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CMA Course > Test 6 > Flashcards

Test 6 Flashcards

1
Q

What is the difference between Active and Passive ROM?

A

Active: pt performs with no help
Passive: provider/assistant performs motions

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2
Q

Heat can be used to hasten _____________, term defined as: process to relieve internal buildup of pus formation

A

Suppuration

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3
Q

As a for of treatment, how does Heat affect blood vessels? What about cold?

A

Heat: vasodilation
Cold: vasoconstriction

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4
Q

What is the the term matching this definition: backward bending, i.e. of the hand or foot

A

Dorsiflexion

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5
Q

When you arm is straight, would you consider this as Extended or Flexed?

A

Extended

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6
Q

When your sitting in a chair with your feet up, are your legs extended or flexed?

A

Extended

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7
Q

When your sitting in a chair with both feet on the floor, are your legs extended or flexed?

A

Flexed: bent

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8
Q

What is the maximum temperature that may be used for hot soak application in C°? F°?

A

44 C°

111.2 F°

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9
Q

How would you describe supination of the hand? What about pronation?

A

Supination is palm up

Pronation is the opposite

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10
Q

What is the difference between eversion and inversion?

A

Eversion: turning out
Inversion: Turning inward

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11
Q

What population is apgar scoring used for?

A

Immediately after birth

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12
Q

After 6 mo. of age, what is the expected weight of the baby

A

Double the birthweight

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13
Q

Failure to Thrive is described as the infants inability to gain sufficient ___________

A

weight

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14
Q

The younger the child the _____ the respiration and ________, and the lower the _________

A

Higher: respiration and pulse
Lower: BP

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15
Q

What diet is recommended for a pt. experiencing diarrhea

A

BRAT

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16
Q

T/F: Chest circumference is an anthropometric measurement for all pediatric visits for children < 12 mo.

A

False, it is only performed if a provider suspects under/overdevelopment of heart and lungs

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17
Q

____________ is a program designed to supplement payment for services not covered by MediCARE

A

Medigap

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18
Q

A living will is analogous to an __________ _____________

A

advanced directive

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19
Q

Hearing crackles upon auscultation of the lungs is termed:

A

Rales

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20
Q

Hearing a harsh, high-pitched sound on inspiration during auscultation of the lungs is termed:

A

Stridor

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21
Q

Hearing wheezing or squeaking during auscultation of the lungs is termed:

A

Rhonchus

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22
Q

A pt. says they have shortness of breath and dyspnea after minimal activity, the provider is most likely going to order a:

A

Pulmonary Function Test

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23
Q

Spirometry testing determines

A
  • Vital capacity

- pt effectiveness for exhale and how quick

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24
Q

What are three things a pt. should NOT do prior to coming to PFT?

A

No smoking 4-6 hours before
No nebulizers/inhalers
No restrictive clothing

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25
Q

A pulse ox < ___ is considered life threatening

A

70%

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26
Q

Peak flow testing monitors asthma and the ability to move air in and out of the lungs, this test may be performed __ _________

A

at home

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27
Q

What is the term used for “finger clubbing”

A

Hypoxemia

28
Q

What are the three types of inhalers?

A

Dry powder, soft mist, metered dose

29
Q

What is the difference between and EHR and an EMR?

A

EHR: national database, for use over multiple healthcare organizations
EMR: within one organization

30
Q

Meaningful use is described as a set of criteria for how EHR are used that providers must meet to receive certain incentives, what agency deals with this?

A

HITECH

31
Q

______ own the information of a medical record, __________ owns the record

A

Patient

Organzation/Office

31
Q

______ own the information of a medical record, __________ owns the record

A

Patient

Organzation/Office

32
Q

What does CPOE stand for?

A

Computerized physician order entry

33
Q

What does POMR stand for?

A

Problem oriented medical record

34
Q

What is the PPACA?

A

Affordable Care Act

35
Q

The goal of this was to: create a more organized and competitive market for buying health insurance

A

Health Insurance Exchange

36
Q

What is a premium?

A

Amount paid each month for being a member

37
Q

Define Deductible

A

Amount patient must pay before insurance will start to cover costs

38
Q

What does Assignment of Benefits allow?

A

Authorizes insurance company to pay benefits directly to the provider

39
Q

What is the acronym for the Centers for Medicaid and Medicare Services

A

CMS

40
Q

What does Blue Cross cover? What does Blue Shield cover?

A

Cross: hospital
Shield: Doctor office

41
Q

What is COBRA coverage?

A

Employers must extend insurance for employee 18 mo has left due to lay off, quit, fired

42
Q

Medicare covers adults 65+, disabled, and those:

A

who are in end stage renal disease

43
Q

A CMS-1500 claim form is analogous to:

A

claim form

44
Q

What part of Medicare replaces part A & B?

A

Part C: Advantage plan

45
Q

What does Medicare Part A cover?

A

Hospital

46
Q

What does Medicare Part B cover?

A

PCP, therapy, lab testing on a fee-for-service voluntary

Annual deductible

47
Q

What type of benefits determines which company is filed as primary and secondary?

A

Coordination of benefits

48
Q

What is a clean claim?

A

Corrected/Resubmitting claim to the clearinghouse

49
Q

What is the difference between a combination code and multiple codes?

A

Combination: identifies condition and various MANIFESTATIONs OR 2 COND’T that commonly occur together
Multiple: several codes that FULLY DESCRIBE a condition

50
Q

What is the code used for well care visits

A

Z code

51
Q

CPT: Surgical procedure is analogous to:

A

Global surgical concept

52
Q

What is the point of managed global care?

A

To provide care at a lower cost

53
Q

What is the purpose of an ICD code?

A

identifies reasons why services provided

54
Q

EOB, otherwise known as Explanation of Benefits contains _____________ ______________

A

Claims adjustments

55
Q

What does VOB stand for?

A

Verification of benefits

56
Q

If a claim is denied:

A

File for authorization/appeal

57
Q

A _______________ is a financial incentive for using a certain medical offices, labs, etc.

A

Kickback

58
Q

What does AR stand for?

A

Accounts Receivable

59
Q

What is the term for unauthorized taking of funds?

A

Embezzlement

60
Q

Electronic Remittance Advice is analogous to:

A

Electronic claim

61
Q

What is the difference between fraud and abuse?

A

Fraud: charging for services not provided
Abuse: accepting payment for those services not provided

62
Q

What does PMS stand for? PMS is analogous to:

A

Practice Management System

Practice Account Software

63
Q

What is a professional courtesy?

A

Discount given to friends, family, fellow professional for services

64
Q

When was Blue Cross Blue Shield founded?

A

1929

65
Q

What the the 3 most common types of MCP?

A

HMO, PPO, POS

66
Q

What does E & M stand for?

A

Evaluation and Management

CMA Course (8 decks)

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