Certified MedDRA Coder

CMC Exam Sample Questions

Identifier Sample Question Appropriate MedDRA Term at LLT level Appropriate MedDRA Term at LLT level Appropriate MedDRA Term at LLT level PTC Reference - Version 12.1� PTC Section COMMENTS Explanation
NARR EX A 78-year-old male was receiving drug X for hypertension in a randomized clinical trial. His past medical history was significant for a mild myocardial infarction that occurred post-operatively after a routine colonoscopy. He presented with a 2 day history of fever, severe malaise, and a productive cough. Community acquired pneumonia was suspected. Hypertension     Indications 3.25   For the narrative questions, you will be expected to code all indications, events (including procedures and investigations as needed), and medical and social history data according to the Term Selection: PTC principles.
Post procedural myocardial infarction     Choice of term 2.4.3    
Colonoscopy     Investigations. Unqualified investigation term. 3.14.1    
Fever     Single provisional diagnosis with signs/symptoms. Preferred option.� 3.1   In this example, note that LLTs of Fever, Malaise, Productive cough, and Community acquired pneumonia were chosen to reflect the preferred option for a single provisional diagnosis with signs and symptoms.
Productive cough    
Community acquired pneumonia    
VBT EX 1 Kidneys Unevaluable event Unevaluable reaction Reaction unevaluable Ambiguous information 3.4.2   Note that the verbatim term is ambiguous. Please keep in mind that the single-answer questions on this examination do not have any additional context in which to interpret a vague verbatim term.
VBT EX 2 Lab tests showed severe hyperkalaemia Hyperkalaemia Hyperkalemia   Investigations. Medical condition vs. laboratory results 3.14.2   Note that the verbatim term uses the British English spelling of hyperkalaemia. Full credit is given for LLT Hyperkalaemia because this most accurately reflects the reporter's words; only partial credit is given if LLT Hyperkalemia - the US spelling - is selected.
VBT EX 3 Newborn baby was in a coma Coma neonatal     Age vs. event 3.6   Remember to be aware for subtle details (in this case, the patient's age) in the examination question.
VBT EX 4 Cardiomyopathy secondary to diabetes mellitus Diabetic cardiomyopathy     Combination terms 3.5.3    
VBT EX 5 Patient took drug X once weekly instead of once daily as prescribed Once daily dose taken less frequently     Medication error 3.15.2   If you do not code medication errors, product quality terms, and device related information very frequently, you are encouraged to review these sections of the Term Selection PTC before taking the certification examination.