Set 2 Flashcards
1
Q
You are drawing blood on pt who becomes dizzy, sweaty, and flushed? What could they be experiencing?
A
syncope
2
Q
what is the best position to put a pt if they are experiencing critically low BP
A
trendelenburg
3
Q
what should you have handy when assisting provider for post-op suture removal
A
sterile thumb dressing forceps
4
Q
what is the position a female pt should be in for pelvic exam
A
lithotomy
5
Q
when should a MA disinfect an exam room?
A
after each pt
6
Q
if a MA suspects a pediatric pt is being abused, what should the MA do?
A
notify provider
7
Q
what tort violation is deception with the intent to deprive another person of their rights?
A
fraud
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
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
10
Q
what is the second part of the chain of infection?
A
reservoir host
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
12
Q
which drug would be prescribed to pt to help lower body temp?
A
antipyretic
13
Q
if a lab specimen requires an anaerobic collection container, be cautious not to unduly expose specimen to…
A
oxygen
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
15
Q
what is an example of a food rich in iodine?
A
shellfish
16
Q
t/f: a 10 week old infant w/a pulse of 70 bpm is atypical
A
true
17
Q
which type of fever is characterized by temperatures that come & go?
A
intermittent
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
19
Q
How would you file a problem-oriented medical record?
A
chronological (in order, sequence)
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
21
Q
which is the most appropriate site for IM injection on infant?
A
vastus lateralis (upper thigh)
22
Q
are MAs able to give pre & post operative instructions?
A
yes
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
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
25
spontaneity & creativity correspond to which level in Maslow's hierarchy of needs
self-actualization
26
should you wear gloves when removing a cyst?
yes
27
a patient removes her clothes for an exam, what example of consent is this?
implied consent
28
What is a reason to perform eye irrigation on patient?
flush eye & relieve inflammation & discomfort
29
when should a winged infusion set (butterfly) be used?
small/fragile veins
30
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?
wave scheduling
31
the MA finds packages of autoclaved sterile instruments with no dates on the package. What is an appropriate action for the MA to take?
repackage & reprocess the instruments
32
what pharmacokinetic process is disrupted if a pt has a diseased liver?
metabolism
33
what eye chart is used to detect color blindness (generally)
Ishihara chart
34
what is the process of informing the pt of risks, benefits, & potential outcomes of a procedure called?
informed consent
35
how would a MA prep a blood specimen for transport to an outside lab?
place requisition in outer pocket of transport bag
36
How many compressions/min should be done during CPR?
100
37
Why is it necessary for the MA to educate pts?
it allows pt to actively participate in medical care
38
where would a MA place the ground lead of an EKG to decrease interference?
right leg
39
what is the term that describes decreased flow of oxygenated blood to a body part
ischemia
40
that parathyroid hormone is associated w/the regulation of which element in the body
calcium
41
what is one of the goals of the Joint Commission in regards to pt safety
identify the pt correctly
42
define aerophagia
swallowing air
43
A pt comes in w/symptoms of body aches, cough, & fever. This could be...
influenza
44
how would the MA start the disinfection process for soiled surgical instruments
rinse the instruments under cold water
45
what should the MA take into consideration when selecting the appropriate cuff size for a pt prior to taking BP?
weight
46
where should the MA put a tape measure to measure head circumference of infant?
slightly above eyebrows
47
what equipment would be used to evaluate a pt for corrective lenses?
ophthalmoscope
48
which cell organelle makes energy
mitochondrion
49
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?
american heart association
50
A MA is billing a pt from an outpatient facility. which universal claim form would the mA submit for reimbursement?
CMS-1500
51
t/f: atherosclerosis cannot be caused by smoking
false
52
what should pts always be provided when educating them on HIPAA
confidentiality statement
53
A MA has arrived to the phlebotomy room and a pt is already present. What is the next step for the MA?
identify the pt using two identifiers
54
when autoclaving surgical instruments for sterilization, what solution should be used?
distilled water
55
what measurements would be used to complete a growth chart?
anthropometric
56
where does electrical conduction begin in a healthy human heart?
sinoatrial (SA) node
57
a fecal occult blood test is screening to find what in a stool sample
erythrocytes
58
t/f: bronchodilators should not be used before a pulmonary function test
true
59
What term means hair loss?
alopecia
60
if a MA inadvertently documents inaccurate info in the pt's EMR, what is the next proper course of action?
create a new note
61
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?
bend at the knees
62
what is needed to properly prep instruments for sterilization in the autoclave?
sterilization indicators
63
t/f: discussing a pt's medical diagnosis in the facility elevator is appropriate to do
false, it is considered a HIPAA violation
64
How should sterile instruments be placed on the sterile field to maintain sterile field?
gently
65
prolonged tourniquet application longer than 1 min can cause which of the following?
hemoconcentration
66
what is the proper way to clean a pt's wound?
clean from center of wound outwards
67
t/f: identifying pathogenic microorganisms is outside an MA's scope of practice
true
68
a pt is experiencing a hypoglycemic emergency. What should be the next step an MA should take?
give the pt a juice/sugar
69
Why is it important to invert lab tubes after performing a phlebotomy?
to properly mix additives w/blood
70
what is the function of hemostasis?
promote coagulation
71
If a pt is having an emotional crisis & their BP is elevated, what should the MA do?
recheck the BP after giving the pt time to calm down
72
WHat form should a MA use to document a pt's next scheduled office visit?
encounter form
73
Where should leads of EKG be placed if pt is known to have dextrocardia (condition where apex of heart is oriented to the right)
precordial (chest)
74
what position should a pt be in when obtaining rectal temp?
Sims
75
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?
infants
76
what is the correct definition of the term 'basal state'?
not eating anything for 12 hrs
77
low to mid back pain could be a sign of
pyelonephritis
78
when a pt is being given an influenza vaccine, what should be documented on the pt's chart?
expiration date & lot number of vaccine
79
t/f: an MA can perform arterial blood gas
false
80
what is the expected observation on an ESR (erythrocyte sedimentation rate)
distance RBCs have dropped
81
which chamber is the SA located?
right atrium
82
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
chronic liver disorder
83
what is the most important thing for the MA to remember to do when performing a chain of custody urine drug screen
seal specimen collection in front of pt
84
retinopathy is a chronic complication of which disease
diabetes mellitus
85
what is the best method to maintain sterile field?
opening sterile package away from body
86
A PT is seeing an orthopedic surgeon. which part of health record should MA include for the provider to review?
radiology images & reports
87
define Sim's position
pt lying on left side w/left leg slightly bent & left arm behind back
88
admitting a pt to the hospital is considered
transition of care
89
if a MA is collecting a urine pregnancy test from a PT, which hormone is being screened?
Human chorionic gonadotropin (HCG)
90
which method of medication administration allows constant, time-release of medication
transdermal patch
91
Which test would confirm a diagnosis of anemia
red blood cell (RBC)
92
when would a MA start the timer on a glucose tolerance test (GTT)?
when pt completes drinking glucose solution
93
what is the most important step in performing a capillary skin puncture?
wipe off first drop of blood
94
scheduling all pts who are having annual physicals on first Friday of the month is considered which type of scheduling?
advance booking
95
Cholecystectomy is the removal of which structures?
gall bladder
96
when should a mA verify a new pt's insurance info?
when the appt is scheduled
97
how would a MA handle an irate or anergy patient about a bill they had received?
listen to the pts concern & try to resolve the issue
98
when a pt is using a transdermal patch, they need to be aware of which of the following?
document date & time on each new pad applied to the patient
99
what is described as reversible transfer of drug from one location to another within body?
distribution
100
how would a MA weight a pt who has vertigo/trouble balancing themselves
position walker over scale & have pt hold onto it
101
what should a MA document on the pt's requisition form when delivering a specimen for a wound culture to the microbiology dept?
if pt has been/is still on antibiotics
102
how would a medical office dispose of a full sharps container?
document proper removal of container into facility logbook
103
what should be used to clean the floor after accidental blood spill?
1:10 solution of sodium hypochlorite (bleach) solution
104
What is one of the main goals or purpose of patient-centered care?
to include pt & their family/loved ones in pt's care
105
If a MA suspects intimate spousal abuse, what is the most appropriate action
present the pt a list of resources & organization for help
106
In which section would a medical assistant document a patient's vital sign
objective
107
to which part of the body would a figure-8 bandage be applied?
ankle
108
what should the MA do if they notice a patient is sweating during a cardiac stress test?
continue with stress test as this a normal reaction
109
how far should a patient be standing away from a vision chart when performing visual exam
20 ft
110
what is the proper way to clean site for venipuncture
clean with circular motion form inside to out
111
what position should a patient be in when performing an EKG
supine
112
How would a MA properly clean instruments using aseptic technique
cloth brush to remove debris from instruments
113
opiate medications treat which of the following ailments
pain
114
what is the correct angle of needle insertion when performing venipuncture
30 degrees
115
the MA was given requisition for capillary blood draw, what micro-container should be filled first
lavender
116
what is an example of an aseptic technique
washing hands
117
a 14 yr old pt has come into office wanting pregnancy test results. who should receive the results
14 yr old pt
118
to promote patient confidentiality, what would be appropriate to discuss with the pt if pt is in a crowded waiting room
educating the pt about overall promotion of their health
119
what should the MA instruct the pt when teaching the pt about wearing a 24 hr holter monitor?
do not get monitor wet
120
how many maneuvers are required of pt for calculating results while performing a pulmonary function test using spirometry on patient?
two
121
What test would the provider most likely order if a 55 yr old chief complaint is night sweats, hot flashes, and difficulty sleeping
follicle-stimulating hormone (FSH)
122
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?
instruct the parent to call local poison control
123
what should the MA do if they reach across the sterile field
break down the entire field and start over
124
what can a MA do to help EKG electrodes stick in the event they keep falling off
use medical tape to attach leads
125
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
ask pt to join in private area of office to discuss matter further
126
what does OSHA require of employers
employers to provider personal protective equipment (PPE) free of charge to the employee
127
the spouse of a pt is demanding a copy of his partner's medical records. what is the most appropriate action to take?
explain you are not allowed to release the records regardless of the relationship to the pt
128
what is the percentage of isopropyl alcohol a MA would use on pt's skin?
70%
129
what info should a MA obtain from a pt who is having an xray w/contrast?
whether the pt is allergic to shellfish
130
what is the most important step when instructing a pt on collecting urine for a urinalysis?
use a sterile cup
131
which part of the heart is stimulated after the sinoatrial (SA) node fires?
atrioventricular node
132
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?
chief complaint
133
how should a MA ensure pt medical records are stored for safekeeping?
back up info on storage device
134
how should MA communicate w/hearing impaired pt who is accompanied by family member?
get interpreter
135
t/f: measles are airborn transmission
true
136
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?
verify dosage w/provider
137
What lab test would a provider order if a pt has a follow-up appointment to check on history of their diabetes?
hemoglobin A1C
138
why would a pt insist on taking a buffered/enteric-coated tablet?
the tablets are coated w/substance that reduce irritation of stomach
139
where would a MA take a temp when using a temporal artery w/thermometer?
forehead
140
how would a MA describe the Korotkoff sound that corresponds to the systolic blood pressure?
drumming
141
What should a MA do if the provider they are working for is about to perform a gynecological pelvic exam on a pt?
stay with pt & assist provider
142
what is the medical term for surgical reconstruction
-plasty
143
where would a MA put a pulse oximeter if thing finger is not a viable option?
earlobe
144
what does the acronym NS mean if it was noted in a pt's chart?
no show
145
what cells account for more than 50% of white blood cells?
neutrophils
146
which method of taking a pt's temperature could possible have a risk of blood exposure?
rectal
147
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?
urinalysis (UA)
148
what test would be delivered to the coagulation department?
prothrombin time/international normalized ratio (PT/INR)
149
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?
dry off the patient's skin
150
what is the acronym that would represent how a MA would operate a fire extinguisher?
PASS (Pull, Aim, Squeeze, Sweep)
151
where would the cardiac leads be placed if a pt has had a mastectomy on her left side?
left side
152
in which position should a newborn infant be placed to measure from head to toe
supine
153
how many mL's of blood should a MA collect in each bottle for blood culture
8-10
154
what plane divides the body into superior & inferior portions of the human body
transverse
155
when looking up a diagnostic code, which part of the diagnostic statement should a MA look in when searching in the alphabetic index
main term
156
How many years must pass for a pt to be considered a new pt for billing purposes?
3
157
what might occur if a MA performs an ear irrigation on a pt?
vertigo
158
how many minutes should a MA flush his eyes after a splash exposure
15
159
providing a pt w/a copy of their medical records is permissible under what law?
patient's bill of rights
160
where should an IM injection be given?
vastus lateralis (upper thigh)
161
an emergency exit for all employees and pts is required for which of the following life-threatening events?
fire
162
how should an MA administer an insulin injection
sub-Q
163
how would a MA quality control a scale to weigh a pt?
balance the scale
164
what is the mode of transmission for TB?
airborne
165
what specialist treats a pt w/diabetes and would most likely order a hemoglobin A1C?
endocrinologist
166
A MA is preping to administer an ID injection on a pt. What would be the correct needle gauge to administer the injection?
25ga-28ga
167
to which lab department would a light blue top tube be delivered?
coagulation
168
t/f: family history is not a risk factor for developing Crohn's disease
false
169
where would a MA perform a streptococcal test on pt?
orally
