Chapter 1 Medical Transcription

Approved & Edited by ProProfs Editorial Team
The editorial team at ProProfs Quizzes consists of a select group of subject experts, trivia writers, and quiz masters who have authored over 10,000 quizzes taken by more than 100 million users. This team includes our in-house seasoned quiz moderators and subject matter experts. Our editorial experts, spread across the world, are rigorously trained using our comprehensive guidelines to ensure that you receive the highest quality quizzes.
Learn about Our Editorial Process
| By Cwilli
C
Cwilli
Community Contributor
Quizzes Created: 1 | Total Attempts: 481
Questions: 10 | Attempts: 498

SettingsSettingsSettings
Medical Quizzes & Trivia

Healthcare practitioners at times post their reports in the forms of audio files. The files can be stored in writing when they are transcribed. Medical transcription certification will take at least six months, though most transcription programs will take nine months to a year. Take up the review quiz on chapter one unit 3 and 4 on medical transcription and see how attentive you have been in class. All the best!


Questions and Answers
  • 1. 

    Operative reports should be dictated or written in the medical record immediately before surgery.

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    Operative reports should be dictated or written in the medical record immediately before surgery. This statement is false. Operative reports should actually be dictated or written immediately after surgery, not before. This ensures that all the details of the surgery are accurately documented while they are still fresh in the surgeon's mind. Writing the report before surgery could lead to inaccuracies or missing information.

    Rate this question:

  • 2. 

    Information in medical records falls into which two classifications?

    • A.

      Electronic and written

    • B.

      Non privileged and privileged

    • C.

      Dictated or written.

    • D.

      Diagnostic or therapeutic

    Correct Answer
    B. Non privileged and privileged
    Explanation
    Medical records can be classified into two categories: non privileged and privileged. Non privileged information refers to data that can be accessed by anyone involved in the patient's care, such as medical history, test results, and treatment plans. On the other hand, privileged information is confidential and can only be accessed by authorized individuals, such as mental health records or substance abuse treatment records. This classification helps to ensure the privacy and confidentiality of sensitive medical information.

    Rate this question:

  • 3. 

    Physical assessment shall be completed within the first ____________ hours of admission to inpatient services.

    Correct Answer
    24
    twenty four
    Explanation
    Physical assessment is an important part of the admission process for inpatient services. It helps healthcare professionals gather information about the patient's overall health, identify any existing conditions or concerns, and establish a baseline for further treatment. Completing the physical assessment within the first 24 hours of admission ensures that any immediate medical needs or concerns can be addressed promptly, allowing for appropriate and timely interventions to be implemented.

    Rate this question:

  • 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

    Correct Answer
    A. True
    Explanation
    The statement is true because discharge summaries records are required to be completed within a certain time frame following discharge. In this case, the time frame mentioned is 30 days, meaning that the discharge summaries must be completed within this period. This ensures that the necessary information about the patient's condition, treatment, and follow-up care is documented in a timely manner, allowing for effective communication and continuity of care between healthcare providers.

    Rate this question:

  • 5. 

    __________________ requires physician’s 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

    Correct Answer
    C. Federal Law
    Explanation
    The correct answer is Federal Law because it states that physician's signatures in a medical record are required for hospital compliance with Medicare conditions of participation and to qualify for reimbursement under the prospective payment system. This indicates that the requirement is mandated by a federal law.

    Rate this question:

  • 6. 

    Reports should include three dates: Date when _________ was provided. Date when the _________ was dictated. Date when the document was ________.   Example: blah, blah, blah    (type your answer with your own choices like the example, to fill in the blanks)  

    Correct Answer
    Care, document, Transcribed
    Service, report, Transcribed
    Explanation
    The correct answer is: Date when care was provided, Date when the document was dictated, Date when the document was transcribed.

    In order to provide a comprehensive report, it is important to include three specific dates. The first date refers to when the care or service was provided, which helps provide context and relevance to the report. The second date signifies when the document was dictated, indicating when the information was recorded or documented. Lastly, the third date represents when the document was transcribed, indicating when the information was converted into written form. Including these three dates ensures accuracy and transparency in the report.

    Rate this question:

  • 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

    Correct Answer
    B. False
    Explanation
    The statement is false because when a necropsy is performed, provisional anatomic diagnoses should be recorded in the medical record within 5 days, and the complete protocol should be made part of the record within 120 days.

    Rate this question:

  • 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

    Correct Answer
    A. True
    Explanation
    If a patient's medical records are presented in court as evidence in a professional liability case and they have been sloppily corrected, it suggests that the records might have been intentionally altered. This implies that someone may have intentionally changed the records to hide information or manipulate the evidence. If the prosecuting attorney can prove this intentional alteration, it strengthens their case against the defendant, increasing the chances of winning the case. Therefore, the statement "True" is the correct answer.

    Rate this question:

  • 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

    Correct Answer
    D. All of the above
    Explanation
    Medical records are the property of the corporation, physician, or institution that provided the care. This means that any of these entities have ownership rights over the medical records. Therefore, all of the options listed (corporation, physician, institution) are correct answers.

    Rate this question:

  • 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.

      Guidelines for Rights to Privacy.

    • C.

      The main purpose of medical records

    Correct Answer
    C. The main purpose of medical records
    Explanation
    The main purpose of medical records is to assist in the diagnosis and treatment of a patient by communicating with the attending physician and other medical personnel working with the patient. It also aids and advances the science of medicine and ensures compliance with laws and accreditation requirements for medical report completeness, signatures, abbreviations, deadlines, and dates of documents.

    Rate this question:

Quiz Review Timeline +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Mar 21, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Sep 30, 2010
    Quiz Created by
    Cwilli
Back to Top Back to top
Advertisement
×

Wait!
Here's an interesting quiz for you.

We have other quizzes matching your interest.