NHA CCMA Certification Exam II New Latest Version with All 180 Questions and 100% Correct Answers

NHA CCMA Certification Exam II New Latest
Version with All 180 Questions and 100%
Correct Answers

1. Patients with type 1 diabetes mellitus should be instructed to administer daily
   injections of insulin in the upper arm, upper back, hip, thigh, or which other site?
   A. Hand
   B. Chest
   C. Abdomen
   D. Calf ——– Correct Answer ——— C
2. Which of the following structures is located in the inner ear?
   A. Cochlea
   B. Stapes
   C. Pinna
   D. Eustachian tube
   E. Tympanic membrane ——– Correct Answer ——— A
3. Which of the following is the primary reason for documenting patient education efforts
   in writing?
   A. To record time spent with the patient for Current Procedural Terminology (CPT)
   coding purposes
   B. To provide information to the patient’s insurance company
   C. To avoid duplication of work by the physician
   D. To describe recommendations for care and patient compliance ——– Correct
   Answer ——— D
4. Which of the following is a general anesthesia procedure that requires a patient’s
   consent?
   A. Electrocardiography
   B. Colonoscopy
   C. Stress testing
   D. Excision of a mole
   E. Radiation therapy ——– Correct Answer ——— B
5. Which of the following is the correct spelling of the term that refers to the throat?
   A. Pharyns
   B. Pharnyx

C. Parnyx
D. Phargnx
E. Pharynx ——– Correct Answer ——— E

6. When filing identical names, you should use all of the following, except
   A. date of birth.
   B. organization and business records.
   C. patient identification numbers.
   D. some other form of identification. ——– Correct Answer ——— B
7. Which of the following lung diseases is also called coal-miner’s lung?
   A. Histoplasmosis
   B. Legionnaire’s disease
   C. Anthracosis
   D. Flail chest
   E. Asbestosis ——– Correct Answer ——— C
8. Which of the following is a characteristic finding in a patient with hyperglycemia?
   A. Diarrhea
   B. Double vision
   C. Diaphoresis
   D. Lack of appetite
   E. Thirst ——– Correct Answer ——— E
9. Which of the following medical specialists is most likely to use a colposcope?
   A. Radiologist
   B. Proctologist
   C. Gynecologist
   D. Gastroenterologist
   E. Urologist ——– Correct Answer ——— C
10. If a patient calls because of severe chest pain while the physician is out of the office,
    which of the following actions by the medical assistant is most appropriate?
    A. Schedule an urgent appointment for the patient.
    B. Keep the patient on the line and call 911.
    C. Advise the patient to drive to the nearest emergency department.
    D. Ask for the patient’s phone number so the physician can call back.
    E. Page the physician and relay the patient’s information. ——– Correct Answer ———
    B
11. Original medical records can be released only when requested by which of the
    following?
    A. A court subpoena
    B. The patient’s employer
    C. The patient’s insurance company
    D. The patient
    E. Another physician ——– Correct Answer ——— A
12. Which of the following forms is used to verify if an individual is authorized to work in
    the United States?
    A. I-9
    B. 941
    C. 1099
    D. W-2
    E. W-4 ——– Correct Answer ——— A
13. Which of the following diagnostic procedures is used to visually examine the
    stomach?
    A. Colonoscopy
    B. Mediastinoscopy
    C. Gastroscopy
    D. Cystoscopy
    E. Choledochoscopy ——– Correct Answer ——— C
14. Which of the following is the most appropriate way to account for a debit memo
    when reconciling a bank statement for a medical practice?
    A. Subtract it from the checkbook balance
    B. Subtract it from the bank statement balance
    C. Add it to the bank statement balance
    D. Add it to the checkbook balance ——– Correct Answer ——— B
15. Which of the following is not one of the five steps involved in filing?
    A. Conditioning
    B. Releasing
    C. Indexing and coding
    D. Subjecting
    E. Sorting ——– Correct Answer ——— D
16. The scheduling technique of clustering similar procedures is known as which of the
    following?

A. Categorization
B. Modified wave
C. Triage
D. Open hours
E. Stream ——– Correct Answer ——— A

17. The Heimlich maneuver is used for which of the following conditions?
    A. Ulcers
    B. Dizziness
    C. Stroke
    D. Choking
    E. Vertigo ——– Correct Answer ——— D
18. Lead I of the electrocardiogram records the voltage difference between which of the
    following?
    A. Left arm and right arm
    B. Left leg and left arm
    C. Left leg and right leg
    D. Right leg and right arm
    E. Right leg and left arm ——– Correct Answer ——— A
19. Which of the following results indicates a “panic” value?
    A. White blood cell count of 6000/mm3
    B. Erythrocyte sedimentation rate of 15 mm/hr
    C. Hemoglobin of 13.9 g/dL
    D. Hematocrit of 39%
    E. Platelet count of 30,000/mm3 ——– Correct Answer ——— E
20. Which of the following filing systems aids the medical assistant in reminding patients
    of their annual physical examinations?
    A. Tickler
    B. Terminal digit
    C. Alphabetic
    D. Numeric
    E. Geographic ——– Correct Answer ——— A
21. Laboratory studies are most likely to show an increased serum level of which of the
    following enzymes in patients with pancreatic disease?
    A. Creatine kinase (CK)
    B. Amylase (AMS)
    C. Alanine amino-transferase (ALT)
    Powered by https://learnexams.com/search/study?query=

What filing method is used when patient information is highly confidential? Numerical
1:10 What is the ratio of bleach and water to use as a disinfectant
The 4 D’s of Negligence Duty, Dereliction, Damages, Direct Cause
The average amount of blood in the human body 5-6 liters
The number of QRS complexes between 6 sec. marks on the EKG paper is multiplied by 10. Used generally for estimation slow or irregular rhythms. 6 second method
The running speed of an EKG machine 25mm/sec
Boiling water at what temperature is considered a form of disinfected 212 F
ABO blood group system a system used to classify human blood by antigens found on the surface of red blood cells
Abrasion Scrape of the skin due to something abrasive
absolute refractory period Is the first phase of repolarization in which a myocardial cell is unable to react to any electrical stimulus
AD right ear
Adjustment the amount the provider would have to write off
Adult pulse range 60-100 beats/minute
Agents Are infectious microorganisms that can be classified into groups namely: viruses, bacteria, fungi, and parasites.
Airborne precautions Methods of infection control that must be used for patients known or suspected to be infected with pathogens transmitted by airborne droplet nuclei.
Angina or angina pectoris Acute Chest Pain
ante before
antecubital fossa interior depression of the elbow; blood pressure site and most common site for drawing blood
Anuria Little or no urine output
aortic valve Located between left ventricle and aorta
Apnea This is a temporary complete absence of breathing which may be a result of a reduction in the stimuli to the respiratory centers of the brain
Arterial Blood Gas Studies (ABG’s) Are valuable tools in the treatment of critically ill patients; used to monitor critically ill patients.
Artifact an unwanted interference or jitter on the EKG recording. This makes the EKG reading difficult or impossible, as well as can lead to a misdiagnosis.
AS left ear
Asystole (cardiac Arrest, Standstill) the absence of a heartbeat, total absence of ventricular electrical activity.
Asystole flat line, absence of a heartbeat
Atrial Depolarization P wave
Atrial Fibrillation (A-Fib) common type of heart arrhythmia that is irregular and often rapid, can exceeds 350 bpm. These rapid impulses cause quivering (fibrillation) of the muscular fibers, which result in a drastic decrease in the cardiac output, blood stagnation and the form of a clot.
Atrial Flutter Is characterized by rapid depolarization of a single atrial focus at a rate of 250-350 bpm.-b/c the AV node cannot transmit every impulse at excessive rates, there is typically a slower ventricular rate (often appearing at a 2:1, 3:1, 4:1, etc, conduction ratio).It is an emergency. Notify the Doctor.
Atrial Tachycardia is caused by an irritable focus in the atria that fires electrical impulses after the normal firing of the SA node pacemaker HR is between 100-150 bpm
Atrioventricular Blocks Defined as a delay or interruption of the electrical impulse conduction beyond the AV node. It is evaluated by measuring the PR interval in EKG traces. The PR interval is the key of differentiation and classification of the AV blocks
atrioventricular valves valves between the atria and ventricles
AU both ears
Augmented Unipolar Leads record the heart electricity from one limb and compare it with a zero voltage lead in the center of the heart.
Augmented Voltage What does the aV in such leads as aVR, aVL and aVF stand for?
Auscultation listening to sounds within the body
Automaticity The ability to spontaneously trigger electrical impulses without being stimulated by another source
AV node (atrioventricular node) This node is located at the posterior septal wall of the right atrium just above the tricuspid valve. There is normally a .12-.20 second delay of electrical activity at this level to allow blood flow from the atria and fill the ventricles with blood
Avulsion An injury in which soft tissue is torn completely loose or is hanging as a flap.
Bacteriology study of bacteria
Barrier protection Refers to placing a physical barrier between the patients body fluids (such as blood and saliva) and the healthcare personnel (HCP) to prevent disease transmission.
basilic vein The third choice for venipunctures. It is the least firmly anchored and located near the brachial artery. If the needle is inserted too deep, this artery may be punctured.
Basophils Account for 0-1% of WBC’s in the blood. They carry histamines to be released in case of an allergic reaction.
Battery The basis of tort in this case the unprivileged touching of one person by another.
Bicuspid (Mitral Valve) Is located between the left atrium and the left ventricle. It has two cusp (or leaflets)
Bipolar leads Leads I, II, and III
Bloodborne pathogens Disease-causing microorganisms carried in the body by blood or body fluids, such as hepatitis and HIV.
Bloodborne Pathogen Standard -Revision and updating of the exposure control plan-Solicitation of employee input in selecting engineering and work practice controls-Modification of definitions relating to engineering controls-New record keeping requirements
Blood Cultures They are ordered to detect presenceof microorganisms in the patient’sblood.
Blood Pressure This is the measurement of the amount of force exerted by the blood on the peripheral arterial walls and is expressed in millimeters (mm) of mercury (Hg)
Blood Pressure Formula (cardiac output) x (vascular resistance)
Brachial Pulse the pulse felt in the upper arm, pulse area of an infant
Bradypnea Decrease in the number of respirations. This occurs during sleep. It may also be due to certain diseases
Bundle Branches Located at the interventricular septum, the Bundle of His divides the right and left bundle branches, the function of which is to conduct the electrical impulse to the Purkinje fibers throughout the ventricles.
Bundle of HIS Found at the superior portion of the interventricular septum, it is the pathway that leads out of the AV node and connects to the Bundle Branches.
Capitation System of payment used by managed care plans in which physicians and hospitals are paid a fixed, per capita amount for each patient enrolled over a stated period regardless of the type and number of services provided; reimbursement to the hospital on a per-member/per-month basis to cover costs for the members of the plan.
Cardiac cell properties automaticity, excitability, conductivity, contractility
Cardiac output The volume of blood ejected from the left side of the heart in one minute.
cardiopulmonary resuscitation Most healthcare institutions require their professionals to be certified in CPR.
cephalic vein The 2nd choice. It is usually more difficult to locate and has a tendency to move, however, it is often the only vein that can be palpated in the obese patient.
Chambers of the Heart right atrium, right ventricle, left atrium, left ventricle
Chemical Sterilization Uses the same chemical used for disinfection, but exposure time is longer.
Cheyne-Stokes Regular pattern of irregular breathing rate
Chilled Specimens Some tests require that the specimen collected by chilled immediately after collection in crushed ice or ice and water mixture.
Chilled Specimen Tests Arterial Blood Gases, Ammonia, Lactic Acid, Pyruvate, ACTH, Gastrin, Parathyroid Hormone
Chlorhexidine Antiseptic agent used to clean the skin before a blood culture draw
Cilia The hair-like projections that line the bronchus in the lungs that move microbes and debris up and out of the airways.
Closed Fracture broken bone with no open wound
CMS Centers for Medicare and Medicaid Services
CMS-1500 most common health insurance claim form used to file claims for physicians’ services
coagulation phase Hemostasis stage 3: This involves a cascade of interactions of coagulation factors that converts the temporary platelet plug to a stable fibrin clot. The coagulation cascade involves an intrinsic system and extrinsic system, which ultimately come together in a common pathway.
Common Shock Symptoms: -Pale, Cold, Clammy Skin-Rapid, Weak Pulse-Increased, Shallow Breathing Rate-Expressionless Face/Staring Eyes
Complex several waveforms
Components of the Urinary System 2 kidneys2 ureters1 urinary bladder1 urethra
Contact precautions Are designed to reduce the risk of transmission of microorganisms by direct or indirect contact.
Coronary Arteries The right and left _ are the first branches coming out of the Aorta and supply the heart with oxygenated blood.
CPT Codes (current procedural terminology) five digit numeric codes for procedures & services performed by providers
Customary Fee A fee that is within the range of the usual fee charged for the service
defamation of character Wrongfully hurting a person’s good reputation. The law imposes a general duty on all persons to refrain from making false, defamatory statements about others.
Deoxygenated Blood Oxygen poor blood pumped into the right side of the heart and then sent to the lungs to receive oxygen.
Depolarization Occurs when positively charged ions rapidly move from the outside of the myocardial cell membrane to the inside. Changing the overall charge from negative to positive.
Dermal Punctures May be done on both pediatric and adult patients. The heel of the foot is used in pediatrics. Areas recommended are the medial and lateral areas of the plantar surface of the foot.
Dextrose a form of glucose found in human blood
Diastole Relaxation of the heart
Direct contact transmission Involves skin-to-skin contact and physical transfer of microorganism to a susceptible host from an infected or colonized person.
Disinfection (disinfecting) This procedure used in medical asepsis using various chemicals that can be used to destroy many pathogenic microorganisms. Since chemicals can irritate skin and mucous membranes, they are only used on inanimate objects.
Donut Hole Medicare part D coverage gap
Dorsal Lithotomy Position Position used for examination of pelvic organs.For example, delivery of baby, ob/gyn exam.
dorsal recumbent position patient is lying on the back, face up, with the knees bent
Droplet precautions Are designed to reduce the risk of droplet transmission of infectious agents.
dry heat sterilization Requires higher temperature than steam sterilization, but no longer exposure times. Used for instruments that easily corrode.
durable power of attorney for health care a legal agreement that allows an agent or representative of the patient to act on behalf of the patient to make healthcare decisions
EKG (electrocardiogram) instrument used in measuring the electrical potential during a heartbeat
Electrode Is a paper, plastic or metal sensor placed on the patients skin on a specific location and transmit it to the cable
Electrophoresis method of separating serum proteins by electrical charge
Elements of Negligence 1. Duty – duty of care2.Derelict – breach of duty of care 3. Direct Cause – legally recognizable injury occurs as a result of the breach of duty of care.4. Damages – wrongful activity must have caused the injury or harm that occurred.
25 small 1 second
300 Big Blocks 1 minute
1500 small blocks 1 minute
a, an without, not
ab away from
ad toward
agonal respirations near death or during extreme suffering
ambi both
anti, contra against or opposed to
bi, di two, double
Hypertension stage 1 Systolic: 140-159Diastolic: 90-99
Hypertension stage 2 Systolic 160 or higherDiastolic 100 or higher
Hypertensive crisis systolic higher than 180diastolic higher than 110
Hypotensive stage Systolic is less than 90 and the diastolic is less than 60
Pre-hypertension Systolic: 120-139Diastolic: 80-89
brady slow
BUN blood urea nitrogen, 7-20 mg/dl
Calcium Ca, 8.5-10.9 mg/dl
cardi heart
circum, peri around, about
conduction system SA node, AV node, Bundle of His, left and right Bundle Branches and Purkinje fibers
cost/o rib
de down, away from
dia through, across
-ectomy surgical removal
-emia blood condition
epi- upon, above
ESR (erythrocyte sedimentation rate) 0-22 mm/hr (men)0-29 mm/hr (women)
Fasting Blood Sugar 70-120
Fever for oral greater than 100 F (37.8 C)
Five Big Blocks 1 second
gastr/o stomach
-gram record
-graphy process of recording
graph instrument for recording
Gray tube additive potassium oxalate and sodium fluoride
Greater than 100 beats per minute tachycardia
Green tube additive Sodium Heparin
Hct Hematocrit (% of RBC volume), 40-54% men, 37-47% women
hemat/o, hem/o blood, relating to the blood
hemi- half
Hemoglobin A1c 4-6% = good glucose control
How many inversions for the blue tube 3-4
How many inversions for the gray tube 4-5 or 8-10
How many inversions for the green tube 8-10
How many for the lavender tube 8-10
How many inversions for the red tube plastic 5, glass 0
How many inversions for the yellow tube 8-10
hyper excessive, above, more than normal
hypo under, below
-ia, -ism, -osis, -y condition or process
infra below, beneath
intradermal injection degree 15 degrees
intramuscular injection degree 90 degrees
-itis inflammation
Lavender tube additive EDTA (anticoagulant)
Less than 60 bradycardia
Light Blue tube additive additive is sodium citrate for coagulation results. Used for a PT PTT
-lysis loosening, destruction
mega large
meta beyond, change
meter measure
-metry process of measuring
micro small
mono one, single
multi many, much
myo muscle
nephr/o kidney; nephron
neur/o nerve
normal adult pulse rate 60-100 beats per minute
normal adult respiration rate 12-20 breaths per minute
Normal BP range 120/80
Normal temperature range 97.6-99.6 F ( 36.4-36.7 C)
OD right eye
olig scanty
-oma tumor, mass
One big block 0.20 seconds
One small block 0.04 seconds
OS left eye
oste bone
OU both eyes
para beside, near
-pathy disease condition
Pediatric rectal fever temperature 100.4 (38 C)
per through
-plasty surgical repair or reconstruction
-plegia paralysis
-pnea breathing, respiration
poly many
post after
potassium range 3.5-5.0 mEq/L
pre before
P wave atrial depolarization
QRS complex ventricular depolarization
RBC count male: 4.6 – 6.2female: 4.2 – 5.4
re- back, again
Red tube additive No additive
ren or ren/o kidney
retro- backward, behind
-rrhaphy surgical suturing
-scope instrument for viewing
-scopy process of visually examining
semi half, partial
Sinus Node heart’s natural pacemaker, 60-100 bpm
sodium levels 135-145 mEq/L
-stomy surgical opening
Subcutaneous injection degree 45
supra above, over
-systole Contraction of the heart
tachy fast
Test performed with gray tube glucose levels, blood alcohol levels
Test performed with green tube STAT
Test performed with lavender tube CBC
Test performed with Light blue tube PT, PTT
Test performed with red tube CMP (complete metabolic panel)
-tomy process of cutting, incision
total bilirubin normal range 0.8-1.4 mg/dl
Total cholesterol levels 180-200 mg/dl
total platelet count 150,000-400,000/mL
tri three
-tripsy crushing
T wave ventricular repolarization
ultra excess, beyond
uni one, single
vascul/o blood vessel
WBC range 3,500-11,000/mL
Yellow tube is used for blood cultures
The 3 hour OGTT test is used for To test for hyperglycemia
The 5 hour OGTT test is used for To test for hypoglycemia, for disorders of carbohydrate metabolism
99% of formed elements in blood RBC’s or Erythrocytes
Name the inner visceral layer of the pericardium epicardium
Additives in the green top tube heparin, sodium, lithium, ammonium
Agents are Any infective microorganisms, viruses,fungi, bacteria, and parasites
The ANS or the autonomic nervous system is subdivided into sympathetic and parasympathetic nervous system
Antiseptics NOT used on a dermal puncture site Betadine (because it interferes with several test like bilirubin, uric acid, phosphorus and potassium
Antiseptics used in phlebotomy 70% isopropyl alcohol pads most common, provolone – iodine for BC,s and chlorhexidine gluconate for patients that are allergic to Betadine/ Iodine.
bid twice a day
billi bile
Blood Vessels tube like structures that carry blood throughout the body, Aorta, arteries, arterioles, capillaries, venules, veins, superior and inferior vena cava
BP cuffs too short and narrow can give false reading of what? Hypertension
Carries histamine basophil
caused by diseases of the valves or other structural abnormalities Murmors
Common test for the lavender EDTA tube CBC, differential, or diff., ESR, sickle cell screening
Common test for this color tube are chemistry tests performed on plasma such as ammonia, carboxyhemoglobin and STAT electrolytes Green top tube (heparin) Test
Comprises 3-8% of wbc or leukocytes monocytes
Consequence of insufficient pressure applied after withdrawal of needle thrombus
Consist of injury to another person’s reputation, name or character through spoken (slander) or written (libel) defamation of character
Continous fever a fever that remains fairly constant
The copper reaction test is used for what? screening for glucose in urine
Defamation of character by written statement is considered libel
Define common vehicle Water, food, drinking from the same glass, kissing
Define surgical asepsis All microbial life, pathogen and non pathogens are destroyed
Dermal puncture is made in…. the fleshy portion of the finger slightly to the side of the center perpendicular to the lines of the fingerprints
Digitalis (Digoxin) increases the force of cardiac contractions as well as cardiac output, toxicity in 20% of patients
Digitalis, dopamine, epinephrine Drugs that increase the contractility of the heart
Drugs used for a pharmacologic stress test adeosine, dipyridamole, dobutamine
edema swelling of tissue from the accumulation of fluid
Every health care worker with this latex allergy should wear this Medical alert bracelet
Examination of urine consists of physical, chemical, microscopic
Examples of tort Battery, invasion of privacy, defamation of character
Excitability or irritability ability of cardiac cells to respond to external stimulus
Explain blood pressure measurement of amount of force blood excertes on peripheral artery walls
Expressionless face and staring eyes are indications of shock
Fibrinolysis Breakdown and removal of a clot
First aid for shock 1. maintain an open airway2. call for assistance3. place victim in trendelenburg position4. attempt to control bleeding or cause of shock (if known)5. keep victim warm6. patient is NPO
Fistula Permanent surgical connection between an artery and a vein, never used for venipuncture
For which procedure would you warm the site for a minimum of 3-4 minutes to increase blood flow? dermal punctures (heel sticks)
Functions necessary for life heart function, blood pressure, respiration, temperature
Glycosuria presence of glucose in the urine
Good Samaritan Law Rendering first aid within the scope of knowledge by a health care worker with out fear of being sued for negligence
Gauge of needle that can cause hemolysis smaller than 23 gauge
heel sticks are performed on which patients? infants less than 1 year old
How long is the lifespan of a platelet? 9-12 days
How many 1mm boxes are in a 6 second rhythm strip? 30 one millimeter boxes
How many electrodes are on a holter monitor 5
Hypothalamus regulates and maintains body temperature
If skin or eyes come in contact with chemicals wash area with water for ? 5 minutes
Inner endothelial tissue layer of a blood vessel tunica intima
The inner most layer of the heart endocardium
The inner smooth layer of a blood vessel tunica media
intermittent fever Fluctuating fever that returns to or below baseline then rises again.
ischemia decrease in amount of blood flow
Largest in size of the leukocytes monocytes
Length of needle commonly used in venipuncture “1 inch (up to 1.5″”)”
Leukopenia Decrease in WBC’s seen with viral infection and leukemia
limb leads consist of 3 bipolar and 3 augmented leads
List drugs given for acute MI Oxigen, Epinephrine, Isoproterenol, Dopamine(intropin), Beta Blocker(olol), Lidocaine, Verapamil, Digitalis, Morphine, Nitroglycerin
Method of taking pulse used on children and patients with irregular heartbeat Apical pulse
A muscular hollow organ located in thoracic cavity between the lungs heart
Never leave the patient alone in the room when he/she is in this position knee-chest
normal range of specific gravity of urine in adults with normal diet and fluid intake 1.015-1.025
orthopenia difficulty breathing while lying down (a sign of heart failure)
Outer connective tissue layer of a blood vessel tunica adventitia
Patient in on left side with the right knee flexed against abdomen Sim’s position
Patient laying on back with knees flexed, soles of feet on bed. Dorsal recumbent
patient lays on his/her stomach with head turned to one side for comfort prone position
Percentage of Formed Elements in the blood 45%
Percentage of plasma in blood 55%
PKU (phenylketonuria) Test for babies and to detect phenylketouria, a genetic disease that causes mental retardation and brain damage.
The PNS or parasympathetic nervous system affects atria only by decreasing heart rate, conduction and irritability
The presence of leukocytes in urine is an indicator for bacteruria or UTI
Prone position is used for used to examine back and spine
Pulse is taken where and how long radial for 30sec x2, if tachy or brady take it 1 minute
qd every day
qhs every night at bedtime
qid four times a day
receives oxygenated blood from the left atrium and pumps it to the body through the aorta Left Ventricle
Receives deoxygenated blood returning to the heart from the body Right Atrium
Rectal temperature is not taken from the following patients Patients with heart disease
The release of medical records without the patients knowledge or permission Invasion of privacy
Remittent fever Fluctuating, remains elevated and does not return to baseline
Results in myocardial relaxation repolarization
The sac containing the heart pericardium
The SA node represents which waveform on the EKG P wave
The semilunar valves pulmonary valve and aortic valve
serous fluid lubricates the organs and allows them glide without friction
sig: from latin, let it be labeled
The standards of right and wrong in a medical setting code of ethics
Symptoms of patients with diabetes mellitus glycosuria, polyuria, and thirst
Their numbers increase in bacterial infections and often are first on scene Neutrophils
Their numbers increase in intracellular infections and TB Monocytes
This fires at 20-40 bpm Purkinje fibers
tid three times a day
Tort Wrongful act that results in injury to one person by another
Unprivileged touching battery
A urine pH of what is considered neutral 7.0 pH
Urine Screening for UCG or HCG pregnancy test
Urine Specific Gravity is The ratio of weight of a given column of urine to the weight of the same volume of distilled water at the same temperature
Used for instruments that easily corrode dry heat sterilization
The vertical axis on the EKG paper measures Amplitude or voltage
These white play an important role in viral infection as well as in immunity Lymphocytes
What do you find in capillaries? A mixture of venous and arterial blood is found
What fires at 40-60 bpm AV junction, bundle of HIS
What is a powerful smooth muscle relaxant with the side effect of headache Nitroglycerine
What is important to do first after dermal puncture wipe away the first drop of blood
What is the most important means of preventing the spread of infections handwashing
What is the most important task of a phlebotomist Check patient ID
What is the percentage of water in blood 92%
What is the second most numerous WBC Lymphocyte with 20-40%
What will occur if you puncture the heel too deep? more than 2 mm osteomyalitis
When are OGTT test scheduled to begin 0700-0900 (7am-9am)
When checking for hormones in urine when do you collect the urine sample first void of the morning
When the vaccutainer method can not be used you would use 10-12mL Syringes
Where do all blood cells originate? bone marrow
Where you find Hemoglobin RBCs
Which are the preferred sites for dermal punctures the distal segment of the third or fourth finger of the non-dominant hand
Which are unipolar leads? aVR, aVL, aVF
Which blood tests can NOT be done using dermal puncture ESR, BC
Which limb is always the ground right leg
Which tube must be filled completely? Light Blue sodium citrate tube to maintain a ratio of 9:1
Which urine sample requires aseptic technique? Clean catch specimen
Which urine specimen provides the clearest, most accurate results? clean catch midstream specimen
Why is a holter monitor done? To rule out arrhythmia’s or ischemia
Why is the green top tube never used for hematology Green tops additive is heparin which interferes with the Wright’s stained blood test
With the bevel upward insert the needle at which angle? 15-30 degrees
Epidemiology study of infectious diseases
External Hemorrhage Controlling the bleeding is most effectively accomplished by elevating the affected part above the heart level and applying direct pressure to the wound.
Gonometer assess the degree of joint flexion and extension.
gram (g) Is the basic unit of weight or mass
Gram-negative bacteria Are bacteria that are decolorized completely by ethanol and take up safranin counterstain. They appear red.
Gram-positive bacteria Are bacteria that take up and retain the crystal violet and resist alcohol decolonization. They appear blue to black.
Gram stain used to classify bacteria on the basis of their form, size, cellular morphology, and gram stain reaction
Gray top tube Fasting blood sugar, Glucose tolerance test, blood alcohol levels, lactic acid measurement. Contains additives and anticoagulants.
Hand Antisepsis requires: The use of antimicrobial soap to remove, kill or inhibit transient microorganisms.
Hand washing is the single most effective method of preventing the spread of disease causingmicroorganisms.
Heart sounds are the results of the cardiac valves closing
Hematoma a solid swelling of clotted blood within the tissues, most common complication in phlebotomy procedures
Hemoconcentration the increase in proportion of formed elements to plasma caused by the tourniquet being left on too long.
hemostat Surgical instrument used to hold or grasp items
HIPPA stands for Health Insurance Portability and Accountability Act of 1996
HIPPA laws regulate patient privacy
HMO a health insurance organization to which subscribers pay a predetermined fee in return for a range of medical services from physicians and healthcare workers registered with the organization.
Hyperglycemia symptoms lots of eating, peeing, drinking. blurred vision, fatigue, weight loss
hyperpnea abnormal increase in the depth and rate of breathing
Hyperventilation the condition of taking abnormally fast, deep breaths
Hypotension systolic <90 hypoventilation deficient movement of air into and out of the lungs, causing hypercapnia hypoxia Low oxygen saturation of the body, not enough oxygen in the blood ICD-10 codes Diagnosis codes that are in alphanumeric order incomplete fracture (greenstick) partial or incomplete fracture in which one side of the bone is broken and one side is bent indirect contact transmission refers to situations in which a susceptible person is infected by contact with a contaminated surface Infection control practices and procedures that prevent the spread of infection infection control/chain of infection Agent — mode of transmission –susceptible host —portal of exit –portal of entryBased on the fact that the transmission of infectious disease will be prevented or stopped when any level in the chain is broken or interrupted. Informed consent This is the consent given by the patient who is made aware of any procedure to be performed, its risks, expected outcome and alternative inspection general observation of the patient as a whole, progressing to specific body areas invasion of privacy revealing personal information about an individual without his or her consent Ischemia an inadequate blood supply to an organ or part of the body, especially the heart muscles. kidney disease A chronic disease, where kidneys gradually lose function. Kidneys are responsible for filtering waste and excess fluids from the blood, which are excreted through urine. Large Box method count the number of large boxes between 2 consecutive RR and divide into 300 for ventricular rate Lead aVF The left leg (or foot) is positive and the other limbs are negative. Lead aVL The left arm is positive and the other limbs are negative. Lead aVR The right arm is positive and the other limbs are negative. Lead I Left arm is positive and right arm is negative (LA-RA) Lead II The left leg is positive and the Right arm is negative Lead III Left leg is positive and left arm is negative (LL-LA) Lidocaine local anesthetic Malpractice Failure by a health professional to meet accepted standards Maslow’s Hierarchy of Needs (level 1) Physiological Needs, (level 2) Safety and Security, (level 3) Relationships, Love and Affection, (level 4) Self Esteem, (level 5) Self Actualization median cubital vein The vein of choice because is it large and does not tend to move the the needle is inserted. medical asepsis practices designed to reduce the number and transfer of pathogens; synonym for clean technique Medicare Part A The part of the Medicare program that pays for hospitalization, care in a skilled nursing facility, home health care, and hospice care. Medicare part B The part of the Medicare program that pays for physician services, outpatient hospital services, durable medical equipment, and other services and supplies. Medicare Part D Medicare prescription drug reimbursement plans Methods of sterilization include: *steam under pressure (autoclaving), chemical vapor, dry heat, and gas Mycology study of fungi Needle Stick Safety and Prevention Act OSHA has put into force the Occupational Exposure and Bloodborne Pathogen standard when it was concluded that health care workers face a serious health risk as a result of occupational exposure to blood fluids and tissue Negligence careless neglect, often resulting in injury Neutrophils Most abundant white blood cell., The most abundant type of white blood cell. Phagocytic and tend to self-destruct as they destroy foreign invaders, limiting their life span to a few days. Normal adult blood pressure 120/80 mmHg normal infant blood pressure Term-60/40mmHgPreterm-50/30mmHg Normal Infant Pulse Rate 120-160/min nystagmus involuntary, jerking movements of the eyes, can be caused by traumatic brain injury or an adverse reaction to medicine open fracture compound fracture, broken bone with an open wound Order of Draw 1. Yellow, 2. Light Blue, 3. Red, 4. Gold, Tiger Top, Red/Yellow/Black, 5. Green, Light Green, Green/Gray, 6. Purple/Lavender, 7. Pink, 8. Gray, 9. Royal Blue, 10. Tan orthopnea ability to breathe only in an upright position OSHA form 301 *Injury and illness incident reportUse this to report what happened when an employee experiences a work related injury or illnessMust complete form or an acceptable substitute such as state workers compensation form within 7 calendar days after notification of injury or illness Palliative care Care designed not to treat an illness but to provide physical and emotional comfort to the patient and support and guidance to his or her family. Palpation to examine by touch Papules Firm, raised areas such as pimples and the eruptions seen in some stages of chickenpox and syphilis. parasitology study of parasites parasympathetic nerve Generally has an inhibitory effect via the neurotransmitter Patient Confidentiality All patients have a right to privacy and all information should remain privileged. Discuss patient information only with the patient’s physician or office personnel that need certain information to do their job. Obtain a signed consent form to release medical information to the insurance company or other individual. petechiae pinpoint purple or red spots from minute hemorrhages under the skin phlebitis Inflammation of a vein as a result of repeated venipuncture on that vein platelet phase 2nd hemostasis step:platelets adhere to vessel andplatelets aggregate together forming a polyuria excessive production of urine PPO Preferred provider organization. A prepaid health insurance plan in which providers agree to deliver services for discount fees; patients can go to any provider, but using nonparticipating providers results in higher costs to the patient proteinuria the presence of an abnormal amount of protein in the urine Respiratory characteristics rate, rhythm, depth Quality control A process that evaluates output relative to a standard and takes corrective action when output doesn’t meet standards radial pulse the pulse felt at the wrist renal pertaining to the kidney Rinne test hearing test using a tuning fork; checks for differences in bone conduction and air conduction santization first step in instrument cleaning septicemia infection in the blood SOAP subjective, objective, assessment, plan Starling Law the greater the volume of blood inside the heart during diastole, the stronger the heart contraction force during the systole. Septum wall dividing two cavities Shock A condition in which the circulatory system fails to provide sufficient circulation to enable every body part to perform its function; also called hypo-perfusion. somatic tremors are caused by muscle movement (shivering or by moving the wires) Stroke Volume (SV) The volume of blood pumped forward with each ventricular contraction. Systole Contraction of the heart tachypnea rapid breathing termination of contracts Failure to pay for servicesFailure to keep appointmentsFailure to follow physician instructionsPatient seeks services of another physician thrombophlebitis inflammation of a vein associated with a clot formation Thrombus stationary blood clot Tickler file A file that contains a folder for each day of the month into which invoices are placed according to their due dates. Tort Law Involving an act that brings harm to a person or damage to property Toxicology study of poisonous substances and their effects upon body parts Trauma a severe bodily injury; emotional shock Trendelenburg position The body is laid flat on the back (supine position) with the feet higher than the head by 15-30 degrees, Known as shock position Types of Mode of Transmission Contact of direct and indirect, Droplet, Airborne, Common, Vectorborne Types of shock CardiogenicHypovolemicNeurogenicAnaphylacticSepticRespiratory Types of Torts BatteryDefamation of CharacterInvasion of privacy Upcoding billing for a service at a higher level than was actually provided vasoconstriction narrowing of blood vessels vascular phase 1st hemostasis step:;membrane becomes sticky & hormones released virology the study of viruses and viral diseases Wave scheduling A certain # of patients are scheduled to arrive at the same time and are seen in which the order they arrive. A major concern when sending medical reports via email is the confidentiality and privacy In a color-coding filing system, which of the following colors would be used to file names beginning with the letters A to D? Red Separation of the nail from its bed is called onycholysis. George was in class when, suddenly, his heart began to pound, his chest felt tight, and he became very dizzy. When this type of episode happened a few more times, George decided to see his doctor. His doctor did not find anything physically wrong with him. George was most likely suffering from panic disorder. Which of the following represents a normal range for the respiratory rate (in respirations per minute) of an adult? 12 to 20 For a patient with asthma, which of the following devices is most appropriate for use when measuring the air taken into and expelled from the lungs? Spirometer Schizophrenia is a severe distortion of reality.severe delusions.severe lack of enjoyment and interest. Blood pressure readings should routinely be started at the age of three years A disorder in which people have a constant fear of illness and a preoccupation with their health is known as hypochondriasis. What medication is used in conjunction with diet therapy to reduce a patient’s serum cholesterol level? Zocor The ratio that gives an estimate of the relative safety of a drug is called the therapeutic index. What form is filed with an employee’s state income tax return? W-2 What is known as ”bad” cholesterol? Low-density lipoprotein What are the symptoms of mania? intense happiness.intense energy.invulnerabilty.intense power. accounts receivable A patient is brought to the emergency department in a coma after several seizures. His serum glucose level is 15 mg/dL. This finding is most consistent with an overdose of? Insulin (Humulin N) Paralysis on one side of the body is called hemiplegia When collecting specimens for complete blood cell counts (CBCs), which stopper color should be used on the vacuum tubes? Lavender Photocopier What drug form contains solid, insoluble drug particles in a liquid? Suspension “The proofreaders’ mark “”¶”” indicates ?” Begin new paragraph In a business letter, the body of the letter begins two lines below the salutation or subject line, and is single-spaced. What term refers to a pointing device that allows the user to simply slide his or her finger across it in order to move the cursor on the screen? Touch pad A notation to renew a physician’s license should appear in what filing systems? Tickler “In what portion of the SOAP note would “”dizziness for 3 days”” go?” Subjective A physician orders 1 g of a medication that is available in 500 mg / 5 mL. What is the correct dosage? 10 mL How often are Federal Unemployment Tax Act (FUTA) deposits calculated? Quarterly What respiratory condition is characterized by entrance of air or gas into the pleural space, and results in a collapsed lung? Pneumothorax Who therized that biological needs must be met before self-actualization. Maslow What legal document applies to anatomical gifts? Uniform donor card Humanistic theorists believe that behavior is controlled by a person naturally trying to reach his or her potential. The type of endorsement used when preparing checks for deposit into the physician’s checking account is known as Third-party A person or group bringing charges in a lawsuit is called a plaintiff Mrs. S. shares with you that her father is very ill and likely to die soon. You recognize this stressor as a personal stressor. Ed always feels angry. However, instead of recognizing his anger, Ed believes that everyone around him is angry. Ed is using the defense mechanism of projection. Making sure that the reception area is safe and clean is the responsibility of the receptionist. How many times should the final copy of a document be proofread before a required signature is placed on the document? Two “A thirty-year-old man has been diagnosed with late-stage cancer. He will probably live only six to nine months. You are the medical assistant at the primary care doctor’s office. Two weeks after receiving his diagnosis, you see this patient, and he tells you he is sending large sums of money for a “”miracle cure”” from Mexico. According to Kübler-Ross’s stages, what stage do you think he is in?” Denial Standard precautions apply to each of the following except:vaginal secretions, amniotic fluid, urine, sweat. or saliva. sweat The complimentary closing of a business letter begins how many lines below the body of the letter? Two Source-oriented medical documents should be arranged in which of the following orders? Subject For the past three months, Tammy has been worried that something bad is going to happen. She can’t pinpoint the source of this feeling, but she can’t sleep or concentrate and is irritable and jumpy. Her symptoms suggest that she may be suffering from _ disorder. generalized anxiety In the standard amplitude setting of an electrocardiograph, 1 millivolt is equal to which of the following measurements? 10 mm (One millivolt is equal to 10 mm in the standard amplitude setting of an electrocardiograph. The ECG detects and amplifies tiny electrical changes in the skin that occur every time the heart depolarizes.) “An abnormal “”tarry”” stool with a strong odor, which may be a sign of peptic ulcer, is referred to as” melena. Kim has worked at a stressful job for ten years. She has developed high blood pressure and an ulcer. In which stage of the GAS (general adaptation syndrome) would Selye place Kim? Exhaustion Myring/o is the combining form denoting tympanic membrane Tom Samuel becomes a religious zealot because he fears his own violent streak. This is an example of which defense mechanism? Reaction formation Groups of physicians, hospitals, and other health care organizations that voluntarily work together to coordinate care for Medicare patients are known as ACO’s (Accountable Care Organizations) What is the best way to define a stressor? An event that causes an individual to change or adapt A is an example of a chronological filing system, because it ”prompts” users about specific actions that need to be accomplished on a day-to-day basis, following the business calendar. tickler file
the process of listening for sounds within the body? Auscultation
What term refers to the main circuit board of a computer? Motherboard
away from
What is a source of basic fuel for the body? Carbohydrates
On a prescription, the abbreviation hs means at bedtime (hour of sleep)
Which of the following is the most appropriate needle gauge for a subcutaneous injection? 25
What is measured in an erythrocyte sedimentation rate test? The rate at which RBCs settle out in a tube of unclotted blood
Which of the following federal statutes protects debtors from harassment? Fair Debt Collection Practices Act
Female reproductive
It is considered good business practice to inventory office supplies because A. this helps to reorder supplies.B. it maintains an ongoing inventory system.C. a medical office cannot afford to run out of supplies.
In the chain of infection, bacteria are classified as which of the following? Infectious agents
Pentazocine is used as a(n) opioid analgesic to relieve severe acute or chronic pain.
Name an example of the fight-or-flight syndrome Fear
What is most often sent by first-class mail? Postcards
A hemocytometer slide is used primarily for counting sperm
An empathetic person has the ability to perceive and understand another person’s situation.
Bitter tastes are perceived at the back of the tongue.
When preparing a patient for electrocardiography, the electrolyte substance is used for electrical contact.
Uplifts are defined as stress- reducing, minor events that make you feel good
The needle gauge range most commonly used for venipuncture 19 to 23
Some of the humanistic approach’s best-known applications are psychotherapy methods.
A physician orders conjugated estrogens 1.25 mg orally every day for a menopausal patient. Conjugated estrogens are available in 0.625 mg tablets. If the physician prescribes the medication for one week, how many tablets should the patient receive? Fourteen
Which form must be completed for an employer tax identification number? SS-4
According to behaviorists, Mr. H. would have the best chance of changing behaviors if reinforcers were removed AND some consequences were present.
What technique is most effective in destroying spores of microorganisms in a medical laboratory? Sterilization
A medical practice deposits all monies in an account that has an 8% annual interest rate. How much interest will the account earn if a $6,000 balance is maintained for six months? $240
Which personality approach assumes that personality is determined by the unique ways in which each individual views the world? Humanistic
Which of the following types of injections is given at a 10- to-15-degree angle? Intradermal
Which of the following classes of drugs is used to constrict the pupils? Miotics
Which terms refers to removing paper clips, stapling related papers together, or mending damaged records? Conditioning
In an urgent care setting, what patient would be treated first? Chest pain
CPT codes are organized into how many sections? Six
The salutation and complimentary close in a business letter are omitted in which format? Simplified
The destruction of organisms before they enter the body is known as which of the following? Disinfection
Which of the following serum levels is measured in a hyperlipoproteinemia profile test? Cholesterol
An otoscope is used to examine, what? Tympanic membrane
What methods of sterilization to achieve surgical asepsis. Steam under pressure, gas processing and dry heat
What devices used to save computer data? USB drive, CD, and Zip drive
What computer terms refers to the size and style of type? Font
According to Freud, the state of development marked by disinterest in sexual concerns is known as the latency state.
One of the humanistic personality theory’s most important concepts is self-actualization.
When a claim is deliberately coded incorrectly to increase the corresponding payment, this is called upcoding.
What is the recommended percent of household bleach to be added to water to disinfect a contaminated work area? 10%
What additional information do you need beside the patients name when you are scheduling an appointment for a patient? phone number
For a patient who is covered by Medicare only and has paid the annual deductible, what is the term that describes allowable charges he is required to pay to a physician who participates in Medicare Part B? Copayment
The rabies vaccine should be administered only in which of the following muscles? Deltoid
Examples include baclofen (Lioresal®), carisoprodol (Soma®), and tizandine (Zanaflex®), they are used for therapy of muscle strain and _ multiple sclerosis.
Who are the founder(s) of humanistic psychology? Victor Frankl, Carl Rogers and Abraham Maslow (Their theory asserts that humans are striving to reach their full potential and that, with encouragement and unconditional positive regard, they can achieve it.)
What is the most appropriate initial step before placing instruments in an autoclave? Sanitization
PPE consist of: Goggles, gowns, gloves and face mask
According to the general adaptation syndrome, if stress is not reduced, a patient will probably become increasingly more irritable. * continue to have a depressed immune system.
You talk with a patient, and listen to him describe how he feels. You gain some understanding of how it is to be thirty years old and dying because he explains what it is like to walk in his shoes. Your emotional experience is known as empathy.
What hydrotherapy modalities uses agitation of water to promote gentle massage? Whirlpool treatment
What is the petty cash fund used for? “When a piece of mail arrives at the health care office marked “”postage due,”” it is usually paid for out of the petty cash fund. This fund consists of small amounts of cash kept on hand to cover unforeseen expenses that occur daily.”
To obtain an accurate reading from a microhematocrit, the reading line should be placed at the top of which of the following levels? Plasma
Lynette was depressed for six months. Now, however, she feels so confident, energetic, and good that she decides to take all of her bank savings out and invest in gerbil cages and equipment. She states that she has discovered a way to make gerbils live forever. She speaks so excitedly and rapidly to her friends about her idea that they can barely understand her. Lynette most likely suffers from _ disorder. bipolar
The inability to use a sensory organ or partial inability to move an arm or leg is referred to as which of the following psychological disorders? Conversion
Identifying a problem, formulating a rationale, and performing research to support or nullify the rationale are part of the scientific method.
Paul got very angry at his dog because it urinated all over his new carpet. He had an urge to hit the dog, but, instead, he punched his wall. The defense mechanism that Paul displayed is displacement.
vomiting
In a patient who is unconscious and may have sustained an injury to the cervical spine, which of the following maneuvers is most appropriate to establish and maintain the airway? Jaw-thrust
The amount of money owed by the insured to the provider at the time of service is referred to as a(n) copayment.
What information obtained on a patient registration form is classified as demographic data? Name, address, and telephone number
What vitamin is necessary for formation of prothrombin in the liver and is essential to blood clotting? Vitamin K
Patient dismissal letters should be sent by which of the following types of mail? certified
What procedure requires the shortest appointment time? blood pressure monitoring
Dianne has an active set of defense mechanisms that constantly affect her behavior and thoughts. The defense mechanisms are her Ego’s attempt to control anxiety and guilt
Reminders for equipment maintenance are kept in a _ so that every once in a while, they come up to alert employees that it is time to schedule maintenance. tickler file In what instances do you usually have to use a combining vowel? When connecting two word roots AND when connecting a word root and a suffix that starts with a consonant ______ (ceftriaxone) is a third-generation cephalosporin antibiotic used for serious gram-negative infections. Rocephin
What is true about stress? Stress can come from positive and negative sources.
A corticosteroid is used to treat asthma
In a healthy adult, what is the approximate ratio of hematocrit to hemoglobin? 3:1
a benign tumor of the connective tissues is called? Fibroma
What urine specimen contains the greatest concentration of human chorionic gonadotropin (HCG)? first morning
The most commonly used size of insulin syringe is 100 U (units)
Headache is a __ finding when using the SOAP format, because it is detectable only via the patient’s complaint and is not visible to the health care practitioner. subjective
“””_“” is the classification used for a patient who has not been in the office for several years.” inactive
What component of computer hardware that accepts data input and permanently stores data? Hard disk drive
most important information to give to a new patient? Office hours and payment requirements
The increasing resistance to the usual effects of an established dosage of a drug is called tolerance.
A fifty-year-old man has arrived at a clinic because of low weight and a skin infection. You, the medical assistant, are assigned to take his medical history. You find out that he is malnourished because he is homeless at times. According to Maslow’s hierarchy of needs, you can expect this patient to be focused on just meeting his biological needs.
A patient is always telling the staff in the office how irritable they are and how they do not listen to her. The patient is under a lot of stress and is irritable. The office staff has been observed on multiple occasions politely listening to this patient and trying to help her. This patient may be using a defense mechanism known as projection
What type of computer software is used to process accounting transactions? spreadsheet
The presence of which of what substances in a urine specimen is most characteristic of glomerulonephritis? protein
What postal abbreviation is used when an envelope is being sent to Phoenix? AZ
Sally is a four-year-old who prefers sleeping with her parents to sleeping in her own bed. However, she gets upset when she sees her father kissing her mother. In which of Freud’s psychosexual stages of development is Sally likely to be? Phallic ( The phallic stage of personality development is the stage when a child is coming to terms with identification with the same-sex parent.)
When a dying patient appears less depressed and there is a quiet sense that he realizes that death happens to all living things, what stage do you think is happening (according to Kübler-Ross’s stages)? Acceptance
Which types of leukocytes increases during an allergic reaction? Eosinophils
A patient states that she just got fired from her job. You recognize this stressor as personal stressor.
According to the United States Postal Service, which of the following is the correct abbreviation for the state of Maine? ME
Name a computer output device? Printer
__ _ (___) is a thiazide diuretic that helps prevent the body from absorbing too much salt. Therefore, the body does not retain as much water as it would otherwise. Aquazide H (hydrochlorothiazide)
A restricted-copper diet must be ordered for which of the following disorders? Wilson’s disease
When mailing valuable items, it is most appropriate to use which of the following postal services? Registered mail
What filing systems is best for protecting patient confidentiality? Color-coded
The ___ ___ mail should be sorted and placed on top of the stack of daily mail due to its importance and urgency. physician’s personal
What is synonymous with a patient ledger? Account history
According to Erikson’s stages of development, an adolescent who excels at athletics, trains, and makes the team is showing a positive outcome to his identity versus role confusion conflict
What item is used to test for glaucoma? Tonometer
What instrument used to open or distend a body orifice? Speculum
A device used to measure the degree of joint movement is called a goniometer.
What is the most appropriate first step in management after a patient faints? Lay the patient flat with the head lower than the heart
One glass or cup of fluid is equivalent to how many ounces? 8
What refers to sets of instructions that enable a computer to function? Software
According to Maslow’s five-level hierarchy of human needs, which of the following is the primary need? Biological
What theory is concerned with how a person’s emotions are a result of how he or she interprets stimuli through a belief system? Cognitive theory
“Which of the following parts of Medicare covers a patient’s hospital care as an “”inpatient””?” Part A
In which of the following are allowed charges detailed? Explanation of benefits
Which of the following is defined as the practice of performing medical tests and procedures in order to protect against future liability, and to document the health care provider’s judgment? Defensive medicine
A seventy-four-year-old man has severe gangrene of the right foot and right lower leg. His physician recommends above-the-knee amputation to prevent further problems. The patient refuses to consider this recommendation and states that he will stop smoking to control the condition, so that amputation will not be necessary. Which of the following defense mechanisms is this patient demonstrating? Denial
Decreased amylase levels in serum are seen in which condition? Extensive destruction of the pancreas
Therapeutic phlebotomy may be performed to treat
Whiach injection is used to administer a tuberculin skin test? Intradermal
The appropriate turnaround time for payment of an account is? 30 days
What form of payment must be signed by a bank representative? Cashier’s check
What is the purpose of using a transport medium? To preserve a specimen in its original state
Threatening or challenging events are known as stressors
What mental disorder characterized by extreme withdrawal and an abnormal absorption in fantasy? Autism
Name the uncommon disorder that involves delusions, hallucinations, and disorganization? Schizophrenia (Schizophrenia is an uncommon disorder that affects about 1% of the general population.)
Based on the humanist theory, a person has an internal force that pushes him or her to grow and improve. The force is known as inner-directedness.
Mental processes are private thoughts, emotions, and feelings that are not directly observable, and are deducible only through inference.
What drug is most appropriate for a patient with a persistent cough? Antitussive
What types of injections produces a small wheal on the skin? Intradermal
According to the Fair Debt Collection Practices Act, which of the following best describes the acceptable times for calling patients to discuss payments? Earliest 8:00 a.m., latest 9:00 p.m.
The unauthorized disclosure of client information is an example of invasion of privacy.
Surgical incision into the peritoneal cavity is called laparotomy.
Excessive EDTA causes erythrocytes to shrink
In a medical malpractice suit, what term represents the legal defense that unreasonable patient behavior helped cause the injury? Contributing negligence
The majority of patients covered by Medicare are persons aged sixty-five years or older.
The joint between the carpal and metacarpal of the thumb is an example of which type of joint? Saddle
What should replace a patient’s medical record when the record is removed from the filing system? Out guide
What term refers to an appointment schedule in which all patients are scheduled in the first half of each hour? Modified-wave
What term refers to a partial loss of accommodation in the eye resulting from aging? Presbyopia
On a prescription, SIG represents, what? Instruction to the patient
A term that describes medications that are referred to by schedule numbers I, II, III, IV, and V? Controlled substances
What additives should be used when processing a differential blood smear? EDTA
Credit bureaus are required to supply correct, complete information to businesses for use in evaluating a person’s application for a job, insurance, or credit according to which of the following laws? Fair Credit Act
What documents makes wishes known in the event that individuals are unable to speak for themselves? Advance directives
_______ is a complication of ulcerative colitis Septicemia
_____ drugs allow parasympathetic nerve fibers to liberate acetylcholine. Cholinergic
In formed consent consist of: understanding the benefits of the procedure, understanding what will happed if consent is not given, understanding that consent can be withdrawn at any time, and understanding the diagnosis
What white blood cells releases histamine and heparin? Basophils
Which legislative regulations allows nonlicensed personnel to perform clinical procedures while employed by a licensed physician? Medical practice acts
Insurance against embezzlement for employees who handle financial matters in the medical office is called bonding
The credit balance remaining in an account is referred to as account balance
Which filing system is most appropriate for a practice with more than 15,000 active patient records? Numeric
The measles-mumps-rubella (MMR) vaccine is most commonly administered at which age? Fifteen months
The most common cancer of the female genital tract in women over age forty-five is endometrial cancer (adenocarcinoma).
The hepatitis C virus is most commonly transmitted by intravenous drug abuse.
According to the Child Abuse Prevention and Treatment Act, teachers, physicians, and other licensed health care practitioners are responsible for reporting child abuse within which specific time frame? Seventy-two hours
What is the most common complication of measles in a child? Otitis media
To prevent a false-positive result when testing for occult blood in the stool, patients should be instructed to omit which of the following from their diet for three days before stool collection? Red meat
Which class of drugs causes relaxation of the blood vessels and increases blood flow in the coronary arteries? Vasodilators
What is a topical medication that causes pupil constriction? Pilocarpine (Pilocarpine is a topical medication that causes pupil constriction. It also reduces intraocular pressure, and is used in the treatment of glaucoma.)
Monies owed to others are known as payables.
“The proofreader mark “”] [“” indicates that you should” close up space.
The incidence of malpractice claims has been shown to be directly related to the quality of the physician-patient relationship.
_______ mail should only be opened with the address’s permission because it is intended to be opened by the addressee only. If permission is given, then another person may open it. Confidential
Controlled substances that have the highest potential for abuse, and are not acceptable for medical use, are classified as Schedule I.
What position is most appropriate when preparing a patient for a breast exam Supine
The style of a letter is set by the alignment of which of the following? Margins
Parietal cells of the stomach secrete which of the following chemical substances? Hydrochloric acid and intrinsic factor
Leaving two appointment times open in the daily schedule is known as adding buffer time.
What major structure is located in the pectoral region of the body? heart
To confirm a suspected diagnosis of cholelithiasis, the patient will be scheduled for an examination of which of the following? Gallbladder
Tympan/o is the combining form meaning eardrum
Yellow bone marrow is inactive and is composed mostly of fat
Which of the following types of United States Postal Service mail is available every day of the week, including holidays? express
A person who has sustained excessive blood loss should be treated for? Shock
Lack of what hormones causes diabetes insipidus? Antidiuretic hormone
Respiratory
The purpose of an appointment matrix is to provide an accurate record of times already allotted that are not available for scheduling patients
Which infectious disorder is transmitted by eating undercooked pork from infected pigs? Trichinosis
Lacking new development, or pertaining to the failure of a tissue to produce normal cell division, is called aplastic.
A patient with a physical disability enters the medical office. The most appropriate response by the medical assistant is to ask the patient whether assistance is needed.
Medical office expenses for the month of March are $8,300. Revenue for the same month is $15,240. The practice has a total of $284,000 and liabilities of $56,000. What is the net income for the practice for the month of March? $6,940
Recording income when it is earned and expenses as they are incurred is called accrual basis accounting.
Which of the following filing procedures indicates that a document is ready for filing? Releasing
Cromolyn sodium is classified as which of the following? For the prophylaxis of asthma
Abnormal levels of protein in the pregnant patient may indicate which of the following conditions or disorders Preeclampsia
Which of the following terms refers to a drug that causes birth defects? Teratogen
Which of the following is used to display data after it has been processed? Output devices
Debit adjustments are also called refunds.
Which of the following interviewing techniques encourages patients to provide a more complete history? Asking open-ended questions
Which of the following procedures is performed to view a cross section of an organ? Tomography
An ophthalmologist is the most appropriate specialist to treat a patient with a disorder of which of the following? Eyes
Which of the following is defined as treatment of all body fluids as though they were infectious, regardless of their true pathogenicity? Universal precautions
A universal emergency medical identification symbol represents a person who has a life-threatening health condition
A chain of infection begins with which of the following? Reservoir host
Raised, white patches on the mouth or vulva are called leukoplakia.
Which of the following muscles is most commonly used for deep intramuscular injections in adults? Gluteus medius
When notifying a patient of termination of care, the letter should be sent via which of the following classes of mail? Certified, return receipt
A collection of related files that serve as a foundation for retrieving information is known as a database.
“””The catheter was removed and pressure was applied to the groin and hemestasis was achieved. There was no evidence of reflux.”” Which of the following words in the previous statement is an error in transcription?” hemestasis
A 26-year-old athlete is unable to extend his right elbow after a boxing injury. Which of the following tendons is most likely injured? Triceps brachii
Based on some state laws, minors may seek medical treatment without parental consent for all of the following, except surgery.
The purpose of the blood centrifuge is to determine or separate the erythrocyte count.
If the nurse practitioner suspects a patient has cystitis, which of the following specimens should be obtained from the patient? Urine
Which of the following waves on an ECG tracing represents the contraction of the atria? P
Which of the following is an example of aseptic technique? Maintaining a 1-inch border between sterile and nonsterile areas
“A patient with paranoid schizophrenia comes to the office for an annual checkup. When the medical assistant attempts to take his temperature, the patient insists on using an oral thermometer that he brought from his home because he says that the office thermometer “”might have bugs.”” Which of the following responses by the medical assistant represents empathy?” Taking the patient’s temperature with his thermometer
“””Epigastrorrhaphy”” is the correct spelling of the term that refers to “”suturing the region above the stomach.”” The suffix “”-orrhaphy”” means” “””surgical repair or suturing.”””
Which of the following is the most appropriate method of determining a collection ratio? Dividing total collections by net charges
Which codes are used only by insurance companies that process Medicare for the Health Care Financing Administration in certain geographical areas? Level III codes
What scheduling methods allows all physical examinations to occur on certain days and certain hours? Cluster
Evaluation and management
. A medical office uses 10 reams of photocopier paper every 2 weeks. How many reams will be used in 12 months? 260
A memorandum should be used for which of the following types of communication? Informing personnel about meetings
To perform a culture for a patient in whom streptococcal pharyngitis is suspected, what area should be swabbed? Back of the throat
A chronologic description of a patient’s illness from the first sign or symptom to the current status should be entered under which of the following headings in the medical record? History of present illness
A statement issued to indicate that a debt should be paid by an insurance company is called a(n) warrant.
“A mammogram report reads: “”The essential tissues of the breast are symmetrical. There is no abnormal masses in either breast. The axilla presents as normal.”” Which of the following words from the report is an error in grammar?” is
A list used by Blue Cross and Blue Shield plans concerning maximum fees that are allowed for specific services is referred to as a(n) fix-fee schedule
Office policy manuals contain which of the following types of information? Performance evaluations and salary
To facilitate automatic sorting used by the United States Postal Service, which of the following is the most appropriate method of preparing envelopes for mailing? Capitalize every letter in the address.
Which of the following actions is effective in improving the quality of a telephone conversation with a patient? Speaking directly into the telephone receiver
Which of the following nonverbal communication techniques can communicate sensitivity and empathy? Touching
The contraction of smooth muscles of the walls of the esophagus that allows movement of food toward the stomach is referred to as peristalsis.
A list of commands that appears on a computer screen is referred to as a(n) menu.
Which of the following consists of detailed instructions for maintaining clinical and quality assurance? Procedure
Which of the following waves represents the slow recovery (repolarization) of the Purkinje fibers on an electrocardiogram? U wave
Drugs classified as which of the following do not require a prescription for individuals eighteen or older, with a few exceptions? Schedule V
Vacutainer tubes with which of the following colored stoppers contain no additives? Red
A legal defense that holds that the defendant is not guilty of a negligent act because the plaintiff knew of and accepted beforehand any risk involved, is called assumption of risk
Which of the following parts of the brain is responsible for motor speech? Broca’s area
Damages to a patient that were a direct cause of the physician’s breach of duty are known as direct causation.
Which of the following is the correct angle for needle insertion when performing a purified protein derivative (PPD) tuberculin test? 15 degrees
A patient states that she has had severe pain in the right upper abdominal quadrant for three days. This statement should be recorded in which of the following parts of the patient’s medical record? Chief complaint
Which of the following checks is drawn by the bank and made payable out of the bank’s account? Cashier’s
____ is the process of underlining or highlighting important information when reading incoming correspondence. Annotating
What provides up-to-date information about the medical office’s accounts receivable status? Daysheet
When scheduling appointments, abbreviations are used to save space and time
Adopting the unacceptable feelings or thoughts of others is referred to as introjection.
What gland is located in the chest Thymus
“What suffixes means “”seizure””?” -lepsy
“A patient calls the office and states that she wants to know the physician’s fee. After asking the patient’s name, which of the following is the most appropriate next question?””” “””What is your insurance plan?”””
Universal precautions are mandated by which of the following organizations as part of the Bloodborne Pathogens Standard of 1991? Occupational Safety and Health Administration (OSHA)
Employees are identified for tax purposes by their Social Security numbers.
Which of the following is the most common site for venipuncture? Median cubital vein
Testing the serum level of which of the following agents is most appropriate to evaluate treatment effectiveness in patients with epilepsy? Dilantin
Complement proteins stimulate phagocytosis and inflammation.
A patient has been instructed to exercise his arm for five minutes several times a day. He tells the medical assistant that he could not do the exercises because he had to go to work. Which of the following defense mechanisms is he using? Rationalization
Which of the following is a disease characterized by chronic systemic inflammation, painful joints, and swollen, thickened synovial membranes? Rheumatoid arthritis
A financial statement for a specific date or period that indicates the total assets, liabilities, and capital of the business refers to the balance sheet.
Increased intraocular pressure is characteristic of which of the following? Glaucoma
Which vaccine is contraindicated in severely immunocompromised patients? Measles, mumps, rubella (MMR)
Target cells are abnormal thin red blood cells that are also called leptocytes.
Which of the following ranges of needle gauges is most appropriate for subcutaneous injection? 23-25
If a urinalysis cannot be performed immediately after collection, a urine specimen must be stored in a refrigerator.
Employers are required to match employee payroll contributions for which of the following? Social Security
The person named as the principal in an insurance contract is referred to as the subscriber.
How many vertebrae are found in a human adult’s spinal column? Twenty-six
Wrongful injury or interference with the property of another is called trespass.
A patient provides the physician with a copy of a legal document granting her son durable power of attorney for her health care. When will her son begin making medical decisions for his mother? When the mother is no longer capable of making medical decisions
How often must employers who pay Social Security and Medicare taxes file Form 941? Four times a year
Certified mail is available for use with which of the following types of mail? First-class
In the medical office, where should health and safety guidelines be kept? In the policy and procedures manual
When performing a hematocrit test by the microhematocrit method, which of the following actions represents effective quality control? Completing the test in duplicate
A medical assistant working in a walk-in clinic is instructed by the physician to place patients in the examination room based on each patient’s condition. Which of the following patients should be examined first? laceration with bleeding, respiratory stridor after receiving PCN, elderly with chronic stridor, pt with ingrown toenail or woman in third trimester with pelvic discomfort A patient who has respiratory stridor after receiving penicillin
Which of the following hormones is released from the adrenal medulla? Norepinephrine
A manometer is also called a(n) pressure indicator.
What act makes it illegal to discriminate in hiring or firing because of a union membership or organizing activities? Wagner Act
Which of the following laboratory tests is most appropriate to detect tuberculosis? Mantoux
What microorganisms causes syphilis?
A physician orders Rocephin 250 mg intramuscularly. The medicine is available in a 1 g/mL vial. Which of the following is the correct amount to administer to the patient? 0.25 mL
“The term that means “”double vision”” is” diplopia
What terms means the elimination of all pathogens? Sterilization
What device measures cumulative radiation exposure in persons working near X-ray equipment? Dosimeter
The ingestion of unpasteurized milk from infected stock may cause brucellosis.
Immediate feedback about a file having details that are missing or having incorrect information is referred to as format rejection.
The term that TRICARE and CHAMPVA use for coinsurance is cost-share.
A stat order is a single order that is usually written for emergencies.
“A Latin phrase meaning “”the matter has been decided”””
Which type of viral hepatitis is frequently seen in the rainy season or after natural disasters because of fecally contaminated water or food? Hepatitis E
What procedures can be performed when the physician is out of the office? Removal of sutures
Long-term inhalation of the dust of an inorganic compound found in sand or quartz may cause, what? Silicosis
“Which of the following terms means “”abnormal outward curvature of the spine””?” Kyphosis
Which of the following foods is highest in dietary fiber? Pears
“The abbreviation that means “”right ear”” is” AD
What granular cytoplasmic organelle is composed of RNA? Ribosome
“””Pay to the order of Sunbank for deposit only to Jay Sananu, M.D., 0324753877.”” This endorsement is known as” restrictive.
How many days after employment should the initial performance evaluation of a new employee be given? Ninety days
When performing triage, a patient with which of the following injuries should be treated first?A. Foreign body in the eye B. Second-degree burns C. Bleeding laceration on the arm D. Fracture of the femur E. Crushing head injury E. Crushing head injury
“””Dorsalis pedis pulses present bilaterally when entering the review of systems in the medical record””. The previous statement should be entered under which of the following headings?A. Chest B. Neck C. Axilla D. Reflexes E. Extremities” E. Extremities
What is the most effective method of affixing a bacterial smear to a slide? Heating
Surgical asepsis is most appropriate during endometrial biopsy because it is a __ procedure. surgical
What part of the physical examination requires the use of the stethoscope? Auscultation
The fibrous sheath that surrounds each individual muscle cell is called the endomysium.
What is the most common dilution of 5.25% sodium hypochlorite used to disinfect a contaminated work area? 1:10
The complimentary closing is placed how many lines after the last line of the body of a letter Two lines
“During a patient interview, which of the following answers to the question “”How much do you drink?”” demonstrates that a patient may have a problem with alcohol? A. “”I drink a couple beers on weekends.”” B. “”I drink an occasional glass of wine.”” C. “”I drink two highballs after dinner.”” D. “”I can hold my liquor.”” E. “”I am a teetotaler.””” “D. “”I can hold my liquor.”””
What drug is both an analgesic and antipyretic drug? Acetaminophen
“20 mg : 1 tab = 80 mg : X tab. In this dosage calculation, the “”X”” represents how many tablets?” 4
Patients with type 1 diabetes mellitus should be instructed to administer daily injections of insulin in the upper arm, upper back, hip, thigh, or which other site? Abdomen
The ______ is located in the inner ear. It is the auditory portion, appearing as a spiral-shaped cavity in the bony labyrinth. cochlea
Which of the following is the primary reason for documenting patient education efforts in writing? To describe recommendations for care and patient compliance
Anthracosis
What medical specialists is most likely to use a colposcope Gynecologist
If a patient calls because of severe chest pain while the physician is out of the office, which of the following actions by the medical assistant is most appropriate? Keep the patient on the line and call 911.
Original medical records can be released only when requested by a _? court subpoena
“An _ form is used to verify if an individual is authorized to work in the United States. It is officially called the “”Employment Eligibility Verification”” form.” I-9
What diagnostic procedures is used to visually examine the stomach? Gastroscopy
The scheduling technique of clustering similar procedures is known as _____ Categorization
The Heimlich maneuver is used for, _____ Choking
Lead I of the electrocardiogram records the voltage difference between which of the following? Left arm and right arm
“A platelet count of 30,000/mm3 indicates a “”_“” value, since the normal range for platelets should be between 130,000 and 400,000 per cubic millimeter. This involves the risk for severe blood loss, including brain or organ bleeding. The clinical term for extremely low platelet counts is _____________.” panic, thrombocytopenia.
What filing systems aids the medical assistant in reminding patients of their annual physical examinations? Tickler
Laboratory studies are most likely to show an increased serum level of which of the following enzymes in patients with pancreatic disease? Amylase (AMS)
When inserting a urinary catheter, the tube is introduced into which of the following structures? Urethra
What term describes how the body transports drugs from the site of administration to the site of action in the cells and tissue? Distribution
“What suffixes means “”incision””?” -tomy
Which of the following is a language used to create Internet documents? A. Font B. HTML C.URL D. WWW E. COM B. HTML
The physician performs a procedure that removes the dead tissue around a wound to expose the healthy tissue. Which of the following is the most appropriate description of this procedure? Debridement
According to the Clinical Laboratory Improvement Amendments of 1988 (CLIA ’88), performing a rapid strep screen is classified in which of the following regulatory categories? A. Waived B. Highly complex C. Moderately complex D. Provider-performed microscopy A. Waived
The functional unit of the kidney that forms urine is known as the nephron
The physician orders an MRI for a man who is suspected of having a brain tumor. What is the most important question to ask this patient before scheduling an appointment? “””Do you have any metal implants”
“What terms means “”surgical removal of the diseased portion of the lining of an artery””?” Arteriectomy
When using the modified-block letter style, the date line, complimentary close, and typewritten signature should start __________________________________. Near the center of the page
What is the name given to mail that the United States Postal Service guarantees to deliver in two to three days for the same rate anywhere in the United States? Priority
The Heimlich maneuver is indicated when a person appears to choking and cannot speak.
“The “”rule of nines”” is the accepted formula for calculating the extent of which of the following injuries?” Burns
The pulmonary artery carries blood between the heart and the lungs.
Which of the following is a document provided by a manufacturer describing the chemical breakdown and precautions of products, and is required by the Occupational Safety and Health Administration (OSHA) to be available to employees in a medical office? Material Safety Data Sheet
________ are structural features of medical instruments that securely grip slippery tissue. ____ are formations resembling the toothed edge of a saw. Serrations, Serrations
What term best describes signs and symptoms that come and go? intermittent
Which of the following levels of Maslow’s hierarchy of needs describes an individual who has reached his fullest potential? Self-actualization
“What prefix means “”before””?” Ante-
What hormones enhances the proliferation of T lymphocytes? Thymosin
The referral of a patient to a physical therapist is documented in which of the following sections of a problem-oriented medical record (POMR)? Plans for further studies, treatment, or management
The female is best described as the external area between the vulva and the anus. It is also defined as the surface region between the pubic symphysis and the coccyx perineum
A patient calls the office and angrily states that he is dissatisfied with his medical care. What is the most appropriate initial response? Ask him to describe the problem
What diagnostic studies is used to examine a patient’s bladder? Cystography
What refers to the smallest vessels that collect deoxygenated blood from the cells for transport back to the heart? Venules
“What combining form that means “”renal pelvis””?” Pyel/o
Daily log, daysheet, daily journal and charge journal are also known as the ___ _. general journal
What is the name of the virus that causes shingles? Herpes zoster virus
A prediction about the outcome of a disease is called prognosis.
A physician who does not arrange for another qualified physician to care for his patients in his absence may be found guilty of ? Abandonment
The _ is the part of a prescription that contains the names and quantities of the ingredients. inscription
The medical assistant calls the endocrinologist to schedule an appointment for a patient who has type 1 diabetes mellitus. Which of the following appointment times should the medical assistant request First appointment in the morning
What eye structures is affected in a patient with a cataract? Lens
After keying the inside address of a business letter, which of the following is the most appropriate spacing before keying the salutation? Double
A computerized system used by Medicare to prevent overpayment for procedures is known the Correct Coding Initiative
The normal average blood pressure for a newborn is . 50/25
An evacuated tube with which of the following stopper colors is used to collect a blood specimen for a complete blood cell count? Lavender
The length of time to retain patient files is different for each medical office
Which of the following terms describes a diagnosis based on a comparison of signs and symptoms of similar diseases? Differential
What sexually transmitted infection is associated with an increased risk for cervical cancer? Human papillomavirus (HPV)
What types of membranes lines joint capsules? Synovial
Lyme disease is an infection caused by which pathogen? Bacteria
The review of financial data to verify accuracy and completeness is known as auditing.
Slow respiration in an adult, fewer than ten cycles per minute, is called bradypnea
What fracture occurs at the distal end of the tibia and fibula? Pott
When performing a Mantoux test for tuberculosis, the appearance of which of the following is most likely to indicate a positive reaction? A. Erythema B. Induration C. Urticaria D. Exudate E. Bruising Induration (means a hard, raised area with clearly defined borders).
The patient should stand how many feet from the Snellen eye chart when a standard visual acuity examination is performed? 20
Which medical imaging techniques is most commonly used for diagnosis of brain-related conditions, such as Parkinson’s disease and epilepsy? Positron emission tomography (PET)
The side from which a watermark is readable and the side on which printing should be done is called the felt side of letterhead
Excessive amounts of fluoride in drinking water may cause Discoloration of teeth
What term refers to inflammation of the mouth? Stomatitis
Active goodness or kindness is known as beneficence.
“The abbreviation “”Rh”” stands for” rhesus factor
Which of the following pathogens may cause gas gangrene?
A drug that causes birth defects and affects the X chromosome is known as a teratogen
Psychological disorders that result from personalities that developed improperly during childhood are referred to as personality disorders.
A physician discloses medical information to a newspaper without authorization from a patient. This is an example of which of the following legal principles? Invasion of privacy
_____ __ is considered to be an autoimmune disease. It is a condition of severe hyperthyroidism. A sudden exacerbation of symptoms may signal thyrotoxicosis. Grave’s disease
High power, low power, and oil immersion describe which of the following parts of a compound microscope? Objective lenses
For absorption of calcium in the small intestine, which hormone is required? Parathyroid hormone
The subarachnoid space is located in which anatomic locations? Spinal canal
An inflammation of the epiglottis that commonly occurs in children between three and seven years of age is caused by which microorganism?
Which of the following patient symptoms must receive first priority for placement in an examination room? A. Vomiting after eating B. Ringing in the ears C. Head injury D. Irregular menstrual bleeding E. Lump in the left breast Head injury
Washing and scrubbing to remove body tissue, blood, and other body fluids from a surgical tray are steps involved in __. sanitization
When performing a venipuncture for intravenous therapy, removal of the tourniquet is most appropriate at what time? Immediately following puncture of the vein
describe a patient in the lithotomy position Lying on the back with the feet resting in stirrups
Standards of behavior considered appropriate within a profession are known as etiquette.
What describes a sudden discharge of electrical activity in the brain that results in seizures? Epilepsy
What term refers to the straightening out of a limb, which results in an increase in the angle of a joint? Extension
condition of
When is the most appropriate time to test for pregnancy using urine? First morning void
When determining the most appropriate time to schedule a patient’s appointment, what factor is most important? Availability of appointment times
Whay act(s) as a by-product of fat metabolism in the liver? Ketones
What medical terms refers to an area toward the back? Dorsal or posterior
According to OSHA, which color codes represents radioactive hazards? White
The circumference of the head should be measured during regular checkups until a child reaches what age? Thirty-six months
What used to maintain a record of monthly business expenses? Disbursement journal
What terms refers to paralysis of one extremity? monoplegia
The malleolus is located in what body areas? ankle
The scope of practice for licensed health care professionals is defined by what act? Medical Practice Act
What is a common mistake made by medical assistants seeking employment? Waiting for the perfect job
A term that describes a special contract that alters health insurance coverage provided in a standard contract? Rider
A term that best describes a reduction in the mass of the bones? Osteoporosis
The calculator section of the computer keyboard, which controls mathematical functions, is known as the keypad
A filing system that is most appropriate for organizing and storing medical research material? Subject
“The medical assistant writes “”NKDA”” when obtaining a medical history. This abbreviation refers to which of the following aspects of the patient’s history?” No allergies to medications
Aspiration of fluid from a cyst in the breast requires asepsis because it is an invasive procedure. surgical
“What term means “”visual examination or biopsy of the tracheobronchial tree””?” Bronchoscopy
Injuries occurring from which of the following incidents must be reported to the proper government agency, such as the police? A. Work related B. Alcohol abuse C. Illegal drug use D. Snake bites E. Stabbing E. Stabbing
The original operative report for major abdominal surgery of a deceased patient belongs to ___ the medical facility
Equity equals the practice’s total assets minus _ _ Total liabilities
What sends and receives messages in a digital form over a telecommunications network? Electronic mail
____ is characteristic of partial thickness (second-degree) burns, but not of superficial (first-degree) burns. Second-degree burns involve both the epidermis and dermis. Bleeding
How many teaspoons are equal to 120 drops? 2
What best defines the set of elements that includes an infectious agent, reservoir, portal of exit, mode of transmission, and susceptible host? Chain of infection
Body language is best assessed by Observing
The most common malpractice claims against physicians are based on allegations of which of the following Negligence
How should the medical assistant instruct the patient to wipe each side and down the middle of the labia when collecting a clean-catch, midstream urine specimen? Front to back, using a different towelette
A physician who specializes in the treatment of patients with psoriasis is known a ________ Dermatologist
A patient discontinues care with a medical practice because she has moved to another state. How should this patient’s medical record be classified? Inactive
What plane that divides the body into the upper and lower portions? Transverse
What muscles extends the legs Quadriceps femoris
What was used to develop the Medicare fee schedule (MFS)? Resource-Based Relative Value Scale (RBRVS)
What is a primary purpose for performing spirometry? To measure the air capacity of a patient’s lungs
When a patient is experiencing vertigo with nausea, it should be documented as _ information in the patient’s medical record. subjective
The assignment of a higher level of evaluation and management service when a lesser service is rendered in an attempt to increase reimbursement is known as which of the following? Upcoding
______ describes the medical assistant leaving out unnecessary information when charting patient information for a physician Conciseness
What route of administration of a drug that is placed between the cheek and gum? Buccal
What type of depression is most common in patients who have lost something of great importance? Reactive depression
What best describes a listening method that includes feedback and asking questions? Active
Most energy-producing reactions occur in what part of a cell? Mitochondrion
“What term means “”internal organs””?” Viscera
good, normal
Which vitamin deficiencies may cause spina bifida in a fetus? Folic acid
most commonly used coding system to identify a patient visit for a consultation? Current Procedural Terminology (CPT)
Approved abbreviations can be used in which sections of a medical record? Review of systems
A combination of which Rh blood groups will most likely result in destruction of fetal blood cells? Mother is Rh- and fetus is Rh+ (When the mother is Rh negative and the fetus is Rh positive, there will most likely be a maternal-fetal incompatibility (erythroblastosis fetalis), and fetal blood cells will be destroyed. This condition presents as severe anemia in newborn babies, and can be diagnosed before birth by amniocentesis)
Micturition is a function involved with which of the following body systems? urinary
What is the most common cause of intestinal obstruction in infants? Intussusception
What represents the largest amount of computer storage capacity? Gigabyte
Chief cells are a structural component of which of the following body systems? Digestive
What is the most important information to give a a new patient office hours and fee schedule
A _ is a computer output device printer
In a medical record, goiter should be recorded under what heading? neck
What fracture is most commonly seen in children? Greenstick
Which act established the federal agency known as the Equal Employment Opportunity Commission (EEOC)? Civil Rights Act
The physician prescribes the administration of 180 mg of a drug. If the drug is available in 1 grain tablets, how many tablets should be given to the patient? Three
primary benefit of numeric filing is? Patient confidentiality is preserved
If a patient is unresponsive, what should be assessed first? CAB (Circulation, Airway, and Breathing)
The receptionist who is responsible for opening the medical office must arrive how long before office hours begin? 15 to 20 minutes
What information is obtained from a completed daysheet? Accounts receivable data
What organisms commonly causes toxic shock syndrome?
Which white blood cells is the smallest in size? Lymphocytes
A patient must pay $400 per year for medical expenses before the insurance company will begin to cover any expenses. What terms describes this payment? Deductible
Pulmonary arteries carry deoxygenated blood to the lungs
What is the most effective way to educate new patients about office policies? Distribute patient information booklets
Undescended testicle
When collecting a specimen for throat culture, a medical assistant should swab which of the following structures? Pharynx
What is the most appropriate study to detect breast abscesses? Thermography
A disadvantage of single-entry bookkeeping is that it Makes errors hard to spot
A scheduling method in which patients sign in and are seen on a first-come, first-served basis is known as which of the following? open hours
Which of the following causes would give plasma or serum a milky appearance? hyperlipidemia
What type of mail service that guarantees delivery by 3:00 p.m. the following day? Express
prefix
silver stain
What converts printed matter into a form that can be read by a computer? scanner
The main body part involved in the metabolism of drugs is the liver
What refers to the process of determining the circumference of an infant’s head? Mensuration
Depakene® is a type of Antiepileptic
What parts of a prescription provides directions to the pharmacist? Subscription
An eye examination using a Snellen eye chart tests for which of the following? Distance visual acuity
The first cervical vertebra is the atlas
You are alone, providing CPR for a very small three-year-old child. Which of the following describes the correct technique to follow in performing chest compressions on this child? Use the heel of one hand
Who should correct an error in a patient’s chart? The person who originally charted the entry
What types of mail provides proof that a letter has been received? certified
According to the American Association of Medical Assistants (AAMA), how often is recertification of the certified medical assistant (CMA) credential required? Every five years
The combined contraceptive pill contains estrogen and progesterone
An amount that constitutes an addition to revenue is called credit
The type of listening that occurs when the medical assistant does not offer advice or give assistance is Passive
Which of the following is a type of memory used in computers? RAM
During a surgical procedure, a cautery would be used to accomplish? Either removal of contaminated tissue or burning or cutting of tissue
Which of the following parts of a prescription indicates the number of tablets to be dispensed? Subscription
An ICD-10-CM code may contain up to how many digits? seven
The sudden onset of a disease marked by intensity is described as acute
The amylase test is used for disorders related to the Pancreas
A substance that is released from an injured cell is called a(n) histamine
To comply with Medicare guidelines, the physician must write off which of the following charges? Disallowed charges
Which of the following is the recommended screening test for tuberculosis? Mantoux
Distention of the pelvis and calyces of the kidney by urine is referred to as Hydronephrosis
Which of the following types of medications may need to be refrigerated when stored? Antibiotics
A disbursement journal is a summary of Accounts paid out
The physician has just arrived and several patients are waiting to be seen. Which patients should the physician see first? A walk-in patient complaining of pain radiating to the left arm
For a multipage letter, the medical assistant should use Letterhead for the first page and blank paper for all other pages
Which of the following medications is used to treat patients with hypertension? Hydralazine
Which of the following pieces of incoming mail should be delivered directly to the physician? confidential
In an emergency situation, patients with which of the following conditions should be treated first? shock
The white and outermost layer of the eye is called the sclera
If a drop of blood does not form after capillary puncture, which of the following should be done? apply pressure
Which of the following is an appropriate collection technique? Sending a payment reminder in the form of a statement or letter when the account is 30 days past due
The outermost layer of the cell is known as Ectoplasm
A patient has a sudden decrease in blood pressure after an acute hemorrhage. The primary cause is a decrease in which of the following? blood volume
The sympathetic action of the pupil of the eye is dilation
one thousandth
Which of the following tests may indicate a kidney disorder? Blood urea nitrogen
_ is prescribed for all of the answer choices (congestive heart failure, nephrotic syndrome, and hypercalcemia). It is a loop diuretic Furosemide
Which of the following is performed to detect the presence of human chorionic gonadotropin? Urine pregnancy test
____ results from a deficiency of calcium. Calcium is most essential for normal bone development in the fetus. By week 29 of development, the bones are fully formed, but calcium is still needed for them to strengthen. Rickets
“By selecting “”“” on a computer menu, you can change the typeface in a document.” font
When dealing with a seriously ill patient, you should avoid empty promises
Which instrument is used to expand and separate the walls of a cavity to make examination possible? Speculum
The most common type of anemia is Iron-deficiency
The subject line of a letter appears Two lines below the salutation
The thalamus Acts as a relay station for sensory impulses
Standard letterhead is Used in general business correspondence
“What prefixes means “”bad, difficult, painful””?” dys-
What bookkeeping terms refers to charges on the patient’s account? debits
What diagnostic studies uses high-frequency sound waves to produce an image of a patient’s internal organs? Ultrasonography
is the most appropriate medication for a patient with depression. Its generic name is sertraline, and it is classified as an SSRI. Zoloft
What term refers to the balance due to a creditor on a current account? accounts payable
An ___, a pressurized steam heater used for sterilization, is a capital purchase for the medical office autoclave
What classe of drugs is most appropriate for a patient with a persistent cough? Antitussives
A patient should be advised to bring an insurance card to each appointment for what reason? To identify changes in the patient’s current insurance coverage
“What type of tinea is known as “”jock itch””?” Tinea cruris
“What suffixes means “”beginning, origin, production””?” Both -genic and -genetic
A 26-year-old woman has swallowed an overdose of prescribed sleeping pills. She is now unresponsive. When you open her airway, you find that she is gasping for breath and is not breathing normally at all. Using a pocket mask, you provide two rescue breaths and check for signs of circulation, including her pulse, which is rapid but weak. What should you do next? Provide rescue breathing at a rate of one breath every five seconds
A slide is used in preparing a blood smear slide. The __ slide disperses the blood over a slide’s entire length spreader, spreader
A physician may order a stool culture if he or she suspects Cancer, Protozoal infection, Bacterial infection, Colitis
“Fear of medical personnel can increase blood pressure. This is sometimes referred to as “” hypertension.””” white coat
What following cells can release histamine and heparin? Mast cells
Movement
“Which of the following terms describes the technique used when the medical assistant repeats this back to the patient: “”So you have a lot of difficulty sleeping because of your pain?””” Paraphrasing
The most common causative organism of meningitis in adults is
Lidocaine is a type of Antiarrhythmic
In sickle cell anemia, what component is abnormal that causes the erythrocytes to change shape? Hemoglobin
Operative Procedure: Left thyroid lobectomy with removal of the isthmus. A medical assistant preparing an insurance claim for this operative procedure should select coding for which of the following body systems? Endocrine
The medical assistant calls the endocrinologist to schedule an appointment for a patient who has type 1 diabetes mellitus. To avoid hypoglycemia in the patient, which of the following appointment times should the medical assistant request? First appointment in the morning
Two months
Dry
Which of the following is the route of administration for parenteral medications? Injection
Which of the following positions is most commonly used for pelvic examination? Lithotomy
According to the Patient’s Bill of Rights, patients have the right to expect _ of care. continuity
Which of the following branches off the trachea and passes into the lungs? Bronchus
Which of the following is the most appropriate response by a medical assistant who answers a prank telephone call? Hang up the telephone
An area of dead cells due to a lack of oxygen is called Infarction
Which of the following drug types is used to reduce cholesterol? Hypolipidemic
ear
S00-T88
According to U.S. Postal Service guidelines, which of the following is the correct state abbreviation for an envelope addressed to Boston? MA
The proofreader’s mark that resembles an equal sign means which of the following? Insert hyphen
Term describing absence or abnormal cessation of menses. Amenorrhea
“medical terms is common known as “”crossed eyes””?” Strabismus
Which of the following basic computer software operations obtains a saved file? Retrieving file
Cromolyn is used to treat Asthma
You are providing rescue breathing to an unresponsive, nonbreathing child who shows signs of circulation. How often should you provide rescue breaths for this child? Once every six to eight seconds (eight to ten breaths per minute)
Butenafine is prescribed to treat Athlete’s foot
Which of the following steps must be taken to recall a mailed letter? Call the post office
If a patient weighs 165 pounds, how much does he or she weigh in kilograms? 75 kg
Which of the following actions is most appropriate to ensure the security of electronic medical records? Restricting access to information based on each user’s job function
The production of heat needed to use food is called Thermogenesis
Scheduling two or more patients in the same slot is known as Double booking
Serum sickness is what type of sensitivity? III
Lip
Which of the following devices is used to keep irregular flows of alternating current electricity from damaging computer components? Surge protector
Which of the following is the body’s initial response to any injury? Inflammation
Which of the following is collected for a leukocyte count? Whole blood
When practicing sterile technique, the medical assistant should use which of the following instruments to set up a sterile field? Transfer forceps
Standard precautions require that examination rooms, equipment, blood spills, and other potentially infectious materials be cleaned with which of the following? Bleach
What is a general term for measuring weight and height? Mensuration
Which of the following is the portion of a centrifuged urine sample used for microscopic examination? Sediment
A daysheet provides complete and up-to-date information about Accounts receivable
Which of the following is the most important consideration when scheduling patient appointments? Urgency of patient need
What action should a medical assistant take if a caller wants to talk to a physician but refuses to identify him or herself? “Ask the person to write a letter to the physician and mark it “”personal”””
The __ __________muscle is located in the torso. Its origin is from the fifth to the twelfth ribs. external oblique A ___________ _____ electronic thermometer obtains the fastest accurate temperature out of all of these answer choices. tympanic membrane
When performing electrocardiography, which of the following chest leads should be placed at the fifth intercostal space at the junction of the left midclavicular line? V4
Biohazardous waste must be collected in impermeable polyethylene bags that are which of the following colors? Red
A synapse is The junction between two neurons
Sensitivity testing is used to determine A pathogen’s susceptibility to antibiotics
. Drugs that increase urine secretion are Diuretics
The condition in which one of the sex chromosomes is missing is called Turner’s syndrome
A terms refering to an advance directive made by an individual that specifies his or her end-of-life wishes? Living Will
When a urine culture is being performed, the urine should be incubated on the culture dishes for how many hours? twenty four
The physician prescribes Prozac 60 mg per day for thirty days. Prozac is available in 20 mg tablets. Which of the following is the correct number to be dispensed? ninety
“The proofreaders’ mark “”#”” represents which of the following?” add a space
The anticoagulant EDTA is most appropriate for a blood specimen that has been collected for Complete blood cell counts
“What terms mean “”fainting””?” Syncope
What injection is administered under the skin and into the fat layer? Subcutaneous
A telephone feature that answers calls and has a recording that identifies services available by pressing a specific number is known as which of the following? Automated routing unit
An 18-month-old girl was taken to her pediatrician for a vaccine. Which of the following terms most likely relates to her reaction to the nurse with the needle? Anxiety
Which of the following is the most likely adverse effect in a patient who takes a beta-adrenergic blocking agent Bradycardia
Through the U.S. Postal Service, a package of books that weighs 90 pounds Cannot be sent because it exceeds weight limits
“Which of the following types of insurance covers medical expenses for patients who are injured “”in their home””?” Liability
Fluoxetine is a type of Antidepressant (It is classified as a selective serotonin reuptake inhibitor (SSRI).
The abbreviation NP stands for new patient
Thrombophlebitis occurs most commonly in the lower legs
The part of the brain responsible for visual recognition is the Occipital lobe
Which of the following is a horizontal plane that divides the body into upper and lower portions? Transverse
Which of the following provides detailed information about the potential hazards of chemicals used in the physician’s office? Safety Data Sheets
Epinephrine is a(n) adrenergic (It is both a hormone and a neurotransmitter. It increases heart rate, contracts blood vessels, dilates air passages, and participates in the fight-or-flight response.)
___ is a type of hormone. It is a peptide hormone produced in the duodenum Secretin
In a medical record, should be recorded under the digestive system. It refers to a condition of impaired digestion. dyspepsia
Which of the following is the study of death and dying? Thanatology
A medical assistant is paid biweekly and earns a regular rate of $10.50/hour. Her employer pays 1.5 times the regular rate for any hours exceeding 80 within a two-week time period. During the past two weeks, she worked 82 hours. Which of the following represents her gross earnings for this biweekly time period? $871.50
“This term is defined as “”formation or presence of stones.””” Lithiasis
Certified mail is used to send Documents, contracts, and bankbooks
Type A blood has A antigen on the red blood cells and anti-B antibodies in plasma
The three bones in the middle ear that amplify vibration are called Auditory ossicles
You are babysitting your infant nephew. You are alone and find the infant unresponsive. Which of the following is the best action? Begin the ABCs of CPR and then phone 911 after one minute of rescue support
Which of the following should be placed on top of a stack of incoming mail for the physician’s attention? Consultant’s report
What is the function of the hormone calcitonin, which is released from the thyroid gland? It decreases plasma calcium concentrations
A patient with Addison’s disease should be examined by what types of specialists? Endocrinologis
Voucher checks are commonly used for payroll
From which of the following is agar extracted? algae
“When addressing an envelope, the word “”confidential”” should be placed” Two lines below the return address
The ledger provides up-to-date financial information pertaining to which of the following? Patients
The abbreviation is used in a prescription to indicate that a medication should be taken orally before meals. PO ac
A hereditary disease that causes copper accumulation in various organs is called Wilson’s disease
What is the most appropriate medical record classification for a deceased patient? closed
A microbe that lives only in the absence of oxygen is called a(n) Obligate anaerobe
Medicare Part C involves which of the following? Private health plans
Which of the following is the most appropriate initial action for the medical assistant when a patient is referred to the medical office? Determine the urgency of the patient’s appointment
What is a safety hazard in a medical office? Mercury thermometer
Antiemetics are indicated for which of the following conditions? vomiting
Which of the following is used to indicate that a patient’s medical record is stored in two locations? Cross-reference guide
Which of the following is the most appropriate method to remove sterile forceps from a sterile package? By tip, handles down
The process in which molecules, ions, or particles move from an area of higher concentration to an area of lower concentration is known as Diffusion
“A term that means “”characterized by an exaggerated reaction to an antigen or toxin.””” Anaphylactic
The Occupational Safety and Health Administration (OSHA) requires that healthcare workers be tested annually for which of the following communicable disease? Tuberculosis
A _________ is an instrument that records the volume of air that moves in and out of the lungs spirometer
What actions by the medical assistant is most likely to protect the physician if a caller to the office were to take legal action? Proper documentation of calls
What is a hereditary disorder of clotting factors? Hemophilia
In an electrocardiogram, what does the QRS complex represent? Depolarization of the ventricles