Registered Health Information Administrator (RHIA) — Question 111

A 75-year-old female was admitted for repair of a hiatal hernia which was performed on the first day of admission. While recovering, the patient fell out of her bed and sustained a fractured femur which was surgically reduced. Further complications included severe angina for which a cardiac catheterization and PTCA were performed. The principal procedure is

Answer options

• A. femur reduction.
• B. herniorrhaphy.
• C. catheterization.
• D. PTCA.

Correct answer: B

Explanation

The principal procedure is herniorrhaphy, which is the surgical repair of the hiatal hernia. The femur reduction, catheterization, and PTCA are all significant procedures but they are not the primary reason for the patient's admission. Thus, herniorrhaphy is the correct answer.