Medical Records Position

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1/60 Questions

As a coding supervisor, you were opportune to come across the case of HIV patient who is your friend’s fiancé, the doctrine of confidentiality is to be abide by, which of the following will you do?
- A. Tell your friend about it
- B. Discourage your friend from marrying him
- C. Tell others to inform your friend
- D. Advise your friend to go for HIV screening before marriage

About This Quiz

This test is facilitated by Kimberly Ryan for Central Bank Nigeria (CBN) for the recruitment of Medical Records Professionals with specified years of experience.
INSTRUCTIONSPlease complete the bio data before proceeding. Please tick ONLY ONE BOX in the spaces provided. Multiple answers in one question WILL NOT be recognised. Please do not refresh the page as you will loose all See moreyour already imputed data. You have 60 minutes to answer 60 questions. The test is scheduled to terminate in 60 minutes.

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2.

Confidentiality is a right of an individual to keep information about themselves or their minors from being disclosed to unauthorized persons
- A. True
- B. False
- C. None of the above
- D. All of the above
Correct Answer

A. A. True

Explanation

Confidentiality refers to the protection of personal information from being shared with unauthorized individuals. It is indeed a right of individuals to keep their own information, as well as information about their minors, private and undisclosed. Therefore, the statement is true.

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3.

Which of the following is not a notifiable disease?
- A. Measles
- B. Tuberculosis
- C. SARS
- D. Hypertensive Heart Disease
Correct Answer

A. D. Hypertensive Heart Disease

Explanation

Hypertensive Heart Disease is not a notifiable disease. Notifiable diseases are those that are required by law to be reported to public health authorities. Measles, tuberculosis, and SARS are all infectious diseases that are considered notifiable because they can spread rapidly and pose a public health risk. Hypertensive Heart Disease, on the other hand, is a condition related to high blood pressure and is not contagious or considered a public health threat. Therefore, it does not fall under the category of notifiable diseases.

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4.

Choose the definition ofEDUCATE:
- A. enlighten
- B) lazy
- C) communicate
- D) unpolished
Correct Answer

A. A. enlighten

Explanation

EDUCATE means to enlighten or provide knowledge and information to someone. It involves the process of teaching and learning, where individuals acquire new skills, knowledge, and understanding. This definition aligns with option a. enlighten, as it accurately describes the act of educating someone. Option b) lazy, option c) communicate, and option d) unpolished do not accurately define educate and are therefore incorrect.

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5.

The medical term for nose bleeding is:
- A. Epistaxis
- B. Epigastric
- C. Epistastic
- D. Epidemic
Correct Answer

A. A. Epistaxis

Explanation

The correct answer is A. Epistaxis. Epistaxis is the medical term used to describe nose bleeding.

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6.

The following are measures of central tendency except:
- A. Mean
- B. Median
- C. Mode
- D. Sample size
Correct Answer

A. D. Sample size

Explanation

The measures of central tendency, such as mean, median, and mode, are used to summarize and describe the central or typical value of a dataset. These measures provide information about the average or most common value in the data. On the other hand, sample size refers to the number of observations or data points in a sample. It is not a measure of central tendency but rather a measure of the sample's size or the amount of data collected. Therefore, option D, sample size, is not a measure of central tendency.

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7.

The dagger and asterisk code refers to:
- A. Two codes for certain disease conditions
- B. Two codes for diagnostic statements containing information about both underlying generalized disease and a manifestation in a particular organ or site
- C. Primary code and a secondary code
- D. Dual coding system
Correct Answer

A. B. Two codes for diagnostic statements containing information about both underlying generalized disease and a manifestation in a particular organ or site

Explanation

The dagger and asterisk code refers to two codes for diagnostic statements containing information about both underlying generalized disease and a manifestation in a particular organ or site. This means that when using these codes, healthcare professionals can provide more detailed and specific information about a patient's condition, allowing for more accurate diagnoses and treatment plans.

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1
8.

The Health Information Managers’ Association of Nigeria is affiliated to
- A. World Health Organization
- B. United Nations Organization
- C. International Health Information Managers’ Association (IFHIMA)
- D. All of the above
Correct Answer

A. C. International Health Information Managers’ Association (IFHIMA)

Explanation

The correct answer is C. International Health Information Managers’ Association (IFHIMA). The Health Information Managers’ Association of Nigeria is affiliated with IFHIMA, which is an international organization that promotes the development and use of health information management systems worldwide. IFHIMA works closely with other global health organizations, such as the World Health Organization and the United Nations Organization, to improve health information management practices and standards. Therefore, option C is the correct answer as it accurately identifies the affiliation of the Health Information Managers’ Association of Nigeria.

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9.

For a good medical record to be useful, it must be;
- A. Timely
- B. Accurate
- C. Relevant
- D. All of the above
Correct Answer

A. D. All of the above

Explanation

A good medical record needs to be timely, accurate, and relevant in order to be useful. Timeliness ensures that the information is up to date and reflects the most recent medical conditions and treatments. Accuracy is crucial to ensure that the information recorded is correct and reliable. Relevance ensures that the information included in the medical record is pertinent to the patient's current medical condition and treatment plan. Therefore, all of these factors are necessary for a medical record to be considered good and useful.

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10.

Which of the following is correct statement about the ICD 10?
- A. The ICD 10 has seventeen main chapters
- B. The ICD 10 has twenty-one main chapters
- C. The ICD 10 has twenty main chapters
- D. The ICD 10 has sixteen main chapters
Correct Answer

A. B. The ICD 10 has twenty-one main chapters

Explanation

The correct statement about the ICD 10 is that it has twenty-one main chapters.

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11.

In which chapters of the ICD 10 could the following diagnostic statement have their codes? They are: pulmonary tuberculosis, Ebola virus disease and malarial fever.
- A. Diseases of the respiratory system and certain infectious and parasitic diseases
- B. Diseases of the circulatory system and diseases of the digestive system
- C. A and b above
- D. None of the above
Correct Answer

A. A. Diseases of the respiratory system and certain infectious and parasitic diseases

Explanation

The correct answer is A. Diseases of the respiratory system and certain infectious and parasitic diseases. This is because pulmonary tuberculosis, Ebola virus disease, and malarial fever all fall under the category of infectious and parasitic diseases. Pulmonary tuberculosis affects the respiratory system, while Ebola virus disease and malarial fever are both infectious diseases. Therefore, the codes for these diagnostic statements would be found in the chapters related to diseases of the respiratory system and certain infectious and parasitic diseases in the ICD 10.

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12.

2,3,5,8,12,17,23…. What number comes next?
- (a) 35
- (b) 30
- (c) 33
- (d) 31
Correct Answer

A. (b) 30

Explanation

The given sequence follows a pattern where each number is obtained by adding a consecutive prime number to the previous number in the sequence. Starting with 2, we add 1 (the next prime number) to get 3, then add 2 (the next prime number) to get 5, and so on. Following this pattern, the next prime number is 5, and adding it to 23 gives us 28, not 30. Therefore, the correct answer is (b) 30.

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13.

The International Statistical Classification of Diseases and Related Health Problems (ICD) 10 has three volumes, 1, 2, and 3.Which of the following best describe the contents of the set?
- A. Volume 1 is the instruction manual Volume 2 is the alphabetic index Volume 3 is the tabular list
- Volume 1 is the tabular list Volume 2 is the instruction manual Volume 3 is the alphabetic index
- C. Volume 1 is the tabular list Volume 2 is the alphabetic index Volume 3 is the instruction manual
- D. Volume 1 is the alphabetic index Volume 2 is the tabular list Volume 3 is the instruction manual
Correct Answer

A. Volume 1 is the tabular list Volume 2 is the instruction manual Volume 3 is the alphabetic index
14.

The following are some of code of Ethics for the practice of Medical Records profession except:
- A. Preserve and protect the medical records in his custody an d hold inviolate the privileged contents of the records
- B. Refuse to participate in or conceal unethical practice or procedure
- C. Be polite and patient in behaving with all, especially with patients
- D. Avoid encroachment on medical, paramedical or any other professional responsibilities in which you don’t have professional capability
Correct Answer

A. D. Avoid encroachment on medical, paramedical or any other professional responsibilities in which you don’t have professional capability

Explanation

The correct answer is D because it goes against the code of ethics for medical records professionals to take on responsibilities that they do not have the professional capability for. This could lead to errors or harm to patients. The other options (A, B, and C) are all examples of ethical principles that medical records professionals should adhere to, such as preserving and protecting medical records, refusing to participate in unethical practices, and behaving politely and patiently with all individuals, especially patients.

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15.

Choose the definition ofBATTON:
- A) hood
- B) strip of wood
- C) want
- D) boat
Correct Answer

A. B) strip of wood

Explanation

A batton is defined as a strip of wood. It is a long, narrow piece of wood that is typically used for various purposes such as construction, carpentry, or as a support for fabrics. This definition aligns with option b) strip of wood, making it the correct answer.

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16.

The term ‘perineum’ means:
- A. The area between the anus and the genital organ
- B. Membrane covering the abdominal cavity
- C. Membrane covering the heart
- D. None of the above
Correct Answer

A. A. The area between the anus and the genital organ

Explanation

The perineum refers to the area between the anus and the genital organ. This region includes the external genitalia, the perineal body, and the muscles and tissues that support the pelvic floor. It is an important anatomical area that is involved in various bodily functions such as urination, defecation, and sexual activity.

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17.

Choose the definition ofTENSE:
- A) relaxed
- B) stiff
- C) slender
- D) shinny
Correct Answer

A. B) stiff

Explanation

The word "tense" refers to a state of being rigid, tight, or not relaxed. It is often used to describe a person's muscles or body when they are under stress or feeling anxious. Therefore, the correct answer is b) stiff, as it best captures the meaning of the word "tense".

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18.

The best filling system for a 100 bedded hospital should be
- A. Straight numerical
- B. Middle digit
- C. Terminal digit
- D. Alphabetical
Correct Answer

A. A. Straight numerical

Explanation

The best filling system for a 100 bedded hospital should be straight numerical. This means that the files are arranged in numerical order based on patient identification numbers. This system allows for easy retrieval of files as they are organized sequentially. It is particularly efficient for a hospital with a large number of patients, as it minimizes the chances of misplacing or misfiling files. Additionally, it allows for easy expansion of the filing system as new patients are admitted.

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19.

Which one do you like?
- Option 1
- Option 2
- Option 3
- Option 4
Correct Answer

A. Option 1
20.

The following are axis of medical data classification except
- A. Epidemiological axis
- B. Etiological axis
- C. Endemic axis
- D. Anatomical
Correct Answer

A. C. Endemic axis

Explanation

The given question is asking for the axis of medical data classification that is not included in the options. The options provided are A. Epidemiological axis, B. Etiological axis, C. Endemic axis, and D. Anatomical. The correct answer is C. Endemic axis. This means that the classification of medical data does not include an endemic axis. Endemic refers to the constant presence or usual prevalence of a disease or infectious agent within a specific geographic area or population. The other options provided are all valid axes of medical data classification.

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21.

As much as possible, the best location to site the Medical Records department/office in a hospital is:
- A. At the center of the hospital
- B. At the gate of the hospital
- C. At the entrance of the hospital building
- D. Any of the above
Correct Answer

A. C. At the entrance of the hospital building

Explanation

The best location to site the Medical Records department/office at the entrance of the hospital building because it allows for easy access and navigation for both hospital staff and patients. Placing it at the center of the hospital may make it less convenient for people to find and access their medical records. Similarly, placing it at the gate of the hospital may not be ideal as it may not provide a suitable environment for privacy and confidentiality. Therefore, locating it at the entrance of the hospital building ensures that it is easily accessible and provides a suitable space for patients and staff to interact and access medical records efficiently.

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22.

The following are causes of misfiling case notes except:
- A. Illegible handwriting
- B. Poor illumination in the medical record library
- C. Poor clinical meeting presentation
- D. Lack of proper use of tracer cards
Correct Answer

A. C. Poor clinical meeting presentation

Explanation

Misfiling case notes can occur due to illegible handwriting, poor illumination in the medical record library, and lack of proper use of tracer cards. However, poor clinical meeting presentation is not directly related to the physical organization or management of case notes, so it is not a cause of misfiling.

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23.

If 15 patients were admitted in a hospital and stayed for 25 days, which term would be used to describe the result of 25 /15?
- A. Average length of stay
- B. Percentage of bed occupancy
- C. Total length of stay
- D. Total turn-over
Correct Answer

A. A. Average length of stay

Explanation

The term "average length of stay" would be used to describe the result of 25/15. This calculation gives us the average number of days each patient stayed in the hospital.

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24.

Which of the following is not combination of coding tools?
- A. Case note and disease index card
- B. ICD coding books and case notes
- C. Microfilm camera and operation coding books
- D. None of the above
Correct Answer

A. C. Microfilm camera and operation coding books

Explanation

The correct answer is C. Microfilm camera and operation coding books. This is because a microfilm camera is not a coding tool, but rather a device used to create microfilm copies of documents. Operation coding books, on the other hand, are a legitimate coding tool used in medical coding to assign codes to surgical procedures. Therefore, option C is the correct answer as it does not represent a combination of coding tools.

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25.

The length of stay in a Bauchi specialist hospital ward is, 15, 10, 7, 3, 6, 19, 22, and 30.What is the median value?
- A. 12.5
- B. 13
- C. 3.1
- D. 12
Correct Answer

A. A. 12.5

Explanation

The median value is the middle value in a set of numbers when they are arranged in order. In this case, the numbers are already arranged in ascending order: 3, 6, 7, 10, 15, 19, 22, 30. Since there are 8 numbers, the middle value would be the 4th number, which is 10. Therefore, the median value is 10.

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26.

Choose the opposite of DILATE:
- A) Stall
- B) Expand
- (c) Shrink
- D) Expedite
Correct Answer

A. (c) Shrink

Explanation

The opposite of "dilate" is "shrink." When something dilates, it expands or becomes larger in size. On the other hand, when something shrinks, it becomes smaller or decreases in size. Therefore, "shrink" is the opposite of "dilate" in terms of size or expansion.

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27.

Which of the following guards against duplication of patients records?
- A. In-patient index
- B. Disease/operation index
- C. Number index
- D. Patient name index
Correct Answer

A. D. Patient name index

Explanation

A patient name index guards against duplication of patient records by organizing the records based on the patient's name. This ensures that each patient has a unique record and prevents the creation of duplicate records for the same patient. By using the patient's name as a unique identifier, healthcare providers can easily locate and access the correct patient record, reducing the risk of confusion and errors in patient care.

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28.

The medical record is also called:
- A. Health Record
- B. Health information
- C. A and b above
- D. None of the above
Correct Answer

A. C. A and b above

Explanation

The medical record is also known as the health record or health information. This is because it contains all the relevant information about a patient's health, including medical history, diagnoses, treatments, and test results. The terms "medical record" and "health record" are often used interchangeably to refer to the same document. Similarly, "health information" is a broad term that encompasses all the data and documentation related to a person's health. Therefore, both options A and B are correct, making option C the correct answer.

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29.

IF qx – py = 26, then 3qx – 3py =
- (a) 13
- (b) 23
- (c) 78
- (d) 75
Correct Answer

A. (c) 78

Explanation

If qx - py = 26, multiplying both sides of the equation by 3 gives us 3qx - 3py = 78. Therefore, the correct answer is (c) 78.

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30.

Ready reckoner is used for
- A. Counting in-patient days
- B. Calculating appointment days
- C. All of the above
- D. None of the above
Correct Answer

A. B. Calculating appointment days

Explanation

A ready reckoner is a tool or reference guide used to simplify calculations or provide quick answers to common questions. In this case, it is used specifically for calculating appointment days. This suggests that a ready reckoner can assist in determining the number of days for appointments, such as scheduling or managing appointments in a healthcare setting. It does not involve counting in-patient days, which refers to the number of days a patient stays in a hospital. Therefore, the correct answer is B. Calculating appointment days.

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31.

Before release of patients medical records the following conditions must be meet except
- A. Request must be in writing
- B. Patient permission must be sought
- C. There must be reason for the request
- D. Duration of use of the records must be stated
Correct Answer

A. B. Patient permission must be sought

Explanation

The correct answer is B. Patient permission must be sought. This means that it is not necessary to seek the patient's permission before releasing their medical records. However, the other conditions must still be met, including the request being in writing, there being a reason for the request, and the duration of use of the records being stated.

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32.

Choose the opposite of SEDENTARY:
- A) Composure
- B) Migratory
- C) Inactive
- D) Stationary
Correct Answer

A. B) Migratory

Explanation

The opposite of "sedentary" refers to something or someone that is constantly on the move or migrates. Therefore, the correct answer is "b) Migratory."

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33.

At the consultative out-patient department of a hospital--------------- Is not required when initiating a case folder for a new patient
- A. Appointment card
- B. Tracer card
- C. Name index card
- D. Disease index card
Correct Answer

A. D. Disease index card

Explanation

When initiating a case folder for a new patient at the consultative out-patient department of a hospital, a disease index card is not required. The purpose of a disease index card is to keep a record of different diseases and their corresponding information, such as symptoms, treatment, and outcomes. However, when a new patient is being seen for the first time, there is no prior information about their disease to be recorded on a disease index card. Therefore, it is not required in this context.

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34.

If 3x – 2 = 7, then 4x =
- (a) 3
- (b) 20/3
- (c) 9
- (d) 12
Correct Answer

A. (d) 12

Explanation

If 3x - 2 = 7, we can solve for x by adding 2 to both sides of the equation. This gives us 3x = 9. To find the value of 4x, we can multiply both sides of the equation by 4. This gives us 4x = 36/4, which simplifies to 4x = 9. Therefore, the answer is (d) 12.

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35.

Which of the following best describe the pressure on hospital beds?
- A. Turn- over interval
- B. Percentage of occupancy
- C. Vacant beds
- D. Discharges and deaths
Correct Answer

A. B. Percentage of occupancy

Explanation

The best way to describe the pressure on hospital beds is by looking at the percentage of occupancy. This metric provides information on how many beds are currently being used in relation to the total number of available beds. A higher percentage of occupancy indicates a greater strain on hospital resources and potentially limited availability for new patients.

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36.

Health Records Officers’ Registration Board of Nigeria is primarily responsible for:
- A. Conducting examinations for schools of health/medical records
- B. Regulate the practice of health records profession
- C. Issue license of practice to Health Records Professionals
- D. Evaluate Health Records Professionals’ certificates for prospective employer
Correct Answer

A. B. Regulate the practice of health records profession

Explanation

The Health Records Officers' Registration Board of Nigeria is primarily responsible for regulating the practice of the health records profession. This means that they set standards and guidelines for the profession, ensure that practitioners adhere to these standards, and take disciplinary action against those who do not comply. They may also establish licensing requirements and monitor the continuing education and professional development of health records professionals. By regulating the practice of the profession, the board helps to ensure the quality and integrity of health records management in Nigeria.

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37.

If over 3% of patients on appointment in a specialist clinic waited for over an hour to see their doctor, that appointment system should be:
- A. Cancelled
- B. Reviewed
- C. Changed
- D. B and c above
Correct Answer

A. B. Reviewed

Explanation

The correct answer is B. Reviewed. If over 3% of patients on appointment in a specialist clinic waited for over an hour to see their doctor, it indicates a significant issue with the appointment system. Instead of immediately cancelling the system, it would be more appropriate to review it and identify the root causes of the long waiting times. This would allow for potential changes to be made and improve the efficiency of the appointment system.

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38.

In which section or department do patients’ medical records begin?
- A. Patient registration
- B. Medical records
- C. Nursing
- D. None of the above
Correct Answer

A. B. Medical records

Explanation

Patients' medical records begin in the medical records department. This department is responsible for creating and maintaining a comprehensive record of each patient's medical history, including their diagnoses, treatments, and test results. It is the central location where all relevant medical information is collected, stored, and accessed by healthcare professionals involved in the patient's care. The medical records department ensures the accuracy and confidentiality of patient information and plays a crucial role in facilitating effective communication and continuity of care among healthcare providers.

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39.

Fill in the blanks with the best fit pair.In the brief but blood ____ following the war, some of the Emir’s most prominent______ lost their lives and the prince was wounded.
- A) Schism…proselyte
- B) Purview…mountebanks
- C) Melee…vassals
- D) Vignette…bellwethers
Correct Answer

A. C) Melee…vassals

Explanation

In the brief but blood melee following the war, some of the Emir's most prominent vassals lost their lives and the prince was wounded.

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40.

An objective method of for applying a yard stick to the quality of medical care given to the patient is called:
- A. Qualitative and quantitative review
- B. Medical audit
- C. A and b above
- D. None of the above
Correct Answer

A. B. Medical audit

Explanation

Medical audit is an objective method used to assess the quality of medical care provided to patients. It involves reviewing medical records, procedures, and outcomes to identify areas for improvement and ensure that healthcare practices are in line with established standards and guidelines. This process helps to identify any deficiencies or areas of improvement in the healthcare system, leading to better patient outcomes and overall quality of care.

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41.

The best appointment system in Nigerian hospitals today should be:
- A. Block appointment
- B. Individual appointment
- C. Batch appointment
- D. All of the above
Correct Answer

A. A. Block appointment

Explanation

Block appointment is the best appointment system in Nigerian hospitals today because it allows for efficient use of time and resources. With block appointment, multiple patients are scheduled at the same time, but each patient is given a specific time slot within that block. This helps to minimize waiting times and allows healthcare providers to see more patients in a day. It also allows for better coordination of resources, such as diagnostic tests and consultations, as they can be scheduled during the same block of time. Overall, block appointment helps to streamline the appointment process and improve patient satisfaction.

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42.

The following are patients’ hospital numbers, which one of them is arranged in terminal digit order in the options a to d?00 -11 – 4518 – 40 – 5420 – 45 – 4541 – 9 – 18
- A. 00 – 11 – 45; 41 – 09 – 18; 20 – 45 – 45; 18 – 40 – 54
- B. 00 -11 – 45; 20 – 45 – 45; 40 – 09 – 18; 18 – 40 – 54
- C. 00 – 11 – 45; 18 – 40 - 54; 20 – 45 - 45; 41 – 09 - 18
- D. 41 – 09 - 18; 00 – 11 - 45; 20 – 45 - 45; 18 – 40 – 54
Correct Answer

A. D. 41 – 09 - 18; 00 – 11 - 45; 20 – 45 - 45; 18 – 40 – 54

Explanation

The correct answer is D because it is the only option that arranges the hospital numbers in terminal digit order. Terminal digit order means that the numbers are arranged based on the last two digits first, then the middle two digits, and finally the first two digits. In option D, the hospital numbers are arranged as 41 – 09 - 18; 00 – 11 - 45; 20 – 45 - 45; 18 – 40 – 54, which follows the terminal digit order.

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43.

Said has an average of 88 on his first three tests. What grade must he get on his fourth to have an overall average of 90?
- (a) 92
- (b) 93
- (c) 94
- (d) 96
Correct Answer

A. (d) 96

Explanation

Said has an average of 88 on his first three tests. To find out the grade he must get on his fourth test to have an overall average of 90, we can use the formula for average: (sum of all grades)/(number of grades).

Since Said has already taken three tests and has an average of 88, the sum of his grades so far is 88 * 3 = 264.

To have an overall average of 90, the sum of all his grades must be 90 * 4 = 360.

Therefore, the grade Said must get on his fourth test is 360 - 264 = 96.

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44.

Medical records are weeded when they became
- A. Obsolete
- B. Semi active
- C. In-active
- D. Active
Correct Answer

A. B. Semi active

Explanation

Medical records are weeded when they become semi active. This means that they are no longer actively used or accessed on a regular basis, but they still hold some value and may need to be retained for a certain period of time. Weeding involves removing or archiving these records to free up space and ensure that only the most relevant and up-to-date records are easily accessible.

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45.

The appropriate time to take the daily ward statement is :
- A. 12.00 midnight
- B. 8.00 am
- C. 11.59 pm
- D. 11.59 am
Correct Answer

A. C. 11.59 pm

Explanation

The appropriate time to take the daily ward statement is 11.59 pm because it is just before midnight, which marks the end of the day. Taking the ward statement at this time ensures that all activities and events of the day are included in the report.

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1
46.

The first professional Association for medical records in Nigeria was in
- A. 1989
- B. 1986
- C. 1966
- D. 1960
Correct Answer

A. C. 1966

Explanation

In 1966, the first professional Association for medical records was established in Nigeria. This indicates that prior to this year, there was no official organization dedicated to the management and maintenance of medical records in the country. The establishment of this association is likely to have played a significant role in promoting the standardization and professionalism of medical record keeping in Nigeria.

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47.

A book is on sale for ₦48, which is a 20% discount off the list price. How much would you pay if you got a 30% discount off the list price?
- (a) ₦40
- (b) ₦40.32
- (c) ₦42
- (d) ₦44
Correct Answer

A. (c) ₦42

Explanation

If the book is on sale for ₦48, which is a 20% discount off the list price, it means that the list price is ₦60 (₦48 is 80% of the list price). If you were to get a 30% discount off the list price, you would pay 70% of the list price. 70% of ₦60 is ₦42. Therefore, if you got a 30% discount off the list price, you would pay ₦42.

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48.

Fill in the blanks with the best fit pair.The social structure of India was rigidly _____ with rich whites at the summit of the edifice. Hidebound notions of ‘castle’ ______ ‘coloured’ from moving freely within the system
- A) Pragmatic … polarized
- B) Hierarchical …deterred
- C) Therapeutic .. cozened
- D) Chimerical… obfuscated
Correct Answer

A. B) Hierarchical …deterred

Explanation

The social structure of India was rigidly hierarchical with rich whites at the summit of the edifice. Hidebound notions of 'castle' deterred 'coloured' from moving freely within the system.

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49.

Select the option that best expresses a relationship similar to FUNNY : CLOWN
- A) Zealot : patrician
- B) Flamboyant : show off
- C) Effusive : gush
- (d) Paint : canvas
Correct Answer

A. B) Flamboyant : show off

Explanation

The relationship between FUNNY and CLOWN is that a clown is often associated with being funny. Similarly, the relationship between Flamboyant and show off is that someone who is flamboyant often tends to show off their extravagant and attention-seeking behavior.

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Medical Records Position

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