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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
Q

What are the 5 physician rights

A 
Select patients
Refuse patients
Office location
Office hours
Services offered
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26
Q

What are two types of expressed consent?

A

Verbal and written

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27
Q

Name the two types of consent

A

Expressed or implied

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28
Q

What is the term used for a patient who contributed to his injury

A

Contributing evidence

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29
Q

Name the three categories of malpractice

A

Malfeasance
Misfeasance
Nonfeasance

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30
Q

List the 4 classifications of law

A

Civil
Criminal
International
Military

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31
Q

________ law falls under civil law and covers acts that result in harm to another person or property

A

Tort

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32
Q

____________ law falls under civil law and includes enforceable promises and agreements between two or more persons

A

Contract

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33
Q

Define Assault

A

Threat of bodily harm to another

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34
Q

Define battery

A

Actual bodily harm to another person without permission

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35
Q

List the 4 D’s of negligence

A

Duty
Dereliction/Neglect of duty
Direct cause
Damages

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36
Q

What are the two classifications of tort?

A

Intentional and unintentional

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37
Q

What is the term used for unauthorized publicizing of information about a patient

A

Invasion of Privacy

38
Q

Define Defamation of Character

A

Damage to reputation

39
Q

Define false imprisionment

A

A violation of the personal liberty of another person without consent

40
Q

What is the difference between libel and slander?

A

Libel is written

Slander is spoken

41
Q

What is the term used to describe someone who commits a tort?

A

Tortfeasor

42
Q

What is subpoena duces tecum

A

an Order that requires a witness to bring documents, books or other items under his, her or their control,

43
Q

Define exploitation

A

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
Q

What is another word for interoffice memoranda

45
Q

Define veracity

A

Conforming to facts

46
Q

Describe active voice

A

a sentence where the subject performs the action stated by the verb.

47
Q

Define passive voice

A

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
Q

Define contributory negligence

A

The failure of the patient to follow post care instructions

49
Q

What are four components of a contract between two parties?

A

Offer
Acceptance
Consideration
Competence

50
Q

The Doctrine of Informed Consent includes (5) parts

A 
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
Q

What does CAD stand for?

A

Coronary Artery Disease

52
Q

Does an EKG measure mechanical or electrical changes in the heart?

A

Electrical

53
Q

When is the heart considered Polarized?

A

At the P wave

54
Q

What is mechanically happening at the P wave?

A

Atrial contraction

55
Q

What is mechanically happening during the QRS wave?

A

Ventricular contraction

56
Q

What is mechanically happening during the T wave?

A

Preparation for another heartbeat

57
Q

How long is the P → R wave interval?

A

0.12-0.2 seconds

58
Q

When the atrial cells become depolarized, what is happening?

A

The SA node is initiating electrical activity

59
Q

What is considered the pacemaker of the heart?

60
Q

Overall, in the heart, depolarization corresponds to:

A

Contraction

61
Q

At the end of contraction, the myocardium relaxes and rests, the cells are becoming:

A

Repolarized

62
Q

How fast does the paper move per minute?

A

1,500 mm per minute

63
Q

_____________ rhythm is determined by measuring the distance between QRS complexes

A

Ventricular

64
Q

Where is V1 lead placed?

A

Fourth intercostal space, right sternal border

65
Q

Where is V2 placed?

A

Fourth intercostal space, left sternal border

66
Q

Where is V3 placed?

A

Midway between V2 & V4

67
Q

Where is V4 placed?

A

Fifth intercostal space, left of the midclavicular line

68
Q

Where is V5 placed?

A

Left of the anterior axillary fold, in line with V4

69
Q

Where is V6 placed?

A

Left of the midaxillary, in line with V4 and V5

70
Q

The limb leads should be placed:

A

On a fleshy part of the limb

71
Q

A lead placed left midaxillary, horizontal to V4 and V5 is which lead?

72
Q

A lead placed left anterior axillary fold, horizonal to V4 is:

73
Q

A lead placed at the 5th intercostal space, midclavicular left is the:

74
Q

A lead placed midway between V2 and V4 is which lead?

75
Q

A lead placed at the 4th intercostal space, the left sternal border is called

76
Q

A lead placed at the fourth intercostal space, right sternal border is which lead?

77
Q

The QRS complex represents:

A

Ventricular depolarization aka contraction

78
Q

The T wave represents

A

ventricular repolarization

79
Q

The process of a QRS complex takes about how long?

A

0.06-0.12 seconds

80
Q

How can you estimate a heart rate?

A

The 6-second method involves counting the number of P waves across 30 large darker squares and multiplying it by 10

81
Q

Counting the number of P waves gives the:

A

Estimated atrial contraction

82
Q

What are the two main types of ECG machines medical offices use?

A

Single and multichannel

83
Q

On ECG paper, the 1 mm by 1 mm square represents how much mV?

84
Q

What is the term for leads placed on the chest?

A

Precordial

85
Q

What is the term for inaccuracies that impair the interpretation of ECG tracing?

A

Deflection or artifacts

86
Q

List the 4 causes of artifacts

A

Somatic tremor
Wandering baseline
AC interference
Broken Recording

87
Q

Describe a somatic tremor as an artifact of ECGs

A

Choppy interference throughout the tracing is often caused by patient movement, i.e. pt shivering

88
Q

Describe AC/60 cycle interference as an artifact of ECG interference

A

Improperly grounded electrical system caused by having technology on body, i.e. phone, watch

88
Q

Describe Wandering Baseline as an artifact of ECG interference

A

Lotion, sweat, hear impairing lead placement

89
Q

Describe Broken Recording as an ECG artifact

A

Caused by damaged wires or loose electrodes

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