NHA Flashcards
1
Q
Analgesics
A
To relieve pain ex: acetaminophen
2
Q
Antacids
A
Neutralize stomach acid
3
Q
Antibiotics
A
Kills bacteria
4
Q
Anticoagulants
A
Delay blood clotting
5
Q
Anticholinergic’S
A
Reduce bronchospasm
6
Q
Schedule I drugs
A
High abuse potential
No approved med use in U.S.
7
Q
Which schedule drug is considered illegal in the U.S.?
A
Schedule I
8
Q
Schedule II
A
High abuse potential, physical and psychological
Dependence
Ex:morphine, methadone, fentanyl
9
Q
Schedule Ill
A
Moderate to low abuse potential
Ex: ketamine, testosterone
10
Q
Schedule lv
A
Low potential for abuse and dependence
11
Q
Schedule v
A
Substances that contain limited quantities of some narcotics, usually for antidiarrheal, antitussive, and analgesic purposes
Can be refilled 5 times in 6 months
12
Q
Advanced directive
A
Document that communicates a patient’s specific wishes for end of life care should patient become unable to do so
13
Q
Durable power of attorney
A
Document-in which patient’s designate someone to make health caredecisions for them if they are unable to do so themselves
14
Q
Stages of grief: denial
A
Shock, can’t believe it
deny existence of illness
“No, not me”
15
Q
Stages of grief: anger
A
Feelings of hostility at others including health care staff
“Why me?”
16
Q
Stages of grief: bargaining
A
Avoid loss by making a deal ex: wantingtolive long-enough to attend a family event
Searching for alternative solutions
“Yes me,but”
17
Q
Stages of grief: Depression
A
Sad, lonely, hopeless
Feelings of regret and self blame
18
Q
Stages of
Grief: acceptance
A
Trying to make the best of it
Making new goals
“Yes, it’s me”
19
Q
Stages of grief
A
Denial, anger, bargaining, Depression, acceptance
20
Q
2 routes of administration
A
Enteral and parental
21
Q
Parental
A
Outside of gastrointestinal track ex: vaginal, topical, injections
22
Q
Enteral
A
Through the gastrointestinal tract
23
Q
Buccal
A
Against cheek
Ex: tablets
24
Q
Oral
A
Mouth, stomach
Ex: tablets, capsules, caplets, lozenges,syrups
25
Sublingual
Under tongue
26
Nasal
Sprays, mist, drops
27
Ophthalmic
Eyes
| ex: drops, ointment
28
Otic
Ears
Ex: drops, ointment
29
Which two body systems are primarily responsible for maintaining homeostasis?
Nervous system and endocrine system
30
What is
Bacteria?
Single-cell.
Reproduces rapidly and causes infections
31
Which
Organism can survive without other living tissues?
Bacteria
32
Coccus
Round
33
Spirillum
Spiral
34
Vibrio
Comma
35
Bacillus
Rod shaped
36
What-is a virus
A parasite that requires living tissue to survive and grow
37
HPV, HIV,
And influenza are an example of what?
A virus
38
What attaches to host cells in persons, destroying them and infecting nearby cells?
Virus
39
What is
Fungi?
Single cell, yeast, multicell varieties are spore producing molds
40
Examples of fungi
Athletes foot vaginalyeast infections
41
Those with a weakened immune system are at a higher risk for more serious what?
Internal fungal infections
42
Protozoa are
Single cell parasites that thriveindamp environments and replicate rapidly inside a living host
43
What are examples of multicellular parasites?
Lice, bedbugs, scabies, pinworms
44
Lactobacillus acidophilus
Assist
With digestion
45
In what foods can you find probiotics?
Yogurt, kimchi, sauerkraut
46
Exudate
Pus
47
When doing a stapler suture removal, when do you soak with saline?
When there is dry, crusty blood and exudate
48
What equipment is used in staple/suture removal?
Scissors, forceps, staple remover
49
How do you
Convert inches to feet?
Divide by 12
50
6 2 inches is
| How many feet?
5ft. 2 in.
51
How do you convert pounds to kilograms
Divide lbs by 2.2
52
How do you convert kilograms to pounds?
Multiply weightin kilograms by 2.2
53
Pyrexia
Fever
54
Normal respiration's for a newborn
30-50
55
Where is the probe attached in pulse oximetry
Finger but canbe attached to earlobe
56
What is normal pulse
Oximetry reading?
95% or higher
57
How many times should you check meds?
3 times
58
Triage
Ranking based on most critical to least critical
59
Supplies for mole/cyst
Removal
Local anesthetic, scalpel or punch device and suture supplies
60
Colposcopy/ hysteroscopy supplies
Colposcope /hysteroscope exam table with stirrups
61
Toenail removal/ingrown toenail supplies
Sterile scissors, forceps or hemostats anesthetic, bandaging materials
62
Hemostat
Used in surgical procedures to control bleeding and used for initial incision
63
What does OSHA stand for
Occupational safety and health admin.
64
HIV
Inactivated helper t-cells of immune system and is cause of AIDS
65
Hepatitis B is an infection of the what?
Liver
66
What are the 6 links in the chain of infection
Infectious-agent,reservoir portal of exit,mode of transmission, portal of entry, susceptible host
67
When should a sharps container be emptied?
When it is 2/3 full
68
Rales
Clicking or crackling sound heard on inspiration that can sound moist or dry
69
Needle
Length for ID?
27-28 g x 3/8
70
Sub-q injection length
25-26g x 1/2 - 5/8 in.
71
Im injection length
20-23g x 1-3 in
72
Angle for
Intradermal
10-15
73
Subcutaneous
Injection
Angle
45
74
Intramuscular injection
90
75
Transdermal meds.are
For
Continuous, slow absorption of various meds.
76
Definition of sanitation
Reducing# of micro- organisms by removing debris W/ soap and water prior to disinfecting
77
Sterilization
Definition
Technique for destroying pathogens and their spores on inanimate objects using heat, water, chemicals, and gases
78
Disinfect definition
Clean something using chemicals that kill pathogens but not their spores
79
Hemoglobin normal ranges for men
13-18g/dL
80
Hemoglobin normal ranges for women
12-16 g/dL
81
Normal hematocrit ranges for men
42%-52%
82
Normal hematocrit ranges for women
36%-48%
83
Normal range for fasting blood glucose (FBS)
60-110 mg/dL
84
Normal range for total cholesterol
Less than 200 mg/dL
85
How far away
From the eyes should the chart be when doing a near vision test?
14-16ft.
86
The snellan test is an example of a _ Vision test
Distance
87
True or false: a patient can wear corrective lenses during a near vision test?
False, pt should wear corrective lenses during distance test
88
Hyperopia
Difficulty seeing things close by but able to see from a distance
89
Nearsightedness
Is also known as
Myopia
90
Myopia
Difficulty seeing things from a distance, ability to see close up
91
When performing a venipuncture where should you anchor the vein?
1 inch
Below draw site
92
What position
Should patients prone to fainting be placed in during blood draw?
Semi-fowlers or supine
93
Angle of
Insertion for
Blood draws
15-30
94
Edema
Swelling excessive build up of fluid in body tissue
95
Hemoconcentration
High in concentration of red blood cells circulating blood
96
What is a
Common
Cause of hemoconcentration
Exceeding torniquet time of 60 seconds
97
Vasovagal response
Fainting because of extreme triggers
98
What is the order of draw (tube colors)?
Yellow, light blue, red, gold, green, lavender, pink,, grey
99
What additive is in the yellow tube?
Sodium polyethanol sulfonate
100
Lt. Blue additive?
SodiumCitrate
101
Red additive?
None
102
Gold additive
Clot activator
103
Green additive
Heparin
104
Lavender additive
EDTA
105
Grey
Additive
Sodium fluoride potassium oxalate
106
Wave
Scheduling
3pt@same time to be seen in order they arrive
107
Modified wave
Allocating two pt to arrive @ a specified time and the third to arrive 30 min. Later repeated throughout the day
108
Double booking
Scheduling two pt @ the same time with the same provider often to fit in a pt W/ an acute illness
109
How many characters do icd-10-ch codes have?
3-7
110
How many digit numeric codes
Do current procedural
Terminology codes have?
5
111
What are current procedural terminology codes-used for
Evaluation/management service rendered by providers
112
What are two
Reasons claims
Are denied
Technical errors and insurance
Policy coverage issues
113
What are the steps to appeal a denial?
Determine why claim was deniedand obtain and complete insurance company's appeal document
114
Debit
Amount owed
115
Credit
Monetary balance in an individuals favor
116
Accounts
Receivable
Money owed
To provider
117
Accounts
Payable
Debts incurred, notyet paid
118
Fat soluble
Vitamins
A, D, E, K
119
Water soluble
Vitamins
B1, b2, b3, b6, folate, biz, pantothenic acid, biotin, c
120
Night vision, cell growth, health of skin, and health of mucous membranes are all functions of which vitamin?
A(retinol)
121
If your doctor wants you to increase your vitamin A intake what foods would you eat?
Milk fat, butter, meat, leafy vegetables, egg yolks, fish oil, yellow and orange fruits
122
What is the function of vitamin B1 (thiamine)
Carbohydrate metabolism and heart, nerve, and muscle function
123
What foods contain vitamin B1
Whole grains, meat, seeds, yeast, rice, nuts
124
Which vitamin functions in fat and protein metabolism?
Vitamin b2
125
B2 food source?
Organ meat, eggs,dairy products,fortified grains
126
Which vitamin functions in carbohydrate and fat metabolism?
B3
127
B3 food source
Fish, meat, poultry fortified grains
128
Function of b6
Enzyme assistance in amino acid synthesis
129
B6 food source
Fish, grains, legumes, prunes, meat, nuts, avocados bananas, poultry, nuts
130
Function of B 12
Protein and fat metabolism, nerve cell metabolism, cell development
131
B 12 food source
Meats, seafood, dairy products, yeast, molasses
132
Function of biotin
Carbohydrate, protein, fat metabolism
133
Food source
Of biotin
Liver, grain, cereals, yeast, legumes
134
Vitamin c function
Immunity, iron absorption. Structure of bones, muscle, and blood vessels
135
Vitamin c food source
Berries, green peppers, broccoli, citrus fruits, potatoes, tomatoes, cauliflower
136
Vitamin D
Function
Calcium absorption, bone and tooth structure, support of heart and nerve function
137
Vitamin E function
Protection of cells from destruction, formation of blood cells
138
Folate function
Maintenance of red blood cells, genetic material development
139
Liver dysfunction primarily affects which of the following pharmacokinetic processes?
A. Absorption
B. Distribution
C. Metabolism
D. Excretion
C. Metabolism
140
In a problem oriented medical record, the pages are organized according to which method?
Chronological
141
A provider has prescribed the following diagnostic tests for a patient: gallbladder series, chest X-ray, abdomen CT scan and lower GI studies the medical assistant should schedule which of the following tests first?
Chest X-ray
142
A Medical assistant is preparing to do an EKG on a patient who has known dextrocardia which of the following leads requires placement modification for this patient?
A. Limb
B. Precordial
C. Bipolar
D. Augmented
Pericardial
143
Which method of taking a pt'S temperature poses a risk of exposure to bloodborne pathogens?
Rectal
144
```
A Medical assistant opens the door and enters a patient's exam room without introducing themselves or asking permission to enter. This is considered:
A. Negligence
B. Breach of confidentiality
C. Invasion of privacy
D. Malpractice
```
Invasion of privacy
145
A Medical assistant should take which of the following actions when removing sutures?
A. Perform a sterile hand scrub
B. Lift knot toward wound
C. Begin cutting the sutures in the middle of the wound
D. Clean the wound with a disinfectant
Lift the knot toward the wound
146
```
If a conscious adult patient is experiencing a hypoglycemic emergency should you offer pt
A. Water
B. Orange juice
C. Sandwich
D. Sugar free candy
```
Orange juice
147
An MA should recognize and report to the provider that which of the following patients has an apical pulse rate outside of the expected reference range?
A. 6 week old infant with heart rate of 80/min
B. 6 year old child with heart rate of 80/min
C. 16 year old with heart rate of 80/min
D. 60 year old patient with heart rate of 80/min
6 year old patient
148
```
Which of the following is beyond the scope of practice of a medical assistant?
A. Urinalysis
B. Throat culture
C. Occult blood
D. Pathogenic identification
```
Pathogenic identification
149
What solution is used in autoclave for sterilization
Distilled water
150
A medical assistant should expect a referral to which of the following allied health professionals for a patient who has an increased hemoglobin A1c level?
Endocrinologist
151
An MA is performing a pulmonary function test using spirometry. How many maneuvers are required from the patient before the assistant can calculate the average measurements and record the results?
Three
152
```
Which of the following accounts for more than half of the white blood cells?
A. Basophils
B. Eosinophil
C. Monocytes
D. Neutrophil
```
Neutrophil
153
Basophils
Type of whitebloodcell,least common type of granulocyte (0.5% - 1%)
154
Eosinophils
Variety of white blood cells and one of the immune system components responsible for combating multicellular parasites and certain infections invertebrates
155
Monocytes
A large phagocytic white blood cell with a simple oval nucleus and clear, grayish cytoplasm
Largest type of leukocyte
156
Neutrophil
Most abundant, make up 40% to 70% of all white blood cells inhumans
157
How many compressions should be done in one minute?
100
158
Which should a Medical assistant perform to maintain quality control for clia- waivered tests in the physician's office lab?
Perform routine in-house testingfor accuracy
159
Which action should an MA take before disposing of a sharps container?
Place sharps container into a secondary bionazardous waste container
160
A patient is considered new for billing and coding purposes if he has not seen the provider in how long?
3 years
161
A provider instructs an MA to refer a patient to community resources for additional statistical information following a CABG surgery. To which resource should the ma refer the pt to for this service?
American heart association
162
CABG
Coronary artery bypass surgery
163
An MA is scheduling a pt for a ct scan with contrast of the abdomen. What information should the assistant obtain from pt before the procedure
Patient's possible allergy to shellfish
164
The timing for a glucose tolerance test begins
When the patient finishes drinking the glucose solution
165
When performing a 12-lead EKG on a patient which of the following leads is used as a ground to help decrease interference?
Right leg
166
Which action is correct when performing a capillary puncture?
A. Wipe away the first five drops of blood after puncturing
B. Apply even pressure to the finger during collection
C. Puncture index finger at tip
D. Puncture parallel to finger print
Apply even pressure to the finger during collection
167
```
Which of the following techniques should an MA use to supply support when applying a bandage to an ankle?
A. Figure 8
B. Recurrent
C. Tubular
D. Triangular
```
Figure 8
168
A pt is having a cardiac stress test and reports to the MA that she is perspiring. Which of the following actions should the MA take?
A. Notify cardiologist
B. Contact emergency dept.
C. Continue the test without interruption
D. Document perspiration
Continue the test without interruption
169
Which of the following methods should an MA use when weighing a pt who has balance issues?
A. Have pt hold on to the wall while weighing
B. Position walker over scale
C. Position cane on scale between his feet
D. Have pt sit in a chair on scale
Position a walker over the scale
170
An MA is acting as a sterile scrub assistant. Which of the following actions should the MA take?
A. Tear corner when opening the 4x4 package
B. Maintain a 1-inch border around sterile field
C. Wear no latex gloves
D. Lay instruments gently on sterile field
Maintain a 1-inch border around the sterile field
171
An MA is setting up a chart for a new patient. The office uses the soape method of documentation The pt'S vital signs should be documented in which of the following areas?A. Subjective
B. Objective
C. Assessment
D. Evaluation
Objective
172
```
Which of the following is a chronic complication of diabetes mellitus?
A. Retinopathy
B. Deafness
C. Renal calculi
D. Acute appendicitis
```
Retinopathy
173
Retinopathy
Impairment or loss of vision
174
Renal Calculi
Kidney stones
175
Which of the following is an effect of homeostasis?A. Prevents fibrinolysis of the blood
B. Prevents the process of clot formation
C. Promotes destruction of RBC’s
D. Promotes coagulation
Promotes coagulation
176
```
What describes the movement of medication from its site of admin to the body system it affects?
A. Absorption
B. Distribution
C. Metabolism
D. Excretion
```
Distribution
177
```
A patient's blood stains an MA uniform, which of the following should the MA do first?
A. Dispose uniform
B. Finish procedure
C. Clean area
D. Report to supervisor
```
Finish procedure
178
```
An MA is measuring an infant client from heel to head. In which of the following positions should the infant be placed?
A. Prone
B. Sims
C. Lithotomy
D. Supine
```
Supine
179
```
A decrease in blood calcium normally stimulates the release of which of the following?
A. Thyroxine
B. Luteinizing hormone
C. Parathyroid hormone
D. Oxytocin
```
Parathyroid hormone
180
Basal State
Minimum 12 hours of fasting
181
An MA is submitting an urgent referral request to the insurance company for authorization which of the following describes how long the authorization process will take?
24 hours
182
When an MA is taking a pt blood pressure, which of the following korotkoff sounds represent systolic blood pressure?
Tapping
183
Alopecia
Sudden hair loss that starts with one or more circular bald patches
184
Uritcaria
Hives
185
Pruritus
Itching
186
Petechiae
Tiny, round, brown-purple spots due to bleeding under the skin
187
ESR
Erythrocytes sedimentation rate
188
An MA should include which instruction when providing a pt with info about the proper use of a transdermal patch?
A. Maintain same site when applying new patches
B. Avoid exercise while the patch is in use
C. Do not shower while patch is in place
D. Include date and time on each patch applied
Avoid exercise while the patch is in use
189
According to the cp t main text which of the following types of codes should a MA use to indicate one procedure was used multiple times on a pt
A. Modifier
B. Add on
C. Revised
D. New
Modifier
190
Cpt
Current procedural terminology
191
Trendelenburg
Supine with feet at an angle of roughly 16 degrees
192
Lithotomy
Supine with-knees bent and lifted
193
Which of the following actions should an MA take when sanitizing instruments using aseptic technique?
A. Wear surgical gloves when separating the instruments
B. Place the instruments in a closed position
C. Wipe the instruments down with a paper towel
D. Use a metal brush to remove debris from instruments
B
194
Ischemia
Inadequate blood supply to an organ or part of the body, especially heart muscles
195
Hypertrophy
An increase and growth in muscle cells
196
Hypo-trophy
Progressive degeneration of an organ or tissue caused by loss of cells
197
Necrosis
Death of most or all of the cells in an organ or tissue due to disease injury, or failure of the blood supply
198
Which of the following should an MA do as a first step when sanitizing a soiled hemostat
A. Rinse instrument under cold water
B. Soak instrument in bleach solution
C. Place instrument in autoclave using heat tape
D. Wipe instrument with cavicide wipe and towel dry
B.
