MEDICAL OFFICE FINAL EXAM
QUESTIONS WITH CORRECT ANSWERS.
Five C's Rules of Medical Charting
Concise
Complete
Clear
Correct
Chronologic
True or False: SOAP stands for Symptoms, Objective, Assessment, and Plan.
False
Subjective, Objective, Assessment, and Plan
True or False: Objective findings are observations by the clinical medical assistant and the
healthcare provider, examination findings, and the patient vital signs
True
True or False: As a medical administrative assistant, you will be filling in both flow and
growth charts.
False
True or False: Progress notes documents patients' status with certain conditions.
True
True or False: Narrative notes are the doctor's possible diagnosis, or the diagnosis that the
physician wishes to rule out for that visit
False
It is a written description of the visit
, Who should correct a medial chart when there is an error?
Only the person who made the error
What does NOT need to be included in a "Late Entry"
A. The date of the visit the late entry pertains to
B. The signature of the person making the late entry
C. The notes originally omitted from the entry
D. The signature of the physician caring for the patient
The signature of the physician caring for the patient
Which of the following is true?
A. Patients have the right to access their medical records
B. Patients can be left alone when reviewing their charts
C. The physician must change an entry if a patient believes there is an error
D. Patients can never correct their medical records
Patients have the right to access their medical records
What should you do when you feel an order may harm a patient?
A. Consult the physician out of the patients' hearing range
B. Chart the events if the physician insists that the orders be followed
C. Include the physicians' responses in the patients' chart.
D. All of the above
All of the above
EHR
electronic health record
An EHR benefit that helps save space when storing records
Ease of Storage
QUESTIONS WITH CORRECT ANSWERS.
Five C's Rules of Medical Charting
Concise
Complete
Clear
Correct
Chronologic
True or False: SOAP stands for Symptoms, Objective, Assessment, and Plan.
False
Subjective, Objective, Assessment, and Plan
True or False: Objective findings are observations by the clinical medical assistant and the
healthcare provider, examination findings, and the patient vital signs
True
True or False: As a medical administrative assistant, you will be filling in both flow and
growth charts.
False
True or False: Progress notes documents patients' status with certain conditions.
True
True or False: Narrative notes are the doctor's possible diagnosis, or the diagnosis that the
physician wishes to rule out for that visit
False
It is a written description of the visit
, Who should correct a medial chart when there is an error?
Only the person who made the error
What does NOT need to be included in a "Late Entry"
A. The date of the visit the late entry pertains to
B. The signature of the person making the late entry
C. The notes originally omitted from the entry
D. The signature of the physician caring for the patient
The signature of the physician caring for the patient
Which of the following is true?
A. Patients have the right to access their medical records
B. Patients can be left alone when reviewing their charts
C. The physician must change an entry if a patient believes there is an error
D. Patients can never correct their medical records
Patients have the right to access their medical records
What should you do when you feel an order may harm a patient?
A. Consult the physician out of the patients' hearing range
B. Chart the events if the physician insists that the orders be followed
C. Include the physicians' responses in the patients' chart.
D. All of the above
All of the above
EHR
electronic health record
An EHR benefit that helps save space when storing records
Ease of Storage
