Continuity mistake: First, Scotty rigged a self destruct delay timer for Kirk that supposedly had thirty seconds programmed in. However, putting a timer against the one used in the episode, from start to finish there was one minute twenty seconds before the Constellation blew up. Second, Kirk was holding the communicator out and away from himself before his beaming, then it's close to his face as he materializes. (00:47:05)
Continuity mistake: As Decker is talking about the Planet Killer, the camera looks at McCoy. His left eyebrow is slightly arched, and his hair is styled differently. It can be seen that this shot is reversed from normal.
Continuity mistake: In most shots, the Constellation's impulse engines are lit up orange, but when moving to meet the Enterprise, they're not lit up, though the ship is moving.
Continuity mistake: Spock nears the command chair, where a seated Decker is leaning on the left armrest. A second later he is leaning to the right.
Continuity mistake: Decker is leaning over the forward console between Sulu and the other man, with Spock at his left elbow. As he gives the order to veer off, he starts to turn to his right. As the angle changes, it appears that he was standing straight up the whole time.
Answer: Kirk was getting his physical and Dr. McCoy probably turned off communications, because if he hadn't, Kirk would have left and headed straight for the bridge, leaving McCoy irritated.