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CMA Exam > 1 > Flashcards

1 Flashcards

1
Q

Which of the following factors must exist to constitute a lawful emergency pertaining to consent ?

a. The patient is a paraplegic and refuses care following a head contusion sustained in an automobile accident.
b. An adult patient has sustained significant blood loss postoperatively and refuses a blood transfusion
c. The patient is a minor who has a broken arm and is admitting to reset use of illegal street drugs.
d. The patient is intoxicated and is threatening suicide - this is lawful emergency due to mental state of the patient and possibility of injury to self
e. The patient reports being involved in a bicycle accident and appears to have a fractured femur.

A

(d.) The patient is intoxicated and is threatening suicide - this is lawful emergency due to mental state of the patient and possibility of injury to self

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2
Q

Which of the following methods of examination would be used to determine a patient’s chest size increase for 36 to 42 inches during inspiration ?

a. Inspection
b. Mensuration - Mensuration is the process of measuring the patient
c. Percussion
d. Auscultation
e. Palpatation

A

b. Mensuration - Mensuration is the process of measuring the patient

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3
Q

What is Auscultation ?

A

Listening for sounds produced within the body

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4
Q

What is Percussion ?

A

Tapping body parts with fingers, hands, or small instruments as part of a physical examination. It is done to determine: The size, consistency, and borders of body organs. The presence or absence of fluid in body areas.

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5
Q

What is Mensuration ?

A

The process of measuring

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6
Q

What is Palpitation ?

A

Examination with the hands, feeling for organs, masses, or infiltration of a part of the body, feeling the heart or pulse beat, or vibrations in the chest. 2. Touching, feeling, or perceiving by the sense of touch.

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7
Q

What is Inspection ?

A

Visual examination for detection of features or qualities perceptible to the eye.

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8
Q

Laboratory results indicating an increase in the creatinine and blood urea nitrogen (BUN) levels are consistent with damage to which of the following body systems ?

A

Urinary

  • These findings are consistent with kidney disease. Urea and creatinine should be readily excreted by the kidneys and would not normally be increased in the blood.
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9
Q

What is the most appropriate reference source for locating a code for chronic bronchitis for the purpose of scheduling a chest x-ray ?

A

Internal Classification of Diseases, Clinical Modification (ICD-CM)

  • This reference is used to identify a diagnosis.
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10
Q

What is the vein that returns the blood to the heart from parts of the body below the diaphragm ?

A

Inferior Vena Cava

  • The IVC carries blood from the lower part of the body back to the heart.
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11
Q

What is characterized as a flat bone ?

A

Scapula

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12
Q

Freud’s theory that patients may deceive themselves about the seriousness of their illness is known as what ?

A

Denial

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13
Q

What does the word “antenatal” mean ?

A

Before birth

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14
Q

What would be a direct result of lipid depletion in the human body ?

A

The decrease in the amount of estrogen produced

  • Lipids are the precursors to many hormones in the body and with a depletion of lipids, this would results in a decease in hormones like estrogen.
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15
Q

Having your hands in your pockets when talking to a patient may be regarded as what ?

A

Dismissive body language.

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16
Q

If a patient makes his/her condition worse by ignoring medical advice, that may be considered ?

A

Contributory negligence

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17
Q

If a patient cancels an appointment, it is essential that you… ?

A

Check if they need to reschedule

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18
Q

What is most important when dealing with medical records ?

A

Confidentiality

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19
Q

Who is the only one entitled to immediate access to patient medical records ?

A

The patient’s physician

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20
Q

What is the only risk a computer cable may not present ?

A

Flood risk

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21
Q

Who should explain the costs of their care to a patient ?

A

The administrative staff

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22
Q

Under which circumstances should a patient’s blood be considered infective or infectious ?

A

In all circumstances

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23
Q

Which fluids presents the greatest risk of HIV infection to medical workers ?

A

Blood

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24
Q

To ensure accuracy in testing, all equipment must be properly…

A

Calibrated

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25
Q

In order to prescribe controlled substances a medical practitioner needs a license from… ?

A

The DEA

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26
Q

If a patient has a problem such as deep-vein thrombosis or pulmonary embolism they may need a drug to stop the blood thickening. This is called..

A

An Anticoagulant

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27
Q

A normal pulse rate for a healthy adult should be between:

A

60-100 BPM

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28
Q

Where is the most common and effective place to read a pulse ?

A

Radial artery, on the side of the wrist nearest the thumb.

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29
Q

If something is described as “dilated”, it will be.. ?

A

Expanded

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30
Q

What is the primary function of melatonin ?

A

To regulate sleep/wake cycles

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31
Q

In Elizabeth Kubler-Ross’s theory, how many stages of grief are there for a patient diagnosed with terminal illness ? What are they ?

A

5

Denial, Anger, Bargaining, Depression and Acceptance

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32
Q

The limbic system is compromised of several brain structures that are responsible for regulating ?

A

Emotion, behavior and motivation

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33
Q

What refers specifically to the study of ways of coping with death ?

A

Thanatology - investigates both physical and psychological aspect of end of life.

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34
Q

What applies to a person issued with a subpoena in a medical law case ?

A

They must appear in court

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35
Q

At the beginning of each working day, you should check appointments….

A

With each team member

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36
Q

When a physician asks you to write up their record consultation, you are acting as a

A

Transcriptionist

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37
Q

A discharge summary report must include what ?

A

The patient’s final condition

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38
Q

Who is generally responsible for making sure that medical personnel keep their professional status up-to-date ?

A

The office administrator

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39
Q

Petty cash must NOT be sued for what purposes ?

A

Advances on staff salaries

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40
Q

What does the department of health say that the chance of catching HIV from a single needlestick injury is ?

A

3 in 1000

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41
Q

Used sharps should be disposed of in what ?

A

FDA approved containers

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42
Q

When placing electrodes for an ECG test, which of these is the only factor that does not require consideration ?

  • piercings
  • scars
  • stents
  • pt ethnicity
A

Patient ethnicity

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43
Q

If a drug is administered transdermally, it is received how ?

A

Through the skin

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44
Q

What are drugs designed to cause vomiting ?

A

Emetics

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45
Q

Which is not part of the measurement of Vital signs ?

a. temperature
b. respiration
c. sweating
d. pulse

A

Sweating

46
Q

If a patient is displaying any abnormalities in their vital signs, how should this be reported ?

A

To a physician

47
Q

A palpitation examination is performed by… ?

A

Feeling (for lumps and abnormalities with fingers)

48
Q

Which part of the body is part of the acronym for EENT ?

A

Ears, Eyes, Nose, Throat

49
Q

What area of the brain is the most affected if a person is unable to understand written or verbal speech ?

A

Wernecke’s area (is the site for language comprehension)

50
Q

Speech production is concentrated in ______ area ?

A

Broca’s area

51
Q

The Occipital lobe is responsible for ?

A

Vision

52
Q

The parietal is responsible for …

A

Response to touch and body movements

53
Q

What term means stopping breathing ?

A

Apnea

54
Q

What does the phrenic nerve control ?

A

Breathing and the movement of the diaphragm

55
Q

What would results following an injury to the phrenic nerve ?

A

An inability to control breathing

56
Q

In law, what does “respondent superior” mean ?

A

“Let the master answer” - an employer can be held responsible for employee actions

57
Q

What is a “tickler” system used for ?

A

To remind patients of appointments

58
Q

Who has ownership of a patient’s medical records ?

A

The care provider

59
Q

A patient release is required if you are sending the patient’s medical records to another party using which method ?

A

Fax - using this method is not a secure method of communication as misdialing can results in the fax going to unintended recipients; also fax machines are often in public areas and not continually monitored.

60
Q

What are MSDS ?

A

Material safety data sheets

  • should be kept for all material supplied in a medical office
61
Q

When making up invoices or insurance companies, ICD numbers should be used. What does ICD means ?

A

International classification of disease

62
Q

What does asepsis mean ?

A

Free of disease causing agents

63
Q

When washing your hands between procedures or duties, if using soap and water, you should take at least …

A

60 seconds

64
Q

A patient may be placed at risk of electrocution during an ECG if you have not ensure that the machine is ?

A

Grounded

65
Q

During an ECG test you should monitor the patients…

A

All vital signs should be carefully monitored during an ECG test and the test should be suspended or aborted if a patient begins to show obvious signs of distress

66
Q

Drugs designed of pain relief are designated what ?

A

Analgesic drugs, they are used for pain management

67
Q

Tiny particles of oil suspended in fluid are known as ?

A

Emulsion

68
Q

What is used to drain fluid from the body ?

A

Catheter

69
Q

Where may a catheter be inserted ?

A

Body cavity, duct or vein

70
Q

When sterilizing instruments using an autoclave, the machines should be filled with what ?

A

Distilled water

71
Q

What sequence outlines the correct flow of blood through the heart ?

A

Blood enters the heart on the right side, collecting in the right atrium. After moving through the right ventricle, blood leaves the heart through the pulmonary artery to travel to the lungs to release carbon dioxide and absorb oxygen. The blood returns to the left side of the heart, through the pulmonary vein, going to the left atrium, then through the mitral valve to the left ventricle. Lastly, the blood leaves the heart through the aorta.

72
Q

In Erikson’s stages of human development, a young adults who “maladapts” in the intimacy vs isolation stage is in danger of what ?

A

Promiscuity

73
Q

An OBGYN specialist deals with what ?

A

Female reproduction, short for Obstetrics and Gynecology

74
Q

What valve is responsible for preventing the back flow of blood from the right ventricle to the right atrium ?

A

Tricuspid valve

75
Q

If a patient starts accusing you of being frightened of something they are really frightened of themselves, they are using which defense mechanism ?

A

Projection

76
Q

In which circumstances may you refuse to give medical treatment to a person with HIV/AIDS ?

A

Never.

Both AMA and the ADA have issued ethnical guidance that patients with HIV/AIDS have a right to treatment.

77
Q

When should patient encounter forms be prepared for staff ?

A

Before the start of the working day

78
Q

Which of these is not a type of patient record ?

a. active
b. suspended
c. inactive
d. closed

A

B. Suspended

79
Q

What does active mean on a patient record ?

A

Currently undergoing treatment

80
Q

What does inactive mean on a patient record ?

A

Not currently undergoing treatment but may return to treatment in future

81
Q

What does closed mean on a patient record ?

A

Patient has been discharged and is not expected to return (death, moved out of state, from pediatrician to adult)

82
Q

For maximum efficiency, individual patient records should be organized by ?

A

Category

83
Q

What does OSHA stand for ?

A

Occupational Safety and Health Act

84
Q

Payment for treatment should be taken/organized when ?

A

Any time before treatment

85
Q

If you have to deal with a fire and are using an extinguisher, where should you aim the jet ?

A

At the base of the flames

86
Q

What is the baseline procedure for preventing the spread of disease in medical institutions ?

A

Washing hands

87
Q

When choosing a site to place electrodes for an ECG test, the site should not be ?

A

Moist

88
Q

When prepping a patient for an ECG, the electrodes from lead # 1 should be placed where ?

A

Left arm and right arm

89
Q

If medication is taken sublingually, it is taken ….

A

Orally, under the tongue

90
Q

What is the abbreviation for a microgram ?

A

mcg

91
Q

What is a healthy BMI for a normal adult ?

A

18-25

92
Q

Spirometry is used to measure what ?

A

Lung function

93
Q

Physical assault does fall under the heading of medical malpractice. True or false ?

A

False, does not fall under medical malpractice.

94
Q

Patient details should be updated as necessary ever …?

A

Time the patient visits

95
Q

Under which circumstances must patient records be released ?

A

Court subpoena

96
Q

Based on OSHA legislation, every medical office should have a …?

A

Safety manual

97
Q

In the event of a patient mortality with payment for treatment still outstanding, where the patient is uninsured, who is liable for the payment ?

A

The patient’s estate

  • the financial liabilities of a deceased person fall to their estate.
98
Q

Every medical institution is required by OSHA to have what in the event of an outbreak of airborne, waterborne, or blood-borne pathogens ?

A

An exposure control plan

99
Q

All medical workers who will be exposed to blood or other bodily fluids in the course of their work should be given which vaccine ?

A

Hepatitis B

100
Q

After a 24-hour urine specimen has been obtained, it should be kept ____ ?

A

Refrigerated

101
Q

Occult blood is tested for using which procedure ?

A

Stool sample

102
Q

What does a palliative drug do ?

A

Relieves symptoms (does not treat them)

103
Q

The median effective dose of a drug is also known as ?

A

ED50. The dosage that will be effective for 50% of the population

104
Q

When using a pain scale to take a patient history, nagging pain that doesn’t really impose on general life or activities should be categorized as …?

A

1-3

105
Q

If putting a patient into the lithotomy position for examination, how should they be positioned ?

A

On their back, heels above hips

106
Q

Which organ does the pericardium surround ?

A

Heart

107
Q

Systolic and diastolic are terms used when referring to what ?

A

Blood pressure

108
Q

If a patient is faced with an upsetting diagnosis and starts to propose alternative diagnoses or treatment, they may be using which defense mechanism ?

A

Intellectualization, means of suppressing natural emotions and instead relying on the intellect to overcome a problem.

109
Q

The final stage of human psychological development is often referred to as what ?

A

Self acceptance

110
Q

The autoimmune disease, multiple sclerosis is characterized by the degradation of what ?

A

Myelin Sheath

111
Q

Which two bones make up the structure of the lower leg ?

A

Fibula and Tibia

CMA Exam (3 decks)

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