Diploma in Hospital Documentation & Records Management/60 4 Your Examination is Complete!Kindly Email your 10th Marksheet and Aadhaar card Copy on iisdtindia@gmail.comYou will get your result on email id within 10 days.Diploma in Hospital Documentation & Records ManagementOnline Examination Detail: Duration- 60 minutes. Number of Questions- 30. (Multiple Choice Questions). Maximum Marks- 100, Passing Marks- 40%. There is no negative marking. Candidate Details NameEmailPhone Number 1 / 601. As per WHO surgical safety checklist, antibiotic prophylactic should be given within what time frame, when applicable? 1. Within 24 hours before surgery 2. Within 12 hours before surgery 3. Within 4 hours before surgery 4. Within 1 hour before surgery 2 / 602. The leader of a quality improvement team needs to deal effectively with a conflict between two units, it is best to appoint which of the following to its membership? 1. a human resources representative 2. a facilitator 3. a risk manager 4. a senior safety officer 3 / 603. In accordance with FDA Categorization for Medications Safety in Pregnancy, which statement is true? 1. Category A drugs; no evidence of risk reported in humans so far 2. Category B drugs; evidence of risk is only in later trimesters in humans 3. Category C drugs; no risk to the fetus in the first trimester in humans 4. Category X drugs; risk is documented in animals but not in humans 4 / 604. Clinical pathways and guidelines in hospitals are primarily used to 1. Reduce lentgth of stay 2. Improve patient satisfaction 3. Identify errors in patient care 4. Minimize variation in patient care 5 / 605. As per NACO guideline, who can receive HIV test report of a patient, from the lab 1. Patient him/herself 2. A person authorized by the patient and having a valid authorization letter 3. Clinician who requested for the test, in a sealed envelope 4. Any of the above 6 / 606. A 67 years old diabetic patient being taught how to self-administer insulin. Which of the following is the best method to assess this patient's understanding of the teaching? 1. patient satisfaction survey 2. return demonstration 3. family's ability to verbalize instructions 4. written pre- and post-test 7 / 607. Which of the following is the most practical and mandatory element of the process of developing quality measures for use in the healthcare setting? 1. Clinical trials 2. Evidence-based guidelines 3. Hospital/physician quality measures 4. Pay for performance 8 / 608. A factor critical to the capital decision-making process is 1. Credit worthiness for an organization 2. Medical staff requests 3. Strategic planning activities 4. Tax considerations 9 / 609. When evaluating the components of an existing medication utilization system, priority attention should be given to those steps that 1. occur within the pharmacy department 2. are the least prone to variation 3. cannot be easily observed "down stream" 4. have highly functional checks and balances 10 / 6010. What is "iatrogenic illness"? 1. Illness of the eye 2. Illness caused by iatro-genetic factors 3. Illness caused by not enough iron in the blood supply 4. Illness caused by doctors 11 / 6011. The primary goal of risk management is to 1. minimize financial loss associated with legal actions 2. perform Failure Mode and Effects Analyses (FMEA) 3. maintain an effective and timely incident reporting system 4. identify the high-risk areas of the organization 12 / 6012. ________ are chemical substances produced in one part of the body that regulate the activities of certain organs or group of cells in other part of the body 1. Enzymes 2. Anti bodies 3. Estrogen 4. Hormones 13 / 6013. Computerized X-ray of layers of tissue is known as _________ 1. PET scan 2. MRI 3. CT scan 4. None of the above 14 / 6014. Joint Comission surveyors review organization's 1. medical records 2. income taxes 3. credit worthiness 4. physycians PDAs 15 / 6015. Which of the given tool can be best used for ‘Risk Analysis’ in patient care functions? 1. FMEA 2. RCA 3. Lean 4. RACI matrix 16 / 6016. The patient has a right to get ________ of medical records 1. Copy 2. Original 3. E-mail 4. Scanning 17 / 6017. External environmental analysis typically includes 1. Operating margins and debt capacity 2. Demographic and socioeconomic characteristics of the service area 3. Efficiency and staffing ratios 4. Qulaity indicators 18 / 6018. Failure Mode and Effects Analysis (FMEA) is performed 1. as a preventative measure before an incident occurs 2. to immediately investigate an incident that occurred 3. if the severity of an incident led to a patient death 4. when there is a chance of an incident reoccurring 19 / 6019. What is the characteristics of a “closed ICU” 1. The physician responsible for patient admits the patient in ICU and takes the formal responsibility of patient and his/her treatment in ICU 2. The admission and care of patient in ICU is the responsibility of intensivist 3. The ICU in which only the patient from same hospital can be admitted 4. The ICU in which patient from any hospital can be admitted 20 / 6020. Dental department's monthly case review revealed 240 records meeting criteria and 150 records did not meet the criteria. In calculating the incidence rate, the denominator is 1. 90 2. 390 3. 240 4. 150 21 / 6021. The following are essential functions of an infection control program 1. risk management and surveillance 2. prevention and education 3. surveillance and prevention 4. patient safety and risk management 22 / 6022. The following is non-modifiable risk factors for coronary heart disease 1. Obesity 2. Smoking 3. Hypertension 4. Age 23 / 6023. Healthcare quality professionals can best communicate organizational values through 1. disseminating monthly newletters 2. leading by examples 3. establishing a multidisciplinary task force 4. creating a mission statement 24 / 6024. Quality improvement team outcomes are best evaluated by which of the following? 1. PDCA process 2. team leader 3. senior leadership 4. nominal group technique 25 / 6025. When a case manager wants to demonstrate length of stay data that depicts both common cause and special cause variation, which of the following should be used? 1. Pareto chart 2. Scatter plot 3. Shewhart chart 4. Frequency plot 26 / 6026. For a community hospital, patient satisfaction scores demonstrate multiple areas needed for improvement including a need to improve attractiveness of the facility, responsiveness to patient needs, and physician and nursing communication. Based on these results, which of the following would the healthcare quality professional also will be expected to find? 1. departments are operating independently with little communication between units 2. departments are operating independently with little communication between units 3. departments managers are openly discuss patient satisfaction scores 4. employee satisfaction scores in the 90th percentile compared to other peer organizations 27 / 6027. Health care practitioners can effeciently apply time management techniques through 1. tasks delegating and outsourcing 2. working longer hours 3. generating to-do lists 4. overcoming procrastination 28 / 6028. What sampling technique involves selecting the medical record of every fifth patient undergoing Percutaneous Coronary Intervention (PCI)? 1. Convenience 2. Stratified 3. Simple 4. Systematic 29 / 6029. The majority of medication errors in the hospital setting originate in which phase of the medication-use process? 1. Prescribing 2. Transcribing 3. Dispensing 4. Administration 30 / 6030. As per CDC definition, an infection that occurs within _______________ days after the operation in skin and sub-cutaneous tissue, can be classified as superficial incisional surgical site infection 1. 1 year 2. 30 days 3. 7 days 4. 60 days 31 / 6031. All of the following are key aspects of quality EXCEPT 1. It depends upon customer perceptions 2. It does not change with time 3. It considers customers needs 4. It promotes high levels of precision 32 / 6032. Which one piece of information is the most usefull to describe the age of population that is served in a vaccination clinic? 1. Pie chart 2. Radar chart 3. Gantt chart 4. Scatter plot 33 / 6033. The process of obtaining, verification, and assessment of the qualifications of a healthcare practitioner to provide patient care or services in a healthcare organization is known as 1. Credentialing 2. Profiling 3. Accreditation 4. Appointment 34 / 6034. Meaningful quality process measures must be 1. feasible and explainable 2. relevant and explainable 3. valid and identifiable 4. relevant and valid 35 / 6035. Blood cells are manufactures in the _______ 1. Bone 2. Liver 3. Bone marrow 4. Gall blader 36 / 6036. The relationship between patient satisfaction and hours per patient day on a GOB unit was found to be (r=0.70,p < 0.05). What is the correlation between these two values? 1. 0.05 2. 0.7 3. 14 4. 0.49 37 / 6037. Research, Quality Assessment and Quality Improvement 1. use scientific methods to test hypothesis and statistical methods to analyza data 2. are considered protocols rather than projects 3. do not share the aspect of systematic investigation 4. do not require documentation of IRB approval before publication 38 / 6038. Of a quality improvement perspective, the most desirable state is when 1. Best practices have been identified 2. Consensus has been achieved and articulated 3. Clinical studies identify effective therapies 4. Multiple treatment options are being studied 39 / 6039. The following represents an essential element to an effective quality council 1. consultation of the legal advisor 2. direction from the organization's quality department 3. participation of the strategic planning committee 4. involvement of leadership 40 / 6040. Patient's personal, demographic and insurance information should occur during 1. Account follow up 2. Discharge 3. Preadmission 4. Admission 41 / 6041. Which of the following test is not mandatory to be carried out on donated blood, as per Drugs and Cosmetics Act 1. Syphilis 2. Hepatitis A 3. Malaria 4. Hepatitis C 42 / 6042. The best way to facilitate change within a healthcare organization is to 1. communicate through group meetings 2. arrange presentations by senior leaders 3. communicate through group e-mail 4. involve the individuals directly affected by the change 43 / 6043. Hospital mission statement 1. represents extended future goals 2. reflects only the main objectives of medical departments 3. determines the role of the community 4. should include a commitment to serve the community 44 / 6044. As per WHO guidelines on hand hygiene, entire process of non-surgical hand washing should take how much time? 1. 40-60 sec 2. 2-3 minutes 3. 20-25 seconds 4. Less than 15 seconds 45 / 6045. What do you mean by good medical records? 1. Standard size of medical records forms 2. Good quality of paper, printing, style, convenient file etc 3. Sufficient data written in sequence of events to justify the diagnosis, treatment and end result 4. Record contain all basic record forms 46 / 6046. Tho most effective way for a healthcare quality professional to communicate quality improvement activities to the medical staff is by 1. inviting medical staff to an isdervice on quality tools 2. developing professional relationships 3. providing outcome data at medical staff meetings 4. evaluating physician participation on quality teams 47 / 6047. Regarding Meta-analysis, all the following statements are 1. It is a statistical procedure that integrates the results of several independent studies that considered to be combinable 2. It doesn't allow a more objective appraisal of the evidence than traditional narrative reviews 3. It provides a more precise estimate of a treatment effect 4. It may be biased due to exclusion of relevant studies or inclusion of inadequate studies 48 / 6048. For a patient who will be undergoing a surgery, marking of the surgical/invasive site should be done by whom? 1. Attending nurse of the patient 2. Person who will be performing the surgery 3. In-charge of operation theatre 4. Person who will be administering anaesthesia 49 / 6049. Normal blood pressure is 1. 100/70 mm Hg 2. 120/80 mm Hg 3. 80/120 mm Hg 4. 110/70 mm Hg 50 / 6050. The following are reasonable description of variation in process capability 1. Extent to which process conforms to the norm 2. Distance from perfection 3. Degree of distribution about the mean 4. Antithesis of quality 51 / 6051. Medical records are the property of 1. Hospital 2. Patient 3. Relative 4. Physicians 52 / 6052. As per Bio-Medical waste management rules, waste generated from disposable items such as tubing, bottles, catheters, urine bags etc. should be disposed off by 1. Autoclaving/microwaving followed by shredding 2. Deep burials 3. Incineration 4. Should be disposed with general waste 53 / 6053. The following is the approach when implementing a National patient Safety Goal related to minimizing potential errors in a patient's care, treatment, and services? 1. allowing the patient and family opportunities to ask questions 2. having the patient provide return demonstration of the knowledge provided 3. showing a video to a patient and their family 4. giving both written and verbal instructions to a patient and family 54 / 6054. Which one piece of information is the most usefull to describe the age of population that is served in an anticoagulation monitoring service clinic? 1. t-test 2. mean 3. standard error of the mean (SEM) 4. chi square test 55 / 6055. Spores of which bacteria is used in conducting biological indicator spore test in sterilization equipment in CSSD? 1. Bacillus Anthracis 2. Bacillus Stearothermophilus 3. Bacillus Subtilis 4. Bacillus Megaterium 56 / 6056. In evaluating "long waiting times," a healthcare quality professional best demonstrates components related to staffing, methods, measures, materials, and equipment utilizing a 1. run chart 2. histogram 3. pie chart 4. Ishikawa diagram 57 / 6057. Medical Audit is to assess the ______________ of medical records 1. Quantity 2. Quality 3. Efficiency 4. Quantity & Quality 58 / 6058. The audit done by other than the treating team of doctors is known as _____________ 1. Internal medical records audit 2. External medical records audit 3. All medical records audit 4. Infection control audit 59 / 6059. Which of the following is a quantitative variable? 1. Blood pressure 2. Blood group 3. Religion 4. Place of birth 60 / 6060. A critically ill patient is admitted and requires a specialized procedure; however, the surgeon does not have privileges at the facility. Which of the following documents will be MOST helpful in identifying the course of action the hospital should take? 1. patient safety manual 2. risk management plan 3. medical staff by laws 4. surgical policies and procedures Exit
