Ch1 Medical Transcription Quiz

10 Questions | Total Attempts: 1030

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Medical Transcription Quizzes & Trivia

Closed book, NO notes, No cellphones, and no discussing questions or answers to other students and lastly, absolutely no cheating. Any one caught cheating will get a zero.


Questions and Answers
  • 1. 
    Physical assessment shall be completed within the first _______ hours of admission to inpatient services.  
  • 2. 
    Operative reports should be dicatated or written in the medical record immediately before surgery.
    • A. 

      True

    • B. 

      False

  • 3. 
    Information in medical records fall into which two classifications? 
    • A. 

      Electronic and written

    • B. 

      Non privileged and privileged

    • C. 

      Dictated or written

    • D. 

      Diagnostic or therapeutic

  • 4. 
    Discharge summaries records shall be completed within a period of time that will in no event exceed 30 days following discharge.
    • A. 

      True

    • B. 

      False

  • 5. 
    ____________________ requires physicians signatures in a medical record for hospital compliance with Medicare conditions of participation and to qualify for reimbursement under the prospective payment system. 
    • A. 

      Doctors

    • B. 

      Government

    • C. 

      Federal law

    • D. 

      Patients

  • 6. 
    Reports should include three dates: Date when _________ was provided. Date when the _________ was dictated. Date when the document was ________.ANSWER IN THIS FORMAT: answer 1, answer2, answer 3 All 3 must be correct to get this one.
  • 7. 
    When a necropsy is performed, provisional anatomic diagnoses should not be recorded in the medical record within 5 days, and the complete protocol should be made part of the record within 120 days.
    • A. 

      True

    • B. 

      False

  • 8. 
    If a patient's medical record is presented in court as evidence in a professional liability case and the records have been sloppily corrected, a prosecuting attorney might win a case if it is proved that the records might have been intentionally altered.
    • A. 

      True

    • B. 

      False

  • 9. 
    Medical records are property of the ________________________ that provided the care. 
    • A. 

      Corporation

    • B. 

      Physician

    • C. 

      Institution

    • D. 

      All of the above

    • E. 

      None of the above

  • 10. 
    1. Assist in the diagnosis and treatment of a patient by communicating with the attending physician and other medical personnel working with the patient. 2. Aid and advance the science of medicine. 3. Comply with laws and serve in support of claim the accreditation manual states requirements for medical report completeness, signatures, abbreviations, deadlines, and dates of documents. These 3 things are? 
    • A. 

      List of types of transcriptions

    • B. 

      Guildelines for Rights to Privacy

    • C. 

      The main purpose of medical records

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