MEDICAL ASSISTANTS 11TH EDITION/ALL CHAPTERS
1-23/COMPLETE GUIDE 2024-2025
,CH 01: The Clinical Record
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Bonewit-West: Clinical Procedures for Clinical Assistants, 11thEdition fj jf jf jf jf jf fj
MULTIPLE CHOICE jf
1. Which ofthe following is not a function ofthe clinical record?
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a. To provide information for making decisionsregarding the patient’scare
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b. To document the patient’s progress jf jf jf jf
c. To serve asa legal document jf jf jf jf jf
d. To share information between members ofthe patient’s family
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ACCURATE CHOICE:D REF: page. 2| CAAHEP Competency (2015): V jf jf jf jf jf jf jf jf
I.4OBJ: 1
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2. What information iscontained inthe clinicalrecord?
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a. Health historyreport jf jf
b. Resultsofthe physicalexamination jf jf jf jf
c. Laboratory reports jf
d. Progressnotes jf
e. Allof the above jf jf jf
ACCURATE CHOICE:E REF: page. 2- jf jf jf jf
3| CAAHEP Competency (2015): VI.4OBJ: 2
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3. The purpose ofthe HIPAAPrivacy Rule is to
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a. reduceexposure ofpatientsto bloodborne pathogens. jf jf jf jf jf jf
b. providepatientswithb e tte rNcUonRtS
roIl N
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usOe Mand disclosureoftheirhealth
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information.
c. prevent the patient’s recordsfrombeing copied. jf jf jf jf jf jf
d. encouragethe patient to become more involved in preventive primaryhealth care. jf jf jf jf jf jf jf jf jf jf jf
ACCURATE CHOICE: B REF: page. 4 |CAAHEP Competency (2015): I jf jf j f j f jf jf jf jf jf jf
X.3OBJ: 2 jf j f
4. Allof the following are characteristics ofthe Notice of PrivacyPractices except:
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a. Wasdeveloped bythe American ClinicalAssociation jf jf jf jf jf jf
b. Must explain how a patient’shealth information will be usedand protected bythecli
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nical office jf
c. Must be provided to eachpatient jf jf jf jf jf
d. Must obtaina signedacknowledgment fromthepatient that he/she hasreceivedanN
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PP
ACCURATE CHOICE:A REF: page. 4| CAAHEP Competency (2015): I jf jf jf jf jf jf jf jf
X.3OBJ: 2 jf j f
5. Healthinformation inanyformthat containspatient identifiable information isknown as
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a. PHI.
b. NPAGE.
c. OSHA.
d. HIPAA.
, ACCURATE CHOICE:A REF: page. 4| CAAHEP Competency (2015): I jf jf jf jf jf jf jf jf
X.3OBJ: 2
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6. Inwhichofthe following situations doesHIPAA not require writtenconsent for the use ordiscl
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osure of protected health information?
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a. Patient referraltoaspecialist jf jf jf jf
b. Emergencycare provided at a medical center jf jf jf jf jf jf
c. Determinationofeligibility for insurance benefits jf jf jf jf jf
d. Training ofprimary health care students jf jf jf jf jf
e. Allof the above jf jf jf
ACCURATE CHOICE:E REF: page. 4|CAAHEP Competency (2015): I jf j f j f jf jf jf jf jf
X.3OBJ: 2
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7. Which ofthe following is not anexample ofa clinicaloffice clinicaldocument?
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a. Patient registrationrecord jf jf
b. Physicalexaminationreport jf jf
c. Medicationrecord jf
d. Health historyreport jf jf
ACCURATE CHOICE:A REF: page. 2- jf jf j f jf
3|CAAHEP Competency (2015): VI.4OBJ: 2
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8. Which ofthe following is not a characteristic ofa laboratoryreport?
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a. It relays results of laboratory teststo the provider
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b. It consists of a report ofthe analysis or examination of bodyspecimens
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c. It assists indiagnosing andtreating sickness
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d. It isarequest forl abo ratoryNtUesRt sStIoN
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ACCURATE CHOICE:D REF: page. 2- jf jf j f jf
3|CAAHEP Competency (2015): VI.4OBJ: 2
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9. Which ofthe following is an example of a diagnostic procedure report?
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a. Electrocardiogramreport jf
b. Physicaltherapyreport jf jf
c. Urinalysisreport jf
d. Pathologyreport jf
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3|CAAHEP Competency (2015): VI.4OBJ: 2
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10. What is the name ofthe type ofreport that documents the assessments and treatmentsdesi
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gned to restore a patient’s ability to function?
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a. Consultationreport jf
b. Diagnostic procedurereport jf jf
c. Pathologyreport jf
d. Therapeuticservice report jf jf
ACCURATE CHOICE:D REF: page. 2- jf jf j f jf
3|CAAHEP Competency (2015): VI.4OBJ: 2
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11. Whichof the following is not anexample ofa medical center report?
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a. Operative report jf
, b. Cytologyreport jf
c. Discharge summaryreport jf jf
d. Emergencydepartment report jf jf
ACCURATE CHOICE:B jf
REF: page. 2-3|CAAHEP Competency (2015): VI.4 OBJ: 2
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12. Which ofthe following is an example of aconsent document?
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a. Patient registrationrecord jf jf
b. Notice ofPrivacyPractices form jf jf jf jf
c. Release ofclinical information form jf jf jf jf
d. Patientinstructionsheet jf jf
ACCURATE CHOICE:C REF: page. 2- jf j f j f jf
3|CAAHEP Competency (2015): VI.4OBJ: 2
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13. Which ofthe following can be performed byan electronic clinical record software program?
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a. Creation ofa clinical record jf jf jf jf
b. Storage of a clinicalrecord jf jf jf jf
c. Editing ofa clinical record jf jf jf jf
d. Retrievalof a clinical record jf jf jf jf
e. Allof the above jf jf jf
ACCURATE CHOICE:E REF: page. 3|CAAHEP Competency (2015): V. jf j f j f jf jf jf jf jf
8OBJ: 3
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14. Allofthe following are advantages ofan electronic clinicalrecord (EMR) except
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a. anEMR does not have to be filed.
b. documents in an EMR can N beUqRuS
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c. more than one person can view anEMR at the same time. jf jf jf jf jf jf jf jf jf jf jf
d. EMRsare exempt fromthe HIPAAregulations. jf jf jf jf jf jf
ACCURATE CHOICE:D REF: page. 3, 6|CAAHEP Competency (2015): VI.1 jf jf j f jf jf jf jf jf jf
2OBJ: 5
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15. Which ofthe following are usedto enter data into an electronic clinicalrecord?
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a. Free-text entry jf
b. Drop-downmenus jf
c. Radio buttons jf
d. Allof the above jf jf jf
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V.8OBJ: 8 jf j f
16. How are paper documents entered into a patient’selectronic clinicalrecord?
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a. Byscanning them into the computer jf jf jf jf jf
b. Byretyping them onthe computer jf jf jf jf jf
c. Byphotocopying them jf jf
d. Bytransmitting themthrougha modem jf jf jf jf jf
ACCURATE CHOICE:A REF: page. 11| CAAHEP Competency (2015): jf jf jf jf jf jf jf jf
VI.4OBJ: 8 jf j f