Medical Office Procedures Flashcards

1
Q

Each health care facility may have its own job title and unique job description for the
Administrative Health Professional’s position.

A

T

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2
Q

Administrative office assistants must be computer literate and knowledgeable about ethics
and human relations.

A

T

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3
Q

In most of Canada, the medical office assistant includes more clinical than administrative responsibilities

A

F

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4
Q

In some offices , the medical office assistant will be trained to carry out “ delegated acts”

A

T

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5
Q

Complementary health care is considered by most to be the natural approach to treating the causes of illness and disease.

A

T

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6
Q

Attributes and skills needed to work as an administrative office assistant are the same thing.

A

F

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7
Q

Soft skills, such as projecting an image of trust, are measureable and specific

A

F

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8
Q

Assessing a client’s need for treatment and the urgency of that need is called triage.

A

T

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9
Q

One of the first qualities an employer looks for is “ initiative”.

A

T

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10
Q

Tolerance means agreeing with other people’s personal beliefs and lifestyle.

A

F

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11
Q

Ethics is the principles, standards or qualities that a person holds dear

A

F

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12
Q

The second of 5 universal ethical principles which provide guidance for moral actions is beneficence.

A

F

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13
Q

Health Office Administration is a regulated profession in Canada

A

F

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14
Q

A resume should be no more than 1 - 2 double-sided pages in length

A

F

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15
Q

Most people’s behaviour is fairly consistent throughout their daily lives.

A

T

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16
Q

Emotional wellness involves being able to analyze and deal with problems

A

T

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17
Q

Two-thirds of the deaths in Canada annually are attributed to acute illness.

A

F

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18
Q

Cardiovascular disease has passed cancer as the leading cause of death in Canada in almost every province and territory.

A

F

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19
Q

The appearance of clinical signs occurs in the transitional stage of the illness response.

A

F

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20
Q

United States is a melting pot and Canada is a mosaic in relation to culture.

A

T

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21
Q

Ethnic identity is the same as nationality.

A

F

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22
Q

The current Federal Insurance Legislation is the Canada Health Act ( 1984 ).

A

T

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23
Q

The Federal Government in Canada sets the fee schedules for the provinces.

A

F

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24
Q

Fee - for - service is the most common form of physician remuneration in Canada

A

T

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25
Q

Primary care settings in Canada include emergency departments and group family practices.

A

T

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26
Q

Which of the following is the best description of professionalism?

a) The act of caring for patients
b) belonging to a professional organization
c) the attitude one brings to a given profession
d) the conduct, aims, or qualities that identify or mark a profession

A

D

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27
Q

Which of the following is a benefit of belonging to a professional organization?

a) a licence to practice is offered to all current members.
b) a degree can be obtained by completing certification papers
c) travel expenses to chapter meetings will be reimbursed to all members.
d) offers members the opportunity to stay abreast of trends and changes within the profession

A

D

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28
Q

Mr. Smith is a private person and prefers that his condition be discussed only with him and his wife. His 32-year-old son phones the office stating he is concerned and needs to be brought up-to-date with his Dad’s condition. Which of the following is the best response?

a) “ If you come into the office sir, I would be happy to bring you up-to-date.”
b) “ I am not sure how Mr. Smith is doing at the moment. I will check his chart and call you back.”
c) “ I’m sorry, but that information is confidential. Perhaps you could speak directly with your father.”
d) “ I can’t tell you. Ask the doctor. He would be able to discuss your Dad’s progress with you more accurately.”

A

C

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29
Q

Which of the following skills could an administrative assistant have to perform today as compared to a medical secretary hired for a health office in the 50’s and 60’s?

a) typing and dicta typing.
b) providing telephone contact with patients
c) utilizing medical terminology and bookkeeping skills
d) assisting health providers with monitoring blood pressures.

A

D

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30
Q

Which of the following is the best definition of health?

a) an absence of disease
b) survival within a natural environment
c) practices that maintain physical health
d) a relative state where one is able to function well physically, mentally, socially and spiritually.

A

D

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31
Q

Which of the following is true regarding the health - illness continuum?

a) it indicates how health can change over time.
b) individuals at the left end of the continuum can’t care for themselves
c) an individual’s self-perception will not influence her placement on the continuum
d) people who place themselves in the middle of the continuum are the healthiest

A

A

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32
Q

Wellness, which refers to a state of physical and emotional wellbeing, is often thought of in 5 dimensions. Which of the following definitions best describes the emotional wellbeing dimension?

a) self-acceptance, self confidence, and believing in yourself
b) making healthy choices regarding health and exercise
c) having the ability to interact with others
d) a belief in a higher power

A

A

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33
Q

Mr. Smith has diagnosed Mary who has an exaggerated startle reflex, upsetting dreams and difficilties sleeping , with PTSD ( post-traumatic stress disorder ) . What has most likely caused Mary’s symptoms?

a) an antibiotic resistant bacteria
b) severe acute respiratory syndrome
c) a chronic condition of the skeletal system
d) a past traumatic and emotionally challenging event

A

D

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34
Q

Which of the following efforts on the part of the clinical secretary would help ease the patient’s concerns and assist with effective communication?

a) offer quick efficient patient care
b) direct your questions to the patient only
c) refer the patient to the nurse if they express concerns
d) attempt to understand the stressors of the patient and family.

A

D

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35
Q

Which of the following is the best definition of multiculturalism?

a) cultures with a strong belief system
b) individuals who band together to protect each other
c) people of various cultures who live together in relative harmony and mutual respect
d) cultural groups with a feeling of prejudice against another group

A

C

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36
Q

Which of the following is the most important for the AHP to realize when working in a multicultural environment? Culture is:

a) irrelevant
b) learned
c) instinctive
d) planned

A

B

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37
Q

Which of the following would be an example of the cultural belief that “ illness is controlled by supernatural forces”?

a) “ I know what is best for me”.
b) “ What is the cause of my illness”?
c) “ I did something bad and became ill”.
d) “ I know this happens more to women than to men”.

A

C

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38
Q

Which of the following should you avoid using when attempting to communicate with a client with a language barrier?

a) slang
b) pictures
c) gestures
d) word enunciation

A

A

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39
Q

Which of the following is a federal responsibility for health care?

a) delivering all health services to eligible residents
b) managing prescription care and public health services
c) funding and managing insured hospital, physician and allied health services
d) setting, administering and monitoring all national standards for Medicare

A

D

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40
Q

Which of the following is a correct statement about primary health care reform in Canada?

a) specialists are the backbone of primary care
b) the federal government establishes a 50/50 cost-sharing plan for primary care
c) primary health care is moving to a multidisciplinary team approach for healthcare service.
d) primary care physicians practice independently in what is known as a solo practice

A

C

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41
Q

Which of the following is the best description of the primary health care settings known as Health Maintenance Organizations ( HMO’s )?

a) it provides specialized services such as oncological and orthopedic.
b) medical services are offered to clients usually without an appointment
c) services focus on immediate care of urgent but not life-threatening complaints
d) prepaid comprehensive health coverage is offered for physician and hospital services

A

D

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42
Q

Which of the following describes the indirect capitation payment option for physicians?

a) physicians are paid based on the number of services they provide
b) physicians bill through a combination of salary, fee for service, and capitation.
c) physicians submit their fees in order to compare the cost-effectiveness of capitation
d) organizations are given a set amount of money to manage health care for a designated population base.

A

D

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43
Q

Which of the following patients would be better on a fee for service payment option rather than a patient enrolment option .

a) Mr. Brown diagnosed with COPD ( chronic obstructive lung disease )
b) Mrs. Abdul who requires mangement of her diabetes
c) a university student visiting a walk-in clinic for a persistent fever
d) Sadie Smith age 6, who has a broken leg

A

C

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44
Q

What can the Administrative health professional do to avoid the sick role becoming maladaptive for the client?

a) support the client but avoid instilling feelings of dependence and passivity
b) encourage the client to stay in bed as long as possible to conserve energy
c) tell the client to take the opportunity to get waited on for as long as possible
d) ask family and friends to avoid visiting the client to allow the client time to rest

A

A

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45
Q

Sonia Simplex realizes that she does not feel well but carries on as usual. Which stage of illness is Sonia at?

a) Action Phases
b) Preliminary Phase
c) Transition Phase
d) Acknowledgement phase

A

B

46
Q

Which of the following is the best definition of ethnocentrism?

a) believing that all cultures are equal
b) using one’s own standards to judge everyone
c) recognizing the superiority of the Asian culture
d) a belief in the superiority of a white Anglo-Saxon group

A

B

47
Q

Mrs. Punja, who does not speak or understand the language spoken in your office, arrives manifesting non-verbal indicators of intense pain. Which combination of the following steps is the most appropriate action to take?

1) determine whether a family member is available to communicate
2) do your best to communicate , hoping the patient understands
3) instruct the patient to rebook the appointment and bring an interpreter
4) reassess the office schedule, recognizing this patient will need extra time

A

1&4

48
Q

Universal Health Care began in Canada in which Canadian province?

a) Alberta
b) Saskatchewan
c) Manitoba
d) Ontario

A

B

49
Q

The steps in ethical decision - making ( in order ) are:

a) gather information, determine the ethical approach, identify the problem, make a decision, take action
b) take action, gather information, identify the problem, determine the ethical approach, make a decision
c) identify the problem, gather information, determine the ethical approach, make a decision, take action
d) determine the ethical approach, identify the problem, make a decision, gather information, take action

A

C

50
Q

Which of the following is the best example of an AHP using ethical reasoning?

a) discounting personal values in decision-making
b) avoiding the evaluation of a well-established plan
c) following gut reactions and trusting personal instincts
d) making accountable, objective decisions

A

D

51
Q

All work - related injuries require completion of a worker’s compensation board accident form.

A

T

52
Q

The person who is at fault should initiate the accident report.

A

F

53
Q

An incident report is kept on the patient’s chart.

A

F

54
Q

Worker’s compensation is a form of social insurance administered by Federal legislation for each of the provinces and territories.

A

F

55
Q

In Ontario, physician’s offices are exempt from registering with the Workplace Safety and Insurance Board

A

T

56
Q

In Ontario, physicians may voluntarily apply for WCB coverage for their employees.

A

T

57
Q

Infectious diseases are always communicable

A

F

58
Q

Opportunistic infections occur in response to poor immunity.

A

T

59
Q

An infectious organism may be transmitted even if the client is asymptomatic.

A

T

60
Q

Periods of time without symptoms of a disease are know as exacerbations.

A

F

61
Q

Nosocomial infections are those acquired in a health care facility.

A

T

62
Q

Normal flora are never pathogenic

A

F

63
Q

Aerobic bacteria do not require oxygen to survive.

A

F

64
Q

Viruses are difficult to treat but respond well to antibiotics.

A

F

65
Q

An infection occurs every time a pathogenic organism invades a host.

A

F

66
Q

The most common side effect from a childhood immunization is redness and tenderness at the injection site.

A

T

67
Q

Medical asepsis is killing germs before they leave the body.

A

F

68
Q

Handwashing is the most effective method of preventing the spread of infectious organisms.

A

T

69
Q

The type of soap used for handwashing is very important.

A

F

70
Q

Chemical disinfection is as reliable as boiling or sterilization.

A

F

71
Q

Different laboratories use different reference ranges for medical test results.

A

T

72
Q

Glycosylated hemoglobin is a test to measure blood sugar control over an extended period in individuals with diabetes mellitus.

A

T

73
Q

A common test is urinary analysis for occult blood.

A

F

74
Q

The AHP’s role in diagnostic testing is primarily administrative and educating clients.

A

T

75
Q

In-source -oriented filing of medical test results separates the results by category e.g. Xrays with the most recent results in each category on top.

A

T

76
Q

Generic names of drugs are always spelled in UPPER CASE.

A

F

77
Q

A pharmacist may receive any type of prescription from a prescriber by FAX.

A

T

78
Q

Some over-the-counter medications are available only from a pharmacist

A

T

79
Q

A cubic centimetre ( cc ) is the same as a millilitre (ml ).

A

T

80
Q

Unused medication samples from drug representatives may be flushed down the toilet for disposal.

A

F

81
Q

The busiest technology in the medical office is the FAX machine.

A

F

82
Q

You should always accept “old magazines “ from physician’s clients for the office.

A

F

83
Q

If it is necessary that a client receive an important letter, it should be sent via registered mail.

A

T

84
Q

You should always smile when you answer the office phone.

A

T

85
Q

Try to answer the office phone before the second ring

A

F

86
Q

If you are facing an angry or aggressive client across your desk, remain seated to avoid intimidating the client.

A

F

87
Q

A software scheduling system should include features that enable you to print/view a day sheet from a selection of day sheet formats.

A

T

88
Q

Appointment cards help save time for the Administrative assistant

A

T

89
Q

Stream or fixed-interval scheduling is the most common method of scheduling appointments in medical offices.

A

T

90
Q

The AHP should allow 10 - 15 minutes for a minor assessment.

A

F

91
Q

Items cannot be considered partially sterile. Which of the following describes the condition of the item if it is not sterile?

a) clean
b) antiseptic
c) disinfected
d) contaminated

A

D

92
Q

Which of the following is a direct method of organism transmission?

a) insects
b) kissing an infected person
c) contact with contaminated eating utensils
d) contact with contaminated food or drink

A

B

93
Q

Which of the following is considered to be the most important aspect of the process of handwashing?

a) running water and friction
b) removing all jewellry
c) the length of time the hands are kept in the water
d) the type of soap and moisturizing cream used in the process

A

A

94
Q

Which of the following does the infectious cycle begin with?

a) a host reservoir
b) a transmitting agent
c) a causative organism
d) the recipient of the organism

A

C

95
Q

Which of the following is the best defintion of systemic infection?

a) a chronic infection
b) an undetectable infection
c) an infection limited to one limb
d) an infection affecting the entire body

A

D

96
Q

Which of the following latex items which can be found in a health office workplace, are known to cause sensitivity or allergy?

a) bed linens
b) disposable gloves
c) cleaning solutions
d) surgical instruments

A

B

97
Q

During a well baby examination you notice Ethan’s mother turned around to talk to you while the baby was left on the examination table. What is the best action for you to take?

a) inform the doctor who will then inform child services.
b) ignore the incident. The office is not liable when the mother is present.
c) gently remind the mother that there are no sides on the examination table.
d) quickly move to the table and instruct the mother that she has put her child at great risk.

A

C

98
Q

Which of the following would be the most likely cause of a high WBC count?

a) the patient has reduced oxygen levels
b) the patient is experiencing an infective process
c) the patient has contacted a non-infective illness while travelling
d) the patient has experienced blood clots following an orthopedic surgical procedure

A

B

99
Q

Which of the following would be considered a contraindication to a CAT ( CT ) scan?

a) an individual with a history of cancer
b) an individual with previous heart surgery
c) an individual with an allergy to protein substances
d) an individual with anxiety related claustrophobia

A

D

100
Q

Which of the following would be the most likely symptoms experienced by a patient who is being tested for cardiac enzymes?

a) chest pain
b) liver cancer
c) abdominal distention
d) hip pain radiating to the knee

A

A

101
Q

Which of the following is the correct way to write the medication order for Digoxin decimal 125 milligrams every day?

a) Digoxin .125 mcg od
b) Digoxin 1.25 mcg qd
c) Digoxin 0.125 mg qd
d) Digoxin 12.5 od

A

C

102
Q

Mrs. A makes an appointment to attain a repeat prescription for her antihypertensive Rasilez ( alisiskiren fumarate ). Which of the following is the best description of a repeat prescription?

a) a continuation of a long-term medication
b) an extension of a prescription that has expired
c) a prescription for a once only prescription medication
d) a prescription for a medication with a stop order date accompanying it

A

A

103
Q

What route of drug administration is being used when a drug is placed directly on the skin or associated mucous membranes?

a) parenteral
b) buccal
c) sublingual
d) topical

A

D

104
Q

Currently, some provinces ( including Ontario ) have extended the scope of a pharmacists practice by adding which of the following skills?

a) dispensing medication
b) renewing narcotic prescriptions
c) ordering a limited number of behind the counter medications
d) administering flu shots and emergency prescribing of previously ordered medications

A

D

105
Q

Which of the following are advantages of faxed laboratory reports?

a) they save time and reduce the risk of errors
b) they are guaranteed never to get lost in transition
c) they are the best means of maintaining confidentiality
d) there is seldom a problem with the FAX machine breaking down

A

A

106
Q

Which of the following is the best strategy for dealing with an angry client?

a) convey warmth, respect, empathy, and a relaxed demeanour
b) convey the impression that you are in control and that the client had better calm down
c) communicate to the client that doctors can fire clients for aggressive and insulting calls
d) respectfully communicate that this is a professional office and it is not necessary to communicate in an angry fashion

A

A

107
Q

Which of the following are necessary to maintain confidentiality with a system utilizing computer scheduling?

  1. keep passwords confidential
  2. limit computer access to appropriate people
  3. place the monitor facing the patient you are talking to
  4. delete any errors made before copying and storing the final record
A

1&2

108
Q

A/CPx is a commonly used health office medical abbreviation for scheduling. Which of the following best indicates what it means?

a) away today
b) allergy shot
c) annual physical
d) annual health examination

A

C

109
Q

Mr. Samara phones complaining of abdominal pain that began last night and is becoming progressively more uncomfortable. How much time would you book for his appointment?

a) 5 minutes
b) 20 minutes
c) 10 - 15 minutes
d) 30 minutes

A

C

110
Q

Jack called the office with a complaint of epigastric distress. As the AHP how much time would you book for his appointment?

a) 5 minutes
b) 10 minutes
c) 20 minutes
d) 25 minutes

A

B