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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
All of the above
B
Patient education information given to the patient
C
Prescriptions printed or faxed to the pharmacy
D
Time-stamps on recodings
2) The following can be documented as part of the EMR
A
Electronically reported lab results
B
All of the above
C
Graphs of height, weight, and blood pressure data
D
Digital photos of the patient and the patient's condition
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
Mammograms
C
All of the above
D
Annual Physicals
6) Electronic medical records are gaining popularity over conventional paper files because they offer
A
Portability
B
All of the above
C
Ease of use
D
Efficiency
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
Progress notes
B
Pathology results
C
All of the above
D
Telephone messages
9) Information contained in the medical record will include
A
All of the above
B
Physician orders
C
Medications
D
Radiology reports
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
None of the above
C
Problem oriented medical record
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
None of the above
C
Chronological medical record
D
Problem oriented 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
Source oriented medical record
C
None of the above
D
Problem oriented medical record
13) SOAP notes refer to
A
Progress notes
B
Patient Demographics
C
Insurance information
D
None of the above
14) POMR notes refer to
A
None of the above
B
Insurance information
C
Progress notes
D
Patient Demographics
15) The “O” in SOAP notes is for
A
Objective
B
Oriented
C
outsourced
D
Occupational
16) Subjective symptoms are ones that can be verified through testing and assessment
A
False
B
True
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
True
B
False
*select an answer for all questions
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