Page 56 - ractice Exam Questions and rationales
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D. PAP smear results

                Your response:
                psychiatric treatment
                Correct response:
                psychiatric treatment
                Rationale: A HIPAA-covered health care provider or health plan may share protected health
                information if it has a court order. However, the provider or plan may only disclose the
                information specifically described in the order to protect the privacy of health information. A
                HIPAA-covered provider or plan may disclose information to a party issuing a subpoena only if
                the notification requirements of the Privacy Rule are met. Before responding to the subpoena,
                the provider or plan should receive evidence that there were reasonable efforts to: 1. Notify the
                person who is the subject of the information about the request, so the person has a chance to
                object to the disclosure, or 2. Seek a qualified protective order for the information from the
                court. However, there are many exceptions to this rule, such as disclosures for treatment,
                payment and healthcare operations, reporting certain types of injuries to law enforcement,
                disclosing information pursuant to a subpoena issued by a “judicial officer,” and reporting abuse
                and neglect to an appropriate government agency. State laws also give legal protection to
                privileged information obtained through a provider-patient relationship (e.g. the traditional
                physician-patient privilege, counselor-client privilege), and to confidential information obtained
                by providers whose primary purpose is to provide services for the care, treatment, and
                rehabilitation of the mentally ill, developmentally disabled or substance abusers.
                Which of the following pieces of equipment should the medical assistant anticipate using when
                taking a patient’s blood pressure?

                   A. sphygmomanometer


                   B. otoscope

                   C. speculum


                   D. pulse oximeter

                Your response:
                sphygmomanometer
                Correct response:
                sphygmomanometer
                Rationale: A sphygmomanometer is used to auscultate and measure blood pressure readings. An
                otoscope is used to examine the ear, a speculum is used to examine body cavities, and a pulse
                oximeter is used to see what a person’s oxygen saturation is in the body.
                A personal check is returned to the medical office due to nonsufficient funds for an established
                patient recently placed on hospice care services.  Which of the following actions should the
                medical assistant take?


                   A. Increase the patient’s account balance due by the same amount of the returned check plus
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