RMT Practice Test from Exam Guide
ACTUAL UPDATED QUESTIONS AND
CORRECT ANSWERS
"Livor is posterior and blanching." In what report type would this statement be found?
A. Pathology report
B. Autopsy
C. Operative report
D. Emergency department report - CORRECT ANSWERS✅✅Autopsy
"The patient is gravida 2, para 2." Under which report heading would this information be
transcribed?
A. DISPOSITION
B. PHYSICAL EXAMINATION
C. LABORATORY RESULTS
D. PAST MEDICAL HISTORY - CORRECT ANSWERS✅✅PAST MEDICAL HISTORY
D: 12/21/11, 0800
T: 12/22/11, 0300
What is the primary purpose for the notation above in a clinical report?
A. Identify turn-around time
B. Establish an audit trail
C. Track reimbursement
D. Reflect the date of treatment - CORRECT ANSWERS✅✅Establish an audit trail
Which sentence requires editing by the transcriptionist?
A. The patient is unable to accept the diagnosis.
B. This patient is averse to taking any medications.
C. The patient underwent drainage of ascitic fluid from his abdomen.
,D. In his history, the patient eluded to previous substance abuse. - CORRECT
ANSWERS✅✅In his history, the patient eluded to previous substance abuse.
"DICTATED: We used a mets to open the hernia sac." How should this be transcribed?
A. We used Metzenbaum scissors to open the hernia sac.
B. We used a Metzenbaum scissor to open the hernia sac.
C. We used a Metz scissor to open the hernia sac.
D. We used Metz scissors to open the hernia sac. - CORRECT ANSWERS✅✅We used
Metzenbaum scissors to open the hernia sac.
Demographic information provided by your ADT data indicates the patient's name is Michael
Jones. The physician dictates: This 50-year-old female patient presents with an inguinal
hernia. In terms of transcription best practices, what do you do?
A. Remove the work female.
B. Flag the report for clarification.
C. Change the dictated word female to male.
D. Insert Michael Jones after the word patient. - CORRECT ANSWERS✅✅Flag the report
for clarification.
In terms of health record privacy, what does the abbreviation OCR stand for?
A. Office of Civil Rights
B. Office for Coordination of Records
C. Official Clearance for Release
D. Official Clarification of Record - CORRECT ANSWERS✅✅Office of Civil Rights
According to HIPAA privacy regulations, which represents an inappropriate disclosure of
PHI?
A. A hospital faxes a list of patient's medications to a consulting physician's office without
prior authorization from the patient.
B. A physician drops into another physician's office and discusses a patient's treatment
course.
C. After transcribing a report about her own cousin, an MT immediately sends another family
member an email describing the physician's findings.
, D. An MTSO performs data aggregation services on behalf of a covered entity, in accordance
with a business associate agreement. - CORRECT ANSWERS✅✅After transcribing a report
about her own cousin, an MT immediately sends another family member an email describing
the physician's findings.
Which MT is considered a business associate by HIPAA (HITECH) definition?
A. An MT who contracts from home for a private practice in his/her local community.
B. An MT who is an employee working remotely for a small clinic in another community.
C. An MT transcribing as an employee for a medical transcription service provider.
D. An MT who is an employee working remotely for an acute-care hospital. - CORRECT
ANSWERS✅✅An MT who contracts from home for a private practice in his/her local
community.
What is recommended by the Book of Style for electronic system security?
A. The computer used for medical transcription should be located in a locked room.
B. Post a sign stating "authorized personnel only" on the home office.
C. Create an "invisible drive" for storage of PHI so the rest of the family can safely use the
computer.
D. Change passwords once a year. - CORRECT ANSWERS✅✅The computer used for
medical transcription should be located in a locked room.
According to the Book of Style, when is it necessary to encrypt PHI?
A. When a file containing PHI is attached to an email.
B. When PHI is being discussed on a mobile phone.
C. When faxing PHI to a consulting practice.
D. When PHI is being provided to the patient after discharge. - CORRECT
ANSWERS✅✅When a file containing PHI is attached to an email.
Which authentication practice is considered dangerous by the Joint Commission?
A. Handwritten signature
B. Electronic intitialing
C. Third-party signature
D. Handwritten initials - CORRECT ANSWERS✅✅Third-party signature
ACTUAL UPDATED QUESTIONS AND
CORRECT ANSWERS
"Livor is posterior and blanching." In what report type would this statement be found?
A. Pathology report
B. Autopsy
C. Operative report
D. Emergency department report - CORRECT ANSWERS✅✅Autopsy
"The patient is gravida 2, para 2." Under which report heading would this information be
transcribed?
A. DISPOSITION
B. PHYSICAL EXAMINATION
C. LABORATORY RESULTS
D. PAST MEDICAL HISTORY - CORRECT ANSWERS✅✅PAST MEDICAL HISTORY
D: 12/21/11, 0800
T: 12/22/11, 0300
What is the primary purpose for the notation above in a clinical report?
A. Identify turn-around time
B. Establish an audit trail
C. Track reimbursement
D. Reflect the date of treatment - CORRECT ANSWERS✅✅Establish an audit trail
Which sentence requires editing by the transcriptionist?
A. The patient is unable to accept the diagnosis.
B. This patient is averse to taking any medications.
C. The patient underwent drainage of ascitic fluid from his abdomen.
,D. In his history, the patient eluded to previous substance abuse. - CORRECT
ANSWERS✅✅In his history, the patient eluded to previous substance abuse.
"DICTATED: We used a mets to open the hernia sac." How should this be transcribed?
A. We used Metzenbaum scissors to open the hernia sac.
B. We used a Metzenbaum scissor to open the hernia sac.
C. We used a Metz scissor to open the hernia sac.
D. We used Metz scissors to open the hernia sac. - CORRECT ANSWERS✅✅We used
Metzenbaum scissors to open the hernia sac.
Demographic information provided by your ADT data indicates the patient's name is Michael
Jones. The physician dictates: This 50-year-old female patient presents with an inguinal
hernia. In terms of transcription best practices, what do you do?
A. Remove the work female.
B. Flag the report for clarification.
C. Change the dictated word female to male.
D. Insert Michael Jones after the word patient. - CORRECT ANSWERS✅✅Flag the report
for clarification.
In terms of health record privacy, what does the abbreviation OCR stand for?
A. Office of Civil Rights
B. Office for Coordination of Records
C. Official Clearance for Release
D. Official Clarification of Record - CORRECT ANSWERS✅✅Office of Civil Rights
According to HIPAA privacy regulations, which represents an inappropriate disclosure of
PHI?
A. A hospital faxes a list of patient's medications to a consulting physician's office without
prior authorization from the patient.
B. A physician drops into another physician's office and discusses a patient's treatment
course.
C. After transcribing a report about her own cousin, an MT immediately sends another family
member an email describing the physician's findings.
, D. An MTSO performs data aggregation services on behalf of a covered entity, in accordance
with a business associate agreement. - CORRECT ANSWERS✅✅After transcribing a report
about her own cousin, an MT immediately sends another family member an email describing
the physician's findings.
Which MT is considered a business associate by HIPAA (HITECH) definition?
A. An MT who contracts from home for a private practice in his/her local community.
B. An MT who is an employee working remotely for a small clinic in another community.
C. An MT transcribing as an employee for a medical transcription service provider.
D. An MT who is an employee working remotely for an acute-care hospital. - CORRECT
ANSWERS✅✅An MT who contracts from home for a private practice in his/her local
community.
What is recommended by the Book of Style for electronic system security?
A. The computer used for medical transcription should be located in a locked room.
B. Post a sign stating "authorized personnel only" on the home office.
C. Create an "invisible drive" for storage of PHI so the rest of the family can safely use the
computer.
D. Change passwords once a year. - CORRECT ANSWERS✅✅The computer used for
medical transcription should be located in a locked room.
According to the Book of Style, when is it necessary to encrypt PHI?
A. When a file containing PHI is attached to an email.
B. When PHI is being discussed on a mobile phone.
C. When faxing PHI to a consulting practice.
D. When PHI is being provided to the patient after discharge. - CORRECT
ANSWERS✅✅When a file containing PHI is attached to an email.
Which authentication practice is considered dangerous by the Joint Commission?
A. Handwritten signature
B. Electronic intitialing
C. Third-party signature
D. Handwritten initials - CORRECT ANSWERS✅✅Third-party signature
