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A patient has been coughing for several weeks and has chest pain, fever, and fatigue. The physician assistant (PA) suspects the patient may have tuberculosis. The PA ordered a chest x-ray earlier that day would like to review the results since appropriate infection control and treatment measures need to be taken if the patient is positive. Where, within the clinical information system, should the PA review the chest x-ray results to verify whether the patient has tuberculosis?

A.

The pharmacy information system

B.

The radiology information system

C.

The laboratory information system

D.

The clinical decision support system

Answer and Explanation

The Correct Answer is B

A. The pharmacy information system – This system tracks medication orders and inventories, not radiology reports.

 

B. The radiology information system – Radiology images and reports are stored here, making it the correct place to check X-ray results.

 

C. The laboratory information system – This system stores laboratory test results, not imaging reports.

 

D. The clinical decision support system – This provides clinical guidelines and decision-making assistance, not storage for imaging results.


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Correct Answer is D

Explanation

A. Quality-assurance. – This system evaluates performance and compliance but does not manage the direct entry of patient data into the EHR.

B. Computerized provider order entry. – This system allows providers to enter orders for tests and medications but is not primarily for uploading vital signs or laboratory results.

C. Results-reporting. – This system focuses on reporting laboratory results but does not handle the initial entry of vitals and results into the EHR.

D. Electronic documentation. – This system is designed for entering and managing patient data, including vital signs and laboratory results, directly into the EHR.

Correct Answer is A

Explanation

A. Regularly run a penetration test. – Penetration tests identify system vulnerabilities that attackers could exploit, helping to strengthen system defenses against frequent attacks.

B. Require a two-factor authentication method when accessing protected health records. – Two-factor authentication is beneficial for security but doesn’t reduce the volume of attacks; it simply adds a layer of access protection.

C. Install software that can be used to wipe data from devices that go missing. – Wiping data from missing devices helps prevent data loss but doesn’t reduce attack frequency.

D. Implement timed computer screen locks. – Screen locks are helpful for local security but have no effect on external cyber attacks or the frequency of attempted attacks.

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