Value 10 marks

 

 

 

 

  6  
  7  
  8  
  9  
  10  

 

                         

END OF QUESTION PAPER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Question No._

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Question No.______
Question No.______
Question No.______

  

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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