HW#10_NCMA (NCCT) Exam Prep #2 Flashcards
Which of the following gauge needles should be used to perform a venipuncture? 16 G 18 G 21 G 25 G
21 G
Polyuria may be caused by: The excessive intake of fluids The consumption of caffeine Diabetes mellitus Taking a diuretic All of the above
All of the above
When collecting a Pap smear, the ectocervical specimen is obtained using:
The S-shaped end of the cervical scraper
The spatula end of the cervical scraper
A moistened cotton-tipped applicator
A cytology brush
The S-shaped end of the cervical scraper
Tympanometry is most useful in diagnosing patients with: Serous otitis media Conductive hearing loss Sensorineural hearing loss Auditory nerve damage
Serous otitis media
The purpose of the past medical history is to obtain information from the patient on:
Conditions that may affect the health of the mother or fetus
Drug allergies
Her menstrual cycle
Previous pregnancies
Conditions that may affect the health of the mother or fetus
The lithotomy position is used to examine the: Vagina Abdomen Sigmoid colon Breasts
Vagina
An increase in neutrophils occurs during: An acute infection Polycythemia Bone marrow damage A chronic infection
An acute infection
In the female, the urethra functions in: Transporting urine Controlling urine excretion Balancing fluids and electrolytes Transporting reproductive secretions All of the above
Transporting urine
If left untreated, a chlamydial infection in a woman can result in: Infertility Cervical cancer Dysmenorrhea Cervical erosion
Infertility
The range of frequencies for normal speech is: 80 to 120 db 512 to 1024 Hz 300 to 4000 Hz 6000 to 8000 Hz
300 to 4000 Hz
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
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
The structure located at the end of the external auditory canal that functions in receiving and transmitting sound waves is the: External auditory meatus Incus Cochlea Tympanic membrane
Tympanic membrane
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
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
Blood pressure is measured in: Units Degrees Beats/min Millimeters of mercury
Millimeters of mercury
When performing an eye irrigation, the solution should be released: At the outer canthus Toward the upper eyelid Directly onto the cornea At the inner canthus
At the inner canthus
How much time should the patient be given to identify the number on each Ishihara color plate? 3 seconds 10 seconds 1 minute As long as is needed
3 seconds
If you suspect a vein selected for venipuncture might collapse, you should:
Use an 18 gauge needle to collect the specimen
Use the butterfly method to perform the venipuncture
Loosen the tourniquet
Insert the needle slowly into the vein
Use the butterfly method to perform the venipuncture
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
To reduce needlestick injuries among health care workers
An immature form of a neutrophil is known as a: Plasma cell Mast cell Band Seg
Band
What term describes a device that makes an exposure incident involving a contaminated sharp less likely to occur? Postexposure prophylaxis Decontamination Personal protective equipment Safer medical device
Safer medical device
The external auditory canal of an adult is straightened by: Pulling outward on the ear auricle Pulling the ear upward and backward Asking the patient to look up Pulling the ear downward and backward
Pulling the ear upward and backward
Which urinary structure or structures normally contain microorganisms? Kidneys Ureters Urinary meatus Urinary bladder
Urinary meatus
What is the term used to describe temporary cessation of breathing? Hypoxia Hypopnea Apnea Anoxia
Apnea
You are measuring the pulse and find it feels weak and rapid. How would you record this? Bounding Thready Tachycardia Bradycardia
Thready
You need to collect a venous blood specimen from a patient to run an FBS. Which of the following would be an inappropriate statement to make to the patient during this procedure?
“Which arm was used in the past to draw blood from you?”
“Please do not move during this procedure.”
“This procedure will not hurt.”
“When did you last eat or drink?”
“This procedure will not hurt.”
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
The purpose of the interval prenatal history is to:
Record weight, blood pressure, and urine testing results
Determine the presence of any concerns or problems
Determine the occurrence of any additional signs of pregnancy
Record the fetal heart tones and fundal height
All of the above
All of the above
The temporal artery site can be used to measure body temperature in: Infants Children Adults Elderly All of the above
All of the above
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
All of the following may cause a decrease in the SpO2 reading EXCEPT: Pneumonia Asthma Emphysema Gastritis
Gastritis
Which of the following tests is NOT included in a CBC? Differential white blood cell count Hemoglobin Hematocrit Prothrombin time Red and white blood cell counts
Prothrombin time
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
What is the EDD of a patient whose LMP was September 5, 2007? 12/12/08 6/2/08 6/12/08 12/2/08
6/12/08
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
Mrs. Long is pregnant for the fourth time. The first pregnancy was carried to term but ended in the birth of a stillborn. Mrs. Long lost the second pregnancy at 3 months' gestation. The third pregnancy resulted in the birth of twin girls. How would you record this information in the patient's chart? G 4, T 3, P 0, A 1, L 2 G 4, T 2, P 0, A 1, L 2 G 4, T 1, P 0, A 1, L 1 G 3, T 3, P 0, A 1, L 2
G 4, T 2, P 0, A 1, L 2
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
Using the right eye, the patient reads the line marked 20/30 with one error. How would you chart this? AS 20/30 -1 OS 20/30 -1 OD 20/30 -1 AD 20/30 -1
OD 20/30 -1
Which of the following represents an ERROR in technique when obtaining a capillary blood specimen?
Warming the patient’s finger by massaging it
Allowing the antiseptic to dry before making the puncture
Making the puncture perpendicular to the lines of the fingerprint
Using the first drop of blood for the test
Using the first drop of blood for the test
Which of the following is a disadvantage of using the syringe method of venipuncture?
The amount of blood specimen that can be collected is limited by the size of the syringe
Use of this method may cause the vein to collapse
It is more difficult to stick the vein
This method is more uncomfortable for the patient
All of the above
The amount of blood specimen that can be collected is limited by the size of the syringe
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
After a urine culture has been inoculated, it must be:
Sprayed with a fixative
Placed in the refrigerator for 4 to 6 hours
Stored at room temperature for 8 to 12 hours
Incubated for 18 to 24 hours
Incubated for 18 to 24 hours
The purpose of the OSHA Bloodborne Pathogens Standard is to:
Improve the quality of laboratory testing in the United States
Protect public health and the environment outside of the workplace
Reduce the risk to employees of exposure to infectious diseases
Prevent exposure of employees to bloodborne pathogens
Reduce the risk to employees of exposure to infectious diseases
An adult patient's weight should be measured to the nearest: Quarter pound Half pound Pound Ounce
Quarter pound
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
What is the term for the presence of ketone bodies in the urine? Acidosis Alimentary glycosuria Ketosis Ketonuria
Ketonuria
The patient should be instructed not to douche before having a Pap smear taken because douching:
Changes the pH of the vagina
Results in a false-positive test result
Changes the appearance of the epithelial cells
Reduces the number of cells available for analysis
Reduces the number of cells available for analysis
Which of the following is usually found in the urine sediment of a patient with candidiasis? Parasites Yeast Bacteria Casts
Yeast
An optometrist performs all of the following EXCEPT: Diagnoses and treats eye disorders Prescribes corrective lenses Measures visual acuity Performs eye surgery
Performs eye surgery
Which of the following is an example of auscultation? Measuring body temperature Measuring blood pressure Urine testing Testing pupillary reaction
Measuring blood pressure
The plasma functions in:
Transporting electrolytes needed by the cells
Transporting nutrients to the tissues
Picking up wastes from the tissues
Transporting antibodies, enzymes, and hormones
All of the above
All of the above
What is the normal range for the fetal pulse rate? 80 to 120 beats/min 100 to 140 beats/min 120 to 160 beats/min 140 to 180 beats/min
120 to 160 beats/min
The transparent part of the eye that covers the pupil and the iris is the: Sclera Cornea Choroid Lens
Cornea
Which of the following urine tests may be positive when a patient has hepatitis? Glucose Protein Bilirubin Ketone bodies
Bilirubin
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
Pus consists of all of the following EXCEPT: Dead leukocytes Erythrocytes Dead bacteria Dead tissue cells
Erythrocytes
Which of the following represents an ERROR in the eye instillation technique?
Making sure the medication bears the word ophthalmic
Asking the patient to look up before instilling drops
Instilling drops onto the center of the cornea
Asking the patient to close and roll the eye after the instillation
Instilling drops onto the center of the cornea
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 purpose of prenatal care? To prevent disease To promote health To provide prenatal education For the early detection of problems All of the above
All of the above
The Snellen eye chart is used to: Assess visual acuity Diagnose conjunctivitis Assess peripheral vision Diagnose glaucoma All of the above
Assess visual acuity
Which of the following test results indicates a concentrated urine specimen? pH: 6 Red blood cells: 3/HPF Protein: trace Ketone bodies: ?+1 Specific gravity: 1.025
Specific gravity: 1.025
AIDS cannot be transmitted through: Casual contact Blood splashes Sexual intercourse Needlestick injuries
Casual contact
What is the purpose of the Pap test? Early detection of cancer of the cervix Diagnosis of gonorrhea Evaluation of the cause of infertility Evaluation of postmenopausal bleeding All of the above
Early detection of cancer of the cervix
A 24-hour urine specimen may be collected to:
Detect the presence of liver disease
Diagnose a UTI
Determine the cause of kidney stone formation
Determine if a patient has diabetes mellitus
Determine the cause of kidney stone formation
Which of the following does NOT need to be reported to the physician?
The lochia discharge is absent within the first 2 weeks after delivery
The lochia discharge increases rather than decreases
The lochia changes to yellowish white after having been red
The lochia has a foul odor
The lochia changes to yellowish white after having been red
Patients with chronic hepatitis B face an increased risk of developing: Liver cancer Pancreatitis Rheumatic heart disease Gallstones
Liver cancer
Which of the following represents an ERROR in Snellen eye testing technique?
Positioning the chart at the patient’s eye level
Having the patient keep his or her glasses on for distance vision
Instructing the patient not to squint during the test
Asking the patient to close the eye not being tested
Asking the patient to close the eye not being tested
Which of the following urine tests may be positive when a patient has undiagnosed diabetes mellitus? Glucose Protein Nitrite Bilirubin All of the above
Glucose
Treatment for acute hepatitis B includes: Antibiotics Physical therapy Liver transplantation Restricted activity and rest
Restricted activity and rest
The nucleus of a neutrophil generally contains: Three to five lobes Six to eight lobes Fine granules No lobes
Three to five lobes
The Snellen Big E chart is used with: Elderly individuals Individuals with cataracts Non?English-speaking individuals School-age children
Non?English-speaking individuals
What preparation is required to examine Trichomonas vaginalis under the microscope?
The vaginal discharge is placed on a slide with a drop of isotonic saline
A culture medium is inoculated with the vaginal discharge
The swab containing the discharge is placed in a transport medium
The vaginal discharge is placed on a slide with a drop of KOH
The vaginal discharge is placed on a slide with a drop of isotonic saline
When performing a capillary puncture, the finger should NOT be squeezed to avoid:
Diluting the blood sample with tissue fluid
Excessive bleeding around the puncture site
Exposure of the medical assistant to bloodborne pathogens
Bruising of the patient’s finger
Diluting the blood sample with tissue fluid
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 type of specimen that should be used to test for the presence of nitrite in the urine is a:
Specimen that has been left standing at room temperature for a half hour
24-hour urine specimen
Freshly voided random specimen
First-voided morning specimen
First-voided morning specimen
All of the following make a person less resistant to a pathogen EXCEPT: Poor nutrition Immunizations Poor hygiene Stress
Immunizations
Which type of the following white blood cells has granules in the cytoplasm that stain a bright reddish orange? Neutrophil Basophil Lymphocyte Monocyte Eosinophil
Eosinophil
Which of the following is the most specific type of hearing test? Tuning fork test Audiometry Whisper test Otoscopy
Audiometry
A urine culture is used in the diagnosis of: An injury to the urinary system Kidney stones A urinary tract infection Diabetes mellitus
A urinary tract infection
Which of the following patients is most likely to develop candidiasis?
A patient with poor hygiene
A patient who has irregular menstrual periods
A patient on prolonged antibiotic therapy
A patient with multiple sexual partners
A patient on prolonged antibiotic therapy
When performing a microscopic examination of urine, the presence of how many white blood cells/HPF is considered normal? 0 to 8 0 to 15 0 to 20 2 to 6
0 to 8
What is the function of the lens of the eye?
To permit the entrance of light rays into the eye
To control the size of the pupil
To focus light rays on the retina
To transmit light rays to the brain
To focus light rays on the retina
An increase in eosinophils often occurs: During an acute infection During a viral disease During an allergic reaction When a patient has infectious mononucleosis
During an allergic reaction
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
Mr. Peterson has a hemoglobin reading of 16. This is considered: Within normal range Above normal range Below normal range An invalid result
Within normal range
Refraction is:
The dilation of the pupil
The ability of the eye to bend light rays so that they can be focused on the retina
The ability of the eye to distinguish colors
The transmission of light stimuli from the optic nerve to the brain
The ability of the eye to bend light rays so that they can be focused on the retina
The eustachian tube connects the nasopharynx to the: Middle ear Inner ear External auditory ear canal Cochlea
Middle ear
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
Excessive bleeding during the menstrual period is known as: Metrorrhagia Dysfunctional uterine bleeding Hemorrhaging Dyspareunia
Dysfunctional uterine bleeding
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 vaginal examination is usually performed as the patient nears term. All of the following are reasons for performing this examination EXCEPT:
To confirm the presenting part
To determine the degree of cervical dilation
To determine the degree of cervical effacement
To determine when the patient will go into labor
To determine when the patient will go into labor
Which of the following represents a decrease in the elasticity of the lens as a result of the aging process? Glaucoma Presbyopia Hyperopia Cataracts
Presbyopia
How should urine reagent strips be stored? In a cool area In a dark container In a dry area With the cap tightly closed All of the above
All of the above
Which of the following is NOT a function of the urinary system?
To remove waste products from the blood
To regulate the fluid balance of the body
To regulate the temperature of the body
To regulate the electrolyte balance of the body
To regulate the temperature of the body
. What is the term for an infection that results from a defective immune system that cannot defend itself from pathogens normally found in the environment? Autoimmunity Opportunistic Contagious Seropositive
Opportunistic
A low hemoglobin reading occurs with: Polycythemia Anemia Hepatitis Emphysema
Anemia
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
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
How often does OSHA require employers to review and update their Exposure Control Plan?
Every 6 months
Once a year
Every 2 years
Only when a new procedure is instituted
Once a year
During the venipuncture procedure, a sudden swelling occurs in the area around the puncture site. You should:
Apply pressure to the area with a gauze pad
Continue with the venipuncture
Immediately remove the tourniquet and then the needle
Call 911
Immediately remove the tourniquet and then the needle
The patient's height should be measured to the nearest: 1/8 inch 1/4 inch 1/2 inch 1 inch
1/4 inch Correct
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
The American Cancer Society recommends that a woman perform breast self-examination: Weekly Monthly Every 2 months Twice a year
Monthly Correct
The patient's height should be recorded in: Inches Feet and inches Centimeters Meters
Feet and inches Correct
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 Correct
The purpose of measuring fundal height is to:
Diagnose pregnancy
Determine the presence of fetal distress
Assess whether or not fetal growth is progressing normally
Determine the degree of cervical dilation and effacementu
Assess whether or not fetal growth is progressing normally Correct
Impacted cerumen can be softened by:
Irrigating the ear with an antiseptic solution
Inserting a moistened cotton-tipped applicator into the ear
Instilling several drops of warm mineral oil into the ear
Placing a heating pad next to the ear
Instilling several drops of warm mineral oil into the ear Correct
Chlamydia and gonorrhea are usually diagnosed using: A culture test An antigen-antibody test A DNA-probe test A pregnancy test
A DNA-probe test Correct
Mrs. Nelson has a white blood cell count of 14,500. This is considered: Within normal range Above normal range Below normal range An inaccurate test result
Above normal range Correct
