CCMA Test Flashcards
Where do cardiac impulses originate in the hear?
AV node
Bundle of His
Purkinje Fibers
Sinoatrial node
Sinoatrial Node.
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
Potassium 3 mEq/L
Potassium’s expected range should be 3.5 to 5 mEq/L
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
Keep flush with the left margin
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
The Alphabetic Index
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
Roll up the paper tightly and quickly
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
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.
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
Have no accepted medical use.
They have a HIGH potential for abuse, cannot be prescribes, not available OTC, possession of the drug is ILLEGAL
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
1-2 to 5/8 needle, 25 gauge
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
January 1, 2020
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
coding to the highest level of specificity
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
30 about radial pulse cessation
which following solutions to prepare a pt skin prior to drawing blood cultures
Benzoin tincture
hydrogen peroxide
Isopropyl alcohol
Chlorhexidine
Chlorhexidine
what pt position is used for enema
Fowler’s Position
Semi-Fowler’s Position
Sims’ position
Lithotomy position
Sims’ position
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
Remove your nail polish
which med routes should a MA administer for a slow release of medication into the blood stream
Transdermal
Sublingual
Buccal
Inhalation
Transdermal
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
Medicare
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
Make sure the pt does not lean forward
Which of the following is the largest and upper most section of the brain?
Cerebrum
Cerebellum
Brainstem
Diencephalon
The cerebrum is the largest and uppermost section of the brain. It is divided into lobes and separated into the right and left hemisphere.
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
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.
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
Ensuring that a specimen is packaged as directed
The chain custody form ensures accurate collection, transportation, and processing of a specimen.
Whichy abbreviations means Before Meals
pc
hs
ac
prn
ac
The abbreviation “ac” means “before meals.”
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
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.
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
Magnesium sulfate
When transcribing a prescription for magnesium sulfate, the medication name should always be spelled in full.
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
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.
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.
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.
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
Hemostat
A hemostat would be used in a suturing procedure and must be located in the sterile field.
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
Inject the medication slowly.
The assistant should insert the needle quickly, release the skin, and then slowly inject the medication.
In which abdominal quadrant would a provider palpate the major portion of the liver?
Right upper
Right Lower
Left Upper
Left Lower
Right upper
The right upper quadrant contains the major portion of the liver. It is also the quadrant that contains the gallbladder.
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
Notify the provider.
Because the results indicate a critically low level of hemoglobin, the assistant should notify the provider
which lead do you put left of the sternum at the fourth intercostal space?
V4
V3
V2
V1
V2
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
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.
what technique should the MA use to clean EKG leads
Disinfection
Sanitization
Sterillization
Soaking
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.
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
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.
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
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.
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
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).
What stage is depression in the Five Stages of Grief
First
Second
Third
Fourth
Fourth
According to the stages of grief identified by Elisabeth Kübler-Ross, depression presents itself in the fourth stage.
What are some manifestations of CHF should an MA expect
Palpitations
Headaches
Chest pain
Shortness of breath
Shortness of breath
Expected manifestations of CHF include shortness of breath, fatigue, and edema.
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
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.
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
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.
What degree should you insert a needle for venipuncture
15
35
45
90
15-30° angle
A medical assistant should insert the needle at a 15° angle when performing a venipuncture.
what dressing should you use for a partial-thickness burn
Skin closure application
Nonadherent dressing
lubricated mesh gauze
sterile gauze dressing
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.
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
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.
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
Before a patient is tested
The assistant should check the coding every time the glucometer is used to ensure the most accurate results.
Which of the following stages of the cardiac cycle on an ekg strip represents ventricular depolarization
T wave
ST segment
QRS complex
P Wave
QRS complex
The QRS complex represents ventricular depolarization.
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
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.
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
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.
Multiple solid elevations that are less than 0.5cm in diameter are?
Papules
Macules
Vesicles
Pustules
Papules
Papules are solid elevations that are less than 0.5 cm (0.2 in) in diameter. A common cause is allergic eczema.
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.”
“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.
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
List of medications with diagnosis
A patient is entitled to a list of medications with the diagnosis listed.
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
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.
What does lead I record?
Impulses between the left and right arms
What does lead II record?
Impulses between the right arm and left leg
What does lead II record
Impulses between the left arm and left leg
What does lead AVL trace, and which poles augment the tracing
In AVL, the left leg and right arm assist with the left arm tracing
What does lead AVR trace, and which poles augment the tracing?
In AVR, the left arm and left leg assit with the right arm tracking
What does the AVF trace, and whcih poles augmnt the tracing
Right and left arms assist with the left leg tracing
when and where is V1 placed
First and on the right side of the sternum at the fourth intercostal space
when and where is V2 places
Second, and on the left side of the sternum, directly across from V1 at the fourth intercostal space
when and where is V2 placed
Placed after V4, on the left side of the chest, midway between V2 and V4.
When and where is V4 placed?
Placed after V2, on the left side of the chest, fifth intercostal space, midclavicular line.
When and where is V5 placed?
Placed after V3, on the left side of the chest, fifth intercostal space, anterior axillary line.
When and where is V6 placed?
Placed after V5, on the left side of the chest, fifth intercostal space, midaxillary line.
How do you prep a patient for an EKG?
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.
What are the two ways to check a pulse
Palpitation and Ascultation
3 most commonly uses pulse sites
radial, brachial, carotid
Evaluation of plse rate is based on
Rate, Rhythm, and volume/strength
Five phases of Korotkoff sounds
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.
Average blood pressure of infants and children
60/30 to 100/80 mm Hg
Average blood pressure of adults
100/60 to 140/80 mm Hg
Exams for which Fowler’s position is used
Exams involving the eyes, ears, nose, throat, chest
Exams for which semi-Fowler’s position is used
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
Exams for which Sims’ (lateral) position is used
Exams involving the rectum, enemas
Exams for which knee-chest position is used
Gynecological or rectal exams and treatments of spinal adjustments
Exams for which jack-knife position is used
rectal exams or instrumentation
Exams for which lithotomy position is used
Female pelvic exams
Exams for which dorsal recumbent position is used
Catheterizations and gental exams for younger children
Exams for which prone position is used
Exams involving the back of the body
Exams for which supine position is used
Exams involving the fornt of the body.
Exams for which Trendelenburg/modified Trendelenburg position is used
Shock
Procedure for performing CPR
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.
Information required when labeling specimens
Patient’s name; date and time of collection; patient’s date of birth; provider’s name; initials of the person collecting the specimen
Safety measures when transporting nonblood specimens
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.
How to use a near vision acuity chart
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.
How to use a distance vision acuity chart
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
Normal adult hearing
Should hear up to 25 decibels
Normal child hearing
Should hear up to 15 decibels
Random urine collection
The patient urinates in a clean, nonsterile container.
First morning specimen urine collection
Patient collects the first specimen of the morning in a clean container.
Clean-catch midstream urine collection
Patient cleans perineal aria with moist wipes, begins to urinate, and then collects specimen midstream in a sterile container.
24-hour urine collection
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.
Catheterized urine collection
Nurse or provider inserts a sterile tube through the urethra into the bladder.
How to perform a tape test
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
Sputum specimen collection
Performed in the early morning, before eating or drinking; patient produces a deep productive cough.
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
Inspect the integrity of the needle’s seal.
Inspecting the needle’s seal helps ensure the sterility of the needle.
What condition does the Epstein-Barr virus cause?
Polio
Mononucleosis
Gastroenteritis
Fifth Disease
Mononucleosis
Mononucleosis is a contagious disease that is caused by the Epstein-Barr virus.
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
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
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
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.
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
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.
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
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.
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
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.
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
Leads I, II, and III
Leads I, II, and III are three bipolar limb leads that make up Einthoven’s Triangle.
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
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.
What position should the pt be in for a rectal temp
Sims
Knee-chest
Lithotomy
Dorsal Recumbent
Knee-chest
Knee-chest position is used to examine the anus and rectum during proctological procedures.
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.
Send the specimen to the testing laboratory on the same day as the collection.
Which system allows for the most consistent pt flow
Double booking
Cluster Booking
Wave Scheduling
Stream Scheduling
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.
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.
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.
Which of the following body systems should be evaluated for a diagnosis of pyloric stenosis?
Urinary
Gastrointestinal
Nervous
Cardiovascular
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.
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.
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.
EKG artifact causes by disconnected electrode
Wandering Baseline
AC interference
Interrupted baseline
Somatic tremor
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.
Which one of these is an instrument used in an orthopedic exam
Goniometer
Hemostat
Retractor
Tonometer
Goniometer
The provider uses a goniometer to measure joint movement in a single plane. This instrument is used for orthopedic examinations.
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 subject line in all capital letters
In the simplified letter style, the subject line is in all capital letters and replaces the salutation.
how many characters are used to provide the highest level of specificity with an ICD-10-CM code?
two
four
five
seven
Seven
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
Stop the test
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
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.
which is necessary for a Pap test
Cryoprobe
Senn retractor
Crytobrush
Adson Forceps
Cytobrush
This instrument is necessary because the provider uses the cytobrush for obtaining a specimen for a Pap test.
For POMR which section should you add the pt health history and lab results
Problem List
Database
Progress notes
Diagnosis and Treatment Plan
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.
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
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.
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
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.