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Intro to Transcription

 

Chapter 5 Worksheet

 

1.        Explain the difference between hospital inpatients and outpatients.

 

2.        Compare the “basic four” to the basic six”.

 

3.        List the four methods of physical examination evaluation performed by the physician or health professional.

 

4.        Who dictates the consultation report, and who receives the report?

 

5.        Explain the focus of the pathology report.

 

6.        List three types of radiology diagnostic procedures.

 

7.        List six section headings contained in the dismissal summary.

 

8.        What are “aged” reports, and what are the turnaround time parameters for these reports?

 

9.        Which reports are usually dictated by someone other that the attending physician?

 

10.     Explain how the separate line heading format differs from the freeform paragraph format.

 

 

MATCHING

 

_____  1.  Fluoroscopic Catherterization                                                         A.  History and Physical Report

 

_____  2.  Hospital Course                                                                                 B.  Operative Note

 

_____  3.  Review of Systems                                                                            C.  Consultation Report

 

_____  4.  Sponge Count                                                                                    D.  Pathology Report

 

_____  5.  Gross and Microscopic Findings                                                   E.  Radiology Report

 

_____  6.  Recommendations                                                                             F.  Discharge Summary

 

_____  7.  Follow-Up

 

_____  8.  Tissue Submitted

 

_____  9.  Chief Complaint

 

_____  10. First Assistant