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practice exam 3
| Question | Answer |
|---|---|
| Which of the following statements is not true regarding the preparation of a patient for MRI? | The patient should avoid alcohol for four hours before the procedure. |
| If the physician in your office needs to refer a patient to another physician, how many referral names should you give to the patient? | You should give out at least two names. |
| Which abbreviation (used verbally, but on the JCAHO Do Not Use list) refers to the left ear? | AS |
| Mr. Brown, who is thirty-nine years old, received second- and third-degree burns on his chest, abdomen, upper back, and genital area. Which of the following is an estimation of the extent of his burn? | 28 |
| A prescription reads: Ibuprofen 200 mg tabs 2 q 4–6 hr prn fever. Which of the following is indicated by the abbreviation prn? | As needed |
| Which of the following types of bacteria is arranged in clusters? | Staphylococci |
| Which of the following is true of the specific immune response? | Controlled by T cells, it is highly changed after exposure to a pathogen |
| Which of the following is the role of the umbilical vein in fetal circulation? | The umbilical vein transports oxygen from the placenta to the fetus. The umbilical artery transports blood from the fetus to the placenta to get oxygen and to get rid of carbon dioxide. |
| HCPCS is the abbreviation for the Health Care Procedural Coding System, mandated by Congress for | Medicare |
| A method of identifying and separating items to be filed into smaller subunits is called | Indexing |
| Which part of the brain is responsible for language comprehension? | Wernicke's area |
| Which of the following is also called a bipolar lead? | Standard lead |
| Which of the following medical instruments is used to examine the pressure of the eyes? | Tonometer |
| The prefix hypo- means | below |
| The place where transactions are first recorded is called the | The general journal is also known as the daily log, daybook, daysheet, daily journal, and charge journal. This journal is where all transactions are first recorded. |
| f a needlestick injury occurs, you should take all of the following actions except | If an injury occurs, you must take the following actions: Wash your hands, cover the injury, report and document the injury, and get the injury treated. It is not necessary to send the report to the local health department. |
| To ensure the continuous accuracy of accounts, a medical assistant can | take a trial balance |
| Bills and statements of account should be sent as | First-class mail |
| All of the following waves are part of one heartbeat on an ECG tracing except_______. | V |
| Amounts of money owed to a medical practice for professional services rendered are | Accounts receivables |
| A certain patient often comes to your office for cancer treatment. When this patient comes in with a sore throat caused by the flu, what is the primary diagnosis according to the ICD-9-CM? | flu |
| The combining form ren/o refers to the | kidney |
| The study of drugs and their actions in the body is called | pharmacology |
| To maximize communication with children, all of the following guidelines are good practices except | to work directly with their parents |
| When is it legal to release medical information about a patient? | When release of the information is ordered by a subpoena |
| Intentional torts | Include assault, defamation, and invasion of privacy. |
| Artificial surfactants are administered to which of the following individuals? | Premature infants to prevent lung collapse |
| When filing patient records, which of the following should be filed first? | Paul Edward Jr. (alphabetical order) |
| According to Erikson’s stages of development, a four-year-old boy who is not allowed to initiate some tasks by himself will later show | Guilt when initiating tasks. (Erikson believed that at ages three to six years, the conflict is initiative versus guilt.) |
| Voucher checks are commonly used for | payroll |
| According to the U.S. Equal Employment Opportunity Commission, physicians are required to keep payroll data for how many years? | 3 |
| When sending a specimen for a throat culture to an outside laboratory, which of the following substances should be used? | Transport medium |
| The abbreviation for “sexually transmitted disease” is | STD |
| Any infection or inflammation of the membranes covering the brain or spinal cord is called | meningitis. |
| The prefix ab- means | Away from |
| Tetracyclines are | Bacteriostatic antibiotics |
| A forty-four-year-old woman comes to the emergency room complaining of nausea, vomiting, and pain in the upper abdomen. She also appears to have mild jaundice. These symptoms are most characteristic of | Choledocholithiasis |
| Johnson goes to his HMO provider for checkup and flu shot. The allowed charge for checkup is $80, and the usual fee is $85. The allowed charge for flu shot is $50, and the physician’s usual fee $40. How much is Mr. Johnson charged for the visit? | nothing |
| The most common site for cancer incidence in males is the | Prostate |
| Placing area rugs in the reception area of a medical office is an example of | a safety hazard |
| The primary purpose of a patient record-filing system is to | facilitate efficient document retrival |
| A type of trial in which the verdict is decided by the judge is called | bench |
| Carbohydrate is stored in the liver as | Glycogen |
| Bipolar disorder is characterized by | Euphoric and depressed moods |
| Res ipsa loquitur means | The matter speaks for itself |
| Which of the following radiological studies will show an occlusion of the coronary arteries? | Angiography |
| Which of the following statements was true of Special Delivery? | Both when something was marked Special Delivery, it was delivered as soon as it reached the recipient’s post office AND it alerted postal workers that a package or letter contained unusual contents. |
| Which of the following is the correct postal abbreviation for Circle? | CIR |
| The medical assistant’s most effective means of preventing the spread of infection from one patient to another is to | wash one’s hands after each patient. |
| Which of the following pieces of office equipment is necessary for electronic data interchange? | Modem |
| Preventing duplicate payment for the same service is known as | Coordination of benefits |
| Infected pregnant women can pass all of the following microorganisms to their babies during pregnancy or delivery except | Malaria |
| Tonsillectomy is related to which of the following body systems? | respiratory |
| Which of the following explanations is a reason to keep medical records? | They are used in malpractice suits; they are used to provide continuity of care; they are used for audits; they are used to evaluate the quality of treatment in a physician's office |
| The majority of accidental poisonings occur at home to children under the age of _______ years. | 5 |
| The suffix -ase means | Enzyme. |
| Which of the following drugs is an example of a Schedule V drug? | Lomotil® is a trademark for an antidiarrheal drug, classified as a Schedule V drug with low abuse potential and accepted medical use |
| The prefix ambi – means | both |
| How can you protect your computerized medical office records against fires and computer viruses? | Make backup copies of all files nightly AND store backup files off the premises. |
| Michelle Columbus is a patient at your medical facility. She has Medicare and a type of Medigap insurance. When you file her insurance claim, where should you send the claim? | The claim must be filed with Medicare first. |
| What should you do when a bill is 30 days overdue? | Send a letter or a reminder statement to the patient. |
| The suffix -penia means | abnormal reduction |
| Saturated fats | are derived from animal sources and are usually solid at room temperature. |
| The CMS-1500 is | a commonly used insurance claim form. |
| Which of the following crutch gaits can be used by patients who can bear full weight on one leg and no weight on the other? | Three-point |
| FICA taxes are paid | half by the employer and half by the employee. |
| The word articular means | pertaining to a joint. |
| A deceased patient’s chart should be transferred to which of the following files? | closed |
| Groups of procedures related directly to diagnosis are referred to as | DRGs |
| Which of the following studies does not use radiation to produce images? | MRI |
| Which of the following is considered the best type of filing system because it is designed to reduce the misfiling of patient files? | color coded |
| A deficiency of vitamin C may result in | scurvy |
| Privileged communication can include | information held confidential within a protected relationship, such as between patient and physician or between lawyer and client. |
| A supplier offers a 10% discount when ordering twelve or more items. Each item costs $40. How much will twelve items cost? | $432 |
| Which of the following represents the highest level of Maslow’s hierarchy of needs? | self-actualization needs |
| The process of checking transcribed materials for accuracy and clarity is called | proofreading |
| Which of the following measures is equivalent to 500 mg? | 0.5 g |
| Which of the following terms is in plural form? | Bacteria (Bacteria is the plural form of bacterium.) |
| A condition characterized by extra fingers or toes is called | polydactyly. |
| The early detection and treatment of a patient with Shigellosis prevents the spread of infectious disease by interrupting the chain of transmission at which of the following levels? | Reservoir host |
| When using a computer, a list of commands or options that can be selected is called a | menu |
| All of the following calls will require the physician’s personal attention except | call from insurance companies |
| In a facility that has several procedure rooms and adequate personnel to staff them, which type of scheduling can be used to build in flexibility? | wave |
| The amount charged for a medical insurance policy is the | premium |
| The abbreviation meaning “after meals” is | pc |
| An area of necrotic tissue that has been invaded by bacteria is known as | gangrene |
| The shin bone is also called the | tibia |
| Which of the following foods is an excellent source of potassium? | bananas |
| The flat surface of a microscope that holds the slide for viewing is called the | stage |
| Which of the following glands regulates the level of calcium in the blood? | parathyroid |
| The prefix retro- means | behind |
| Which accounting system uses the equation Assets = Liabilities + Owner Equity? | double-entry |
| The fee an individual physician most frequently charges for a service is called the | usual fee |
| The Blue Cross part of BCBS covers | The Blue Cross part of the BCBS covers hospital services, home care services, and other institutional care. Blue Shield covers physician services, dental, vision, and other outpatient benefits. |
| Which of the following techniques can show a detailed cross section of tissue structure? | CT |
| Which of the following microorganisms is the main bloodborne hazard for health care workers? | Hepatitis B virus |
| Apical pulses can be auscultated in the | Anterior thorax region |
| Which of the following terms is one of the six Cs of charting? | client's words |
| Which of the following terms describes the control of bleeding by using wet, cold applications? | cryotherapy |
| Total surgical scrub (hand washing) time should be approximately _______ minutes. | 10 |
| Medicaid is | a secondary carrier when the patient has Medicare. |
| When you have 300 flyers and circulars to mail out, which mail category should you use? | Standard Mail (A) |
| Destruction of all living microorganisms by specific means is called | sterilization |
| According to Elisabeth Kübler-Ross, when a loved one is dying, the family may experience the same stages as the dying person. These stages are | denial, anger, bargaining, depression, acceptance. |
| Yeast infections may be caused by which of the following organisms? | Candida albicans |
| The degree to which a joint is able to move is called | Range of motion ROM |
| A Form W-2 lists | gross income AND taxes withheld. |
| Which of the following antibiotics can interact with foods containing calcium, mineral supplements, and antacids? | tetracyclines |
| An example of an emulsion is | Cod liver oil |
| Failure to comply with OSHA standards could result in penalties; the maximum penalty for the first violation is | $7,000 |
| A patient states that she is getting married. You recognize this stressor as | personal stressor |
| Which of the following hormones matures the T-lymphocytes? | Thymosin |
| FUTA taxes are | FUTA is the Federal Unemployment Tax Act, which requires employers to pay a percentage of each employee’s gross income. This amount should not be deducted from the employee’s wages. |
| Professional negligence is also called | malpractice |
| In nephrotic syndrome, which of the following is in lower than normal quantities in the blood? | Proteins |
| How should a medical assistant communicate with an elderly patient? | encourage the patient to ask questions |
| Blue Shield makes direct payments to | physician members |
| What does an antihypertensive drug do? | it prevents and controls high blood pressure. |
| A drug that has no pharmacological activity because it contains no active ingredients is known as | a placebo |
| Cystalgia is pain in the | bladder |
| All of the following waves on the ECG curve upward except _______. | Q |
| Which of the following is true of DNA? | It is contained in the nucleus of a cell, and regulates the cell's activities. |
| When performing a venipuncture, it is not necessary to | place the patient in the Trendelenburg’s position. |
| Which of the following types of insurance covers loss of income that results from illness and should not be used to pay specific medical bills? | Disability protection |
| High levels of cholesterol in the serum may cause which of the following diseases or disorders? | Atherosclerosis |
| The medical assistant responsible for coding should attend at least one | ICD-9 and one CPT class each year. |
| Which of these combining forms means “the eye”? | both ocul/o and ophthalm/p |
| An inability to breathe is known as | apnea |
| Which of the following terms is used by OSHA to describe the use of physical or chemical means to remove, inactivate, or destroy bloodborne pathogens? | decontamination |
| Renal function is assessed by measuring which of the following serum levels? | Blood urea nitrogen |
| John Smith, a patient at your medical office, has been coming in for cancer treatment. After you send him a bill for the treatment, Mr. Smith’s wife calls wondering what kind of treatment her husband has been receiving. What can you tell Mrs. Smith? | You tell Mrs. Smith that you are not allowed to release medical information even to family members without the patient’s consent and advise her to talk to Mr. Smith. |
| A barium swallow is also called a(n) | upper GI series |
| Which of the following substances in serum is identified with prostate cancer? | Acid phosphatase |
| The balance | equals the difference between debits and credits. |
| Which of the following agents are used to relieve itching? | antipruritics |
| Spirometry tests measure the function of which of the following body systems? | respiratory |
| Which of the following statements is not true of echocardiography? | Echoes are obtained and heard by a stethoscope. |
| Medicare Part B covers | Outpatient services |
| In the metric system, 1000 micrograms equal | 1 milligram |
| Which of the following malignancies is the most common HIV-related cancer? | Kaposi's Sarcoma |
| Which of the following positions is similar to the jackknife position in that the patient’s hips are flexed at a 90-degree angle? | Proctological |
| Which of the following ECG curves represents recovery of the ventricles? | T wave |
| In which of the following body systems are sebaceous glands located? | integumentary |
| Microscopic structures in urine that are composed of protein are called | casts |
| Radiation exposure badges are also called | dosimeter |
| Angioplasty is defined as | surgical repair of a blood vessel. |
| All of the following are the functions of the liver, except | manufacture of epinephrine |
| Protection against disease is called | prophylaxis |
| The midsagittal plane divides the body into | left and right halfs |
| Which of the following plans covers spouses of veterans with permanent, service-related disabilities? | CHAMPVA |
| Medical assistants are expected to answer the phone | by the second or third ring. |
| When you have to file an insurance claim for a procedure that is not listed in the Physicians’ Current Procedural Terminology, what should you do? | Read the guidelines for such procedures in each section, and file a special report that describes and explains the extent and reasons for service. |
| Which of the following is a type of cell division? | mitosis |
| Freud believed that the personality of the ego was characterized as | reality-based thinking |
| Which of the following yields the greatest calorie value per gram? | Fats |
| A cut with jagged edges is called a(n) | laceration |
| Trichopathy is any disease of the | hair |
| Which of the following infections may be transmitted in cat feces? | toxoplasmosis |
| A measurement of the actual absorbed dose of radiation is called | rad |
| Thyroxine hormone is classified as which of the following types of drugs? | replacement |
| Which of the following cells release histamine? | basophils |
| Which of the following is a sign of shock? | Tachycardia |
| In an emergency situation, | consent to allow touching, examination, or treatment by medically authorized personnel is implied if the patient is unconscious. |
| Which of the following is a test used for diabetes mellitus? | HgBA1c (also known as the Hemoglobin A1c test) |
| Which of the following statements is true of medical transcription? | have needed materials at hand; adjust the transcribing equipment’s speed, tone, and volume; listen entirely before starting to transcribe; write down time on the digital counter to find problems fast when requesting clarification; listen carefully. |
| A 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 of time, regardless of the type and number of services provided, is called | capitation |
| In proofreading, the mark “^” means | insert |
| Which of the following terms describes an agent that relieves symptoms without curing the disease? | palliative |
| The angle of insertion of a needle for intradermal injections is | 15 degrees |
| Employers must submit a report of all taxes owed by a business at least | quarterly |
| Which of the following is a federation of nonprofit organizations offering private insurance plans? | Blue Cross and Blue Shield Association ( The Blue Cross and Blue Shield Association is a nationwide federation of local nonprofit service organizations that offer prepaid health care services to subscribers.) |
| Which of the following is a portion of the small intestine? | duodenum |
| Which of the following positions is also called the recumbent position? | supine |
| Which of the following types of information is often stored on a medical database? | Provider data; patient data; diagnosis codes; transactions. |
| Which of the following statements is true of nonparticipating Medicare providers? | The patient pays the provider |
| Which of the following becomes the ligamentum arteriosum? | ductus arteriosus |
| Which of the following terms is used to describe the medical records of patients who have not been in the office for several years? | inactive |
| The shoulder blade is known as the | scapula |
| Which of the following is the most appropriate method of sterilizing hemostat forceps? | Steam under pressure |
| Which of the following is included in a patient’s vital signs? | Respiration rate |