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CCMA > CCMA Test > Flashcards

CCMA Test Flashcards

1
Q

Where do cardiac impulses originate in the hear?

AV node
Bundle of His
Purkinje Fibers
Sinoatrial node

A

Sinoatrial Node.

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2
Q

Which lab results should you recognize is abnormal?

Sodium 138 mEq/L
RBC count 5.2/mm^3
Platelets 350/mm^3
Potassium 3 mEq/L

A

Potassium 3 mEq/L

Potassium’s expected range should be 3.5 to 5 mEq/L

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3
Q

Which format is appropriate for a professional business letter

Keep flush with the left margin

Leave two lines between the closing and the typed signature

Center the inside address and greeting

omit the date and the typed signature

A

Keep flush with the left margin

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4
Q

Where should you look to find the ICD-10-CM diagnosis code for breast cancer

The Tabular List

The Alphabetic Index

The Chapter list

The Subcategory Index

A

The Alphabetic Index

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5
Q

Which action should you take when you prepare the room for another patient

Wipe the table with 50% bleach

Roll up the paper tightly and quickly

Crumple the paper

place the pill on top of the fresh paper on the table

A

Roll up the paper tightly and quickly

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6
Q

Why would a provider prescribes an injection of lidocaine with epinephrine. What is the purpose of epinephrine.

to reduce bleeding at the site

to reduce pt’s blood pressure

to prevent an allergic reaction

to decrease the likelihood of infection

A

To reduce bleeding to the site

Epinephrine is a vasoconstrictor, its inclusion in the anesthetic reduces bleeding and prolongs the anesthetics effects. Reducing the bleeding with provider is repairing the laceration.

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7
Q

Which is true of Schedule 1 Drug

Are available for unlimited refills

Are available OTC

Have No accepted medical use

Have a low potential for abuse

A

Have no accepted medical use.

They have a HIGH potential for abuse, cannot be prescribes, not available OTC, possession of the drug is ILLEGAL

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8
Q

What size needle should you choose for a subcutaneous injection

1/2 - 5/8 inch needle, 25 gauge

1-2 inch needle, 18 gauge

3/8-5/8 needle, 27 gauge

1/2-1 needle, 21 gauge

A

1-2 to 5/8 needle, 25 gauge

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9
Q

Which of the following ways should the MA record the date on a professional letter

January 1st, 2020

January 1, 2020

1st of January, 2020

01/01/2020

A

January 1, 2020

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10
Q

When choosing a diagnosis code, a MA should consider which of the following actions in order to avoid an insurance denial?

coding the appropriate modifier with the diagnosis code

coding to the highest level of specificity

coding using bundled codes

coding with HCPCS

A

coding to the highest level of specificity

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11
Q

when performing the palpatory method for obtaining BP, which indicated the level at which the MA should inflate the buff

30 about radial pulse cessation

30 above brachial pulse cessation

30 above reappearance of the radial pulse

30 above reappearance of brachial pulse

A

30 about radial pulse cessation

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12
Q

which following solutions to prepare a pt skin prior to drawing blood cultures

Benzoin tincture

hydrogen peroxide

Isopropyl alcohol

Chlorhexidine

A

Chlorhexidine

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13
Q

what pt position is used for enema

Fowler’s Position

Semi-Fowler’s Position

Sims’ position

Lithotomy position

A

Sims’ position

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14
Q

Which of the following statements should the MA include in teaching a pt about a Pulse Oximetry

Cold hands improve the test’s accuracy

Remove your nail polish before the test

clip the probe onto your second toe

this test will measure your pulmonary capacity

A

Remove your nail polish

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15
Q

which med routes should a MA administer for a slow release of medication into the blood stream

Transdermal

Sublingual

Buccal

Inhalation

A

Transdermal

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16
Q

A MA works at a practice which is apart of an ACO,, this means that the practice’s health care team will focus on improving care for pt who have which type of medical coverage

Medicaid

PPO

Medicare

HMO

A

Medicare

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17
Q

An MA is testing a pt visual acuity, which should the ma take

Position the pt 40ft from the chart

Make sure the pt doesn’t lean forward

Have pt close their left eye when testing right eye

ask the pt to read the smallest line first and them proceed to the largest

A

Make sure the pt does not lean forward

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18
Q

Which of the following is the largest and upper most section of the brain?

Cerebrum

Cerebellum

Brainstem

Diencephalon

A

The cerebrum is the largest and uppermost section of the brain. It is divided into lobes and separated into the right and left hemisphere.

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19
Q

Which of the following items included on the cms-1500 claim form should a medical assistant recognize as indicating the medical necessity of a procedure?

Modifier

Diagnosis Code

Charges

Place of service

A

Diagnosis code
The assistant should recognize that a diagnosis code indicates the medical necessity for the performance of a procedure or provided treatment. Without a supported diagnosis, the provider will not receive reimbursement for the procedure.

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20
Q

What is the Chain of Custody Form used for?

Ensuring that the specimen is handled by only one administrative assistant

Ensuring that a specimen is packaged as directed

Ensuring that the patient received the test results

Ensuring that the results are sent to the provider

A

Ensuring that a specimen is packaged as directed

The chain custody form ensures accurate collection, transportation, and processing of a specimen.

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21
Q

Whichy abbreviations means Before Meals

pc
hs
ac
prn

A

ac

The abbreviation “ac” means “before meals.”

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22
Q

a medical assistant is checking a pt’s hearing using the Weber test. Which of the following actions should the ma take?

position a vibrating tuning fork over the pt mastoid process

invert a vibrating tuning fork while the pt still hears the sound

instruct the pt to raise his hand when he no longer hears any sound

ask the pt is he hears the vibration louder in one ear than the other

A

Ask the patient if he hears the vibration louder in one ear than the other.
When performing the Weber test, the assistant should ask the patient if he hears the vibration louder in one ear than the other. The Weber test is used to determine if a patient’s hearing is better in one ear than the other.

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23
Q

a ma is transcribing a prescription for magnesium sulfate into the pt EMR. which of the following should the assistant use to document this medication?

MS

MgS04

Magnesium

Magnesium Sulfate

A

Magnesium sulfate

When transcribing a prescription for magnesium sulfate, the medication name should always be spelled in full.

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24
Q

Several pt arrive at a clinic at the same time for care. who should be seen first?

An adult patient who reports continuing symptoms of GERD

An young adult patient who is irritable and has a localized rash on her upper body

A middle adult patient who demonstrates depression and frustration

An adult patient who is experiencing dyspnea and congestion

A

An adult patient who is experiencing dyspnea and congestion
Dyspnea, or difficulty breathing, coupled with congestion can be a sign of a life-threatening medical emergency. The assistant should recognize that this patient’s chief complaint is the priority for the provider to address.

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25
Q

a ma receives a call from a pt requesting a refill for fetanyl patched for chronic pain what should the ma do?

Call the prescription in to the patient’s pharmacy.

Tell the patient to schedule an office visit.

Fax the prescription to the patient’s pharmacy.

Refer the patient’s request to the provider.

A

Refer the patient’s request to the provider.
The assistant should recognize fentanyl as a Schedule II drug that requires a written prescription from the provider. The first step when reviewing a refill request is to contact the provider.

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26
Q

A ma is preparing to assist a provider with suturing a wound. which of the items should be in a sterile field for this procedure?

Bandages

Skin retractor

Hemostat

Scalpel

A

Hemostat

A hemostat would be used in a suturing procedure and must be located in the sterile field.

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27
Q

when preforming a subcu what should the MA Do

Spread the skin taut over the injection site

Insert the needle at a 30 degree angle

inject the medication slowly

Massage the site after removing the needle

A

Inject the medication slowly.

The assistant should insert the needle quickly, release the skin, and then slowly inject the medication.

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28
Q

In which abdominal quadrant would a provider palpate the major portion of the liver?

Right upper
Right Lower
Left Upper
Left Lower

A

Right upper

The right upper quadrant contains the major portion of the liver. It is also the quadrant that contains the gallbladder.

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29
Q

a lab report indicated a hemoglobin level of 7g/dl. What should the MA Do

Notify the provider

inform the patient

record the results in the medical record

Repeat the test to ensure accuracy

A

Notify the provider.

Because the results indicate a critically low level of hemoglobin, the assistant should notify the provider

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30
Q

which lead do you put left of the sternum at the fourth intercostal space?

V4
V3
V2
V1

A

V2

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31
Q

what should an MA do if an infant suddenly becomes unresponsive for unknown reasons

Check for a foreign object in the mouth by preforming a blind finger sweep

perform abdominal thrusts

initiate CPR

preform five back blows

A

Initiate cardiopulmonary resuscitation.
If an infant suddenly becomes unresponsive, the assistant should immediately initiate cardiopulmonary resuscitation for 2 min prior to activating emergency response measures.

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32
Q

what technique should the MA use to clean EKG leads

Disinfection
Sanitization
Sterillization
Soaking

A

Disinfection
​This is the proper technique to use when cleaning EKG cables. Disinfection is effective on surfaces that come in contact with micro-organisms and will not damage EKG cables.

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33
Q

A MA receives a denial of payment for a pt’s cholecystectomy. the reason stated is “non-covered service” If the procedure was deemed emergent by the provider, what should the ma do

Submit an appeal

Submit a new claim

Resubmit the claim with a different procedure code

instruct the pt to contact the insure about the denial

A

Instruct the patient to contact the insurer about the denial of payment.
The assistant serves as an advocate on behalf the patient in terms of treatment and care. In an instance of denial of payment due to a noncovered service, it is the responsibility of the patient to contact the insurer to discuss any existing disputes regarding payment.

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34
Q

A ma is coding an office visit during which the provider reviewed the systems related to a pt’s cc but did not discuss the pt family history or social history

Detailed history

Comprehensive history

problem-focused history

expanded problem-focused history

A

Expanded problem-focused history
An expanded problem-focused history includes the systems related to the chief complaint but does not include a family or social history.

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35
Q

which of the following actions should the MA take when obtaining the head circumference of an infant

Place the infant in a prone position

allow the parent to obtain the reading if it soothes the infant

Record the measurement to the nearest 0.6cm (1/4in)

Position the measuring tape around the infants head just below the infant’s ears

A

Record the measurement to the nearest 0.6 cm (1/4 in).

The assistant should record the infant’s head circumference to the nearest 0.6 cm (1/4 in).

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36
Q

What stage is depression in the Five Stages of Grief

First

Second

Third

Fourth

A

Fourth

According to the stages of grief identified by Elisabeth Kübler-Ross, depression presents itself in the fourth stage.

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37
Q

What are some manifestations of CHF should an MA expect

Palpitations

Headaches

Chest pain

Shortness of breath

A

Shortness of breath

Expected manifestations of CHF include shortness of breath, fatigue, and edema.

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38
Q

A medical assistant is scheduling a pt for an outpatient procedure. What should the following actions should the assistant take first

Obtain prior authorization for the procedure with the pt insurance company

Obtain an oral or written order from the provider for the procedure

contact the pt to find out his availibility

A

Obtain an oral or written order from the provider for the procedure.
The assistant must first obtain an oral or written order for the procedure before taking other actions.

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39
Q

which term refers to the range of fees charged by providers who have similar qualifications and practice in the same geographical area

Usual

Reasonable

Customary

Calpitation

A

Customary
A customary fee is a range of fees charged by providers who have similar training and experience and practice in the same geographical area.

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40
Q

What degree should you insert a needle for venipuncture

15
35
45
90

A

15-30° angle

A medical assistant should insert the needle at a 15° angle when performing a venipuncture.

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41
Q

what dressing should you use for a partial-thickness burn

Skin closure application

Nonadherent dressing

lubricated mesh gauze

sterile gauze dressing

A

Nonadherent dressing
The assistant should use a nonadherent dressing on a partial-thickness burn. This type of dressing allows the wound to be exposed to air and heal.

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42
Q

When a MA is taking a pt temp via the tympanic membrane, where should the MA place the thermometer?

On the forehead

In the ear

Under the tongue

Under the arm

A

In the ear
The tympanic membrane is located in the ear canal. Therefore, the assistant should place a thermometer in the patient’s ear to collect a temperature via the tympanic membrane.

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43
Q

When should the code on glucose cuvettes be compared to the code on the glucometer?

After a new package of cuvettes is opened

Before the PT is tested

At the beginning of the shift

Following an error code

A

​Before a patient is tested

The assistant should check the coding every time the glucometer is used to ensure the most accurate results.

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44
Q

Which of the following stages of the cardiac cycle on an ekg strip represents ventricular depolarization

T wave

ST segment

QRS complex

P Wave

A

QRS complex

​The QRS complex represents ventricular depolarization.

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45
Q

a MA is speaking with a pt who has seasonal allergies. Which of the following health care providers should the assistant identify as being able to make a diagnosis and initiate the necessary treatment?

Pharmacist

Physician Assistant

Respiratory therapist

Registered Nurse

A

Physician assistant
As a licensed health care provider, a physician assistant is able to manage patient care, make a diagnosis, and initiate treatment, which includes writing prescriptions for medication.

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46
Q

A MA is measuring the circumference of an infant’s head. What should the MA do?

Position the infant prone on the exam table

place the measuring tape so it covers the infants ears

place a zero mark of the measuring tap against the infant’s forehead

mark the measuring tape and record the measurement after the visit

A

Place the zero mark of the measuring tape against the infant’s forehead.
The assistant should place the zero mark of the measuring tape on the infant’s forehead.

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47
Q

Multiple solid elevations that are less than 0.5cm in diameter are?

Papules

Macules

Vesicles

Pustules

A

Papules

Papules are solid elevations that are less than 0.5 cm (0.2 in) in diameter. A common cause is allergic eczema.

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48
Q

how the MA respond if an irate pt is calling about a insurance claim denial

“That’s not our fault. Your insurance company has several rules about what they cover and don’t cover.”

“i dont take care of those matters. you will have to talk to our billing department
“That kind of thing eventually happens to everyone. If the balance isn’t that large, it’s better to just pay it than try to fight with them.”

“Let’s see if there is something we can do at our end. I’ll ask our claims specialist to review the claim.”

A

“Let’s see if there is something we can do at our end. I’ll ask our claims specialist to review the claim.”

This response by the assistant provides effective customer service, seeks clarification, and validates the patient’s concern. Effective communication is clear, direct, and respectful in nature. When communicating with patients, the assistant should attempt to provide any available assistance in responding to and resolving any concerns that patients might have.

49
Q

Which of the following medical records is a pt entitled to:

Detailed psycotherapy notes

List of medications with diagnosis

Original chest x-ray

Information compiled for legal proceedings

A

​List of medications with diagnosis

​A patient is entitled to a list of medications with the diagnosis listed.

50
Q

A MA is checking a pt for a deep laceration, the pt tells the MA, that he cannot accept a blood transfusion due to religious beliefs, what should MA do

Document the statement in the pt’s chart

Obtain a specimen for blood type cross and match

Inform the pt that a transfusion is mandatory for his treatment

Have the pt sign an Against Medical Advice (AMA) form

A

Document the statement in the patient’s chart.
The assistant should document the patient’s wishes in the patient’s chart. By documenting the patient’s statement, the provider will have the patient’s statement to refer to if a blood transfusion is recommended at a later time.

51
Q

What does lead I record?

A

Impulses between the left and right arms

52
Q

What does lead II record?

A

Impulses between the right arm and left leg

53
Q

What does lead II record

A

Impulses between the left arm and left leg

54
Q

What does lead AVL trace, and which poles augment the tracing

A

In AVL, the left leg and right arm assist with the left arm tracing

55
Q

What does lead AVR trace, and which poles augment the tracing?

A

In AVR, the left arm and left leg assit with the right arm tracking

56
Q

What does the AVF trace, and whcih poles augmnt the tracing

A

Right and left arms assist with the left leg tracing

57
Q

when and where is V1 placed

A

First and on the right side of the sternum at the fourth intercostal space

58
Q

when and where is V2 places

A

Second, and on the left side of the sternum, directly across from V1 at the fourth intercostal space

59
Q

when and where is V2 placed

A

Placed after V4, on the left side of the chest, midway between V2 and V4.

60
Q

When and where is V4 placed?

A

Placed after V2, on the left side of the chest, fifth intercostal space, midclavicular line.

61
Q

When and where is V5 placed?

A

Placed after V3, on the left side of the chest, fifth intercostal space, anterior axillary line.

62
Q

When and where is V6 placed?

A

Placed after V5, on the left side of the chest, fifth intercostal space, midaxillary line.

63
Q

How do you prep a patient for an EKG?

A

Have the patient disrobe, provide draping. Remove jewelry that could interefere with lead placement and any electronic devices. Clean skin with alcohol wipes or soap and water. Clip or shave hair if electrodes cannot be properly placed.

64
Q

What are the two ways to check a pulse

A

Palpitation and Ascultation

65
Q

3 most commonly uses pulse sites

A

radial, brachial, carotid

66
Q

Evaluation of plse rate is based on

A

Rate, Rhythm, and volume/strength

67
Q

Five phases of Korotkoff sounds

A

Phase I: Systolic pressure; the first sharp tapping sound is heard.
Phase II: Swishing sound as blood flows through the artery.
Phase III: Sharp tapping sounds as more blood surges.
Phase IV: Sound changes to soft tapping that begins to muffle.
Phase V: Diastolic pressure; the last sound disappears completely.

68
Q

Average blood pressure of infants and children

A

60/30 to 100/80 mm Hg

69
Q

Average blood pressure of adults

A

100/60 to 140/80 mm Hg

70
Q

Exams for which Fowler’s position is used

A

Exams involving the eyes, ears, nose, throat, chest

71
Q

Exams for which semi-Fowler’s position is used

A

Exams involving the chest

Exams usually done in supine but for which the patient is unable to lay flat

Exams for patients experiencing shortness of breath

72
Q

Exams for which Sims’ (lateral) position is used

A

Exams involving the rectum, enemas

73
Q

Exams for which knee-chest position is used

A

Gynecological or rectal exams and treatments of spinal adjustments

74
Q

Exams for which jack-knife position is used

A

rectal exams or instrumentation

75
Q

Exams for which lithotomy position is used

A

Female pelvic exams

76
Q

Exams for which dorsal recumbent position is used

A

Catheterizations and gental exams for younger children

77
Q

Exams for which prone position is used

A

Exams involving the back of the body

78
Q

Exams for which supine position is used

A

Exams involving the fornt of the body.

79
Q

Exams for which Trendelenburg/modified Trendelenburg position is used

A

Shock

80
Q

Procedure for performing CPR

A

Ascertain responsiveness, activate emergency medical systems, give two rescue breaths, and check the carotid artery for a pulse. If no pulse is present, give 30 chest compressions to two rescue breaths.

81
Q

Information required when labeling specimens

A

Patient’s name; date and time of collection; patient’s date of birth; provider’s name; initials of the person collecting the specimen

82
Q

Safety measures when transporting nonblood specimens

A

Padding and protection from leakage (i.e., wrapping the container in absorbent material and placing it in a biohazard bag). When transported via mail, use a biohazard identification on the outside of the package.

83
Q

How to use a near vision acuity chart

A

Ask patients to read printed materials 14 to 16 inches away from eyes without corrective lenses, testing each eye separately and then together. The result is the level at which the patient reads the smallest print clearly.

84
Q

How to use a distance vision acuity chart

A

Ask patients to read chart from 20 feet away, testing eyes separately and together. The result is the line at which the patient can clearly see the letters/pictures

85
Q

Normal adult hearing

A

Should hear up to 25 decibels

86
Q

Normal child hearing

A

Should hear up to 15 decibels

87
Q

Random urine collection

A

The patient urinates in a clean, nonsterile container.

88
Q

First morning specimen urine collection

A

Patient collects the first specimen of the morning in a clean container.

89
Q

Clean-catch midstream urine collection

A

Patient cleans perineal aria with moist wipes, begins to urinate, and then collects specimen midstream in a sterile container.

90
Q

24-hour urine collection

A

Patient discards first morning specimen and collects all specimens for the next 24 hr, including the first void of the second day, using a container with preservatives.

91
Q

Catheterized urine collection

A

Nurse or provider inserts a sterile tube through the urethra into the bladder.

92
Q

How to perform a tape test

A

Provide parents with slide with a piece of tape. Tape is placed over child’s anus before getting up in the morning, then back on slide

93
Q

Sputum specimen collection

A

Performed in the early morning, before eating or drinking; patient produces a deep productive cough.

94
Q

Which of the flowwing actions should the MA take to verify the quality of venipuncture supplies before beginning a blood draw

Determine that the tourniquet is the proper size

Check the vacuum of the tube

Inspect the integrety of the needle’s seal

Verify that the adapter is the correct color

A

​​Inspect the integrity of the needle’s seal.

Inspecting the needle’s seal helps ensure the sterility of the needle.

95
Q

What condition does the Epstein-Barr virus cause?

Polio

Mononucleosis

Gastroenteritis

Fifth Disease

A

Mononucleosis

Mononucleosis is a contagious disease that is caused by the Epstein-Barr virus.

96
Q

A medical assistant is measuring a patient’s blood pressure with an aneroid sphygmomanometer and a stethoscope. Which of the following actions should the assistant take?

Make sure the midpoint of the patient’s arm is at the level of the patient’s heart.

Use a cuff whose bladder encircles only 60% of the patient’s upper arm.

Make sure the lower edge of the cuff is 1.3cm (0.5 in) above the antecubital space

Wrap the cuff loosely around the pt arm

A

Make sure the midpoint of the patient’s arm is at the level of the patient’s heart.
This action helps to make sure the reading is accurate. The arm should rest on a flat surface to expose the brachial artery and to help the patient feel comfortabl

97
Q

The MA is administering eye ointment to a pt,

Hold the ointment tube parallel to and above the pts eye

Apple a thin ribbon of ointment along the conjunctival sac

Apply the ointment from the outer canthus to the inner canthus

Have the pt keep her eye open after application

A

Apply a thin ribbon of ointment along the conjunctival sac.

Ointment should be applied along the conjunctival sac from the inner canthus to the outer canthus.

98
Q

Which of these is dorsal recumbent

Lying face down with the legs supported by the table

Lying face up, with the legs bent and feet flat on the table

sitting upright, with the table at a 90 angle

sitting semi upright with the table at a 45 angle

A

Lying face up, with the legs bent and feet flat on the table
The assistant should recognize that positioning the patient lying face up, with the legs bent and feet flat on the table is the dorsal recumbent position.

99
Q

Rhine test

Position the vibrating tuning fork on the top of the pt head

Invert the vibrating tuning fork and place it 5cm (2 in) in front of the ear canal

Ask the pt to raise his hand when he no longer hears any sound

place headphones over the pt ears and adjust for comfort

A

Ask the patient to raise his hand when he no longer hears any sound.
During the Rinne test, the patient is instructed to raise his hand when the sound disappears.

100
Q

A medical assistant is reviewing the medical history of a patient who regularly comes into contact with coal and wood dust. The assistant should recognize that this patient is at an increased risk for developing which of the following disorders?

Obstructive sleep apnea

Emphysema

Atelectasis

Carcinoma of the larynx

A

Emphysema
MY ANSWER
Emphysema can be caused by coming into contact with coal and wood dust, which causes damage to the alveoli in the lungs.

101
Q

​Which of the following groups of EKG leads are bipolar?

​Leads V1, V2, and V3

Leads V4, V5, and V6

Leads aVR, aVL, aVF

Leads I, II, and III

A

Leads I, II, and III

Leads I, II, and III are three bipolar limb leads that make up Einthoven’s Triangle.

102
Q

How to remove a tick

Grasp the tick at a point furthest from the skin

Squeeze the body of the tick and firmly to remove it

Use tweezers to pull the tick away from the skin slowly

Discard the tick in the trashcan

A

Use tweezers to pull the tick away from the skin slowly.
The assistant should grasp the tick with tweezers near the head and pull it away from the patient’s skin slowly and steadily.

103
Q

What position should the pt be in for a rectal temp

Sims

Knee-chest

Lithotomy

Dorsal Recumbent

A

Knee-chest

Knee-chest position is used to examine the anus and rectum during proctological procedures.

104
Q

A medical assistant is collecting a urine specimen from a patient for a drug screening. Which of the following actions should the assistant take to adhere to the chain of custody for this specimen?

Ensure the specimen has a volume of 20 mL.

Record the specimen’s temperature 8 min after collection.

Send the specimen to the testing laboratory on the same day as the collection.

Ask the provider to supervise the collection and shipment of the specimen.

A

Send the specimen to the testing laboratory on the same day as the collection.

105
Q

Which system allows for the most consistent pt flow

Double booking

Cluster Booking

Wave Scheduling

Stream Scheduling

A

​Wave scheduling
Wave scheduling organizes patients in the first 30 min of the hour to allow for patients who are early, patients who are late, and patients who do not show up for appointments. All patients scheduled for that hour are seen within that hour.

106
Q

A medical assistant is preparing a patient for a procedure to have a mole excised. Which of the following actions should the assistant take?

Administer the anesthetic to the patient.

Don sterile gloves and gown.

Cleanse the site with surgical soap and an antiseptic.

Open a sterile pack and lay instruments on the counter.

A

Cleanse the site with surgical soap and an antiseptic.
The assistant is responsible for completing skin preparation of the surgical site with surgical soap and an antiseptic before the provider can perform the procedure.

107
Q

Which of the following body systems should be evaluated for a diagnosis of pyloric stenosis?

Urinary

Gastrointestinal

Nervous

Cardiovascular

A

Gastrointestinal
Pyloric stenosis is the narrowing and hardening of the pyloric sphincter. It can be the result of scar tissue caused by chronic conditions or can be a congenital defect in infants. The pyloric sphincter is located at the distal end of the stomach, which is a part of the gastrointestinal system.

108
Q

A pharmacist calls the clinic to confirm an e-prescription request to fill a patient’s medication order. Which of the following actions should the assistant take?

Verbally authorize the e-prescription after confirming the order with another medical assistant.

Authorize the e-prescription to last until the patient’s next appointment.

Verify the order with the provider prior to confirming the e-prescription.

Contact the patient for verification of the e-prescription.

A

Verify the order with the provider prior to confirming the e-prescription.
The assistant should confirm the accuracy of the e-prescription with the provider and then authorize the order with the pharmacist.

109
Q

EKG artifact causes by disconnected electrode

Wandering Baseline

AC interference

Interrupted baseline

Somatic tremor

A

Interrupted baseline
Interrupted baseline is caused by an electrical disconnection or a detached electrode and results in the tracing moving into the margins of the paper.

110
Q

Which one of these is an instrument used in an orthopedic exam

Goniometer

Hemostat

Retractor

Tonometer

A

Goniometer
The provider uses a goniometer to measure joint movement in a single plane. This instrument is used for orthopedic examinations.

111
Q

Simplified letter style

A complementary closing

a subject line in all capital letters

indented paragraphs in the body of the letter

center aligned dateline and salutation

A

A subject line in all capital letters

In the simplified letter style, the subject line is in all capital letters and replaces the salutation.

112
Q

how many characters are used to provide the highest level of specificity with an ICD-10-CM code?

two

four

five

seven

A

Seven

113
Q

A medical assistant is monitoring a patient during a stress test. The patient becomes increasingly short of breath and tachycardic. Abnormalities appear in his EKG rhythm. Which of the following actions should the assistant take first?

Stop the test

Instruct the pt to take slow and deep breaths

Ask the pt if he has chest pain

obtain vitals

A

Stop the test

114
Q

When assigning a CPT code, which of the following is the purpose of a modifier?

Indicate complexity of the medical history that led to the procedure

Provides the clinical setting in which the procedure was performed

Indicates the amount of time the provider has spent on the procedure

Provides additional information or circumstances for a procedure

A

Provides additional information or circumstances for a procedure
A CPT code modifier adds a higher level of specificity to a procedure code by providing additional information and circumstances related to the procedure. Some examples include modifiers that indicate the patient’s physical status, the anatomical location for the procedure, and the use of anesthesia.

115
Q

which is necessary for a Pap test

Cryoprobe

Senn retractor

Crytobrush

Adson Forceps

A

Cytobrush

This instrument is necessary because the provider uses the cytobrush for obtaining a specimen for a Pap test.

116
Q

For POMR which section should you add the pt health history and lab results

Problem List

Database

Progress notes

Diagnosis and Treatment Plan

A

Database
The assistant should enter the patient’s medical history, diagnostic and laboratory results, review of systems, and chief complaint or present illness in the database section of the POMR.

117
Q

A medical assistant is preparing a patient for a physical examination when he notices that the patient’s eyes are moving back and forth in a constant, involuntary manner. Which of the following terms should the assistant use when documenting this finding in the patient’s medical record?

Strabismus

Nystagmus

Conjunctivitis

Hordeolum

A

Nystagmus
Nystagmus is the constant involuntary movement of the eyes in a circular, vertical, or horizontal pattern. Nystagmus can be caused by brain injury or by the adverse effects of medications.

118
Q

A medical assistant is observing a patient after administering an antibiotic injection. The patient develops an itchy rash with pinkish, raised lesions. Which of the following terms should the assistant use when documenting this finding in the patient’s medical record?

Anaphylaxis

Urticaria

Rhinitis

Erythema

A

Urticaria
Urticaria is a rash on the skin that consists of hives or wheals, which are itchy, raised lesions. It is a sign of an allergic reaction.

CCMA (2 decks)

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