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Test Your Knowledge: Book of Style & Standards for Clinical Documentation, 4th Edition

Test your healthcare documentation skills with engaging quizzes based on the Book of Style & Standards for Clinical Documentation, 4th Edition. Perfect for medical transcriptionists, editors, healthcare documentation specialists, and CCD Auditors, these quick quizzes, separated into categories, will help reinforce learning, improve retention, and identify learning gaps so you can always perform at the top of your game.

🌟 What to Expect
✅ True/False questions
✅ Common style and formatting questions
✅ A fun, quick way to test or refresh your skills

Sharpen your skills, challenge yourself, and become a pro at applying industry standards with ease. Ready to test your expertise? Click on a quiz link to begin.

Document Types, Formats, and TATs

/5

Document Types, Formats, and TATs - Quiz 1

(Section 1.5.1)

1 / 5

According to the Joint Commission, the timeframe for completing a History and Physical report for admission is 48 hours.

(Section 1.4.3)

2 / 5

Document formatting should begin flush with the left margin.

(Section 1.1.1)

3 / 5

The PAST MEDICAL HISTORY section records the patient’s past complaints, problems, and diagnoses.

(Section 1.1.5)

4 / 5

A heading of ASSESSMENT is part of a SOAP note.

(Section 1.4.1)

5 / 5

Drug allergies recorded in the ALLERGIES AND INTOLERANCES section should be bold and all capital letters.

Your score is

0%

Exit

Editing the Record

/5

Editing the Record - Quiz 1

(Section 2.2.1)

1 / 5

Verbatim transcription means it is error-free.

(Section 2.1)

2 / 5

Flagging a document that needs to be reviewed by risk management is acceptable.

(Section 2.2.12)

3 / 5

You should refer derogatory remarks to risk management.

(Section 2.2.3)

4 / 5

You should not edit syntax to maintain the dictator’s style.

(Section 2.2.2)

5 / 5

You may edit a medical record to correct translation errors made by speech recognition.

Your score is

The average score is 78%

0%