Kaplan University

Most important purpose of the health record Correct Answer: - Document patient treatment - Healthcare providers to communicate among each other Health record also plays an important role as Correct Answer: A legal document. It provides critical evidence in the legal process How are laws classified? Correct Answer: Public law Private law Public law Correct Answer: Involves the government at any level and its relationship with individuals and organizations Private law Correct An...

The legal health record for disclosure consists of: a. Any and all protected health information data collected or used by a healthcare entity when delivering care b. Only the protected health information requested by an attorney for a legal proceeding c. The data, documents, reports, and information that comprise the formal business records of any healthcare entity that are to be utilized during legal proceedings d. All of the data and information included in the HIPAA Designated Record Set ...

A tool that identifies when a user logs in and out, what actions he or she takes, and more is called a(n): Correct Answer: Audit trail Which of the following statements is true regarding HIPAA security? Correct Answer: Institutions are allowed flexibility in the way they implement HIPAA standards Access to health records based on protected health information within a healthcare facility should be limited to employees who have a: Correct Answer: Legitimate need for access The release ...

A discharge summary must be completed within____days after discharge for most patients but within ___for patients transferred to other facilities. Discharge summaries are not always required for patients who were hospitalized for less than ___ - 30 days/24 hours/48 hours systematic random sample - a simple random sample that may be generated by selecting every fifth or every tenth member of the sampling frame. In order to ensure that a systematic random sample is truly random, the sample frame s...

A coding supervisor audits coded records to ensure the codes reflect the actual documentation in the health record. This coding auditing process addresses the data quality element of: a. Granularity b. Reliability c. Timeliness d. Accuracy - Correct Answer: D The quality of coded clinical data depends on a number of factors, including accuracy. Accuracy is ensuring that the coded data is free from error and a correct representation of the patient's diagnosis and procedures (Sharp and Madlock-Br...

Each month the staff of the clinic with the lowest overall waiting time is awarded a free dessert in the Gulfside healthcare center cafeteria. take a look at the information listed above. the winner will be selected based on a. demonstrative clinical data b. comparative aggregate data c. objective individual data d. duplicate thematic data - b. comparative aggregate data a union campaign is being conducted at your facility. as a department manager, it is appropriate for you to tell employees tha...

A four-digit code that describes a classification of a product or service provided to a patient is a - revenue code State Medicaid programs are required to offer medical assistance for - individuals with qualified financial need. Based on CMS's DRG system, other systems have been developed for payment purposes. The one that classifies the non-Medicare population, such as HIV patients, neonates, and pediatric patients, is known as - APR-DRGs. Which of the following best describes the situation o...

how to differentiate between chlamydial and RSV infections Correct Answer: chlamydia: hx of conjunctivitis, subacute onset, absence of fever, mild wheezing meds for BPH and lower urinary tract symptoms Correct Answer: alpha blocker, 5-a-reductase inhibitor (if there's evidence of prostatic enlargement or PSA > 1.5 ng/mL), phosphodiesterase-5 inhibitor, and antimusc therapy tx for mallet fracture - forced flexion injury of DIP resulting in a small bone fragment at dorsal surface of pr...

Nausea in pregnancy Correct Answer: Vitamin B6 When to give flu vaccine in pregnancy Correct Answer: Anytime • According to the American Heart Association's 2007 guidelines, prophylaxis to prevent bacterial endocarditis associated with dental, gastrointestinal, or genitourinary procedures Correct Answer: indicated only for high-risk patients with prosthetic valves, a previous history of endocarditis, unrepaired cyanotic congenital heart disease (CHD), or CHD repaired with prosthetic...

most likely cause of the following symptoms 1. frequent abdominal pain 2. nonbloody diarrhea 3. 20 lb weight loss 4. chronic intensely pruritic vesicular rash Correct Answer: celiac sprue (autoimmune d/o) inflammation of small bowel wall, blunting of villi (villous atrophy), resultant malabsorption serum IgA tissue transglutaminase antibodies (TTG) dermatitis herpetiformis Signs of primary hyperaldosteronism, and diagnosis? Correct Answer: 1. uncontrollable blood pressure (more...

MCC of HTN in children < 6 yrs Correct Answer: renal parenchymal dz (urinalysis, urine culture, and renal ultrasonography should be ordered for all children presenting with hypertension) TZDs should not be used in patients Correct Answer: with New York Heart Association class III or IV heart failure next step in management if patient is already on maximum therapy for CHF? Correct Answer: cardiac resynchronization therapy (look for bundle branch block and EF less than or equal to 30%)...

Pioglitzaone thiazolidinediones (TZDs) are associated with fluid retention, and their use can be complicated by the development of heart failure. Caution is necessary when prescribing TZDs in patients with known heart failure or other heart diseases, those with preexisting edema, and those on concurrent insulin therapy Correct Answer: A 70yo M with h/o HTN and DM presents with a 2-mo h/o increasing paroxysmal nocturnal dyspnea and SOB with minimal exertion. An echocardiogram shows an ejectio...

Absolute contraindications to electroconvulsive therapy (ECT) Correct Answer: There are no absolute contraindications to ECT Treatment of community acquired pneumonia in infants and children Correct Answer: - Diagnosis of *community-acquired pneumonia* is mostly based on the history and physical examination - Pneumonia should be suspected in any child with *fever, cyanosis, and any abnormal respiratory finding* in the history or physical examination - Outpatient antibiotics are appropriat...

______ is a metabolite of codeine that can be found in urine of someone taking a codeine-containing medication Correct Answer: morphine Initial management of hypercalcemia of malignancy Correct Answer: fluid replacement with NS Symptomatic uterine fibroid treatment for woman who wants to get pregnant Correct Answer: myomectomy Benign condition resulting from abuse of anthraquinone laxatives (cascara, senna, or aloe) --> leopard spotting of colonic mucosa Correct Answer: melanosis...

A 70yo M with h/o HTN and DM presents with a 2-mo h/o increasing paroxysmal nocturnal dyspnea and SOB with minimal exertion. An echocardiogram shows an ejection fraction of 25%. Which one of the patients current medications should be discontinued? A. Lisinopril (Zestril) B. Pioglitazone (Actos) C. Glipizide (Glucotrol) D. Metoprolol (Toprol-XL) - Pioglitzaone thiazolidinediones (TZDs) are associated with fluid retention, and their use can be complicated by the development of heart failure. Cauti...

Which tests are most accurate for detecting ACL tears? - Lachman --> anterior drawer --> pivot shift test What is McMurray test used for? - Meniscal tears What evidence suggests MGUS has progressed to Multiple Myeloma? - Evidence of end-organ damage; 1% annual risk of progression *hypercalcemia *renal failure *anemia *skeletal lesions DM w/ lower left leg weakness giving away at the knee, dicomfort in anterior thigh. Decreased sensation to pinprick and light touch over left anterior thigh ...

A 42-year-old Asian male presents for follow-up of elevated blood pressure. He has no additional chronic medical problems and is otherwise asymptomatic. An examination is significant for a blood pressure of 162/95 mm Hg but is otherwise unremarkable. Laboratory Findings unremarkable Urine microalbumin negative According to the American College of Cardiology/American Heart Association 2017 guidelines, which one of the following would be the most appropriate medication to initiate at this time? A)...

Most common type of arthritis seen in psoriatic arthritis? - Oligoarticular artheritis Characteristic finding in the fingers of psoriatic arthritis - Sausage Digits What is the early finding in allopurinol hypersensitivity syndrome? - Eosinophilia What antihypertensive is a good uricouric agent? - Losartan Where does pseudogout present on board exams in elderly women? - Wrist What antibody suggest sjogrens syndrome - SSA What connective tissue disease is assoicated with CREST syndrome? - Sclerod...

What screening test has most potential for overdx? - PSA- Overdiagnosis is the diagnosis of a disease that will not produce symptoms during a patient's lifetime. It tends to occur with cancers that have very slow rates of growth. Prostate cancer is most often a slow-growing cancer and is often present without symptoms in older men. The introduction of prostate-specific antigen (PSA) screening was accompanied by a marked rise in the rate of diagnosis of prostate cancer while mortality decreased ...

Which one of the following statements is TRUE regarding the use of antidepressants for smoking cessation? - Bupropion is contraindicated in a patient with an eating disorder The number 1 cause of preventable morbidity and mortality in the US today is which of the following? - Tobacco Which of the following statements is true regarding alcohol abuse counseling? - The USPSTF recommends screening and counseling adults the risks of alcohol misuse Which immunization would be considered safe to admini...