Medical Office Computer Applications

A medical assistant is taking a patient’s history and entering it directly into the EHR. The patient’s main reason for seeing the doctor is a severe migraine headache. If this office uses the CHEDDAR format of documentation, under which letter would this information be entered?

• D

• C

• R

• A

Which of these would be recorded under the "S" in a patient's EHR if using the SOAP format? (Select the 4 correct responses.)

• Sodium level

• Symptoms

• History of present complaint

• Social history

• Feeling of fatigue

Where is the diagnosis entered under the SOAP format?

• S

• O

• A

• P

If a physician places a patient on high blood pressure medication after a routine physical, where would it be recorded using the SOAP format?

• S

• O

• A

• P

Which of the following are internet search engines? (Select the three (3) correct answers.)

• Bing

• Linux

• Google

• Windows XP

• Yahoo

While reconciling electronic payments at the end of the day, the medical assistant leaves the front desk to help a coworker. When the medical assistant returns, the computer screen is blank. There is evidence that the office cleaning crew has vacuumed and emptied the trash around the front desk. How should the medical assistant initially troubleshoot this issue? (Select the four correct answers below.)

• Click the mouse.

• Press a key on the keyboard.

• Replace the monitor connector cable.

• Verify that the computer is plugged in and turned on.

• Check to see that the monitor is connected to the computer.

Which peripheral office device is used to capture images for display or editing on a computer?

• copy machine

• printer

• scanner

• mouse

Which of these is a safeguard put in place to help secure access to Electronic Health Record information?

• protected passwords

• e-prescriptions

• legalized hacking systems

• special note documentation areas

A physician asks the medical assistant to enter data into a patient’s electronic medical record using the SOAP format. What does the “P” represent?

• Physician name

• Problem

• Progress

• Plan