NHA Flashcards

1
Q

Analgesics

A

To relieve pain ex: acetaminophen

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2
Q

Antacids

A

Neutralize stomach acid

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3
Q

Antibiotics

A

Kills bacteria

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4
Q

Anticoagulants

A

Delay blood clotting

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5
Q

Anticholinergic’S

A

Reduce bronchospasm

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6
Q

Schedule I drugs

A

High abuse potential

No approved med use in U.S.

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7
Q

Which schedule drug is considered illegal in the U.S.?

A

Schedule I

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8
Q

Schedule II

A

High abuse potential, physical and psychological
Dependence
Ex:morphine, methadone, fentanyl

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9
Q

Schedule Ill

A

Moderate to low abuse potential

Ex: ketamine, testosterone

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10
Q

Schedule lv

A

Low potential for abuse and dependence

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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

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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

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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

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14
Q

Stages of grief: denial

A

Shock, can’t believe it

deny existence of illness

“No, not me”

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15
Q

Stages of grief: anger

A

Feelings of hostility at others including health care staff

“Why me?”

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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”

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17
Q

Stages of grief: Depression

A

Sad, lonely, hopeless

Feelings of regret and self blame

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18
Q

Stages of

Grief: acceptance

A

Trying to make the best of it

Making new goals

“Yes, it’s me”

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19
Q

Stages of grief

A

Denial, anger, bargaining, Depression, acceptance

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20
Q

2 routes of administration

A

Enteral and parental

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21
Q

Parental

A

Outside of gastrointestinal track ex: vaginal, topical, injections

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22
Q

Enteral

A

Through the gastrointestinal tract

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23
Q

Buccal

A

Against cheek

Ex: tablets

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24
Q

Oral

A

Mouth, stomach

Ex: tablets, capsules, caplets, lozenges,syrups

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25
Q

Sublingual

A

Under tongue

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26
Q

Nasal

A

Sprays, mist, drops

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27
Q

Ophthalmic

A

Eyes

ex: drops, ointment

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28
Q

Otic

A

Ears

Ex: drops, ointment

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29
Q

Which two body systems are primarily responsible for maintaining homeostasis?

A

Nervous system and endocrine system

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30
Q

What is

Bacteria?

A

Single-cell.

Reproduces rapidly and causes infections

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31
Q

Which

Organism can survive without other living tissues?

A

Bacteria

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32
Q

Coccus

A

Round

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33
Q

Spirillum

A

Spiral

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34
Q

Vibrio

A

Comma

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35
Q

Bacillus

A

Rod shaped

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36
Q

What-is a virus

A

A parasite that requires living tissue to survive and grow

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37
Q

HPV, HIV,

And influenza are an example of what?

A

A virus

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38
Q

What attaches to host cells in persons, destroying them and infecting nearby cells?

A

Virus

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39
Q

What is

Fungi?

A

Single cell, yeast, multicell varieties are spore producing molds

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40
Q

Examples of fungi

A

Athletes foot vaginalyeast infections

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41
Q

Those with a weakened immune system are at a higher risk for more serious what?

A

Internal fungal infections

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42
Q

Protozoa are

A

Single cell parasites that thriveindamp environments and replicate rapidly inside a living host

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43
Q

What are examples of multicellular parasites?

A

Lice, bedbugs, scabies, pinworms

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44
Q

Lactobacillus acidophilus

A

Assist

With digestion

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45
Q

In what foods can you find probiotics?

A

Yogurt, kimchi, sauerkraut

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46
Q

Exudate

A

Pus

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47
Q

When doing a stapler suture removal, when do you soak with saline?

A

When there is dry, crusty blood and exudate

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48
Q

What equipment is used in staple/suture removal?

A

Scissors, forceps, staple remover

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49
Q

How do you

Convert inches to feet?

A

Divide by 12

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50
Q

6 2 inches is

How many feet?

A

5ft. 2 in.

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51
Q

How do you convert pounds to kilograms

A

Divide lbs by 2.2

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52
Q

How do you convert kilograms to pounds?

A

Multiply weightin kilograms by 2.2

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53
Q

Pyrexia

A

Fever

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54
Q

Normal respiration’s for a newborn

A

30-50

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55
Q

Where is the probe attached in pulse oximetry

A

Finger but canbe attached to earlobe

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56
Q

What is normal pulse

Oximetry reading?

A

95% or higher

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57
Q

How many times should you check meds?

A

3 times

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58
Q

Triage

A

Ranking based on most critical to least critical

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59
Q

Supplies for mole/cyst

Removal

A

Local anesthetic, scalpel or punch device and suture supplies

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60
Q

Colposcopy/ hysteroscopy supplies

A

Colposcope /hysteroscope exam table with stirrups

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61
Q

Toenail removal/ingrown toenail supplies

A

Sterile scissors, forceps or hemostats anesthetic, bandaging materials

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62
Q

Hemostat

A

Used in surgical procedures to control bleeding and used for initial incision

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63
Q

What does OSHA stand for

A

Occupational safety and health admin.

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64
Q

HIV

A

Inactivated helper t-cells of immune system and is cause of AIDS

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65
Q

Hepatitis B is an infection of the what?

A

Liver

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66
Q

What are the 6 links in the chain of infection

A

Infectious-agent,reservoir portal of exit,mode of transmission, portal of entry, susceptible host

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67
Q

When should a sharps container be emptied?

A

When it is 2/3 full

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68
Q

Rales

A

Clicking or crackling sound heard on inspiration that can sound moist or dry

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69
Q

Needle

Length for ID?

A

27-28 g x 3/8

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70
Q

Sub-q injection length

A

25-26g x 1/2 - 5/8 in.

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71
Q

Im injection length

A

20-23g x 1-3 in

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72
Q

Angle for

Intradermal

A

10-15

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73
Q

Subcutaneous

Injection

Angle

A

45

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74
Q

Intramuscular injection

A

90

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75
Q

Transdermal meds.are

For

A

Continuous, slow absorption of various meds.

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76
Q

Definition of sanitation

A

Reducing# of micro- organisms by removing debris W/ soap and water prior to disinfecting

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77
Q

Sterilization

Definition

A

Technique for destroying pathogens and their spores on inanimate objects using heat, water, chemicals, and gases

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78
Q

Disinfect definition

A

Clean something using chemicals that kill pathogens but not their spores

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79
Q

Hemoglobin normal ranges for men

A

13-18g/dL

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80
Q

Hemoglobin normal ranges for women

A

12-16 g/dL

81
Q

Normal hematocrit ranges for men

A

42%-52%

82
Q

Normal hematocrit ranges for women

A

36%-48%

83
Q

Normal range for fasting blood glucose (FBS)

A

60-110 mg/dL

84
Q

Normal range for total cholesterol

A

Less than 200 mg/dL

85
Q

How far away

From the eyes should the chart be when doing a near vision test?

A

14-16ft.

86
Q

The snellan test is an example of a _ Vision test

A

Distance

87
Q

True or false: a patient can wear corrective lenses during a near vision test?

A

False, pt should wear corrective lenses during distance test

88
Q

Hyperopia

A

Difficulty seeing things close by but able to see from a distance

89
Q

Nearsightedness

Is also known as

A

Myopia

90
Q

Myopia

A

Difficulty seeing things from a distance, ability to see close up

91
Q

When performing a venipuncture where should you anchor the vein?

A

1 inch

Below draw site

92
Q

What position

Should patients prone to fainting be placed in during blood draw?

A

Semi-fowlers or supine

93
Q

Angle of

Insertion for

Blood draws

A

15-30

94
Q

Edema

A

Swelling excessive build up of fluid in body tissue

95
Q

Hemoconcentration

A

High in concentration of red blood cells circulating blood

96
Q

What is a

Common

Cause of hemoconcentration

A

Exceeding torniquet time of 60 seconds

97
Q

Vasovagal response

A

Fainting because of extreme triggers

98
Q

What is the order of draw (tube colors)?

A

Yellow, light blue, red, gold, green, lavender, pink,, grey

99
Q

What additive is in the yellow tube?

A

Sodium polyethanol sulfonate

100
Q

Lt. Blue additive?

A

SodiumCitrate

101
Q

Red additive?

A

None

102
Q

Gold additive

A

Clot activator

103
Q

Green additive

A

Heparin

104
Q

Lavender additive

A

EDTA

105
Q

Grey

Additive

A

Sodium fluoride potassium oxalate

106
Q

Wave

Scheduling

A

3pt@same time to be seen in order they arrive

107
Q

Modified wave

A

Allocating two pt to arrive @ a specified time and the third to arrive 30 min. Later repeated throughout the day

108
Q

Double booking

A

Scheduling two pt @ the same time with the same provider often to fit in a pt W/ an acute illness

109
Q

How many characters do icd-10-ch codes have?

A

3-7

110
Q

How many digit numeric codes

Do current procedural

Terminology codes have?

A

5

111
Q

What are current procedural terminology codes-used for

A

Evaluation/management service rendered by providers

112
Q

What are two

Reasons claims

Are denied

A

Technical errors and insurance

Policy coverage issues

113
Q

What are the steps to appeal a denial?

A

Determine why claim was deniedand obtain and complete insurance company’s appeal document

114
Q

Debit

A

Amount owed

115
Q

Credit

A

Monetary balance in an individuals favor

116
Q

Accounts

Receivable

A

Money owed

To provider

117
Q

Accounts

Payable

A

Debts incurred, notyet paid

118
Q

Fat soluble

Vitamins

A

A, D, E, K

119
Q

Water soluble

Vitamins

A

B1, b2, b3, b6, folate, biz, pantothenic acid, biotin, c

120
Q

Night vision, cell growth, health of skin, and health of mucous membranes are all functions of which vitamin?

A

A(retinol)

121
Q

If your doctor wants you to increase your vitamin A intake what foods would you eat?

A

Milk fat, butter, meat, leafy vegetables, egg yolks, fish oil, yellow and orange fruits

122
Q

What is the function of vitamin B1 (thiamine)

A

Carbohydrate metabolism and heart, nerve, and muscle function

123
Q

What foods contain vitamin B1

A

Whole grains, meat, seeds, yeast, rice, nuts

124
Q

Which vitamin functions in fat and protein metabolism?

A

Vitamin b2

125
Q

B2 food source?

A

Organ meat, eggs,dairy products,fortified grains

126
Q

Which vitamin functions in carbohydrate and fat metabolism?

A

B3

127
Q

B3 food source

A

Fish, meat, poultry fortified grains

128
Q

Function of b6

A

Enzyme assistance in amino acid synthesis

129
Q

B6 food source

A

Fish, grains, legumes, prunes, meat, nuts, avocados bananas, poultry, nuts

130
Q

Function of B 12

A

Protein and fat metabolism, nerve cell metabolism, cell development

131
Q

B 12 food source

A

Meats, seafood, dairy products, yeast, molasses

132
Q

Function of biotin

A

Carbohydrate, protein, fat metabolism

133
Q

Food source

Of biotin

A

Liver, grain, cereals, yeast, legumes

134
Q

Vitamin c function

A

Immunity, iron absorption. Structure of bones, muscle, and blood vessels

135
Q

Vitamin c food source

A

Berries, green peppers, broccoli, citrus fruits, potatoes, tomatoes, cauliflower

136
Q

Vitamin D

Function

A

Calcium absorption, bone and tooth structure, support of heart and nerve function

137
Q

Vitamin E function

A

Protection of cells from destruction, formation of blood cells

138
Q

Folate function

A

Maintenance of red blood cells, genetic material development

139
Q

Liver dysfunction primarily affects which of the following pharmacokinetic processes?

A. Absorption
B. Distribution
C. Metabolism
D. Excretion

A

C. Metabolism

140
Q

In a problem oriented medical record, the pages are organized according to which method?

A

Chronological

141
Q

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?

A

Chest X-ray

142
Q

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

A

Pericardial

143
Q

Which method of taking a pt’S temperature poses a risk of exposure to bloodborne pathogens?

A

Rectal

144
Q
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
A

Invasion of privacy

145
Q

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

A

Lift the knot toward the wound

146
Q
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
A

Orange juice

147
Q

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

A

6 year old patient

148
Q
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
A

Pathogenic identification

149
Q

What solution is used in autoclave for sterilization

A

Distilled water

150
Q

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?

A

Endocrinologist

151
Q

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?

A

Three

152
Q
Which of the following accounts for more than half of the white blood cells?
A. Basophils
B. Eosinophil
C. Monocytes
D. Neutrophil
A

Neutrophil

153
Q

Basophils

A

Type of whitebloodcell,least common type of granulocyte (0.5% - 1%)

154
Q

Eosinophils

A

Variety of white blood cells and one of the immune system components responsible for combating multicellular parasites and certain infections invertebrates

155
Q

Monocytes

A

A large phagocytic white blood cell with a simple oval nucleus and clear, grayish cytoplasm

Largest type of leukocyte

156
Q

Neutrophil

A

Most abundant, make up 40% to 70% of all white blood cells inhumans

157
Q

How many compressions should be done in one minute?

A

100

158
Q

Which should a Medical assistant perform to maintain quality control for clia- waivered tests in the physician’s office lab?

A

Perform routine in-house testingfor accuracy

159
Q

Which action should an MA take before disposing of a sharps container?

A

Place sharps container into a secondary bionazardous waste container

160
Q

A patient is considered new for billing and coding purposes if he has not seen the provider in how long?

A

3 years

161
Q

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?

A

American heart association

162
Q

CABG

A

Coronary artery bypass surgery

163
Q

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

A

Patient’s possible allergy to shellfish

164
Q

The timing for a glucose tolerance test begins

A

When the patient finishes drinking the glucose solution

165
Q

When performing a 12-lead EKG on a patient which of the following leads is used as a ground to help decrease interference?

A

Right leg

166
Q

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

A

Apply even pressure to the finger during collection

167
Q
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
A

Figure 8

168
Q

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

A

Continue the test without interruption

169
Q

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

A

Position a walker over the scale

170
Q

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

A

Maintain a 1-inch border around the sterile field

171
Q

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

A

Objective

172
Q
Which of the following is a chronic complication of diabetes mellitus?
A. Retinopathy
B. Deafness
C. Renal calculi
D. Acute appendicitis
A

Retinopathy

173
Q

Retinopathy

A

Impairment or loss of vision

174
Q

Renal Calculi

A

Kidney stones

175
Q

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

A

Promotes coagulation

176
Q
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
A

Distribution

177
Q
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
A

Finish procedure

178
Q
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
A

Supine

179
Q
A decrease in blood calcium normally stimulates the release of which of the following?
A. Thyroxine
B. Luteinizing hormone
C. Parathyroid hormone
D. Oxytocin
A

Parathyroid hormone

180
Q

Basal State

A

Minimum 12 hours of fasting

181
Q

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?

A

24 hours

182
Q

When an MA is taking a pt blood pressure, which of the following korotkoff sounds represent systolic blood pressure?

A

Tapping

183
Q

Alopecia

A

Sudden hair loss that starts with one or more circular bald patches

184
Q

Uritcaria

A

Hives

185
Q

Pruritus

A

Itching

186
Q

Petechiae

A

Tiny, round, brown-purple spots due to bleeding under the skin

187
Q

ESR

A

Erythrocytes sedimentation rate

188
Q

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

A

Avoid exercise while the patch is in use

189
Q

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

A

Modifier

190
Q

Cpt

A

Current procedural terminology

191
Q

Trendelenburg

A

Supine with feet at an angle of roughly 16 degrees

192
Q

Lithotomy

A

Supine with-knees bent and lifted

193
Q

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

A

B

194
Q

Ischemia

A

Inadequate blood supply to an organ or part of the body, especially heart muscles

195
Q

Hypertrophy

A

An increase and growth in muscle cells

196
Q

Hypo-trophy

A

Progressive degeneration of an organ or tissue caused by loss of cells

197
Q

Necrosis

A

Death of most or all of the cells in an organ or tissue due to disease injury, or failure of the blood supply

198
Q

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

A

B.