1 Flashcards
_ Protects confidentiality and phi stored on, transmitted through, a computer, network, or internet
The security rule
Who mandates “infection control procedures”?
OSHA
Patients have the right to talk in confidence With providers which is known as ______.
confidentality of health information
T or F
Charts can be left in the examination room while the patient is waiting for the physician
False
What is the medical assistant doing when he/she asks a patient a series of screening questions to ascertain the nature, extent, and urgency of his condition?
Triage
What is the statement of guidelines or rules given on a topic?
Policy
Mail weighing more than 13 ounces is _________.
Priority mail
Principal above all else in scheduling
Flexibility
The typical scheduling time for an ep routine follow up appointment is ________.
15 minutes
How often should infection control, qualify improvement, and risk management procedures be reviewed?
Regularly
Implementation of compliance and ______ standards are based on the development of written standards and_______.
Practice, procedures
Who mandated HIPPA?
Department of health and human services
What does NCCI do?
Determines the extent in which Medicare pays for services
Erroneous claims are______ billing errors or mistakes
Innocent
A filing system in which a intermediary source of reference, such as a file card, must be consulted to locate specific files is called a(n)______ system.
Indirect filing
Plan that allows patients to go to any physician
Fee for service
A notice a provider should give a patient before services are provided, if, based on Medicare coverage rules, the provider has realms to believe Medicare will not pay for the service.
Advance beneficiary notice (abn)
An advance beneficiary notice (abn) is also known as a(n)______.
Waiver of liability
The schedule matrix__________.
Prevents booking of patients during meetings and hospital rounds
The principal advantage of using wave method when designing the scheduling process is that it_________.
Allows flexibility to accommodate the Unpredictable
Medigap policy
A Medicare supplemental insurance policy sold by private insurance companies
What is created and managed for a single provider N single health care organization
EMR
Most common type of letter written In clinic/doctors office
Block style
Statement of guidelines or rules on a given topic
Policy
What does cert do?
Measures improper payments in the Medicare fee-for-service program
Organization that developed the bloodborne pathogen standards
OSHA
How long should arm rest before reinflating bp cuff?
1-2 minutes
Ratio of bleach to water
1:10
When taking a Childs pulse. Which pulse point is most commonly used and is also used when obtaining a bp
Brachial
Example of febrile temperature
102.0f
What could occur when using a bp cuff that is too large?
Inaccurate bp, lower than usual.
A reason to use a contrast media during diagnostic imaging
Highlights inner contours of body.
Position used with shock patients
Trendelenburg ( head declined below level of feet while supine( laying) on table)
Geriatric depressin tool relates to
Dally activity interests and feelings
Pediculosis
Head lice
How long should hand washing last when first arriving to work?
1-2 minutes
Difference between systolic and diastolic blood pressme
Pulse pressure
Normal newborn heartrate
120-160
Position where patient is sitting up at 90° at the end of the examination table
Fowlers
Which test measures a patient’s hearing using air and bone conduction
Tuning fork test
Normal range of specific gravity of urine in adults with normal diet and fluid intake
1.015-1.025
Bending the forearm towards the body
Flexion
When performing a rapid strep test, you should______.
Bring The reagents and devices to room temperature before obtaining the specimen
Water soluble vitamins
Vitamins b and c
Food with vitamin c?
Oranges
Most current recommended immunization schedule to post in the pediatric office is found
CDC
Chemical analysis of urine
Clia-waived
Goniometers
Measures range of motion
Antibiotic is for
Bacteria
A gram of fat is equal to how many calories?
9
Position: lie on left side with left arm and leg drawn back and the right arm and leg flexed up and is commonly used to examine rectum or hemorrhoids
Sims
Endocrinologist for________.
Diabetes mellitus
Bacteria with rod shape
Bacillus
Bid
2 times a day
If a patient is diagnosed with a blood clot in their lower left leg, what would most likely be prescribed for the patient per iv solution?
Heparin
In EKG: which lead is placed on the left side of the sternum at the fourth intercostal space?
V2
The risk of developing coronary artery disease is increased by what?
Smoking
Properly calibrated ekg machine should indicate
10 mm high
25 mm/second
Government agency that regulates controlled
Substances
Dea
Which EKG leads are augmented?
AFV ALV AVR
Hearts natural pacemaker
Sa node
Snellen: patient can read the 20/30 line with 3 errors. What is the next step?
Have patient move to 20/40 line and continue testing the right eye
Schedule lI drug
Methadone
Drug accepted for medical use but has highest potential for abuse
Schedule II
What is a checks and balances system when the physician prescribes administration of a medication for a patient being seen in the office?
Seven rights
Sub-cut
Subcutaneous
ID
Intradermal
I’m
Intramuscular
IV
Intravenous
Nas
Nasal
Po
By mouth
Tint
Tincture
UNG
Ointment
Sol, sold
Solution
Cap
Capsule
Tab(s)
Tablets
Gr
Grain
Gtt(s)
Drop (s)
Ac
Before meals
Pc
After meals
Ad lib
As desired
D
Day
-find-
After
PRN
As needed
what
Every hour
Qid
Four times a day
Tid
Three times a day
Bid
Twice a day
Qam
Every morning
Asa
Aspirin
Apap
Acetaminophen
MOM
Milk of
Magnesia
Ns
Normal saline
qs
Quantity sufficient
Sig
Give the following directions
Vo
Verbal order
Analgesic
Reduces or eliminates pain
- Tool for
Measuring height and width of ECG waves and intervals
Caliper
Heart islocated on the right side of the chest and the apex is pointing to the right
Dextrocardia
Unoxygenated Blood goes to right atrium from head, neck, and upper extremities via
Superior vena cava
Unoxygenated Blood goes to right atrium from thorax, abdomen, pelvis, and lower extremities
Inferior vena cava
Unoxygenated Blood goes to right atrium from the coronary veins
Coronary sinus
: A straight line that is also called the baseline. It represents a period of time with no electrical activity.
Isoelectric line
any movement away from the baseline in the tracing. reflect the heart’s electrical flow.
Deflection
Upward movement is called a ——- deflection. Downward movement is a ———- deflection.
Positive
Negative
A deflection from the baseline.
Wave
A form made up of many waves (e.g., QRS)
Complex
: A part of a line between two points (e.g., the ST ____ starts at the end of the S wave and ends at the start of the T wave).
Segment
: A period of time between two points or events. many waves can occur.
Interval
______is the first deflection in the tracing. It is created from the electrical impulses moving through the right and left atria.
P wave
Small “hill” in EKG (positive deflection seen on lead 2)
P wave
ECG isoelectric line
Pr segment
_ Complex
QRS
ECG
Negative defection
Q wave
ECG
Positive triangular
Deflection
R wave
ECG
Any downward deflection following
The r wave
S wave
ECG 2nd isoelectric line
St segment
ECG
2nd positive defection (upright and rounded in lead 2
T wave
ECG usually not seen
U wave
ECG
____leads placed
____leads read
12 10
ECG
Augmented voltage -right arm
aVR
ECG
Augmented voltage -left arm
aVL
ECG
Augmented voltage -left leg
aVF
RA (white)
Placed just above the wrist or upper arm, indicated in the operator’s manual
Right Arm
LA (black)
Placed just above the wrist or upper arm, indicated in the operator’s manual
Left Arm
RL (green) Placed on the inner lower leg, just above the ankle
Right Leg
LL (red) Placed on the inner lower leg, just above the ankle
Left Leg
Fourth intercostal space at the right sternal edge
V1 (red)
Fourth intercostal space at the left sternal edge
V2 (yellow)
Midway between V2 and V4
V3 (green)
Fifth intercostal space on the midclavicular line
V4 (blue)
Same horizontal plane as V4 at the left anterior axillary line or the midpoint between V4 and V6
V5 (orange)
Same horizontal plane as V4 at the midaxillary line
V6 (purple)
ECG: The adult heart rate is below 60 beats per minute. This is a normal finding in well-conditioned athletes. It is abnormal in other individuals.
Sinus bradycardia:
ECG: The adult heart rate is above 100 beats per minute. This is normal in a person doing aerobic exercise. It is abnormal in a resting individual.
Sinus tachycardia:
occur when there is a problem with the SA node starting the impulse. They can also occur due to a conduction problem in the atria.
Atrial arrhythmias
Occur when the atria contract sooner than they should. The P wave can be abnormally shaped, or an extra P wave can be seen. PACs can be seen in people who smoke or consume large amounts of caffeine. An occasional PAC is not abnormal. More than six PACs in a minute is considered abnormal.
Premature atrial contractions (PACs)
Occurs when the atria contract faster than the ventricles (up to 300 beats per minute). They become out of sync with the ventricles. Extra P waves are seen with regular QRS complexes. Atrial flutter can be caused by alcohol and stimulants (cocaine, caffeine, diet pills, and cold medications). It can also be caused by coronary heart disease, hypertension, cardiomyopathy, heart valve diseases, hyperthyroidism, obstructive pulmonary disease, and pulmonary embolism diseases. reversed with medication to slow the heart or with cardioversion (electrical shock).
Atrial flutter:
The impulse slows as it moves from the atria to the ventricles. This creates a longer PR segment. First-degree heart block may not cause symptoms. It may not require treatment.
First-degree heart block:
The impulse slows or is blocked as it moves into the ventricles. When blocked, there is no QRS complex after the P wave, and the ventricles do not contract. When the impulse slows, the PR segment is longer. This arrhythmia requires a pacemaker to help maintain the heart rate.
Second-degree heart block:
The impulse does not reach the ventricles. As a backup system, special ventricular cells create an impulse that causes the ventricles to contract. On the ECG tracing, the P wave is faster than normal and the QRS complex is not coordinated with the P wave. This is a life-threatening arrhythmia and requires emergency treatment and a pacemaker.
Third-degree heart block:
abnormalities in the ventricles. Most are life-threatening rhythms.
Ventricular arrhythmias
Occur when the ventricles contract sooner than they should. An impulse originating in the ventricles creates this abnormality. The QRS complex appears before a P wave. The P wave can also be absent. PVCs can be caused by tobacco, alcohol, epinephrine, and anxiety. They can also be caused by hypertension, coronary artery disease, and lung disease. Infrequent can be normal. More than six in a minute is abnormal and can lead to a life-threatening condition.
Premature ventricular contractions (PVCs)
Occurs when the ventricles beat at a rapid rate (up to 250 beats per minute). It may be seen with multiple PVCs in a row. It may be a short run of fast beats or may last longer than 30 seconds . life-threatening condition. If it is not reversed with drugs and/or cardioversion, it can become ventricular fibrillation.
Ventricular tachycardia (V-tach)
Occurs when the ventricles quiver uncontrollably . They are essentially ineffective at pumping any blood. The patient has no pulse, is not breathing, and is unresponsive. This is the most critical, life-threatening arrhythmia. Cardioversion with a defibrillator is necessary to restore normal function of the electrical conduction system.
Ventricular fibrillation (V-fib)
Results in the absence of a heartbeat. A flat line appears on the tracing
Asystole
A pager-sized monitor that connects to two chest electrodes by wires. The monitor continuously records the ECG. When the memory is full, it overwrites from the beginning. When a patient has symptoms, he or she activates the monitor. The ECG from prior to, during, and for a short while after the event is stored. It does not overwrite the stored ECGs.
Looping memory monitor (also called a cardiac loop recorder)
Can be a handheld device or worn on the wrist. When symptoms are felt, the patient activates the monitor and places it on the chest. Small metal discs on the back of the monitor act as electrodes. The current ECG is recorded and stored. Unlike the looping memory monitor, cannot record and store the ECG prior to the symptoms.
Symptom event monitor (also called a post-event monitor)
For a resting 12-lead ECG, ____ leads are bipolar, ___ are augmented, and the remaining ___ are precordial
3,3,6
The bipolar leads are created from a measurement of current traveling from a ____ pole to the _____ pole
negative; positive
Lead I: Right ___ to left ___
arm; arm
Lead II: Right ____ to left ____
arm; leg
Lead III: Left l___ to left ___
leg; arm
Each ____ lead uses all three extremity electrodes (RA, LA, and LL) to create the picture.
augmented;
The six ___ leads are labeled V1, V2, V3, V4, V5, and V6.
precordial
Midpoint between two of the electrodes is the ____ pole.
negative
The _____ leads provide information on the horizontal (front to back) plane of the heart.
precordial
is an upward and downward movement of the waveform. The medical assistant should clean the skin, replace the electrode with a new one, make sure all electrodes and lead wires are firmly attached, and turn on the baseline filter.
Wandering baseline artifact
appears as jagged peaks with irregular heights and spacing. The medical assistant should help the patient relax and encourage him or her not to talk or move during the procedure.
Somatic tremor artifact
appears as a series of small spikes that creates a thick-looking tracing. The medical assistant should unplug the ECG machine and other electrical devices. The lead wires should not overlap, and no cell phones should be near the patient.
AC interference artifact
occurs when the tracing looks normal at the beginning, but then it disappears or goes all over when the electrical connection is interrupted. The medical assistant should check that all electrodes and lead wires are attached.
Interrupted baseline artifact
Atrial arrhythmias occur when there is a problem with the ___ ____ starting the impulse.
SA Node
____ ___ include PACs and atrial flutter.
Atrial arrhythmias
Each time you prepare and give medication, it is important that you follow the ____ rights of medication administration.
nine
pull up ___ medication than ordered; then push ___ medication back in with any ___ ____.
more; extra; air bubbles
check for ___ ____ in the syringe
air bubbles
IM injections \_\_\_\_\_ muscle \_\_\_ gauge \_\_\_ to \_\_\_ inch needle \_\_\_ mL syringe
deltoid; 22; 1; 1/2; 3
7 Rights
Patient Duge Dose Time Route Technique Documentation
Medication Checks
When removing from box
Before drawing
Before administering
(After administering)
IM Injection
___ degrees
90
Aspirate the syringe to see if ___ appears. Start again if it does
blood
Withdraw the needle at ____ angle as inserted
same
Patient observation for ___ to ___ minutes after injection
20; 30
Which injection site is considered the safest for infants?
Vastus lateralis (thigh)
Which muscle is used for a ventrogluteal injection?
Gluteus medius
Which parenteral medication form contains a single dose of a single-compound?
Ampules
A needle with a length of 3/8 inch is commonly used with which injections?
ID
medication administered sublingually?
buccal tablet
tests are included in a CBC?
hemoglobin and hematocrit
Which vitamin increases clotting time and can affect warfarin dosing?
Vitamin K
Hematocrit normal values include a range of __ to __ percent for males and __ to __ percent for females
42 to 52
36 to 48
hemoglobin normal values include a range of ___ to ___ g/dL for males and ___ to ___ g/dL for females.
14 to 17
12 to 16
T or F:
When a blood smear is prepared for a differential test, a drop of blood is placed on a clean glass slide to preparea cover glass smear, a spun smear or a wedge smear.
T
CLIA-waived tests that can be completed with a capillary puncture
.Total cholesterol Liver enzymes AST and ALT
Prothrombin time of PT
When a fasting blood sugar is ordered, the patient would be educated to fast for __ to ___ hours prior to the test.
12 to 14
A normal FBS level
60 and 100 mg/dL
a normal GTT after two hours should be below
140 mg/dL
a normal total cholesterol should be below
200 mg/dL.
CLIA requires that any abnormal test results are rapidly reported to
Provider
Sutures are categorized as
absorbable or nonabsorbable.
Which surgical instrument is used to grasp tissue during a surgical procedure?
Forceps
surgical solutions is a common antiseptic solution used for minor office surgery?
Betadine
What is the table that can serve as an area to place a sterile field and contains surgical instruments during a minor procedure?
Mayo
