Set 2 Flashcards

1
Q

You are drawing blood on pt who becomes dizzy, sweaty, and flushed? What could they be experiencing?

A

syncope

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2
Q

what is the best position to put a pt if they are experiencing critically low BP

A

trendelenburg

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3
Q

what should you have handy when assisting provider for post-op suture removal

A

sterile thumb dressing forceps

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4
Q

what is the position a female pt should be in for pelvic exam

A

lithotomy

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5
Q

when should a MA disinfect an exam room?

A

after each pt

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6
Q

if a MA suspects a pediatric pt is being abused, what should the MA do?

A

notify provider

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7
Q

what tort violation is deception with the intent to deprive another person of their rights?

A

fraud

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8
Q

if a pt is given an advance beneficiary notice for elective plastic surgery, who would be responsible for paying charges incurred?

A

patient

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9
Q

when using CPT main text, what code should be used to show that 1 procedure was used multiple times on pt?

A

modifier

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10
Q

what is the second part of the chain of infection?

A

reservoir host

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11
Q

if you fail to knock on pt’s door or enter w/o permission, this is considered which of the following?

A

invasion of privacy

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12
Q

which drug would be prescribed to pt to help lower body temp?

A

antipyretic

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13
Q

if a lab specimen requires an anaerobic collection container, be cautious not to unduly expose specimen to…

A

oxygen

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14
Q

when performing a capillary stick on 1 yr old pt, what is most important step?

A

ask child’s parent/guardian to hold child securely during procedure

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15
Q

what is an example of a food rich in iodine?

A

shellfish

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16
Q

t/f: a 10 week old infant w/a pulse of 70 bpm is atypical

A

true

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17
Q

which type of fever is characterized by temperatures that come & go?

A

intermittent

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18
Q

A MA has been notified by a pt that she is refusing particular medication. What is an appropriate response from the MA?

A

ask pt to elaborate on concerns about medication

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19
Q

How would you file a problem-oriented medical record?

A

chronological (in order, sequence)

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20
Q

if a pt has arms crossed, leaning back in chair, and looking at the ceiling, which emotion are they most likely feeling?

A

angry

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21
Q

which is the most appropriate site for IM injection on infant?

A

vastus lateralis (upper thigh)

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22
Q

are MAs able to give pre & post operative instructions?

A

yes

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23
Q

a provider is running extremely late. after apologizing, what would be the next step the MA should take to communicate w/waiting patients?

A

offer to reschedule appointments

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24
Q

the most appropriate action to take to ensure quality control testing on urine dipstick tests is to do what

A

verify reagent solution expiration date

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25
Q

spontaneity & creativity correspond to which level in Maslow’s hierarchy of needs

A

self-actualization

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26
Q

should you wear gloves when removing a cyst?

A

yes

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27
Q

a patient removes her clothes for an exam, what example of consent is this?

A

implied consent

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28
Q

What is a reason to perform eye irrigation on patient?

A

flush eye & relieve inflammation & discomfort

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29
Q

when should a winged infusion set (butterfly) be used?

A

small/fragile veins

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30
Q

scheduling 3 pts to arrive at the same time for each hour of day & seeing them in order they arrive is what type of scheduling?

A

wave scheduling

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31
Q

the MA finds packages of autoclaved sterile instruments with no dates on the package. What is an appropriate action for the MA to take?

A

repackage & reprocess the instruments

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32
Q

what pharmacokinetic process is disrupted if a pt has a diseased liver?

A

metabolism

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33
Q

what eye chart is used to detect color blindness (generally)

A

Ishihara chart

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34
Q

what is the process of informing the pt of risks, benefits, & potential outcomes of a procedure called?

A

informed consent

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35
Q

how would a MA prep a blood specimen for transport to an outside lab?

A

place requisition in outer pocket of transport bag

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36
Q

How many compressions/min should be done during CPR?

A

100

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37
Q

Why is it necessary for the MA to educate pts?

A

it allows pt to actively participate in medical care

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38
Q

where would a MA place the ground lead of an EKG to decrease interference?

A

right leg

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39
Q

what is the term that describes decreased flow of oxygenated blood to a body part

A

ischemia

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40
Q

that parathyroid hormone is associated w/the regulation of which element in the body

A

calcium

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41
Q

what is one of the goals of the Joint Commission in regards to pt safety

A

identify the pt correctly

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42
Q

define aerophagia

A

swallowing air

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43
Q

A pt comes in w/symptoms of body aches, cough, & fever. This could be…

A

influenza

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44
Q

how would the MA start the disinfection process for soiled surgical instruments

A

rinse the instruments under cold water

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45
Q

what should the MA take into consideration when selecting the appropriate cuff size for a pt prior to taking BP?

A

weight

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46
Q

where should the MA put a tape measure to measure head circumference of infant?

A

slightly above eyebrows

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47
Q

what equipment would be used to evaluate a pt for corrective lenses?

A

ophthalmoscope

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48
Q

which cell organelle makes energy

A

mitochondrion

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49
Q

A MA is educating a pt who has recently had a coronary artery bypass graft surgery (CABG). which organization could the MA refer the pt to for additional info about their disease?

A

american heart association

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50
Q

A MA is billing a pt from an outpatient facility. which universal claim form would the mA submit for reimbursement?

A

CMS-1500

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51
Q

t/f: atherosclerosis cannot be caused by smoking

A

false

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52
Q

what should pts always be provided when educating them on HIPAA

A

confidentiality statement

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53
Q

A MA has arrived to the phlebotomy room and a pt is already present. What is the next step for the MA?

A

identify the pt using two identifiers

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54
Q

when autoclaving surgical instruments for sterilization, what solution should be used?

A

distilled water

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55
Q

what measurements would be used to complete a growth chart?

A

anthropometric

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56
Q

where does electrical conduction begin in a healthy human heart?

A

sinoatrial (SA) node

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57
Q

a fecal occult blood test is screening to find what in a stool sample

A

erythrocytes

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58
Q

t/f: bronchodilators should not be used before a pulmonary function test

A

true

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59
Q

What term means hair loss?

A

alopecia

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60
Q

if a MA inadvertently documents inaccurate info in the pt’s EMR, what is the next proper course of action?

A

create a new note

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61
Q

a PT w/limited mobility is being transferred from sitting position to bed by MA working alone. What should you do when lifting the pt to follow proper lifting techniques?

A

bend at the knees

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62
Q

what is needed to properly prep instruments for sterilization in the autoclave?

A

sterilization indicators

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63
Q

t/f: discussing a pt’s medical diagnosis in the facility elevator is appropriate to do

A

false, it is considered a HIPAA violation

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64
Q

How should sterile instruments be placed on the sterile field to maintain sterile field?

A

gently

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65
Q

prolonged tourniquet application longer than 1 min can cause which of the following?

A

hemoconcentration

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66
Q

what is the proper way to clean a pt’s wound?

A

clean from center of wound outwards

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67
Q

t/f: identifying pathogenic microorganisms is outside an MA’s scope of practice

A

true

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68
Q

a pt is experiencing a hypoglycemic emergency. What should be the next step an MA should take?

A

give the pt a juice/sugar

69
Q

Why is it important to invert lab tubes after performing a phlebotomy?

A

to properly mix additives w/blood

70
Q

what is the function of hemostasis?

A

promote coagulation

71
Q

If a pt is having an emotional crisis & their BP is elevated, what should the MA do?

A

recheck the BP after giving the pt time to calm down

72
Q

WHat form should a MA use to document a pt’s next scheduled office visit?

A

encounter form

73
Q

Where should leads of EKG be placed if pt is known to have dextrocardia (condition where apex of heart is oriented to the right)

A

precordial (chest)

74
Q

what position should a pt be in when obtaining rectal temp?

A

Sims

75
Q

the MA notices that the provider takes a pt heart rate by checking the apical pulse. what is most likely the age group for the pt?

A

infants

76
Q

what is the correct definition of the term ‘basal state’?

A

not eating anything for 12 hrs

77
Q

low to mid back pain could be a sign of

A

pyelonephritis

78
Q

when a pt is being given an influenza vaccine, what should be documented on the pt’s chart?

A

expiration date & lot number of vaccine

79
Q

t/f: an MA can perform arterial blood gas

A

false

80
Q

what is the expected observation on an ESR (erythrocyte sedimentation rate)

A

distance RBCs have dropped

81
Q

which chamber is the SA located?

A

right atrium

82
Q

A MA has documented a pt that ise jaundiced, appeared to confused, anemic, & has occasional abdominal pain in the past few days. This is indicative of what

A

chronic liver disorder

83
Q

what is the most important thing for the MA to remember to do when performing a chain of custody urine drug screen

A

seal specimen collection in front of pt

84
Q

retinopathy is a chronic complication of which disease

A

diabetes mellitus

85
Q

what is the best method to maintain sterile field?

A

opening sterile package away from body

86
Q

A PT is seeing an orthopedic surgeon. which part of health record should MA include for the provider to review?

A

radiology images & reports

87
Q

define Sim’s position

A

pt lying on left side w/left leg slightly bent & left arm behind back

88
Q

admitting a pt to the hospital is considered

A

transition of care

89
Q

if a MA is collecting a urine pregnancy test from a PT, which hormone is being screened?

A

Human chorionic gonadotropin (HCG)

90
Q

which method of medication administration allows constant, time-release of medication

A

transdermal patch

91
Q

Which test would confirm a diagnosis of anemia

A

red blood cell (RBC)

92
Q

when would a MA start the timer on a glucose tolerance test (GTT)?

A

when pt completes drinking glucose solution

93
Q

what is the most important step in performing a capillary skin puncture?

A

wipe off first drop of blood

94
Q

scheduling all pts who are having annual physicals on first Friday of the month is considered which type of scheduling?

A

advance booking

95
Q

Cholecystectomy is the removal of which structures?

A

gall bladder

96
Q

when should a mA verify a new pt’s insurance info?

A

when the appt is scheduled

97
Q

how would a MA handle an irate or anergy patient about a bill they had received?

A

listen to the pts concern & try to resolve the issue

98
Q

when a pt is using a transdermal patch, they need to be aware of which of the following?

A

document date & time on each new pad applied to the patient

99
Q

what is described as reversible transfer of drug from one location to another within body?

A

distribution

100
Q

how would a MA weight a pt who has vertigo/trouble balancing themselves

A

position walker over scale & have pt hold onto it

101
Q

what should a MA document on the pt’s requisition form when delivering a specimen for a wound culture to the microbiology dept?

A

if pt has been/is still on antibiotics

102
Q

how would a medical office dispose of a full sharps container?

A

document proper removal of container into facility logbook

103
Q

what should be used to clean the floor after accidental blood spill?

A

1:10 solution of sodium hypochlorite (bleach) solution

104
Q

What is one of the main goals or purpose of patient-centered care?

A

to include pt & their family/loved ones in pt’s care

105
Q

If a MA suspects intimate spousal abuse, what is the most appropriate action

A

present the pt a list of resources & organization for help

106
Q

In which section would a medical assistant document a patient’s vital sign

A

objective

107
Q

to which part of the body would a figure-8 bandage be applied?

A

ankle

108
Q

what should the MA do if they notice a patient is sweating during a cardiac stress test?

A

continue with stress test as this a normal reaction

109
Q

how far should a patient be standing away from a vision chart when performing visual exam

A

20 ft

110
Q

what is the proper way to clean site for venipuncture

A

clean with circular motion form inside to out

111
Q

what position should a patient be in when performing an EKG

A

supine

112
Q

How would a MA properly clean instruments using aseptic technique

A

cloth brush to remove debris from instruments

113
Q

opiate medications treat which of the following ailments

A

pain

114
Q

what is the correct angle of needle insertion when performing venipuncture

A

30 degrees

115
Q

the MA was given requisition for capillary blood draw, what micro-container should be filled first

A

lavender

116
Q

what is an example of an aseptic technique

A

washing hands

117
Q

a 14 yr old pt has come into office wanting pregnancy test results. who should receive the results

A

14 yr old pt

118
Q

to promote patient confidentiality, what would be appropriate to discuss with the pt if pt is in a crowded waiting room

A

educating the pt about overall promotion of their health

119
Q

what should the MA instruct the pt when teaching the pt about wearing a 24 hr holter monitor?

A

do not get monitor wet

120
Q

how many maneuvers are required of pt for calculating results while performing a pulmonary function test using spirometry on patient?

A

two

121
Q

What test would the provider most likely order if a 55 yr old chief complaint is night sweats, hot flashes, and difficulty sleeping

A

follicle-stimulating hormone (FSH)

122
Q

if a parent calls the office asking for advice because her child swallowed house cleaning supplies, what would be the most appropriate step to take to handle this call?

A

instruct the parent to call local poison control

123
Q

what should the MA do if they reach across the sterile field

A

break down the entire field and start over

124
Q

what can a MA do to help EKG electrodes stick in the event they keep falling off

A

use medical tape to attach leads

125
Q

what should a MA do if a pt is making an uncomfortable scene in the waiting area due to being angry about the provider being late

A

ask pt to join in private area of office to discuss matter further

126
Q

what does OSHA require of employers

A

employers to provider personal protective equipment (PPE) free of charge to the employee

127
Q

the spouse of a pt is demanding a copy of his partner’s medical records. what is the most appropriate action to take?

A

explain you are not allowed to release the records regardless of the relationship to the pt

128
Q

what is the percentage of isopropyl alcohol a MA would use on pt’s skin?

A

70%

129
Q

what info should a MA obtain from a pt who is having an xray w/contrast?

A

whether the pt is allergic to shellfish

130
Q

what is the most important step when instructing a pt on collecting urine for a urinalysis?

A

use a sterile cup

131
Q

which part of the heart is stimulated after the sinoatrial (SA) node fires?

A

atrioventricular node

132
Q

The MA is doing a history & physical on a pt who says they had headache for several days. how would the MA chart this in the pt’s record?

A

chief complaint

133
Q

how should a MA ensure pt medical records are stored for safekeeping?

A

back up info on storage device

134
Q

how should MA communicate w/hearing impaired pt who is accompanied by family member?

A

get interpreter

135
Q

t/f: measles are airborn transmission

A

true

136
Q

A MA is about to prep a dosage calculation for med administration but the provider failed to order the dosage. What action should the MA take?

A

verify dosage w/provider

137
Q

What lab test would a provider order if a pt has a follow-up appointment to check on history of their diabetes?

A

hemoglobin A1C

138
Q

why would a pt insist on taking a buffered/enteric-coated tablet?

A

the tablets are coated w/substance that reduce irritation of stomach

139
Q

where would a MA take a temp when using a temporal artery w/thermometer?

A

forehead

140
Q

how would a MA describe the Korotkoff sound that corresponds to the systolic blood pressure?

A

drumming

141
Q

What should a MA do if the provider they are working for is about to perform a gynecological pelvic exam on a pt?

A

stay with pt & assist provider

142
Q

what is the medical term for surgical reconstruction

A

-plasty

143
Q

where would a MA put a pulse oximeter if thing finger is not a viable option?

A

earlobe

144
Q

what does the acronym NS mean if it was noted in a pt’s chart?

A

no show

145
Q

what cells account for more than 50% of white blood cells?

A

neutrophils

146
Q

which method of taking a pt’s temperature could possible have a risk of blood exposure?

A

rectal

147
Q

if a pt is complaining of pain in their sides & dysuria, what lab tests would the provider most likely order because he thinks the pt may have a kidney infection?

A

urinalysis (UA)

148
Q

what test would be delivered to the coagulation department?

A

prothrombin time/international normalized ratio (PT/INR)

149
Q

if an EKG electrode will not stick properly due to the pt sweating, then what should the MA do to ensure the electrode stays in place?

A

dry off the patient’s skin

150
Q

what is the acronym that would represent how a MA would operate a fire extinguisher?

A

PASS (Pull, Aim, Squeeze, Sweep)

151
Q

where would the cardiac leads be placed if a pt has had a mastectomy on her left side?

A

left side

152
Q

in which position should a newborn infant be placed to measure from head to toe

A

supine

153
Q

how many mL’s of blood should a MA collect in each bottle for blood culture

A

8-10

154
Q

what plane divides the body into superior & inferior portions of the human body

A

transverse

155
Q

when looking up a diagnostic code, which part of the diagnostic statement should a MA look in when searching in the alphabetic index

A

main term

156
Q

How many years must pass for a pt to be considered a new pt for billing purposes?

A

3

157
Q

what might occur if a MA performs an ear irrigation on a pt?

A

vertigo

158
Q

how many minutes should a MA flush his eyes after a splash exposure

A

15

159
Q

providing a pt w/a copy of their medical records is permissible under what law?

A

patient’s bill of rights

160
Q

where should an IM injection be given?

A

vastus lateralis (upper thigh)

161
Q

an emergency exit for all employees and pts is required for which of the following life-threatening events?

A

fire

162
Q

how should an MA administer an insulin injection

A

sub-Q

163
Q

how would a MA quality control a scale to weigh a pt?

A

balance the scale

164
Q

what is the mode of transmission for TB?

A

airborne

165
Q

what specialist treats a pt w/diabetes and would most likely order a hemoglobin A1C?

A

endocrinologist

166
Q

A MA is preping to administer an ID injection on a pt. What would be the correct needle gauge to administer the injection?

A

25ga-28ga

167
Q

to which lab department would a light blue top tube be delivered?

A

coagulation

168
Q

t/f: family history is not a risk factor for developing Crohn’s disease

A

false

169
Q

where would a MA perform a streptococcal test on pt?

A

orally