EXTRA Flashcards
What does the term edema mean?
Swelling
The appropriate way to take a radial pulse is……
To place your index and middle finger on the wrist, under the thumb.
A pt is anxious and begins hyperventilating. His hands and lips start to feel numb and tingly, and he feels lightheaded. What is the physiological cause of his symptoms?
Lack of carbon dioxide in the blood.
Stages of grief are..
DENIAL, ANGER, BARGAINING, DEPRESSION, ACCEPTANCE.
Age, Height, and Weight is tracked on a Pt that is…
2-20 years old.
A Pt is upset and angry after an appointment. She is distraught and unable to pay attention when you tell her what dates are available for her follow-up appointment. This results in some confusion, and the Pt accuses you of not listening. What form of defense mechanism is the Pt likely demonstrating?
Projection.
How would you position yourself in an exam room with a Pt who seems angry and potentially aggressive?
Position yourself between the Pt and the door.
When food is traveling through the GI system, what part of the small intestine does it enter immediately after leaving the stomach?
Duodenum.
Which system is the Thyroid Gland part of?
Endocrine system.
If a Pt is laying on their back, they are in a _________ position.
Supine.
You are assisting a physician as he sutures a pt wound, and you inadvertently receive a needle stick. The needle had already been used on the pt, and it is therefore potentially contaminated. What action should be taken immediately?
Irrigate the wound.
A federal guideline for protecting health information
HIPAA
What is an important and possibly life-threatening side effect of clopidogrel (Plavix)?
Bleeding.
How do you properly detect sizing of crutches for a Pt?
The top of the crutches should be 1inch below the armpits when the pt is standing up straight, and the handgrips should be even with the top of the hips.
How should you carry out a proper swab throat collection?
Depress the tongue, visualize the back of the throat, then swab the back of the throat, and tonsils from side to side.
What is true regarding CDC recommendations for individuals with egg allergies receiving the annual flu vaccine?
Individuals who have experienced hives as a reaction to eggs should receive the flu vaccine as would individuals w/o an egg allergy.
Path/o
Disease.
Muscle tissues contains three parts… What are they?
Skeletal, Cardiac, and Smooth Muscles.
Median or Midsagittal plane divides the body in…
Half, Right to Left.
Transverse or horizontal plane divides the body into…
Upper and Lower.
Coronal or frontal plane divides the body into…
Front and Back.
Cranial cavity and Spine cavity is part of the…
Dorsal body cavity.
Thoracic cavity and Abdominopelvic cavity is part of the…
Ventral body cavity.
Chondr/o
Cartilage.
A neutral pH is…
7
Demographics include:
Pt’s name and DOB, Marital status, Sex, Occupation, Home address, Telephone number, Email address, Etc.
SOAP
Subjective, Objective, Assessment, Plan.
What should you do when an error has been made on a paper health record?
Place a line through the error, write correct information on top of the error, and initial.
acro-
Heights, Extremities.
aden/o
Gland.
axill/o
Axilla (Armpit)
bucc/o
Cheek.
capn/o
Carbon Dioxide.
Which bone is superior to the fibula and inferior to the ischium?
Femur.
The process of determining which patient accounts are past due is
Aging analysis.
The term that refers to areas of myelinated axons is
White matter.
Which blood cell aids in clotting?
Thrombocyte.
After obtaining a clean-catch urine sample, you perform a urine culture. After how many hours of incubation can the result be read?
24
Which vitamin requires intrinsic factor in order to be absorbed?
B12
The term for a rapid, regular pulse is
Tachycardia
During an office visit, the patient receives an immunization. Where is the appropriate code most likely to be found in the ICD-9-CM book?
V codes
An abbreviation that refers to the right ear is
AD
The term to describe an inflammation of the brain would be
Encephalitis
Which of the following instruments can be used to set up a sterile field?
Dry transfer forceps
Another term for heartburn is
Pyrosis
Which of the following refers to a congenital abnormality in the male in which the urethral opening is located on the upper surface of the penis?
Epispadius
Accounts receivable are
The record of money owed to the practice.
Which of the following organs would be found in the thorax?
Lungs
When is the coding abbreviation NEC used?
When information is not known for specific category coding.
The suffix that means “abnormal softening” is
-malacia
What is the term for movement of food through the digestive tract?
Secretion
Malfeasance is one form of
Malpractice
Which lab work would be helpful prior to prescribing warfarin (Coumadin)?
Prothrombin time
A written authorization by the patient that allows direct reimbursement to the physician for billed charges is called
EOB
Which type of insurance pays benefits when an accident or serious illness results in loss of pay?
Disability Insurance
When the medical office needs to have a mailed document received the next business day, which type of mailing is used?
Express mail
Which agency is responsible for the approval of drugs and the removal of unsafe medications from the market?
FDA
What does the QRS complex represent in an ECG tracing?
Ventricle depolarization
In adult CPR, what is the ratio of compressions to breaths?
30:2
Which microorganism stains dark blue or purple with Gram staining?
Gram-positive bacteria
There are five phases of Korotkoff sounds as the blood pressure cuff is deflated. Which is the stage when the sounds are fading and are muffled?
IV
When releasing medical records
Never release original medical record, only a copy.
Which patient is most at risk if exposed to radiation?
Pregnant woman
The medical assistant may repeat back a patient’s statements as a way to encourage open communication. Which technique is this?
Reflecting
Inorganic elements such as potassium, sodium, and calcium are classified as
Minerals
Prior to administering CPR, what are the first three things to assess?
Airway, breathing, and consciousness
What is Osteonecrosis?
Death of bone tissue
A deficiency of Vitamin D in children can result in
Rickets
Select the most appropriate reference source for locating a code for chronic arthritis.
ICD-9-CM
The building blocks of proteins are
Amino acids
Cerebrospinal fluid is located in the
Subarachnoid space
Dyspnea
Difficulty breathing
The medical office maintains a record of each check issued that shows the date, the check number, the amount, and the payee. This is called a(n)
Check register
The standard envelope size for general business correspondence is
No. 10
Which of the following may be found in an advance directive?
Medical power of attorney
The suffix meaning “to rupture” is
-rrhexis
The common name that begins with a lowercase letter and is assigned to every drug is called the
Generic name
The kidneys are stimulated to produce renin
By a decrease in the BP
The rupture of the mature follicle (egg) during ovulation is due to a surge in
LH
Cyan/o
Blue
Which condition can be caused by a lack of iodine?
Cretinism
The cardinal sign of pyloric stenosis is
Projectile vomiting
Which of the following is NOT a part of the Patient Bill of Rights?
The right to negotiate fees for medical services received
Which of the following organs separates the thoracic cavity from the abdominal cavity?
Diaphram
To control bleeding from a laceration to the upper leg, direct pressure should be placed over which of the following pulse points?
Femoral
The building blocks of carbohydrates are
Monosaccharides
Joints are lined by which type of membrane?
Synovial
How many kilocalories is one gram of carbohydrate?
4 kilocalories
A deficiency of Vitamin D in children can result in
Rickets
Who established the dietary guidelines to help Americans make healthy food choices?
USDA
Which of the following releases energy to power cellular processes?
ATP
Which type of thermometer is convenient to use for a patient of any age who does not cooperate?
Tympanic membrane thermometer
The directional term that means the opposite of medial is
Lateral
A person with gout should decrease their intake of
Purine
Excessive thirst is
Polydipsia
Which of the following organizations has established standards for safe working medical environments?
OSHA
How many kilocalories is one gram of carbohydrate?
4 Kilocalories
What arterial site cannot be felt?
Corneal (In the eye)
Surfactant helps to prevent the alveoli from collapsing by
Reducing the surface tension of alveolar fluid
Which of the following blood levels is considered a liver function test?
HDL : High-density lipoprotein
Which group is most at risk for poisoning?
Children 1-5
What does the gauge of the needle refer to?
Diameter
The area of the retina where the nerve fibers leave the eye and there is a blind spot is known as the
Optic disc or Optic nerve
When using clinical thermometers, cross-contamination may BEST be prevented by
Soaking for 20 minutes in commercial disinfectant
The patient’s ledger is actually a(n)
Accounts receivable ledger
The medical assistant can find information regarding the filing of reports and taxes from the employee’s earnings and employer’s tax contributions in the
IRS Employer’s Tax Guide
The “rule of nines” is used in the treatment and management of
Burns
The most abundant inorganic compound in the body is
Water
Scurvy can be the result of a deficiency of vitamin
C
Which vein is typically the most frequently used for a venipuncture?
Median cubital vein
The abnormal lateral curvature of the spine that is often congenital in origin is
Scoliosis
The receptors for hearing and equilibrium are located in the
inner ear
The lining of the uterus is called the
endometrium
A small mass of masticated food ready to be swallowed is
Bolus
The right lung is divided into how many sections?
3: Superior, Inferior, and middle.
Sperm and egg cell maturity begin at
puberty
A hernia of part of the rectum into the vagina is called
rectocele
The kidneys are located behind the
peritoneum
An abnormal scar formation is a
Keloid
Where are the sublingual glands located?
Beneath the tongue
What is the combining form means “red”?
erythro
The prefix “ad” means
to add to
What term describes age-related farsightedness?
Presbyopia
Nutrients absorbed by the body in the small intestine include
carbohydrates, proteins, lipids, vitamins, minerals, and water.
When describing body positions or directional terms, you visualize the pt…
In an anatomical position regardless of the position of the pt.
The major function of the circulatory system is
transportation
The most important digestive enzyme in the gastric juice is
pepsin
The outer ear includes the
ear canal
In what quadrant is the liver located?
Upper right
Outer layer of the skin is the
epidermis
When analyzing a medical term, where is the best word part to begin analyzing?
End
What is CHAMPVA
Insurance program that covers spouses and dependent children of deceased veterans
A scheduling method in which pt’s sign in and are seen on a first-come, first-served basis.
Open hours
An example of a medical assistant illegally practicing medicine is
giving advice on a pt condition
Under this doctrine, physicians are legally responsible for the acts of their employees when they are acting within the scope of their duties or employment
Respondeat superior
Self-esteem, prestige, love, safety, and survival are components of the humanistic hierarchy of needs developed by which of the following psychologists?
Maslow
Accepting assignment on a Medicare claim means that the physician is compensated
80% of approved amount
A threat to cause bodily harm to another is referred to as
assault
What is the most effective way to educate new pt’s about office policies?
Distribute pt information booklet
On an insurance claim form, the pt’s presenting problem is listed under
primary diagnosis
What is an example of insurance abuse?
Submitting a claim for a procedure that is not medically necessary.
Who created physiological ideas such as the id, ego, and superego?
Freud
What is required for electronic data interchange?
Modem
This type of benefit covers catastrophic or prolonged illness or injury
Major medical
The justification of behavior with socially acceptable reasons and the tendency to ignore the real reasons underlying the behavior is a defense mechanism. An example is, “I dieted strictly all day; therefore, it’s okay to eat a couple of candy bars later in the evening after supper.” This defense mechanism is known as
Rationalization
Immunization records should be kept in the medical office for how long?
Permanently
According to the Patient Care Partnership (formerly the Patient’s Bill of Rights), which of the following is a patient right?
To expect continuity of care
Traditional health insurance plans that pay for all or a share of the cost of covered services, regardless of which physician, hospital, or other licensed healthcare provider is used. Policyholders and their dependents choose when and where to get healthcare services.
Indemnity plan
The notice from the office sent to the patient showing the amount owed to the physician is called the
itemized statement
An example of a Medicare HCPCS code number is
J0540
Which of the following types of mail provides proof that a letter has been received?
Certified
Which of the following is the most common format of letter styles that is used in the medical office?
Full block
The routine waiving of co-payments
is against federal guidelines
Who created the theory on the stages of death and dying?
Kubler-Ross
Calibration
detects errors caused by laboratory equipment not working properly.
Monica is responsible for sterilizing instruments. She places a biological sterilization indicator into the autoclave to test the effectiveness of the sterilization process. What information is provided by the biological sterilization indicator?
The presence of spores in the autoclave
A hemostat is used to
control bleeding
Forceps are used to
Hold tissue
According to OSHA, what information must be included in the exposure control plan?
Exposure determination, method of compliance, postexposure evaluation and follow up procedures.
What instrument holds open layers of tissue, exposing the areas beneath?
Retractors
Which of the following sutures does not require removal from the body?
Gut
The third level of infection control is
Sterilization
When caring and handling surgical instruments which of the following can prolong the life span and ensure proper function of the instrument?
Prevent instruments from being piled and getting entangled with one another
What is a surgery that is used to treat an abscess?
incision and drainage
Electrocauterization is used for
removal of benign skin lesions.
The tympanic thermometer is inserted into the
Ear
Which of the following are applied to the outside of the material used to wrap instruments or supplies for the autoclave that lets you know when an item or items have been sterilized?
Sterilization indicators
The major components of a routine urinalysis are
physical, chemical, and microscopic.
Cold sterilization is achieved through the use of
Chemicals
You can prevent the spread of Microorganisms by the use of
Asepsis
The concept “Universal precautions” refers to
assuming all human blood and some body fluids may carry infectious or bloodborne pathogens.
Diabetic patient education must be acknowledged and followed by the patient. Which of the following is recommended for a diabetic patient?
Check feet daily for sores and wounds
Fire extinguishers must be inspected and recharged, if necessary,
once a year
The type of diabetes that is insulin-dependent diabetes mellitus is
Type 1
A patient short of breath should be put into what position on the examination table?
Fowlers
What is the first thing you should do if you walk into a room and find a patient collapsed on the floor?
Assess the scene before moving any closer
Sensitivity testing in microbiology is performed to
check for antibiotic sensitivity to the bacteria found in the specimen.
Two tablespoons of medication are equal to
30mL
What should be done if a person exhibits changing levels of consciousness?
Have the pt lie down
An afebrile patient is
Without fever
The method used to perform a breast examination is
palpation
After putting gloves on, what should be done to assist a bleeding victim?
Apply direct pressure to the site
Cheyne-Stokes describes a
type of respiration
A drug used to relieve pain is an
analgesic
What is the primary function of melatonin?
To regulate sleep/wake cycles
The limbic system of the brain is responsible for the regulation of _________
Emotion
In a condition has the suffix -penia, it means?
Lacking
If a person is issued with a subpoena in a medical law case, it means?
They MUST appear in court
When a physician asks you to write up their record consultation, you are acting as a..?
Transcriptionist
A discharge summary report must include what?
The pt’s final condition
Who is generally responsible for making sure that medical personnel keep their professional status up-to-date?
The office administrator
What does the department of Health say that the chance of catching HIV from a single needlestick injury is?
3 in 1000
What are drugs designed to cause vomiting called?
Emetics
If a pt is displaying any abnormalities in their vital signs, how should this be reported?
To a physician
What area does Weirnecke’s area effect in the brain?
Written and verbal speech
What would result following an injury to the phrenic nerve?
An inability to control breathing
In law, what does “respondeat superior” mean?
An employer can be held responsible for employee actions
What is a “Tickler” system used for?
To remind pt’s of appointments
What are MSDS?
Material safety data sheets
What does asepsis mean
Free of disease causing agents
When washing your hands between procedures or duties, if using soap and water you should take at least…?
60 seconds
A pt may be placed at risk of electrocution during an ECG if you have not ensured that the machine is….?
Grounded
During an ECG test you should monitor the pt’s…..?
Breathing, Heart rate, and Temperature.
When a medicine is a preparation of oil suspended in fluid it is known as what?
An emulsion
Under which of these circumstances must patient records be released?
Court subpoena
Every medical office should have…?
A safety manual
In the event of patient mortality with payment for treatment still outstanding, where the patient is uninsured, who is liable for the payment?
The pt’s estate
Every medical institution is required by the OHSA to have which of these?
An exposure control plan
Occult blood is tested for using which procedure?
Stool sample
What does a palliative drug do?
Relieves symptoms
The median effective dose of a drug is also known as…?
ED50
When using a pain scale to take a patient history, nagging pain that doesn’t really impose on general life or activities should be categorized as…?
1-3
In putting a patient into the lithotomy position for examination, how should they be positioned?
On their back, heels above hips.
The first step when removing sutures is to do what?
Clean the suture area with antiseptic
Which organ does the pericardium surround?
The heart
The autoimmune disease, multiple sclerosis is characterized by the degradation of what?
Myelin sheath