MEDICAL RECORD LIBRARIAN GR II – INSURANCE MEDICAL SERVICES

PROVISIONAL ANSWER KEY
Question Paper Code: 54/2016/OL
Category Code: 641/2014
Exam: Medical Record Librarian Gr II
Medium of Question: English
Date of Test 06-06-2016
Alphacode A
Question1:-The basic sources of hospital statistical information is.
A:-Registries
B:-Medical Records
C:-Indexes
D:-Abstracts
Correct Answer:- Option-B
Question2:-In MRD the last step in the work flow pattern is the.
A:-Filing of Medical record according to the established procedure
B:-Deficiency checking
C:-Assembling
D:-Coding
Correct Answer:- Option-A
Question3:-A MRD head is a
A:-First level manager
B:-Second level manager
C:-Lower level manager
D:-Supervisor
Correct Answer:- Option-B
Question4:-The medical records are regarded as the property of.
A:-Patient
B:-Attending physician
C:-Patient’s relatives
D:-Health care institution
Correct Answer:- Option-D
Question5:-Legibility of record means
A:-Easy to retrieve
B:-Easy to handle
C:-Easy to transfer
D:-Easy to read
Correct Answer:- Option-D
Question6:-The hospital can submit the original record only to the
A:-Attending physician
B:-Patient
C:-The court in case of subpoena
D:-Health care organisations
Correct Answer:- Option-C
Question7:-Regular review of statistics are important to
A:-Find out the mistakes
B:-Check the efficiency of statistician
C:-Avoid unnecessary work
D:-Evaluate the care
Correct Answer:- Option-C
Question8:-The census is always taken in a hospital at………..of each day
A:-The same time
B:-Different time
C:-Consultation time
D:-Regular intervals
Correct Answer:- Option-A
Question9:-Inpatient service day is also known as
A:-Bed day
B:-Patient day
C:-Length of stay
D:-Duration of an in patient’s hospitalisation
Correct Answer:- Option-B
Question10:-Completeness of Medical record means
A:-All forms should be there
B:-All the information about the patient and the authentication of concerned is there
C:-Should be coded
D:-Should be indexed
Correct Answer:- Option-B
Question11:-Entries that have been erased should be ………………. For legal value of record.
A:-Over write
B:-Initialed or signed by the concerned personnel
C:-Not a reason
D:-Pasted
Correct Answer:- Option-B
Question12:-MRO can release informations upon.
A:-Legitimate requests
B:-Phone requests
C:-Legal requests
D:-Personal request
Correct Answer:- Option-A
Question13:-Personal data in the medical record is owned by.
A:-Physician
B:-Hospital
C:-Next of kin
D:-Patient
Correct Answer:- Option-C
Question14:-Criminal cases are the following except
A:-Assault cases
B:-Violent or unexplained death
C:-Sexual assault
D:-Artificial insemination
Correct Answer:- Option-D
Question15:-A document that requires a person to appear at the designated place at the designated time is termed.
A:-Subpoena
B:-Subpoena duces tecum
C:-Primary evidence
D:-Attorney subpoena
Correct Answer:- Option-A
Question16:-The party who commences a lawsuit is the.
A:-Defendant
B:-Appellant
C:-Contestee
D:-Plaintiff
Correct Answer:- Option-D
Question17:-The patient whose life is threatened and who is comatose is assumed to give what kind of consent for life
sustaining treatment.
A:-Informed
B:-Expressed
C:-Direct
D:-Implied
Correct Answer:- Option-D
Question18:-All of the following might be a problem associated with an authorisation to release information except.
A:-Authorisation to release ‘any and all’ information
B:-Authorisation signed retrospectively
C:-Authorisation signed prospectively
D:-Release of information by the recipient
Correct Answer:- Option-B
Question19:-A unit of measure denoting the service received by one inpatient in one 24 hour period is called
A:-An average daily census day
B:-An inpatient service day
C:-The inpatient census
D:-A unit of service day
Correct Answer:- Option-B
Question20:-The daily analysis of hospital service is based on.
A:-Admission
B:-Inputs and outputs
C:-Discharge
D:-Census
Correct Answer:- Option-C
Question21:-An active medical record is.
A:-A medical record that is not used for patient care
B:-A medical record that is still being used for patient care
C:-A register for all inpatients
D:-A medical record that is transferred to nursing ward
Correct Answer:- Option-B
Question22:-A card which replaces the MR in the file when the record is removed for use elsewhere in the hospital is.
A:-Foot note
B:-Index card
C:-Tracer card
D:-Punch card
Correct Answer:- Option-C
Question23:-Charting of care in the patient’s record is the responsibility of.
A:-Physician
B:-Charge nurse
C:-MRO
D:-Administrator
Correct Answer:- Option-B
Question24:-An addendum is …………..
A:-A supplementary record
B:-Incident report
C:-Type of late entry to provide additional information in conjunction with a previous entry
D:-Delivery note
Correct Answer:- Option-C
Question25:-Gossiping between the doctors about the patient is ……………
A:-Defamation
B:-Invasion of privacy
C:-Breach of confidentiality
D:-Tort
Correct Answer:- Option-C
Question26:-Oral orders and orders over the telephone to nurses should be entered in the physician’s orders and
countersigned by ………………. within ………. hours
A:-Physician, 24 hrs
B:-Nurse, 12 hrs
C:-Nursing superintendent, 24 hrs
D:-MRO, 12 hrs
Correct Answer:- Option-A
Question27:-Special consent is not for.
A:-Surgical procedure
B:-Discharge against medical advice
C:-Induced abortion
D:-Diagnostic investigation and treatment
Correct Answer:- Option-D
Question28:-When two or more persons agree upon the same thing in the same sense, they are said to ….
A:-Consent
B:-Clientele
C:-Plaintiff
D:-Will
Correct Answer:- Option-A
Question29:-LAMA is
A:-Left Against Medical Advice
B:-Local Area Medical Access
C:-Laboratory And Medical Advice
D:-Late Arrival of Medical Attention
Correct Answer:- Option-A
Question30:-Biopsy is
A:-Postmortem examination
B:-Postpartum examination
C:-Examination of living tissue
D:-Forensic inspection
Correct Answer:- Option-C
Question31:-Preoperative checklist form is filled by
A:-Concerned doctor
B:-Chief physician
C:-Anaesthetist
D:-Nurse
Correct Answer:- Option-D
Question32:-Responsibility for designing medical record forms is delegated to the hospital.
A:-MRO
B:-PRO
C:-Forms committee
D:-Administrator
Correct Answer:- Option-C
Question33:-Electronic health records are
A:-Back up files
B:-Scanned records
C:-Digitally stored healthcare information
D:-Telemedicine
Correct Answer:- Option-C
Question34:-Demographic information includes
A:-Name, address, occupation etc
B:-Genetics, age, sex etc
C:-Physician orders
D:-Scan report
Correct Answer:- Option-B
Question35:-Hump – back is
A:-Sciolosis
B:-Lordosis
C:-Angular kyphosis
D:-Psoriasis
Correct Answer:- Option-C
Question36:-Ex – votos means
A:-Congenital diseases
B:-Syndrome
C:-Model of the diseased area or structure
D:-The priest who treat the patient in temple medicine
Correct Answer:- Option-C
Question37:-Who discovered the circulation of blood
A:-William Harvey
B:-Galen
C:-Hippocrates
D:-Sushruth
Correct Answer:- Option-B
Question38:-Chemotherapy means
A:-Treatment of disease by means of heat
B:-Treatment of disease by means of cold
C:-Treatment of disease by means of drugs
D:-Treatment of disease by means of meditation
Correct Answer:- Option-C
Question39:-In middle digit filling system the primary number in 446589 is
A:-44
B:-65
C:-89
D:-49
Correct Answer:- Option-B
Question40:-In the middle digit filing system the record 874406 is filed before
A:-874405
B:-884406
C:-874407
D:-874506
Correct Answer:- Option-C
Question41:-Unit numbering system provides.
A:-Single record
B:-Single number but different records
C:-Single record with different numbers
D:-Different records with different numbers
Correct Answer:- Option-A
Question42:-In which numbering system the removal of inactive records is not easy
A:-Serial
B:-Serial unit
C:-Unit
D:-Middle digit
Correct Answer:- Option-C
Question43:-In unit – serial numbering system, when older records are brought forward ……………. must be left in the filing
area where the old chart has been pulled
A:-Index card
B:-Out guide
C:-Consent form
D:-Bradma
Correct Answer:- Option-B
Question44:-One of the most important tool in the MRD
A:-Master-patient index
B:-Admission register
C:-Tracer card
D:-Despatch register
Correct Answer:- Option-A
Question45:-……………. plays an important role in good team work
A:-Motivation
B:-Communication
C:-Delegation
D:-Rules and policies
Correct Answer:- Option-A
Question46:-A note of pertinent findings should be recorded on the patient’s record within ……. hours prior to the operation
A:-8 hrs
B:-12 hrs
C:-24 hrs
D:-3 hrs
Correct Answer:- Option-C
Question47:-Quality assurance includes all of the following except
A:-Risk management
B:-Quality assessment
C:-Utilisation management
D:-Billing process review
Correct Answer:- Option-D
Question48:-Medical care evaluation focuses on.
A:-The efficiency of Medical professionals
B:-The length of stay
C:-The quality of care provided in an institution
D:-Utilisation of resources
Correct Answer:- Option-C
Question49:-Policies help in
A:-Making decisions
B:-Writing goals
C:-Determining goals or objectives
D:-Providing feed back
Correct Answer:- Option-A
Question50:-A …………. is a plan in numerical terms
A:-Vital statistics
B:-Length of stay
C:-Bed occupancy rate
D:-Budget
Correct Answer:- Option-D
Question51:-The right of a supervisor to issue commands is
A:-Delegation
B:-Authority
C:-Responsibility
D:-Power
Correct Answer:- Option-B
Question52:-Daily task list is …………..
A:-List of number of records retrieved daily
B:-Number of patients transferred from ICU and ward
C:-Employees shift schedule
D:-Simple record of time spent on various major activities throughout the working days
Correct Answer:- Option-D
Question53:-Daily task is not a
A:-Personal check on his productivity
B:-Tool for organisational analysis
C:-To assure accurate recording of time spent
D:-Emphasis on major activities
Correct Answer:- Option-A
Question54:-Which management function measures and correct work performance
A:-Organising
B:-Actuating
C:-Controlling
D:-Directing
Correct Answer:- Option-C
Question55:-Evaluating the quality and validity of information recorded is the responsibility of
A:-Medical officer
B:-Medical record office
C:-Medical record technician
D:-Hospital administrator
Correct Answer:- Option-A
Question56:-Bed day is
A:-The number of inpatients present in the hospital
B:-A unit of measure denoting the presence of an inpatient bed set up and staffed for use in one 24 hrs period
C:-A unit of measure denoting the presence of an inpatient bed set up and staffed for use in one 12 hrs period
D:-A unit of measure denoting the presence of an inpatient bed set up and staffed for use in one 8 hrs period
Correct Answer:- Option-B
Question57:-The daily inpatient census is the number of inpatients present at the census taking time each day, plus
A:-Any inpatient died after the census taking time the previous day
B:-Any patient in the ambulatory care department
C:-Any inpatients who were both admitted and discharged after the census taking time the previous day
D:-Any new born birth after the census taking time the previous day
Correct Answer:- Option-C
Question58:-The fetal death is indicated by
A:-The fact that after complete expulsion from the mother the foetus does not breathe or show any other evidence of
life
B:-The fact that after complete expulsion from the mother the foetus show the evidence of life
C:-Death of neonate
D:-Death of new born during the first 28 completed days of life.
Correct Answer:- Option-A
Question59:-A unit of measure denoting the services received by an inpatient during one 24 hr period is ….
A:-Hospital day
B:-Daily census
C:-Occupied bed day
D:-Length of stay
Correct Answer:- Option-C
Question60:-The disease or injury which initiated the train of morbid events leading directly to death or the circumstances of
the accident or violence which produced the fatal injury
A:-Antecedent cause
B:-Cause of death
C:-Mortality
D:-Underlying cause of death
Correct Answer:- Option-D
Question61:-In the month of May, there were 21 deaths. Total of 650 patients were discharged (including deaths). Then the
hospital death rate for May was.
A:-2.1%
B:-21%
C:-3.23%
D:-6.5%
Correct Answer:- Option-C
Question62:-If the patient is not in a position to give written consent to release information from his/her record, then who
will do the same
A:-Patient’s legal guardian
B:-Attending physician
C:-MRO
D:-Nurse who takes care of the patient
Correct Answer:- Option-A
Question63:-A patient can give a written consent only if he/she is …………….
A:-Over the age of 18
B:-Over the age of 14
C:-Over the age of 20
D:-Over the age of 25
Correct Answer:- Option-B
Question64:-If a patient has a primary diagnosis of alcoholism, which of the following information items may be released
without his consent
A:-His admission and discharge dates only
B:-His name only
C:-His name, age, address, sex and attending physician only
D:-No information including the fact that he has treated at the facility
Correct Answer:- Option-D
Question65:-The right to authorise release of information from the medical records of a deceased person rests with the
A:-Patient’s next of kin
B:-Administrator of the estate
C:-Patient’s attorney
D:-Attending physician
Correct Answer:- Option-B
Question66:-A written patient authorisation should contain all of the following except
A:-Signature of the person requesting the information
B:-Signature of the patient or institution that is to receive the information
C:-Purpose of or need for the information
D:-Name of the person or institution that is to receive the information
Correct Answer:- Option-A
Question67:-Medical record information might be considered to fall into all the following categories except
A:-Clinical information
B:-Secondary medical information
C:-Financial information
D:-Identifying information
Correct Answer:- Option-C
Question68:-Upon receipt of a subpoena duces tecum, which of the following should be removed from the medical record
A:-Correspondence
B:-Consent forms
C:-Nurses notes
D:-Graphic reports
Correct Answer:- Option-A
Question69:-In determining the length of stay, a 24 hr leave of absence is
A:-Always counted
B:-Never counted
C:-Counted if the patient is receiving some type of medical care at another facility during the leave
D:-Counted if the attending physician sees the patient during the leave
Correct Answer:- Option-B
Question70:-The index cards are arranged.
A:-Numerically
B:-Alphabetically
C:-Date wise
D:-Month wise
Correct Answer:- Option-B
Question71:-The greatest resource a medical record department director has is.
A:-Adequate space
B:-Employees
C:-Computers
D:-A cooperation medical staff
Correct Answer:- Option-B
Question72:-The major elements in maintaining quality assurance programme are
A:-Gathering of data, assessment and analysis of data, continuing the monitoring process
B:-Making decisions, writing goals, determining goals or objectives and providing feedback
C:-Work simplification, work distribution, flow process, work sampling
D:-Direct observation, work simplification, work sampling, quality control
Correct Answer:- Option-A
Question73:-Utilisation review was conducted by
A:-Hospital admissions committee
B:-Medical record committee
C:-Forms committee
D:-Occurance screening committee
Correct Answer:- Option-A
Question74:-Four major management functions are
A:-Staffing, recruiting and orientation
B:-Planning, organising, controlling and actuating
C:-Policy making, decision making, controlling, auditing
D:-Planning, directing, cost evaluation, budgeting
Correct Answer:- Option-B
Question75:-…………. shows past expenditure of each department
A:-Balance sheet
B:-Budget
C:-Audit
D:-Work sheet
Correct Answer:- Option-D
Question76:-Which is not a special register
A:-Poison control register
B:-Cancer care register
C:-Organ bank register
D:-Admission register
Correct Answer:- Option-D
Question77:-In management departmentalisation and coordinate is coming under
A:-Planning
B:-Organising
C:-Actuating
D:-Controlling
Correct Answer:- Option-B
Question78:-Inhalation therapy is under the professional supervision of
A:-Thoracic surgeon
B:-Anaesthesiology department
C:-Nephrology department
D:-Physiology department
Correct Answer:- Option-B
Question79:-…………. of work performance are used to control the work performed in departments
A:-Policies
B:-Procedures
C:-Standards
D:-Rules
Correct Answer:- Option-C
Question80:-Assembling of medical record
A:-Arrange the medical records chronologically
B:-Checking the deficiency of forms
C:-Checking the entries in the forms
D:-The forms in the medical record are arranged in the order determined by the hospital
Correct Answer:- Option-D
Question81:-Efficient organisation and management of the medical record department are import factors in the ………………
of health care facilities
A:-Publicity
B:-Viability
C:-Accreditation
D:-Relevance
Correct Answer:- Option-C
Question82:-Health information or patient care information, commonly known as
A:-Medical records
B:-Admission/discharge summary
C:-Doctor’s order
D:-Nurse’s report
Correct Answer:- Option-A
Question83:-Accessibility of record means
A:-Easy retrieval of the health care information when and where it is required
B:-Easy method of filing
C:-Easy for accounting
D:-Easy for reporting
Correct Answer:- Option-A
Question84:-Length of stay is
A:-The services received by an inpatient during one 24 hr period
B:-The number of days of care rendered to an inpatient from admission to discharge
C:-The number of days of care rendered to a patient from the hospital
D:-The daily inpatient census
Correct Answer:- Option-B
Question85:-In May there were 4,280 inpatient service days ( excluding newborn babies) recorded. Then the average daily
census is
A:-138.1
B:-428
C:-42.8
D:-43
Correct Answer:- Option-A
Question86:-Recorded information in Medical Record is
A:-Privileged communication
B:-Upward communication
C:-Downward communication
D:-Medical transcription
Correct Answer:- Option-A
Question87:-The physician – patient privilege belongs to
A:-Patient
B:-The physician
C:-Both the physician and patient
D:-Either the patient or the physician
Correct Answer:- Option-A
Question88:-When preparing a medical record in response to a subpoena duces tecum, all of the following should be done
except
A:-Each page should be numbered
B:-Each page should contain the patient’s name and medical record number
C:-The record should be read to see if there is a possibility of a malpractice suit
D:-The attending physician should be notified
Correct Answer:- Option-D
Question89:-Refusing to honour a subpoena can result in
A:-Being considered as contempt of court
B:-Judicial fines being imposed
C:-Arrest
D:-Another subpoena being issued
Correct Answer:- Option-A
Question90:-What is the customary method of classifying a fetal death
A:-Number of weeks of gestation or weight of the foetus
B:-How soon after birth the infant died
C:-Whether the foetus is preterm
D:-Whether the foetus is malformed
Correct Answer:- Option-A
Question91:-One of the major problems in comparing statistics reported by different hospitals is
A:-Regional differences among hospitals
B:-Differences in definitions of various terms used in compiling statistics
C:-Whether statistics are compiled manually or by computer
D:-Whether the hospital is proprietary or not for profit
Correct Answer:- Option-B
Question92:-The hospital inpatient census is defined as the number of inpatients
A:-Occupying beds in the hospital at midnight
B:-Discharged within a 24 hr period
C:-Admitted within a 24 hr period
D:-Occupying beds in the hospital at any one time
Correct Answer:- Option-D
Question93:-The IP census does not include which one of the following
A:-Number of patients present at the census taking time on a given day
B:-The number of newborns delivered that day
C:-The number of patients in the intensive care unit that day
D:-The number of patients in the emergency room that day
Correct Answer:- Option-D
Question94:-If a patient is brought to the hospital by an ambulance, data collection starts with
A:-Emergency room service
B:-Care in the ward
C:-Ambulance service
D:-Nurse’s service
Correct Answer:- Option-C
Question95:-The language used in writing medical record is
A:-Vague
B:-Generalised
C:-Speculate
D:-Factual
Correct Answer:- Option-D
Question96:-When an error is made in a health record entry, proper error correction procedures include all of the following
except
A:-Entry should be signed with date
B:-State the reason for the error in the margin
C:-Draw a line through the entry that the inaccurate information is still legible
D:-Use whiteout
Correct Answer:- Option-D
Question97:-Hippocrates was the first to separate medicine from
A:-Astrology
B:-Psychology
C:-Philosophy
D:-Etiology
Correct Answer:- Option-C
Question98:-At the time of admission the treating doctor should document
A:-Final diagnosis
B:-Differential diagnosis
C:-Family history
D:-Provisional diagnosis
Correct Answer:- Option-D
Question99:-Rational explanation for the causes of disease means
A:-Comparative explanation
B:-Differential explanation
C:-Reasoned explanation
D:-Explanation of selected cases
Correct Answer:- Option-C
Question100:-The key of medical record is
A:-Disease and operation index
B:-Master patient index
C:-Register
D:-Physicians index
Correct Answer:- Option-B