2 Flashcards
What does the term Edema mean ?
Swelling
What is the appropriate way to take a radial pulse ?
Place your index finger and middle finger on the wrist, under the thumb
A patient is anxious and begins hyperventilating. His hands and lips start to feel numb and tingly, and he feels lightheaded. What is the physiological cause of his symptoms ?
Excess carbon dioxide in the blood
Which is not the five stages of grief as described by the Kubler-Ross theory ?
a. denial
b. delusions
c. bargaining
d. anger
Delusions
What is tracked on a standard growth chart for patients ages 2 to 20 ?
Age, height and weight
A patient is upset and angry after an appointment. She is distraught and unable to pay attention when you tell her what dates are available for her follow-up appointment. This results in some confusion, and the patient accuses you of not listening. What form of defense mechanism is this patient likely demonstrating ?
Projection
You are asked to give a three-year-old child a dose of acetaminophen. The child weighs 15kg. The medication order says to give the child a dose of 15 mg/kg. The oral solution concentration is 160 mg/15 mL. What dose of the oral solution should you give the child ?
7 mL
15 kg X 15 mg/kg = 225
160 mg divided by 5 mL = 32 mg
22 mg divided by 32 = 7 mL in each dose
You have finished all of your assigned tasks and are thinking of leaving a few minutes early for your lunch break when the doctor approaches you and tells you that there are patients waiting to be seen, but the exam rooms have not yet been cleaned after the last patients. You know that this is the responsibility of another medical assistant in the office, but she is on the phone dealing with an important personal problem. What should you do ?
Reassure the doctor that you will take care of the problem and then quickly clean the rooms yourself
How should you position yourself in an exam room with a patient who seems angry and potentially aggressive ?
As far away from the patient as possible
How should electrocardiogram (ECG) chest leads be placed ?
V1: Fourth intercostal space, just right of the sternum
V2: Fourth intercostal space, just left of the sternum
V4: Fifth intercostal space, midclavicular line
V3: Halfway between leads V2 & V4
V5: Fifth intercostal space, anterior axillary line
V6: Fifth intercostal space, midaxillary line
You witness a patient suddenly collapse in the office. You run to the patient and realize she is unconscious, does not have a pulse, and is not breathing. While someone else calls 911, you and your coworkers begin cardiopulmonary resuscitation (CPR). At what point should you use an automated external defibrillator (AED) ?
As soon as possible
What is active listening ?
Listening carefully to what the patient is telling you and then restating what the patient has said back o him or her.
Which of the following would not be included in a living will ?
a. How a person’s assets should be distributed
b. If a patient does not want to have tube feeding
c. Whether a patient would like cardiopulmonary resuscitation if cardiac arrest occurs
d. If a patient would like to be kept alive with life-prolonging equipment
How a person’s assets should be distributed
- A living will is a document focused on healthcare decisions, not on the patient’s material assets.
The ____ region of the abdomen is inferior to the umbilicus
Hypogastric
Inferior means
Below
Center means
Umbilical
Above means
Superior
The reticular formation is located in which organ ?
The brain
- The reticular formation is a collection of neurons located in the brainstem that regulated the body’s alertness and level of consciousness
What set of symptoms characterize left-sided heart failure ?
Dyspnea, cyanosis, coughing up pink sputum
COPD is a disease state that refers to which two conditions ?
Chronic bronchitis and emphysema
A patient receiving a Mantoux TST is being test for exposure to which type of microorganism ?
Bacterium
- Mycobacterium tuberculosis, the bacterium responsible for causing tuberculosis
Which motion is an example of adduction ?
Squeezing your legs together
The trigeminal nerve is responsible for which functions ?
Cranail nerve V is divided into 3 branches. One motor and two sensory: eye sensation, mastication (chewing) and facial sensation
Which hormones is secreted by the thyroid gland ?
Calcitonin
Th organelle that determines the color a bacterium will dye during gram staining is the ____
Cell wall. It prevents any dye from reaching the cytoplasm
If a patient presents with hematuria and flank pain, which condition might be suspected ?
Pyelonephritis (infection of the kidney) is a renal disease that could produce blood in the urine (hematuria) and flank pain.
Food travels through the body in what sequence ?
Oral cavity, pharynx, esophagus, stomach, duodenum, small intestine, cecum, large intestine
The lymphatic system regulates immune function by which processes ?
Transportation and storage of white blood cells
Drainage and filtration of interstitial fuid
Production and descruction of red blood cells
What disease is caused by a protozoan ?
Malaria
What is another way to explain a closed, greenstick fracture to a patient ?
One side of the bone has cracked but the other side is bent; it has not broken the skin
Which statements about viruses is true ?
a. viruses are easily cured
b. viruses are non-cellular
c. viruses are smaller than prions
d. viruses reproduce more slowly without a host
Viruses are non-cellular
In the anatomical position, the palms of the hands are ____
Ventral
- anatomical position is the standardized position used to reference body parts and their relative location to one another
If a patient suffer a TBI to the frontal lobe, what is an expected impairment ?
What is TBI ?
Personality change
Traumatic Brain Injury
Which of these structure is not contained in the pelvic cavity ?
a. bladder
b. rectum
c. kidneys
d. sigmoid colon
Kidneys
Difficulty balancing would be caused by an injury to the _____
Cerebellum
Memory is regulated in the ______
Amygdalae
Where is the brains visual cortex located ?
In the occipital lobe
Antigens are ______
Any foreign particles that elicit an immune reaction
Your facility is using a new cleaning solution to clean patient rooms. Where would you find information about the chemicals found in the cleaning solution ?
Material Safety Data Sheet (MSDS) and product label
Na is symbol for ______
Sodium
A physician has ordered a sterile urine specimen to be collected from a patient. In order to obtain the specimen, you will need _____
Sterile catheterization kit and sterile specimen cup
When performing a 12-lead EKG on a patient, the patient should be placed in which position ?
Supine
What blood component makes up over 50% of blood volume ?
Plasma, the largest component of blood
A hematologist specialized in what specific body part ?
Blood
What information must be included on the label of a lab specimen ?
Date and time
What is an example of a pneumotrophic virus ?
Influenza
Calibration, control samles, reagent control and documentation are all examples of ________
Quality control measures, the procedure to ensure test accuracy
In medicine, the abbreviation IM means ?
Intramuscular
What is the normal range for HGB ?
What is HGB ?
13-17 g/dL
Hemoglobin, protein level in red blood cells that carry oxygen
Which of these methods is a blood collection ?
a. intramuscular puncture
b. capillary puncture
c. joint aspiration
d. subcutaneous puncture
b. Capillary puncture
What are the two blood collection methods ?
Capillary puncture and venipuncture
What is a centrifuge ?
A device to separate components of blood specimens
A doctor orders a sputum specimen to be collected from a patient. What must you do to collect the specimen ?
Have the patient cough up phlegm into a designated sterile collection container
What would cause artifact on an ECG monitor ?
A seizure
*artifact on an ECG is not “heart made”, which originates somewhere other than the heart.
Handwashing and use of PPE are examples of _____
Standard precautions
Which of these lab results would need to be reported to a physician ?
a. WBC 12
b. Chloride 95
c. HGB 4.4
d. K 4.4
c. HGB 4.4
* normal HGB is 13-17. While other results may be abnormal, the hemoglobin is critical
After selecting a site for venipuncture, what is your next action ?
Prep/clean the site
You are transporting an antibiotic that is light-sensitive. Which of these is important to remember ?
The antibiotic must be kept in a bag that is not light-penetrable
- light sensitive medications can either become deactivated or more portent by coming into contact with light
There was an order placed several hour ago for a urine collection from a patient. You notice that the order has not been marked compete, even though the CNA said the specimen had been collected. What should your first action be ?
Contact the CNA and inquire whether or not the specimen has been collected
Where should the V1 electrode be placed for an ECG ?
The fourth intercostal space to the right of the sternum
When using a cleaning agent you are unfamiliar with at work, you should first consult which manual ?
Material Safety Data Sheet (MSDS)
You were asked by the doctor to collect a swab specimen from a patient’s wound. What is the best collection site ?
The center of the wound depths
What may cause a specimen to be rejected by the lab ?
The specimen contains less fluid than requested, the specimen has the patients name but no ID number and the specimen arrived 2 hours late
Which of the limb electrodes is considered the ground ?
RL - right leg, this is used for grounding purposes only. It is not used as part of any lead.
When happens during ventricle systole ?
The ventricles contract and blood is forced into the aurora and pulmonary artery
In an ECG, what does the PR interval represent ?
The time it takes for the electrical impulse to travel from the SA node to the AV node
What is the best definition of asystole
No cardiac activity
On a patients ECG, you recognize the P waves are unidentifiable or perhaps hidden in a previous T wave. What is likely the cause ?
Atrial tachycardia, defined as an atrial rate of 150-250 bpm