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MED 159
Finals
| Question | Answer |
|---|---|
| The body's ability to resist pathogens and disease is called ________blank | immunity |
| Which type of infection is caused when a healthcare worker transfers staph bacteria from his hands to a surgical site? | exogenous infection |
| What type of infection is caused by a microorganism that is normally beneficial or harmless to humans? | endogenous infection |
| The infection cycle begins when a pathogen is established in the ________blank. | reservoir host |
| Which of the following is an example of direct transmission of a pathogen? | contact with the blood of an infected person |
| Which of the following is most likely spread by airborne transmission? | influenza |
| How is a congenital infection contracted? | present at the time of birth |
| An individual into whom a pathogen has been transmitted and who has little or no immunity to infection by that organism is a ________blank. | susceptible host |
| Factors related to the host's susceptibility to infection are ________blank | age and nutritional status |
| The condition in which pathogens are absent or controlled is ________blank | asepsis |
| A medical assistant can help break the cycle of infection in the office by ________blank. | maintaining strict housekeeping standards |
| A reservoir host who is unaware of the presence of the pathogen and so spreads the disease is a ________blank. | carrier |
| Which item on the diagram of the cycle of infection is the reservoir host? | A |
| Which item on the diagram of the cycle of infection is the method by which a pathogen can enter a new host? | D |
| Which item on the diagram of the cycle of infection is the method by which a pathogen spreads to another host? | C |
| The process of cleaning and scrubbing instruments and equipment, generally by washing with detergents and scrubbing as needed, is ________blank. | sanitization |
| Which of the following is used on instruments and equipment that come in contact with intact mucous membranes or other surfaces not considered sterile? | disinfection |
| The complete destruction of all pathogenic microorganisms including bacterial spores from the surface of instruments and equipment is ________blank. | sterilization |
| Which of the following procedures will the medical assistant use to clean blood pressure cuffs and reflex hammers? | sanitization |
| Which cleaning process is used on instruments such as nasal specula and endotracheal tubes? | disinfection |
| Which of the following is used to sanitize delicate instruments and instruments that have moving parts? | ultrasonic cleaning |
| Which of the following can be reused after completing the sanitization process without further disinfection or sterilization? | ophthalmoscopes and otoscopes |
| If you cannot sanitize instruments immediately after using them, ________blank. | place them in water with a neutral-pH detergent |
| Which of the following should you do when you sanitize instruments? | wear utility gloves |
| Which of the following is permissible when using an ultrasonic cleaner? | reusing the ultrasonic cleaning solution for several baths |
| Which of the following can be disinfected and used again without sterilization? | glassware and enamel |
| Which of the following statements about a disinfectant is true? | Evaporation can alter the chemical makeup of the solution. |
| Which of the following is commonly used to clean instruments and equipment that would be damaged by immersion in soap and water or other disinfectant solutions? | alcohol |
| Which of the following is extremely corrosive and toxic to tissue and has strong killing power? | acid |
| Which of the following is commonly used as a preservative in a 10% solution and as a germicide and sporicide in a 5% solution? | formaldehyde |
| Patient education brochures should not exceed the ________blank reading level. | sixth-grade |
| An advantage of patient education is that ________blank. | it results in greater compliance with prescribed treatment programs |
| Which of the following is an example of how a medical office benefits from patient education? | Compliance with preoperative education lessens the chance that the procedure will have to be rescheduled |
| An important advantage of consumer education is that ________blank. | Americans have become more aware of the importance of good health |
| Consumer education ________blank. | is geared, in both content and language, toward the average person |
| Which of the following guidelines should be incorporated when educating patients about health habits? | 7 to 8 hours of sleep a night |
| Tips for preventing injury at home include ________blank. | using outlet covers when outlets are not in use |
| When teaching a patient how to lift a heavy object properly, which of the following instructions would be included? | Bend at the knees, not at the waist |
| Which of the following occupations might put a patient at risk for injury because of having to sit for long periods? | secretary |
| An important instruction to include when providing health education to a secretary is to ________blank. | get up, stretch, and walk down the hall periodically |
| The first level of disease and illness prevention is ________blank. | adopting health-promoting behaviors |
| Teaching health-promoting behaviors includes ________blank. | symptoms and warning signs of disease |
| Teaching a patient about cancer prevention is an example of educating about ________blank. | health-promoting behaviors |
| The second level of disease prevention is ________blank. | screening |
| The third level of disease prevention is ________blank. | rehabilitation |
| Which item in the diagram is the first step in wrapping instruments for sterilization? | C |
| Which item in the diagram is the second step in wrapping instruments for sterilization? | E |
| Which item in the diagram is the third step in wrapping instruments for sterilization? | E |
| Which item in the diagram is the fourth step in wrapping instruments for sterilization? | F |
| Which item in the diagram is the fifth step in wrapping instruments for sterilization? | E |
| A common health-associated infection seen in an outpatient setting that is caused by a specific type of staph bacterium and results in skin infections that can develop into large abscesses is ________blank. | MRSA |
| The CDC recommends that catheters be used for the least possible amount of time due to which type of infection? | CAUTI |
| Which type of infection is caused by the entry of infectious microorganisms into the bloodstream by way of a central line? | CLABSI |
| A clean technique that is based on maintaining cleanliness and preventing the spread of microorganisms in the medical environment is known as which of the following? | Medical asepsis |
| Which of the following is a physical aspect of the medical office that contributes to asepsis? | Designating a section of the reception room for sick patients |
| Due to several large outbreaks of hepatitis B and C in outpatient settings, recommendations for safe injection practices were included as part of the Guideline for Isolation Precautions established by which of the following? | CDC |
| What is OSHA’s estimate of approximately how many needlestick injuries occur each year? | 800,000 |
| Influenza, measles, whooping cough, and meningitis are examples of infectious diseases that can be transmitted through which of the following? | respiratory droplets |
| If a patient is coughing uncontrollably and there is considerable spray, what PPE should the medical assistant put on before entering the examination room? | gloves, gown, goggles and mask |
| Which of the following equipment is categorized as a semi-critical item? | endoscope |
| The practitioner’s diagnosis or impression of the patient’s condition is the ________blank. | assessment |
| Which of the following information would be documented under the plan of action? | medications prescribed and tests to be done |
| Which of the following is appropriate for conducting a successful interview? | Assist the patient to a private room and close the door |
| Which of the following methods of collecting patient data requires more than a yes-or-no answer and encourages the patient to explain the situation? | asking open-ended questions |
| Methods of collecting patient data include mirroring, which includes ________blank. | restating what the patient says almost exactly as the patient says it |
| Angel dust is also known as ________blank. | PCP |
| The information in the patient's chart is ________blank. | a legal record of treatment rendered |
| During a patient interview, you note signs of anxiety in the patient. You may be able to help the patient by ________blank. | allowing him to describe his feelings |
| Which of these patient behaviors is a classic symptom of depression? | profound sadness |
| The need for ________blank in the medical record makes it essential that medical terminology and precise descriptions are used when charting. | clarity |
| Which method of patient data collection does the statement "So let me see if I understand; The pain only occurs at night." represent? | verbalizing the implied |
| Maintaining eye contact is a characteristic of which of these methods of data collection? | focusing on the patient |
| The question "Are you sure about that? It doesn't make sense to me." represents which method of collecting patient data? | challenging the patient |
| Which method of data collection does the question "What do you think is going on with you?" represent? | encouraging the patient to evaluate his situation |
| When you assume an open and relaxed body posture, you are demonstrating which data collection method? | focusing on the patient |
| Which of the following is part of the procedure for weighing a toddler? | Weighing the parent holding the toddler |
| Which of the following is considered a normal blood pressure for a healthy adult? | Systolic: <120 and Diastolic: <80 |
| Which of the following is the normal range for an adult heart rate per minute? | 60–100 |
| The normal adult range for respirations per minute is ________blank. | 12–20 |
| The normal adult oral temperature is ________blank. | 97ºF–99ºF |
| Respiration is the number of times a patient breathes in ________blank seconds. | 60 |
| Which of the following pulse points is located in the groove on the thumb side of the inner wrist? | radial |
| The pulse point that is located in the bend of the elbow is called the ________blank pulse. | brachial |
| When taking an infant’s pulse, if the brachial artery cannot be felt, which pulse site would be checked? | over the apex of the heart |
| What is the medical term for difficult or painful breathing? | dyspnea |
| The first tapping sound heard when taking a blood pressure is the ________blank. | systolic pressure |
| Which of the following is a special consideration when taking blood pressure in adults? | Wait 15 minutes before taking the blood pressure of a patient who has just exercised |
| Which of the following means the absence of breathing? | apnea |
| The last tapping sound heard when taking the blood pressure is the ________blank. | diastolic pressure |
| A patient just had a drink of cold water and you are getting ready to perform the vital signs and measurements. Which would be the best order? | BP, P, R, Ht., Wt., T |
| When a patient has symptoms that may indicate more than one condition, what must the practitioner do first? | make a differential diagnosis |
| A forecast of the probable course and outcome of the disorder and the prospects of recovery is the ________blank. | prognosis |
| Which of the following is included in the emotional preparation of adult patients for a physical examination? | Tell them their cooperation can contribute to the success of the examination |
| The appropriate time to collect a urine specimen from a patient is ________blank. | before the physical examination |
| In which of the following examination positions does the patient sit at the edge of the examination table without back support? | sitting |
| In which position would you assist a woman to put her feet in the stirrups and to slide forward to position her buttocks near the edge of the table? | lithotomy |
| The best position for the practitioner to evaluate the patient’s ability to fully expand the lungs is the ________blank position. | sitting |
| In which position will the practitioner examine the back, feet, and musculoskeletal system of a patient? | prone |
| Which position is used for anal or rectal examinations? | proctologic |
| Which of the following is the visual examination of the patient's entire body and overall appearance? | inspection |
| Which of the following is considered a good indicator of overall health? | skin |
| Enlarged lymph nodes may be a sign of ________blank. | infection or a blood cancer |
| Which equipment should the medical assistant provide to the practitioner to examine a patient’s lungs and chest? | stethoscope |
| A waxy secretion from the ear is ________blank. | cerumen |
| The medical assistant will provide the practitioner with which piece of equipment to examine a patient’s ears? | otoscope |
| In which disorder do misaligned or unbalanced eye muscles cause the eyes to appear to be looking in two different directions? | strabismus |
| Which condition, commonly called lazy eye, occurs when a child does not use one eye regularly and the eye becomes “lazy’ and the brain tends to ignore what the lazy eye sees? | amblyopia |
| A common eye disorder that develops with age and results in the loss of lens elasticity, causing difficulty seeing objects close up, is ________blank. | presbyopia |
| Cloudy, opaque areas on the lens that prevent light from going through the lens are ________blank. | cataracts |
| Which of the following can be caused by a bacterial or viral infection? | conjunctivitis |
| An ophthalmologist measures intraocular pressure with the aid of a(n) ________blank. | tonometer |
| Which eye disorder is a chronic inflammation of the edges of the eyelid and is characterized by red, swollen eyelids with scaling or crusting? | blepharitis |
| Symptoms of retinal detachment include ________blank. | flashes of light or floating black shapes and progressively blurred vision |
| Which of the following are common refractive disorders? | myopia and hyperopia |
| Which condition distorts vision because the cornea is unevenly curved? | astigmatism |
| What is the commonly used test for near vision? | Jaeger chart |
| Which of the following is used to test color vision? | Ishihara book |
| Which of the following instructions is accurate when performing a visual acuity test using the Snellen letter chart? | Stand with heels at the 20-foot mark |
| Which of the following actions helps prevent systemic absorption of a topical medication used in the eye? | applying pressure just below the inner corner of the eye |
| If the audiometer is adjusted to increase the frequency, the sound produced by the audiometer will become ________blank. | higher-pitched |
| Which of the following is included when administering a medication according to the "rights" of medication administration? | Read the medication label on the container three times |
| Which of the following is included when administering a liquid medication? | Hold the medicine at eye level, with the palm over the label, and pour the correct amount of the medication |
| Which of the following is included when administering a capsule orally? | Tap the correct number of capsules into the cap of the container |
| In which of the following methods of medication administration are medications placed in the mouth but do not continue along the GI tract? | buccal |
| Medications administered sublingually are ________blank. | placed under the tongue |
| In which method of parenteral medication administration is the drug injected directly into the vein? | intravenous |
| Which of the following is a small glass or plastic container that is sealed to keep its contents sterile? | ampule |
| Which of the following are common sites for intradermal injections? | forearm and back |
| Which of the following is a small bottle with a rubber diaphragm that can be punctured by a needle? | vial |
| Intradermal injections are used to administer which of the following? | allergy or TB test |
| Which of the following would you include when administering a vaginal suppository? | Insert the applicator 2 inches into the vagina and angled toward the sacrum |
| Which of the following would you include when administering a retention enema? | Cover and apply pressure to the anus for 20 seconds to stifle the patient's urge to defecate |
| Which medication interaction occurs when a patient takes both acetaminophen and codeine? | The effect of both medications is increased, causing a beneficial effect |
| A medication that is given intravenously is ________blank. | injected or infused into a vein |
| What should the medical assistant tell the patient about interactions? | Drug-drug interactions can lead to adverse reactions |