MA 500 Week 3 Study Guide: Medical Records and Information Systems, Exams of Biology

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What information is contained in the medical record? - correct answer-Health history Results of the physical examination Laboratory reports Progress notes What is the purpose of the HIPAA Privacy Rule? - correct answer-Provide patients with more control over the use and disclosure of their health information What is included in the patient registration record? - correct answer-Demographic and billing information What provides subjective data about a patient to assist the physician in arriving at a diagnosis? - correct answer-Health history Which of the following is included on a medication record for medication administered at the office? - correct answer-Name of the medication Route of administration Dosage administered What type of report contains the results of the analysis of body specimens? - correct answer-Laboratory report Which of the following is NOT an example of a diagnostic report? - correct answer-Spirometry report What helps a patient with a disability learn new ways to perform skills such as dressing or cooking? - correct answer-Occupational therapy Which report describes a surgical procedure? - correct answer-Operative report What reports consists of an account of the significant events of a patient's hospitalization? - correct answer-Discharge summary report What report consists of a macroscopic and microscopic description of tissue removed during surgery? - correct answer-Pathology report Which of the following must be included in informed consent? - correct answer-An explanation of risks involved with the procedure Any alternative treatments or procedures available The prognosis

The purpose of the recommended procedure What situations requires the completion of a release of medical information form? - correct answer- When a patient transfers records to a new physician In a source-oriented record, a radiology report is filed under which of the following chart dividers? - correct answer-Lab/X-ray The health history is taken? - correct answer-Before the physician performs the physical examination What is the chief complaint? - correct answer-The symptom causing the patient the most trouble A review of the health status of blood relatives is known as? - correct answer-Family history Which of the following is NOT included in the social history? - correct answer-Chronic illnesses A word processing program can be used to perform which of the following? - correct answer-Enter text Edit text Format text What type of software consists of an electronic ledger designed to perform mathematic calculations quickly? - correct answer-Spreadsheet How does a privacy filter work? - correct answer-Blocks the screen image to anyone not directly in front of it What printer is used most often in the medical office? - correct answer-Laser What is an advantage of a laser printer compared to an inkjet printer? - correct answer-Prints at a faster speed What should the medical assistant use as a computer password? - correct answer-A random series of letters and digits What protects a computer network from unauthorized access? - correct answer-Firewall