Healthcare Documentation Test
Bank
Course Introduction
Healthcare Documentation is a course designed to provide students with comprehensive knowledge and practical skills in accurately creating, managing, and maintaining patient health records. The curriculum emphasizes understanding various documentation formats and standards, adherence to legal and ethical guidelines, and the utilization of health information technologies. Students learn to transcribe, edit, and review medical reports, discharge summaries, and clinical notes while ensuring data integrity and confidentiality. The course also covers electronic health record (EHR) systems, documentation for coding and billing, and the critical role of precise documentation in healthcare quality, patient safety, and regulatory compliance.
Recommended Textbook
Medical Language for Modern Health Care 3rd Edition by David Allan
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22 Chapters
1893 Verified Questions
1893 Flashcards
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Page 2
Chapter 1: Roots and Combining Forms
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Sample Questions
Q1) Which of the following statements is NOT true of combining vowels?
A)Combining vowels can join a root to another root.
B)Examples of combining vowels are "o" and "a."
C)A combining vowel has no meaning of its own.
D)A combining vowel makes a word easier to pronounce.
E)The most commonly used combining vowel is "u" followed by "i."
Answer: E
Q2) Which of the following statements is NOT true?
A)In the terms arthroscopy and arthrodesis, the combining form is the same but the suffix is different.
B)In the term endocarditis, the suffix means inflammation or infection.
C)Dermatitis has the root dermat- from the Greek word for skin.
D)Respiratory has the root respir- from the German word for inhale.
E)Ileum and ilium are two different words, and neither is spelled incorrectly.
Answer: D
Q3) The Greek/Latin element of joint is ____________________.
Answer: Arthr-
Explanation:
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Chapter 2: Suffixes and Prefixes
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Sample Questions
Q1) Retroverted means
A)Tilted sideways
B)Tilted forward
C)Tilted backward
D)Tilted upward
E)Not tilted
Answer: C
Q2) -ology is an example of:
A)The beginning of some words
B)The foundation of the word that provides its meaning
C)The vowel that joins a root to another root or to a suffix
D)The combination of a root and a combining vowel
E)The ending of some words
Answer: C
Q3) An inflammation of the stomach is gastr___________.
Answer: it is
Explanation: -itis is the suffix for inflammation and added to the root word gastrbecomes gastritis
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Page 4
Chapter 3: Word Analysis and Communication
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Sample Questions
Q1) What is the correct pronunciation of radiopaque?
A)ray-dee-oh-PAKE
B)ra-di-o-PAKE
C)RADIOH-plaque
D)radio-PAKE
E)ray-DI-o-pake
Answer: A
Q2) The terms urethra and ureter do not have these elements:
A)Root word and suffix
B)Prefix and suffix
C)Prefix and root word
D)Suffix
E)Prefix
Answer: B
Q3) The term carcinomata is plural, the singular form is ______________. Answer: carcinoma
Explanation: The term ends in -mata the singular ending is -ma therefore the proper singular form of carcinomata is carcinoma.
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Chapter 4: The Body As a Whole
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90 Flashcards
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Sample Questions
Q1) Union of a sperm and an egg is known as:
A)blastocyst
B)fertilization
C)holistic
D)implantation
E)secretion
Q2) Which of the following words has a prefix meaning below?
A)Distal
B)Proximal
C)Epigastric
D)Hypogastric
E)Hypertrophy
Q3) LUQ is an abbreviation referring to:
A)the lower urinary tract
B)the finding of liquid in the umbilicus
C)the thoracic cavity
D)an abdominal quadrant
E)the quality of respiration in the lungs
Q4) This forms the tip of your nose, the shape of your ear, and the larynx
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Chapter 5: Digestive System
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99 Verified Questions
99 Flashcards
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Sample Questions
Q1) The prefix in extracorporeal means ______________.
Q2) A shallow ulcer in the lining of a structure is a(n):
A)Erosion
B)Vagus
C)Pylorus
D)Serosa
E)Aneroxia
Q3) The passage of bright red bloody stools; usually indicates lower GI bowel bleeding from the sigmoid colon, rectum or anus is ___________________.
Q4) The B in BM stands for:
A)Bolus
B)Bowel
C)Bulimia
D)Barium
E)Bilirubin
Q5) Professionals who prevent and treat illness by promoting healthy eating habits are called:
Q6) The __________ moves food around your mouth and helps the cheeks, lips, and gums hold the food in place while you chew it.
Page 7
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Chapter 6: Urinary System
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Sample Questions
Q1) What is the correct spelling of the plural form of calculus?
A)Calculuses
B)Calculi
C)Calculum
D)Calculae
E)Calculie
Q2) In microscopic hematuria, what does the urine look like?
A)Bright red
B)Yellow
C)Amber
D)Full of pus
E)Red-tinged
Q3) In the term nephroblastoma, what does the word element -blast refer to?
A)Tumor
B)Expansion
C)To eliminate
D)To remove
E)Embryonic
Q4) This is produced when amino acid is broken down _____________________.
Q5) The hollow sac that holds fluids is _____________________.
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Chapter 7: Male Reproductive System
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93 Verified Questions
93 Flashcards
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Sample Questions
Q1) Which of the following words means a condition involving two rapid cell divisions, resulting in half the usual number of chromosomes?
A)Anabolism
B)Catabolism
C)Meiosis
D)Mitosis
E)Myolysis
Q2) A collection of fluid in the space of the tunica vaginalis is called a A)hydrocele
B)varicocele
C)spermatocele
D)teratoma
E)cryptorchism
Q3) The name of the medical specialty that focuses on diseases of the genitourinary tract is _______________________.
Q4) The blood test used to detect the presence of cancer of the prostate gland is abbreviated as _______________.
Q5) The sac containing the testes is called the ___________________________.
Q6) The abbreviation for impotence is __________________.
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Chapter 8: Female Reproductive System
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Sample Questions
Q1) The abbreviation used to designate the first day of the last menstrual cycle is
Q2) What is the average length of time for the sexual cycle?
A)14 days
B)28 days
C)31 days
D)26 days
E)24 days
Q3) The medical term for painful intercourse is
A)dyscourse
B)dyspareunia
C)vulvodynia
D)vaginalgia
E)vaginodynia
Q4) The use of liquid nitrogen to freeze and kill abnormal tissue is called
A)ablation
B)laser surgery
C)cryosurgery
D)conization
E)LEEP
Page 10
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Chapter 9: Nervous System
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Sample Questions
Q1) A short-term, small stroke with symptoms lasting for less than 24 hours is abbreviated as a (n)
A)AVM
B)CVA
C)TSH
D)TIA
E)PSA
Q2) A synonym for a tonic-clonic seizure is a (n)
A)petit mal seizure
B)grand mal seizure
C)absence seizure
D)febrile seizure
E)partial seizure
Q3) A disease involving the brain is called a(n)
A)Encephaloplasty
B)Encephalopathy
C)Encephalotomy
D)Encephalitis
Q4) A medical specialist in disorders of the nervous system is a
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Chapter 10: Cardiovascular System
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96 Verified Questions
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Sample Questions
Q1) The congenital heart defect Tetralogy of Fallot has how many defects?
A)2
B)3
C)4
D)5
E)6
Q2) A localized dilation of an artery as a result of a localized weakness of the vessel wall is called a(n) ____________________________.
Q3) The word apex means
A)superior or top
B)tip or end
C)straight
D)undeveloped
E)X-shaped
Q4) Which of the following words means narrowing of a blood vessel?
A)Vagotomy
B)Vasodilation
C)Vasoconstriction
D)Vasculature
E)Vena cava
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Chapter 11: Blood
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Sample Questions
Q1) What term is derived from a Greek word meaning plug or stopper?
A)Warfarin
B)Fibrin
C)Thrombus
D)Embolus
E)Clot
Q2) An inherited coagulation disorder passed from mothers to sons is called
A)Thrombocytopenia
B)Henoch-Schöenlein purpura
C)Multiple myeloma
D)Hemophilia
E)Disseminated intravascular coagulation
Q3) Which white blood cells increase dramatically in bacterial infections?
A)Neutrophils
B)Eosinophils
C)Basophils
D)Monocytes
E)Lymphocytes
Q4) A clot attached to a diseased blood vessel or heart lining is called a
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Chapter 12: Lymphatic and Immune System
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Sample Questions
Q1) When HIV invades the brain, what is the resultant condition?
A)Alzheimer's disease
B)Kaposi's sarcoma
C)Dementia
D)Cerebral palsy
E)Encephalitis
Q2) B lymphocytes mature in the _________________.
A)thymus
B)abdomen
C)lymph node
D)bone marrow
E)spleen
Q3) What does the root in the word incubation mean?
A)Infection
B)Immune
C)Form
D)Process
E)Hatch, sit on
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14
Chapter 13: Respiratory System
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Sample Questions
Q1) What is the name of the procedure that is performed to allow a non-breathing patient to be placed on a ventilator?
A)Tracheotomy
B)Endotracheal intubation
C)Bronchoscopy
D)Continuous positive airway pressure
E)Positive end-expiratory pressure
Q2) Which of the following is NOT a function of the respiratory system?
A)Allowing carbon dioxide to leave the blood and enter the air.
B)Making speech and other sound possible.
C)Allowing saliva and other oral fluids to be swallowed.
D)Regulating the pH of the blood.
E)Protecting against foreign bodies and some microorganisms.
Q3) The right lung has _______ lobes.
A)One
B)Two
C)Three
D)Four
E)Five
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Page 15
Chapter 14: Musculoskeletal System
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Sample Questions
Q1) Which of the following terms, meaning the specialty concerned with the diagnosis and treatment of disorders and injuries to the foot, is spelled correctly?
A)Pediatry
B)Podiatry
C)Pedietry
D)Podiatrie
E)Podiatary
Q2) A type of fracture in which one side of the bone is partially broken and the other side is bent is called a(an) ___________________________ fracture.
A)Hairline
B)Greenstick
C)Spiral
D)Incomplete
E)Impacted
Q3) An Abnormal lateral curvature of the vertebral column is called ____________________.
Q4) A patient lying on his or her stomach is said to be in a _________________ position.
Q5) The word which means creation of new bone is _________________________________.
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Chapter 15: Integumentary System
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Sample Questions
Q1) Which of the following medical terms means birthmark or congenital lesion of the skin?
A)Wheal
B)Nevus
C)Vesicle
D)Papule
E)Petechiae
Q2) Spoon-shaped or clubbed nails are the result of
A)Malnutrition
B)Infection
C)Genetics
D)Hypoxia
E)Anemia
Q3) Which of the following sentences has a medical term that is NOT used correctly?
A)Mr.Jones sprained his ankle, and now it is edematous.
B)Baby Jones has a nevus on his left shoulder.
C)Much scratching has led to exudation of the skin.
D)Jamie has a large burn on her arm with serous drainage from the blisters.
E)Dust mites, peanuts, and pollens are allergens.
Q4) The medical term for a cut in the skin is_____________________________________.
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Chapter 16: Special Senses of the Eye and Ear
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Sample Questions
Q1) A myringotomy allows an effusion in the inner ear to drain through ____________________ or _______________________ tubes.
A)tympanic; eustachian
B)eustachian; auditory
C)tympanostomy; pressure equalization
D)foramina; PE
E)auditory; cochlear
Q2) The function of the pupil is to
A)protect the eye
B)control the amount of light entering the eye
C)bend the rays of light entering the eye
D)lubricate the eyeball
E)give the eye its color
Q3) Which of the following words has aword element which means narrowing?
A)Chalazion
B)Corneal
C)Dacryostenosis
D)Hordeolum
E)Blepharoptosis
Q4) The name of the bony socket that holds the eyeball is called the _____________.
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Chapter 17: Endocrine System
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Sample Questions
Q1) Read this selection: Pheochromocytoma is a tumor of the adrenal medulla that overproduces the catecholamines epinephrine and norepinephrine. A patient with this tumor has hypertension that is difficult to control, severe headaches, tachycardia, palpitations, and feelings of impending death. Which of the following statements best describes a patient with this condition?
A)Adrenaline production is not changed.
B)The low blood pressure is easily treated.
C)The heart is one organ that is not affected.
D)The high blood pressure is accompanied by increased pulse rate.
E)There is little reason for discomfort or anxiety.
Q2) The type of diabetes mellitus caused by the destruction of pancreatic insulin-producing cells, and found predominantly in people under the age of 30 is known as
A)Type 1 diabetes
B)Type 2 diabetes
C)Gestational diabetes
D)Mature-onset diabetes of youth
E)NIDDM
Q3) Diabetes which occurs during pregnancy is called ________________diabetes.
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Page 19
Chapter 18: Mental Health
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Sample Questions
Q1) During a therapy session, a patient describes feelings of despair and hopelessness and states he does not want to live anymore. On the basis of the patient's description of these feelings, the psychiatrist is considering a diagnosis of A)anxiety disorder
B)antisocial behavior
C)mood swings
D)major depression
E)hypochondria
Q2) A person who is exciting, charming, and friendly one moment and angry, irritable, and sarcastic the next suffers from
A)a narcissistic condition
B)a bipolar disorder
C)an obsessive-compulsive disorder
D)borderline personality disorder
E)antisocial personality disorder
Q3) The police were called to the home of a person who was threatening to kill himself. The killing of oneself is called __________________________.
Q4) The inability to sleep is called
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Chapter 19: Geriatrics
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Sample Questions
Q1) The medical term that refers to an unfavorable response to medical or surgical treatment, caused by the treatment itself is
A)incontinence
B)iatrogenic
C)exacerbation
D)instability
E)sequela
Q2) A flat EEG is indicative of which of the following conditions?
A)Minimally conscious state
B)Persistent vegetative state
C)brain death
D)dementia
E)Alzheimer disease
Q3) A synonym for the word autopsy is
A)dissection
B)postmortem
C)coroner
D)pathology
E)mortician
Q4) The most common form of dementia is _________________
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Chapter 20: Cancer Oncology
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Sample Questions
Q1) Early cancer that has not invaded surrounding tissues is abbreviated as
A)CT
B)CSI
C)CIS
D)DIC
E)NIH
Q2) The suffix in the word carcinogen means
A)cancer
B)source
C)produce
D)form
E)origin
Q3) The word lavage means
A)high-temperature therapy
B)washing out of a hollow cavity, tube, or organ
C)aspirating a pleural effusion
D)performing an amniocentesis
E)checking patency of an anastomosis by infusion of a contrast medium
Q4) A colony of organisms or cells all having identical genetic constitutions is called a
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Chapter 21: Radiology and Nuclear Medicine
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Sample Questions
Q1) Agents such as barium sulfate and iodine, which can be administered orally, rectally, intravenously, or in an artery to enhance the real-time imaging of dynamic processes in blood vessels, or peristalsis in the GI tract are called ______________________________ agents.
Q2) Aprons used to protect patients and technicians from receiving unwanted radiation are made from
A)iron
B)tin
C)aluminum
D)asbestos
E)lead
Q3) PET images can be fused with _________ and __________images to improve diagnostic accuracy.
A)CT, MRI
B)CT, Ultrasound
C)MRI, SPECT
D)Scintigraphy, Ultrasound
E)IR, Ultrasound
Q4) X-rays, like light and radio waves, are a form of _______________________radiation.
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Chapter 22: Pharmacology
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Sample Questions
Q1) In the word intramuscular, the prefix means
A)Within
B)Between
C)Pertaining to
D)Muscle
E)Across, through
Q2) An intradermal drug is given
A)Between the epidermis and dermis
B)Within the dermis
C)Within the epidermis
D)Within the subcutaneous layer
E)On top of the epidermis
Q3) A solid dosage form in which a drug is enclosed in a hard or soft shell is a(n)
A)Tablet
B)Suppository
C)Lozenge
D)Capsule
E)Inhalant
Q4) The medical term which means a general weight loss and wasting of the body is
24
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