Clinical Procedures for Medical Assistants
By; Kathy Bonewit-West
11th Edition
,Table of Contents
1 The Medical Record and Health History
2 Medical Asepsis and the OSHA Standard
3 Sterilization and Disinfection
4 Vital Signs
5 The Physical Examination
6 Eye and Ear Assessment and Procedures
7 Physical Agents to Promote Tissue Healing
8 The Gynecologic Examination and Prenatal Care
9 The Pediatric Examination
10 Minor Office Surgery
11 Administration of Medication and Intravenous Therapy
12 Cardiopulmonary Procedures
13 Colorectal and Male Reproductive Tests and Procedures
14 Radiology and Diagnostic Imaging
15 Introduction to the Clinical Laboratory
16 Urinalysis
17 Phlebotomy
18 Hematology
19 Blood Chemistry and Immunology
20 Medical Microbiology
21 Nutrition
22 Emergency Preparedness and Protective Practices
23 Emergency Medical Procedures and First Aid
,Chapter 01: The Medical Record
Bonewit-West: Clinical Procedures For Medical Assistants, 11th Edition
MULTIPLE CHOICE
1. What Information Is Contained In The Medical Record?
a. Health History Report
b. Results Of The Physical Examination
c. Laboratory Reports
d. Progress Notes
e. All Of The Above
ANS: E REF: Pp. 2-3| CAAHEP Competency
(2015): VI.4 OBJ: 2
2. Which Of The Following Is Not A Function Of The Medical Record?
a. To Provide Information For Making Decisions Regarding The Patient’s Care
b. To Document The Patient’s Progress
c. To Serve As A Legal Document
d. To Share Information Between Members Of The Patient’s Family
ANS: D REF: P. 2| CAAHEP Competency
(2015): VI.4 OBJ: 1
3. The Purpose Of The HIPAA Privacy Rule Is To
a. Reduce Exposure Of Patients To Bloodborne Pathogens.
b. Provide Patients With B e t t e rncuo nrt s
r oil N
ovgetr Tb
he.U
csoe mand Disclosure
Of Their Health Information.
c. Prevent The Patient’s Records From Being Copied.
d. Encourage The Patient To Become More Involved In Preventive Health Care.
ANS: B REF: P. 4 | CAAHEP Competency
(2015): IX.3 OBJ: 2
4. All Of The Following Are Characteristics Of The Notice Of Privacy Practices
Except:
a. Was Developed By The American Medical Association
b. Must Explain How A Patient’s Health Information Will Be Used And
Protected By The Medical Office
c. Must Be Provided To Each Patient
d. Must Obtain A Signed Acknowledgment From The Patient That
He/She Has Received An NPP
ANS: A REF: P. 4| CAAHEP Competency
(2015): IX.3 OBJ: 2
5. Health Information In Any Form That Contains Patient Identifiable Information
Is Known As
a. PHI.
b. NPP.
c. OSHA.
d. HIPAA.
, ANS: A REF: P. 4| CAAHEP Competency
(2015): IX.3 OBJ: 2
6. In Which Of The Following Situations Does HIPAA Not Require Written
Consent For The Use Or Disclosure Of Protected Health Information?
a. Patient Referral To A Specialist
b. Emergency Care Provided At A Hospital
c. Determination Of Eligibility For Insurance Benefits
d. Training Of Health Care Students
e. All Of The Above
ANS: E REF: P. 4| CAAHEP Competency
(2015): IX.3 OBJ: 2
7. Which Of The Following Is Not An Example Of A Medical Office Clinical
Document?
a. Patient Registration Record
b. Physical Examination Report
c. Medication Record
d. Health History Report
ANS: A REF: Pp. 2-3| CAAHEP Competency
(2015): VI.4 OBJ: 2
8. Which Of The Following Is Not A Characteristic Of A Laboratory Report?
a. It Relays Results Of Laboratory Tests To The Provider
b. It Consists Of A Report Of The Analysis Or Examination Of Body Specimens
c. It Assists In Diagnosing And Treating Disease
d. It Is A Request For Laboratoryntuesrtsstio N
begpteb
rf.Orcmoem
d By An Outside Laboratory
ANS: D REF: Pp. 2-3| CAAHEP Competency
(2015): VI.4 OBJ: 2
9. Which Of The Following Is An Example Of A Diagnostic Procedure Report?
a. Electrocardiogram Report
b. Physical Therapy Report
c. Urinalysis Report
d. Pathology Report
ANS: A REF: Pp. 2-3| CAAHEP Competency
(2015): VI.4 OBJ: 2
10. What Is The Name Of The Type Of Report That Documents The
Assessments And Treatments Designed To Restore A Patient’s Ability To
Function?
a. Consultation Report
b. Diagnostic Procedure Report
c. Pathology Report
d. Therapeutic Service Report
ANS: D REF: Pp. 2-3| CAAHEP Competency
(2015): VI.4 OBJ: 2
11. Which Of The Following Is Not An Example Of A Hospital Report?
a. Operative Report