Medical Office Procedures 9Th Edition By Nenna Bayes - Test Bank

Medical Office Procedures 9Th Edition By Nenna Bayes – Test Bank

 

Instant Download – Complete Test Bank With Answers

 

 

Sample Questions Are Posted Below

 

Medical Office Procedures, 9e (Bayes)

Chapter 5   Managing Health Information

 

1) Another name for a central computer is:

1. A) Network
2. B) File server
3. C) Hard drive
4. D) Program

 

Answer:  B

Explanation:  Another name for a central computer is a file server.

Difficulty: 1 Easy

Topic:  Computer Usage

Bloom’s:  Remember

Learning Outcome:  05.01

Est Time:  0-1 Minute

ABHES:  7.h

 

2) Online medical ________ are used to educate physicians concerning conditions and treatment regimes.

1. A) Games
2. B) Companions
3. C) Databases
4. D) Courses

 

Answer:  C

Explanation:  Online medical databases are used to educate physician’s concerning conditions and treatment regimes.

Difficulty: 1 Easy

Topic:  Computer Usage

Bloom’s:  Remember

Learning Outcome:  05.01

Est Time:  0-1 Minute

 

 

3) Most medical billing offices use an electronic medical billing program. Which of these is one example of such a program?

1. A) Medicare
2. B) Medisoft
3. C) Medidata
4. D) Medicaid

 

Answer:  B

Explanation:  Most medical billing offices use a medical billing program such as Medisoft.

Difficulty: 1 Easy

Topic:  Computer Usage

Bloom’s:  Remember

Learning Outcome:  05.01

Est Time:  0-1 Minute

ABHES:  7.c

 

4) Accurate financial records are required for ________ and are critical for the practice’s success.

1. A) Billing
2. B) Purchasing
3. C) Tax reporting
4. D) Employee payroll

 

Answer:  C

Explanation:  Accurate financial records are required for tax reporting and are critical for the practice’s success.

Difficulty: 1 Easy

Topic:  Computer Usage

Bloom’s:  Remember

Learning Outcome:  05.01

Est Time:  0-1 Minute

ABHES:  7.d

5) One of the most important tasks of an administrative medical assistant is the creation of:

1. A) Patient data
2. B) Patient accounts
3. C) Practice documents
4. D) Health insurance claims

 

Answer:  D

Explanation:  One of the most important tasks of an administrative medical assistant is the creation of health insurance claims.

Difficulty: 1 Easy

Topic:  Computer Usage

Bloom’s:  Remember

Learning Outcome:  05.01

Est Time:  0-1 Minute

ABHES:  7.d

 

6) The abbreviation EFT stands for:

1. A) Electronic funds trade
2. B) Electronic forms trade
3. C) Electronic forms transfer
4. D) Electronic funds transfer

 

Answer:  D

Explanation:  The abbreviation EFT stands for electronic funds transfer.

Difficulty: 1 Easy

Topic:  Computer Usage

Bloom’s:  Remember

Learning Outcome:  05.01

Est Time:  0-1 Minute

ABHES:  7.c

 

7) ________ computers are the most powerful computers available.

1. A) Mini
2. B) Super
3. C) Mainframe
4. D) Personal

 

Answer:  B

Explanation:  Supercomputers are the most powerful computers available.

Difficulty: 1 Easy

Topic:  Computer Usage

Bloom’s:  Remember

Learning Outcome:  05.01

Est Time:  0-1 Minute

ABHES:  7.h

8) ________ computers are used in large businesses, hospitals, large clinics, and government organizations.

1. A) Mainframe
2. B) Mini
3. C) Super
4. D) Personal

 

Answer:  A

Explanation:  Mainframe computers are used in large businesses, hospitals, large clinics, and government organizations.

Difficulty: 1 Easy

Topic:  Computer Usage

Bloom’s:  Remember

Learning Outcome:  05.01

Est Time:  0-1 Minute

ABHES:  7.h

 

9) ________ computers have less power than mainframes.

1. A) Hospital
2. B) Super
3. C) Giant
4. D) Mini

 

Answer:  D

Explanation:  Mini computers have less power than mainframes.

Difficulty: 1 Easy

Topic:  Computer Usage

Bloom’s:  Remember

Learning Outcome:  05.01

Est Time:  0-1 Minute

ABHES:  7.h

10) To avoid unnecessary neck and eyestrain when using a computer, position the monitor at or below eye level, between ________ away.

1. A) 1 and 1.5 feet
2. B) 2 and 2.5 feet
3. C) 3 and 3.5 feet
4. D) 4 and 5.5 feet

 

Answer:  B

Explanation:  To avoid unnecessary neck and eyestrain when using a computer, position the monitor at or below eye level, between 2 and 2.5 feet away.

Difficulty: 1 Easy

Topic:  Computer Usage

Bloom’s:  Remember

Learning Outcome:  05.01

Est Time:  0-1 Minute

ABHES:  7.h

 

11) A(n) ________ is a standard version of a document that is used over and over again.

1. A) Template
2. B) Form
3. C) Stencil
4. D) Sample

 

Answer:  A

Explanation:  A template is a standard version of a document that is used over and over again.

Difficulty: 1 Easy

Topic:  Computer Usage

Bloom’s:  Remember

Learning Outcome:  05.01

Est Time:  0-1 Minute

ABHES:  7.h

12) What can be assigned to limit the number of individuals who have access to particular computer files and to help users create a computerized audit trail?

1. A) Locks
2. B) Log-ons
3. C) Permissions
4. D) Passwords

 

Answer:  D

Explanation:  Passwords are assigned to limit the number of individuals who have access to particular computer files and to help users create a computerized audit trail.

Difficulty: 1 Easy

Topic:  Computer Usage

Bloom’s:  Remember

Learning Outcome:  05.01

Est Time:  0-1 Minute

ABHES:  7.h

 

13) A patient’s medical record constitutes the ________ record of the medical practice.

1. A) Established
2. B) Official
3. C) Legal
4. D) Valid

 

Answer:  C

Explanation:  A patient’s medical record constitutes the legal record of the medical practice.

Difficulty: 1 Easy

Topic:  The Medical Record

Bloom’s:  Remember

Learning Outcome:  05.02

Est Time:  0-1 Minute

ABHES:  4.a

 

 

14) Making corrections to a chart with an eraser or scribbling out entries could present the appearance of ________.

1. A) A mistake
2. B) Carelessness
3. C) Fraud
4. D) Cheating

 

Answer:  C

Explanation:  Making corrections to a chart with an eraser or scribbling out entries could present the appearance of fraud.

Difficulty: 1 Easy

Topic:  The Medical Record

Bloom’s:  Remember

Learning Outcome:  05.02

Est Time:  0-1 Minute

ABHES:  4.a

 

15) If you make an error while recording an entry in the medical record, do all of the following except

1. A) Write the word “error” next to the error.
2. B) Write your initials next to error.
3. C) Use correction tape to keep the entry neat.
4. D) Write the date next to the error.

 

Answer:  C

Explanation:  If you make an error while recording an entry in the medical record, do not use correction tape in an attempt to keep the entry neat.

Difficulty: 1 Easy

Topic:  The Medical Record

Bloom’s:  Remember

Learning Outcome:  05.02

Est Time:  0-1 Minute

ABHES:  4.a

 

 

16) Offices using electronic medical record entry methods should affix what to all chart entries?

1. A) A label
2. B) A validation code
3. C) An electronic date stamp
4. D) An electronic signature

 

Answer:  D

Explanation:  Offices using electronic medical record entry methods should affix an electronic signature to all chart entries.

Difficulty: 1 Easy

Topic:  The Medical Record

Bloom’s:  Remember

Learning Outcome:  05.02

Est Time:  0-1 Minute

ABHES:  4.a

 

17) A chronological record of ongoing patient care and progress is also known as

1. A) A chart note.
2. B) A chart plan.
3. C) A legal note.
4. D) A patient plan.

 

Answer:  A

Explanation:  A chart note is a chronological record of ongoing patient care and progress.

Difficulty: 1 Easy

Topic:  The Medical Record

Bloom’s:  Remember

Learning Outcome:  05.02

Est Time:  0-1 Minute

ABHES:  4.a

18) What method is the most common system for outlining and structuring chart notes for a medical record?

1. A) CHEDDAR
2. B) SOAP
3. C) POMR
4. D) SOMR

 

Answer:  B

Explanation:  The SOAP method is the most common system for outlining and structuring chart notes for a medical record.

Difficulty: 1 Easy

Topic:  Documentation Formats

Bloom’s:  Remember

Learning Outcome:  05.06

Est Time:  0-1 Minute

ABHES:  4.a

19) Which charting format breaks down the components of a patient encounter into seven detail-oriented sections?

1. A) CHEDDAR
2. B) SOAP
3. C) POMR
4. D) SOMR

 

Answer:  A

Explanation:  The CHEDDAR charting format breaks down the components of a patient encounter into seven detail-oriented sections.

Difficulty: 1 Easy

Topic:  Documentation Formats

Bloom’s:  Remember

Learning Outcome:  05.06

Est Time:  0-1 Minute

ABHES:  4.a

20) The ________ findings in a SOAP record are the physician’s examination of the patient.

1. A) Subjective
2. B) Objective
3. C) Assessment
4. D) Plan

 

Answer:  B

Explanation:  The objective findings in a SOAP record are the physician’s examination of the patient.

Difficulty: 1 Easy

Topic:  Documentation Formats

Bloom’s:  Remember

Learning Outcome:  05.06

Est Time:  0-1 Minute

ABHES:  4.a

 

 

 

21) The ________ findings in a SOAP record are the patient’s description of the problem or the complaint.

1. A) Subjective
2. B) Objective
3. C) Assessment
4. D) Plan

 

Answer:  A

Explanation:  The subjective findings are the patient’s description of the problem or the complaint.

Difficulty: 1 Easy

Topic:  Documentation Formats

Bloom’s:  Remember

Learning Outcome:  05.06

Est Time:  0-1 Minute

ABHES:  4.a

22) Based on the Master Problem List and the initial problems of the patient, the physician

1. A) Makes a diagnosis.
2. B) Makes a prognosis.
3. C) Begins a course of treatment.
4. D) Defines an outcome.

 

Answer:  C

Explanation:  Based on the Master Problem List and the initial problems of the patient, the physician begins a course of treatment and details in narrative or flowchart format.

Difficulty: 1 Easy

Topic:  Documentation Formats

Bloom’s:  Remember

Learning Outcome:  05.06

Est Time:  0-1 Minute

ABHES:  4.a

 

 

 

23) All medical records should be kept until:

1. A) The physician retires
2. B) The practice closes
3. C) The patient dies
4. D) The possibility of a malpractice suit has passed

 

Answer:  D

Explanation:  All medical records should be kept until the possibility of a malpractice suit has passed.

Difficulty: 1 Easy

Topic:  Ownership, Quality Assurance, and Record Retention

Bloom’s:  Remember

Learning Outcome:  05.07

Est Time:  0-1 Minute

ABHES:  4.b

24) When a patient has died, moved away, or terminated their relationship with the physician, the file is considered to be:

1. A) Active
2. B) Closed
3. C) Inactive
4. D) Retired

 

Answer:  B

Explanation:  When a patient has died, moved away, or terminated their relationship with the physician, the file is considered to be closed.

Difficulty: 1 Easy

Topic:  Ownership, Quality Assurance, and Record Retention

Bloom’s:  Remember

Learning Outcome:  05.07

Est Time:  0-1 Minute

ABHES:  4.b

 

 

 

25) What is the best measurement of the quality of care given to a patient?

1. A) The medical record
2. B) Patient compliance
3. C) The physician’s reputation
4. D) Patient cure rate

 

Answer:  A

Explanation:  The best measurement of the quality of care given to a patient is the medical record.

Difficulty: 1 Easy

Topic:  Ownership, Quality Assurance, and Record Retention

Bloom’s:  Understand

Learning Outcome:  05.07

Est Time:  0-1 Minute

ABHES:  4.b

 

26) Patients ________ the right to inspect their medical documentation.

1. A) have
2. B) do not have
3. C) must earn
4. D) may sue the physician for

 

Answer:  A

Explanation:  Patients have the right to inspect their medical documentation.

Difficulty: 1 Easy

Topic:  Ownership, Quality Assurance, and Record Retention

Bloom’s:  Remember

Learning Outcome:  05.07

Est Time:  0-1 Minute

ABHES:  4.b

27) Which type of file pertains to current patients?

1. A) Inactive
2. B) Active
3. C) Closed
4. D) Closed storage

 

Answer:  B

Explanation:  An active file pertains to current patients.

Difficulty: 1 Easy

Topic:  Ownership, Quality Assurance, and Record Retention

Bloom’s:  Understand

Learning Outcome:  05.07

Est Time:  0-1 Minute

ABHES:  4.b

 

 

 

28) Which type of file relates to patients who have not seen the physician for six months?

1. A) Active
2. B) Inactive
3. C) Closed
4. D) Closed storage

 

Answer:  B

Explanation:  An inactive file relates to patients who have not seen the physician for six months.

Difficulty: 1 Easy

Topic:  Ownership, Quality Assurance, and Record Retention

Bloom’s:  Remember

Learning Outcome:  05.07

Est Time:  0-1 Minute

ABHES:  4.b

 

29) Federal law ________ regulate retention time frames for patient’s medical records.

1. A) Does
2. B) Does not
3. C) May opt to
4. D) Can, in some cases

 

Answer:  B

Explanation:  Federal law does not regulate retention time frames for patient’s medical records.

Difficulty: 1 Easy

Topic:  Ownership, Quality Assurance, and Record Retention

Bloom’s:  Remember

Learning Outcome:  05.07

Est Time:  0-1 Minute

ABHES:  4.b

30) All ________ records must be kept according to the same retention schedule as that for older paper records.

1. A) Physician
2. B) Photocopied
3. C) Inactive or closed
4. D) Electronically stored

 

Answer:  D

Explanation:  All electronically stored records must be kept according to the same retention schedule as that for older paper records.

Difficulty: 1 Easy

Topic:  Ownership, Quality Assurance, and Record Retention

Bloom’s:  Remember

Learning Outcome:  05.07

Est Time:  0-1 Minute

ABHES:  4.b

 

31) Records that have been closed and those that must be kept permanently are said to be in ________ storage, a storage area separate from the area where active files are kept.

1. A) Secure
2. B) Active
3. C) Safe
4. D) Dead

 

Answer:  D

Explanation:  Records that have been closed and those that must be kept permanently are said to be in dead storage, or storage separate from the area where active files are kept.

Difficulty: 1 Easy

Topic:  Ownership, Quality Assurance, and Record Retention

Bloom’s:  Remember

Learning Outcome:  05.07

Est Time:  0-1 Minute

ABHES:  4.b

32) Dead storage ________ be easily accessible.

1. A) Needs to
2. B) Need not
3. C) Can
4. D) Will never

 

Answer:  B

Explanation:  Dead storage need not be easily accessible.

Difficulty: 1 Easy

Topic:  Ownership, Quality Assurance, and Record Retention

Bloom’s:  Remember

Learning Outcome:  05.07

Est Time:  0-1 Minute

ABHES:  4.b

 

 

 

33) In the medical office, how many main types of records are there?

1. A) One
2. B) Two
3. C) Three
4. D) Four

 

Answer:  C

Explanation:  There are three main types of records in the medical office: patient medical records, correspondence related to healthcare, and practice management records.

Difficulty: 1 Easy

Topic:  Filing Systems

Bloom’s:  Remember

Learning Outcome:  05.08

Est Time:  0-1 Minute

ABHES:  4.b

 

34) The central responsibility of the physician’s practice is:

1. A) Patient reviews
2. B) Patient care
3. C) Preventative visits
4. D) Patient payment

 

Answer:  B

Explanation:  The central responsibility of the physician’s practice is patient care.

Difficulty: 1 Easy

Topic:  Filing Systems

Bloom’s:  Remember

Learning Outcome:  05.08

Est Time:  0-1 Minute

ABHES:  1.c

35) Which type of files are kept in one place?

1. A) Decentralized
2. B) Centralized
3. C) Dead
4. D) Open-shelf files

 

Answer:  B

Explanation:  Centralized files are kept in one place.

Difficulty: 1 Easy

Topic:  Filing Systems

Bloom’s:  Remember

Learning Outcome:  05.08

Est Time:  0-1 Minute

ABHES:  7.a

 

 

 

36) Information of use to only one staff member, such as a physician’s correspondence, is stored in a ________ file convenient to the user.

1. A) Decentralized
2. B) Centralized
3. C) Dead
4. D) Open-shelf

 

Answer:  A

Explanation:  Information of use to only one staff member, such as a physician’s correspondence, is stored in a decentralized file convenient for the user.

Difficulty: 1 Easy

Topic:  Filing Systems

Bloom’s:  Remember

Learning Outcome:  05.08

Est Time:  0-1 Minute

ABHES:  7.a

 

37) The need to conserve space in many offices has made ________ files popular.

1. A) Centralized
2. B) Dead
3. C) Decentralized
4. D) Open-shelf

 

Answer:  D

Explanation:  The need to conserve space in many offices has made open-shelf files popular.

Difficulty: 1 Easy

Topic:  Filing Systems

Bloom’s:  Remember

Learning Outcome:  05.08

Est Time:  0-1 Minute

ABHES:  7.a

38) Which type of files save time and labor but may sacrifice some security?

1. A) Open-shelf files
2. B) Decentralized files
3. C) Dead files
4. D) Centralized files

 

Answer:  A

Explanation:  Open-shelf files save time and labor, but they are not very secure.

Difficulty: 1 Easy

Topic:  Filing Systems

Bloom’s:  Remember

Learning Outcome:  05.08

Est Time:  0-1 Minute

ABHES:  7.a

 

39) Which type of files are arranged from front to back?

1. A) Open-shelf files
2. B) Centralized files
3. C) Vertical files
4. D) Centralized files and vertical files

 

Answer:  D

Explanation:  Centralized files and vertical files are arranged from front to back.

Difficulty: 1 Easy

Topic:  Filing Systems

Bloom’s:  Understand

Learning Outcome:  05.08

Est Time:  0-1 Minute

ABHES:  7.a

 

40) Which type of files are arranged from left to right, instead of from front to back?

1. A) Open-shelf files
2. B) Centralized files
3. C) Vertical files
4. D) Lateral files

 

Answer:  D

Explanation:  Lateral files are arranged from left to right, instead of from front to back.

Difficulty: 1 Easy

Topic:  Filing Systems

Bloom’s:  Remember

Learning Outcome:  05.08

Est Time:  0-1 Minute

ABHES:  7.a

41) File folders may be open on how many sides?

1. A) One and two only
2. B) Two and three only
3. C) One and three only
4. D) One, two, or three

 

Answer:  D

Explanation:  File folders may be open on one, two, or three sides.

Difficulty: 1 Easy

Topic:  Filing Systems

Bloom’s:  Remember

Learning Outcome:  05.08

Est Time:  0-1 Minute

ABHES:  7.a

 

 

 

42) How many steps are included in filing?

1. A) Five
2. B) Four
3. C) Three
4. D) Two

 

Answer:  A

Explanation:  Five steps are included in filing.

Difficulty: 1 Easy

Topic:  Filing Systems

Bloom’s:  Remember

Learning Outcome:  05.08

Est Time:  0-1 Minute

ABHES:  7.a

 

43) ________ is the mental process of selecting the name, title, or classification under which an item will be filed.

1. A) Sorting
2. B) Storing
3. C) Coding
4. D) Indexing

 

Answer:  D

Explanation:  Indexing is the mental process of selecting the name, title, or classification under which an item will be filed.

Difficulty: 1 Easy

Topic:  Filing Systems

Bloom’s:  Remember

Learning Outcome:  05.08

Est Time:  0-1 Minute

ABHES:  7.a

 

 

44) ________ is the placing of a number, a letter, or an underscore beneath a word to indicate where the document should be filed.

1. A) Coding
2. B) Indexing
3. C) Sorting
4. D) Storing

 

Answer:  A

Explanation:  Coding is the placing of a number, a letter, or an underscore beneath a word to indicate where the document should be filed.

Difficulty: 1 Easy

Topic:  Filing Systems

Bloom’s:  Remember

Learning Outcome:  05.08

Est Time:  0-1 Minute

ABHES:  7.a

 

45) What type of file should be consulted daily?

1. A) Centralized
2. B) Tickler
3. C) Decentralized
4. D) Cross-reference

 

Answer:  B

Explanation:  A tickler file should be consulted daily.

Difficulty: 1 Easy

Topic:  Filing Systems

Bloom’s:  Remember

Learning Outcome:  05.08

Est Time:  0-1 Minute

ABHES:  7.a

 

46) How many rules are there for alphabetic filing?

1. A) Four
2. B) Six
3. C) Eight
4. D) Ten

 

Answer:  D

Explanation:  There are ten rules for alphabetic filing.

Difficulty: 1 Easy

Topic:  Filing Systems

Bloom’s:  Remember

Learning Outcome:  05.08

Est Time:  0-1 Minute

ABHES:  7.a

47) It is currently estimated that ________ percent of healthcare facilities and ________ percent of physician practices have already implemented EHRs.

1. A) 60; 40
2. B) 70; 30
3. C) 80; 50
4. D) 90; 60

 

Answer:  C

Explanation:  It is estimated that 80 percent of healthcare facilities and 50 percent of physician practices that have already implemented EHRs.

Difficulty: 1 Easy

Topic:  Electronic Health Records (EHRs)

Bloom’s:  Remember

Learning Outcome:  05.03

Est Time:  0-1 Minute

ABHES:  7.b

 

48) More than one person ________ use stored data at the same time.

1. A) can
2. B) cannot
3. C) must
4. D) must not

 

Answer:  A

Explanation:  More than one person can use stored data at the same time.

Difficulty: 1 Easy

Topic:  Computer Usage

Bloom’s:  Remember

Learning Outcome:  05.01

Est Time:  0-1 Minute

ABHES:  7.b

 

49) Policies and procedures for updating medical personnel and evidence of the training should be placed in the ________.

1. A) Compliance manual
2. B) Personnel manual
3. C) Procedure manual
4. D) Rule manual

 

Answer:  A

Explanation:  Policies and procedures for updating medical personnel and evidence of the training should be placed in the compliance manual.

Difficulty: 1 Easy

Topic:  Electronic Health Records (EHRs)

Bloom’s:  Remember

Learning Outcome:  05.03

Est Time:  0-1 Minute

50) Until electronic health records are fully implemented into the healthcare system, ________ will be needed.

1. A) Fax machines
2. B) Temporary personnel
3. C) File clerks
4. D) Scanners

 

Answer:  D

Explanation:  Until electronic health records are fully implemented into the healthcare system, scanners will be needed.

Difficulty: 1 Easy

Topic:  Electronic Health Records (EHRs)

Bloom’s:  Understand

Learning Outcome:  05.03

Est Time:  0-1 Minute

ABHES:  7.b

 

51) Completely removing electronic data could give the appearance of ________ and is not permissible in many programs.

1. A) Cheating
2. B) Liability
3. C) Fraud
4. D) Carelessness

 

Answer:  C

Explanation:  Completely removing electronic data could give the appearance of fraud and is not permissible in many programs.

Difficulty: 1 Easy

Topic:  Electronic Health Records (EHRs)

Bloom’s:  Remember

Learning Outcome:  05.03

Est Time:  0-1 Minute

ABHES:  7.b

 

 

52) ________ in medical documentation can lead to a vast array of consequences.

1. A) Information
2. B) Mistakes
3. C) Punctuation
4. D) Abbreviations

 

Answer:  B

Explanation:  Mistakes in medical documentation can lead to a vast array of consequences.

Difficulty: 1 Easy

Topic:  Technologies for Data Input

Bloom’s:  Remember

Learning Outcome:  05.05

Est Time:  0-1 Minute

ABHES:  4.a

 

53) Transcriptionists often use ________ to input medical data.

1. A) Keyboards
2. B) Templates
3. C) Pencils
4. D) Pens

 

Answer:  B

Explanation:  Transcriptionists use templates to input medical data.

Difficulty: 1 Easy

Topic:  Technologies for Data Input

Bloom’s:  Remember

Learning Outcome:  05.05

Est Time:  0-1 Minute

ABHES:  7.b

 

54) Which of these abbreviations means “before meals”?

1. A) a.c.
2. B) b.c.
3. C) p.c.
4. D) b.m.

 

Answer:  A

Explanation:  The abbreviation a.c. means “before meals”.

Difficulty: 1 Easy

Topic:  Medical Terminology and Abbreviations

Bloom’s:  Remember

Learning Outcome:  05.04

Est Time:  0-1 Minute

ABHES:  3.d

 

 

55) Which of these abbreviations means “three times per day”?

1. A) q.i.d.
2. B) t.i.d.
3. C) b.i.d.
4. D) q.d.

 

Answer:  B

Explanation:  The abbreviation t.i.d. means “three times per day”.

Difficulty: 1 Easy

Topic:  Medical Terminology and Abbreviations

Bloom’s:  Remember

Learning Outcome:  05.04

Est Time:  0-1 Minute

ABHES:  3.d

 

56) Which of these abbreviations means “after meals”?

1. A) a.c.
2. B) b.c.
3. C) p.c.
4. D) q.d.

 

Answer:  C

Explanation:  The abbreviation p.c. means “after meals”.

Difficulty: 1 Easy

Topic:  Medical Terminology and Abbreviations

Bloom’s:  Remember

Learning Outcome:  05.04

Est Time:  0-1 Minute

ABHES:  3.d

 

57) Lydia works exclusively inputting data into medical records. She seldom takes a break from inputting and works 4 days per week, 10 hours each day. While driving, she notices a change in her distance vision. Which of the following should she do to help ease eye strain while working?

1. A) Place her hands and wrists in horizontal alignment.
2. B) Regularly focus on distant objects.
3. C) Place source documents flat beside her computer.
4. D) Frequently rotate her neck and shoulders.

 

Answer:  B

Explanation:  Lydia should regularly focus on distant objects to help ease eye strain while working.

Difficulty: 3 Hard

Topic:  Computer Usage

Bloom’s:  Apply

Learning Outcome:  05.01

Est Time:  0-1 Minute

58) Shannon works for a medical practice that uses the first three letters of the patient’s last name and the date of birth as the patient numbers. When Shannon was filing medical insurance claims, she noticed that a chart note had been made in the wrong chart. The physician sees twin females, and the chart for the wrong twin had been noted. To correct the error, Shannon should:

1. A) Eliminate the chart note with correction fluid.
2. B) Use a wide, permanent black marker to cross out the chart note.
3. C) Place a straight line through the entry, making sure it is still legible; mark it “error” date her correction; and initial the correction.
4. D) Place a wavy line through the entry, making sure it is still legible; mark it “error”; date her correction; and initial the correction.

 

Answer:  C

Explanation:  To correct the error, Shannon should place a straight line through the entry, making sure it is still legible; mark it “error”, date her correction; and initial the correction.

Difficulty: 3 Hard

Topic:  The Medical Record

Bloom’s:  Apply

Learning Outcome:  05.02

Est Time:  0-1 Minute

ABHES:  8.a

 

59) When Dr. Crist opened the EHR for her next patient, she was able to quickly view a listing of all of the patients’ current and previously treated medical conditions. Which documentation format does Dr. Crist use?

1. A) SOAP
2. B) CHEDDAR
3. C) DATABASE
4. D) POMR

 

Answer:  D

Explanation:  Dr. Crist uses the POMR format.

Difficulty: 2 Medium

Topic:  Documentation Formats

Bloom’s:  Apply

Learning Outcome:  05.06

Est Time:  0-1 Minute

ABHES:  7.b; 8.a

 

 

60) Which of the following is an acceptable chart notation for “as needed”?

4. A) q.4.h
5. B) p.r.n.
6. C) a.n.
7. D) as ndd

 

Answer:  B

Explanation:  The acceptable chart notation for “as needed” is p.r.n.

Difficulty: 1 Easy

Topic:  Technologies for Data Input

Bloom’s:  Apply

Learning Outcome:  05.05

Est Time:  0-1 Minute

ABHES:  3.d

 

61) Entries should be ________.

1. A) Time stamped only
2. B) Date stamped only
3. C) Both signed and date stamped
4. D) Verified

 

Answer:  C

Explanation:  All chart notes must be signed and dated.

Difficulty: 2 Medium

Topic:  Electronic Health Records (EHRs)

Bloom’s:  Remember

Learning Outcome:  05.03

Est Time:  0-1 Minute

ABHES:  4.f; 4.a; 11.b

 

62) Excel is an example of what type of software?

1. A) Database management software
2. B) Graphics application
3. C) Word processing program
4. D) Spreadsheet program

 

Answer:  D

Explanation:  Spreadsheet applications, such as Excel, are designed to imitate paper bookkeeping ledgers.

Difficulty: 1 Easy

Topic:  Computer Usage

Bloom’s:  Remember

Learning Outcome:  05.01

Est Time:  0-1 Minute

ABHES:  7.h

 

 

63) Which of these is used to enter, edit, format, and print documents?

1. A) Computer network
2. B) Template
3. C) Word processing program
4. D) File server

 

Answer:  C

Explanation:  A word processing program is used to enter, edit, format, and print documents.

Difficulty: 1 Easy

Topic:  Computer Usage

Bloom’s:  Remember

Learning Outcome:  05.01

Est Time:  0-1 Minute

ABHES:  7.h

 

64) Electronic maintenance of the medical office schedule provides ________ over paper appointment books.

1. A) Advantages
2. B) Disadvantages
3. C) Difficulties
4. D) Inconveniences

 

Answer:  A

Explanation:  Electronic maintenance of the medical office schedule provides advantages over paper appointment books.

Difficulty: 1 Easy

Topic:  Computer Usage

Bloom’s:  Remember

Learning Outcome:  05.01

Est Time:  0-1 Minute

ABHES:  7.e

 

 

65) After a patient encounter, the new electronic medical data should be reviewed and ________ for errors.

1. A) Proofread
2. B) Verified
3. C) Transferred
4. D) Templated

 

Answer:  A

Explanation:  After a patient encounter, the new electronic medical data should be reviewed and proofread for error.

Difficulty: 1 Easy

Topic:  Electronic Health Records (EHRs)

Bloom’s:  Remember

Learning Outcome:  05.03

Est Time:  0-1 Minute

ABHES:  7.b; 4.a

 

66) Laws have been passed and large sums of money have been, and are being, invested in the implementation of what?

1. A) Electronic signatures
2. B) Hospital documentation
3. C) Office check in/out policies
4. D) Healthcare reform

 

Answer:  D

Explanation:  Laws have been passed and large sums of money have, and are being invested in the implementation of healthcare reform.

Difficulty: 1 Easy

Topic:  Electronic Health Records (EHRs)

Bloom’s:  Remember

Learning Outcome:  05.03

Est Time:  0-1 Minute

ABHES:  4.a

 

 

67) Using the ________ system, it is easy to locate misfiled charts with a quick glance.

1. A) Subject filing
2. B) Color coding
3. C) Numeric coding
4. D) Indirect filing

 

Answer:  B

Explanation:  Using the color coding system is easy to locate misfiled charts.

Difficulty: 1 Easy

Topic:  Filing Systems

Bloom’s:  Remember

Learning Outcome:  05.08

Est Time:  0-1 Minute

ABHES:  4.a

 

68) An accession book is used with which type of filing?

1. A) Subject filing book
2. B) Alphabetic filing
3. C) Numeric filing
4. D) Compliance filing

 

Answer:  C

Explanation:  An accession book, which is a book of consecutive numbers indicating the next available number to be assigned, is used in numeric filing.

Difficulty: 1 Easy

Topic:  Filing Systems

Bloom’s:  Remember

Learning Outcome:  05.08

Est Time:  0-1 Minute

ABHES:  8.a

 

69) A technology being used in medical and other offices for data input is ________.

1. A) Voice recognition technology
2. B) Transcription
3. C) Voice conferencing
4. D) Fax machine

 

Answer:  A

Explanation:  A technology being used in medical and other offices for data input is voice-recognition technology.

Difficulty: 1 Easy

Topic:  Technologies for Data Input

Bloom’s:  Remember

Learning Outcome:  05.05

Est Time:  0-1 Minute

ABHES:  4.f; 4.a

70) Which newer form of communication uses radio waves, rather than wires or cables?

1. A) Dial-up communication
2. B) Computer network communication
3. C) Wireless communication
4. D) Supercomputer communication

 

Answer:  C

Explanation:  A newer form of communications systems, referred to as wireless communication, or wireless connectivity, uses radio waves, rather than wires or cables, as the medium for transmitting data.

Difficulty: 1 Easy

Topic:  Computer Usage

Bloom’s:  Remember

Learning Outcome:  05.01

Est Time:  0-1 Minute

ABHES:  7.h

 

71) ________, or AUP, should be written and included in the office’s policy and procedure manual.

1. A) Acceptable use policies
2. B) Administrative use policies
3. C) Acceptable user profiles
4. D) Administrative user profiles

 

Answer:  A

Explanation:  Each office should have an acceptable use policy (AUP) for equipment, time, and other resources, including the computer.

Difficulty: 1 Easy

Topic:  Computer Usage

Bloom’s:  Remember

Learning Outcome:  05.01

Est Time:  0-1 Minute

ABHES:  8.a; 11.b

 

 

72) Which of these includes word processing, graphics, spreadsheet, and database management applications?

1. A) Operating system
2. B) Application software
3. C) Computer mainframe
4. D) Screen savers

 

Answer:  B

Explanation:  Application software which includes word processing, graphics, spreadsheet, and database management software, applies the computer’s capabilities to specific applications.

Difficulty: 1 Easy

Topic:  Computer Usage

Bloom’s:  Remember

Learning Outcome:  05.01

Est Time:  0-1 Minute

ABHES:  7.a

 

73) What part of the SOAP note records the physician’s interpretation of the findings?

1. A) Subjective
2. B) Objective
3. C) Assessment
4. D) Plan

 

Answer:  C

Explanation:  The assessment in a SOAP record in the physician’s interpretation of the subjective and objective findings.

Difficulty: 1 Easy

Topic:  Documentation Formats

Bloom’s:  Remember

Learning Outcome:  05.06

Est Time:  0-1 Minute

ABHES:  4.a

 

 

74) The CC is located where in the SOAP note?

1. A) Subjective
2. B) Objective
3. C) Assessment
4. D) Plan

 

Answer:  A

Explanation:  The CC, or chief complaint, is the patient’s description of the problem or complaint, and it is located in the subjective area of the SOAP note.

Difficulty: 2 Medium

Topic:  Documentation Formats

Bloom’s:  Remember

Learning Outcome:  05.06

Est Time:  0-1 Minute

ABHES:  4.a

 

75) What are the three essential components of POMR?

1. A) SOAP, CHEDDAR, Master Problem List
2. B) CHEDDAR, Master Problem List, Initial Plan
3. C) Master Problem List, CC, Initial Plan
4. D) Database, Master Problem List, Initial Plan

 

Answer:  D

Explanation:  In a POMR, there are three essential components: the Database, the Master Problem List, and the Initial Plan.

Difficulty: 2 Medium

Topic:  Documentation Formats

Bloom’s:  Remember

Learning Outcome:  05.06

Est Time:  0-1 Minute

ABHES:  4.a

76) Which of the following are common uses of computers in the medical office setting?

1. A) Word processing
2. B) Personal emails
3. C) Shopping
4. D) Texting

 

Answer:  A

Explanation:  Word processing is a common use of the computer in the medical office setting.

Difficulty: 1 Easy

Topic:  Computer Usage

Bloom’s:  Remember

Learning Outcome:  05.01

Est Time:  0-1 Minute

ABHES:  7.h

 

77) Which of the following is a network that links computers so that software, hardware, and data files can shared?

1. A) Word processor
2. B) Networking
3. C) Email
4. D) Internet

 

Answer:  B

Explanation:  Networking links computers together, so that software, hardware, and data files can be shared.

Difficulty: 1 Easy

Topic:  Computer Usage

Bloom’s:  Remember

Learning Outcome:  05.01

Est Time:  0-1 Minute

ABHES:  7.h

78) Which of the following is an enormous computer network that links computers and smaller computer networks worldwide?

1. A) Word processor
2. B) Networking
3. C) Email
4. D) Internet

 

Answer:  D

Explanation:  The internet is an enormous computer network that links computers and smaller computer networks worldwide.

Difficulty: 1 Easy

Topic:  Computer Usage

Bloom’s:  Remember

Learning Outcome:  05.01

Est Time:  0-1 Minute

ABHES:  7.h

 

 

 

79) Which of the following tells the computer how to use its own components?

1. A) Operating system
2. B) Graphic application
3. C) Spreadsheet programs
4. D) Database management software

 

Answer:  A

Explanation:  The operating system tells the computer how to use its own components

Difficulty: 1 Easy

Topic:  Computer Usage

Bloom’s:  Remember

Learning Outcome:  05.01

Est Time:  0-1 Minute

ABHES:  7.h

 

80) Which of the following imitates paper bookkeeping ledgers?

1. A) Operating system
2. B) Graphic application
3. C) Spreadsheet programs
4. D) Database management software

 

Answer:  C

Explanation:  The spreadsheet programs imitate paper bookkeeping ledgers.

Difficulty: 1 Easy

Topic:  Computer Usage

Bloom’s:  Remember

Learning Outcome:  05.01

Est Time:  0-1 Minute

ABHES:  7.h

81) A(n) ________ is a periodic inspection of data entry logs done by a chief compliance officers?

1. A) Audit trail
2. B) Screen savers
3. C) Passwords for limited access
4. D) Database management software

 

Answer:  A

Explanation:  Audit trails are a security measure that is used to periodically inspect the data entry log.

Difficulty: 1 Easy

Topic:  Computer Usage

Bloom’s:  Remember

Learning Outcome:  05.01

Est Time:  0-1 Minute

ABHES:  7.h

 

82) Which of the following is a utility program that periodically searches a computer system for viruses.

1. A) Audit trail
2. B) Virus checkers
3. C) Passwords for limited access
4. D) Database management software

 

Answer:  B

Explanation:  Virus checkers periodically check computers for computer viruses.

Difficulty: 1 Easy

Topic:  Computer Usage

Bloom’s:  Remember

Learning Outcome:  05.01

Est Time:  0-1 Minute

ABHES:  7.h

83) A ________ includes all of the medications prescribed, including dosage and dispensing instructions.

1. A) History and physical
2. B) Medical reports
3. C) Clinical forms
4. D) Medication list

 

Answer:  D

Explanation:  A medication list includes all of the medications prescribed.

Difficulty: 1 Easy

Topic:  The Medical Record

Bloom’s:  Remember

Learning Outcome:  05.02

Est Time:  0-1 Minute

ABHES:  8.c

 

 

 

84) Which of the following is NOT a goal of “meaningful use” of an electronic health record?

1. A) Accurate and complete information
2. B) Improved access to information
3. C) Patient empowerment
4. D) Complete patient responsibility for all clinical decisions

 

Answer:  D

Explanation:  The three broad goals of “meaningful use” for electronic medical records is (a) accurate and complete information, (b) improved access to information, (c) patient empowerment.

Difficulty: 1 Easy

Topic:  The Medical Record

Bloom’s:  Understand

Learning Outcome:  05.02

Est Time:  0-1 Minute

ABHES:  7.b

85) Which is the recommended retention schedule for adult health records?

1. A) Indefinitely
2. B) Statute of limitations for malpractice
3. C) Ten years after the patient’s most recent encounter
4. D) Five years after the patient’s most recent encounter

 

Answer:  C

Explanation:  Adult patient records should be maintained for ten years after the last patient encounter.

Difficulty: 1 Easy

Topic:  Ownership, Quality Assurance, and Record Retention

Bloom’s:  Understand

Learning Outcome:  05.07

Est Time:  0-1 Minute

ABHES:  4.b.1