ACMA MA Flashcards

1
Q

What type of scheduling involves booking several patients with the same condition in the same time frame?

A

Clustering

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2
Q

What method of scheduling involves modified waiting?

A

Modified wave scheduling

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3
Q

What should the CMA do when a patient approaches the reception desk while they are on the phone?

A

Put the caller on hold and assist the patient

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4
Q

What closing is inappropriate in a formal letter?

A

Best wishes

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5
Q

What is the place of service code 11?

A

Office

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6
Q

What is the rationale for sending a post-op patient home with instructions to call for fever, redness, or swelling?

A

To monitor for signs of infection

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7
Q

How should the CMA respond to a patient demanding to see the physician immediately?

A

Acknowledge the patient’s concern and explain the situation

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8
Q

Which of these is NOT considered a patient’s right under the Patient’s Bill of Rights?

A

Eating whatever they want

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9
Q

Why is the first drop of blood wiped away during a capillary puncture?

A

To prevent contamination of the sample

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10
Q

How long should a tourniquet be in place?

A

Less than 1 minute

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11
Q

Which equipment is best used for venipuncture on an elderly patient?

A

Butterfly needle

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12
Q

What action should a CMA take after venipuncture?

A

Apply pressure and elevate the arm

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13
Q

Which tube is filled last in the order of draw?

A

Gray-top tube

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14
Q

What is the rationale for wiping from the center to the edge when preparing a wound for suturing?

A

To clean the area without introducing germs into the wound

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15
Q

What site is used to measure blood pressure?

A

Brachial artery

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16
Q

What is the proper cleaning method for a stethoscope?

A

Disinfection with alcohol wipes

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17
Q

What is the appropriate test for heparin therapy?

A

APTT

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18
Q

What mode of infection transmission occurs from touching contaminated bed linens?

A

Vehicle contact

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19
Q

What is the correct temperature for ear irrigation?

A

Room temperature (70°F or 21°C)

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20
Q

What is the basal state?

A

Fasting for 12 hours with no food, drink (except water), or exercise

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21
Q

Which lead shows the activity from the center of the heart to the positive pole of the left leg?

A

AVF

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22
Q

What is the name of the vein used for venipuncture?

A

Median cubital vein

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23
Q

What is the maximum amount of urine an adult can normally produce in a 24-hour period?

A

2000 mL

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24
Q

What is the name of the chart used for visual distance testing?

A

Snellen chart

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25
Q

What is the largest suture size?

A

2-0

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26
Q

Which of the following is an anticoagulant?

A

Aspirin, Heparin, and Lovenox (all of the above)

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27
Q

What is coinsurance?

A

A percentage of covered charges paid by the patient

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28
Q

What is the preferred vein for venipuncture?

A

Median cubital vein

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29
Q

What is the definition of pyrexia?

A

A fever

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30
Q

What should you do if you notice a patient has facial drooping and slurred speech?

A

Suspect a cerebrovascular accident (stroke) and act accordingly

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31
Q

What is the rationale for assessing a patient for bruises on the arms and legs?

A

Notify the physician immediately, as it may indicate abuse

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32
Q

What is the proper cleaning method for a wound before suturing?

A

Wipe from the center to the edge

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33
Q

What is the correct action when a patient is having a seizure?

A

Loosen clothing around their neck

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34
Q
A
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35
Q

What tool tests visual acuity for distance vision?

A

The Snellen chart.

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36
Q

What test is often confused with the Snellen chart?

A

Colorblind tests.

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37
Q

What does adjustment mean in medical billing?

A

The difference between the provider’s charge and the insurance payment.

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38
Q

If a provider charges $200 and insurance pays $125, what is the adjustment?

A

$75.

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39
Q

How should hands be positioned after a surgical scrub?

A

Hands should be held upwards.

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40
Q

What is a bronchoscopy?

A

A procedure to examine the lungs using a flexible tube with a camera.

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41
Q

What does accounts payable handle?

A

Paying bills like office rent.

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42
Q

What does accounts receivable handle?

A

Receiving payments like insurance checks.

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43
Q

What is the functional unit of the kidney?

A

The nephron.

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44
Q

What condition involves large hands, feet, head, and thick skin in adults?

A

Acromegaly.

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45
Q

What is the difference between slander and libel?

A

Slander: Spoken defamation.

Libel: Written defamation.

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46
Q

Name two accessory organs to digestion.

A

Gallbladder and liver.

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47
Q

What soap is used for aseptic handwashing?

A

Antimicrobial soap.

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48
Q

What does a histologist do?

A

Examines tissue samples and performs biopsies.

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49
Q

Where is a tympanic temperature taken?

A

In the ear.

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50
Q

What does a wheal indicate during allergy testing?

A

A positive reaction with itching and a raised lesion.

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51
Q

What is vehicle contact in infection transmission?

A

Transmission through touching contaminated objects, like linens.

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52
Q

What is coordination of benefits?

A

Coordination of services between primary and secondary insurances.

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53
Q

What does systolic blood pressure represent?

A

The top number, indicating the first tapping sound when the BP cuff is deflated.

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54
Q

What is included in a patient information sheet?

A

Personal and insurance information.

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55
Q

What is the purpose of accreditation?

A

To ensure the facility meets or exceeds standards.

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56
Q

What is a centrifuge used for?

A

Separating liquids into different parts.

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57
Q

What is a progress note?

A

A follow-up note from a previous patient visit.

58
Q

How do infants’ respiratory rates compare to adults’?

A

Infants have a faster respiratory rate than adults.

59
Q

What is the purpose of the Safety Data Sheet (SDS) in the workplace?

A

To detail the proper handling and emergency procedures for chemicals.

60
Q

What is the first step when cleaning up a spill of body fluids?

A

Notify the appropriate personnel and begin cleaning.

61
Q

When will the CMA use a multi-sample needle?

A

In outpatient labs when multiple tubes of blood are needed, especially for family members needing the same tests.

62
Q

What is damaged in a patient with tachycardia?

A

Heart muscle.

63
Q

How are blood and other OPIM specimens prepared for transporting?

A

Place specimens in leak-proof containers.

64
Q

Under which circumstances can a CNA accept a check from a third party?

A

From a patient’s health insurance company.

65
Q

Which of the following is one of the six standardized elements found on chemical labels?

A

Pictograms.

66
Q

What will happen to an insurance claim if the diagnosis code and procedure code do not match?

A

It will be rejected.

67
Q

Which position should you put a patient in who is complaining of chest pain and SOB (shortness of breath)?

A

Upright (Fowler’s position).

68
Q

What can make it difficult to draw blood from an elderly person?

A

Loss of skin elasticity and dry skin.

69
Q

While taking a patient’s medical history for active tuberculosis, what PPE is required?

A

A mask (N95 mask due to airborne transmission).

70
Q

For a patient’s medical information to be shared, what must the office do?

A

Have a release form signed by the patient.

71
Q

A non-English-speaking patient makes an appointment, and the NA doesn’t speak their language; what’s the most appropriate action?

A

Use a translator.

72
Q

What is true regarding crutches?

A

There should be approximately three finger-widths of space between the armpit and the top of the crutch.

73
Q

A patient came into the lab for a GTT (glucose tolerance test) and said they had a cup of coffee; what should you do?

A

Reschedule the test because an 8-12-hour fast is necessary.

74
Q

A patient needs to provide a clean-catch urine specimen; at what point should it be collected?

A

During mid-stream.

75
Q

What is the name of a system used for documentation in a healthcare environment?

A

Electronic Medical Record (EMR) or Electronic Health Record (EHR).

76
Q

What is the functional unit of the kidney?

A

Nephron.

77
Q

What is the medical condition for an adult who has extremely large hands, feet, face, and height, and thick skin?

A

Acromegaly.

78
Q

What’s the legal term for defamation through spoken statements?

A

Slander.

79
Q

Hand asepsis uses which of these?

A

Antimicrobial soap.

80
Q

What does a patient information sheet contain?

A

Personal and insurance information.

81
Q

What equipment separates liquids into their different parts?

A

Centrifuge.

82
Q

What is another way to call a follow-up note from a previous visit?

A

Progress note.

83
Q

Anytime an employee in the medical office is injured, what must be completed?

A

Incident report (OSHA 301).

84
Q

Which of the following is an example of demographic information?

A

Date of birth.

85
Q

When might the MA have to call an insurance company?

A

To obtain preauthorization for a procedure.

86
Q

What are signs of infection after surgery?

A

Redness, soreness, warmth, swelling, pus, a fever of 101.5°F or higher, slow healing, odor, and fatigue.

87
Q

What is the prep for minor surgery?

A

Antiseptic.

88
Q

What is a healthy HGB value?

A

Female: 12-16 g/dL. Male: 15-18 g/dL.

89
Q

What is a doctor who specializes in bones called?

A

Orthopedic surgeon or orthopedist.

90
Q

Which part of an EKG reading represents atrial contraction?

A

The P wave.

91
Q

Which route of medication administration would you use for a patient with nausea and vomiting?

A

Sublingual or rectal.

92
Q

Which agency requires SDS information to be available for all employees working with chemicals?

A

OSHA.

93
Q

When bleach is being used as a disinfectant in a physician’s office, what is the ratio of bleach to water?

A

1 part bleach to 10 parts water (1:10).

94
Q

What type of fever fluctuates?

A

Intermittent fever.

95
Q

What is the correct procedure for taking a blood pressure reading?

A

Place the cuff around the patient’s arm and inflate it to about 200 mmHg.

96
Q

What is the first drop of blood in a capillary puncture used for?

A

Preventing contamination of the sample.

97
Q

Which agency approves chemical products used for disinfection of surfaces in the exam room?

A

EPA.

98
Q

Which respiratory procedure involves visual examination of the lungs through a small camera?

A

Bronchoscopy.

99
Q

What is the proper direction to clean a wound before suturing?

A

Wipe from the center to the edge.

100
Q

How many times do you draw blood for a 3-hour glucose tolerance test?

A

Four times.

101
Q

What is the name of the law that protects healthcare workers in accidents?

A

Good Samaritan Law.

102
Q

What should you do if a patient’s medical release form has expired?

A

Reach out to the patient to fill out a new form.

103
Q

What is a common timeframe for the development of hospital-acquired infections after a patient leaves the hospital?

A

2 to 3 days.

104
Q

How often should patient medical records be reviewed to ensure accuracy and completeness?

A

Twice a year (different criteria apply to nursing homes).

105
Q

What is another term for a clean-catch urine sample?

A

Midstream urine.

106
Q

What preparation is needed before collecting a clean-catch urine sample?

A

Clean the genitalia.

107
Q

Where should the label be placed on a urine collection cup?

A

On the cup itself, not the lid.

108
Q

What are some appropriate closings for a formal letter?

A

Sincerely yours, best regards.

109
Q

What type of closing should be avoided in a formal letter?

A

Informal closings using the physician’s first name (e.g., “Dr. John”).

110
Q

What are the conditions that define a patient’s basal state?

A

Adequate rest, no food for at least 12 hours, and no strenuous exercise.

111
Q

What is the most common method of sterilization used in medical offices?

A

Autoclaving.

112
Q

What are the ideal temperature and pressure settings for an autoclave?

A

250-270°F and 15-30 PSI.

113
Q

What type of water should be used in an autoclave?

A

Distilled water.

114
Q

What is another term for a cerebrovascular accident (CVA)?

A

Stroke.

115
Q

What is the difference between an Electronic Medical Record (EMR) and an Electronic Health Record (EHR)?

A

EMR is limited to one facility and one patient; EHR includes information from outside sources.

116
Q

What is one key right guaranteed to patients according to the Patient’s Bill of Rights?

A

The right to confidentiality of their treatment.

117
Q

What do augmented leads (AV leads) on an electrocardiogram (EKG) measure?

A

The electrical potentials of the heart (the machine picks up the potentials, not electrodes directly on the body).

118
Q

What steps should be taken before giving lab results over the phone?

A

Verify the patient’s identity using two identifiers (e.g., date of birth and social security number).

119
Q

What are some alternative names for serum separator tubes (SSTs)?

A

Red and gray tubes, tiger tops, gold-colored tubes.

120
Q

What is the primary purpose of laboratory techniques and procedures performed on patient specimens?

A

To detect biomarkers of disease at a cellular level.

121
Q

What vein is generally preferred for blood collection in obese patients?

A

The median cubital or cephalic vein (avoid veins that roll easily).

122
Q

Who in a hospital typically guides patients to community resources?

A

A social worker.

123
Q

What causes a pink or red color in plasma samples?

A

Hemolysis (the breakdown of red blood cells).

124
Q

What is the difference between coinsurance and a co-payment?

A

Coinsurance is a fixed percentage of the medical bill (after the deductible); a co-payment is a fixed dollar amount.

125
Q

How should a clinical medical assistant measure liquid medication using a dosage cup?

A

At eye level; double-check the measurement with a fingernail aligned to the marking on the cup.

126
Q

What personal protective equipment (PPE) is commonly used in a laboratory setting?

A

Goggles, gowns, and gloves.

127
Q

What is the difference between empathy and sympathy?

A

Empathy involves understanding someone’s feelings; sympathy involves feeling pity or sorrow for someone.

128
Q

Give an example of a biohazard in a healthcare setting.

A

A blood spill.

129
Q

What profession helps patients regain independence in their homes?

A

Physical therapists.

130
Q

What is meant by cultural competence in healthcare?

A

Understanding and respecting cultural differences in patient care.

131
Q

Which government agency mandates the accessibility of Safety Data Sheets (SDS) for chemicals in the workplace?

A

OSHA (Occupational Safety and Health Administration).

132
Q

What happens to an insurance claim if the diagnosis and procedure codes do not match?

A

The claim will be rejected.

133
Q

What is the most common cause of HIV exposure in a healthcare setting?

A

Accidental needlestick injuries.

134
Q

What is the difference between slander and libel?

A

Slander is spoken defamation; libel is written defamation.

135
Q

What is the correct ratio for mixing a bleach cleaning solution?

A

1 part bleach to 10 parts water (a 10% solution).

136
Q

What is the name for a fever that fluctuates, returning to normal between temperature spikes?

A

Intermittent fever.

137
Q

What hormone is typically tested for in a pregnancy test?

A

HCG (human chorionic gonadotropin).

138
Q

What are aspirin and acetaminophen, in terms of their pharmacological action?

A

Analgesics (pain relievers) and antipyretics (fever reducers).

139
Q

When would a clinical medical assistant use a multi-sample needle?

A

When collecting more than one tube of blood from a patient.

140
Q

What is the best position to place a patient experiencing chest pain and shortness of breath (SOB) to aid in their breathing?

A

Fowler’s position (sitting upright).