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MRO Practice Exam 2025/2026 — Questions
Medical Records Management
Q1: Which filing system organizes medical records by the last name of the patient?
A) Numeric filing
B) Alphabetical filing
C) Terminal digit filing
D) Subject filing
Answer: B) Alphabetical filing
Explanation: Alphabetical filing organizes records by patient’s last name for quick retrieval.
Q2: Terminal digit filing is advantageous because:
A) Prevents crowding of records in one section
B) Organizes by diagnosis
C) Uses only last name
D) Requires no indexing
Answer: A) Prevents crowding of records in one section
Explanation: Terminal digit filing distributes records evenly across filing units to prevent
bottlenecks.
Q3: Which retention schedule is appropriate for adult inpatient medical records in most
hospitals?
A) 5 years
B) 10 years
,C) 20 years
D) 1 year
Answer: B) 10 years
Explanation: Most adult inpatient records are retained for 10 years, though local regulations
may vary.
Q4: The primary purpose of a medical record is:
A) Legal documentation, continuity of care, and data collection
B) Financial planning
C) Employee evaluation
D) Facility marketing
Answer: A) Legal documentation, continuity of care, and data collection
Explanation: Medical records document patient care, protect legal rights, and support health
data analytics.
Q5: Which of the following ensures confidentiality of patient records?
A) Limiting access to authorized personnel
B) Leaving records on the nurse’s station
C) Allowing visitors to view charts
D) Posting records online
Answer: A) Limiting access to authorized personnel
Explanation: HIPAA and medical ethics require records be accessed only by authorized staff.
Q6: The process of organizing medical records in a logical order is called:
A) Indexing
B) Abstracting
C) Coding
D) Filing
Answer: D) Filing
Explanation: Filing arranges records systematically for efficient retrieval.
Q7: What is the purpose of medical record indexing?
A) Assigning a unique identifier to each record
B) Writing patient history
, C) Performing lab tests
D) Managing appointments
Answer: A) Assigning a unique identifier to each record
Explanation: Indexing ensures that each patient record can be easily located.
Q8: Which filing system is most suitable for large hospitals with thousands of records?
A) Terminal digit filing
B) Alphabetical filing
C) Subject filing
D) Color-coded filing
Answer: A) Terminal digit filing
Explanation: Terminal digit filing distributes records evenly and reduces retrieval time in large
facilities.
Q9: Retention of pediatric medical records is usually longer than adult records because:
A) Pediatric conditions may have long-term effects
B) Children visit more often
C) Records are larger
D) Regulations are simpler
Answer: A) Pediatric conditions may have long-term effects
Explanation: Pediatric records are often retained until age 21 or longer for legal and medical
reasons.
Q10: What is the first step in medical record processing?
A) Accessioning
B) Filing
C) Coding
D) Abstracting
Answer: A) Accessioning
Explanation: Accessioning assigns a unique number to each medical record for tracking and
retrieval.
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