MEDICAL OFFICE EXAM 2 PAPER 2026 SOLVED
QUESTIONS AND FULL SOLUTION GRADED A+
◉ Which of the following is documented on the physical
examination?
Denies loss of hearing.
Patient's lungs are congested.
Zocar, 40 mg, daily.
"I'm feeling very tired lately.".
Answer: Patient's lungs are congested.
◉ All ancillary reports should be filed in the patient's record within
24 hours after interpretation of test results.
True
False.
Answer: true
◉ The major responsibility of a complete and accurate record rests
with the:
attending physician
medical director
,medical staff committee
director of HIM.
Answer: attending physician
◉ Ms. RHIT is analyzing and assembling a patient's record and
notices that a copy of a history and physical from the attending
physician's office was used in the record instead of an inpatient
history and physical. The office H&P was completed on January 2...
acceptable, as the H&P for this admission because it was completed
no more than seven days prior to admission
unacceptable because the office H&P was not completed within 24
hours prior to admission.
unacceptable because only a newly documented inpatient H&P is
acceptable
acceptable, as the H&P for this admission because it was placed on
the record within 24 hours..
Answer: acceptable, as the H&P for this admission because it was
completed no more than seven days prior to admission
,◉ Electrocardiogram (EKG) reports include a graphic printout of
measurements of the electrical activity of the brain.
True
False.
Answer: False
◉ Which is an example of clinical data?
Patient property form
Informed consent
Anesthesiology report
Advance directive.
Answer: Anesthesiology report
◉ Dr. Smith documents in a patient's record that the patient may be
released from the recovery room. This would be documented as part
of the
progress notes
postanesthesia note
operative report
postoperative note.
Answer: postanesthesia note
, ◉ Review the following patient record entry, and determine in
which report it would be documented.
Skin No jaundice; reveals pale, cool, moist surfaceChest Respirations
normalLungs Clear on inspection, percussion, and
auscultationAbdomen No tenderness, guarding, or
rigidityExtremities No significant findingsGenitalia NormalRectal
Deferred
Physical examination
Chief complaint
Review of systems
History of present illness.
Answer: Physical examination
◉ The Patient Self Determination Act of 1990 required that all
health care facilities notify patients age 18 and over that they have
the right to have an advance directive placed in their record.
True
False.
Answer: True
QUESTIONS AND FULL SOLUTION GRADED A+
◉ Which of the following is documented on the physical
examination?
Denies loss of hearing.
Patient's lungs are congested.
Zocar, 40 mg, daily.
"I'm feeling very tired lately.".
Answer: Patient's lungs are congested.
◉ All ancillary reports should be filed in the patient's record within
24 hours after interpretation of test results.
True
False.
Answer: true
◉ The major responsibility of a complete and accurate record rests
with the:
attending physician
medical director
,medical staff committee
director of HIM.
Answer: attending physician
◉ Ms. RHIT is analyzing and assembling a patient's record and
notices that a copy of a history and physical from the attending
physician's office was used in the record instead of an inpatient
history and physical. The office H&P was completed on January 2...
acceptable, as the H&P for this admission because it was completed
no more than seven days prior to admission
unacceptable because the office H&P was not completed within 24
hours prior to admission.
unacceptable because only a newly documented inpatient H&P is
acceptable
acceptable, as the H&P for this admission because it was placed on
the record within 24 hours..
Answer: acceptable, as the H&P for this admission because it was
completed no more than seven days prior to admission
,◉ Electrocardiogram (EKG) reports include a graphic printout of
measurements of the electrical activity of the brain.
True
False.
Answer: False
◉ Which is an example of clinical data?
Patient property form
Informed consent
Anesthesiology report
Advance directive.
Answer: Anesthesiology report
◉ Dr. Smith documents in a patient's record that the patient may be
released from the recovery room. This would be documented as part
of the
progress notes
postanesthesia note
operative report
postoperative note.
Answer: postanesthesia note
, ◉ Review the following patient record entry, and determine in
which report it would be documented.
Skin No jaundice; reveals pale, cool, moist surfaceChest Respirations
normalLungs Clear on inspection, percussion, and
auscultationAbdomen No tenderness, guarding, or
rigidityExtremities No significant findingsGenitalia NormalRectal
Deferred
Physical examination
Chief complaint
Review of systems
History of present illness.
Answer: Physical examination
◉ The Patient Self Determination Act of 1990 required that all
health care facilities notify patients age 18 and over that they have
the right to have an advance directive placed in their record.
True
False.
Answer: True
