Module5 Flashcards
The process of tapping the body to detect signs of disease is known as which of the following?
A. Auscultation
Auscultation is listening to sounds within the body.
B. Inspection
Inspection is observing to detect objective data.
C. Percussion
Percussion involves tapping on the body with fingers or a reflex hammer.
D. Palpation
Palpation is touching the body.
E. Mensuration
Mensuration is measuring.
C. Percussion
Percussion involves tapping on the body with fingers or a reflex hammer
Which of the following is a procedure performed by opening the colon to the abdominal surface?
A. Gastropexy
This is a surgical fixation of the stomach.
B. Cholecystectomy
This is a procedure which results in the removal of the gallbladder.
C. Colostomy
This procedure opens the colon to the abdominal surface.
D. Colectomy
This is a procedure which results in the removal of the colon or portion of it.
E. Gastrostomy
This is a procedure which opens the stomach to the abdominal surface.
C. Colostomy
This procedure opens the colon to the abdominal surface.
Which of the following is an appropriate action for improving cross-cultural communication with patients?
A. Using medical terms along with pictures or diagrams from a current medical text book to assist communication.
This can be intimidating and the patient is not likely to be familiar with medical terms.
B. Being aware that hand gestures may convey different meanings.
Being aware of the variances in meanings of hand gestures can enhance the communication process.
C. Holding strong opinions and judgements regarding how people should dress in an appropriate manner.
The way a patient looks or dresses should not affect the communication process.
D. Creating a fast-paced atmosphere so that the patient can complete the visit quickly.
The medical assistant must take the necessary time to make certain the patient is understood and that the patient needs are met.
E. Speaking in a louder than usual tone of voice.
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B. Being aware that hand gestures may convey different meanings.
Being aware of the variances in meanings of hand gestures can enhance the communication process
Which of the following situations can promote slow wound healing primarily by causing constriction of small blood vessels?
A. Obesity
When a patient is obese, the circulation directly beneath the skin may be poor, leading to slow healing.
B. Smoking
Nicotine constricts the blood vessels in the skin leading to reduced circulation to the wound area which can slow healing.
C. Diabetes mellitus
Patients with diabetes mellitus may have changes in their arterial walls resulting in poor circulation to peripheral tissues.
D. Bacterial infection
Infection delays the healing process by increasing inflammation and tissue damage.
E. Poor nutrition
When a patient is undernourished, especially if deficient in protein, there may not be adequate physiologic resources for good wound healing.
B. Smoking
Nicotine constricts the blood vessels in the skin leading to reduced circulation to the wound area which can slow healing.
Which of the following techniques would be appropriate for a medical assistant when conducting a patient interview with a 9-year-old cooperative child?
A. Use some medical terms as appropriate.
Using medical terminology is not appropriate when communicating with a child.
B. Finish the child’s sentences when needed.
The child should be allowed to fully answer the questions.
C. Allow the parent to answer for the child.
The patient should be allowed to answer first if able to do so.
D. Address all questions to the parent.
Questions should be addressed to the patient.
E. Allow the child to answer each question in his own words.
The patient should be allowed to answer the questions if able to do so.
E. Allow the child to answer each question in his own words.
The patient should be allowed to answer the questions if able to do so.
Which of the following hormones is secreted by the adrenal cortex?
A. Oxytocin
Oxytocin is secreted by the pituitary gland.
B. Thyroxin
Thyroxin is secreted by the thyroid gland.
C. Aldosterone
Aldosterone is secreted by the adrenal cortex.
D. Insulin
Insulin is secreted by the pancreas.
E. Somatrophin
Somatrophin is secreted by the anterior pituitary gland.
Which of the following hormones is secreted by the adrenal cortex?
A. Oxytocin
Oxytocin is secreted by the pituitary gland.
B. Thyroxin
Thyroxin is secreted by the thyroid gland.
C. Aldosterone
Aldosterone is secreted by the adrenal cortex.
D. Insulin
Insulin is secreted by the pancreas.
E. Somatrophin
Somatrophin is secreted by the anterior pituitary gland.
Which of the following positions would be appropriate for a patient with severe emphysema who is waiting to be examined by the physician?
A. Sims
In the Sims position, the patient is on his/her side.
A patient with emphysema ordinarily would be more comfortable with the head elevated.
B. Supine
In the supine position, the patient is lying flat on the back. A patient with emphysema ordinarily would be more comfortable with the head elevated.
C. Trendelenburg
The Trendelenburg position is a supine position with the pelvis higher than the head. A patient with emphysema ordinarily would be more comfortable with the head elevated.
D. Fowler
Fowler’s position is used to examine the upper body of patients with cardiovascular and respiratory problems, such as congestive heart failure, emphysema, and asthma. The head is elevated, making it easier to breathe.
E. Knee-chest
In the knee-chest position, the patient is in a prone position with their knees beneath them and the buttocks elevated. A patient with emphysema would be more comfortable with the head elevated.
D. Fowler
Fowler’s position is used to examine the upper body of patients with cardiovascular and respiratory problems, such as congestive heart failure, emphysema, and asthma. The head is elevated, making it easier to breathe.
The usual restrictions on release of medical information without the patient’s authorization are suspended if which of the following situations exist?
A. The patient is a 17-year-old emancipated minor.
In this case, authorization is required by the patient.
B. The patient is incompetent and has a legal guardian.
In this situation, the legal guardian signs for the patient.
C. A patient is a public figure.
Authorization is still required by the patient.
D. Information is stored in a computer.
This would have no bearing on condition of release of confidential information.
E. A patient is suspected of committing a crime.
Authorization will be required by the patient.
B. The patient is incompetent and has a legal guardian.
In this situation, the legal guardian signs for the patient.
Which of the following best describes a condition resulting in a sudden discharge of electrical activity in the brain?
A. Bell’s palsy
Bell’s palsy is a paralysis or weakness of the muscles on one side of the face. Damage to the facial nerve that controls muscles on one side of the face causes that side of the face to droop. Bell’s palsy is sometimes linked to an exposure to the herpes simplex virus.
B. Parkinson’s disease
This is a degeneration of neurons in the basal ganglia that leads to tremors, weakness of muscles, and slowness of movement.
C. Epilepsy
Epilepsy is a disorder where nerve cells in the brain fire electrical impulses at a rate of up to four times higher than normal resulting in disruption of brain activity causing seizures. A pattern of repeated seizures is referred to as epilepsy.
D. Alzheimer’s disease
Alzheimer’s is a brain disorder that is a gradual progressive mental deterioration.
E. Herpes zoster
Herpes zoster infection, also known as shingles, is a viral infection that causes a painful rash that can occur anywhere on your body. Shingles is caused by the varicella-zoster virus—the same virus that causes chickenpox.
C. Epilepsy
Epilepsy is a disorder where nerve cells in the brain fire electrical impulses at a rate of up to four times higher than normal resulting in disruption of brain activity causing seizures. A pattern of repeated seizures is referred to as epilepsy.
Which of the following medications is a controlled substance?
A. Amlodipine (Norvasc)
Amlodipine is a calcium channel blocker and is used to lower blood pressure. It is not a controlled substance.
B. Hydrocodone with APAP
This is a narcotic analgesic and it is a controlled substance.
C. Furosemide (Lasix)
Furosemide is a diuretic that is used to treat fluid retention (edema) in people with congestive heart failure, liver disease, or kidney disorders. It is also used to treat hypertension and is not a controlled substance.
D. Trazodone HCI (Desyrel)
Trazodone is used to treat major depressive disorders and is not a controlled substance.
E. Atenolol (Tenormin)
Atenolol is a beta-blocker that is used to treat angina and hypertension. It is not a controlled substance.
B. Hydrocodone with APAP
This is a narcotic analgesic and it is a controlled substance.
Which of the following is a medication used in the treatment of Type II diabetes?
A. Cimetidine (Tagamet)
This is used to treat duodenal ulcers and gastric reflux.
B. Thioridazine (Mellaril)
This is used to treat psychosis.
C. Furosemide (Lasix)
This is a diuretic used to treat edema or hypertension.
D. Metformin (Glucophage)
Metformin is used in the treatment of Type II diabetes.
E. Zocor (Simvastatin)
This is used to help lower cholesterol levels.
D. Metformin (Glucophage)
Metformin is used in the treatment of Type II diabetes.
When filing an insurance claim for an appendectomy, which of the following is the most appropriate reference source for locating the surgical code?
A. Resource-Based Relative Value Scale (RBRVS)
This reference is used to establish reimbursements.
B. Relative Value Scale (RVS)
This reference helps establish reimbursements.
C. International Classification of Diseases, Clinical Modification (ICD-CM)
This reference is used to identify a diagnosis, not a procedure.
D. Current Procedural Terminology (CPT)
This reference is for procedure codes.
E. Health Care Financing Administration Common Procedural Coding System (HCPCS)
This reference is for supplies and certain procedures.
D. Current Procedural Terminology (CPT)
This reference is for procedure codes.
A physician informs the medical assistant that the practice will no longer treat a patient who refuses to be compliant with the prescribed medical advice or treatment plan. Of the following, which is the next step in this process?
A. Send a letter of formal withdrawal to the patient by certified mail.
This is the legally acceptable way to notify the patient of dismissal.
B. Telephone the patient and explain the situation.
This method does not give legal protection if the patient brings a lawsuit for abandonment.
C. Schedule the patient with a partner the next time an appointment is requested.
This is not acceptable if the patient was dismissed from the practice.
D. Change the patient’s medical records to reflect inactive status and have no further contact with the patient.
It is too early to take this step.
E. Send the medical record to the patient by registered mail
Original medical records are never released from the practice.
A. Send a letter of formal withdrawal to the patient by certified mail.
This is the legally acceptable way to notify the patient of dismissal.
The medical assistant is asked to administer one oral dose of Azithromycin to a child. The dose to be administered is 10 milligrams per kilogram. The child’s weight is 44 pounds. The Azithromycin suspension vial available is labeled 500 milligrams per 5 milliliters. What amount of the antibiotic suspension should you prepare for the child?
A. 2.5 ml
This dose is too high.
B. 1.5 ml
This dose is too low.
C. 2 ml
First convert pounds to kilograms. (2.2 pounds = 1.0 kilogram. The weight of 44 pounds or 20 kilograms. The dose to be administered is 10 milligrams per kilogram which is 10 x 20 or a total dose of 200 milligrams. The drug suspension vial contains 500 milligrams per 5.0 milliliters. Therefore, 2.0 milliliters would contain 200 milligram of the drug.
D. 3 ml
This dose is too high.
E. 1 ml
This dose is too low.
C. 2 ml
First convert pounds to kilograms. (2.2 pounds = 1.0 kilogram. The weight of 44 pounds or 20 kilograms. The dose to be administered is 10 milligrams per kilogram which is 10 x 20 or a total dose of 200 milligrams. The drug suspension vial contains 500 milligrams per 5.0 milliliters. Therefore, 2.0 milliliters would contain 200 milligram of the drug.
Which of the following drugs is commonly used for the management of a patient with Type-2 Diabetes Mellitus?
A. Azithromycin
This drug is an antibiotic and is used to treat specific infectious diseases.
B. Omeprazole
This drug reduces gastric acid secretion and is used to treat gastroesophageal reflux disease (GERD).
C. Simvastatin
This drug is used to lower blood cholesterol and triglyceride.
D. Lisinopril
This drug is used to treat hypertension.
E. Metformin
This drug decreases blood sugar and improves insulin sensitivity. It is commonly used to treat patients with Type-2 diabetes mellitus.
E. Metformin
This drug decreases blood sugar and improves insulin sensitivity. It is commonly used to treat patients with Type-2 diabetes mellitus.
