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MA board review

MA review

normal temp range 97.6-99.6 (36.4-36.7)
rectal temp fever 101 (38.3)
oral temp fever 100
peds rectal temp fever 100.4 (38)
normal BP range 120/80 or lower
preHTN 120-139 / 80-89
HTN stage 1 140-159 / 90-99
HTN stage 2 160+ / 100+
hypertensive crisis 180+ / 110
hypotension stage 90 / 60
normal HR 60-100 bpm
tachycardia 100+
bradycardia -60
normal respirations 12-20 rpm
vital signs include BP, temp, pulse, respirations, HR
systole heart contracts
diastole heart relaxes
most accurate temp rectal
anthropometric measurements height and weight
pediatric anthropometric measurements head circumference and length until child can stand
to convert farenheit to celsius multiply by 9/5
to convert celsius to farenheit subtract 32 and multiply by 5/9
3 types of drug administration oral, topical, parenteral
oral drugs may be found in what forms? liquid, tablet, capsule
topical drugs may be found in what forms? lotions, linaments, ointments, transdermal patch
parenteral drugs may be given in what forms? IM, intradermal, subQ, IV
pulmonary function test determines patients lung volume
what tool is used for a vision test Snellen eye chart
collection of body fluids include what fluids? urine, sputum, saliva, feces, semen, or blood
eye irrigation performed in a sterile or non sterile environment? sterile
the temps for sterilization 250-320
which position should the patient be in for a rectal temperature? Sim's
which artery is routinely used to perform a manual blood pressure brachial artery
what angle should be on the needle for a subQ injection? 45 degree angle
what substance is removed during ear irrigation? cerumen (ear wax)
where should you aim the solution when performing eye irrigation? inner canthus
how to convert feet to centimeters 2.2cm = 1" 1'12"
device to perform pulmonary function test spirometer
a substance that dilates the bronchi in the lungs decreasing resistance in the respiratory airways bronchodilators
a disinfectant and sterilization product of alkaline gluteraldehyde Cidex
the period of time when the heart fills with blood after contraction diastole/diastolic
a test that records the electrical activity of the heart EKG/ECG electrocardiography
a device that measures a patient's cardiac activity over a period of time Holter monitor
a severe increase in blood pressure which could result in a strike hypertensive crisis
an injection within or between the layers of the skin intradermal injection
an injection of a substance directly into the muscle intramuscular injection
a device that administers medication in a mist form nebulizer
OSHA occupational safety and health admin
any medication that is administered in a route other than ingestion parenteral medication
a state of having high normal blood pressure with the potential for developing high blood pressure prehypertension
the position in which the patient lies on the left side with the right knee sharply bent and resting on the exam table Sim's position
a device for performing blood pressure including cuff sphygMOmaNOMeter
an injection of solution below the skin, into the subcutaneous tissue subQ injection
position in which the patient lies on their back supine
a stitch used to hold tissue together suture
a thin membrane that separates the external ear from the middle hear; the ear drum tympanic membrane
drawing of blood from a vein venipuncture
measurements observed, measured, and monitored to check the patient's level of physical function vital signs
prefix: olig- scanty
prefix: pari- all
prefix: poly many
prefix: quadra- / tetra- four
prefix: semi- part
prefix: meta- change
prefix: supra- excessive, outside
prefix: ab- away from
prefix: ad- toward
prefix: de- not, down
prefix: epi- upon, above
prefix: para along, beside
prefix: dia- across, through
prefix: retro- backward, behind
prefix: a-, an- without
prefix: ambi- both
prefix: hemi- half
prefix: corp- body
prefix: cost- ribs
prefix: gastr- stomach
prefix: menat-, hem- blood
prefix: myo- muscles
prefix: oste- bone
prefix: nephr- kidney
prefix: neur- nerve
prefix: ren- kidney
prefix: ur- urine
prefix: vascul- blood vessels
suffix: -ac, -ar, ic, -oid, -ous, -tic related to, pertaining to
suffix: -emia of the blood
suffix: -ia, -ism, osis, -y condition or process
suffix: -itis inflammation
suffix: -lysis death of, breakdown
suffix: -pathy disease
suffix: -plegia paralysis
suffix: -oma tumor
suffix: -rrhythmia rhythm
suffix: -systole contraction of the heart
suffix: -gram, -graph, -graphy record of, image of
suffix: -meter measure
suffix: -metry process of measuring
suffix: -scope instrument for viewing
suffix: -scopy process of viewing with a instrument, scope
suffix: -ectomy removal of
suffix: -latric treatment
suffix: -pnea breathing
suffix: -plasty repair
suffix: -rrhaphy suturing
suffix: -stomy, -ostimy surgical creation of an opening
suffix: -tripsy crushing
suffix: -tomy incision
HIPAA the health insurance PORTABILITY and ACCOUNTABILITY act
when is it appropriate for a physician to discuss a patient's information via e-mail? when the physician is consulting with another physician
HIPAA permits faxes when forwarding care instructions to a nursing home
a person delegated to provide care for a partially dependent patient is called a caregiver
what does SOAP stand for? subjective, objective, assessment, plan
what does POMR stand for? problem oriented medical records
what are the 4 sections of the POMR? database, problem, treatment, progress
paper-based records are prepared for filing and storage by performing what 5 steps? conditioning, releasing, indexing/coding, filing
scheduling system most often used in medical facilities that offer urgent care, where time is governed more by the needs of the patients than adherence to a schedule open office scheduling
scheduling system where patients have the ability to schedule their own appointment 24 hours a day via their computers self-scheduling
scheduling system where all patients to be seen in an hour scheduled to arrive at the beginning of the hour and are then seen in the order of arrival wave scheduling
scheduling system where the patients with similar problems or procedures book consecutively cluster scheduling
scheduling system in which appointments are scheduled months in advance, such as routine physicals, or follow-up appointments advance booking
a patient's blood pressure: subjective or objective? objective
patient states they have a headache: subjective or objective? subjective
all test results in the chart should be organized with the most recent test result on top or bottom? top
who must discuss the informed consent form with a patient prior to the patient signing it? the physician
a patient of 12 years of age or older can refuse treatment if she is pregnant and the care she is seeking is in regards to the pregnancy
a domestic abuse patient must be how old in order to refuse treatment 12 years old or older
the use of numbers and letters to describe illnesses, diseases, and medical procedures coding
the term used to sescribe the removal of metal items from paperwork to prepare them for placing medical records conditioning
office supplies that are expensive and not often replaced durable supplies
PPE personal protective equipment
when there is an electrical fire, which class of fire extinguisher should be used? class C electrical
when there is an flammable liquid fire, which class of fire extinguisher should be used? class B flammable
when there is an office paper fire, which class of fire extinguisher should be used? class A paper, other combustibles
when there is a combustible metal fire, which class of fire extinguisher should be used? class D industry
if blood were to splash into your eye, what is the first step to be performed? flush out the eye
what information must be present on the paperwork included in a rape kit? initials of the police officer, medical assistant, and both physicians signatures and the time
when a venipuncture is to be performed on a patient suspected of drunk driving, which agent is used to clean the skin? benzalkonium chloride
what chemical should be used to clean a counter that has been exposed to bodily fluids? bleach solution
a substance or object that may contain micro-organisms that can spread disease biohazard
CDC center for disease control
CLSO clinical laboratory standards institute
the organization that sets guidelines to ensure medical professional safety OSHA
items used to help prevent contamination from materials PPE, personal protective equipment
guidelines to instruct health care providers to minimize the risk of disease transmission when giving care standard precautions
the inability to breakdown galactose, a milk sugar galactosemia
mucous secretions that accumulate in the lungs and other organs cystic fibrosis
decreased thyroid function hypothyroidism
increased thyroid function hyperthyroidism
name the CLIA waived procedures glucose, fecal occult blood, spun microhematocrit, urine chemical screening, visual color comparison for pregnancy, cholesterol, drug testing
what is the appropriate angle to hold the needle when performing venipuncture? 15-30 degrees
what is a blood culture primarily used to check for? bacteria or other micro-organisms
for which test should a first-voided morning urine specimen be used? pregnancy test
how is a sample of urine obtained for a culture and sensitivity testing? clean catch urine sample
tubes needed for culture and sensitivity tests may be kept at room temperature for how many hours? up to 72 hours
MA's a well trained MA can expedite the patient's diagnosis and treatments by limiting the number of places they must go for tests and specimen drop off
what is always the first step before beginning ANY procedure with your patient whether EKG, pheleb, or anything else properly identify your patient
blood collection tubes have the capacity to hold how much blood? 6-10 mL of blood
what does the color of the rubber stopper on a blood collection tube represent? which additive is inside of the tube, or if there is no additive at all
what does the additive inside of a blood collection tube determine? what blood test should be performed on the blood in that tube
what does the PT test determine? the ability of the blood to clot
what color tube top do we use for the PT (prothrombin time) test? blue top
what is inside of the blue top tube used for blood specimen collection? sodium citrate
what is the function of sodium citrate in a blue top tube used for blood collection? it prevents the blood from clotting
what test is the lavender top blood collection tube used for? CBC (complete blood count)
what test is the red top blood collection tube used for? serum glucose, electrolytes, BUN (blood urea nitrogen)
what test is the blue top blood collection tube used for? PT (prothrombin time)
in regards to the amount of vacuum inside of a blood specimen collection tube, the vacuum inside of an adult tube vs the vacuum inside of a pediatric tube is what? adult vacuum is stronger than that of a pediatric blood specimen collection tube
the reason that you should not use an adult blood specimen collection tube on a pediatric patient is because the pressure is too high and may collapse the veins of a pediatric patient
pediatric blood specimen collection tubes are identical to adult tubes in regards to the color of the rubber top, however they are different how? they are about half as big as an adult blood specimen collection tube
what consists of a sterile needle, a short length of flexible tubing, and another sterile needle at the other end of the plastic tubing that is covered with a rubber sheath and is flanked bu 2 rubber wings that allow for better grip a butterfly needle
in regards to a butterfly needle, describe the functions of both needles one to puncture the patient, one to puncture the blood specimen collection tube
which piece of phlebotomy equipment is required for a finger or heel stick to acquire a blood specimen a lancet
when should you use protective eye wear or a face shield when performing a phlebotomy procedure? when there is risk of blood splatter
the patient should always be seated or lying down for a venipuncture and never in what position? standing
at which angle should a needle be inserted intended for venipuncture? 15-30 degrees
when should you release the tourniquet when performing venipuncture? after the vein has been entered and you have attached the first blood specimen collection tube
what is the time limit on the application of a tourniquet when performing venipuncture for blood specimen collection tube no more than 1 minute
in regards to venipuncture, what are the 3 complication that may arise if a tourniquet is left on the patient longer than 1 minute Hemolysis, petechia, hemoconcentration
what is the medical term for "destruction" or "breaking" of blood cells hemolysis
what is the term used for tiny hemorrhages that appear on the skin as small red or purple spots. petechiae
what do we call a decrease in the volume of plasma in relation to the number of red blood cells caused when the tourniquet is left on the patient longer than 1 minute while performing venipuncture hemoconcentration
about how long does it take to fill a blood specimen tube? 5 seconds
in regards to venipuncture, "inversion" refers to the process of turning the blood specimen collection tube one complete turn of the wrist
in regards to venipuncture, how many inversions are required for a blue top blood specimen collection tube? 3-4
in regards to venipuncture, how many inversions are required for a lavender top blood specimen collection tube? 8-10
in regards to venipuncture, how many inversions are required for a red top blood specimen collection tube? 5
in regards to venipuncture, when should you remove the needle from the patient? after you have filled the last tube
complications from phlebotomy can include pain, infection, bruising, and tissue trauma
one should never perform phlebotomy in an extremity that has a dialysis shunt or an IV line or in the extremity that is on the same side on which a mastectomy was performed UNLESS the physician specifically orders that it is acceptable to do so.
the term "performance failure" in regards to venipuncture describes using an incorrect order of draw, using an incorrect tube for a test ordered, incorrect physical handling of the specimen, using expired collection tubes, failure to make sure that the patient has been properly prepared (NPO if instructed etc)
where should the identification labels be placed when performing venipuncture for blood specimen collection? directly on the tubes
emergencies that are directly related to phlebotomy are rare but can include fainting or excessive bleeding
what does the term "syncope" mean fainting
if your patient begins to feel faint while you are performing venipuncture for a blood specimen collection, what should you do? remove the needle and ask he patient to lean forward as to put their head between their legs to increase blood flow to the brain
while preparing your patient for a venipuncture, the patient tells you that they have had a previous syncopal episode during a blood draw. what should you do? lie the patient down for their phlebotomy procedure
excessive bleeding is a rare complication of venipuncture. if the patient does begin to bleed excessively, what should you do? apply firm pressure for a longer period of time on these types of patients
when performing phlebotomy for blood specimen collection, what is the "order of draw"? blood cultures or sterile specimens, blue, red, green, lavender, gray
when performing venipuncture, filling the blood collection tubes in the correct sequence is called the order of draw
when performing venipuncture, why is the "order of draw" important? because it prevents preservatives or additives that are contained in one tube from being introduced into another tube which would affect the test results.
when performing phlebotomy for blood specimen collection, where in the "order of draw"should additional tubes outside of the original six be drawn? after the lavender tube
when performing a finger or heel stick using the micro or pediatric tubes, you should follow the rules of your workplace, however the most common order of draw is EDTA additive tube, other additive tubes, then serum tubes
when performing venipuncture for blood specimen collection, it is important to choose the proper collection tube to match the blood test you are performing the blood test you are performing