CCMA final final final final exam

What is included in the developmental assessment in pediatric procedures?

Language, motor, and social skills

Infection control

- All body fluids from any patient should be considered infectious - PPE should be provided by the healthcare facility for employee use (OSHA) - Written infection prevention policies/procedures should be available to all staff

Performed by MA during pediatric office visit

- Measurement of vital signs - Height and weight - Assisting provider with physical exam

What should be discussed with the patient prior to fecal occult blood testing

- dietary restrictions and supplements - testing instructions - testing restrictions

Considerations for medication administration

- hold the pt 20-30 minutes after - patients should be routinely asked about their allergies - know common conversion measurements

Truths about clean catch midstream specimens

- method used to detect suspected UTIs - requires the removal of as many pathogens as possible from the genital region of the patient - culture and sensitivity test may collected as an additional test

Sanitization of instruments

- removes debris in preparation for disinfection and sterilization

Correct technique for testing urine with reagent strip

- use freshly voided urine specimen - completely saturate reagent areas with urine - hold strip in horizontal position when reading results

Clean Catch Midstream Specimen (CCMS)

- used to eliminate microorganisms from urinary meatus and distal urethra - instruct patient to totally empty bladder into specimen container - instruct patient to cleanse around urinary meatus and collect in specimen container midstream

Preferred distance between injection sites if they are use on the same thigh (infants)

1 inch

Infant needle length

1 inch needle

How far should the medical assistant be from the Mayo stand?

12 inches

How many leads are there on a standard electrocardiogram?

12 leads, 10 electrodes

1 tbsp = x mL

15 mL

Routine venipuncture angle of insertion

15-30 degrees

1 oz = x tbsp

2 tbsp

Intravenous injection angle

25 degrees

Overweight BMI

25-29

1 fl oz = x mL

30 mL

V2 electrode placement

4th intercostal space, left of sternum

Intradermal injection angle

5-15 degrees

V5 electrode placement

5th intercostal space, left anterior axillary line

V6 electrode placement

5th intercostal space, left midaxillary line

Sutures in arms/legs are removed after

7-14 days

Normal temp

97-99

Used for blood collection with/without additives

Evacuated tube system (ETS)

Frequency of gynecologic exams

Every 1 to 3 years

How often should a medical assistant update the patient's medical history?

Every visit

True or False: a gown, face shield, mask, gloves, and shoe coverings must all be worn during the collection of a throat specimen

False

True or False: Single-dose vials are pre-measured, so calculation and dosage do not have to be monitored as closely

True

True or False: purpose of gynecologic exam is to assess the health of the female reproductive organs to detect early signs of disease

True

True/False: heavy duty utility gloves should be worn over disposable gloves to minimize the risk of sharps or chemical exposure to the skin

True

What MAs can perform during minor surgery

- Apply sterile dressings - Prep meds for procedure - Prep sterile field

Guidelines for Electrode use/maintenance

- Check expiration date on pouch before use - Reseal the electrode pouch and place it in plastic bag after use - Do not use dried out electrodes

Criterion that should be checked when gathering supplies

- Check whether the stripes on the autoclave tapes changed color - Check that the sterile packs are not expired - Check that there are no holes, tears, and moisture in wrapping materials

What is assessed during breast exam?

- Dimpling and change in skin texture - Nipple bleeding or discharge - Axillary lymph nodes

Proper technique for pouring sterile solution

- Ensure solution is within its expiration date - Placing your palm over the label to protect the label while pouring - Checking label of solution bottle

Something is considered contaminated if

- It comes in contact with a pathogen - Touches something clean - Becomes wet

Why is important to coach the pt thru spirometry and peak flow testing?

- It facilitates effective and efficient completion of testing - Helps reduce anxiety

What should the MA do if the patient is anxious about completing the spirometry test?

- Listen to concerns and try to comfort patient - If concerns are beyond your scope, share with provider

Two ways to lubricate speculum before giving to provider

- Lubricate with water-based lubricant - Lubricate with water

What should the MA check when administering medication?

- Name of med - Intended route - Expiration date

Spirometry Testing

- Provides narrative and graphic representation of breathing capacity - Explaining the procedure helps the patient understand what to expect - Obtain consent to perform the procedure

What should the medical assistant do if a patient has elevated blood pressure?

- Remeasure using the opposite arm - Wait for a few minutes and re-measure on the same arm - Follow facility policy regarding this incident

Supplies needed for nasopharyngeal specimen collection

- Sterile nasal swabs - Viral transport medium - Full PPE

Purpose of measuring head circumference

- To determine if normal brain development is taking place - To screen for microcephaly and macrocephaly

Why should sharp instruments should be separated from other instruments when sanitizing?

- To prevent instruments from rubbing together and becoming dull - To protect the healthcare worker from being injured by a sharp blade or edge

When handling test kits, the MA should...

- Wear PPE - Perform controls according to manufacturer's instructions - Run the test according to manufacturer's instructions

Intradermal Injections

0.1 mL (no more than 0.2) TB syringe Forearm

1 tbsp = x tsp

3 tsp

Sutures in face/head/neck are removed after

3-5 days

Subcutaneous Injection angle

45-90 degrees

Hours for PPD reading

48-72 hours

V1 electrode placement

4th intercostal place, right of sternum

Angle for winged infusion/butterfly needle on hand

5-10 degrees

V4 electrode placement

5th intercostal space, left midclavicular line

Intramuscular injection angle

90 degrees

Depth respiration characteristic

Amount of air inhaled or exhaled

Recommended frequency of well-child visits after 2 years old

Annually

Symptoms that warrant an EKG order

Fainting, shortness of breath, dizziness

True or False: Placement of the electrodes with tabs pointed toward the head allows for the lead wire to follow the contour of the body, reducing the tension and the likelihood of crimping

False

Best way to promote effective information gathering

MA should display compassion and understanding while interviewing the patient

Fainting medical term

Syncope

The ______ should be placed on a tray in the correct order the injections will be administered

Syringes

The measure of force of blood against arterial walls while the heart is contracting

Systolic pressure

Urine clarity descriptors

Turbid, cloudy, clear

Site for toddler IM injection

vastus lateralis

Oil-based medication injection site

ventrogluteal

Best way to prevent contaminating medication or equipment when prepping meds is to

wash hands

Tourniquet application

- 3 in above elbow - removed within 60 sec

What should the MA gather for a throat specimen that will be tested onsite?

1-2 sterile swabs depending on facility protocol

Toddlers-2 year olds needle length

1.5 inch needle

How full should the sterile container for urine testing be

1/2 full

What should the medical assistant do if a patient refuses to have their weight measured?

Document the refusal in the medical record for the provider

Which receptacle should sutures be disposed in?

Biohazardous waste container

LA wire color

Black

May occur if needle is removed from arm before tourniquet

Bleeding may occur around puncture site

What may alter the outcome of a pelvic exam?

Blood

V4 color

Blue

Supplies needed for chemical urine analysis

Bottle of test strips, paper towel, clinical analyzer

Over which artery is the stethoscope placed when taking BP?

Brachial artery

Fahrenheit to Celsius Conversion

C = (F - 32) x 5/9

Which step may the MA perform before a bimanual exam?

Apply lubricant on the provider's two fingers

What should the MA ask the patient to do before the pelvic exam?

Empty her bladder

Uses heat and high pressure with steam to sterilize equipment

Autoclave

Gene associated with higher risk for breast cancer

BRCA1 or BRCA2 gene

To start the pelvic exam, the OBGYN examines the external genitalia and palpates the perineal area. Next, the vaginal speculum is inserted for cervical and vaginal canal examination. What is the next step?

Bimanual exam

What is conducted after the pap smear has been collected?

Bimanual exam

Term for checking spirometer function

Calibration

Pulse site in the neck area

Carotid artery

First step for pap smear/pelvic exam

Check patient's EHR for the reason for the visit and for any orders

What symptoms are experienced by a patient when their temp begins to rise?

Coldness and chills

Components of physical analysis of urine

Color, odor, clarity

5 stages of grief

Denial, Anger, Bargaining, Depression, Acceptance

The measure of force of blood against arterial walls while the heart is relaxing

Diastolic pressure

True or False: the physical analysis urine test is used to detect disease or disorders of the kidneys or urinary tract. Along with this test, a culture and sensitivity test may be collected.

False.... chemical analysis. Physical analysis is used to determine color, odor, and clarity

Correct order of steps for patient interview

Gather patient's vital, obtain any equipment the physician may need, and provide patient with wait time

Components of chemical analysis of urine

Glucose, pH, ketones, etc

RL wire color

Green

V3 color

Green

Which of the following supplies should a medical assistant assemble for a wellness checkup?

Growth chart

Bradycardia

HR < 60bpm

Tachycardia

HR > 100bpm

Info included in cytology request form

Hormonal therapy, types of birth control, surgical gynecologic history

Pregnancy tests detect which hormone?

Human chorionic gonadotropin (hCG)

Supplies that should be gathered for infant immunization

Immunization schedule, vaccine site map, and ordered vaccine

What practice directly affects the health of the patient, provider, and staff?

Infection control practices

Obtaining any equipment/supplies that the physician may need occurs during the (initial/concluding) steps of a patient visit

Initial

Bimanual Exam

Inspect uterus, fallopian tubes, and ovaries

What should be in the sterile tray or pack?

Instruments and gauze

Wound that results from surgical incision

Intentional wound

Pelvic exam position

Lithotomy

How many times should labels on all irrigation solutions, antiseptic solutions, and medications be checked for minor office surgery procedures?

MINIMUM OF 3 TIMES

Which food item should be avoided before the fecal occult blood test (FOBT)?

Melons

MMSE

Mini mental status exam -- dementia

Results in patient discomfort during venipuncture

Moving needle after it has been inserted into vein

Rate respiration characteristic

Number of breaths per minute

One respiration

One inhalation and one exhalation

V5 color

Orange

OPIM

Other Potentially Infectious Material - Body fluids - Non-intact skin - Mucous membranes

Color descriptors of urine

Pale yellow, amber, straw yellow

Self-Breast exam

Patient uses circular motion moving up and down and across the breast from the outer edge toward the midline of the breastbone

What is the first step in setting up and prepping a pulmonary function test?

Peak flow meter

When prepping the Mayo stand and opening a sterile pack, what is the first step?

Performing hand hygiene and donning sterile gloves

What must be considered when prepping a patient for a minor surgical procedure?

Physical limitations

Best technique for measuring infant length

Place infant in supine position

Correct way to handle swab for onsite testing

Place the swab in its original wrapper

What effect can patient movement have on the pulse oximetry procedure?

Prevents probe from picking up the pulse signal

Reason for using warm water during handwashing

Prevents skin from chapping and cracking

Included on specimen label

Pt name, DOB, date of collection

Which receptacle should staples be disposed in?

Puncture-proof sharps container

V6 color

Purple

Violation of sterile technique

Reaching over sterile field

LL wire color

Red

V1 color

Red

What should the MA do first when setting up a peak flow test?

Review orders and reason for test in patient's chart

EKG ground lead

Right leg

Provides info on the hazards and actions necessary when working with specific chemicals

Safety data sheets

First step for urine chemical analysis

Select the start button and proceed to immediately dip the test strip into the urine

Red tube top

Serum determination

Which table holds items that cannot be directly placed on/next to the sterile field?

Side table

Type of patient visit that is conducted using technology to facilitate an encounter with the patient and the provider in different locations

Telehealth visit

What can the MA do to help the patient relax during a pelvic exam?

Tell the patient to breathe deeply, slowly, and evenly thru the mouth

What should the MA do if a patient is out of breath or feels faint during the spirometry test?

Temporarily stop the test to give the patient time to rest

Why is it important to develop rapport with a pediatric patient?

The child is more likely to be cooperative during procedures

Best description of sterilization

The complete destruction of all microorganisms through specific methods; can destroy spores

Which letter denotes the chest/precordial leads?

The letter V with a number 1 thru 6

Why should a lab coat, gloves, and protective eyewear be worn during hCG urinalysis?

To protect the MA from possible splash risks

True or False. When preparing surgical trays and items to be used during a surgical procedure, it is the medical assistant's responsibility to practice sterile techniques and ensure that items are sterile from preparation through the end of the procedure

True

When measuring BP, how should the patient's arm be positioned?

at heart level

EKG description

Used to record electrical activity of the heart

Personal record that includes the names of vaccines administered and dates of administration

Vaccine Administration Record if you can believe it

Info sheets produced by the CDC that explains benefits and risks of a vaccine

Vaccine Information Statement

Asked to ensure accuracy when measuring oral temp electronically

Verify that the patient has not consumed any cold or hot foods/liquids in the past 15-30 minutes

When is the first label review of solutions and medications conducted?

When pulling supplies

What increases visibility of the throat structures?

When the uvula is elevated

RA wire color

White

Blood culture tube top

Yellow

V2 color

Yellow

GAD

anxiety screening

Method to reduce microorganisms on the skin by destroying pathogens

aseptic handwashing

Right form

capsule, tablet, lotion, etc

What must the MA do before collecting a nasopharyngeal specimen?

check swab and transport medium packaging for expiration date

Hematoma

collection of blood underneath skin

May change status of patient's collection site

dehydration

IM injection site

deltoid

When performing capillary puncture, the finger should not be forcefully squeezed to avoid

diluting the blood sample with tissue fluid

Telehealth visits

each facility should establish its own protocol for the process of beginning a telehealth visit

Right to know

explanation of possible side effects

GDS

geriatric depression scale

Rooming

getting a patient ready for the provider

Gray tube top

glucose testing

What would indicate that the MA should not perform testing?

if individual testing items have been opened

What preservation tool should be used when sending a specimen for a throat culture to an outside lab?

transport medium

Following the patient interview phase of the telehealth visit, what should the MA do next?

let the patient know that they will be put on hold to wait for the provider

Right route

med delivery location

Best vein for venipuncture

median cubital cephalic basilic

Right Dose

medication strength

What type of analysis is conducted by pouring urine into the centrifuge to observe appearance of the specimen?

microscopic analysis

V3 electrode placement

midway b/w V2 and V4

Kg to lb conversion

multiply by 2.2

Inches to centimeters conversion

multiply by 2.54

When should a respirator be used?

only after a successful respirator fit test

PHQ

patient health questionnaire -- depression

Green tube top

plasma determination

SubQ injection site

posterior bicep, abdomen

Chief Complaint

primary reason for office visit

Set of infection control practices used to prevent the transmission of diseases that can be acquired through blood, body fluids, non-intact skin, and mucous membranes

standard precautions

After the patient interview process, what should the MA check before exiting the exam room?

that all the equipment is working properly

True statement about measuring head circumference

the tape measure should be wrapped above the eyebrows and ears when measuring head circumference

Why is a small amount of urine voided into the toilet before obtaining specimen?

to flush out microorganisms of distal urethra