Lecture 1 HIPAA

Question 1

HIPAA stands for

Answer 1

Health Insurance Portability and Accountability Act

Question 2

Privacy Rule protects all ____ health information

Answer 2

identifiable

Question 3

True or False. Individuals do not have the right to review and obtain a copy of their records

Answer 3

False. Individuals do have the right to review and obtain a copy of their records

Question 4

• individuals own treatment
• payment
• advertisement
• helathcare operations
• minimum necessary protected information should be disclosed
• –which one is not a reason to disclose protected information?—

Answer 4

are all reasons to disclose information
except
-advertisement

Question 5

_____ authorization must be obtained for the use of protected health inof such as ______

Answer 5

written, marketing

Question 6

True or False. Hippa must be provided at the first encounter , displayed in the office

Answer 6

True

Question 7

How many years do documentations about privacy notices, disposition, complaints and other actions must be kept for?

Answer 7

6 yrs

Question 8

As an extern you are bound by HIPPA rules to do what two things?

Answer 8

1. you may not access records for any reason other then patient care , treatment and payment
2. you have a duty to keep the records private from members of the public

Question 9

Communications and referrals (are/aren’t) considered marketing

Answer 9

arent

Question 10

T/F you are still bound by HIPAA rules in audible conversations

• -with patients
• -with colleagues
• -elevator converstations

Answer 10

true

Question 11

Inflammation of the eyelids ususally with redness swelling and itching describes (blepharitis/epilation)

Answer 11

blepharitis

Question 12

Removal of hair or lashes as by electrolysis describes (blepharitis.epilation)

Answer 12

epilation

Question 13

Screening method for gross visual field defects usisng the examiner’s eye as a fixation point adn his moving fingers as peripheral targets describes (tonometry/scotoma/visual fields/confrontation fields)

Answer 13

confrontation fields

Question 14

measurement of intraocular pressure in millimeters of mercury (tonometry/scotoma/visual fields/confrontation fields)

Answer 14

tonometry

Question 15

Increase in pupil size called (miosis/mydriasis)

Answer 15

mydriasis

Question 16

Decrease in pupil size called (miosis/mydriasis)

Answer 16

miosis

Question 17

paralysis of the ciliary muscles , eliminating accomodation (tonometry/ scotoma/cycloplegia)

Answer 17

cyclopegia

Question 18

(hydrogel/hybrid) is a plastic used in the manufacture of contact lenses

Answer 18

hydrogel

Question 19

• power
• base curve
• diamter
• brand
• care regimen
• disposal schedule
• wearing time
• -all describe elements of (visual acuity/contact lense prescription)

Answer 19

contact lens prescription

Question 20

(Emmetropia/ametropia) any optical error

Answer 20

ametropia

Question 21

(presbyopia/emmetropia/myopia) reduciton in eyes ability to focus at near from loss of elasticity of crystalline lens or loss of ciliary muscle funciton

Answer 21

presbyopia

Question 22

decreased vision in one or both eye without detectable anatomic damage to the retina or visual pathways
(Amblyopia/organic amplyopia/funcitonal amblyopia)

Answer 22

amblyopia

Question 23

decreased vision in one or both eye without detectable anatomic damage to the retina or visual pathways, caused by non apparent damage to visual system therapy is ineffective
(Amblyopia/organic amplyopia)

Answer 23

organic amblyopia

Question 24

T/F functional amblyopia is called lazy eye, and can usually be cured in childhood

Answer 24

T

Question 25

As one extraocular muscle revieves an impulse form the brain to ctonract its oppisong muslce in teh same eye receives an impulse to relax (sherrington's law of reciprical innervation/hering's lay of equal innervation)

Answer 25

Sherringtonls law reciprocal innervation

Question 26

Innervation to one extraocular muscle to contract generates an equal innervation to contract its yoke muscle sherrington's law of reciprical innervation/hering's lay of equal innervation)

Answer 26

herings law

Question 27

T/F conjugate movemetn can also be se called versions

Answer 27

T

Question 28

Innervation of muscles mnemonic

Answer 28

SO4LR6

Question 29

(Referral /consultation) the patient goes to another doctor and wont be coming back for treatment

Answer 29

Referral

Question 30

(Referral /consultation) pt may or may not come back to the primary care giver since it is unknown at the time the diagnoses

Answer 30

consultiation

Question 31

____ laser that produces short pulsed energy light beam to cut perforate or grament tissue

Answer 31

YAG

Question 32

(Aphakia/pseudophakia) state of having an intraocular lens implant that replaces the eyes natural lens

Answer 32

pseudoaphakia

Question 33

(Aphakia/pseudophakia) absence of the eye's crystalline lens

Answer 33

aphakia

Question 34

Overflow of tears down teh cheek caused by a defect in teh tear drainage system (epiphora/phoria/photophobia)

Answer 34

epiphora

Question 35

(floaters/retinal detachment/diabetic retinopathy) sereies of progressive retinal changes, includes the growth of abnormal new blood vessel and accompnay fibrous tissue neovasculartization

Answer 35

diabetic retinopathy

Question 36

T/F you should change and clarify your notes electronically

Answer 36

F. you shouldn't change anything , addendum should be added to record the change signature time and date stamped

Question 37

T/F if you did not document it , it did not happen

Answer 37

T

Question 38

What type of ink should you use in keeping records?

Answer 38

black

Question 39

Can you use yoru own abbreviations in record keeping?

Answer 39

no do not use your private abbreviations

Question 40

CC in record keeping means?

Answer 40

chief complaint

Question 41

T/F a pt can vervally complete questionnaires if the patient did not or can't complete it in the written form

Answer 41

T

Question 42

What are the most important outcomes in the case history?

Answer 42

tentative diagnosis testing strategy differential diagnoses

Question 43

``` 1. Chief and Secondary complaints Includes the HPI 2. Vision and Ocular health Personal Family 3.. Patient information Social and Vocational history 4. Wrap up and Summary 5.. Systemic Health Includes the Review of Systems Personal Family ``` -put in correct order

Answer 43

``` 1. Chief and Secondary complaints Includes the HPI 2. Patient information Social and Vocational history 3. Vision and Ocular health Personal Family 4. Systemic Health Includes the Review of Systems Personal Family 5. Wrap up and Summary ```

Question 44

T/F never ask open ended questions in attaining pts case history

Answer 44

F. ask open ended questions

Question 45

FODLARS stands for what?

Answer 45

Frequency, onset, duration, location, associated factors, reliefe, severity

Question 46

- Additional complaints usually unrelated to chief complaint - If they are related, they are associated with the chief complaint - FODLARS - The secondary complaint may become the Chief Complaint, depending on the severity of the complaint - Ocular morbidity or mortality Describes (primary/secondary) complaints

Answer 46

describes secondary complaints

Question 47

What additional information do you want to ask the patient?

Answer 47

occupation, hobbies, avocation, hours of computer use, sport, special eye wear needs or requirements(glasses)

Question 48

(Urgent/emergency) see the pt same day or next day

Answer 48

urgent

Question 49

(urgent/emergency) see the pt same day immediately

Answer 49

emergency