1
Q
Body temperature may be taken in the mouth, rectum, or
A
axilla
2
Q
The Nationwide Health Information Network is developed for the
A
national exchange of health care data.
3
Q
Time-specified scheduling is also known as
A
stream scheduling
4
Q
A butterfly method of blood collection may be used when the patient has
A
superficial veins.
small veins.
fragile veins.
ALL OF THE ABOVE
5
Q
Which of the following are considered located in the dorsal cavity of the body?
A
Cranial cavity and spinal cavity
6
Q
What eating disorder has symptoms of eating a large amount of food followed by purging?
A
Bulimia
7
Q
Celebrex may be confused with
A
Celexa
8
Q
The three veins located in the antecubital space include median cubital, cephalic and
A
basilic vein
9
Q
A health history report is a collection of
A
subjective data
10
Q
Which of the following schedule of controlled substances have no accepted medical use in the United States
A
Schedule I
11
Q
Bioethics refers to moral or legal issues which often deal with
A
life or death
12
Q
How should the medical assistant determine the purpose of the medical office visit?
A
Compare what the patient reported on the intake form with verbally asking the patient the reason for the visit.
13
Q
After performing a laboratory test in the office the medical assistant should document the results
A
immediately
14
Q
The most common timed urine specimen is a
A
24 hour specimen.
15
Q
The Patient’s Bill of Rights was updated and is now called the
A
Patient Care Partnership
16
Q
Prior to beginning an ECG, the medical assistant should ascertain if the patient
A
is taking any cardiac medication
17
Q
When should prior authorization be obtained?
A
Before scheduling the procedure
18
Q
Health literacy refers to having adequate knowledge of health issues and being able to
A
make informed health care decisions.
19
Q
Which of the following organs would be found in the thoracic cavity?
A
Heart and lungs
20
Q
The provider has recommended Mrs. Wells take vitamin D. Mrs. Wells asks the medical assistant when she should take it. How should the medical assistant respond?
A
You should take your vitamin D pill with a meal which contains fat.
21
Q
Respondent superior means
A
let the master answer.
22
Q
Continuous and direct eye contact should not be made with patients of which ethnic backgrounds?
A
Muslim females
Asian
Native American
ALL OF THE ABOVE
23
Q
Inflammatory phase, granulation phase, and maturation phase are phases of wound
A
healing
24
Q
When are the stages of denial, anger, bargaining, depression, and acceptance exhibited?
A
End-of-life
25
The apical-radial pulse is measured to determine if there is a pulse
deficit between the heart and the extremities.
26
A specimen may be rejected for any of the following except
appropriate labeling and storage
27
Additives that may be found in a blood collection vacuum tube may include all of the following except
formaldehyde and alcohol
28
Which of the following behaviors may contribute to hypertension?
Smoking and not being physically active
29
When educating patients about the interpretation of food labels, what is the first point the medical assistant should stress?
Check the serving size
30
Telemetry is used to
continuously monitor the electrical activity of the patient's heart.
31
Before applying the electrodes, the medical assistant should do all of the following except
apply lotion to moisturize the skin.
32
A urine culture and sensitivity test will be performed to determine the
the type of organism and the sensitivity to the antibiotic.
33
Which of the following forms would be used to bill Medicare Part B services?
CMS 1500
34
The hepatitis B vaccine is recommended for infants and children under the age of 18 and adults who are all of the following except
adults over the age of 65.
35
The preferred urine specimen for most urine tests is the
first voided in the morning.
36
The MSDS refers to the
material safety data sheet.
37
When calculating the heart rate, you may use the
R-R method
38
Ventricular dysrhythmia occurs with all of the following except
when the Purkinje fibers initiate the electrical impulse.
39
One inhalation and one exhalation is known as
one respiration
40
When measuring liquid medications for administration, the medical assistant should read the medicine cup
at eye level with the cup on a level surface.
41
Subcutaneous medication is administered between the
skin and muscle
42
If a patient has not complied with the pre-test instructions the medical assistant should
notify the provider and ascertain if the patient should be rescheduled for the blood draw.
43
When transporting various types of specimens in the same tote, each specimen should be
in a separate biohazard bag
44
A glucose tolerance test begins with obtaining
a fasting blood specimen
45
As the office manager of a large practice, which of the following is the most important in promoting teamwork within the medical office?
Lead by example
46
The consent to treatment form should be signed prior to the procedure being performed and after
all information regarding the procedure is presented to the patient.
47
A pneumatic tube system may be used to
transport specimens throughout a health care facility.
48
Body heat may be lost by
radiation, convection, and conduction.
49
When applying the chest electrodes, the first electrode applied should be
V1
50
A normal pulse oximetry reading should be above
95%
51
An acute illness is characterized by symptoms that have a/an
rapid onset
52
When a patient needs to be "NPO for 8 hours," the patient should
eat or drink nothing for 8 hours.
53
Which of the following directions will you give a patient who is making an appointment to have allergy testing done by the patch method?
You will be asked to return to the office in 48 hours to have the patches removed.
54
How may the parent of a toddler break the chain of infection and prevent disease?
By immunizing their toddler with the current CDC recommended immunizations
55
Thermolabile means that a specimen is sensitive to
higher temperatures
56
Medical records should be retained for
indefinitely
57
You have a male patient who is 5'10", weighs 180 pounds, and has a BMI of 26. Which of the following patient education would you do?
Explain the MyPlate healthy eating guidelines.
58
How may a provider increase the level of compliance with his/her patients?
Allow the patient to take ownership of his/her disease.
59
The physical properties of urine include
amount
60
An automatic blood pressure device has all of the following advantages except
an automatic blood pressure cuff may be expensive.
61
Acupuncture, massage, and medication are considered what type of therapies?
CAM (Complementary and Alternative Medicine)
62
Hand hygiene should be performed
prior to performing any blood collection procedure.
63
When calculating BMI, you need the patient's
height and weight
64
When should the medical assistant call a patient to confirm an appointment?
1–2 days before the appointment
65
Therapeutic drug monitoring tests may be performed when there is the possibility of a drug being
highly toxic
66
RFID tags may be utilized on all of the following except
linen
67
When inserting the needle into the vein, the bevel should be positioned
up
68
Verbal communication, nonverbal communication, active listening and written communication are components of
good communication skills.
69
An apical pulse should be measured at the
5th intercostal space at the left midclavicular line.
70
When a patient calls with a question regarding his/her medical care, the medical assistant should
refer the patient to provider for further information.
71
A STAT verbal request for a lab specimen should be completed
immediately
72
An ECG for a 14 year old child is performed with the
same lead placement as the adult.
73
What is the difference between licensing and certification?
Licenses are usually obtained through the state while certifications are obtained through a professional organization.
74
Mensuration is the process of
measuring a patient
75
A copayment is a/an
set amount required to be paid at each office visit or procedure.
76
An advance medical directive is a legal document which states
the type of treatment a patient wishes or does not wish to receive.
77
The global risk for mortality causes an increase in morbidity rate throughout the world. Which of the following are the major causes of high mortality rates worldwide?
High blood pressure and high glucose levels
78
Microcapillary skin punctures will be performed when a
small amount of blood is needed.
79
What information is found in the PDR?
Manufacturers prescribing information
80
Who owns the information in a patient record?
The patient
81
When decontaminating the puncture site, the medical assistant should wipe the area in a/an
circular motion starting in the center and working outward.
82
The HIPAA laws cover all of the following except the
privacy of the health care worker.
83
What is an environmental stressor?
Stressors which cause a minor irritation found within our surroundings
84
Fasting blood glucose, two-hour postprandial blood glucose test, and oral glucose tolerance test all test for the level of
glucose
85
The physician responsible for the care of the patient during a hospital visit is known as the
attending physician
86
All of the following are part of diagnostic documents except
physical exam report.
87
What is the order of draw for collection tubes?
Blood culture tubes, coagulation tubes, then serum tubes
88
A hematocrit represents the
volume of circulating blood as compared to the amount of red blood cells.
89
To provide safety for a patient who is to have an exercise electrocardiography test done the medical assistant should
have emergency medical equipment available in the room.
90
Visual acuity refers to
acuteness of vision
91
Medications are usually given intramuscularly because they will be absorbed
faster than subcutaneously.
92
The pace of the voice refers to the
rate
93
Prior to performing an ECG, the medical assistant should obtain patient identification by obtaining the patient's
first name
last name
birth date
ALL OF THE ABOVE
94
Objective data are data which may be
observed
95
A heating pad, hot soak, and chemical hot pack are all types of
heat applications
96
When a patient phones the office with an emergency, the medical assistant should
get pertinent patient information and call 911 for the patient.
97
When identifying the patient prior to a blood draw, the medical assistant should ascertain the patient's
full name.
98
Prehypertension is a blood pressure reading above
120/80 mm Hg
99
What is the difference between a pandemic and an epidemic?
A pandemic covers a wide geographical area while an epidemic covers a city, region, or country.
100
When the medical assistant is performing active listening, he/she should perform all of the following except
make a judgment regarding the patient's educational background.
101
Which of the following situations may occur when patient records are not reviewed prior to the visit?
Previously ordered test results may not have been received.
Health issues documented in the previous visit may not have been addressed.
The patient may not have received directions for this visit such as bringing in a first morning urine sample.
ALL OF THE ABOVE
102
In general, MAs cannot do tasks that require
Decision-making based on medical knowledge
103
Which of these foods is a good source of antioxidants?
Fruits and vegetables
104
A tourniquet is used in performing venipuncture to:
Prevent venous blood flow out of the arm to enlarge the vein
105
When a HIPAA Audit takes place, the auditor will be looking for
PHI left unattended
PHI discussed in front of other patients
PHI transported insecurely
ALL OF THE ABOVE
106
Prior to beginning to see patients, the provider calls and says he/she has had an emergency at the hospital. There are five patients in the waiting room. The medical assistant should
Explain to the patients that the provider will be delayed due to an emergency and ask if anyone would like to reschedule
107
The drawer on a check is also known as the
Payer
108
Adjustment in the patient account may be used for all of the following except
Adjusting the services provided in the patient's chart
109
An email which seems to come from a legitimate company and tries to obtain sensitive or personal information is known as a
Phisher
110
When calling patients from the waiting room, the medical assistant should
Call the first and last name of the patient
111
When endorsing checks, the medical assistant may utilize any of the following endorsements except
Fraud protected
112
When a patient receives a superbill after an appointment, it includes
Diagnosis and treatment codes related to the patient’s visit
113
Wave scheduling is used when
Patients may need varying amounts of time and may be seen in segments
114
When assisting the provider with medical research, the medical assistant should do all of the following except
Change the project information at liberty
115
The provider has determined that he/she needs to annul the patient-provider relationship. The medical assistant should notify the patient by
Certified letter
116
In most states, a patient who requests a full copy of his medical record
Must receive it, but may be charged a reasonable fee for creating the copy
117
Compensation, denial, displacement, and dissociation are known as
defense mechanisms
118
A provider who feels a patient’s abdomen to see if any organs are enlarged or tender is using this form of examination:
Palpation
119
To make the reception area pleasant and inviting, the medical assistant may do all of the following except
Provide packaged snacks for patients who arrive hungry
120
Which of the following techniques should be avoided in a patient who has a seizure during blood collection?
Place something in the patient's mouth
121
Assets = Capital + Liability is an example of
Double-entry system
122
What does a speculum do to a body opening?
It widens it for easier inspection.
123
A patient has the right to ask for any PHI which has been disclosed and the medical office must provide that information within
60 days
124
It is considered ethical to asses finance charges and/or late fees by the
AMA
125
Which following word part is a prefix?
Hypo
126
Patient medication information my be discarded in
A secure bin for shredding
127
Which type of exercise is especially important for heart health?
Aerobic
128
A female patient at her 13-year checkup is likely to have experienced ______________________ in the last year.
Menarche
129
The Truth in Lending Consumer Credit Cost Disclosure Law requires that the provider do all of the following except
State how the patient balance is incurred
130
HIPAA violations are subject to fines and
Prison
131
A joint checking account will need the signature of
Depending on the account, it could require one or both of the account owners signatures
132
In a business letter, the salutation should include all of the following except
Titles or credentials after the name
133
When the medical assistant receives a subpoena to provide patient information, the first step is to
Notify the office manager and provider prior to proceeding
134
Accounts receivable are the
Accounts which owe the medical office money
135
What is likely to happen if an insurance company does not think procedure codes for an encounter are justified by the diagnosis code(s) for the encounter?
The insurance company will adjust the codes to match.
136
When should the phlebotomist draw a specimen for examination for malaria?
Just before the patient's febrile episode
137
Which of the following word parts contains a combining form?
Reno
138
When patients use the excuse that they "did not bring their glasses" or "this is too much to read right now" they may be
functionally illiterate
139
A written document which includes office policies and procedures and practice standards is know as a/an
Compliance Plan
140
Testing deep tendon reflexes is a common part of examinations of the _________________ system.
Nervous
141
A facility’s sign-in sheet can include this information:
Provider’s name
142
What is the minimum number of safety checks an MA must perform when administering medications?
Three
143
Edema refers to skin that exhibits:
Swollen appearance because of the accumulation of tissue fluid
144
Julia is an MA at an endocrinologist’s office. She enters an exam room and finds the patient holding her head and perspiring. The patient says she feels “strange and dizzy.” What may be happening and what should Julia do?
The patient may be experiencing insulin reaction; Julia should tell the provider immediately.
145
The patient may be experiencing insulin reaction; Julia should tell the provider immediately.
TRUE
146
When setting up the office schedule, there should be designated appointment times, buffer times and
Noted times when the provider will be out of the office
147
A situation in which the lines of communication breakdown and misunderstandings occur is known as
conflict
148
An MA looking for reliable information about a medication he has never administered before should
Use the facility’s drug reference book
149
When registering a patient, the medical assistant should ask the patient for the following
Insurance information and valid ID
150
Blood collection procedures begin with:
Requisition or order for blood test
151
Which fetal position is best for a vaginal delivery?
Vertex position
152
Healthcare workers and patients wearing high-quality masks during times of high COVID or flu spread helps to break both of these links in the chain of infection:
Chain links 3 and 5: portal of exit and portal of entry
153
The current American Heart Association protocol for cardiopulmonary resuscitation on adults who are found unconscious with no respiration or pulse includes:
100 chest compressions per minute
154
When preparing a bank deposit, the ABA routing numbers are located
At the bottom left
155
A life-threatening blood infection by a multiplying pathogenic microorganism is known as:
Septicemia
156
Which of the following tests can be performed on blood that is collected by dermal puncture?
BUN
157
Listening to someone speak and not giving a reply is known as
passive listening.
158
A positive Allen test is evidenced when:
Color appears in the hand within 5 to 10 seconds
159
A Compliance Officer may also be known as a/an
Security officer
160
Before deciding to turn an account over to a collection agency, the medical assistant should
Exhaust all avenues of receiving payment from the patient
161
When atrophy occurs,
The muscle decreases in size
162
Urinalysis testing includes all of the following, except:
Volume
163
A patient approaches the reception desk and the medical assistant is on the phone. The medical assistant should
Ask the patient on the phone to hold while he/she greets the patient
164
Which substance is produced by the integumentary system to protect cellular DNA?
Melanin
165
When the medical assistant receives a stack of lab reports from the lab, the medical assistant should first
Allow the provider to view each lab report to determine if additional care is needed
166
When a patient arrives more than a half hour late for their appointment, the patient should
Asked to reschedule so as not to inconvenience other patients
167
An example of providing holistic care is
While checking vital signs, asking a patient who has an infant how she is adjusting to this new phase of life
168
Patient information should be updated at
Each patient visit
169
A memo includes the following components
TO:, FROM:, DATE:, SUBJECT:
170
When a patient with asthma is wheezing, the sound is most often heard
During exhalation
171
When the provider is unavailable during office hours, provider contact information should be
Posted in a place where office staff may view it and contact the provider if needed
172
Petty cash should be kept in the medical office to pay for
Small purchases which are not recurring
173
When taking a phone message the medical assistant must make sure that the
Time, date and return phone number are included
174
Where is the temporal artery located?
On side of the forehead
175
A patient refuses a vaccine the provider strongly suggests she receive. The best next step for the MA is to
Ask non-judgmental questions to understand the patient’s refusal
176
When copying patient information, a log should be kept and a notation made in the
Patient's chart
177
While doing patient intake for a patient with Hashimoto’s thyroiditis, what type of medication might an MA expect the patient to be taking?
Medications to replace thyroid hormone
178
When setting up the matrix of the office appointment schedule the medical assistant should schedule time for meeting about operational needs which should include
Discussing patient flow
179
Which of these notes by an MA in a patient’s record is objective information?
“Pt has elevated pulse and BP.”
180
The legal principle of respondeat superior means which of the following is true?
If an MA harms a patient during care both the MA and the provider may be considered liable.
181
A compound sentence is composed of
Two independent clauses connected by a conjunction
182
Being a member of a credit bureau allows the provider to do all of the following except
Obtain information regarding the amount of money in a bank account
183
When assisting the provider to write a professional article, the medical assistant may be asked to
Create charts and reports
Back-up all research information
Record a speech when presented
ALL OF THE ABOVE
184
Office records such as credit card statements and bank statements should be kept in a
Locked file cabinet
185
Community resources should be utilized when
The service provided is appropriate for the needs of the patient
186
For which of the following procedures should an MA wear gloves?
Receiving the completed urine specimen from the patient
187
The statue of limitations sets a time limit on when a
Collection suit on a past-due account can be filled
188
The ability to communicate with patients in a way they understand is known as what type of communication?
Therapeutic
189
The DOT label for hazardous substances is:
Diamond shape with United Nations hazard class number and identifying number
190
After a patient has made several visits to a provider due to chronic headaches, what should an MA assume about the patient?
That her pain has not been treated successfully
191
Before entering the heart, deoxygenated blood from the systemic circulation collects in the:
Venae cavae
192
How long after autoclaving is a sealed packet of equipment considered sterile?
30 days
193
Mumbling, speaking abruptly, and avoiding eye contact
are negative verbal communication skills.
194
When a patient is having difficulty paying their bill, it may be wise to
Recommend the patient see a credit counselor
195
Self-scheduling may be completed on an internet patient portal and will allow patients to schedule
Follow-up visits which will be checked by the medical assistant prior to confirmation
196
Although a facility is charged a small fee for transactions using a credit or debit card, this fee may be considered worth paying because
The facility is guaranteed to receive the patient’s payment
197
Double booking patients will be used for all of the following except
Two lengthy diagnostic procedures scheduled at the same time
198
When aging an account, an analysis of the account is done by
Time
199
Businesses are more vulnerable to fraud
On holidays
On Friday afternoons
On weekends
ALL OF THE ABOVE
200
Which of the following patients is both guarantor and subscriber?
An adult covered by his own health insurance policy
201
The letter style in which the letterhead may be centered but all other lines are left justified is known as
Full block style
202
Standing by your principles while still showing respect for others is known as what type of behavior?
Assertive
203
When a patient presents their insurance card, the information on the card should be
Copied and the information put into the patient's chart
204
A patient has an appointment to discuss back pain that has been bothering him for several weeks. Which of these questions from an MA is likely to gather the best information for the provider?
“Does anything seem to make it worse or better?”
205
The medical assistant should back up computer data at the end of each
Day
206
When transcribing medical information, the transcriptionist should do all of the following except
Transcribe medical documents without proofreading or editing
207
A patient fell off of his bicycle and slid along the pavement. What type of wounds to the skin are most likely?
Abrasion
208
Patient information brochures should include all of the following except
Insurance information regarding treatment coverage
209
When obtaining informed consent from a patient, the medical assistant must obtain the patient's
Patient's signature and witness signature
210
Facing the speaker, arms at your side and making eye contact with the speaker is an example of
open posture
211
When the medical assistant is notified that a NSF check has been received, this notification means
There are not sufficient funds in the account to cover the check
212
When making a collection call to a patient, the medical assistant may call the patient
Only once per day
213
A patient approaches the reception desk and states that they are having chest pains. The medical assistant should
Ask them to step into an exam room and inform the provider immediately
214
Patients who say they have fainted during blood draws in the past
Should be reclined or supine for a blood draw
215
When mailing reminders to patients to return to yearly physicals, the reminders are usually mailed
Monthly
216
Bones are a form of
Connective tissue
217
A patient who pays a discounted fee based on a sliding scale must provide the office with proof of
Income
218
The term phlebotomy is derived from the Greek word phlebotomas, which literally means:
Cutting a vein
219
All of the following measures should be performed to prevent movement of the needle in the patient's arm as the phlebotomist puts a tube on and takes it off the needle, except:
Anchor hand on patient's arm while pulling tube straight out of holder
220
Which of the following AV shunts consists of a fistula that may never be used for phlebotomy purposes?
Internal shunt
221
The HIPAA Security rules cover all medical office and all
Business entities
222
Acceptable antiseptic(s) used in performing arterial blood draws is (are):
Alcohol
Alcohol and povidone-iodine
Chlorhexidine
ALL OF THE ABOVE
223
When mailing documents for which you need legal evidence of receipt you should use
Certified mail
224
The classification of mail in which a letter is usually received overnight to local cities and second-day service nation wide is
First-class mail
225
A patient has been diagnosed with anemia, and the physician wants to assess how well the bone marrow is producing RBCs. The physician requests which of the following tests to be drawn and analyzed?
Reticulocyte
226
What equipment would be best to use when drawing blood from an elderly patient currently going through chemotherapy?
A winged collection set and syringe with a 23-gauge needle
227
Sentence errors consist of all of the following except
Sentence moniker
228
The feeling of dizziness and loss of balance is also called
Vertigo
229
Disbursements are
Any payment for goods or services
230
If a patient pays out of pocket for a service, the provider may
Not disclose information regarding the service to anyone not designated by the patient
231
Which of the following is a practice management function that may be available in an EHR system?
Tracking patient payments
232
When completing patient intake, all of the following forms should be completed except
Evaluation of the office staff
233
Which agency grants certification for phlebotomy upon the passing of a certification examination?
American Society for Clinical Pathology (ASCP)
American Society for Clinical Laboratory Science (ASCLS)
National Phlebotomy Association
ALL OF THE ABOVE
234
What should an MA always do when setting up ambulatory heart monitoring for a patient?
Check that the batteries are fresh
235
When accessing PHI on a computer screen located in a reception area, the medical assistant should utilize a screen shield to
Minimize the ability of a registering patient to see PHI
236
Proper hand washing technique requires scrubbing of palms, backs of hands, and between and under nails for a minimum of:
20 seconds
237
When there is a balance difference between the bank statement and the check book register the medical assistant should
Balance the check book register and check the bank statement
238
When the provider asks the medical assistant to annotate letters received at the office, he/she will
Underline or highlight important sections of the letter
239
What is a health care proxy?
A durable power of attorney
240
Depending on a patient’s insurance coverage, a(n) _______________________ and/or _______________________ may be needed
for specialist care.
Referral; preauthorization
241
Accounts payable usually include payments for
Payroll and taxes
Supplies and equipment
Practice-related services
ALL OF THE ABOVE
242
Type of checks include the following
Cashier's check, Certified check and Counter check
243
The medical assistant may be asked to print out financial reports for the provider. This information may be
Kept confidential just as if it were patient health information
244
When clustering appointments, the medical assistant should schedule
All physical exams during the same time period
245
All office employees must wear name badges which include
First name, last name and job title
246
The number of patients who should be present at the front desk at one time is
1
247
A provider’s fee schedule charges more for an encounter than a patient’s insurance company will pay. The provider is in the patient’s insurance network and the patient has already paid the correct coinsurance. What happens to the remaining balance?
The provider must adjust the charge to match the insurance company’s allowable amount.
248
Sam is an MA at a cardiologist’s office. When measuring manual blood pressure on a patient with a weak pulse, he cannot hear the pulse well enough to take an accurate measurement. What should Sam do to get a measurement?
He should take a palpatory blood pressure measurement.
249
________________________________ is a dysrhythmia common in elderly patients that increases stroke risk.
Atrial fibrillation
250
These are tiny projections in the small intestines that allow more nutrients to be absorbed from digested food:
Villi
251
Prior to the beginning of the day, the medical assistant should
Print out the patient list for the day
Pull the files for the day
Notify the provider of any changes in the schedule
ALL OF THE ABOVE
252
When communicating with patients and coworkers, what is the normal area of personal space?
4–12 feet
253
An MA is assigned to draw blood from the “dorsal aspect” of a patient’s hand. Where will the needle be inserted?
The back of the hand
254
When a payment plan is instituted, the patient must complete and sign a
Truth in Lending Disclosure form
255
A 4-year-old outpatient requires a blood draw for collection of a CBC and venous blood gases. The child had been crying excessively before your arrival. Which of the following laboratory values may be elevated if you were to proceed with the draw?
White blood cell count
256
A patient who is diagnosed with mononucleosis has been infected by the
Epstein-Barr virus
257
Respiratory failure happens when
A patient’s lungs cannot supply the blood with enough oxygen
258
Which of these examples of documentation by an MA best follows the Six Cs of Charting?
“A rusty wire went through pt’s shoe and punctured the medial plantar surface of the L foot. Pt guesses depth of puncture ½ cm. Pt cleaned wound with EtOH, applied antibiotic ointment. Pt noted redness, swelling, and ‘bad pulsing pain’ an hour later. Pt received Td booster the day of the injury. Redness, swelling, and pain continue.”
259
When scheduling an appointment, you need the following information.
Patient name, date of birth and reason for the visit
260
Preventing the spread of infection to patients, health care workers, and visitors requires breaking the chain of infection through use of all of the following, except:
HIPAA
261
Phlebotomy trays should be disinfected with bleach at least once per:
Week
262
Who is usually responsible for checking and restocking supplies in an examination room?
The medical assistant
263
A record of petty cash should be kept to prevent
A loss of petty cash due to theft
264
While explaining the policies and procedures of the medical office to a new patient, the patient states that they do not understand what the medical assistant is saying. The medical assistant should
Assess the patient for any vision or hearing impairment and determine if English is their native language
265
Athlete’s foot is a type of _________________ infection.
Fungal
266
A check must be written, signed by the drawer and
Payable to the order of the bearer
267
Patient health information may be faxed
After obtaining patient consent
268
The employee who is responsible for educating and training the office staff in HIPAA compliance is known as the
Compliance, security or privacy officer
269
When a patient does not show up for a scheduled appointment, the medical assistant should
Make a notation in the patients chart of the missed appointment and call the patient to reschedule
270
The proper technique for filling a hematocrit is by:
Touching the drop and letting it fill by capillary action
271
Which of the following joints is most likely to be involved in a dislocation?
The shoulder
272
This condition is an acute, severe infection of the kidney, treated with antibiotics:
Pyelonephritis
273
Rheumatoid arthritis is a(n) _______________ illness.
Autoimmune
274
This item is consumable:
EKG paper
275
Being sensitive to the feelings of a patient is known as
empathy
276
When maintaining files on team members in regards to licensure and certifications, the medical assistant should
Set up an automatic notification system to remind him/her that credentials need to be updated
277
The tonsils directly protect these systems from infection:
Respiratory and digestive
278
The heading of a business letter includes the
Letterhead and date line
279
In compiling with HIPAA regards to privacy practices, the Notice of Privacy Practice of the medical office is given to
All patients seen in the medical office
280
The Fair Debt Collection Practices Act allows
The patient to be contacted at work if the medical assistant has been unable to contact the patient at home
281
When sending metered mail from the medical office, you will need a
Postage meter
282
Why is it important to know a pregnant patient’s blood type, including Rh factor?
Because when a fetus is Rh-positive and a mother is Rh-negative, a dangerous condition can occur
283
An MA enters an exam room and finds an adult patient unconscious. Where should the MA check for the patient’s pulse?
At the carotid artery in the neck, using her fingers
284
A postdated check will be dated
A date in the future
285
Patient payments are often collected
Right before or after the visit
286
If a patient is refused credit at the medical office, the medical assistant must
Notify the patient of which credit bureau was used
Include the criteria for refusal
Notify the patient in writing
ALL OF THE ABOVE
287
When the provider recommends a follow-up visit, the visit appointment should be made
At the end of the current appointment, before leaving the office
288
When checking patient registration documents, the medical assistant should check for
Documents which are complete including signatures and dates
289
Which of the following should be noted in a patient’s family health history?
A sibling with breast cancer
290
Setting up the appointment schedule is known as setting up the
Matrix
291
Exceptions to the patient information disclosure rule include all of the following except
Marriages and legal name changes
292
Which of the following units would one find only in a larger hospital and not in a small rural hospital?
NICU
293
The medical assistant should maintain a list of community resources which should include
HAZMAT Response Team
Emergency Management Services
Poison Control Center
ALL OF THE ABOVE
294
During gestation, a fetus swallows amniotic fluid. Material that builds up in the intestines during this time is eliminated in the infant’s first bowel movement after birth. It is called
Meconium
295
Personal characteristics of a phlebotomist should include all of the following, except:
Aggressiveness
296
Fee schedules should include the
CPT code for the procedure and how much is charged
297
When mailing clinical specimens, it is important for the medical assistant to determine all of the following except
Demographic information of the insurance payer
298
When preparing to open the medical office, the medical assistant should do all of the following except
Call the first patient and make sure they are on time
299
The function of the system level of organization is to:
Carry out common tasks
300
When processing mail, the medical assistant prioritize in the following order
First-class correspondence, Professional Association Correspondence, Professional Journals
301
After an initial contact dealing with patient collections, the amount of the debt and the name of the creditor must be mailed to the patient within
Question 200Answer
5 days
302
A provider who is convicted of a criminal offense or unprofessional conduct may have his/her license
revoked
303
Which of the following secretes a lubricating fluid which reduces the friction between bones?
Synovial cavity
304
Why would the medical assistant choose to use the syringe method for obtaining a blood sample?
The syringe method may draw the blood into the barrel slowly and prevent vein collapse.
305
Which of the following are preanalytic variables?
Choice of venipuncture site and storage of specimen for transport
306
Which of the following are often the key to deflecting a lawsuit?
Accurate and up-to-date medical records
307
Rods and cones perform what function within the eye?
Rods are responsible for night vision and cones are responsible for sharp, central vision.
308
What is the normal size of EKG graph paper?
5 x 5 mm
309
How long should the medical assistant allow a red top tube to stand at room temperature for complete clotting to take place?
30 minutes
310
What is the first step the medical assistant should take if exposed to an accidental needlestick?
Immediately flush the area with water.
311
Which of the following colors represent the right arm and left arm limb leads?
The right arm is white and the left arm is black.
312
Which type of antiseptic should be used when performing a routine venipuncture from the antecubital space?
Isopropyl alcohol
313
What is the most important aspect of phlebotomy?
Patient identification
314
When should alcohol-based hand sanitizer be used?
When the hands are not soiled
315
What is a fomite?
An object which may carry infection
316
What is the total chemical change that occurs within a cell?
Metabolism
317
What constitutes one cardiac cycle?
One contraction and one relaxation of the atriums and ventricles with the atriums contracting, then the ventricles
318
What are the three types of blood specimens collected for blood testing?
Whole blood, serum, and plasma
319
Diastole is when the heart is
relaxing
320
What is hemoconcentration?
An increase in the ratio of formed elements to plasma
321
Which government agency oversees CMS?
The DHHS oversees CMS
322
What three obligations does a patient have within the provider-patient contract?
To tell the provider the truth and to recommend the provider to family member
To pay the provider for his/her services
323
Which branch of law covers the confidentiality of the patient-provider relationship?
Common law
324
What is regulated medical waste?
Medical waste that poses a threat to health and safety
325
What is hemolysis?
The breaking down of blood cells
326
When working in a provider office, which of the following accreditation agencies would the medical assistant be involved in assisting with the accreditation process?
AAAHC
327
Which branch of public law defines crimes?
Criminal law
328
Which of the following types of health plans forms a network with providers who agree to provide services to enrollees at a discount?
PPO
329
What percent of the blood is plasma?
55%
330
What is the difference between tachycardia and bradycardia?
Tachycardia is an abnormally fast heartbeat and bradycardia is an abnormally slow heartbeat.
331
Where does the needle attach to the needle holder in the vacuum method?
At the hub
332
What are the symptoms of inflammation?
Redness, swelling, pain, and heat
333
What is the visceral serosa?
Covering of the internal organs
334
Under the direction of OSHA, what must an employee right-to-know standard contain in the medical office?
A list of hazardous chemicals used in the office
A written exposure plan
MDS sheets for all chemicals
ALL OF THE ABOVE
335
What is the difference between arteries and veins?
Arteries carry blood away from the heart and veins carry blood to the heart.
336
Which of the following are the types of hospitals found in our health care system?
Public, private, and non-profit
337
What is the first article the medical assistant should put on when putting on PPE?
Gown
338
Jamie, the medical assistant for Dr. Lee, is going to draw Mr. Wilson's blood when she notices the antecubital area is red. This redness is known as
erythema
339
What is a QIO provider?
A provider who is working under the direction of a quality improvement organization
340
Which of the following are branches of private law?
Tort law, family law, and corporation law
341
What instrument is used to determine the oxygen saturation of the blood?
Pulse oximeter
342
Why would a provider order an EKG?
To determine the rate, rhythm, and output of the heart
343
How may sterilization be performed?
Chemical, steam, gas, or oven
344
Why would the Ishihara test be performed on a 7-year-old boy?
To determine color blindness
345
At what angle should the venipuncture needle be inserted into the vein?
15–30 degree
346
What is physiological shock?
The failure of the cardiovascular system to deliver enough blood to all parts of the body
347
Which body system acts as a barrier to protect the body and also retains body fluids and regulates body temperature?
Integumentary system
348
What causes conductive hearing loss?
When there is physical interference with the normal conduction of sound waves
349
Axillary means pertaining to the
armpit
350
Why would the medical assistant utilize a vacuum tube with sodium citrate?
To obtain a blood sample for a prothrombin time
351
What is a MSDS sheet?
Materials safety data sheet
352
Which of the following instruments is used to open a body orifice?
Speculum
353
Which of the following are considered vital statistics and must be reported?
Birth, marriage, divorce, and death
354
Who owns the patient's health care records?
The provider owns the record and the patient owns the information
355
What does a selectively permeable membrane do?
Allows some materials to pass through and restricts other materials
356
Why should the medical assistant avoid asking a patient to "pump their fist"?
When a specimen is obtained when a patient has pumped his/her fist it may lead to an increased level of potassium.
357
What is the function of the cerebrum?
Coordinates voluntary movement and balance
358
What three factors are assessed when taking a pulse?
Rate, rhythm, and force
359
Which of the following temperature readings will likely be one degree higher than the oral reading?
Rectal
360
Where is the mediastinum located?
In the central part of the thoracic cavity between the lungs
361
How long may a tourniquet be left on when performing venipuncture?
1 minute
362
Which of the following are included in the CDC guidelines for standard precautions?
Hand hygiene and using gloves
Sharps disposal and cough etiquette
Gowns which are fluid-resistant and fact protection
ALL OF THE ABOVE
363
What is accreditation?
A voluntary compliance with a set of standards usually set by a professional, independent organization
364
A CBC will include
hemoglobin, hematocrit, white blood cell count, red blood cell count, and platelet count
365
A provider who obtains the patient's consent for a procedure but does not explain the procedure of the risks involved may be guilty of
negligence
366
What is the primary purpose of Medicaid?
To provide resources for health care to individuals with limited resources
367
Which of the following health care plan manages the care of the enrollee?
MCO
368
What is a Holter monitor?
An ambulatory monitor used to record the electrical activity of the heart throughout normal daily activities
369
In the acronym RACE, R represents
remove
370
Which part of the body is examined with the patient in the Fowler's position?
Front, upper part of the body
371
What is the triangle formed by three of the limb leads and used to determine the first six leads of a 12 lead EKG?
Einthoven's Triangle
372
What can cause AC interference when performing an EKG?
An electrical current within the area of the EKG which interferes with the recording of the EKG
373
Which of the following is the correct order of draw when a blood culture and CBC are ordered?
Yellow then lavender tubes
374
Dr. Lorenzo orders a CBC for Ms. Donatello. Which tubes will you need to use for the phlebotomy?
Purple
375
What is the meaning of the CHIP acronym?
Children's Health Insurance Program
376
Which of the following allows an enrollee to receive health care services outside of the health care network?
PPO
377
A cane should be held on which side of the body?
Opposite the affected side
378
Which of the following may be an exception for requiring parental consent for the treatment of a minor?
The minor is a member of the armed forces.
The minor needs emergency treatment.
The minor is emancipated.
ALL OF THE ABOVE
379
What types of vital signs are obtained with the patient in both a lying down, sitting and standing position?
Orthostatic vital signs
380
Which of the following do microorganisms need to reproduce?
Oxygen, temperature, and moisture
381
Which of the following are extensions which are used for movement within the internal organs such as the cells?
Cilia
382
Which vacuum tube contains no additive?
Red
383
Murder, fetal murder, euthanasia, and manslaughter are considered what type of offenses?
Criminal
384
What does pH stand for?
Percent of hydrogen
385
The chain of infection is a continuous link between the reservoir, means of transmission and
susceptible host
386
What is the bevel?
The angle of the needle
387
What is an intentional tort?
An intentional surgical mishap which may have been alleviated through acceptable standard of practice
388
Claire has just been hired as a new clinical medical assistant at Dr. Dyer's office. When must the office manager offer Claire to receive the hepatitis B vaccine?
Within her first 10 days of employment
389
Which type of medication injection should result in a slower absorption?
Intramuscular
390
Dr. Islam recommends his patient, Ms. Gibraltar to have a cholecystectomy. The medical assistant will perform all the preoperative paper work. This will include
a signed informed consent
391
Which of the following is a common source of infectious vehicle transmission?
Contaminated food and medical devices
392
The medical assistant is examining Mr. Phillips' antecubital area and determines his veins are small. What type of phlebotomy method should be used?
A winged or butterfly infusion set
393
Where does the exchange of oxygen and carbon dioxide occur outside of the lungs?
Capillaries
394
Which of the following is the flow of blood from the body and into the lungs?
Inferior or superior vena cava into the right atrium through the right ventricle
395
What is the focus of OSHA?
To provide a safe work environment for all employees
396
What is a fasting specimen?
A specimen obtained from a patient who has not eaten for 8–12 hours
397
Coughing, sneezing, or talking may produce what type of infectious transmission?
Droplet
398
The transverse plane will divide the body into
top and bottom
399
What does the P wave represent on the EKG?
Atrial depolarization which causes atrial contraction
400
What is the definition of phlebotomy?
To cut into a vein
401
Where is the V1 lead located when performing a standard 12 lead EKG?
Fourth intercostal space at the right sternal border
402
What is an artifact?
An abnormal marking on the EKG
403
Which of the following indicates pyrexia?
A body temperature above 102° F (37.7° C)
404
What is the first action the medical assistant should take when he/she determines there is a fire?
Make sure the patients are safe
405
Blood is considered to be which type of tissue?
Connective tissue
406
How long may a 10% bleach solution be used?
For 1 day
407
What is the process of cleaning or removing soil from an object?
Washing
408
Which government agency is dedicated to the prevention and control of disease, injury, and disability?
CDC
409
Where is the brachial artery located?
On the anterior aspect of the arm
410
Which of the following causes of heat loss is the transfer of heat through air current?
Convection
411
Which of the following tests may be performed to screen pancreatitis?
Amylase
412
As part of the OSHA safety plan for the medical office, there must be an adequate number of exit routes throughout the office and
a diagram of the evacuation routes posted in highly visible areas.
413
Dr. Abramson would like to perform a breast exam on Ms. Lopez. How should the medical assistant position Ms. Lopez?
Supine
414
Cell reproduction is known as
mitosis
415
How many chest leads are recorded in a standard 12 lead EKG?
Six
416
Which of the following body functions is used to maintain homeostasis?
Blood sugar levels, body temperature, and heart rate
417
What is a BMI used to determine?
A correlation between the height and weight of the patient
418
The Bloodborne Pathogens Standards set by OSHA include
employers must have a written bloodborne pathogen exposure control plan.
employers must provide immunizations against hepatitis B to employees free of charge.
employers must provide proper PPE to employees.
ALL OF THE ABOVE
419
What is the abbreviation for hemoglobin?
Hgb
420
Which assessment technique may be used to determine the size, density, and location of an organ?
Palpation
421
Which of the following body organs removes waste products from the body, balances the body's fluid levels, and releases a hormone which regulates blood pressure?
Kidneys
422
When is it assumed a patient is giving consent without an implied or express consent agreement?
When there is a life threatening emergency
423
What type of contract is established when a patient comes to a medical office and asks to receive care?
Implied contract
424
Which of the following tests is performed for thyroxine?
T4
425
What is the plural form of thrombus?
Thrombi
426
What is medical asepsis?
The absence of pathogenic microorganisms
427
What two records must be maintained under the OSHA Bloodborne Pathogens Standard?
A list of all employees at risk of exposure and a sharps injury log
428
When should filled tubes be labeled?
After removing the needle, assisting the patient with bleeding and before the patient leaves the phlebotomy area
429
When does stress incontinence occur?
Usually when laughing, talking, or walking up stairs
430
What is a nosocomial infection?
An infection contracted by a patient at a health care facility
431
When a venipuncture is performed and a black and blue area forms this is known as a
hematoma
432
If cells form tissues, what do tissues form?
Organs
433
Who set the standard for needle safety in health care facilities
OSHA
434
What are the three categories of damages recognized by the law?
Nominal, compensatory, and general
435
What is dextrocardia?
When the heart is on the opposite side of the chest
436
How much time may elapse between obtaining the blood specimen and the specimen being centrifuged?
1 hour
437
What is the most important task the medical assistant may perform to prevent the spread of infection when performing EKG?
Handwashing
438
Where does hematopoiesis occur?
Bones
439
What will be included in state and/or federal medical practice acts?
Stipulations on how often medical licenses must be renewed and established procedures for suspending or revoking a medical license
The definition of the practice of medicine prohibits practicing medicine without a valid license.
Established prerequisites for obtaining a medical license
ALL OF THE ABOVE
440
What position is the diaphragm in when the lungs are filled with air?
Contracted
441
What is the genetic material located in all cells?
DNA
442
Augmented leads are also known as
Unipolar leads
443
Which of the following microorganisms needs air to life and grow?
Aerobe
444
Which type of infection will go through periods of relapse and remission?
Latent infection
445
Where is the antecubital space located?
On the inside of the elbow
446
What may cause sinus tachycardia?
The SA node fires and the electrical impulse is normal but at a rate of more than 100 per minute
447
Mrs. McAuley comes to the office today with a small cut on her right palm which she got from cutting an apple. What type of cut does Mrs. McAuley have?
Superficial
448
A provider who fails to see a patient as often as necessary to provide needed health care may be found to have
abandoned the patient
449
Transportation of blood to and from the lungs is known as
pulmonary circulation
450
What is the most frequent type of transmission of an infectious agent for a health care worker?
Direct contact
451
What is pulse pressure?
The difference between the systolic and diastolic reading of a blood pressure
452
What is the difference between a bactericide and a bacteriostatic agent?
A bactericide kills microorganisms and a bacteriostatic inhibits the growth of the microorganism.
453
Under what circumstances may an autopsy be performed without the consent of the family?
The cause of death was unknown and there was not a doctor in attendance at the time of death
454
Mr. Lieberman, an 89-year- old patient, is now experiencing an adverse reaction to a surgical procedure he received 32 years ago due to malpractice of the provider. May Mr. Lieberman sue?
Yes
455
What is the function of erythrocytes and leukocytes?
Erythrocytes carry oxygen and leukocytes fight infection.
456
What disease causes a narrowing of the blood vessels surrounding the heart?
CAD
457
Which classification of medication would be used to manage high blood pressure?
Antihypertensive
458
After obtaining blood in a purple and yellow top tube, what should be done immediately with the tubes?
Gently invert each tub to mix the blood with the additives.
459
What piece of equipment is needed to obtain an apical pulse?
Stethoscope
460
Mrs. Lower has COPD and cardiomyopathy. She is also experiencing cyanosis of the hands and feet. Which blood test may the provider order?
ABG
461
How often should the medical assistant calibrate the centrifuge?
Every 3 months
462
Which type of fracture occurs when the break is perpendicular to the long axis of the bone?
Transverse fracture
463
Beginning from the outside, what is the order of the layers of bone?
Periosteum, compact bone, cancellous, bone marrow
464
The medical office exposure control plan must identify the employees who must receive exposure control training, include the method of compliance to the plan and
postexposure follow-up
465
Which of the following symptoms are considered subjective?
Pain, ringing in the ears, or dizziness
466
What is the most effective means of preventing the spread of infection?
Hand hygiene
467
What is managed care?
A system where patients visit a primary care provider who manages or monitors their care
468
Which part of Medicaid is also known as the Medicare Advantage Organization?
Part C
469
Why do some vacuum tubes contain sodium heparin?
To act as an anticoagulant
470
When should standard precautions be used?
When working with all patients
471
How long should a bleach solution be allowed to remain in contact with a contaminated area?
20 minutes
472
Which types of lab tests are covered under CLIA waived tests?
Tests which are simple and pose no risk of harm to the patient if an incorrect result is obtained
473
What is a class C fire?
Electrical equipment
474
What is the average ratio of heartbeats to breaths?
One breath to approximately four heartbeats
475
Where is the anterior axillary line located?
An imaginary line directly in front of the arm pit
476
Marital status, sexual behavior, occupation, and hobbies will be included in which history during the physical exam?
Social history
477
How many liters of blood are in the normal adult?
5–6 liters
478
What is an idiosyncratic reaction to a medication?
An abnormal reaction that is unpredictable
479
What is the function of TSH?
To monitor metabolism
480
What is peak flow rate?
A measurement of the maximum volume of air which may be exhaled
481
How far above the bend of the elbow should the sphygmomanometer be placed?
1–2 inches
482
What is the primary purpose of a primary care provider?
To provide the first portal of entry into the health care system for a patient
483
Which inherited disorder interferes with the clotting factor in blood and increases bleeding time?
Hemophilia
484
What is ischemia?
A lack of blood supply
485
What is asepsis?
The absence of pathogens
486
What does the application of heat produce on a localized area?
Dilation of the blood vessels
487
What is an invasion and growth of microorganisms which causes disease?
Infection
488
When should the medical assistant perform handwashing?
Before and after performing any procedure on any patient
Between direct or indirect contact with different patients
Before and after contact with wounds
ALL OF THE ABOVE
489
Which of the following is granted by a state, is mandatory, and stipulates a minimum level of competence?
Licensure
490
Which of the following health care facility would focus on increasing the ADL of a patient?
Rehabilitation facility
491
The first three limb leads are also known as
standard and bipolar leads
492
What should be used to clean up a spill of a biohazard substance?
10% bleach solution
493
Who must report suspected child abuse?
Providers
School personnel
Health care providers
ALL OF THE ABOVE
494
When obtaining respiratory rate, how long should the medical assistant count the respirations?
A full minute
495
Which of the following diagnoses is used to determine which disease is producing which symptoms?
Differential
496
Bile is stored in what body organ?
Gall bladder
497
What is a CBC?
Complete blood count
498
When would the Z-track method of administration of a medication be used?
When the medication is irritating to the tissues
499
What is the difference between anatomy and physiology?
Anatomy is the makeup of the body and physiology is how the body works.
500
A medical assistant performs a venipuncture without cleaning the site first. What type of act did the medical assistant perform?
Negligence
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