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Managing Computers In The Medical Office And EMR Part 2
Test Description: Review
Instructions: Answer all questions to get your test result.
1) The following can be documented as part of the EMR
A
Prescriptions printed or faxed to the pharmacy
B
All of the above
C
Patient education information given to the patient
D
Time-stamps on recodings
2) The following can be documented as part of the EMR
A
Digital photos of the patient and the patient's condition
B
Graphs of height, weight, and blood pressure data
C
All of the above
D
Electronically reported lab results
3) To remain in compliance with HIPAA regulations, medical offices must use data backup systems to safeguard the information contained on office computer systems, including patient medical records
A
False
B
True
4) Using electronic medical records has additional benefits including electronic signatures, avoiding medical errors, saving time, facilitating patient health maintenance, immediate diagnostic test results, marketing, and communicating online
A
False
B
True
5) EMR’s can help remind patients of the need to schedule
A
Immunizations
B
All of the above
C
Mammograms
D
Annual Physicals
6) Electronic medical records are gaining popularity over conventional paper files because they offer
A
Efficiency
B
Portability
C
Ease of use
D
All of the above
7) Having electronic information available is especially helpful for patients when they travel or need to seek emergency care with someone other than their primary care providers
A
False
B
True
8) Information found in the medical records will include
A
Pathology results
B
Progress notes
C
Telephone messages
D
All of the above
9) Information contained in the medical record will include
A
Medications
B
All of the above
C
Radiology reports
D
Physician orders
10) The most recent information is seen first in each section of the medical record. This method makes it complicated to identify and locate past medical problems, treatments, and results
A
Source oriented medical record
B
Problem oriented medical record
C
None of the above
D
Chronological medical record
11) This was developed by Dr. Lawrence Weed in 1970 and is used to identify patient problems and chart by those problem
A
Source oriented medical record
B
Problem oriented medical record
C
None of the above
D
Chronological medical record
12) These records follows the patient over a period of time, with each visit consisting of a new entry by date, rather than by symptoms or diagnosis
A
Chronological medical record
B
Problem oriented medical record
C
Source oriented medical record
D
None of the above
13) SOAP notes refer to
A
Progress notes
B
None of the above
C
Patient Demographics
D
Insurance information
14) POMR notes refer to
A
Insurance information
B
Progress notes
C
None of the above
D
Patient Demographics
15) The “O” in SOAP notes is for
A
outsourced
B
Objective
C
Oriented
D
Occupational
16) Subjective symptoms are ones that can be verified through testing and assessment
A
True
B
False
17) Everything that is done during a patient’s medical visit, ordered over the telephone, or discussed with a patient by telephone or e-mail must not be documented in the medical record
A
False
B
True
*select an answer for all questions
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