Medical Assistant Practice Exam 3 Flashcards
Which level of Maslow’s Theory of human behavior requires achievement, independence, and self-respect?
- social
- esteem
- safety
- self - actualization
Esteem
Which of the following is a basic conflict for childhood ages newborn 10 18 months according to Erkison’s stages of psychosocial development?
Trust vs. Mistrust
Which of the following milestones would not be expected of a 4-month-old
- the ability to coo
- the ability to the place objects in the mouth
- the ability to roll from front to back
- the ability to sit down without help
The ability to sit down without help
Which of the following milestones would be expected of an 18 month old?
- to be able to briefly balance and hop on one foot
- to be able to use plurals and pronouns
- to be able to use a spoon and cup with assistance
- to have a vocabulary of several hundred words
To be able to use a spoon and cup with assistance
Which of the level of maslow’s theory of human behavior requires realizing one’s personal potential.
- saftey
- Physiological
self actualization
- social
Self actualization
A person who throws a book at wall during an argument and blames her partner for hostile behavior is displaying which type of defense mechanism
Projection
After being told he had lung cancer, the patient offers to stop smoking immediately. He is in which stage of grief according to Kubler-Ross
Bargaining
which of the following is not an appropriate method of communication to someone who is hearing impaired?
- hand gestures
- pantomiming
- speaking especially loudly
- drawing pictures
Speaking especially loudly
According to Erikson’s psychosocial stages of development, when does the conflict identity vs. role confusion occur?
- Adolescence
- young adulthood
- middle adulthood
- young childhood
Adolescence
which of the following is an external barriers to communication
- Weather
- Pain
- Hunger
-Anger
Weather
Being able to related personal experiences to a particular situation displays which of the following types of understanding?
- Reflection
- Restatement
- Clarification
- Feedback
Reflection
Which of the following levels of Maslow’s of human behavior need to be fulfilled first.
- Physiological
- Safety
- Social
- Esteem
Physiological
A person who repeatedly loses track of time after experiences a traumatic event likely undergoing which form of denial
- rationalization
- dissassociation
- denial
- displacement
Disassociation
A patient is given the diagnosis of metastatic breast cancer and subsequently becomes sullen and solitary. She is in which stage of grief, according to Kubler-Ross?
- Denial
- Grief
- Acceptance
- Depression
Depression
According to Erikson’s psychosocial stages of development, what basic conflict do children face in elementary school.
Industry vs. inferiority
Which of the following nonverbal cues display anger?
- Hunched posture, remaining at distance, limited eye contact
- Touching frequently, low voice, sustained eye contact
- Rigid posture, standing close, sudden movements/ gestures
- Standing in close proximity, slow purposeful gestures, relaxed posture.
rigid posture, standing in close proximity, sudden movements/ gestures
Which of the following milestones would not be expected of a 5-year old
- Skips, jumps, ad hops with good balance
- Follow 5 commands in a row
- knows telephone number
- has vocabulary of more than 2,000 words.
follow 5 commands in a row
according to Erikson’s psychosocial stages of development, which of the following people would be facing the conflict of initiative vs. guilt.
- 6 year old
- 16 year old
- 26 year old
- 36 year old
6 year-old
A patient who is chronically homeless may have difficulties effectively communication because of which of the following internal abuse
- anger
- pain
- hunger
- sadness
Hunger
At what age would the average baby begin to crawl
9 months
According to Maslow’s theory of human behavior, if an individual is seeking feelings of security, stability and freedom of fear, what level of needs are they attempting to satisfy.
- saftey
- physiological
- social
- self actualization
safety
teenager who beings wetting the bed after going through a traumatic experience is likely undergoing which form of denial.
- Displacement
- Projection
- Disassociation
- Regression
Regression: a defense mechanism where a person may go back to a period in their lives when they felt safer and did not have to face the particular traumatic event.
Which of the following is an open-ended question?
- How did that make you feel
- Are you hungry
- do you have any visual problems
- Are you a nurse
How did that make you feel
open ended questions requires an answer with some detailed explanation or depth.
what is the appropriate age to initiate toilet training for the average child?
- 6 months
= 12 months
- 2 years
- 4 years
2 years
According to Erikson’s psychosocial stages of development, which of the following people would be facing the conflict of generatively vs. stagnation
45-year old
A person with a substance abuse problem who argues that she is still effective in her position at work displays which forms of denial
Denial
Being able to explain something to someone else using simpler terms displays which of the following types of understanding?
- reflection
- restatement
- clarifications
- feedback
Restatement
When speaking to someone with an intellectual disability, which of the following is not helpful in conveying the message
- Limit eye contact
- Speak slowly and clearly
- Use simple language
- Frequently repeat yourself
Limit eye contact
When taking a telephone message regarding an urgent matter, which pieces of information are most pertinent to obtain.
- Name, phone number, issue
- Fax number, phone number, social security number
- Name, insurance, issue
- Issue, social security number, home address
name, phone number, issue
After witnessing his wife die of a heart attack, a husband blames her employer for her stressful job. The husband is in which of the following stages of grief?
Anger
Which of the following nonverbal cues display empathy
- relaxed posture, loud voice, limited eye contact
- rigid posture, low voice, limited eye contact
- Relaxed posture, low voice, consistent eye contact
- rigid posture, loud voice, consistent eye contact.
Relaxed posture, low voice, consistent eye contact
A person nearby appears to be choking and having difficulty breathing, Which of the following is the initial step of care?
Ask the person if they are OK
Which of the following patients needs should be addressed first?
- 84 year old man with a broken ankle
- 16 year old girl with a sore throat and fever
- 65 year old woman with chest and left arm pain
- 4 year old with a urinary tract infection
65 year old woman with chest and left arm pain
What is another term for advance directive
living will
Which of the following is not part of nonverbal communication
- facial expressions
- eye contact
- tone of voice
- posture
tone of voice
In which situation would a durable power of attorney be allowed to make medical decisions for the patient
- The patient is having a scheduled c-section
- the patient has broken rib status post mechanical fall
- the patient has pneumonia
- the patient is in a coma
the patient is in a coma
a coworker has been spotted throwing someon’s medical record in the trash can in the break room. which of the following is not an appropriate course of action
- report the action to your supervisor
- ignore the coworkers actions
- confront the coworker
- remove the record from the trash
Ignore the coworkers actions
Which of the following statements is NOT TRUE regarding the Americans with disabilities act?
- it helps prevent against those with disabilites
- it applies only to schools and businesses
- it provides reasonable accomodations to disabled persons
- it prevents most employers from asking whether a person has a disability
It applies only to school and business
Which of the following patients needs should be addressed last?
- 3 year old with a seizure
- 15 year old with appendicitis
- 26 year old with gunshot wound
- 45 year old with a broken wrist
45 year old with a broken wrist
A doctor who accidentally amputates the wrong limb during a surgery would be guilty of which of the following
negligence
Which of the following would be overseen by the Drug Enforcement Administration (DEA)
Narcotics
Which of the following is a direct question
- how do you feel
- how do you treat sunburn
- did you take your medication today
- what type of allergic reaction did you have?
Did you take your medication today?
What is legally required prior to operating on a patient?
- informed consent
- implied consent
- expressed consent
- forced consent
Informed consent
Which of the following is not a function of the Centers for Disease Control and Prevention
- Dispersing information about a communicable disease
- Educating about disease prevention
- regulating and supervising food and medication safety
- making notifications of public health emergencies
Regulating and supervising food and medication safety.
Which of the following is not true regarding mental health records.
- The practitioner is allowed to notify the person’s employer
- The practitioner is allowed to notify law enforcement if the person is a danger to themselves or others
- the practitioner is allowed to share information with parents/guardians if the person is a minor.
- The practitioner is allowed to share information with caretakers.
The practitioner is allowed to notify the person’s employer
Which of the following is not true regarding mental health records.
- The practitioner is allowed to notify the person’s employer
- The practitioner is allowed to notify law enforcement if the person is a danger to themselves or others
- the practitioner is allowed to share information with parents/guardians if the person is a minor.
- The practitioner is allowed to share information with caretakers.
The practitioner is allowed to notify the person’s employer
All of the following pieces of information are considered individually identifiable health information except:
- Diagnosis
- medical record number
- birth date
- telephone number
diagnosis
what is the medical term for infection of the gallbladder
Cholecystitis
Which of the following resting heart rates signifies tachycardia.
- 120
- 80
- 60
- 40
120
a young woman who was unhappy with her physician’s care decided to seek revenge by falsely accusing him of molesting her during a physical exam. what type of crime did she commit?
Libel
In which of the following situations should a patient not receive a medical bill
- A patient broke his ankle while intoxicated
- A patient fell down the stairs at work
- A patient developed a blood clot in the leg after having surgery
- A patient developed pneumonia while hospitalized
A patient fell down the stairs at work
What is the term for making a note indicating that a paper is in another file
- office memo
- inventory
- verification
- cross reference
Cross reference.
What is the term for a complete list of items currently in the office
- inventory
- memo
- references
- statistics
Inventory
All of the following are ways to prevent identity theft except?
- Use the same password for all financial accounts
- limit sharing personal information over the internet
- use a paper shredder for all sensitive documents
- monitor credits reports on a regular basis
Use the same password for all financial accounts
A patient needs a referral to a specialist. Prior to referring the patient, which piece of information should be reviewed.
- Advance directive
- Adress
- Insurance
- Living will
Insurance
what is the term for when a patient request that their health benefit payments be made directly to a designated person facility?
- Payment plan
- advance directive
- assignment of benefits
- payroll
assignment of benefits
Which of the following things should an office appointment calendar include
- date, social secruty number, length of appointment
- name, date, length of appointment
- date, insurance provider, length of appointment
- name, insurance provider, social security number.
name, date, length of appointment
What is the term for a statement sent by a health insurance company to their clients explaining what medical services were paid for on their behalf.
Explanation of benefits
What is the term of the amount of money an insured client has to pay before the insurance company will pay for a claim
Deductible
what is the term for the amount of money a client must pay every time a medical service is rendered?
Copay
A patient comes to the office angrily complaining that the office did not notify her about her lab results. which of the following is an appropriate course of action
- Ask the patient to leave the office
- go over her lab report and explain each lab result
- Make a note of the complaint and call the physician
- call the police to remove the patient.
Make a note of the complaint and call the physician
which of the following is the most important to ask a patient prior to a blood draw?
Did you eat or drink anything today.
when answering an office phone call, which of the following pieces of information should be given.
your name of the office, and the name of the physician
what is the term for assigning various task to those less senior
delegation
Which of the following is not a reason to terminate a patient - physician relationship.
- the patient is non compliant with medications
- the patient hasn’t paid a medical bill in more than 6 months
- the patient has a significant cognitive disability
- The patient verbally abuses the physician and staff.
the patient has a significant cognitive disability
which of the following is the most appropriate-sized needle to use for a routine venipuncture?
20-gauge needle
What is the term for assessing and treating patients by the severity of their illness
Triage
Which of the following types of insurance plans require referral from a primary care physician and will typically not provide coverage for providers out of network
- HMO
- CDS
- PPO
- DEA
HMO
Which of following terms refer to money owed to the physician by a patient?
- accounts receivable
- payment summary
- accounts payable
- itemized bill
accounts receivable
Which of the following do not contribute to work-related injuries
- tile floors
- stepladders
- filling cabinets
- adjustable equipment
adjustable equipment
A medical assistant accidentally sticks her finger with a needle after drawing blood. what is the next most appropriate step?
Fill out an incident report
once a doctor decides to terminate a patient relationship, which of the following is not required.
- a letter from the physician to the patient
- a letter from the american medical association to the patient
- providing the patient with their medial records
- Reasonable time period to allow the patient to find another physician
A letter from the American Medical Association to the patient
Which of the following would not be considered a valid petty cash purchase.
- Syringes
- Nail polish
- Computer mouse
- Printer paper
Nail Polish
Which of the following is used as a part of United States Medicare reimbursement formula for physician services.
- Effective measure unit
- work reimbursement measure
- work value measure
- relative value unit (RVU)
Relative value Unit (RVU)
Which of the following most accurately describes an exclusive provider organization
- Wide range of doctors and hospitals to choose from
- no referrals needed to see a specialist
- limited coverages for out of network services
- All healthcare services go through a primary care physician
No referrals needed to see a specialist.
Which of the following is the most appropriate step to be taken if a patient has not paid his bill in 90 days.
Show up at patients house demanding payment
- send threatening letter to the patient
- send bill to collection agency
- call patient and reprimand them
Send bill to collection agency
Which of the following is the most appropriate definition of Medicaid
- Healthcare program for college students
- Healthcare program for elderly patients of those with disabilities
- healthcare program for those who are employed
- Healthcare program for those with limited financial means
Healthcare program for those with limited financial means
What is the purpose of relative value Unit (RVU)
- used to help determine productivity
- measures the number of certain diagnoses
- calculates the possible lenght of hospital stay
- estimates insurance rates
Used to help determine productivity
What is the purpose of medical waiver?
Releases a person or facility from medical liability
Which of the following is the most appropriate definition of a preferred provider organization (PPO)
-lower out of pocket cost but less flexibility
- insurance provided by the governement for low- income individuals
- higher out of pocket cost but greater flexibility
- insurance provided by the government for elderly individuals
Higher out of pocket cost greater flexibility
what is a waiver of liability?
- a waiver that releases a person or facility from the blame if an adverse event occurs
- a notice that a service may not be covered my Medicare
- Permission for medical intervention
an itemized bill explaining the cost of services rendered
A notice that a service may not be covered by medicare
which of the following is the most current standard diagnostic tool to classify medical conditions into codes for the purpose of billing and reimbursement
ICD-10
Which of the following is not managed care organization
CEO
Which of the following is not appropriate way to manage a petty cash account
- replenish once there are no more funds
- set limits on expenditures
- require receipts for all purchases
-keep petty cash in a limited access safe.
Replenish once there are not more funds
What is the term for money owed by a company to its creditors?
- Accounts payable
- Payment summary
- Accounts receivable
- itemized bill
Accounts payable
What is the purpose the diagnosis-related group (DRG) system
- monitors productivity
- helps determine reimbursment
- permits a physician to upcode
- helps determine insurance eligibility
Helps determine reimbursement
What is the term of the breakdown of the cost for services rendered after a visit to a clinic, lab, or, hospital
itemized statement
A patient sprained their Wrist and had an ACE wrap placed. The physician billed for a splint placement. What is the name of this fraudulent practice?
Upcoding
Which of the following situations would likely result in a bundled payments
- Having labs drawn
- Getting a pap smear
- Seeing a primary care physician for a follow up visit
- Undergoing a cholecystectomy
Undergoing a cholecystectomy
Which of the following is not a safety precaution when drawing blood?
- Capping a needle when finished with the procedure
- disposing of needles in a puncture-resistance biohazard container
- cleaning the syringe for future use
- wearing sterile gloves throughout the procedure
Cleaning the syringe for future use
Which of the following best describes competence
-Having in depth knowledge of a particular subject
- Performing a task effectively
- Being trustworthy
- applying practical thinking to everyday situations
Performing a task effectively
Which of the following is not a HIPPA violation
- Having a computer screens face into the main lobby
- disclosing a patient’s medical information without consent
- Discussing a patients diagnosis i the waiting room
- Sending a patients records to their primary care doctors office.
Sending a patients records to their primary care doctors office.
What is the healthcare program used by the United States military?
- PPO
-HMO
- Tricare
- Medicaid
Tricare
What is an example of conflict of interest?
- Accepting baseball tickets from a drug representative
- making a donation to a hospital
- Discussing a new drug with a pharmaceutical representative
- Allowing medical students to rotates through the office
Accepting baseball tickets from a drug representative
Which of the following healthcare common procedure coding system (HCPCS) levels includes ambulance, durable medical equipment, prosthetics, orthotics, and supplies when used in a physicians office.
- I
-II
-III
-IV
II
When is it appropriate to discuss a patient’s case on social media
It is never ok to discuss a patient on social media
A doctor changes the medical procedure a patient received in order to obtain a higher reimbursement from the health insurance company. what is this practice called/
Upcoding
What is the name for a network security system that monitors and controls the incoming and outgoing network traffic to prevent unauthorized users from accessing information
- firewall
- database reports
- tickler file
- modifiers
Firewall
Which of the following is not a conflict of interest.
- volunteering at a local homeless shelter
- a physician who is a board member at a pharmaceutical company
- referring patients to another doctors in exchange for a monthly stipend
- A physician who is a promotional speaker for a medical device company
Volunteering at a local homeless shelter
Which of the following terms refers to the posterior aspect of the body?
Dorsal
what organism needs a host in order to survive?
Parasite
Where is the liver in relation to the bladder
Superior
What is the best way to prevent the spread of infection?
Handwashing
All of the following diseases can be transmitted in the air except
- pnenmonia
- influenza
-HIV
-Tuberculosis
HIV
Which of the following refers to the anterior aspect of the body
ventral
Where is the pelvis in relation to the sternum
inferior
Where are the ribs in relation to the heart
anterior
what artery is most commonly used when taking blood pressure
Brachial
Which of the following refers to the same side of the body
Ipsilateral
what information is not included in the history of present illness section of a medical chart
Physical exam
What is the largest organ in the human body
skin
Which artery is normally palpated in the wrist to takes a pulse
radial
What is the most accurate measurement of body temperature
rectal
What is the most accurate measurement of body temperature
-rectal
-axillary
- temporal
- oral
rectal
What piece of equipment is used for measuring blood pressure
sphygmomanometer
what organ system is responsible for reabsorbing nutrients and excreting waste
- Cardiopulmonary
- Reproductive
- Urinary
- Endocrine
Urinary
What piece of equipment measures oxygen saturation
pulse oximeter
Which of the following would be places in an autoclave
- Scalpel
- Stethoscope
- Syringe
- Foley catheter
scalpel
What organ system is responsible for taking in oxygen and excreting carbon dioxide
cardiopulmonary
What does the term cruris refer to?
- Foot
- Groin
- Head
-body
Groin
Which of the following drugs should never be taken while pregnant?
Category X
Which of the following labs may be ordered to help diagnosed diabetes
HbA1c
Morphine is used t treat which of the following?
- Heartburn
- Nausea
- Pain
- High blood pressure
Pain
Which instrument is used to examine ears?
- ophthalmoscope
- stethoscope
- otoscope
Otoscope
A patient with low hemoglobin has which condition?
Anemia
A patient with a blood sugar of 36 mg/dL has which condition
Hypoglycemia
A patient with rapid respiratory rate has which condition?
Tachypnea
An adipocyte is what type of cell
fat
Which of the following is the term for abnormally large breast in men
Gynecomastia
A patient who has stopped menstruating has which condition
amenorrhea
What does the prefix exo- refer to
outside
An osteoblast is what type of cell
bone
The trachea splits into which two structures?
Bronchi
The trachea splits into which two structures?
Bronchi
What is the medical term for inflamed or infected appendix
Appendicitis
Which of the following procedures does not have to be done in the operating room?
- Breast augmentation surgery
- insertion of a chest tube
- removal of a gallbladder
- staple repair of a head laceration
staple repair of a head laceration
What structure separates the brain in to the right and left sides
Corpus callosum
What procedure can evaluate the large intestine?
colonoscopy
Where can a meniscus be found
Knee
What is the chemical symbol sodium
Na
Which of the following is a specialist who would treat hypothyroidism?
Endocrinologist
Which condition refers to blood coming from the ear
- Menorrhea
- Dysphonia
- Otorrhagia
- otoplasty
Otorrhagia
A patient with renal failure will likely need what procedure
- Nephrectomy
- Hemodialysis
- hysterectomy
- urostomy
Hemodialysis
What structure separates the heart into the right and left sides
Septum
A patient with brain tumor will likely need what type of specialist
Neurosurgeon
What is the name of the procedure for removal of a breast
Mastectomy
What is the chemical symbol for potassium
K
Which of the following is not a common sign of stroke
- dysphagia
- facial asymmetry
- ataxia
- rhinorrhea
rhinorrhea
What is the medical term for heart attack
Myocardial infraction
What structure covers the trachea when a person swallows a bolus of food?
Epiglottis
Which of the following is not a common finding in someone with liver failure
Dysuria
A patient with a deviated or “lazy” pupil has what condition?
- Strabismus
- Entropion
- Ectropion
- Glaucoma
Strabismus
What is the name of the procedure for the removal of a testicle
orchiectomy
what is the medical term for the condition “pink eye”
Conjunctivitis
A patient with no heartbeat has which condition
asystole
In which of the following structures is cartilage no present?
-Olecranon
- Metatarsal
- patella
- bladder
bladder
Which of the following best describes miosis
- Infection of the breast
- hearing loss
- construction of the pupil
- excessive sweating
construction of the pupil
Which of the following is not a sign of a myocardial infraction
- vision loss
- chest tightness
- shortness of breath
- jaw pain
vision loss
Which of the following best describes an abscess?
- URI
- Rash
- Migraine
- Collection of pus
collection of pus
Which of the following is an agressive malignant skin cancer
- melanoma
- lymphoma
- basal cell carcinoma
- glioma
melanoma
A patient with broken patella will likely need what type of specialist”
orthopedist
A patient wit arthritis due to excessive uric acid has which condition
- glaucoma
- gout
- angina
- diverticulitis
gout
What is the name of the procedure for the removal of the foreskin on the penis
circumcision
Which of the following structures is not found as a pair?
- thyroid
- lung
- adrenal
- kidney
Thyroid
Which of the following best describes a meniscus?
- An accessory organ attached to the intestine
- a piece of cartilage between the femur and the tibia
- an out pouching of the colon
- a defect in the abdominal wall.
a piece of cartilage between the femur and the tibia
Which of the following organs is primarily responsible for the development of diabetes.
- liver
-pancreas
- kidney
- bladder
Pancreas
A patient with diverticulosis will likely need what type of specialist
gastroenterologist
What is the medical term for presence of a kidney stone?
- saiolithiasis
- cholithiasis
- choledocholithiasis
-Nephrolithiasis
Nephrolithiasis
Which of the following best describes hepatitis?
Infection of the liver
What does the suffix “pexy” mean?
to affix something
A patient with calcium deposit on the lens of the eye has which condition?
Cataracts
Which of the following best describes choleithiasis
The presence of stones
Which of the following best describes the suffix -rrhagia?
hemorrhage
A patient with atrial fibrillation will likely need what type of specialist
cardiologist
What is the medical term for low urine output
oliguria
Which of the following best describes sickle cell anemia?
- absence of red blood cells
- abnormally high number of red blood cells
abnormally high levels of iron
- abnormally shaped red blood cells
Abnormally shaped red blood cells
A patient with a blood pressure of 165/81 mm Hg has what condition
Hypertension
What does the term acetabulum refer to?
Hip socket
A patient with excessive fatty deposits in their arteries has which condition
Atherosclerosis
A patient with schizophrenia will likely need what type of specialist.
psychiatrist
Which level of Maslow’s theory of human behavior requires achievement, independence, and self respect
esteem
Which of the following milestones would not be expected of a 4 month old
- the ability to coo
- the ability to place object in the mouth
- the ability to roll from front to back
- the ability to sit down without help
the ability to sit down without help
A coworker has been spotted throwing someones medical record in the trash can in the break room. which of the following is NOT an appropriate course of action
Ignore the coworkers actions
Which of the following terms refer to money owed to the physician by a patient?
- accounts receivable
- payment summary
- accounts payable
- itemized bill
accounts receivable
Which of the following most accurately describes an exclusive provider organization
no referrals needed to see a specialist
Which of the following situations would likely result in a bundled payment
- having labs drawn
- getting a pap smear
- seeing a primary care doctor ofr a followup
- under going a cholecystectomy
under going a cholecystectomy
Which of the following is not a safety precaution when drawing blood
- capping a needle when finished with the procedure
- disposing of needles in a puncture resistant biohazard container
- cleaning the syringe for future use
cleaning the syringe for future use
What is the name of the sound hear during measurement of a manual blood pressure
Korotkoff
What organ system is responsible for reabsorbing nutrient and excreting waste
urinary
Which of the following is not a common finding in someone with liver faliure
dysuria
In which of the following structures is cartilage not present
bladder
Which of the following best describes miosis
construction of the pupil
Which of the following is not a sign of myocardial infraction
vision loss
Which of the following is not a sign of myocardial infraction
vision loss
What s the medical term for presence of a kidney stone
nephrolithiasis
What is the medical term for low urine output
oliguria
