JKSSB Medical Record Keeper 2025 Solved Question Paper

Question 1

Identify the error in the following sentence:
The number of students in the class are increasing every year.

Accepted Answer

Option A: are. The expression 'The number of...' takes a singular verb. Therefore, 'are' is grammatically incorrect and must be replaced by 'is'.

Question 2

Choose the grammatically correct sentence:

Accepted Answer

Option B: He said he would come tomorrow.. In reported indirect speech with a past reporting verb ('said'), 'will' changes to 'would': 'He said he would come tomorrow'.

Question 3

She insisted that he _______ (attend) the meeting despite his busy schedule.

Accepted Answer

Option C: attend. Verbs of demand or insistence ('insisted that...') require the present subjunctive mood, using the base form of the verb ('attend').

Question 4

Choose the correct preposition for the following sentence:
He is ashamed _______ what he did.

Accepted Answer

Option C: of. The adjective 'ashamed' takes the fixed preposition 'of' ('ashamed of something').

Question 5

Choose the correct option to complete the sentence:
She needs to _______ her old habits if she wants to succeed.

Accepted Answer

Option B: give up. The phrasal verb 'give up' means to abandon or quit a habit.

Question 6

Rearrange the words into a correct sentence:
is/very/this/important/topic

Accepted Answer

Option B: This is a very important topic. Standard English declarative syntax (Subject + Verb + Predicate): 'This is a very important topic'.

Question 7

Choose the correct indirect speech for the sentence:
The chef cooked a delicious meal.

Accepted Answer

Option B: A delicious meal was cooked by the chef.. Active to Passive conversion for Simple Past: Subject + $V_2$ + Object becomes Object + was/were + $V_3$ + by Subject: 'A delicious meal was cooked by the chef'.

Question 8

Identify the error in the sentence:
She didn't knew the answer to the question.

Accepted Answer

Option B: knew. The auxiliary verb 'did / didn't' is always followed by the base form of the verb ($V_1$). Thus 'knew' is an error and should be 'know'.

Question 9

She is always _______ her success in front of others.

Accepted Answer

Option A: showing off. The phrasal verb 'show off' means to boastfully display or exhibit one's accomplishments or wealth.

Question 10

If she _______ (study) harder, she would have passed the exam.

Accepted Answer

Option C: had studied. Third Conditional structure: 'If' + Past Perfect ('had studied'), main clause with 'would have' + past participle ('would have passed').

Question 11

Identify the sentence that is grammatically correct:

Accepted Answer

Option D: Neither the teacher nor the students were late.. With 'Neither...nor', the verb agrees with the closer subject ('students' is plural $\implies$ 'were late').

Question 12

What is the primary cause of climate change, according to the passage?

Accepted Answer

Option A: Increasing levels of greenhouse gases due to human activities. As stated in the passage, human industrial and deforestation activities significantly increasing atmospheric greenhouse gases are the primary cause of global warming.

Question 13

What does the term "mitigate" most closely mean in the context of the passage?

Accepted Answer

Option C: Make less severe. 'Mitigate' means to alleviate, lessen, or reduce the severity or seriousness of something.

Question 14

Which international agreement is mentioned in the passage?

Accepted Answer

Option B: Paris Accord. The passage explicitly mentions the 'Paris Accord' aimed at limiting global temperature rise.

Question 15

What are some suggested actions to combat climate change as mentioned in the passage?

Accepted Answer

Option D: Planting trees, reducing carbon footprints, and using renewable energy. The passage lists: 'Planting trees, reducing carbon footprints, and shifting to renewable energy'.

Question 16

What can be inferred from the passage about the role of individuals in combating climate change?

Accepted Answer

Option A: Collective efforts by individuals, communities, and governments are necessary.. The passage emphasizes that 'collective efforts at individual, community, and governmental levels are essential'.

Question 17

Choose the best synonym for "pressing" as used in the first sentence.

Accepted Answer

Option A: Urgent. 'Pressing issue' means a critical, demanding problem requiring immediate attention ('Urgent').

Question 18

What does the idiom "put all your eggs in one basket" mean?

Accepted Answer

Option A: To invest everything in a single venture or plan. The idiom means to risk all of one's resources or hopes on a single enterprise or course of action.

Question 19

What does the idiom "elephant in the room" mean?

Accepted Answer

Option D: A large, obvious problem that everyone is ignoring. 'Elephant in the room' refers to a conspicuous, major problem or controversial issue that is obvious to all but deliberately unaddressed or ignored.

Question 20

How a process writing approach can be described?

Accepted Answer

Option B: Top down approach. Process writing focuses on recursive stages of drafting, revising, and editing from holistic conceptual planning to sentence-level execution (Top-down approach).

Question 21

The first medical record unit was established in which Country?

Accepted Answer

Option B: United States. The modern scientific medical record system was pioneered in the United States at Massachusetts General Hospital (Boston) in 1821, leading to the creation of the Association of Record Librarians of North America (AHIMA) in 1928.

Question 22

What is the main difference between inpatient and outpatient medical records?

Accepted Answer

Option A: Inpatient records include detailed case histories, outpatient records do not.. Inpatient medical records contain comprehensive longitudinal clinical documentation including daily physician progress notes, nursing charts, operative notes, and detailed multidisciplinary case histories, whereas outpatient records are brief episode-based encounter notes.

Question 23

Which of the following best defines a medical record?

Accepted Answer

Option B: A clinical, scientific, administrative and legal document relating to patient care. A medical record is a formal, confidential, multidisciplinary clinical, scientific, administrative, and medico-legal document recording a patient's medical history, clinical findings, diagnostic results, treatments, and outcomes.

Question 24

Which Committee highlighted the poor medical records in Indian hospitals?

Accepted Answer

Option B: Bhore Committee. The Health Survey and Development Committee (Bhore Committee, 1946) submitted a seminal report highlighting the deficient, unstandardized, and inadequate condition of medical record keeping across Indian hospitals.

Question 25

Which report is generated by medical records to analyse patient admission, discharges, and transfers?

Accepted Answer

Option B: ADT Analysis. The Admission, Discharge, and Transfer (ADT) report tracks and analyzes real-time patient movement across hospital wards, bed utilization, and census figures.

Question 26

What personal information is always recorded in medical records form?

Accepted Answer

Option C: Patient's name, date of birth, and gender. Demographic core baseline data mandated across all medical record formats consists of the patient's full legal name, date of birth / age, and gender.

Question 27

Which legal regulation governs the management of medical records in many countries?

Accepted Answer

Option A: Health Insurance Portability and Accountability Act. The Health Insurance Portability and Accountability Act (HIPAA, 1996) is the gold standard benchmark regulation governing Protected Health Information (PHI) privacy, electronic security, and medical records management.

Question 28

Identify the correct statement about medical record destruction:
Statement A: Destruction must comply with legal and institutional policies
Statement B: Records can be destroyed by any employee in the healthcare facility
Statement C: A destruction log must be maintained for every destroyed record.

Accepted Answer

Option A: Only statements A and C are correct. Statements A and C are correct: records must be destroyed in compliance with statutory retention laws, and a permanent destruction certificate/log documenting authorization, dates, and method must be retained (Statement B is false as only authorized personnel can execute destruction).

Question 29

What is the retention period of adult patient records?

Accepted Answer

Option B: 7-10 years from the last encounter. Standard hospital guidelines and medico-legal standards recommend retaining adult inpatient medical records for 7 to 10 years from the date of the last discharge or clinical encounter.

Question 30

What is the significance of the "informed consent" section in a medical records form?

Accepted Answer

Option B: It documents the patient's understanding and agreement to medical procedures. Informed consent legally and ethically verifies that the patient (or surrogate) was informed of the diagnostic/surgical procedure, potential risks, benefits, and alternatives, and voluntarily consented.

Question 31

What is the minimum legal requirement for preserving medical records in case of pending litigation?

Accepted Answer

Option A: Retain the records until the litigation is resolved, regardless of the standard retention period. Under statutory legal hold provisions, whenever a malpractice claim or litigation is active or anticipated, all associated original medical records must be preserved indefinitely until final court disposal.

Question 32

What is the maximum retention period for medical records as per the Drugs and Cosmetics Act, 1940, for patients treated with controlled substances in India?

Accepted Answer

Option B: 5 years. Under the Drugs and Cosmetics Act 1940 and NDPS statutory rules, registers and prescription records for controlled schedule substances and psychotropics must be preserved for at least 2 to 5 years.

Question 33

Under the guidelines of the Indian Medical Council (IMC), which of the following is a mandatory requirement for maintaining medical records in a hospital or healthcare setting in India?

Accepted Answer

Option C: Each patient's medical records must be uniquely numbered for easy identification. Medical Council of India (NMC) regulations mandate that every inpatient medical record must be assigned a unique identification number (Unique Hospital Identification Number / CR Number) for systematic tracking.

Question 34

When designing a medical record form in India, which of the following is required by law to be included to ensure compliance with patient confidentiality and data protection standards?

Accepted Answer

Option B: A declaration regarding patient consent for data usage and sharing. Under digital healthcare privacy and DISHA standards, medical forms must incorporate a statutory data protection consent clause governing confidentiality and lawful clinical/research sharing.

Question 35

Which of the following medical record forms would a healthcare provider in India most likely use to document the informed consent of a patient undergoing a high-risk procedure?

Accepted Answer

Option B: Consent form. A specialized Consent Form detailing procedural scope, risks, anesthesia type, and emergency interventions is used to document informed consent prior to high-risk surgeries.

Question 36

Which of the following is a key component that should be included in the medical record form when documenting an emergency department visit in India?

Accepted Answer

Option B: Summary of the treatment provided, including diagnostic tests and results. Emergency medical documentation mandates recording triage category, chief presenting complaint, clinical vital signs, diagnostic investigations, treatments administered, and final disposition.

Question 37

In addition to clinical value, medical records play a significant role in research. Which of the following best reflects this value?

Accepted Answer

Option A: Supporting public health initiatives by documenting the effectiveness of interventions and treatments. Medical records provide empirical epidemiological data that evaluates clinical therapeutic outcomes, supports retrospective cohort studies, and guides public health policy interventions.

Question 38

Which of the following values of medical records is particularly important in India for ensuring compliance with national health policies and programs?

Accepted Answer

Option C: Facilitating the implementation and monitoring of government health initiatives like immunization and disease surveillance. Medical records generate notifiable disease reports and immunization logs required by statutory national programs such as IDSP, NIKSHAY (TB), and Universal Immunization Programme.

Question 39

What is the role of barcoding in laboratory and medical record management?

Accepted Answer

Option D: To track patient samples and reduce errors in labelling. Linear and 2D matrix barcodes uniquely identify patient specimens and charts, automating specimen routing, tracking chain of custody, and eliminating fatal patient misidentification errors.

Question 40

When admitting a patient, which document is typically required in Indian healthcare facilities?

Accepted Answer

Option D: Aadhaar card or any valid ID proof. Indian hospitals require Government-issued photo identification (Aadhaar card, Voter ID, Passport, or ABHA health ID) to verify patient identity during central admission.

Question 41

What is the primary function of the Central Admitting Office in a healthcare facility?

Accepted Answer

Option D: Coordinating patient admissions and maintaining their records. The Central Admitting Office (CAO) coordinates inpatient bed allocation, registers patient demographics and insurance data, generates unique admission numbers, and initiates the medical record file.

Question 42

What protocol should be followed by the Central Admitting Office to minimize patient data entry errors?

Accepted Answer

Option B: Cross-check all information against patient-provided documents and use automated systems where possible. Best practices require validating demographics against official identification cards, implementing double-check verification, and using computerized barcode/ABHA auto-population tools.

Question 43

Which of the following best reflects the primary aim of medical records in the context of providing continuity of care for patients in healthcare settings?

Accepted Answer

Option A: Providing a comprehensive and continuous documentation of a patient's medical history, treatments, and outcomes to ensure informed decision-making across different providers. Continuity of care relies on accurate, chronological documentation that seamlessly communicates clinical findings, diagnoses, medications, and care plans across multidisciplinary shifts and referral providers.

Question 44

When it comes to quality assurance in laboratory settings in India, which of the following aspects of medical records is a lab technician responsible for?

Accepted Answer

Option C: Verifying that all tests are conducted using the correct protocols and documenting any deviations or issues. Lab quality assurance mandates rigorous pre-analytical, analytical, and post-analytical protocol compliance, calibration logging, and documenting any specimen hemolysis or quality deviations.

Question 45

When maintaining medical records related to laboratory testing, which of the following is crucial for ensuring that the lab technician's documentation is legally sound?

Accepted Answer

Option C: Recording clear and precise details of the specimen collection, test procedures, and results to avoid legal disputes in case of malpractice. Legally sound laboratory documentation requires recording exact timestamps, accession numbers, collector ID, testing methodology, control validation, and technologist signatures to withstand scrutiny in malpractice litigation.

Question 46

According to Indian regulations, which of the following is a critical aspect of maintaining medical records for lab technicians?

Accepted Answer

Option C: The records must be stored securely to ensure confidentiality and comply with the Digital Information Security in Healthcare Act (DISHA). Under DISHA and Ayushman Bharat Digital Mission (ABDM) standards, electronic laboratory diagnostic data must be protected with role-based access control, encryption, and secure storage to safeguard patient privacy.

Question 47

How does the implementation of Hospital Management Information Systems impact patient satisfaction in Indian hospitals?

Accepted Answer

Option C: By streamlining appointment scheduling, reducing waiting times, and providing accurate billing details. Integrated HMIS systems enhance patient experience by automating outpatient registration, minimizing clinic waiting times, integrating digital diagnostic reporting, and eliminating billing errors.

Question 48

In Indian hospitals, which of the following is the key objective of clinical decision support systems integrated within Hospital Management Information Systems?

Accepted Answer

Option B: To help healthcare providers make informed decisions by analyzing patient data, clinical guidelines, and treatment protocols. Clinical Decision Support Systems (CDSS) provide real-time evidence-based clinical guidelines, drug-drug interaction alerts, diagnostic suggestions, and dosage calculators to assist clinicians at the point of care.

Question 49

What is the role of Electronic Health Records in Hospital Management Information System?

Accepted Answer

Option B: Store patient medical histories digitally. Electronic Health Records (EHR) serve as the digital, longitudinal electronic repository storing comprehensive clinical histories, diagnostic reports, and treatments accessible across authorized health networks.

Question 50

Which technology is commonly used for patient identification in Hospital Management Information System?

Accepted Answer

Option A: Barcodes and QR codes. Barcoded and QR-coded patient wristbands and identification cards are universally used in HMIS for rapid, error-free positive patient identification (PPID) at bedside and point of care.

Question 51

Which module in Hospital Management Information System is used for tracking medicines and surgical supplies?

Accepted Answer

Option C: Inventory management. The Hospital Pharmacy and Material/Inventory Management module tracks drug stock levels, reorder points, expiry dates, batch numbers, and surgical consumable distribution.

Question 52

Why is standardization important in medical records?

Accepted Answer

Option D: To improve consistency and comparability of data. Standardized medical record nomenclature (e.g. SNOMED CT, ICD) ensures structural consistency, uniformity of clinical data, and interoperable comparability across regional and national health systems.

Question 53

What role do medical records play in patient education?

Accepted Answer

Option B: They serve as a reference for educating patients about their diagnoses and treatment plans. Medical records, discharge summaries, and patient portal summaries serve as educational references to explain diagnoses, dietary restrictions, medication regimens, and self-care instructions to patients.

Question 54

Which characteristic is most important for medical records to be useful?

Accepted Answer

Option B: Accuracy and completeness. Accuracy and completeness are the supreme clinical and legal requirements for medical records to be reliable for patient care, quality auditing, and medico-legal defense.

Question 55

How do medical records contribute to public health?

Accepted Answer

Option A: By identifying patterns and trends in diseases. Aggregated medical record diagnostic data enables public health epidemiologists to track disease incidence, detect outbreak clusters, and design targeted preventive health interventions.

Question 56

The Out Patient Department (OPD) card is primarily used to:

Accepted Answer

Option C: Record outpatient visits and treatment details. An OPD card (outpatient encounter slip) is the primary ambulatory document recording presenting complaints, vital signs, outpatient clinical diagnoses, prescriptions, and follow-up visit dates.

Question 57

The discharge summary primarily contains:

Accepted Answer

Option A: Details of the patient's treatment and follow-up instructions. A discharge summary is a comprehensive document prepared at the end of an inpatient hospitalization summarizing admission diagnosis, clinical course, surgical procedures performed, discharge condition, medications, and follow-up advice.

Question 58

What is the function of the informed consent form in medical records?

Accepted Answer

Option B: To ensure the patient agrees to a procedure after understanding its risks and benefits. The informed consent form legally documents that the patient was fully educated about procedural benefits, potential complications, and alternative therapies, and voluntarily agreed to the intervention.

Question 59

Which of the following forms is used to record the details of medications administered to a patient?

Accepted Answer

Option A: Medication chart. The Medication Administration Record (MAR / Medication Chart) is the official nursing record documenting prescribed drugs, dosages, routes, administration times, and nursing signatures.

Question 60

Which of the following forms is used for patient transfer to other healthcare facilities?

Accepted Answer

Option A: Referral form. A Referral / Inter-Facility Transfer Form communicates the patient's clinical diagnosis, reason for transfer, stability, acute interventions provided, and ongoing treatment requirements to the receiving hospital.

Question 61

Which of the following describes the role of medical record forms in patient-centered care?

Accepted Answer

Option C: They document patient preferences, treatment goals, and care plans to ensure care is aligned with the patient's values and needs. Patient-centered documentation captures the patient's individual treatment preferences, personal values, cultural considerations, and shared goals of care within the clinical record.

Question 62

What is a key factor in determining the retention period of a medical record?

Accepted Answer

Option A: Type of record and applicable legal regulations. Medical record retention schedules are strictly determined by the clinical classification of the record (pediatric, adult, oncology, surgical) and prevailing statutory/regulatory legal mandates.

Question 63

What is a common challenge in the retention of medical records?

Accepted Answer

Option A: Lack of storage space. Physical paper-based record archives continually face acute physical storage space limitations, fire hazards, environmental degradation, and microfilming/digitization resource constraints.

Question 64

What should be done with medical records after the retention period has expired?

Accepted Answer

Option B: Destroy them in a secure manner to ensure confidentiality. Once statutory retention periods lapse and institutional review concludes no pending legal hold exists, records must be permanently shredded or incinerated under strict chain-of-custody protocols.

Medical Record Keeper2025

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JKSSB — Medical Record Keeper (2025)

Identify the error in the following sentence:The number of students in the class are increasing every year.