1. Which is/are correct?

Medical costs have risen steeply since 2003.

Medical costs rose steeply since 2003.
Medical costs rised steeply since 2003.
Medical costs have been rising steeply since 2003.

2. Which is correct?
The patient's diet was raised his blood sugar levels.
The patient's diet rose his blood sugar levels.
The patient's diet risen his blood sugar levels.
The patient's diet raised his blood sugar levels.

3. Which is correct?
The tablets were lying on the table next to the printer when I found them.
The tablets were laying on the table next to the printer when I found them.
The tablets were laid on the table next to the printer when I found them.
The tablets were lain on the table next to the printer when I found them.

4. Which is correct?
She couldn't find her uniform anywhere but she was sure she lain it on the vacant bed
before leaving the ward.
She couldn't find her uniform anywhere but she was sure she lied it on the vacant bed
before leaving the ward.
She couldn't find her uniform anywhere but she was sure she laid it on the vacant bed
before leaving the ward.
She couldn't find her uniform anywhere but she was sure she was laid it on the vacant
bed before leaving the ward.

5. Which is correct?
I felt weak and lay on the sofa nearly all day.
I felt weak and lied on the sofa nearly all day.
I felt weak and laid on the sofa nearly all day.
I felt weak and lying on the sofa nearly all day.

6. Which is correct?
She was lying on a stretcher in the corridor for 6 hours before she was taken into the
ward.
She was laying on a stretcher in the corridor for 6 hours before she was taken into the
ward.
She was lieing on a stretcher in the corridor for 6 hours before she was taken into the
ward.
She was lied on a stretcher in the corridor for 6 hours before she was taken into the ward.

7. Which is correct?
The surgeon always lies the instruments out on the table before he begins.
The surgeon always lie the instruments out on the table before he begins.
The surgeon always lay the instruments out on the table before he begins.
The surgeon always lays the instruments out on the table before he begins.
8. The correct simple present, simple past, past participle and present participle forms are:
rise, rose, risen, rising
rise, rised, risen, rising
rise, raise, risen, rising
rise, raise, raised, raising

9. The correct simple present, simple past, past participle and present participle forms are:
lay, laid, laid, laying
lay, lain, laid, laying
lay, lay, lay, laying
lay, lain, lain, laying

10. The correct simple present, simple past, past participle and present participle forms are:
lie, lay, lain, lying
lie, lied, lain, lying
lie, laid, lain, lying
lie, lay, laid, lying

11. Which is correct?

She is rising at 6 every morning throughout the year.
She rises at 6 every morning throughout the year.
She risen at 6 every morning throughout the year.
She rised at 6 every morning throughout the year.

12. The correct simple present, simple past, past participle and present participle forms are:
raise, rose, raised, raising
raise, risen, raised, raising
raise, raised, raised, raising
raise, raise, raised, raising
1. When is it acceptable to leave medical records out overnight?
When the records have been pulled for the next day's patients
When assistants do not have time to file the records
It is always acceptable to leave medical records out overnight.
It is never acceptable to leave medical records out overnight.

2. Which is the appropriate method for correcting data in a medical record?

erase or delete the incorrect data, and then write in the correct information.
Remove the item with the incorrect data, and then create a new form with the correct
information.
Draw a line through the incorrect data, and then write in the correct information.

3. What is the status of a medical record if the patient has passed away?
Closed
Active
Inactive

4. Who has authority to decide when items may be deleted from a medical record?
Medical office assistants
Office supervisors
Physicians
Patients

5. Which of the following may be deleted from a medical record?

Insurance forms over seven years old
Studies showing abnormal results over ten years old
A patient's progress notes over five years old
All of the Above

6. What is the process of sorting through old or inactive medical records?

Storing
Purging
Transferring
Consolidating

7. Which of the following may be helpful for locating a missing file in the alphabetical
system?
Check if the record was filed under the patient's first name.
Check for alternative spellings.
Check in folders with similar labels.
All of these

8. After a patient completes treatment with a specialist physician, how long must the
physician keep the medical records for that patient?
At least 5 years
At least 10 years
At least 15 years
As long as required by the statute of limitations
9. What is the status of a medical record if the patient's last appointment was 5 years ago?
Closed
Inactive
Active

10. When a patient dies, how long must the medical records be kept by the medical facility?
5 years
10 years
25 years
As long as required by the statute of limitations

11. Which form should be included in a new medical record?

Patient Registration form
HIPAA Notice of Privacy Practices form
HIPAA Release of Information form
All of the above

12. True or false: Medical facilities should have a specific procedure established for locating
missing records.
True
False

13. True of False: All corrections to medical records should be initialed and dated
True
False
1. Which of the following are NOT found IN a Medical Record
CC, HPI, PMH
SH, FH, DS
ROS, VS, PE
Dx, Laboratory & X-Ray Data
CPR, EHR, HIPAA

2. Includes all health problems, major illnesses, surgeries the patient has had, current
medications complete with reasons for taking them, and allergies.
HPI
SH
PMH
FH
ROS

3. Computerized Patient Records are also known as

CC, HPI, PMH
SH, FH, DS
ROS, VS, PE
Dx, Laboratory & X-Ray Data
EHR, EMR, EPR

4. Physicians who wish to disclose confidential medical record information should

first discuss it with the patient's family.
discuss it with the patient first.
discuss the risks involved with his or her lawyer.
first discuss the problem with the patient's contact person.
have written consent from the patient.

5. What rights do patients have regarding their medical records?

None
To view and make copies
Rights to have records destroyed
Rights to view only

6. Summary of health problems of siblings, parents, and other blood relatives that could
alert the physician to hereditary and/or familial disease.
HPI
SH
PMH
FH
ROS

7. Which of the following are named for digital medical records?

Electronic Health Record (EHR)
Electronic Medical Record (EMR)
Electronic Patient Record (EPR)
Computerized Medical Record (CMR)
8. The reason why the patient came to see the physician
HPI
SH
C/O
FH
ROS

9. Includes marital status, occupation, educational attainment, hobbies, use of alcohol,

tobacco, drugs, and lifestyles.
HPI
SH
PMH
FH
ROS

10. Abbreviation for: Diagnosis

HPI
DiaX
D/C
Dx
DS

11. What is a disadvantages of paper records?

They are old and out of date
They can be used by only one person at a time.
May be easily lost or damaged
They take a long time to mail.
May take hours or days to retrieve from storage

12. What are the advantages of EMRs (AKA: EPR, EHR, CPRs)?
May become lost or damaged
They cannot be lost damaged because backup copies are available
Can be accessed by one individual at a time
Can be access at the same time by multiple individuals
Take only seconds to retrieve (available in emergencies)

13. To protect patient confidentiality, medical records can be released

to an attorney.
to a judge.
to the patient's family members.
only with the patient's written consent.
to insurance companies.

14. Computerized medical records

pose problems of confidentiality.
make record maintenance and retrieval more efficient.
should be accessed on a need-to-know basis.
all of the above.
15. What is the purpose of a Consent to Treatment Form?
To provide a written account of the health care for a patient
To provide conformation of a patients appointments.
To provide a documentation of medical services for insurance purposes.
To obtain consent from a patient prior to surgery.
To obtain consent from a patient prior to treatment.

16. Abbreviation for: Physical Examination

HPI
SH
PE
FH
ROS

17. This is an explanation of the CC to determine the onset of the illness; associated
symptoms; what the patient has done to treat the condition, etc.
HPI
SH
PMH
FH
ROS

18. A systematic list of questions arranged by organ systems that is useful in aiding
clinicians to uncover clinical problems that may be at the root cause of a disease process
and that may otherwise go unnoticed
HPI
SH
PMH
FH
ROS

19. What is the purpose of medical records?

To provide a written account of the health care for a patient
To provide conformation of a patients appointments.
To provide a documentation of medical services for insurance purposes.
To obtain consent from a patient prior to surgery.
To obtain consent from a patient prior to treatment.

20. Abbreviation for: Discharge or Discontinue

HPI
DiaX
D/C
Dx
DS

21. A medical record is a legal document that may be ordered by the court to be available
during a malpractice case.
True
False
22. Abbreviation for: Past Medical History
PMH
PM
PMedH
Dx

23. Under Federal Regulations, HIPAA requires that medical records be kept...
accurate
confidential
stored
available

24. The medical record must include information about patient care such as
admitting diagnosis.
physician examination report and documentation of complications.
discharge summary and follow-up care.
all of the answers are true