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Med 229 Midterm
| Question | Answer |
|---|---|
| The acronym LMP refers to the ________ | first day of a woman's last menstrual period |
| The average age range of menarche, or the beginning of menstruation, is ________ years of age | 10 to 15 |
| Which of the following is the best description of menopause? | the natural cessation of a woman's menstrual cycles |
| Carly took an early pregnancy test yesterday and was thrilled when it was positive. She is excited about having a baby, and the first thing she asks you this morning is "When is the baby due?" When you ask, she tells you that the first day of her last men | June 16, 2023 |
| Which of the following should a pregnant woman be advised to avoid during her pregnancy? | alcohol |
| Which of the following is Nägele's rule? | first day of last menstrual period, subtract 3 months, add 7 days plus 1 year |
| Which of the following consists of widening the opening of the cervix and scraping the uterine lining? | D&C |
| Which of the following is a reason for false-negative Pap smear results? | Epithelial cells hidden by blood or mucus |
| Which of the following occurs during the second trimester? | Fetal movement is felt. |
| Another name for enlargement of the prostate gland is ________ | prostatic hypertrophy |
| Which of the following is a fluid filled sac surrounding the testicle? | hydrocele |
| A heavy or dragging feeling in the groin, enlargement of one testicle, and a dull ache in the groin are symptoms of ________ | testicular cancer |
| Treatment for prostatitis includes ________ | antibiotic medications and sitz baths |
| Which of the following is not a part of the medical assistant's role in a urologist's office? | visual inspection of the external genitalia |
| Which of the following treatments may be used for a patient who is incontinent? | exercises |
| A condition in which an egg is unable to move out of a woman's fallopian tube into the uterus for implantation is a(n) ________ | ectopic pregnancy |
| Which of the following treatments may be useful for a woman with uterine prolapse? | Kegel or perineal exercises |
| An X-ray exam of the fallopian tubes and uterus in which a contrast medium such as dye or air is used is ________ | hysterosalpingography |
| When preparing a wet mount, what is mixed with the sample to be tested? | saline |
| What instruction is given to a pregnant patient who is going to have an ultrasound to determine fetal size? | Do not urinate before the test. |
| At what age does a child become able to share and play with others? | 2 to 3 years |
| At what age does a child develop a personal identity? | 14 to 19 |
| Which of the following is a birth-related disorder that is the most common movement disorder in children? | cerebral palsy |
| Which of the following is a genetic disorder that results from one extra chromosome in each cell during the development of the fetus? | Down syndrome |
| In which stage of growth and development is a child's head usually one-fourth the entire body length? | neonate |
| How many well-baby examinations are needed in an infant's first year? | 7 |
| At which of the following ages should toddlers have well-child examinations? | 15, 18, 24, and 30 months |
| What is the purpose of administering an immunization? | to reduce a person’s susceptibility to infections |
| When is the first dose of the vaccine for hepatitis B given? | the day after birth |
| Which of the following is not a guideline for the proper storage and handling of vaccines? | Rotate your supply of vaccines so those with the longest expiration date are used first. |
| Most childhood cases of HIV infection are ________ | transmitted from a mother to her infant |
| Which of the following conditions is commonly misunderstood, misdiagnosed, and over-diagnosed in children? | attention deficit hyperactivity disorder |
| Which of the following is a highly contagious disease that is often seen in the winter and spring as outbreaks of pneumonia, bronchiolitis, and tracheobronchitis? | RSV |
| Why can viral gastroenteritis be serious in young children? | It can cause extreme fluid loss, resulting in dehydration. |
| Which of the following is not a known risk factor for child abuse or neglect? | mother older than 18 years |
| Which of the following is not an effective treatment for head lice? | avoidance of sun exposure |
| Which of the following can help relieve discomfort due to infectious conjunctivitis? | applying warm compresses to the eye |
| Which of the following is not a warning sign of potential violence? | decrease in risk-taking behavior |
| Which of the following is considered a warning sign for suicide? | anger directed at oneself |
| Which of the following statements about suicide is true? | Changes in habit, including carelessness or sloppiness, are suicide warning signs. |
| Which of the following tips will help make the communication with an older patient more effective? | Look for a way to make a connection with the patient. |
| The appropriate way to speak to a patient who has a hearing impairment is to ________ | speak in clear, low-pitched tones |
| Which of the following is the appropriate way to address geriatric patient’s? | Mrs. Jones |
| Which of the following is a good way to help geriatric patients remember their medications and the appropriate time to take each medication? | Encourage the patient to use a medication organizer or a medication box. |
| Which of the following is a reason for the low rate of treatment for depression among geriatric patients? | Geriatric patients and their families believe depression is a normal consequence of growing old. |
| Geriatric patients are defined as patients who are over the age of ________ | 65 |
| Medical specialists who specialize in the care of geriatric people are ________ | geriatricians |
| Which of the following is a sign of aging in the integumentary system? | atrophy of the subcutaneous layer of skin |
| Which of the following is a sign of aging in the nervous system? | shortened attention span |
| Geriatric patients experience postural hypotension, which is a sign of aging related to the ________ | cardiovascular system |
| Which of the following may cause memory loss associated with old age? | changes in the hippocampus in the brain |
| Suggestions that would help an geriatric patient who has hyperlipidemia would be to increase exercise and eat foods with lower amounts of ________ | cholesterol |
| Which condition is caused by high cholesterol levels that can lead to the accumulation of fatty deposits along the inner walls of arteries? | atherosclerosis |
| For which of the following conditions is hormone replacement therapy commonly used? | osteoporosis |
| Which of the following treatments is not commonly used to treat patients with coronary artery disease? | chemotherapy |
| When interviewing an older patient to get her medical history, you ask her to describe the pain she feels in her abdomen, but she stops in the middle of a sentence and appears to be searching for the right word to use. What action should you take in this | Be patient and wait for her to find the word. |
| Mr. Turner has come to the medical office because he has been having pain in his lower abdomen. During the patient interview, which of the following questions would be most appropriate to find out more details about the pain Mr. Turner is having? | "How would you describe the pain you are having?" |
| Which of the following is not a common treatment for hypertension? | angioplasty |
| Which of the following techniques is not likely to be effective when you are communicating with a geriatric patient? | calling the patient by his first name |
| Sleep apnea is a sleep disorder in which a person stops breathing for several seconds while sleeping, which can cause conditions such as ________, depression, and even memory loss. | cardiovascular disease |
| In which allergy test are extracts of suspected allergens applied to a patient's skin using a lancet, usually on the arms and back? | scratch test |
| Which medications are prescribed for the severe inflammation that occurs in contact dermatitis? | corticosteroids |
| Which of the following is a skin inflammation that may be an allergic response to allergens, such as chemicals or foods? | eczema |
| Which patient position is appropriate for a sigmoidoscopy? | Sims' |
| Which condition causes wrist pain and numbness because the median nerve is compressed? | carpal tunnel syndrome |
| Which of the following is an infection of the bone of which the principal symptom is pain? | osteomyelitis |
| The treatment for osteomyelitis is ________ | antibiotics, analgesics, and surgery |
| Which allergy test is performed by placing a piece of linen on uninvolved skin and then using a dropper to soak the linen with the suspected allergen? | patch test |
| Which type of allergy test, also called a subcutaneous test, introduces dilute solutions of allergens into the skin of the inner forearm or upper back with a fine-gauge needle? | intradermal test |
| Which allergy test measures levels of antibodies after the blood serum is exposed to suspected allergens? | radioallergosorbent test |
| Which of the following is a fungal infection that produces flat lesions on the body that are dry and scaly or moist and crusty and are often found on the feet, groin, and scalp? | ringworm |
| Which of the following is a true statement about skin cancer? | Overexposure to the sun is a risk factor in all types of skin cancer. |
| Which of the following is a benign skin tumor that results from a viral skin infection? | wart |
| A procedure in which a flexible fiber-optic tube is passed through the patient's mouth to the stomach is called a ________ | gastroscopy |
| Which gastrointestinal disease involves gastric acid rising from the stomach into the esophagus? | gastroesophageal reflux |
| Which neurological diagnostic test records the electrical activity of the brain on a strip of graph paper? | electroencephalography |
| Which diagnostic test produces a three-dimensional, cross-sectional view of the brain with or without a contrast medium? | computed tomography |
| Which neurological disease causes weakness or paralysis on one side of the face? | Bell’s Palsy |
| Mrs. Gorman has brought her 3-year-old son Billy to the pediatrician's office because he does not seem to be growing or developing as fast as his playmates in the daycare center. The pediatrician performs basic measurements and agrees that Billy seems und | endocrinologist |
| Mr. Thompson is a cardiology patient who says he has had episodes of his heart "racing" unexpectedly, even when he is sitting down and even a few times while he was sleeping. The cardiologist has performed a stress test and found no abnormalities. Which o | Holter monitor |
| Which of the following defines debridement? | The surgical removal of debris or dead tissue from a wound. |
| The first step in preventing a nonsurgical wound from becoming infected is ________ | cleansing |
| Which of the following occurs during the inflammatory phase of healing? | Cytokines cause inflammatory cells to migrate to the wound site. |
| The proliferation phase of healing is characterized by ________ | the development of new tissue |
| Which of the following occurs in the maturation phase of healing? | A continuous layer of skin cells thickens and pushes off the scab, leaving a scar. |
| Which of the following uses an intense beam of light to cut away tissue? | laser surgery |
| An advantage of laser surgery is that ________ | it promotes quick healing and prevents infection |
| Which of the following would you include when preparing a room for laser surgery? | Make sure everyone in the room, including the patient, wears safety goggles. |
| How does a laser cut away tissue? | It vaporizes unwanted tissue. |
| Which method uses extreme cold to destroy unwanted tissue? | cryosurgery |
| Which condition puts a patient at risk for wound-healing problems? | diabetes mellitus |
| Which type of scissors is used to remove dressings? | bandage scissors |
| The scissor-like instruments used for cutting nails or thick materials are ________ | clippers |
| Which of the following is used for scraping tissue? | curette |
| Instruments that are most often used to grasp or hold objects are ________ | forceps |
| What part of the sterile field is considered contaminated? | the outer 1 inch |
| Which of the following is the appropriate way to pour a sterile solution into a sterile bowl that is on a sterile field? | Cover the label on the bottle with the palm of your hand to keep the label dry. |
| Which preoperative instruction is given to a patient who is scheduled for a minor surgical procedure in the medical office? | Tell the patient to bring someone to drive him or her home. |
| Which is the appropriate way to cleanse an area before surgery? | Clean an area at least 2 inches larger than the surgical site. |
| When preparing the patient’s skin for surgery, after applying the antiseptic what is the next step? | Cover the area with a sterile, fenestrated drape, from front to back. |
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