Healthcare Documentation
Final Exam Questions
Course Introduction
Healthcare Documentation focuses on the processes and standards involved in creating, managing, and securing accurate health records within medical settings. The course covers the principles of medical transcription, electronic health record (EHR) systems, and documentation guidelines in compliance with legal and ethical requirements. Students will gain practical skills in recording patient histories, diagnoses, treatments, and outcomes while learning about confidentiality, healthcare regulations such as HIPAA, and the importance of precise, clear communication in supporting patient care and safety.
Recommended Textbook
Quick and Easy Medical Terminology 8th Edition by
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Peggy C. Leonard
Page 2
Chapter 2: Suffixes and Combining Forms Made Easy
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Sample Questions
Q1) Which of the following terms means dilation of a blood or lymph vessel?
A) angioplasty
B) vasotomy
C) vascular
D) angiectasis
Answer: D
Q2) A 23-year-old woman who undergoes a gynecologic exam has had which system examined?
A) digestive
B) muscular
C) reproductive
D) respiratory
Answer: C
Q3) Cutaneous means pertaining to:
A) a gland
B) fats
C) the heart
D) the skin
Answer: D
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Page 3
Chapter 3: Essential Prefixes and More
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Q1) A patient reports she took an amount of a pain reliever that far exceeds the recommended amount. This is referred to as:
A) euthanasia
B) a megadose
C) a minidose
D) supervitaminosis
Answer: B
Q2) Unusual sensitivity of the eyes to light is:
A) ophthalmitis
B) ophthalmopathy
C) optometry
D) photophobia
Answer: D
Q3) A term that means able to live without oxygen is :
A) aerobic
B) aerosol
C) Aerobic
D) anaerobic
Answer: D
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Page 4
Chapter 4: Diagnostic Procedures and Therapeutic Interventions
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Sample Questions
Q1) The combination of tomography and radioactive substances to produce enhanced images is called:
A) fluoroscopy
B) positron emission tomography
C) therapeutic radiology
D) ultrasonic tomography
Q2) Hypothermia can be detected using:
A) cryotherapy
B) radiography
C) sonography
D) a tympanic thermometer
Q3) An instrument consisting of two earpieces connected by flexible tubing that is used to hear sounds within the body is a:
A) fluoroscope
B) sonograph
C) stethoscope
D) tomogram
Q4) The predicted outcome of a disease is referred to as the _____.
Q5) _____ means pertaining to therapy.
Q6) _____ is the treatment of diseases with drugs or medicines. Page 5
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Chapter 5: The Body As a Whole
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Q1) A term that means far or distant from the origin or point of attachment is:
A) distal
B) inferior
C) proximal
D) superior
Q2) Surgical puncture of the chest wall for aspiration of fluids is called:
A) open thoracic surgery
B) thoracentesis
C) thoracodynia
D) thoracoplasty
Q3) Large organs contained in the ventral cavity are called:
A) adhesions
B) ascites
C) peritoneum
D) viscera
Q4) The production of red blood cells is called:
A) erythropoiesis
B) homeostasis
C) leukocytosis
D) metastasis
Page 7
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Chapter 6: Musculoskeletal System
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Q1) An 88-year-old woman with severe osteoporosis is likely to display which kind of spinal deformity?
A) lordosis
B) kyphosis
C) scoliosis
D) spina bifida
Q2) Pertaining to the lower back is referred to as _____.
Q3) A patient with severe fatigue and widespread pain in the torso, extremities, and face may be diagnosed with:
A) fibromyalgia
B) myofibrosis
C) myasthenia gravis
D) tetraplegia
Q4) Articulation is another name for:
A) fascia
B) joint
C) ligament
D) tendon
Q5) Suppression of the bone marrow is termed _____.
Q6) _____ means pertaining to the brain and spine.
Page 8
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Chapter 7: Circulatory System
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Q1) Roentgenography of the lymphatic vessels and nodes is called a:
A) lymphangiogram
B) lymphangiography
C) lymphogram
D) lymphoma
Q2) The mitral valve is also referred to as the _____ valve.
A) bicuspid
B) sinoatrial
C) semilunar
D) tricuspid
Q3) A medication that corrects an abnormal heart rate would be considered a(n):
A) antiarrhythmic
B) antihypertensive
C) vasoconstrictor
D) vasodilator
Q4) Arterioles are small:
A) arteries that carry blood to arteries
B) arteries that receive blood from arteries
C) blood vessels that carry blood to the inferior vena cava
D) blood vessels that receive blood from veins
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Chapter 8: Respiratory System
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Sample Questions
Q1) The trachea is the:
A) esophagus
B) throat
C) windpipe
D) voice box
Q2) Chronic laryngitis is most likely to cause which of the following?
A) aphasia
B) aphonia
C) olfaction
D) rales
Q3) A 78-year-old man with COPD receives oxygen through a tube that is worn over the ears with application at the nose. This is referred to as:
A) endotracheal intubation
B) a nasal cannula
C) nasopharyngeal intubation
D) orotracheal intubation
Q4) Inflammation of the bronchi is called _____.
Q5) _____ means across the windpipe.
Q6) Abnormally fast breathing is also called _____ or _____.
Q7) Pertaining to the windpipe is called _____.
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Chapter 9: Digestive System
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Sample Questions
Q1) The joining of two organs that are normally separate is called:
A) anastomosis
B) cholestasis
C) diverticulum
D) emesis
Q2) _____ means excessive hunger.
Q3) Abnormally low blood sugar is called:
A) diabetes
B) glycosuria
C) hyperglycemia
D) hypoglycemia
Q4) Proctoscopy is examination of the:
A) esophagus and stomach
B) rectum and lower part of the intestine
C) small and large intestines
D) teeth and gums
Q5) Inflammation of the large intestine is called _____.
Q6) The presence of a salivary stone is called _____.
Q7) _____ means pertaining to the small intestine.
Q8) Sugar in the urine is known as _____.
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Chapter 10: Urinary System
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Sample Questions
Q1) _____ means pertaining to the bladder.
Q2) Surgical crushing of a stone is called:
A) lithotripter
B) lithotomy
C) lithotripsy
D) nephrolithotomy
Q3) A 63-year-old woman with bladder cancer has her bladder removed. What is the name of this surgical procedure?
A) cholecystectomy
B) cystectomy
C) nephrectomy
D) urethrectomy
Q4) Removal of tissue from the bladder by using a needle inserted through the skin overlying the bladder is called a:
A) cystourethrogram
B) cystorrhaphy
C) cystotomy
D) percutaneous bladder biopsy
Q5) An instrument used in catheterization is called a(n) _____.
Q6) The surgical fixation of the kidney is called _____.
Page 12
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Chapter 11: Reproductive System
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Q1) The inner lining of the uterus is referred to as the _____.
Q2) _____ is defined as an inflammation of a uterine tube.
Q3) Surgical puncture of the amnion is called:
A) amniotic
B) amniocentesis
C) amniotomy
D) cesarean section
Q4) A 43-year-old woman discovers a fistula between her bladder and vagina. The adjective that describes this fistula is:
A) cervicovaginal
B) rectovaginal
C) urethrovaginal
D) vesicovaginal
Q5) The correct term for a woman who has had one pregnancy that resulted in viable offspring is:
A) bipara
B) nullipara
C) tripara
D) unipara
Q6) Pertaining to the uterus is known as _____.
Page 13
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Chapter 12: Integumentary System
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Q1) What is the word for removal of foreign material and dead or contaminated tissue from an infected or traumatic lesion until surrounding healthy tissue is exposed?
A) debridement
B) necrosis
C) pyemia
D) rhytidectomy
Q2) The term dermatitis means _____ skin.
A) dry
B) inflammation of the
C) scaly
D) wrinkling of the
Q3) Which term means a torn, jagged wound?
A) abrasion
B) contusion
C) keratosis
D) laceration
Q4) The _____ refers to the armpit.
Q5) _____ means pertaining to the nails.
Q6) The outermost skin layer is the _____.
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Chapter 13: Nervous System and Psychologic Disorders
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Q1) The term for localized dilation of the wall of a cerebral artery is:
A) cerebral aneurysm
B) cerebral contusion
C) epidural hematoma
D) intracerebral hematoma
Q2) Which of the following is characterized by an abnormal, uncontrollable, and recurrent urge to steal?
A) hypochondriasis
B) kleptomania
C) neurosis
D) schizophrenia
Q3) A large category of psychiatric disorders in which the symptoms are distressing to the person, reality testing is within normal limits, and behavior does not violate gross social norms refers to:
A) dysphagia
B) neurosis
C) psychosis
D) pyromania
Q4) A morbid fear of spiders is called _____.
Q5) A headache is also known as _____ or _____.
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Chapter 14: Special Sensory Organs of the Peripheral
Nervous System
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Q1) What does chrom/o mean?
A) chroid
B) color
C) conjunctiva
D) cornea
Q2) Which term means the sense of smell?
A) anosmia
B) hyperosmia
C) olfaction
D) olfactory
Q3) Which test examines the layers of the eye with a bright light, usually after dilation of the pupils?
A) comparing the person's vision to normal vision of 20/20
B) refraction
C) slit-lamp examination
D) tonometry
Q4) Loss or impairment of the sense of smell is referred to as _____.
Q5) Receptors that detect light are called _____.
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Q6) Surgical repair or reconstruction of the external ear is a procedure called _____.
Chapter 15: Endocrine System
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Q1) Increased activity of the parathyroid glands is termed:
A) hyperparathyroidism
B) hyperthyroidism
C) polydipsia
D) polyuria
Q2) Which of the following is a test in which a radioactive substance is administered and then an image of the spatial distribution of the radiation is taken?
A) cortisone measurement
B) palpation
C) thyroid scan
D) thyrotoxicosis test
Q3) Normal thyroid function is described as:
A) euthyroid
B) hyperthyroidism
C) hypothyroidism
D) inactive thyroid
Q4) Sugar in the urine is called _____.
Q5) Epinephrine is synonymous with _____.
Q6) Excision of the pituitary is called a(n) _____.
Q7) _____ is the term describing normal thyroid function.
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