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NHA Module 1
Foundational Knowledge And Basic Science
| Question | Answer |
|---|---|
| Which of the following are included in the original or fundamental rights of medication administration? | The right patient, right medication, right dose, right time, and right route were the original “five rights.” |
| Where should a medical assistant look for reliable information on medications when needed? | Medical assistants can find reliable, medically approved medication information through validated books and internet sources, approved phone apps, and package inserts. |
| Water makes up how much in the body? | up to 50% to 80% of the body |
| Proteins are | large, complex molecules the body makes from amino acids. |
| Carbohydrates are | are organic compounds that combine carbon, oxygen, and hydrogen into sugar molecules |
| Fats are | Highly concentrated energy |
| Vitamins are | Organic substances the body needs for various cellular functions |
| Minerls are | Inorganic substances the body needs in small qualities for building and maintaining body structures |
| Which of the following aspects of food labels gives necessary context to all other information found on the label? | Serving Size |
| Which of the following vitamins is known to improve night vision? | Vitamin A |
| What supplement improves memory? | Gingko Biloba |
| What supplement is an treatment for depression? | St. John's Wort |
| What supplement is a relief of menopause symptoms? | Black Cohosh |
| What supplement helps pain relief? | Willow Bark |
| The CDC’s recommendations for food distribution for those with diabetes are based on a dinner plate of what size? | 9 Inches |
| Patients in which of the following stages of chronic kidney disease should monitor their phosphorus and potassium levels? | Stage 4 and Stage 5 |
| Which of the following foods would be the safest option for a person with celiac disease? | Quinoa |
| What is anorexia nervosa? | eating disorder in which a patient refuses to eat over a period of time. |
| What is bulimia nervosa? | eating large amounts of food (binging) and then purging by self-induced vomiting, laxatives, or diuretics. |
| What is a binge eating disorder? | is similar to bulimia nervosa, without purging behavior. |
| Which of the following determines the scope of medical assistants? | State Medical Boards |
| Why might a medical assistant pursue further certification? | Obtaining additional certifications, such as CET and CBCS, will increase the scope of work for an MA and can lead to better job opportunities. |
| Which of the following professions may have a scope that includes managing patient care independently? | Medical Providers and Osteopathic providers |
| What allied health profession assist patients in regaining mobility? | Physical Therapist |
| What allied health profession use imaging equipment? | Radiology Technician |
| What allied health profession assist patients who have disabilities? | Occupational Therapists |
| What allied health profession perform diagnostic testing on speciments? | Medical Laboratoty Technicians |
| Which of the following describes the process for obtaining a medical license from one state based on requirements being met in another state? | Reciprocity |
| What are the advantages of being certified as a medical assistant, even if it is not legally required in a state? | Advantages of certification include increased initial job placement, higher wages, and career advancement opportunities. |
| Which of the following patients is receiving inpatient care? | A patient goes to a hospice facility for end-of-life care. |
| What are the primary benefits of mobile health units? | Mobile health units bring health care to the communities that most need it and may otherwise lack access to the services provided. |
| Which of the following visits may be appropriate for telehealth? | Follow-up on medication adjustments, Patient Education, and Review of lab results. |
| Describe the medical assistant’s role in patient portals. | The MA is often responsible for assisting patients with enrolling in the portal. |
| What is the primary difference between fee-for-service and value-based care? | In fee-for-service models, the cost to the insurance and patient is determined by the cost of services provided. In value-based models, the cost is determined by the value to the patient and their long-term health. |
| What health care model has patients that are assigned a per-member, per-month payment based on age, race, sex, lifestyle, and medical history and benefit design? | Capitation |
| What health care model has plans that provide health care in return for preset scheduled payments and coordinated care through a defined network of providers and hospitals. | Managed Care |
| What health care model is an insured person does not need a PCP and can go directly to a specialist without referrals? | PPO (Preferred Provider Organization) |
| What health care model is a plan that requires referrals to specialists as well a precertification and preauthorization for hospitals admissions, outpatient procedures and treatments? | HMO (Health Maintenance Organization) |
| What health care model has insurance coverage that changes the amount of remibursement based on health outcomes of patients and the quality of services they received? | Value-Based Plan |
| What health care model has a type of managed care health insurance plan that is based on lower medical costs in exchange for more limited choice? | POS (Point of Service) |
| Which of the following specialists would a patient most likely see as a follow-up for a heart attack? | Cardiologist |
| What specialist does hormonal conditions? | Endocrinologist |
| What specialist does mental health? | Psychiatrist |
| What specialist deals with skin? | Dermatologist |
| What specialist deals with ear, nose, and throat? | Otolaryngologist |
| When and why may a patient benefit from going to urgent care rather than an emergency department? | Urgent care costs less, has a shorter wait time, and is often conveniently located. Most have flexible hours and offer walk-in appointments. They are appropriate to use for non-life-threatening acute injuries and illnesses. |
| Which of the following ancillary services helps patients compensate for the loss of function due to injury, illness, or disease? | Occupational Therapy |
| Name all the ancillary services? | Urgent Care, Laboratory services, Dianostic imaging, occupational therapy, and physical therapy |
| Which of the following medication classifications would be prescribed to treat high blood pressure in a patient? | Antihypertensives are medications used to treat high blood pressure, also known as hypertension. |
| Which of the following medication classifications is amoxicillin under? | Antibiotic |
| What schedule of drugs includes substances that have high potential for absue and currently no approved medical use in the United States? | Schedule 1 or, I ex:heroin, mescaline, and lysergic acid diethylamide (LSD) and cannabis |
| What schedule of drugs that has substances with high potential for abuse, are considerd dangerous, and can lead to psychological and physical dependence? | Schedule 2 or II ex: morphine, methadone, oxycodone, hydromorphone, hydrocodone, fentanyl, and amphetamine. These are approved for medical use. |
| What schedule of drugs includes substances that have a moderate to low potential for physical and psychologiacal dependance? | Schedule 3 or III ex: ketamine, anabolic steroids, acetaminophen with codeine, and buprenorphine. |
| What schedule of drugs include substances that have a low potential for absue and dependence? | Schedule 4, or IV ex:tramadol and benzodiazepines including diazepam, alprazolam, chlordiazepoxide, and clonazepam. |
| What schedule of drugs that contain limited quantities of some narcotics, usually for antidiarrheal, antitussive, and analgesic purposes? | Schedule 5, or V ex:diphenoxylate with atropine, guaifenesin with codeine, and pregabalin |
| Which of the following schedules of medications can include refills on prescriptions? | Schedule 3 or III, Schedule 4, or IV, Schedule 5, or V |
| A patient has a prescription for medication to treat a bacterial infection. When taking this medication, the patient experiences nausea. Which of the following describes nausea caused by the antibiotic? | Side effects |
| What are the differences between side effects and adverse reactions? | A side effect is an unintended, undesirable action on the body caused by a medication while an adverse reactions is unintended, harmful action of the medication, which may be unexpected and can cause death or long-term damage to the patient. |
| Which of the following measurement systems are most commonly used in prescription doses? | Metric |
| If a patient weighs 66 lb, how many (X) kilograms is this? Do you divide or multiply? | 1 kg = 2.2lbs therefore, 66 lb divided by 2.2 lb is 30kg You divide when converting a patient's weight from pounds (lb) to kilograms (kg) |
| Doctor prescribes 0.088mg levothyroxine that in micrograms, how much mcg (micrograms) does the MA convert? | here is a three-decimal-point difference between milligrams and micrograms. Because the conversion is from a larger value (mg) to a smaller value, the decimal point moves three places to the right. 0.088 × 1,000 = 88 mcg |
| A patient weighs 70 kg. To find their weight in pounds, you calculate by dividing or multiplying ? | 70 kg × 2.2 = 154 lb You multiply when converting a patient's weight from kilograms (kg) to pounds (lb). |
| Why is it important for medical assistants to understand how to convert metric measurements to standard measurements? | At-home medications often use metric doses, leading patients to seek advice on converting to standard measurements when they misplace the provided measurement cups. |
| What medication forms is vaginal? | Foam, Creams, Solutions, Suppositories, Tablets |
| What medication form is nasal, otic, opthamic? | Drops, ointments, Sprays, |
| What medication form is IV, IM, subcutanous, ID? | Injectable liquid, Powders for reconstitution |
| What medication forms is oral? | Elixirs, Caplets, Capsules, Emulsions, Gels, lozenges, Solid extracts, fluid extracts, Solutions, Suspensions, Syrups, Tincture |
| What medication forms is inhalation? | Aerosol, dry powder for inhalation, mist, Sprays, Steam |
| What medication forms is topical? | Patches, Creams, Gels, ointments, liniments, lotions, Powders, Solutions, Tinctures |
| What medication forms is the rectal? | Creams, Gels, ointments, Solutions, Suppositories |
| What medication forms is urethral? | Solutions |
| What medication forms is sublingual? | Sprays, Tablets |
| What medication forms is buccal? | Tablets |
| Which of the following strategies are recommended for avoiding medication errors due to similar-sounding names? | Using “tall man” letters, creating labels that indicate use, and altering computer selection screens are all recommended strategies for avoiding medication errors due to look-alike names |
| The most common routes fall into two general categories: | enteral (through the gastrointestinal tract) and parenteral (outside the gastrointestinal tract). |
| Most commonly, parenteral refers to injections as | intramuscular, intradermal, subcutaneous, and intravenous |
| Most common parental routes for non-injectable also includes routes are: | topical, vaginal, and inhalation. |
| Medical assistants do not give medications by routes that require by? | nurses or providers: intravenous, epidural, intrathecal, and others |
| The subcutaneous (SQ or Sub-Q) route for injectable liquid medication are in what locations? | Upper arm, abdomen, buttocks, upper outer thighs |
| The intradermal route for injectable liquid medication are in what locations? | Skin of the upper chest, forearms, upper back |
| The intramuscular (IM) route for injectable liquid medication are in what locations? | Deltoid, vastus lateralis, and ventrogluteal muscles |
| The topical parenteral route is on what locations? | On the skin |
| The vaginia/rectal parenteral routes are in what locations? | Vaginia, vulva, rectum, and anus |
| Which of the four actions of pharmacokinetics affects the ability of a patient who is pregnant to take medications and why? | Distribution is the transportation of the medication throughout the body. Because many medications can easily cross the placental barrier during distribution, the medications can reach the fetus, which may be dangerous. |
| Which of the following actions of pharmacokinetics changes active forms of the medication into harmless metabolites? | Metabolism ex: The liver is the primary organ of metabolism, but the kidneys also metabolize some medications. |
| What is the removal of a medication’s metabolites from the body. | Excretion ex: The kidneys accomplish most of this through urine, but feces, saliva, bile, sweat glands, breast milk, and even exhaled air eliminate some medications. |
| What is the transportation of the medication throughout the body? | Distribution ex:The bloodstream carries the medication to the body’s tissues and organs. |
| What is through the process of absorption, the body converts the medication into a form the body can use and moves it into the bloodstream? | Absorption ex: For example, oral tablets or capsules move through the stomach or intestines to be absorbed. |
| What is the study of how medications move through the body with the four actions that involves asbsorption, distribution, metabolism and extcretion? | Pharmacokinetics |
| What are the five rights of the medication administration? | the right patient, right medication, right dose, right time and right route. |
| Most sources agree that the original five, plus the other two, which are? | Right technique and the right documentation |
| Medical Assistant two identifers for the right patient are? | State their full name and date of birth |
| What does this reference book called that provides a guide to prescription medication information | Physician's Desk Reference (PDR) |
| When administering an intramuscular injection, the correct angle of insertion of the needle is? | 90 degrees |
| The correct angle of insertion of an intradermal injection is? | 10 to 15 degrees |
| The correct angle for subcutaneous injections? | 45 degrees |
| What other reference can medical assistants have questions about a medication or need more information to share with patients | Online Medication References (OMR) |
| Where should a medical assistant look for reliable information on medications when needed? | Medical assistants can find reliable, medically approved medication information through validated books and internet sources, approved phone apps, and package inserts. |
| What is a resource developed and managed by the U.S. Department of Agriculture, which takes the most up-to-date Dietary Guidelines for Americans and creates patient-centered resources to distribute the information. | MyPlate (myplate.gov) |
| What is the autoimmune disorder in which individuals cannot safely consume gluten, a protein substance found naturally in wheat, barley, and rye | Celiac Disease |
| What prescription controls blood pressure? | Antihypertensive medication |
| High blood pressures is a risk factor what? | Heart attacks |
| Which of the following supplements is also a naturally occurring hormone in the brain that is related to sleep? | Melatonin |