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2021 Nov HIT-001 exam question
Q221. Which of the following refers to medical information that is protected, but contains nothing regarding the patient's illness or treatment?
A. Individually Identifiable Health Information
B. Demographic Health Information
C. Archived Health Information
D. De-Indentified Health Information
Answer: B
Explanation: Demographic Health Information is a part of individually identifiable health information, it contains no information regarding and individual's illness or treatment. Demographic information is the patient's name, date of birth, address, social security number, insurance information and contact information. Answer: A is incorrect. Individually Identifiable Health Information is incorrect as this is information, including demographic information that relates to the individual's past, present or future physical or mental health or condition, the provision of health care to an individual or the past, present or future payment of health care provisions. Answer: D is incorrect. De-identified health information is incorrect as this information requires removal of all data in which a patient can be identified such as name, date of birth, social security number and address. Answer: C is incorrect. Archived Health Information is incorrect as this is health information that has been stored on some sort of media such as a compact disc, dvd or videotape.
Q222. Ambulatory Surgical Centers provide outpatient surgeries, pain management and diagnostic procedures. These often use the latest in electronic health records and health management software systems, and require the services of healthcare IT personnel. As a healthcare IT professional, who are you most likely to deal with during your employment at an ambulatory surgical center?
A. Chief Executive Officer
B. Nursing Manager
C. Chief of Medical Staff
D. Administrator
Answer: D
Explanation: Often the manager of day to day operations at an ambulatory surgical center is simply referred to as an "administrator". IT issues, regulatory requirements, finance, billing, many aspects of the smooth functioning of a small ambulatory surgical center are covered by the administrator, or delegated by the administrator to the next layer of management. Answer: C is incorrect. Chief of Medical Staff is not going to be directly involved in IT matters. Answer: A is incorrect. The Chief Executive Officer is not going to be directly involved in IT matters on a day to day basis. Answer: B is incorrect. Although potentially consulted for design decisions and training programs, a nursing manager is not likely to be in charge of managing IT matters for an ambulatory surgical center.
Q223. A 44 year old female presents to the emergency room with chest pain. She is denied care because she is uninsured. Which of the following pieces of legislation has been violated?
A. EMTALA
B. HIPPA
C. MIPPA
D. Patient Bill of Rights
Answer: A
Explanation: The Emergency Medical Treatment and Active Labor Act (EMTALA) is the piece of legislation legally obligates health care facilities to provide emergent care regardless of citizenship, legal status or ability to pay. Answer: B is incorrect. HIPPA is incorrect as this legislation is designed to insure the privacy and security of personal health information.
Q224. Due to concerns with rapid changes in technology less use of magnetic tapes or CDs to backup information, your hospital is working to develop a policy to ensure continued access to electronic health information over time. Which one of these methods is NOT a good way to deal with aging electronic media?
A. Use software independent forms for storage, such as document management systems
B. Have a plan to reformat and migrate older records to new software or hardware systems.
C. Maintain necessary software and hardware to read any old records, make sure that older versions of programs and operation systems are maintained somewhere to use if necessary.
D. Print out in paper format information that might be lost in an electronic system and store paper copies.
Answer: D
Explanation: Option A, option B, and option C are all potential ways of dealing with changes in electronic medical record technology, but option Dis not a good plan. Often, a hospital spends a good deal of time and money migrating from paper records, which take a deal of space and money to store, to an electronic storage and or imaging system. Doing the reverse to prevent software or hardware obsolescence would not be a popular or feasible approach. Answer: A is incorrect. Implementing a document management system where records are kept in a software independent format is a route many healthcare facilities are taking, so Option A is a good approach. Answer: B is incorrect. Consistently migrating older records to a newer system can be time consuming, but it is far better than losing access to those records or printing them out on paper. Answer: C is incorrect. Retaining good copies of older hardware and software is a good plan for making sure records remain accessible.
Q225. Which of the following acts refers to medical information that is obtained by the use of photographs or other medical imaging device?
A. Device Capture
B. Document Archiving
C. Document Imaging
D. Clinical Imaging
Answer: D
Explanation: Clinical imaging refers to medical information that is obtained by the use of photographs or other medical imaging devices that need to be a part of the patient's permanent medical record. Answer: C is incorrect. Document imaging is incorrect as this action involves involves prepping, scanning, indexing and performing quality control on paper documents that are entered into a computerized system. Answer: A is incorrect. Device capture is incorrect as this is the act of transmitting medical information directly from a medical device such as electrocardiogram. Answer: B is incorrect. Document archiving is the act of ensuring the documents of a patient's medical record are sufficiently stored for the appropriate length of time in a private location.
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Q226. Which of the following data types encompassed in a patient's EHR would include an MRI?
A. Images
B. Voice
C. Numbers
D. Signals
Answer: A
Explanation: Image data is a type of data that may be found in a patient's electronic health record. Examples of image data would include images obtained from x-rays, CT scans ,MRI exams and Nuclear Medicine exams. This data type is normally represented by x-rays or document images themselves, the interpretation of radiology images are considered voice data.
Q227. Which of the following is the branch of medicine dealing with the medical care of infants, children, and adolescents?
A. Gynecology
B. Pedology
C. Pediatrics
D. Dermatology
Answer: C
Explanation: Pediatrics is the branch of medicine dealing with the medical care of infants, children, and adolescents. The word "pediatrics" has been derived from the Greek word "pais" meaning child. A medical professional who specializes in this area is called a pediatrician. Answer: B is incorrect. Pedology is the study of soils in their natural environment Answer: A is incorrect. Gynecology deals with the health of the female reproductive system. Answer: D is incorrect. Dermatology deals with diseases related to the skin, or epidermal cells for both medical and surgical aspects. Some cosmetic problems of the skin, scalp, hair, and nails are included in the field of dermatology.
Q228. An 80 year old man is dissatisfied with several aspects of his hospital stay, which of the following pieces of legislation allows him to file a formal complaint?
A. EMTALA
B. MIPPA
C. Patient Bill of Rights
D. HIPPA
Answer: C
Explanation: Patient Bill of Rights is correct as this legislation requires health care providers inform all patients of their rights as patients receiving medical treatment. There are eight rights every patient has as a recipient of medical care and one of those rights is the ability to file a complaint against the health plan, physician, hospitals and other health care personnel. Answer: B is incorrect. MIPPA is as this as this legislation is designed used to adjust Medicare reimbursement to certain facilities. Answer: A is incorrect. EMTALA is as this legislation legally obligates health care facilities to provide emergent care regardless of citizenship, legal status or ability to pay Answer: D is incorrect. HIPPA is as this legislation is designed to insure the privacy and security of personal health information.
Q229. How many IEEE 1394 devices can be connected to a single IEEE 1394 port through daisy-chaining?
A. 63
B. 127
C. 53
D. 110
Answer: A
Explanation: Up to 63 IEEE 1394 devices can be connected to a single IEEE 1394 port through daisy-chaining. Institute of Electrical and Electronics Engineers (IEEE) 1394 is a standard for high-speed serial bus that provides enhanced PC connectivity for a wide range of devices. These devices include consumer audiovisual components, traditional PC storage devices, and handheld devices. IEEE 1394 is also known as Firewire. The FireWire connector is used with the FireWire serial bus. FireWire can transmit data at a very high speed of 400Mbps and 800Mbps. Two types of connectors are available in this category, namely 4-pin and 6-pin.
Q230. Wired Equivalent Privacy (WEP) is a deprecated algorithm to secure IEEE 802.11 wireless networks. What are the goals of WEP? Each correct answer represents a complete solution. Choose all that apply.
A. Data Integrity
B. Accessibility
C. Adaptability
D. Confidentiality
E. Access Control
Answer: ACDE
Explanation: The main goals of Wired Equivalent Privacy (WEP) are as follows:Confidentiality. It prevents link layer eavesdropping.Access Control. It allows the entrance of only authorized persons to a building, room, etc. Data Integrity. It protects data from unauthorized third party.Adaptability. It is used on existing hardware. Answer: B is incorrect. It is an invalid goal.