Final Lab Skill Exam in Theory Flashcards
How often does OSHA require employers to review and update their Exposure Control Plan?
Once a year
Which of the following is an example of personal protective equipment?
Clean disposable gloves
Microorganisms can be transmitted through
Water vapor from the lungs, Insects, Contaminated food, Contaminated equipment.
All of the following are examples of nonintact skin EXCEPT: Skin with dermatitis, Burned skin, Bruised skin, , Chapped skin?
Bruised skin
Treatment administered to an individual after exposure to an infectious disease to prevent the disease is known as:
ostexposure prophylaxis
The purpose of the OSHA Bloodborne Pathogens Standard is to:
Reduce the risk to employees of exposure to infectious diseases
Personal protective equipment must be used to: Draw blood Correct Label a specimen container Measure oral temperature Perform a vision screening test All of the above
Draw blood
What is the purpose of the Needlestick Safety and Prevention Act? To ensure that an injection is administered correctly
To ensure the proper disposal of sharps
To reduce the chance of infection developing at the injection site
To reduce needlestick injuries among health care workers Correct
To reduce needlestick injuries among health care workers
Which of the following is a violation of the OSHA standard?
Eating in the office laboratory Correct
Storing the Exposure Control Plan on the computer
Recapping a needle after withdrawing medication from a vial
Refusing to get the hepatitis B vaccination
All of the above Incorrect
Eating in the office laboratory
Which of the following is NOT a symptom of acute HIV infection? Fever Fatigue Adenopathy Jaundice Correct
Jaundice
All of the following are advantages of alcohol-based hand rubs EXCEPT:
They do not require rinsing
Less time is required to perform hand hygiene
They remove all resident flora from the skin
They contain emollients to prevent drying of the hands
They remove all resident flora from the skin
All of the following are considered other potentially infectious materials (OPIMs) EXCEPT: Any body fluid visibly contaminated with blood
Vaginal secretions
Tears and sweat
Semen
Tears and sweat
What is the most common means of transmission for hepatitis C?
Sharing needles for illegal injection drug use
Coughs and sneezes from an infected person
Sexual intercourse
Mosquitoes
Sharing needles for illegal injection drug use
Patients with chronic hepatitis B face an increased risk of developing: Liver cancer
Pancreatitis
Rheumatic heart disease
Gallstones
Liver cancer
What is the term used to describe a physical or mechanical device used to remove health hazards from the workplace? Engineering control Work practice control Personal protective equipment Universal precaution
Engineering control
Sterilization strips should be positioned: On the bottom tray of the autoclave On the top tray of the autoclave In the center of the wrapped pack On the outside of the pack
In the center of the wrapped pack
Which of the following sterilization methods is often used by medical manufacturers to sterilize disposable items? Cold sterilization Dry heat oven Ethylene oxide gas Autoclave
Ethylene oxide gas
According to the Hazard Communications Standard, which of the following must be included on the label of a hazardous chemical? Name of the chemical Physical hazards of the chemical Health hazards of the chemical Storing and handling of the chemical All of the above
All of the above
Which of the following must be resterilized? A pack that has been dropped A pack that has opened up A pack that has gotten wet A pack that is torn All of the above
All of the above
Which of the following is used most often to sterilize articles in the medical office? Dry heat oven Ethylene oxide sterilizer Autoclave Chemical agents
Autoclave
The inside of the autoclave should be wiped every day with: A damp cloth A disinfectant A low-sudsing detergent A scouring pad
A damp cloth
The most common temperature and pressure used for autoclaving is:
320°F at 20 pounds of pressure/square inch
145°F at 20 pounds of pressure/square inch
212°F at 15 pounds of pressure/square inch
250°F at 15 pounds of pressure/square inch
250°F at 15 pounds of pressure/square inch
The medical assistant should not set the timer on the autoclave until:
The sterilization indicator changes color
The gauge has reached the desired temperature
The pressure reaches 15 pounds per square inch
Steam enters the inner sterilization chamber
The gauge has reached the desired temperature
Which of the following is the best means of determining the effectiveness of the sterilization process? The temperature gauge on the autoclave Biologic indicators Sterilization strips Autoclave tape
Biologic indicators
The proper time for sterilizing an article in the autoclave depends on:
The type of autoclave being used
What is being sterilized
The type of sterilization indicator being used
The intended use of the article
What is being sterilized
Which of the following concentrations of alcohol is the most effective disinfectant? 50% isopropyl alcohol 60% isopropyl alcohol 70% isopropyl alcohol 100% isopropyl alcohol
70% isopropyl alcohol
The purpose of wrapping articles before they are sterilized in the autoclave is to:
Permit better steam penetration during autoclaving
Protect the articles from recontamination after autoclaving
Ensure complete destruction of all pathogens
Protect the articles from damage
All of the above
Protect the articles from recontamination after autoclaving
Why should all organic matter be removed from an article before it is disinfected?
To prevent the article from rusting
To prevent stains on the article
To allow the disinfectant to reach all parts of the article
To ensure the proper working condition of the article
To allow the disinfectant to reach all parts of the article
All of the following are guidelines for working with glutaraldehyde (Cidex) EXCEPT:
Work in a well-ventilated area
Wear safety goggles
Wear utility gloves
Store the glutaraldehyde container in a warm, dry area
Store the glutaraldehyde container in a warm, dry area
What type of water should be used in the autoclave? Salt water Tap water Distilled water Mineral water
Distilled water
High-level disinfection is a process that:
Destroys all pathogenic microorganisms
Destroys all microorganisms and spores
Destroys all microorganisms except tubercle bacilli
Destroys all microorganisms but not spores
Destroys all microorganisms but not spores
Dry heat is preferred for sterilizing: Disposable syringes Vaginal specula Flexible sigmoidoscopes Instruments with sharp cutting edges
Instruments with sharp cutting edges
ID: 20120435
All of the following are true regarding cold sterilization with a chemical agent EXCEPT:
The chemical must be designated as a sterilant by the EPA
Items must be submerged in the chemical for 6 to 24 hours
Each time a new item is added to the chemical, the clock must be reset for the entire amount of time
It is the preferred method for sterilizing instruments with sharp cutting edges
It is the preferred method for sterilizing instruments with sharp cutting edges
The recommended exposure time and temperature for a dry heat oven is: 250°F for 1 hour 320°F for 1 to 2 hours 320°F for 15 to 20 minutes 212°F for 20 to 30 minutes
320°F for 1 to 2 hours
Which of the following does OSHA recommend for the decontamination of a blood spill? 70% isopropyl alcohol 10% household bleach in water 2% glutaraldehyde Lysol
10% household bleach in water
Which of the following is a characteristic of bacterial spores?
They consist of a hard, thick-walled capsule
They represent a resting and protective stage
They are more resistant to heat
They usually cannot be killed by disinfectants
All of the above
All of the above
The most reliable sterilization indicators check for:
The attainment of the proper temperature and the duration of the temperature
Whether or not the article has been in the autoclave
The attainment of the proper temperature and pressure
The presence of trapped air in the autoclave
The attainment of the proper temperature and the duration of the temperature
Which of the following would be best to use to wrap a large minor office surgery tray setup? Sterilization pouch Muslin Aluminum foil Sterilization paper
Muslin
All of the following are true regarding sterilization pouches EXCEPT:
They provide good visibility of the contents
A sterilization indicator is present on the pouch
They can be labeled
They are reusable
They are reusable
Which of the following is true regarding an MSDS?
It provides information regarding hazardous chemicals
It must be kept on file for each hazardous chemical stored in the workplace
It must be readily available to employees
It is available from the manufacturer of the hazardous chemical
All of the above Correct
All of the above
Where is the radial pulse located? On the thumb side of the wrist In the center of the antecubital space On the little finger side of the wrist On the anterior side of the neck
On the thumb side of the wrist
The lens of a tympanic membrane thermometer should be cleaned with: A mild detergent An abrasive cleanser An antiseptic wipe A soft tissue
An antiseptic wipe
What is the name given to the type of fever in which the temperature fluctuates minimally, but always remains elevated? Stadium Remittent Intermittent Continuous
Continuous
Reasons why the temporal artery is a good site for measuring body temperature include all of the following EXCEPT:
It is not affected by ambient temperature
It is easily accessible
It has a constant, steady flow of blood
It is located close to the surface of the skin
It is not affected by ambient temperature
How does a temporal artery temperature reading compare with an oral body temperature reading?
Approximately 1° higher than an oral reading
Approximately 1° lower than an oral reading
Approximately 2° higher than an oral reading
It is the same as an oral reading
Approximately 1° higher than an oral reading
Pulse oximetry provides the physician with information on:
The rate and depth of respiration
Cardiac dysrhythmias
The amount of oxygen being delivered to the tissues
Circulation to the extremities
The amount of oxygen being delivered to the tissues
All of the following may cause a decrease in the SpO2 reading EXCEPT: Pneumonia Asthma Emphysema Gastritis
Gastritis
A tympanic membrane thermometer should not be used to measure temperature on a patient who has: Otitis externa A small amount of cerumen in the ear Big ears Strep throat
Otitis externa
What is the normal range for body temperature? 96°F to 98°F 97°F to 99°F 98°F to 99°F 97°F to 100.4°F
97°F to 99°F
Which of the following may occur if the lens of a tympanic membrane thermometer is dirty?
The lens may break
The reading may be falsely low
The tympanic membrane may become irritated
The reading may be falsely high
The reading may be falsely low
Which of the following is used to describe the condition in which the radial pulse rate is less than the apical pulse? Apical-radial pulse Pulse pressure Pulse deficit Atrial fibrillation
Pulse deficit
Which of the following pulse sites is often used to monitor pulse during exercise? Temporal Carotid Ulnar Dorsalis pedis
Carotid
What is the term used to describe a bluish discoloration of the skin caused by a lack of oxygen? Cyanosis Hypoxia Apnea Ischemia
Cyanosis
Which of the following individuals would be LEAST likely to have dyspnea? A patient with chronic bronchitis A patient with arthritis A patient with emphysema A patient with asthma
A patient with arthritis
Where is the femoral pulse located? In the posterior hip region In the back of the knee In the middle of the groin On the anterior side of the neck
In the middle of the groin
You are measuring the pulse and find it has a normal rhythm and volume. How should you record this? Dysrhythmia and regular Bounding and strong Regular and strong Thready and regular
Regular and strong
The transfer of heat from one object to another is known as: Conduction Radiation Convection Microwaves
Conduction
The normal respiratory rate of an adult ranges from: 8 to 16 respirations per minute 10 to 18 respirations per minute 12 to 20 respirations per minute 16 to 22 respirations per minute
12 to 20 respirations per minute
If the patient’s fingers are cold when performing pulse oximetry, the medical assistant should:
Take the reading on another finger
Use a disposable probe to take the reading
Cleanse the probe with an antiseptic wipe
Ask the patient to rub his or her fingers together
Ask the patient to rub his or her fingers together
If an axillary temperature of 100°F was taken orally, it would register as: 98°F 99°F 100°F 101°F
101°F
Which of the following individuals has the slowest respiratory rate? Newborn Infant Preschool child Adult
Adults
A temperature of 103°F is classified as: Hyperpyrexia Pyrexia Hypopyrexia Low-grade fever
Pyrexia
Which of the following pulse sites can be used to assess circulation to the foot? Posterior tibial Ulnar Femoral Popliteal
Posterior tibial
A diaphragm chestpiece on a stethoscope is most useful for hearing: Lung and bowel sounds Heart sounds Vascular sounds Low-pitched sounds
Lung and bowel sounds
What is the term used to describe an abnormal decrease in the rate and depth of respiration? Tachypnea Hypopnea Orthopnea Bradycardia
Hypopnea
A vague sense of body discomfort, weakness, and fatigue that often marks the onset of a disease is known as: The blahs Malaise Crisis Adventitious
Malaise
All of the following tend to increase body temperature EXCEPT: Crying Vigorous physical exercise Pregnancy Cold weather
Cold weather
Proper care of the pulse oximeter includes:
Hitting the probe against a hard object
Autoclaving the probe for 20 minutes
Lifting the monitor by the cable
Cleaning the monitor with a nonabrasive cleaner
All of the above
Cleaning the monitor with a nonabrasive cleaner
A temperature of 100°F is classified as: Normal Hyperpyrexia Hypothermia Low-grade fever
Low-grade fever
Blood pressure measures:
The contraction and relaxation of the heart
The number of times the heart beats per minute
The force exerted on the walls of the arteries by the blood
The expansion and recoiling of the aorta
The force exerted on the walls of the arteries by the blood
When the patient’s forehead is sweating, which of the following ensures an accurate temporal artery temperature reading?
Cleaning the lens with an antiseptic wipe
Brushing the patient’s hair to the side
Applying a probe cover
Taking the temperature behind the earlobe
Taking the temperature behind the earlobe
The phase in the cardiac cycle in which the heart relaxes between contractions is known as: Diastole Systole Pulse pressure Baseline recording
Diastole
All of the following are risk factors for developing hypertension EXCEPT: Obesity Smoking Sleep apnea Alcohol consumption
Sleep apnea
All of the following can be used as a probe placement site EXCEPT the:
Toe
Earlobe
Finger of an arm to which an automatic blood pressure cuff is applied
Index finger
Finger of an arm to which an automatic blood pressure cuff is applied
The control center for involuntary respiration is the: Medulla Thalamus Hypothalamus Olfactory lobe
Medulla
Over which artery is the stethoscope placed when taking blood pressure? Radial Brachial Apical Carotid
Brachial
Excessive pressure should not be applied when measuring pulse because:
The pulse may increase
The pulse may decrease
It could close off the radial artery
It could affect the rhythm of the pulse
It could close off the radial artery
What is the term used to describing breathing that is easier in a sitting position? Orthopnea Dyspnea Bradypnea Eupnea
Orthopnea
Which of the following terms refers to a fever? Hypothermia Febrile Dehydration Afebrile
Febrile
What is the term used to describe an irregularity in the heart's rhythm? Fibrillation Ectopic beat Bradycardia Dysrhythmia
Dysrhythmia
If a patient's blood pressure is 130/85 mm Hg, the patient's pulse pressure would be: 45 85 130 215
45
When measuring blood pressure, the patient's arm should be positioned: Above heart level At heart level Across the chest With the palm facing downward
At heart level
What effect could patient movement have on the pulse oximetry procedure?
Prevents the probe from picking up the pulse signal
Causes a decrease in blood flow to the finger
Prevents the probe from being aligned properly
Causes the photodetector to absorb too much light
Prevents the probe from picking up the pulse signal
A rectal thermometer must be lubricated before insertion to prevent: The transfer of pathogens An inaccurate temperature reading The thermometer from breaking Irritation of the rectal mucosa
Irritation of the rectal mucosa
The function of hemoglobin is to: Transport oxygen in the body Defend the body against infection Assist in blood clotting Transport nutrients to the cells
Transport oxygen in the body
A temperature of 97.6°F is classified as: Normal Hypothermia Subnormal Low-grade fever
Normal
Which of the following probes should be selected to measure rectal body temperature with an electronic thermometer? Blue-collared Red-collared Pink-collared Green-collared
Red-collared
Internal respiration is the:
Exchange of oxygen and carbon dioxide between the blood and body cells
The systolic blood pressure represents the:
Pressure in the arteries when the ventricles contract
Pressure in the arteries when the heart relaxes
Pressure in the arteries when the atria contract
Expansion and recoiling of the aorta
Pressure in the arteries when the ventricles contract
When taking axillary body temperature, the arm should be held close to the body to:
Allow for proper placement of the thermometer
Prevent irritation to the skin
Prevent the transfer of pathogens
Prevent air currents from affecting the reading
Prevent air currents from affecting the reading
What term designates a decrease in the oxygen saturation of the blood? Apnea Hypoxemia Hypopnea Hypoxia
Hypoxemia
Which of the following conditions is often characterized by hypopnea? Sleep disorders Dehydration Fever Chills
Sleep disorders
How does physical exercise affect the pulse? Increases the pulse rate Decreases the pulse rate Has no effect on it Results in a dysrhythmia
Increases the pulse rate
What is the term used to describe the point of lesser pressure on the arterial walls when assessing blood pressure? Systolic pressure Diastolic pressure Diastole Hypotension Pulse pressure
Diastolic pressure
What is the normal range for the resting pulse rate of an adult? 60 to 100 beats/min 60 to 80 beats/min 70 to 90 beats/min 80 to 100 beats/min
60 to 100 beats/min
Blood pressure is measured in: Units Degrees Beats/min Millimeters of mercury
Millimeters of mercury
What is the name given to the type of fever in which a wide range of temperature fluctuations occur, all of which are above normal? Crisis Remittent Intermittent Continuous
Remittent
What type of breathing may occur with a panic attack? Wheezing Bradypnea Hyperventilation Hypoxia
Hyperventilation
Where is the popliteal pulse located? In front of the ear and just above eye level In the middle of the groin On the anterior side of the neck In the back of the knee
In the back of the knee
Which of the following represents the average normal body temperature?
- 8°C
- 8°F
- 6°F
- 6°F
98.6°F
Chemical thermometers must be stored in: The freezer A dry heat oven A watertight container A cool area
A cool area
How far should the probe be inserted when measuring the rectal temperature of an infant? 1/2 inch 3/4 inch 1 inch 11/2 inches
1/2 inch
Which of the following does NOT affect the SpO2 reading? Dark fingernail polish Darkly pigmented skin Bruises Artificial fingernails
Darkly pigmented skin
Which of the following represents an ERROR in blood pressure technique?
Directing the ear pieces of the stethoscope slightly forward in the ear
Placing the cuff 2 inches above the bend in the elbow
Positioning the manometer at a viewing distance of 2 feet
Releasing the air in the cuff as slowly as possible
Releasing the air in the cuff as slowly as possible
Which of the following has an effect on blood pressure? Pain Bladder distention Body position Smoking All of the above
All of the above
The oxygen saturation level of a healthy individual is: 95% to 99% 90% to 95% 85% to 90% 75% to 85%
95% to 99%
If a patient's pulse rate is 80 beats/min, the patient's respirations would most likely be: 14 respirations per minute 16 respirations per minute 18 respirations per minute 20 respirations per minute
20 respirations per minute
You are measuring the pulse and find it feels weak and rapid. How would you record this? Bounding Thready Tachycardia Bradycardia
Thready
For an artery to be considered as a pulse site, it must be:
Located in a closed cavity
Located away from major nerves
Located over a firm tissue such as bone
Located close to the heart
Located over a firm tissue such as bone
The abbreviation used to record oxygen saturation as measured by a pulse oximeter is: SaO2 PCO2 PO2 SpO2
SpO2
What type of cuff would probably be needed to measure blood pressure on an underweight adult weighing 93 lb? Aneroid Adult Child Thigh
Child
Which of the following prevents ambient light from interfering with the SpO2 reading?
Cleansing the placement site with an alcohol wipe
Warming the probe placement site
Covering the probe with a washcloth
Proper alignment of the probe on the patient’s finger
Covering the probe with a washcloth
The temporal artery site can be used to measure body temperature in: Infants Children Adults Elderly All of the above
The temporal artery site can be used to measure body temperature in: Infants Children Adults Elderly All of the above
Which of the following individuals may normally exhibit bradycardia? A trained athlete An infant An elderly person A diabetic patient
A trained athlete
Which of the following symptoms are experienced by a patient when his or her temperature begins to rise? Coldness and chills Perspiration Bradycardia Hyperventilation All of the above
Coldness and chills
When measuring blood pressure, the first clear tapping sound represents: The systolic pressure Phase IV of the Korotkoff sounds The diastolic pressure The palpatory blood pressure reading
The systolic pressure
You are taking the pulse and find it feels extremely strong and full. How would you record this? Bounding Thready Bradycardia Tachycardia
Bounding
One respiration consists of: One inhalation One exhalation One inhalation and one exhalation The opening and closing of the valves of the heart
One inhalation and one exhalation
Sims position is used to perform which of the following? Breast examination Flexible sigmoidoscopy Pelvic examination Urinary catheterization
Flexible sigmoidoscopy
Which of the following may require a physical examination? Prerequisite for employment Participation in sports School admission Summer camp attendance All of the above
All of the above
All of the following are included in a complete patient examination EXCEPT: The health history Therapeutic procedures The physical examination Laboratory tests
Therapeutic procedures
What is the term used to describe a tentative diagnosis obtained through the evaluation of the health history and the physical examination? Differential diagnosis Final diagnosis Clinical diagnosis Physical diagnosis
Clinical diagnosis
The lithotomy position is used to examine the: Vagina Abdomen Sigmoid colon Breasts
Vagina
An adult patient's weight should be measured to the nearest: Quarter pound Half pound Pound Ounce
Quarter pound
The reason for weighing a prenatal patient is to:
Detect the presence of twins
Determine if the fetus is growing
Determine the due date
Ensure the placenta is developing normally
Determine if the fetus is growing
The lower calibration bar of a balance-beam scale is divided into: 1-lb increments 2-lb increments 25-lb increments 50-lb increments
50-lb increments
The purpose of asking a patient if he or she needs to void before the physical examination includes all of the following EXCEPT: To obtain a urine specimen To make the examination easier To prevent urinary incontinence To provide for patient comfort
To prevent urinary incontinence
The patient's height should be measured to the nearest: 1/8 inch 1/4 inch 1/2 inch 1 inch
1/4 inch
Which of the following is an example of palpation? Measuring visual acuity Assessing the fetal heart rate Assessing a patient’s mental status Performing a breast examination
Performing a breast examination
What is the term for an illness characterized by symptoms that have a rapid onset, are severe and intense, and subside after a short period? Chronic illness Self-limiting illness Acute illness Fatal illness
Acute illness
Which of the following is an example of a therapeutic procedure? Electrocardiography Antibiotic injection CT scan Sigmoidoscopy
Antibiotic injection
Which of the following is an example of a chronic illness? Strep throat Chickenpox Arthritis Poison ivy
Arthritis
What is the name of the instrument used to examine the external ear canal and tympanic membrane? Otoscope Ophthalmoscope Stethoscope Laryngoscope
Otoscope
Which of the following examinations requires the use of deep palpation? Bimanual pelvic examination Breast examination Detection of areas of tenderness Detection of swelling
Bimanual pelvic examination
A risk factor means that:
A patient will develop a certain disease
A patient must avoid foods that trigger an allergic reaction
A patient has a genetic disorder
The chances of a patient developing a certain disease are increased
The chances of a patient developing a certain disease are increased
The purpose of draping a patient is to:
Make it easier for the physician to examine the patient
Assist the physician in making a diagnosis
Protect the patient from pathogens
Provide patient with warmth and modesty
All of the above
Provide patient with warmth and modesty
The height of an adult patient usually is measured only: When the patient is ill During the first office visit When medication has been prescribed After a loss of weight
During the first office visit
A patient has a burn on his lower back. For his physical examination, you would place him in which of the following positions? Lithotomy Dorsal recumbent Supine Prone
Prone
The patient's height should be recorded in: Inches Feet and inches Centimeters Meters
Feets and inches
The process of measuring the patient is known as: Inspection Mensuration Micturition Calibration
Mensuration
One pound is equal to: 10 oz 2.2 kg 1000 g 200 kg
2.2 kg
Before applying a stethoscope chestpiece to the patient's skin, it should be: Soaked in bleach Warmed Autoclaved Calibrated
warmed
The function of a speculum is to:
Measure intraocular pressure
Grasp tissue and prevent it from slipping
Clamp off blood vessels and establish hemostasis
Open a body orifice or cavity for viewing
Open a body orifice or cavity for viewing
What is the name of the instrument used to examine the interior of the eye? Otoscope Ophthalmoscope Rhinoscope Stethoscope
Ophthalmoscope
What term describes the probable course and outcome of a disease? Cure Prognosis Final diagnosis Therapy
Prognosis
What is the reason for weighing a child? To observe the pattern of growth To determine medication dosage To identify nutritional problems All of the above
All of the above
All of the following should be removed before weighing a patient EXCEPT: Shoes Jewelry Heavy sweater Jacket
Jewelry
Which of the following is an example of auscultation? Measuring body temperature Measuring blood pressure Urine testing Testing pupillary reaction
Measuring blood pressure Correct
How should a patient be identified? By phone number and address By hair and eye color By SSN By name and date of birth
By name and date of birth
The process of determining which of two diseases that have similar symptoms is causing a patient's illness is known as a: Differential diagnosis Final diagnosis Clinical diagnosis Tentative diagnosis
Differential diagnosis Correct
Which of the following is an example of percussion? Measuring pulse Testing reflexes with a rubber hammer Testing hearing with a tuning fork Listening to breath sounds
Testing reflexes with a rubber hammer Correct