MDCA 1321 Exam Review Ch 15
Questions & Answers 2024/2025
____ serve as QA managers, to oversee risk management, and to function as editors or auditors of
medical documents. - ANSWERSMedical transcriptions
The ____ documents the patient's history of hospital admissions. - ANSWERSdischarge summery
When one physician requests the services of another physician in the care and treatment of a patient,
a/an ____ report is generated. - ANSWERSconsultation
____ are a concise description of the patient's encounter with the medical clinic. - ANSWERSChart notes
The ___ chronicles the details of a surgical procedure performed in a hospital, outpatient surgical center,
or clinic. - ANSWERSoperative report
A (an) ____ is generated to describe the gross and microscopic examinations performed on organs,
lesions, sample tissues, or body fluid removed during a surgical procedure. - ANSWERSpathology report
The contents of the ____ report usually contain all of the elements of an H&P with a focused history of
the patient's illness and body system directly related to the consultant's area of specialty. -
ANSWERSconsultation
Chart notes, or ____ notes, are the physician's formal or informal notes about a patient's present
problem, the physician's physical findings, and the treatment plan. - ANSWERSprogress
___ is the process of reviewing the transcribed document for accuracy and clarity. - ANSWERSEditing
The practice of contracting with a service outside of the clinic or hospital to a company where the task
can be accomplished at a lower cost and with a faster turnaround time is called - ANSWERSoutsourcing
Questions & Answers 2024/2025
____ serve as QA managers, to oversee risk management, and to function as editors or auditors of
medical documents. - ANSWERSMedical transcriptions
The ____ documents the patient's history of hospital admissions. - ANSWERSdischarge summery
When one physician requests the services of another physician in the care and treatment of a patient,
a/an ____ report is generated. - ANSWERSconsultation
____ are a concise description of the patient's encounter with the medical clinic. - ANSWERSChart notes
The ___ chronicles the details of a surgical procedure performed in a hospital, outpatient surgical center,
or clinic. - ANSWERSoperative report
A (an) ____ is generated to describe the gross and microscopic examinations performed on organs,
lesions, sample tissues, or body fluid removed during a surgical procedure. - ANSWERSpathology report
The contents of the ____ report usually contain all of the elements of an H&P with a focused history of
the patient's illness and body system directly related to the consultant's area of specialty. -
ANSWERSconsultation
Chart notes, or ____ notes, are the physician's formal or informal notes about a patient's present
problem, the physician's physical findings, and the treatment plan. - ANSWERSprogress
___ is the process of reviewing the transcribed document for accuracy and clarity. - ANSWERSEditing
The practice of contracting with a service outside of the clinic or hospital to a company where the task
can be accomplished at a lower cost and with a faster turnaround time is called - ANSWERSoutsourcing
