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NHA CCMA

QuestionAnswer
When a medical assistant is documenting data in a pt's progress notes, what is an acceptable abbreviation to use? O2, it is an acceptable abbreviation to use for Oxygen.
What abbreviation should an MA use when documenting initial assessment data collected prior to a pt's wellness exam? VS. VS stands for Vital Signs and is a notation that precedes measurement of psychological functioning , specifically temperature , pulse rate , respiratory rate and BP
A MA is preparing a pt for a rectal examination. The assistant should help the pt get into what position? Sims. In the Sims position, the pt is lying on one side with their upper leg drawn towards the abdomen. It facilitates both physical and visual examination
Using the knowledge of medical roots and suffixes, what term means incision into the eardrum? Myringotomy. Myringo = tympanic membrane (eardrum) Otomy = cut into.
Uaing the knowledge of prefixes and suffixes, what does presbyopia mean? Age related vision loss. Presby = Old Age, Opia = vision
What does the term oophorectomy mean? Removal of the ovaries. Oophor = Ovaries, Ectomy = Removal
A MA is preparing to apply a compression bandage to a client's extremity. The assistant begins applying the bandage to the farthest point from the client's trunk and moves to the nearest point. What words describe this progression? Distal to proximal. Distal means away from the trunk of the body and proximal means closer to the trunk.
What does contralateral mean? On the opposite side. Contra = in opposition to. Lateral = side.
A MA is preparing a referral slip for a pt who is reporting symptoms of Vertigo. What specialist should the MA refer the pt to? Otolaryngologist. They specialize in the ear, nose and throat as well as conditions that affect the head and neck.
A MA is reviewing charges for an in-office procedure. What term describes the maximum reimbursement a third-party payer will provide? Allowable amount.
A pt is experiencing a subluxation (dislocation) and should be treated with what? Chiropractic care. Chiropractors treat subluxations or misalignments of the spine.
What providers specializes in the management and treatment of interstitial cystitis? Urologist. They specialize in
What insurance plan models requires a referral from a PCP to schedule an appointment with a dermatologist? Health Maintenance Organization. The HMO model contracts with a medical center or group of providers to provide preventive and acute care for insured pts. HMOs require referrals for specialists, outpt procedures, treatments, precertifications, etc.
What health care delivery model emphasizes pts involvement in organizing their own health care? Patient Centered Medical Home. It is a health care model that is coordinated through a pt's PCP
What health care professional is legally responsible for the outcomes of a MA's duties and performance? Family practitioner. A licensed HCP such as family practitioner is legally responsible for the MA.
What professional specializes in evaluating mental illness, physical illness and disability through analyzing pt health needs and providing health education to pts of all ages? Preventative medicine specialist.
A MA is preparing a pt who has psoriasis to be examined by the provider. When inspecting the pt's skin lesions, the assistant should expect to observe what characteristics? Silvery, scaly.
A pt requests a female provider to perform her examination due to a religious conviction but a female provider is not available. What is an appropriate response of the assistant? Assist the pt in locating a provider to accommodate the pt's needs. The MA should make every effort to accommodate the pt.
What type of written correspondence can be signed by a MA? A notification letter to a pt about surgery arrangements. A MA can sign off on notification letters such as surgery arrangements and medical facility arrangements.
A MA is reviewing lab requisitions. What pt condition should the assistant perform a capillary draw rather than a venipuncture? Previous thromboses. The assistant should consider a cap draw when the amount of blood needed is minimal and the pt has a history of thrombosis.
A MA is measuring the circumference of an infant's head. What action should the assistant take? Place the zero mark of the measuring tape on the forehead.
What is a MA's role in pulmonary functioning testing? Coach and encourage the pt through the test.
What items in a medical office are considered administrative office supplies? Letterhead, envelope and business cards
A MA is composing business correspondence using the simplified letter style, what feature is the assistant use? A subject line with all capital letters
A MA is caring for a child who has the varicella zoster virus. The assistant should recognize that varicella is transferred through what mode of transmission Airborne. Varicella zoster is transmitted through contact and airborne.
A pt asks a MA to explain the difference between a liniment and a medicated lotion. What response should the assistant make? "Liniments contain a higher portion of oil than medical lotions" Liniments are used to protect cracked and dried skin,
What does stage 2 hypertension look like? 150/95 If the systolic reading is higher than 140 and the diastolic reading is higher than 90, that pt is enter hypertension stage 2.
A MA is reinforcing teaching with a pt about the self-administration of insulin injections. What statement indicates understanding of the teaching? "I will roll the bottle between my hands before drawing the medication." Doing this ensures that the medication is suspended properly.
A pt arrives at a clinic with a bill for x-rays that were required due to an injury at the pt's place of work. The pt has private insurance and is eligible for worker's comp. What party is responsible for payment of the bill? Paid in full by worker's comp.
A MA works at an urgent care center that uses open hours scheduling. What describes this form of scheduling? Pts arrive at their convenience and are seen at a first come, first served basis.
A MA is cleaning an examination room after assisting a provider with a biopsy. What action should the assistant take? Hold sharps by the blunt end to avoid a needlestick injury.
When should the code on glucose cuvettes be compared to the code on the glucometer? Before a pt is tested. This is to ensure the most accurate results.
What technique should a MA use for routine cleaning of EKG cables Disinfection. Disinfection is effective on surfaces that comes in contact with microorganisms and will not damage EKG cables.
Where should a MA place the electrode for lead V5 On the left anterior axillary line, horizontal to V4.
/A /MA is talking with a young adult pt who says he has found a partner who he loves but cannot seem to make a commitment to their relationship. What developmental crisis is this person experiencing? Intimacy vs. isolation. This crisis is seen in young adults aged 20-35.
A MA is talking with the parents of a 1-year old child about developmental achievements and milestones to expect. A lack of achievement in the child's life can lead to what negative outcome? Susoiciousness . Trust vs. Mistrust is the psychological crisis children one and under.
A MA is observing a pt who is undergoing the Mini-Mental State Exam. To test the pt ability to perform tasks in the area of language, the examiner asks the pt to do what? Copy a geometric design such as a overlapping pentagon.
What defense mechanism is characterized by a pt's externalization of guilt, built or responsibility. Projection.
What position is appropriate for a rectal examination? Sims position. Pt lies on their left side, lower left extremities are straightened, lower right is flexed at the hip.
A MA is preparing a pt who has intermittent peripheral cyanosis for an examination by the provider, The assistant should understand that healthy perfusion of the hands and feet depends on adequate interaction between what two body systems? Circulatory and respiratory, The respiratory system works in conjunction with the circulatory system to bring oxygen throughout the body.
A MA is reviewing a Medicare claim denial. The assistant determines that there are charges that exceed the usual , customary and reasonable fees. What action should assistant take? Adjust the pt's account to reflect no unpaid changes and write off the balance. According to Medicaid guidelines, the fee schedule must follow the usual, customary and reasonable requirements for repayment. Charges should be written off.
What medical record documentation template is organized by the entity that supplied the data? Source-oriented
A MA is preparing a 1 g/kg of activated charcoal for a pt who weighs 176 ib. How many grams of charcoal should be prepared? 79 g. To convert lb to kg, multiply the lb by 0.45.
What position is appropriate for a pelvic exam? Lithotomy.
A MA is preparing a pt who has Congestive Heart Failure for an examination by the provider. What manifestation should the assistant expect? Shortness of breath, Some other manifestations include fatigue and edema.
What EKG artifact is caused by a disconnected electrode and results in the tracing going into the margins of the paper? Interrupted baseline.
A MA is administering heparin subcutaneously to a pt. What action should the assistant take? Inject the medication slowly. The assistant should insert the needle quickly, release the skin and then slowly inject the medication.
A MA is checking a pt's hearing using the Weber test. What action should the assistant take? Ask the pt if they hear the vibration louder in one ear than the other. The Weber test is used to determine if a pt's hearing is better in one ear than the other.
A provider has requested a dissecting instrument on a sterile tray that a MA is preparing. What instrument should be included? Scissors. Scissors are considered cutting and dissecting instruments because they include a sharp blade.
A MA is preparing a pt who has bilateral below-the-knee amputation for an EKG, Where should the electrodes be placed. Abdomen. Electrodes should be placed on the abdomen or thighs of a pt who has a below-the-knee amputation.
A MA is witnessing a pt sign a informed consent form. What is the responsibility of the assistant acting as a witness? Validate the pt's signature.
What does 'ac' mean? Before meals.
A MA is contacting a pt to schedule a repeat Pap Smear due to abnormal results. What factor could interfere with test results? Using an OTC vaginal cream prior to the test.
A clinic schedules all cardiac pts on Mondays and Wednesdays and all oncology pts on Tuesdays and Thursdays. What type of scheduling is this? Cluster scheduling. This is grouping pts who have similar conditions into specific time slots or days.
A MA is transcribing a prescription for magnesium sulfate into a pt's medical record. What should be used in the documentation? Magnesium Sulfate. When transcribing a prescription , the medication name should be spelled out in full.
What method is used to notify a provider of the denial of a claim by an insurance carrier? Remittance advice. This document itemizes all paid, denied and allowable charges for a pt.
What item included on the CMS-1500 claim form should a MA recognize as indicating the necessity of a procedure? Diagnosis code.
The primary code in the CPT coding system consists of how many digits? Five digits.
When assisting a provider with a punch biopsy of a mole, what task is the MA responsible for? Receive and prepare tissue specimen for processing.
A MA has a blood pressure cuff inflated and partially opens the valve tA o deflate as they listen with a stethoscope. When should they read the diastolic pressure? When the sound disappears. This is known as the Korotkoff V sound.
What laboratory results should the MA report as abnormal? Potassium 3 mEg/L. This is below the reference range of 3.5 to 5 mEg/L
A teen is covered by two insurance policies under their divorced parents who have birthdays in May and August and have joint custody. What policy is the primary policy for the teen? The policy of the parent who has the earliest birthday. This is called the "the birthday rule" and it's according to the third party payer guidelines.
What instructions should a MA give to a pt when administering an enteric-coated tablet? "Swallow the tablet whole with a glass of water." Enteric tablets should not be crushed, chewed or dissolved.
Where should a MA choose to inject a pt for a intramuscular injection. Deltoid, vastus lateralis, dorsalgluteal and ventrogluteal muscles.
A MA is administering eye ointments to a pt, What action should the assistant take? Apply a thin ribbon of ointment along the conjuntival sac
A MA is coding an office visit during which the provider reviewed the systems related to a pt's chief complaint but did not discuss the pt's family or social history What procedure codes should the assistant use for this visit? Expanded problem-based history. This includes the systems related to the chief complaint but doesn't include a family or social history.
What dressing should a MA apply to a partial-thickness burn? Non-adherent dressing. This type of dressing exposes the burn to air to heal.
When performing the palpatory method for obtaining blood pressure, what indicates the level at which the MA should inflate the cuff? 30 mm Hg above the radial pulse cessation.
A MA is performing a fecal occult blood test using a guaiac card. What action should the assistant take? Interpret a blue color as a positive result.
A MA works at a practice that is a part of an Accountable Care Organization. This designation means that the practice's health care team will focus on improving care for pts who have what type of medical coverage? Medicare. ACOs have a strong relationship with pt-centered medical homes as mandated by the Centers of Medicaid and Medicare Services.
A MA is scheduling a pt for an outpt procedure. What action should the assistant take first? Obtain an oral or written order from the provider for the procedure.
What does DHHS (Department of Health and Human Services) do? Provide essential services to low-income families, older adults and children.
What should you do when a pt experiences syncope? Put them in a supine position.
What is the expected reference level for BUN? 7 to 25 mg/dL
What term refers to the range of fees charged by providers have similar training, experience and practice in the same geographical area? Customary fee
When should electrodes be changed for cardiac event monitoring? Daily
A MA is collecting blood samples to measure a pt's cholesterol levels. What action should be taken before collecting the pt's blood? Make sure the pt is in a basal state, meaning that they haven't ate anything for 12 hrs.
When choosing a diagnosis code, a MA should consider what action in order to avoid an insurance denial? Coding to the highest level of specificity. .
What action should a MA take when obtaining the head circumference of an infant? Record the measurement to the nearest 0.6 cm (one-fourth of an inch)
What vitamin is fat soluble? Vitamin A
A MA is performing an EKG on a pt. What describes the appropriate placement of the electrodes? Tabs downward on the arm.
What is epinephrine used for? It is a vasoconstrictor which means that in constricts blood vessels.
A MA is collecting vital signs from a 6-year old child. What is outside the reference range for this pt and should be reported to the provider? Heart rate of 140/min. The reference range for heart rate for a school aged child is 70-130min
What is a step in the process of skin preparation prior to a surgical procedure? Clean the surgical site with an antiseptic.
A MA is performing a 12-lead EKG on a pt. What electrode belongs on the left side of the sternum at the fourth intercostal space? V2
What is the largest and uppermost part of the brain? Cerebrum. It is divided into 2 parts, the right and left hemisphere.
What is the Cerebellum? It is the controller of posture, balance and muscle coordination. It is located inferior to the occipital lobe.
A MA is preparing to administer a subcutaneous injection for a pt. What needle size should be used? 1/2 or 5/8 needle, 25 gauge
A MA needs to type a professional business from the office. What format is appropriate? Keep flush with the left margin. in block letter style, the entire text is left aligned.
When removing sutures, why is it important to place the removed suture on a gauze pad? To determine the amount of sutures removed. It should be compared to the sutures initially added. Sutures left in place can cause an infection.
What is a characteristic of anorexia nervosa? Excessive exercise. Other symptoms include, ritualistic eating behaviors, fear of gaining weight and self-starvation.
A MA has just received a a derogatory email from a dissatisfied pt. What action should be taken? Print the email and make notes about topics that need to be addressed prior to formulating a response.
A MA is classifying services that a pt requires. The assistant should identify what as an ancillary diagnostic service? Pathology. Ancillary diagnostic services include radiology. They can provide confirmation of pt diagnosis.
A MA is responsible for cleaning the instruments used in a minor surgery. What is the first step in this process? Sanitation. All instruments that come in contact of pt skin should be sanitized before they are disinfected and sterilized.
When coding with the ICD-10-CM, where should the MA begin the process of looking up a diagnosis code for breast cancer? The Alphabetic Index. It contains a alphabetized index of diseases, conditions and related terms.
For a 12-lead EKG, what is the correct placement for the V4 electrode? At the fifth intercostal space, left midclavicular line.
What scenario should a MA choose a CPT modifier? For special circumstances applied to a procedure performed by the provider.
What is a vector? A live carrier of a disease, such as animals or insects.
What is a formite? A nonliving agent that carries disease, such as catheters, tubing, pencils, and hemostats.
What are the links in the chain of infection? Infectious agent, reservoir, portal of exit, mode of transmission, portal of entry and susceptible host.
What is sanitization? Reducing the number of micro-organisms by removing debris with soap and water prior to disinfecting.
What is disinfecting/ To clean something using chemicals that kill pathogens but not their spores.
What is sterilization? A technique for killing pathogens and their spores on inanimate objects using heat, water, chemical or gases.
What is a common disinfectant used in the clinical setting? Glutaraldehyde or 1:10 bleach solution.
What content is in a SDS? Identification, Hazard identification, Ingredients, First-aid measures, Fire-fighting measures, Accidental release measures, Handling and storage, etc.
A MA is loading prepackaged hemostats into an autoclave. What action should the assistant take to ensure sterilization? Organize the packages loosely without touching the walls of the autoclave. Steam penetration from the autoclave is ensured with space in between items.
What is superior? Above or closer to the head. The esophagus is superior to the stomach
What is inferior? Below or closer to the feet. The bladder is inferior to the kidneys.
What is anterior? Towards the front of the body. The sternum is anterior to the spine
What is posterior? Towards the back of the body. The sacrum is posterior to the pubis symphysis.
What is medial? Closer to the mid-line of the body. The tibia is the median bone of the lower leg.
What is lateral? Further away from the mid line of the body. The radius is lateral to the ulna.
What is proximal? Closer to the trunk of the body. The proximal femur articulates with the pelvis to form the hip joint.
What is distal? Further away from the trunk of the body. The distal humerus helps to form the elbow.
What is superficial? Closer to the surface of the body. Veins are superficial to arteries.
What does deep mean? Further from the body's surface. Arteries are deeper than veins
Sagittal plane. Divides the body into right and left sides.
Transverse plane Divides the body into upper and lower parts. Not necessarily equal.
Frontal plane. Also called the coronal plane, divides the body into anterior and posterior parts,
What is lymph? a colorless fluid containing white blood cells, which bathes the tissues and drains through the lymphatic system into the bloodstream.
What organ structure is responsible for the absorption of nutrients? Small intestine. This organ holds the final process of digestion.
What body structure is a part of both digestive and endocrine system? Pancreas. It functions in the endocrine system by producing insulin and glucagon. It also functions in the digestive system by breaking down enzymes.
What gland is a part of both the endocrine and immune system? The thymus
What gland in the endocrine system is located just below the larynx and consists of two lobes, one on each side of the trachea? Thyroid gland
What is an example of connective tissue? Blood. It is a type of connective tissue that transports substances throughout the body.
What body system works with the respiratory system to transport waste products from the body's cells? Cardiovascular system.
When should the code on glucose cuvettes be compared to the code on the glucometer? Before a pt is tested. It should be checked every time the meter is used to ensure accuracy.
What stage in the cardiac cycle on an EKG strip represents ventricular depolarization? QRS complex
What factor puts a pt at high risk of coronary artery disease? Smoking
What factor puts a pt at high risk of experiencing a CVA? Sleep apnea. It is a condition that causes the trachea to narrow or close during sleep. This causes breathing to stop.
What condition is characterized by the top portion of the stomach protruding through the diaphragm? Hiatal hernia. Risk factors for hiatal hernia include middle age and obesity.
What is an inguinal hernia? When a portion of the bowel is protruding into the inguinal canal.
According to Erikson's stages of psychosocial developement, what is the first stage for infants? Trust vs. Mistrust.
A MA is reviewing discharge information with a pt who is postoperative following cryosurgery to the cervix. What statement should the assistant include? "You may experience a watery discharge for up to 1 week after your operation."
What organs are located in the upper right quadrant of the abdomen? Gallbladder, the right lobe of the liver and duodenum.
What is a helminth? Worms that live in host organisms, such as humans or animals. A pinworm is an example of such.
How many milliliters are in a tablespoon? 14.7 (rounded up) 15 mL
When preforming diagnostic coding, how many characters are used to obtain the highest level of specificity. with an ICD-10-CM? Seven characters. The seventh character is used to provide the encounter determination, which can be initial, subsequent or sequal.
What appointment type allows flexibility to allow the most consistent pt flow? Wave scheduling. Wave scheduling organizes pts in the first 30 mins of the hour to allow for pts who are early, are late and pts who do not show up. All pts scheduled for that hour are seen in that hour.
What is pediculosis? Lice. Lice is a parasite.
How do you convert from lb to kg? Multiply lb by 0.45.
What does the dorsal recumbent position look like? Lying face up, with the legs bent and feet flat on the table.
What is urticaria? A rash on the skin that consists of hives or wheals which are itchy raised lesion.
What does nitroglycerin do? It is used to treat angina and chest pain. It comes in sublingual tablet or spray.
What are some instruments that require only sanitization? Otoscopes, ophthalmoscopes, stethoscopes, penlights and tuning forks.
When unloading an autoclave machine, a MA notices that spots on the instruments. This is a result of what? Mineral deposits from tap water.
What can cause instrument corrosion? Improper cleaning of the chamber and exposure to hard chemicals.
What is kyphosis? It is a curvature of the thoratic spine.
What term describes a collection of associated files that functions as a basis for retrieving information? Database. Databases are used in healthcare settings document, track and store pt information.
A MA is performing inventory for a clinic What action should the assistant take while preforming inventory? Prepare a purchase order. The assistant should prepare a list of supplies that need replacement and prepare a purchase order for those supplies.
What is upcoding? The act of unlawfully increasing the reimbursement amount from a third-party-payer.
What are thumb forceps? They are grasping or clamping instruments and they are used to handle other instruments during a procedure.
What is dyspnea? Difficult and/or painful breathing.
Wandering baseline is caused by what? Poorly attached electrodes or patient movement.
A MA is composing business correspondence using the simplified letter style. What feature should be used? A subject line in all capital letters.
How do you convert inches to centimeters? Multiply inches by 2.54.
A MA is removing sutures from a pt who has a laceration on their left lower leg. After setting the sterile field, what action should the assistant take? Lift the first knot away from the skin. Lifting the first knot away from the skin allows room for the assistant to slip one tip of the suture scissors under the suture.
A MA is faxing a prescription to a pt's pharmacy. What action should the assistant take? Call the pharmacy to confirm receipt of the faxed prescription.
When preforming the palpatory method for obtaining blood pressure, what indicates the level at which the assistant should inflate the cuff? 30 mm Hg above the radial pulse cessation.
What item included in the CMS-1500 claim form should a MA recognize as indicating the medical necessity of a procedure? Diagnosis code.
What is a modifier? A Modifier is applied to procedure code on the CMS-1500 indicates how a specific procedure was altered.
A MA is administering an intradermal injection for allergy testing. What action should the assistant take? Locate the area two or three finger-widths below the antecubital space.
What is an advance beneficiary notice? A form provided to the pt when the provider believes that Medicare will not pay for the services received.
What is an allowed amount? The maximum amount a third party payer will pay for a particular procedure.
What is a deductible? A specific amount of money a pt must pay out of pocket before the insurance carrier begins paying.
What is a participating provider? Providers who agree to write off the difference between the amount charged by the provider and the approved fee established by the insurer.
How long does a standard 12-lead EKG last? For at least 5 mins
Where do cardiac electrical impulses Sinoatrial (SA) node. It starts in the SA node and then it is conducted to the AV node.
What is the expected reference range for platelets? What is the reference range for platelet count? 130 to 400/mm3
What is an important aspect of block letter style? The entire text is left aligned.
What are probing tools used for? What are probes used for in surgery? They are used to enter a fistula (abnormal connection between two parts) or to search for a foreign body in a wound.
What's the difference between a liniment and a medicated lotion? Liniments contain a higher potion of oil than medicated lotions.
When coding with the ICD-10-CM, where should the MA begin the process of looking up a diagnosis code for breast cancer? The Alphabetic Index.
What is the expected reference range for hemotocrit? 37% to 54%
After a pt leaves an exam room, what action should a MA take to prepare the exam table for the next pt? Roll up the disposable paper on the table tightly and quickly.
What type of code should be used when a routine exam is preformed? V-code
What does the Trendelenburg look like and what is it used for? In the Trendelenburg position, the body is laid supine, or flat on the back on a 15-30 degree incline with the feet elevated above the head. It is used for pts who have hyper or hypotension and also for pt who are experiencing shock.
What are the manifestations of syncope? Chills, nausea, dizziness and numbness to the extremities .
What is a TIA A Transient Ischemic Attack. It is a stroke that lasts only a couple of minutes. Manifestations include, headache, vertigo and temporary paralysis of half of the body.
What is cluster scheduling? Scheduling pts who have similar conditions on specific days or time slots.
What is stream scheduling? Scheduling pt's at a specific time. The amount of time for each appointment varies on the pt's condition.
What is modified wave scheduling? Scheduling pts to come at intervals at the first part of the hour with no pts scheduled at the second part of the hour.
What does the Sims position look like and what is it used for? It is performed by having a patient lie on their left side, left hip and lower extremity straight, and right hip and knee bent. It is used for rectal exams, installations and some pelvic exams.
What are some manifestations of bulimia nervosa? Binging and purging, use of laxatives and erosion of tooth enamel.
What should a pt avoid doing before a Pap smear? Engaging in sex 24 hrs prior and douching 2-3 days prior and using an OTC vaginal cream.
What manifestations of anemia? Irregular heartbeat, fatigue, dizziness and pale skin.
What is a step in the process of skin preparation prior to a surgical procedure? Clean the surgical site with antiseptic.
What are ribosomes? A cell structure that aids in protein synthesis
What vitamin is fat soluble? Vitamin A , D, E and K. They are stored in adipose tissue.
What dressing should be used on a partial-thickness burn? Non-adherent dressing
What are some manifestations and/or symptoms of binge-eating disorder? Eating alone, not restricting diet when having binge episodes, eating quickly until uncomfortably full and eating when not hungry.
Benefits of fruits and veggies. Reduces risk of heart disease, lowers blood pressure, helps reduce bone loss, lower calorie intake, protects from some types of cancer.
Benefits of grains Reduce risks of heart disease, good source of fiber, helps with weight management , some grains contain folate which is good for fetal development
Benefits of proteins Functions as building blocks for bones, muscles, cartilage, skin, the body as a whole. Contains iron which helps carry oxygen in the blood, Seafood contains 0mega-3s which is good for heart.
Benefits of dairy Improves bone health, reduces risk of cardiovascular disease and DM-2
What are purple biohazard bags used for? Special waste collections such as radioactive waste.
When assigning a CPT code, what is the purpose of a modifier? Provides additional information or circumstances for a procedure.
What is the golgi apparatus? It assists in packaging products to be secreted from the cell.
What is the Endoplasmic reticulum It aids in transporting material through the cytoplasm of a cell
A MA is measuring a pt's blood pressure with an aneroid sphygomomanometer and a sthethoscope. What action should the assistant take? Make sure the midpoint of the pt's arm is at level of the pt's heart
What does a physician's assistant do? Manage pt care, make a diagnosis, and initiate treatment plans, which includes prescribing meds.
What is the BMI for an obese person? 30 or greater.
What is the BMI for an underweight person? Less than 18.5
What is the BMI range for a healthy adult? 18.5 to 24.9
What is an encounter form? Also know as a superbill contains any and all services provided by clinic staff as well as additional actions required, including follow up visits and referrals.
What are macules? Flat areas of skin that are a different color than the surrounding skin. An example of a macule is a freckle.
What are vesicles? Small fluid filled blisters. A common cause is herpes viral infection.
What are pustules? Pus filled blisters. A common example of this is acne.
What is the knee-chest position? It is used to examine the anus and rectum during a proctological procedures
What is caused by the Epstein-Barr virus? Mononucleosis
What is Otalgia? Ear pain
What is located in the left upper quadrant of the body? The spleen, stomach, left lobe of the liver and the body of the pancreas
What is located in the right lower quadrant? The appendix, the cecum and right ureter
A pt is entitled to what kind of medical records? List of medications and diagnosis.
What is Ptopranolol? A beta blocker that used to treat high blood pressure and heart disease.
What is a intra-arterial medicine? It goes into the arteries to break up clots. It is not inject-able.
What is the intramuscular routes of administration? Deltoid, vastus lateralis, ventrogluteal muscles.
What is the intraosseous route of administration? Bone marrow
What is the intrapleural route of administration? Lungs
What is the intrathecal route of administration? Subarachnrnoid space a.k.a the brain
What are the rights of medication administration? Right pt, right route, right medication, right dose, right time, right assessment, right to refuse, right technique, right documentation, right reason, right to know.
Right pt. MAs should use two forms of ID when identifying pts. Having them say and spell their full name of provide their date of birth.
Right medicine. Check the medicine to verify the medicine, strength and dose 3 times.
Right dose. Compare the dosage on the prescription in the pt's medical record with the dosage on the medication's label.
Right route MAs must compare the route on the prescription in the medical record with the administration they are planning to take
Right time MAs must check if there's any timing specifications on medications.
Right assessment. Before administering the meds, ask the pt about any allergies that might make it unsafe for receiving the medication
Right to refuse The pt has the right to refuse the medication all together. If this happens, document and report to the provider.
Right technique. MAs must know the correct technique for administering every medication they give by every route.
Right documentation. Always document administering an medication after a pt receives it.
Right reason. Inform the pt as to why they the provider is giving them the medication
Right to know. Inform the pt about the medicine and its side-effects.
Right evaluation. Evaluate the side-effects and intervene as appropriate.
What is the reference range for Sodium level? 135-145mEg/L
How does one convert inches to centimeters? First if there's feet, convert to inches then multiply the inches by 2.54
A MA is caring for a pt who has come in contact of concrete debris. Upon inspection of the eye, the assistant sees debris on the surface of the sclera. What action should the MA take? Irrigate the eye starting at the inner canthus and flowing to the outer canthus.
What is a flat bone? A flat bone is defined as a bone that provides muscular attachment and also serves to protect the body's vital organs or sensitive areas.
What are irregular bones? The vertebrae and mandible are both irregular bones.
What is a long bone? The femur is a long bone
What would be a direct result of lipid depletion in the human body? The decrease in the amount of estrogen produced.
f a patient makes his/her condition worse by ignoring medical advice, that may be considered: Contributory negligence. When a patient ignores medical advice, for example does not take prescribed drugs, and so makes his/her condition worse, that may be considered contributory negligence
Who should explain the costs of their care to a patient? The administrative staff. Medical staff are not expected to explain care costs to a patient, this is the job of administrative staff.
The limbic system of the brain is responsible for the regulation of? The limbic system is comprised of several brain structures that are responsible for regulating emotion, behavior and motivation.
When a physician asks you to write up their record consultation, you are acting as a…? Transcriptionist.
Who is generally responsible for making sure that medical personnel keep their professional status up-to-date? The office administrator
Petty cash may NOT be used for which of these purposes? Advances on staff salaries.Petty cash is the sum of money held in the office to meet immediate office running needs.
What does the Department of Health say that the chance of catching HIV from a single needlestick injury is? 3 in 1000.
Which of these would be best placed under the heading of “medical etiquette”? The way you talk to a patient. Medical etiquette refers to what is regarded as socially acceptable behavior for medical practitioners. Examples might be how a patient is spoken to, the body language employed by a medical practitioner etc.
What area(s) of the brain are the most affected if a person is unable to understand written or verbal speech? Weirnecke’s area. Wernicke's area is the site for language comprehension
What controls speech production? Broca’s area
What area is responsible for touch and body movement? Parietal area
What would result following an injury to the phrenic nerve? An inability to control breathing. The phrenic nerve controls breathing and the movement of the diaphragm. If damage is done to this area the diaphragm will not receive the necessary signals to contract and/or relax
What is a "tickler" system used for? To remind patients of appointments
What does asepsis mean? Free of disease causing agents.
When washing your hands between procedures or duties, if using soap and water you should take at least…? 60 seconds
A patient may be placed at risk of electrocution during an ECG if you have not ensured that the machine is…? Grounded. Ensuring the machine is properly grounded means that any accidental charge should be drawn away from the patient.
What sequence outlines the correct flow of blood through the heart? 1. Blood enters in the right side. 2. Blood moves through the right ventricle. 3. Travels to pulmonary artery 4. Returns to left side. 5. Blood leaves through aorta.
What valve is responsible for preventing the backflow of blood from the right ventricle to the right atrium? Tricuspid valve
In which of these circumstances may you refuse to give medical treatment to a person with HIV/AIDS? Both the AMA and the ADA have issued ethical guidance that patients with HIV/AIDS have a right to treatment.
When should patient encounter forms be prepared for staff? Before the start of the working day.
Which of these is not a type of patient record? Suspended
For maximum efficiency, individual patient records should be organized by…? Category
Payment for treatment should be taken/organized when? Any time before treatment. It is vital that payment is taken, or insurance company authorization of the treatment is obtained, before treatment is given. If this is not done the treatment provider risks potentially severe losses in the event of a dispute.
When prepping a patient for an ECG, the electrodes from Lead #1 should be placed where? Left arm and right arm. All leads for an ECG have specific locations that should be carefully followed. The electrodes for the first lead should be placed on the left and right arms, in a place where there is no thick muscle.
Which of these would not fall under the heading of medical malpractice? Physically assaulting a patient. Malpractice means to do harm through negligence or incompetence, not deliberately.
In the event of patient mortality with payment for treatment still outstanding, where the patient is uninsured, who is liable for the payment? The patient’s estate
After a 24-hour urine specimen has been obtained, it should be…? Kept refrigerated
The median effective dose of a drug is also known as…? The median effective dose of a drug, or ED50, is the dosage that will be effective for 50% of the population. This is used as a benchmark when deciding on prescription strengths.
If a patient is faced with an upsetting diagnosis and starts to propose alternative diagnoses or treatments, they may be using which defense mechanism? Intellectualization. Intellectualization is a means of suppressing natural emotions and instead relying on the intellect to overcome a problem.
Of the following structures, which would be located in the mediastinum? The Aorta. The medistinum is the central area of the thorasic cavity. It includes the heart, trachea, esophagus, thymus and other parts of the central chest.
The point at which an impulse is transmitted from one neuron to another is: The synapse would be considered the point at which an impulse is transmitted from one neuron to another. This is a small gap that exists between the neurons.
Which bone is found superior to the patella and inferior to the ischium? The femur
Gas exchange in the lungs occurs in one-celled air sacs called: Aveoli.
Which of the following would be considered a part of the large intestine?
Created by: starrytabby
 

 



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