Medical Assistant Exam 2 Flashcards
What does the term edema mean?
Swelling
What is the appropriate way to take a radial pulse
place your index finger and middle finger on the wrist, under the thumb
A patient is anxious and begins hyperventilating. His hands and lips start to feel numb and tingly, and feels lightheaded. What is the physiological cause of his symptoms.
- excess carbon dioxide in the blood
- excess oxygen in the blood
- lack of carbon dioxide in the blood
- lack of the oxygen in the blood
lack of carbon dioxide in the blood
Which of the following is NOT on of the five stages of grief as described by the Kubler-Ross model
- Delusions
- Anger
- Denial
- Bargaining
Delusions
Which of the following is tracked on a standard growth chart for patients ages 2 -20
Age, height, and weight
A patient is upset and angry after appointment. She is distraught and unable to pay attention when you tell her what dates are avaliable for her follow-up appointment. This results in some confusion, and the patient accuses you of not listening. What form of defense mechanism is the patient likely demonstrating.
Projection
You are asked to give a three year old child a dose of acetaminophen (Tylenol). The child weighs 15 kg. The medication order says to give the child a dose of 15 mg/kg. The oral solution concentration is 160 mg/ 5 mL. What does the oral solution should you given the child.
7 ml
You finished all of you assigned tasked and are thinking of leaving a few minutes early for you lunch break when the doctor approaches you and tells you that there are patients waiting to be seen, but the exam rooms have not yet been cleaned after the last patients, you know that this it the responsibility of another medical assistant in the office, but she is on the phone dealing with an important personal problem. What should you do?
Reassure the doctor that you will take care of the problem, and then quickly clean the rooms yourself
How should you position yourself in an exam room with a patient who seems angry and potentially aggressive?
Position yourself between the patient and the door
Which of the following statements about electrocardiogram (ECG) chest lead placement it TRUE?
V3 and V4 give information about the inter-ventricular septum
You witness a patient suddenly collapse in the office. You run to the patient and realize she is unconscious, does not have a pulse, and is not breathing. While someone else calls 911, you and your coworkers begin cardiopulmonary resuscitation (CPR). At what point should you use an automated external defibrillator (AED)
as soon as possible
What is the definition of active listening
Listening to patient and then responding by using paraphrasing to demonstrate understanding.
Which of the following would be appropriate to leave in a phone message for a patient.
I am calling for Mr. Smith from the office of Dr. Brown
Which of the following is NOT a requirement to be certified as a medical assistant?
- completion of an accredited medical assisting program
- passing the certification examination
- recertification of credentials every 60 months
- work at least 10 hours per week to maintain certification
Work at least 10 hours per week to maintain certification
Which of the following would not be included in a living will
How a person’s assets should be distributed
Which of the following is considered to be on to the best overall ways to prevent the spread infection?
Thorough hand washing
You are working as a medical assistant for a large group of physicians. The office is located in the ethically divers area, and a significant portion of the patient population does not speak english. You are asked to take the vital signs and initial history of a patient who only speaks a language that you do not know. Which of the following is the best action to take?
Use a translator phone service in order to communicate with the patient.
Which of the following is NOT a correct way to handle biohazards waste.
- Dispose of sharps such as glass or needles in sharps container
- place biohazards materials in white plastic trash bags
- sanitize biohazard waste containers if they become soiled
- make sure that biohazard waste containers are all labeled with the international biohazard symbol.
place biohazardous materials in white plastic trash bags
What should you do if you become aware that a colleague is working while intoxicated
- approach the colleague and warn them not to do it again
- report the situation to your supervisor
- make sure the colleague enters an appropriate treatment program
- tell your other coworkers so you can work as a groups to ensure that the colleague is able to perform his or her job sufficiently
report the situation to your supervisor
When food is traveling through the gastrointestinal system, what part of the small intestine does it enter immediately after leaving the stomach?
Duodenum
A six month old baby in the waiting room suddenly begins to choke on a small toy. The baby’s mother yells for help. you run into the room to assist and see the baby is still conscious, but she is unable to cough or make crying noises. What steps should you take to try to relieve the obstruction.
- lay the infant on the ground and give quick, consecutive thrust on the middle of the breastbone with two fingers. After every 30 compressions, try to visualize the object that is blocking the airway.
- open the baby’s mouth and sweep your finger into the back of her throat to try to dislodge the obstructing object.
- lay the infant face down along your arm, cradling her jaw in your fingers. using the palm of you other hand, give the baby five quick firm blows on the back between the shoulder blades. Then, turn the infant face up and give five quick thrust on the middle of the breast bone with two fingers.
ay the infant face down along your arm, cradling her jaw in your fingers. using the palm of you other hand, give the baby five quick firm blows on the back between the shoulder blades. Then, turn the infant face up and give five quick thrust on the middle of the breast bone with two fingers.
A patient comes into the clinic complaining of wieghtloss, anxiety, sweating, and diarrhea. She is diagnosed with hyperthyroidism. The thyroid gland is part of what body system?
endocrine system
if you are asked to give the patient a referral to cardiac specialist, what should you do.
give the patient the name and contact information of local cardiac specialist who can see him for his problem.
A medical assistant has given a patient an injection and the patient being to develops and itchy rash with pink lesions. Which of the following terms should to medical assistant use when documenting this occurrence
-anaphylaxis
-rhinitis
-urticaria
Urticaria
When should the code on glucose cuvettes be compared to the code on the glucometer?
Before a patient is tested
Which of the following is the purpose of the category II codes in the procedural coding
- tracks provider performance
- indicated special circumstances
-works as a temporary code
- identifies preventative measures
racks provider performance
Title I of the Americans with disabilities act mandates that individuals with disabilities are
not to be discriminated against in obtaining employment
Which of the following issues is not covered under the health insurance portability and accountability act
-outlining payment of medicare and medicaid
- increasing the portabilty of health insurance
- addressing health care fraud and abuse
outlining payment of medicare and medicaid
Which of the following constitutes a breach of contract by health care providers?
- discontinuing treatment because the patient did not pay in a timely manner
- discontinuing treatment because treatment is no longer needed
- being formally discharged by the patient.
- discontinuing treatment because the patient did not pay in a timely manner
Under the doctrine of respondent superior, which of the following CANNOT potentionally be held legally responsible for an act of negligence by a medical assistant.
The medical assistants education provider
Touching a patient in a manner of which they have not consented is considered a tort of..
battery
all of the following minors are considered emancipated EXCEPT a minor who is
- a member of the armed forces
- married
- being treated for a sexually transmitted disease
- financially responsible and no longer under parental care
be treated for a sexually transmitted disease
Unless public safety is involved, what is required in all cases to release patient medical records after a subpoena is issued
- written consent
- court order
- a deposition
- an interrogatory
The patients written consent
According to the typical statutes of limitations involving negligence or malpractice, which of the following time points is NOT used as a starting point?
when the litigant filed a claim.
What normal patient right is suspended upon discovery of child abuse?
confidentiality
A POLST form is a type of
- document declaring durable power of attorney for health care
-living will or advance directive
- PSDA
living will or advance directive
Generally, medical assistants are permitted to do certain clinical procedures only under the supervision of an employer/ provider because they are not..
licensed
Which of the following best describes ethics
- individual choices relating to conduct
- personal values governing an individuals perceptions of right and wrong
- laws defining acceptable behavior
- creeds to live by
personal values governing an individuals perceptions of right and wrong.
bioethics is describes as
- any ethical matter that pertains to life and or healthcare
- issues regarding abortion and the use of fetal tissue
-dealing with individuals who have committed sexual abuse or exploitation
any ethical matter that pertains to life and or healthcare
Which of the following principles for a medical assistant is NOT set forth by the AAMA code of ethics?
specific ways of dealing with certain situations
At present, what is the main difference between reporting child abuse and reporting elder or intimate partner abuse?
Child abuse must be reported to authorities in all 50 states while other types of abuse do not always need to be reported
A provider is dealing with a patient with HIV or AIDS. Which of the following statements regarding the providers legal or ethic requirements is NOT true
- the provider cannot withhold treatment to the HIV positive patient
- the provider should protect the patients confidentiality
-The provider can ethically deny treatment
The provider can ethically deny treatment
What is the time frame during which an abortion can be legally performed in all states?
There is no universal time frame for all states
Therapeutic communication interjects what element into communication
- empathy
- advice
- recommendations
Empathy
Which of the following adequately describes the qualities necessary for active listening?
being attuned ti what is said and what is communicated nonverbally
In order for verbal communication between two people to be effective, the senders message must be
- complete
- clear and concise
- cohesive
- all of the above
all of the above
high LDL cholesterol
> 160 mg / dL
borderline high LDL cholesterol
130 - 150 mg / dL
Optimal LDL cholesterol
< 100 mg / dL
HDL cholesterol male and female
M: > 40 mg / dL
F: >50 mg / dL
What supplies is needed for a pelvic exam and pap smear?
gloves, vaginal speculum, lubricant, cervical brush, spatula, thin prep solution or slide with fixative
in what position is a patient in when they lie flat on back with feet and legs elevated in stirrups, exposing the genitalia area for examination or treatment of urogenital organs and anus
lithotomy
The patient lies flat on the back with knees bent and the feet resting flat on the bed so that the knees are elevated
Dorsal recumbent
The patient kneels on the exam table, placing the head and shoulders on the bed with the head turned to one side. the trunk is elevated with a 90 degree angle between the body and the hips.
Knee chest
Which of the following is obesity LEAST likely to play a role in?
- osteoporosis
- gallstones
- osteoarthritis
osteoporosis
Which of the following locations will yield the most accurate results when taking an infants temperature
- mouth
- armpit
-rectum
rectum
What does third party medical belling refer to
When an insurance company contracts with another company to process payments
If a patient is lying on their back they are in what position?
Supine
You are assisting a physician as he sutures a patient wound, and you inadvertently receive a needle stick. the needle has already been used on the patient, and it is therefor potentially contaminated. what action should be taken immediately?
Irrigate the puncture wound