MA 500 Week 3

Information included in the medical record consist of Health History, Physical Examination, Laboratory and Diagnostic testing, and Progress notes. True or False

• True

• False

Where are demographics and billing information kept?

• Patient registration Record

• Medical Record

• Past Medical History

• Diagnostic Results

What information is subjective to the patient and helps the physician to arrive at a diagnosis?

• Diagnostic Tests

• Physical Exam

• Health History

• Lab Results

What is a Consultation Report?

• A comprehensive health history of the patient.

• A narrative of the patient condition by a physician other than the primary or attending.

• A referral Authorization

• Discharge Summary

The Physical Examination is part of subjective data gathered from the patient. True or False

• True

• False

Which answer best describes the term Inpatient?

• A patient that goes in for an office visit

• A patient who has been admitted to the hospital for at least one overnight stay?

• A Guest of the patient at the office.

• An Outpatient

What report describes a surgical procedure?

• Discharge Summary

• ER department report

• Operative Report

• Consent Form

What report consist of the significant events that took place during an inpatient stay?

• Discharge Summary Report

• Health History Examination

• ER department Report

• Pathology Report

What type of report presents both macroscopic and microscopic description of Tissue sent in for testing?

• Diagnostic Imaging

• Operative Report

• Pathology Report

• Lab Report

When a MA signs as a witness to a patient signature it means that her or she....

• Verified the information on the form is correct

• Verified the patients identity and watched the patient sign the form

• Verified that the patient is aware of the procedure

• Verified the Physician covered the procedure in full detail