CCMA Material Flashcards
Goniometer
- less accurate but faster result
- placed on both body parts to measure range of motion
Inclinometer
- more accurate but harder to measure
- placed only on moving body part to detect range of motion
How do you measure body fat on a woman?
Using calipers, measure fat at the triceps, suprailiac, and the thigh
How do you measure body fat on a man?
Using calipers, measure fat at the chest, abdominals, and thigh
Anthropometric measurements include:
height, weight, BMI, and body circumference
How do you measure the head circumference of a child?
Have the child lay supine and measure right above the eyebrows and ears.
In what lab section is the pap smear in?
Cytology
How do you pass a scalpel?
Grasp the scalpel in the center of the handle with your dominant hand, and firmly place the scalpel handle in the hand of the assistant.
What are the suture supplies?
needle holder, toothed forceps, and fine suturing scissors. Suture removal usually happens after 2 weeks.
A rectal exam is performed in what position?
Sim’s
The best position for dyspnea is…
Fowlers
Providine-Iodine, or Betadine, is an antiseptic cleanser also used in ____. it is also a possible allergen because it is derived from ___.
Contrast dyes; shellfish
The apical pulse is measured by ___.
Placing the stethoscope on the apex of the heart and counting for 1 minute
What position is good for hypotension?
Trendelenburg, since it returns blood to vital organs
A percussion hammer is used to…
measure deep tendon reflexes
A curette is used as a scooping tool to…
remove tissue
A curette is used as a scooping tool to…
remove tissue
A curettage and eletrodesiccation (c&e) is a procedure used to treat …. How does it treat tumors?
low-risk tumors and precancerous lesions. C&E treats tumors by scraping away the cancerous tissue and destroying remaining cancer cells with an electric needle
A D&C, or dilation and curettage, is a surgical procedure after a ____.
First trimester miscarriage. In a D&C, dilation refers to opening the cervix, and currettage refers to removing the contents of the uterus.
The tray sterile field is ___ inch boundary to touch.
1
An ACE wrap must be bandaged from…
the bottom up
Cryosurgery is used to…
destroy abnormal or diseased tissue
the ear irrigation technique:
- position ear, pull back on pinna of ear to straighten ear canal
- use warm water
- vertigo is a common symptom
To irrigate the eye, flush for __ minutes at the eye station.
15
Medication is inventoried by ___.
expiration date
The enteral route of administration has a system-wide effect, and is delivered through the __ tract. Methods of administration include ___, ___ & ___.
GI; oral, sublingual, and rectal
The parenteral system has systemic action, and routes other than the GI, such as through ___ or ___.
Injection; catheter
Transdermal, or ___ administration, is through the skin, such as with a ___.
percutaneous; patch
an IM injection has:
__ needle gauge
__ needle length
__ angle
18-21 needle gauge
1-1.5 inch needle length
90 degree angle
A subcut injection has a __ needle gauge, __ needle length, and __ angle to the skin.
21-25 gauge
3/8-5/8 needle length
45 degree, or 90 for insulin only
An intradermal injection has a __ needle gauge, __ needle length, and __ angle to the skin.
25-27 gauge
1/2 needle length
15 degrees
The TB test is also called the ___ test, and it injects 0.1 ml volume.
Mantoux
1 lb is __ kg.
0.45
1 kg is __ lb.
2.2
1 tsp is __ mL.
5
Some examples of intentional torts are ___.
battery, assault, defamation of character
negligent torts are ___ torts, and must be proven.
unintentional
A durable power of attorney means that…
the document stays in effect if you become incapacitated and unable to handle matters on your own
Palliative care plans are focused on providing..
relief from the symptoms and stress of a serious illness, such as using opiate meds
The most common medical mistake is…
patient misidentification
A peak flow meter measures ___.
how air flows from your lungs in one fast blast, or the ability to push air out of your lungs
Spirometry measures __ & __.
Forced vital capacity: largest amount of air you can blow out after taking your biggest breath in
and
Forced expiratory volume: the amount of air you can blow out of your lungs in the first second
Myopia is …
nearsightedness
Hyperopia is …
farsightedness
Presbyopia is …
hardening of the eyes, difficulty focusing on close objects
An ishihara test tests…
color vision
Pumping fists during phlebotomy can cause…
inaccurate results, such as increased potassium levels
If a patient develops a hematoma, or bruise, you should …
release tourniquet and stop procedure, and apply pressure and a cold pack
Serum includes ___.
Serum includes: clotting factors and white blood cells making a “buffy coat”
Yellow tube tests for ___.
blood culture
light blue tube tests for… and contains what additive?
coagulation studies/pt/ptt; sodium citrate
lavender tube tests for… and contains ___ as a coagulant
hematology/CBC; EDTA
Navy tube tests for…
heavy metals
Use a __ test to measure red/white blood cell count in a lavender tube.
CBC (complete blood count)
the hemoglobin A1c tests for… and uses a ___ colored tube
average glucose level over 3 months; lavender tube
Phenylketonuria or PKU is an inborn metabolism error concerning the amino acid ___. the lab test is from a ___ stick.
phenylalanine; heel stick
International Normalized Ration (INR) is a test to determine how long it takes for blood to clot. In a healthy person, an INR of __ is considered normal.
1.1
Culture and sensitivity (C&S) is included in what lab section?
Microbio
WBC count is included in what lab section?
hematology
FBG (fasting blood sugar) is included in what lab section?
chemistry
Type and cross match-blood type test is included in what lab section?
Blood banking
For blood culture bottles, the green top is __ and needs ___ mL of blood. The orange top is ___ and requires ___ of blood.
Green- adult aerobic, 5-10 mL
Orange-adult anaerobic, 5-10mL
Excessive milking of a finger can cause…
Hemolysis- rupture of blood cells, contamination of specimen w/tissue fluids
Normal values for a urinalysis are:
pH:
Specific gravity:
Urobilinogen:
pH: 4-7
Specific gravity: 1.001-1.035
Urobilinogen: 0.1-1
Nitrites, NO2, byproduct of some bacterial enzymes, is in what lab section?
Urinalysis; sodium citrate
24 Hr urine is used to…
detect kidney problems. have patient flush 1st urine of the day and then collect for 24 hours (fridge not required).
The speed of an EKG is ___ mm/sec.
25
On an ECG paper, each tiny box represents __ seconds, and each large box represents __ seconds.
SMALL BOX: 0.04 seconds
Large BOX: 0.2 seconds
To find pulse from an EKG using the 1500 method…
Count the # of small squares between 2 R waves and divide by 1500
A normal PR interval lasts..
0.12-0.20 seconds
A normal QRS width lasts…
0.08-0.12 seconds
___ is a congenital condition where the heart points towards the right side of the chest.
Dexotrocardia
Which is the ground lead for an EKG?
Right leg
Ischemia is…
reduced blood flow supply to an organ
Prolonged ischemia can cause…
Necrosis: localized death of tissue (infarction)
Ambulatory EKG monitoring allows us to monitor a patients heart during their normal activities. It uses a ___ lead EKG and usually worn for __ hours.
3/5 lead; 24 hours
There are 3 main styles of business letters:
block, modified block, and semi-block styles. Block layout is most widely used.
A tickler file is…
a collection of date-labeled file folders organized so that time-sensitive documents are filed according to when the need action.
Wave booking is…
a booking method that brings several patients in to see the provider at the same time
An advance beneficiary notice (ABN) or __ __ __.
Waiver of liability
IDS-10 is a medical classification that contains codes for diseases, signs and symptoms, and causes of diseases.
The first part is known as the ___ ___, and provides an index for the diagnostic statement.
The second part is the ___ ___, made up of 21 chapters of disease descriptions and their codes.
Alphabetic index; tabular list
Current Procedural Terminology, or CPT, is medical code used to …
report surgical, medical, and diagnostic procedures to services/entities such as insurance companies. (outpatient)
CPT (current procedural terminology) modifiers are used to…
supplement information or adjust care descriptions concerning a procedure provided by a doctor. they allow further description without changing its definition.
CPT (current procedural terminology) modifiers are used to…
supplement information or adjust care descriptions concerning a procedure provided by a doctor. they allow further description without changing its definition.
By CPT definition, a new patient is one who has not received any services within the past __ years.
3
How many CPT codes would there be for an EKG test?
2- one for performing, one for interpreting
HCPCS, healthcare common procedure coding system is an extension of CPT products, services, and supplies not included already in the __.
CPT
Billing codes are updated ___.
Annually
CMS 1500 is a universal claim form for…
outpatient medical billing.
Blocks 1-13: patient and insurance
Blocks 14-33: provider/supplier information
Some common coding mistakes are: ___ & ___.
Unbundling codes & upcoding.
Accreditation standards for hospitals are set by the ___ ___.
Joint Commission
PPO insurance or preferred provider organizations do not require ..
PCP referrals, and have more freedom to see specialists.
HMO insurance, or health maintenance organizations requires their primary to ___ to see specialists.
send referrals
Lipemic blood, has a ___ appearance due to fat.
milky
in Hemolytic blood, serum has a ___ appearance because…
bloody; hemolyzed red blood cells
Ecchymosis is…
a discoloration of the skin due to bleeding under the skin caused by bruising
Post prandial means…
after a meal
Dysuria
painful urine
Hematuria
bloody urine
hematemesis
vomiting blood
Epistaxis
nose bleed
Osteomalacia
softening of bone
Osteoporosis
weak and brittle bones
Cirrhosis
chronic liver damage
Manifestation of anaphylaxis is in:
urticaria:
erythema:
pruritis:
angiodema:
urticaria: hives
erythema: redness of skin
pruritis: itchy skin
angiodema: rapid edema
scler/o means…
hard
sten/o means…
narrowing
-ectomy
removal
-ostomy
surgical creation of an opening
-itis
inflammation
cost-
ribs
myo-
muscle
ren-
kidney
ur-
urine
corp-
body
-pnea
breathing
-plasty
repair
-rrhaphy
repair
-tripsy
crushing
-tomy
incision
-pathy
disease
-pathy
disease
-oma
tumor
infra-
below, beneath
meta-
change
para-
along, beside
pharmacodynamics is…
effect drugs have on the body
Enteric-coated tablets should be swallowed…
whole
some hospital acquired infections are:
HBV, staph infection, TB (airborne)
__ requires safety devices on needles
OSHA
According to the OSHA bloodborne pathogen standard, an exposure control plan must be:
reviewed and updated yearly
Sanitize:
Disinfect:
Sterilize:
Sanitize: remove soil
Disinfect: reduce amount of microbes
Sterilize: remove all pathogens, autoclave
What is cavacide?
Intermediate-level disinfectant
Treponema pallidum is a causative agent of ___.
syphilis
____ is a gram negative rod shaped bacterium.
E-coli
Thrush is caused by ___ ___, and often causes diaper rash in infants or yeast infections in women.
Candida fungus
Blood is:
55% plasma:
1% buffy coat:
& 45% ___
55% plasma: water, hormones, vitamins, glucose, proteins
1% buffy coat: WBCs and thrombocytes
& 45% RBCs
Neutrophils are…
the most abundant white blood cell and are the first to fight off pathogens
Thrombocytes are…
WBCs to initiate blood clots
An erythrocyte…
matures to a RBC from being a stem cell in 7 days, total life cycle is 120 days
blood flows in the heart from the __, to the ___, to the __, to the __.
RA, RV, LA, LV
Heart murmur is characterized by a ___ sound from valves.
swishing
People with type 1 diabetes…
don’t produce insulin
People with type 1 diabetes…
don’t produce insulin
people with type 2 diabetes…
do not respond to insulin as well as they should, and often do not make enough insulin later in the disease
diabetes insipidus occurs when… and it is caused by…
the body cannot regulate how it handles fluids. it is caused by a hormonal abnormality.
Important organs in the RUQ are:
gallbladder, liver
Important organs in the LUQ are:
stomach, pancreas, spleen
Important organs in the RLQ are:
Appendix
