Rhds Exam - Chapter 6 - Editing The Record

Front 1

Which of the following is something medical transcriptionists should never do when transcribing dictation?
a. Ask for feedback
b. Guess
c. Make edits based on assumptions
d. Leave a blank

Back 1

b. Guess

Front 2

Which of the following is NOT part of the sound-it-out method of deciphering difficult dictation?
a. Write it down
b. Change the emphasis to different syllables
c. Spell it phonetically
d. Close the file and listen again later

Back 2

d. Close the file and listen again later

Front 3

Which contains transposed values?
a. The pH is 5.2. Specific gravity is 1.020.
b. Normal differential showing 50% segs and 1% eos.
c. Hemoglobin 42, hematocrit 14.
d. WBC 8500 and RBC 5.2.

Back 3

c. Hemoglobin 42, hematocrit 14.

Front 4

Which sentence would require editing by the medical transcriptionist?
a. Laboratory results were forwarded to the patient and me.
b. Both the patient and I received the laboratory results.
c. Laboratory results were forwarded to the patient and I.
d. Both I and the patient received the laboratory results.

Back 4

c. Laboratory results were forwarded to the patient and I.

Front 5

Which dictated sentence requires editing by the transcriptionist?
a. He complains of right shoulder pain, unable to sleep at night, and difficulty raising his arm.
b. He complains that he has pain in the right shoulder, is unable to sleep at night, and has difficulty raising his arm.
c. He complains of having right shoulder pain, being unable to sleep at night, and having difficulty raising his arm.
d. He complains of pain in the right shoulder, inability to sleep at night, and difficulty raising his arm.

Back 5

a. He complains of right shoulder pain, unable to sleep at night, and difficulty raising his arm.

Front 6

Which of the following is NOT part of the four-step method for filling in blanks?
a. Leave blanks the first time through an audio file
b. Read the report without the audio
c. Visualize the actions of the patient or dictator as you read through the report
d. Ignore grammatical and spelling errors until all blanks are filled in

Back 6

d. Ignore grammatical and spelling errors until all blanks are filled in

Front 7

DICTATED: The patient saw Dr. Arif Shah for a 2nd opinion.
In the scenario above, the dictator does not spell the doctor's name. Which of the following is the best way to transcribe the sentence?
a. The patient saw another doctor for a 2nd opinion.
b. The patient saw Dr. R. F. Shaw for a 2nd opinion.
c. The patient saw Dr. (sounds like R. F. Shaw) for a 2nd opinion.
d. The patient saw Dr. ________ for a 2nd opinion.

Back 7

d. The patient saw Dr. ________ for a 2nd opinion.

Front 8

Which of the following accurately states the purpose of The Book of Style for Medical Transcription, Third Edition?
a. To provide descriptions of medicolegal implications
b. To provide descriptions of varying dictation styles
c. To provide advanced knowledge of medical terminology
d. To provide in-depth knowledge of medical transcription guidelines

Back 8

d. To provide in-depth knowledge of medical transcription guidelines

Front 9

Which sentence contains slang that requires editing by the transcriptionist?
a. The lab results showed elevated eos.
b. Before the procedure, a sterile prep was performed.
c. This physician carried out an exam on the patient.
d. I requested a crit level on this patient.

Back 9

d. I requested a crit level on this patient.

Front 10

Fill in the blank from the choices below to complete the following sentence. A report created by speech recognition ________ needs editing.
a. Rarely
b. Never
c. Usually
d. Sometimes

Back 10

c. Usually

Front 11

The integrity of the patient encounter is protected by which of the following?
a. Honoring the physician's dictation style
b. All of the answers are correct.
c. Refraining from correcting or altering what cannot be confirmed
d. Recognizing errors and inconsistencies in the record

Back 11

b. All of the answers are correct.

Front 12

Which of the following is considered checking a document for typographical errors and correcting formatting errors?
a. Proofreading
b. Amending
c. Correcting
d. Transcription

Back 12

a. Proofreading

Front 13

What is the name of speech recognition editing performed by the originator?
a. Primary
b. Back-end
c. Front-end
d. Secondary

Back 13

c. Front-end

Front 14

Which of the following can be used to summarize editing into five parts?
a. As
b. Ds
c. Cs
d. Bs

Back 14

c. Cs

Front 15

True or False. Editing is the same as proofreading.
True
False

Back 15

False