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CMA Course > Test 4 > Flashcards

Test 4 Flashcards

1
Q

Define Empathy

A

Ability to understand what a patient is feeling because you have experienced the same things

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2
Q

Define sympathy

A

Acknowledging patient feelings and difficulties even though you have not had the same experience or can’t really imagine being in the persons position

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3
Q

List the 5 stages of Grief

A 
Denial
Anger 
Bargaining
Depression 
Acceptance
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4
Q

What does HIPAA stand for?

A

Health Insurance Portability and Accountability Act

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5
Q

List the 4 styles of letters

A

Block style, modified block style, modified with indented paragraph, simplified letter

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6
Q

Describe wave scheduling

A

All patients arrive on the hour every hour and are seen in order of arrival

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7
Q

Describe modified wave scheduling

A

First half hour allotted for patient arrival, the second half of the hour patients are seen in order of arrival

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8
Q

What types of facilities use Open Hour scheduling

A

Walk-in clinics and Urgent Care

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9
Q

Capital Equipment costs > than $_________

A

$500

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10
Q

In what year was HIPAA passed into law?

A

1996

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11
Q

Where would complaints related to HIPAA be addressed to?

A

U.S. Dept. of Health and Human Services

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12
Q

Privacy Regulations
Transaction Standards
Security Regulations
are all parts of what?

A

HIPAA

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13
Q 
Human Dignity
Confidentiality 
Honor
Continued Study
and Responsibility to Improved Community 
are all sections of:
A

AAMA Code of Ethics

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14
Q

When would a DPOA be used?

A

When a patient becomes physically or mentally incapacitated

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15
Q

What is the name of the act that allows a person 18 years or older and of sound mind to make a gift of any or all parts of his body for the purposes of organ transplantation or medical research?

A

Uniform Anatomical Gift Act

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16
Q

A living will is made in advance by a patient and states which forms of _________________, and _______________________ support is intended to prolong the patient’s life can or cannot be used

A

Treatment

Nutritional

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17
Q

What is the Patient Self-Determination Act?

A

Health care institutions must encourage patients to make advance decisions regarding the type of care and services they wish to have or deny if they are unable to make their own decisions

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18
Q

Describe informed consent

A

Patients must be instructed about the possible consequences of having and of nt having certain treatment and procedures

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19
Q

What is the term that describes a patients right to refuse treatment. Different religions and ethnic groups must be accomodated

A

Right to Refuse Treatment

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20
Q

Define Misfeasance

A

Performing Lawful Acts in an Illegal/Improper Manner

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21
Q

Define Nonfeasnce

A

Being Negligent or Ignoring performance of a necessary lawful act

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22
Q

Define Malfeasance

A

Performing an wrongful or illegal act

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23
Q

List the 4 main types of malpractice insurance often purchased by physicians

A

Occurrence
Claims-made
Tail Coverage
Prior act

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24
Q

What does Res Ipsa Loquitur mean?

A

The thing speaks for itself

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25
What are the 5 physician rights
``` Select patients Refuse patients Office location Office hours Services offered ```
26
What are two types of expressed consent?
Verbal and written
27
Name the two types of consent
Expressed or implied
28
What is the term used for a patient who contributed to his injury
Contributing evidence
29
Name the three categories of malpractice
Malfeasance Misfeasance Nonfeasance
30
List the 4 classifications of law
Civil Criminal International Military
31
________ law falls under civil law and covers acts that result in harm to another person or property
Tort
32
____________ law falls under civil law and includes enforceable promises and agreements between two or more persons
Contract
33
Define Assault
Threat of bodily harm to another
34
Define battery
Actual bodily harm to another person without permission
35
List the 4 D's of negligence
Duty Dereliction/Neglect of duty Direct cause Damages
36
What are the two classifications of tort?
Intentional and unintentional
37
What is the term used for unauthorized publicizing of information about a patient
Invasion of Privacy
38
Define Defamation of Character
Damage to reputation
39
Define false imprisionment
A violation of the personal liberty of another person without consent
40
What is the difference between libel and slander?
Libel is written | Slander is spoken
41
What is the term used to describe someone who commits a tort?
Tortfeasor
42
What is subpoena duces tecum
an Order that requires a witness to bring documents, books or other items under his, her or their control,
43
Define exploitation
is the act of selfishly taking advantage of someone or a group of people in order to profit from them or otherwise benefit oneself.
44
What is another word for interoffice memoranda
Memo
45
Define veracity
Conforming to facts
46
Describe active voice
a sentence where the subject performs the action stated by the verb.
47
Define passive voice
used to show interest in the person or object that experiences an action rather than the person or object that performs the action. In other words, the most important thing or person becomes the subject of the sentence.
48
Define contributory negligence
The failure of the patient to follow post care instructions
49
What are four components of a contract between two parties?
Offer Acceptance Consideration Competence
50
The Doctrine of Informed Consent includes (5) parts
``` Explanation of advantages and risks of treatment Alternatives available to patient Potential outcomes to the treatment What might occur without treatment The use of understandable language ```
51
What does CAD stand for?
Coronary Artery Disease
52
Does an EKG measure mechanical or electrical changes in the heart?
Electrical
53
When is the heart considered Polarized?
At the P wave
54
What is mechanically happening at the P wave?
Atrial contraction
55
What is mechanically happening during the QRS wave?
Ventricular contraction
56
What is mechanically happening during the T wave?
Preparation for another heartbeat
57
How long is the P → R wave interval?
0.12-0.2 seconds
58
When the atrial cells become depolarized, what is happening?
The SA node is initiating electrical activity
59
What is considered the pacemaker of the heart?
SA Node
60
Overall, in the heart, depolarization corresponds to:
Contraction
61
At the end of contraction, the myocardium relaxes and rests, the cells are becoming:
Repolarized
62
How fast does the paper move per minute?
1,500 mm per minute
63
_____________ rhythm is determined by measuring the distance between QRS complexes
Ventricular
64
Where is V1 lead placed?
Fourth intercostal space, right sternal border
65
Where is V2 placed?
Fourth intercostal space, left sternal border
66
Where is V3 placed?
Midway between V2 & V4
67
Where is V4 placed?
Fifth intercostal space, left of the midclavicular line
68
Where is V5 placed?
Left of the anterior axillary fold, in line with V4
69
Where is V6 placed?
Left of the midaxillary, in line with V4 and V5
70
The limb leads should be placed:
On a fleshy part of the limb
71
A lead placed left midaxillary, horizontal to V4 and V5 is which lead?
V6
72
A lead placed left anterior axillary fold, horizonal to V4 is:
V5
73
A lead placed at the 5th intercostal space, midclavicular left is the:
V4
74
A lead placed midway between V2 and V4 is which lead?
V3
75
A lead placed at the 4th intercostal space, the left sternal border is called
V2
76
A lead placed at the fourth intercostal space, right sternal border is which lead?
V1
77
The QRS complex represents:
Ventricular depolarization aka contraction
78
The T wave represents
ventricular repolarization
79
The process of a QRS complex takes about how long?
0.06-0.12 seconds
80
How can you estimate a heart rate?
The 6-second method involves counting the number of P waves across 30 large darker squares and multiplying it by 10
81
Counting the number of P waves gives the:
Estimated atrial contraction
82
What are the two main types of ECG machines medical offices use?
Single and multichannel
83
On ECG paper, the 1 mm by 1 mm square represents how much mV?
0.1
84
What is the term for leads placed on the chest?
Precordial
85
What is the term for inaccuracies that impair the interpretation of ECG tracing?
Deflection or artifacts
86
List the 4 causes of artifacts
Somatic tremor Wandering baseline AC interference Broken Recording
87
Describe a somatic tremor as an artifact of ECGs
Choppy interference throughout the tracing is often caused by patient movement, i.e. pt shivering
88
Describe AC/60 cycle interference as an artifact of ECG interference
Improperly grounded electrical system caused by having technology on body, i.e. phone, watch
88
Describe Wandering Baseline as an artifact of ECG interference
Lotion, sweat, hear impairing lead placement
89
Describe Broken Recording as an ECG artifact
Caused by damaged wires or loose electrodes

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