4A0 CDC COMPREHENSIVE EXAM QUESTIONS AND
SOLUTIONS RATED A+
✔✔Copies of inpatient care documents are filed in what section of the AF Form 2100A,
Health Record-Outpatient? - ✔✔Section 1.
✔✔In which section of the AF Form 2100A, Health Record-Outpatient, is the DD Form
2005, Privacy Act Statement filed? - ✔✔Section 3.
✔✔Which section of the AF Form 2100A, Health Record-Outpatient, are living wills
(Self-Determination Act forms) filed? - ✔✔Section 4.
✔✔Where is the withdrawal of material from an outpatient medical record to an inpatient
record recorded? - ✔✔On SF 600, Health Record-Chronological Record of Medical
Care.
✔✔Outpatient records are the property of the - ✔✔United States Government
✔✔Which statement BEST describes the outpatient records filing system? -
✔✔Terminal digit, color-coded and blocked filing system.
✔✔A properly developed and maintained terminal digit (color-coded and blocked) filing
system makes it easier to - ✔✔Identify a misfiled record.
✔✔If a record must be transferred from one clinic to another, whose responsibility is it to
change the location of the record on the AF Form 250, Health Record Charge Out
Request? - ✔✔Outpatient records personnel.
✔✔How often are active duty records inventoried? - ✔✔At least once a year.
✔✔When are outpatient records for nonmilitary and dependents retired? - ✔✔End of
each calendar year.
✔✔What reference provides step-by-step instructions for completing records
retirement? - ✔✔Military Record Tracking, Retirement, and Retrieval Users Guide
(MRTR2).
✔✔What type of team are active duty members and their beneficiaries assigned to after
the mass medical in-processing briefing? - ✔✔Primary care optimization team.
✔✔When you in-process a medical record and then generate a computer charge-out, to
whom do you deliver the records? - ✔✔Primary care manager.
,✔✔If for some reason the sponsor's medical record is not present at the time of out-
processing, give the individual a - ✔✔Letter of non-availability.
✔✔When an active duty sponsor is retiring and they have a dependent over the age of
18, who must fill out the DD Form 2138, Request for Transfer of Outpatient Record, for
the dependent? - ✔✔The dependent.
✔✔For which of the following would you NOT create an inpatient record? -
✔✔Stillbirths.
✔✔The AF Form 788 (series), Inpatient Record, is filed using which filing system? -
✔✔Terminal digit (by sponsor's social security number).
✔✔Who prepares AF Form 788 (series) folders for filing inpatient documentation? -
✔✔Inpatient records section technician.
✔✔A concise clinical summary is dictated and typed on SF 502, Medical Record-
Narrative Summary, for - ✔✔inpatients received by transfer for further treatment.
✔✔Final progress notes on SF 509 may be substituted for narrative summaries for all of
the following patients EXCEPT - ✔✔Patients treated at a tactical MTF
✔✔How are fetal monitor strips filed? - ✔✔In SSN terminal digit order the same as
inpatient records.
✔✔An inpatient record of an Air Force Staff Sergeant admitted on 28 Dec 98 and
dispositioned on 4 Jan 99 (no other inpatient episodes) at a facility with an inpatient
records library is - ✔✔Eligible for retirement 31 Dec 2004.
✔✔Routine care is usually NOT provided to patients with questionable eligibility until the
- ✔✔Patient's eligibility is determined.
✔✔Which patient would still receive routine medical care, even if they failed a Defense
Enrollment Eligibility System (DEERS) eligibility check? - ✔✔A patient issues an
identification card within the last 120 days.
✔✔After the risk assessment, what determines if a patient with questionable eligibility is
treated in the MTF? - ✔✔If there is a possibility of risk to the Air Force or patient.
✔✔What is the FINAL step of completing the quarters notification form? - ✔✔Update the
member's duty status in the Military Personnel Data System (MilPDS).
, ✔✔A Secretary of the Air Force designee letter must contain the effective date, period
covered and - ✔✔Determination as to whether the Air Force is providing aeromedical
evacuation.
✔✔When can patients request for a renewal of their Secretary of the Air Force designee
status? - ✔✔Continued care is still necessary.
✔✔When an abused family member applies for Secretary of the Air Force designee
status after the sponsor was discharged from the service, the approval authority is the -
✔✔Medical group commander.
✔✔Generally how are the applications for designee status submitted? - ✔✔Through the
command surgeon general's office to HQ USA/SGMA.
✔✔Which of the following is NOT part of the mission of the special needs identification
and assignment conditions (SNIAC) process? - ✔✔Locates providers and establishes
the consults for care.
✔✔For sponsors on unaccompanied assignments, a family member clearance
screening is accomplished by the - ✔✔MTF in closest proximity to the family
✔✔Which agency uses line of duty (LOD) determinations to determine eligibility for
physical disability retirement? - ✔✔Air Force
✔✔Which agency uses line of duty (LOD) determinations to determine eligibility for
disability compensation and hospital benefits? - ✔✔Department of Veterans' Affairs.
✔✔Which agency uses line of duty (LOD) determinations to evaluate the eligibility of an
Air Force Reserve Officer Training Corps (AFROTC) cadet for compensation for injuries
sustained while training? - ✔✔Department of Labor.
✔✔The three types of line of duty determinations are informal, formal, and -
✔✔Administrative
✔✔The interim line of duty (LOD) for reserve members is valid for no more than how
many days? - ✔✔90 days
✔✔If the Staff Judge Advocate (SJA) determines an administrative line of duty (LOD) is
more appropriate after an AF Form 348 has been completed, the SJA will return the AF
Form 348 through the military personnel flight (MPF)/DFMPEP to the - ✔✔LOD-MFP
✔✔The only individual who has the authority to deny a request for reinvestigation of line
of duty (LOD) findings is the - ✔✔Approval authority.
SOLUTIONS RATED A+
✔✔Copies of inpatient care documents are filed in what section of the AF Form 2100A,
Health Record-Outpatient? - ✔✔Section 1.
✔✔In which section of the AF Form 2100A, Health Record-Outpatient, is the DD Form
2005, Privacy Act Statement filed? - ✔✔Section 3.
✔✔Which section of the AF Form 2100A, Health Record-Outpatient, are living wills
(Self-Determination Act forms) filed? - ✔✔Section 4.
✔✔Where is the withdrawal of material from an outpatient medical record to an inpatient
record recorded? - ✔✔On SF 600, Health Record-Chronological Record of Medical
Care.
✔✔Outpatient records are the property of the - ✔✔United States Government
✔✔Which statement BEST describes the outpatient records filing system? -
✔✔Terminal digit, color-coded and blocked filing system.
✔✔A properly developed and maintained terminal digit (color-coded and blocked) filing
system makes it easier to - ✔✔Identify a misfiled record.
✔✔If a record must be transferred from one clinic to another, whose responsibility is it to
change the location of the record on the AF Form 250, Health Record Charge Out
Request? - ✔✔Outpatient records personnel.
✔✔How often are active duty records inventoried? - ✔✔At least once a year.
✔✔When are outpatient records for nonmilitary and dependents retired? - ✔✔End of
each calendar year.
✔✔What reference provides step-by-step instructions for completing records
retirement? - ✔✔Military Record Tracking, Retirement, and Retrieval Users Guide
(MRTR2).
✔✔What type of team are active duty members and their beneficiaries assigned to after
the mass medical in-processing briefing? - ✔✔Primary care optimization team.
✔✔When you in-process a medical record and then generate a computer charge-out, to
whom do you deliver the records? - ✔✔Primary care manager.
,✔✔If for some reason the sponsor's medical record is not present at the time of out-
processing, give the individual a - ✔✔Letter of non-availability.
✔✔When an active duty sponsor is retiring and they have a dependent over the age of
18, who must fill out the DD Form 2138, Request for Transfer of Outpatient Record, for
the dependent? - ✔✔The dependent.
✔✔For which of the following would you NOT create an inpatient record? -
✔✔Stillbirths.
✔✔The AF Form 788 (series), Inpatient Record, is filed using which filing system? -
✔✔Terminal digit (by sponsor's social security number).
✔✔Who prepares AF Form 788 (series) folders for filing inpatient documentation? -
✔✔Inpatient records section technician.
✔✔A concise clinical summary is dictated and typed on SF 502, Medical Record-
Narrative Summary, for - ✔✔inpatients received by transfer for further treatment.
✔✔Final progress notes on SF 509 may be substituted for narrative summaries for all of
the following patients EXCEPT - ✔✔Patients treated at a tactical MTF
✔✔How are fetal monitor strips filed? - ✔✔In SSN terminal digit order the same as
inpatient records.
✔✔An inpatient record of an Air Force Staff Sergeant admitted on 28 Dec 98 and
dispositioned on 4 Jan 99 (no other inpatient episodes) at a facility with an inpatient
records library is - ✔✔Eligible for retirement 31 Dec 2004.
✔✔Routine care is usually NOT provided to patients with questionable eligibility until the
- ✔✔Patient's eligibility is determined.
✔✔Which patient would still receive routine medical care, even if they failed a Defense
Enrollment Eligibility System (DEERS) eligibility check? - ✔✔A patient issues an
identification card within the last 120 days.
✔✔After the risk assessment, what determines if a patient with questionable eligibility is
treated in the MTF? - ✔✔If there is a possibility of risk to the Air Force or patient.
✔✔What is the FINAL step of completing the quarters notification form? - ✔✔Update the
member's duty status in the Military Personnel Data System (MilPDS).
, ✔✔A Secretary of the Air Force designee letter must contain the effective date, period
covered and - ✔✔Determination as to whether the Air Force is providing aeromedical
evacuation.
✔✔When can patients request for a renewal of their Secretary of the Air Force designee
status? - ✔✔Continued care is still necessary.
✔✔When an abused family member applies for Secretary of the Air Force designee
status after the sponsor was discharged from the service, the approval authority is the -
✔✔Medical group commander.
✔✔Generally how are the applications for designee status submitted? - ✔✔Through the
command surgeon general's office to HQ USA/SGMA.
✔✔Which of the following is NOT part of the mission of the special needs identification
and assignment conditions (SNIAC) process? - ✔✔Locates providers and establishes
the consults for care.
✔✔For sponsors on unaccompanied assignments, a family member clearance
screening is accomplished by the - ✔✔MTF in closest proximity to the family
✔✔Which agency uses line of duty (LOD) determinations to determine eligibility for
physical disability retirement? - ✔✔Air Force
✔✔Which agency uses line of duty (LOD) determinations to determine eligibility for
disability compensation and hospital benefits? - ✔✔Department of Veterans' Affairs.
✔✔Which agency uses line of duty (LOD) determinations to evaluate the eligibility of an
Air Force Reserve Officer Training Corps (AFROTC) cadet for compensation for injuries
sustained while training? - ✔✔Department of Labor.
✔✔The three types of line of duty determinations are informal, formal, and -
✔✔Administrative
✔✔The interim line of duty (LOD) for reserve members is valid for no more than how
many days? - ✔✔90 days
✔✔If the Staff Judge Advocate (SJA) determines an administrative line of duty (LOD) is
more appropriate after an AF Form 348 has been completed, the SJA will return the AF
Form 348 through the military personnel flight (MPF)/DFMPEP to the - ✔✔LOD-MFP
✔✔The only individual who has the authority to deny a request for reinvestigation of line
of duty (LOD) findings is the - ✔✔Approval authority.
