Question 1

How often should the tickler file be checked?

Accepted Answer

A)   daily
B)   several times a day
C)   weekly
D)   several times a monthE) A) and B)
F) A) and C)

Question 2

When the patient's paper chart is opened flat, which of the following is typically found on the right side?

Accepted Answer

A)   progress notes
B)   medication list
C)   patient data
D)   immunization recordsE) B) and D)
F) C) and D)

Question 3

Match each term with its definition.
-Method of charting that encourages a clinician to provide greater detail of the information obtained during the interview and examination

Accepted Answer

A)  Privacy Officer
B)  imaging
C)  correction fluid
D)  tickler file
E)  physician's orderF) color coding systemG) clinical trialsH) CHEDDARI) cross-indexJ) meaningful use performance measuresK) dictated reportsL) A) and F)
M) F) and G)

Question 4

When recording progress notes, the specific chief complaint should be:

Accepted Answer

A)   a paraphrased description of the patient's condition
B)   written using the patient's own words
C)   a series of codes that correlate to a list of common symptoms
D)   recorded only by the physician or providerE) A) and D)
F) None of the above

Question 5

Match each term with its definition.
-This term once referred only to Roentgen films, but today also includes ultrasounds, angiograms, MRIs, and other types of images

Accepted Answer

A)  Privacy Officer
B)  imaging
C)  correction fluid
D)  tickler file
E)  physician's orderF) color coding systemG) clinical trialsH) CHEDDARI) cross-indexJ) meaningful use performance measuresK) dictated reportsL) B) and D)
M) B) and E)

Question 6

What does the I in the HPIP method stand for?

Accepted Answer

A)   investigate
B)   impression
C)   insurance
D)   intestinalE) None of the above
F) B) and D)

Question 7

Which filing system provides the most patient privacy?

Accepted Answer

A)   alphabetical
B)   subject
C)   numerical
D)   geographicE) A) and C)
F) C) and D)

Question 8

Match each term with its definition.
-Coding

Accepted Answer

A)  Privacy Officer
B)  imaging
C)  correction fluid
D)  tickler file
E)  physician's orderF) color coding systemG) clinical trialsH) CHEDDARI) cross-indexJ) meaningful use performance measuresK) dictated reportsL) A) and F)
M) B) and I)

Question 9

Match each example of information to the part of the medical record in which it would be found.
-Copy of a patient's x-ray film

Accepted Answer

A)  administrative data
B)  financial and insurance information
C)  correspondence
D)  referral
E)  past medical recordsF) medicationsG) progress notesH) diagnostic imaging informationI) lab informationJ) E) and I)
K) None of the above

Question 10

Match each term with its definition.
-Storing

Accepted Answer

A)  Privacy Officer
B)  imaging
C)  correction fluid
D)  tickler file
E)  physician's orderF) color coding systemG) clinical trialsH) CHEDDARI) cross-indexJ) meaningful use performance measuresK) dictated reportsL) C) and E)
M) A) and G)

Question 11

The patient chart belongs to the:

Accepted Answer

A)   patient
B)   patient's insurance company
C)   medical practice
D)   person who prepared itE) C) and D)
F) None of the above

Question 12

What does the P in SOAP stand for?

Accepted Answer

A)   physician, provider, or medical practice
B)   patient
C)   plans for further studies, treatment, or management
D)   preventive careE) None of the above
F) C) and D)

Question 13

Match each example of information to the part of the medical record in which it would be found.
-Chronological record detailing a patient's progression during treatment

Accepted Answer

A)  administrative data
B)  financial and insurance information
C)  correspondence
D)  referral
E)  past medical recordsF) medicationsG) progress notesH) diagnostic imaging informationI) lab informationJ) A) and I)
K) B) and G)

Question 14

Match each example of information to the part of the medical record in which it would be found.
-Breakdown of the drugs currently prescribed to a patient

Accepted Answer

A)  administrative data
B)  financial and insurance information
C)  correspondence
D)  referral
E)  past medical recordsF) medicationsG) progress notesH) diagnostic imaging informationI) lab informationJ) B) and H)
K) A) and C)

Question 15

Match each term with its definition.
-May offer the advantage of a treatment otherwise unavailable to a patient and additional care that might not have otherwise been provided

Accepted Answer

A)  Privacy Officer
B)  imaging
C)  correction fluid
D)  tickler file
E)  physician's orderF) color coding systemG) clinical trialsH) CHEDDARI) cross-indexJ) meaningful use performance measuresK) dictated reportsL) H) and K)
M) D) and I)

Question 16

Lab reports should be filed in _____ in a separate section of the patient chart.

Accepted Answer

A)   alphabetical order
B)   order of relevance
C)   chronological order
D)   order of importanceE) C) and D)
F) A) and D)

Question 17

Match each term with its definition.
-May be used to expedite both filing and finding of folders

Accepted Answer

A)  Privacy Officer
B)  imaging
C)  correction fluid
D)  tickler file
E)  physician's orderF) color coding systemG) clinical trialsH) CHEDDARI) cross-indexJ) meaningful use performance measuresK) dictated reportsL) F) and H)
M) A) and E)

Question 18

Match each example of information to the part of the medical record in which it would be found.
-Patient's insurance policy number

Accepted Answer

A)  administrative data
B)  financial and insurance information
C)  correspondence
D)  referral
E)  past medical recordsF) medicationsG) progress notesH) diagnostic imaging informationI) lab informationJ) A) and C)
K) E) and H)

Question 19

Match each example of information to the part of the medical record in which it would be found.
-Patient's immunization record from the previous provider

Accepted Answer

A)  administrative data
B)  financial and insurance information
C)  correspondence
D)  referral
E)  past medical recordsF) medicationsG) progress notesH) diagnostic imaging informationI) lab informationJ) B) and G)
K) A) and H)

Question 20

Match each term with its definition.
-Required before any information in a patient chart can be released

Accepted Answer

A)  Privacy Officer
B)  imaging
C)  correction fluid
D)  tickler file
E)  physician's orderF) color coding systemG) clinical trialsH) CHEDDARI) cross-indexJ) meaningful use performance measuresK) dictated reportsL) B) and H)
M) C) and F)

Exam 13: The Skeletal System

Match each term with its definition. -Required before any information in a patient chart can be released

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What does the I in the HPIP method stand for?

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What does the P in SOAP stand for?

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Match each term with its definition. -This term once referred only to Roentgen films, but today also includes ultrasounds, angiograms, MRIs, and other types of images

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The patient chart belongs to the:

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Match each example of information to the part of the medical record in which it would be found. -Breakdown of the drugs currently prescribed to a patient

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How often should the tickler file be checked?

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Match each term with its definition. -May offer the advantage of a treatment otherwise unavailable to a patient and additional care that might not have otherwise been provided

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Match each example of information to the part of the medical record in which it would be found. -Patient's insurance policy number

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Match each term with its definition. -Method of charting that encourages a clinician to provide greater detail of the information obtained during the interview and examination

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Match each term with its definition. -Storing

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Match each term with its definition. -Coding

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Match each example of information to the part of the medical record in which it would be found. -Patient's immunization record from the previous provider

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Match each example of information to the part of the medical record in which it would be found. -Copy of a patient's x-ray film

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Which filing system provides the most patient privacy?

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Lab reports should be filed in _____ in a separate section of the patient chart.

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Match each example of information to the part of the medical record in which it would be found. -Chronological record detailing a patient's progression during treatment

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When recording progress notes, the specific chief complaint should be:

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When the patient's paper chart is opened flat, which of the following is typically found on the right side?

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Match each term with its definition. -May be used to expedite both filing and finding of folders

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