Complete NHA CCMA study guide
Assesses the HR
-6 second Method -Large Boxes Method -Small Boxes -Sequence Method
Hypotensive
-90/-60
Sympathetitc via the neurotransmitter Norepinehrine results:
-Increases the HR -Increases the force of contraction -Increase the blood pressure -Via dopaminergic receptors increase the diameter of the visceral blood vessels and consequently visceral blood flow
The left coronary artery has two branches:
-Left Anterior Descending (LAD) -Left Circumflex (LCX)
Eu
...
The normal P wave in standard and precordial leads does not exceed
0.11s in duration or 2.5 mm in height
Normal PR Interval
0.12-0.20s 3-5 small boxes
One big block
0.20 sec
The normal range of urine specific gravity for a random collection is _____ to _____.
1.002 to 1.030
How long does it take for blood to clot by normal coagulation process in the red top tube?
30-60 mins
1/2 to 5/8 inch needle, 23 to 25 gauge
A CCMA is to administer a subcutaneous injection on a patient who is obese. What type of needle should the CCMA choose?
Clotting
A CCMA must invert anticoagulant tubes to prevent what?
Release the tourniquet and stop the draw.
A CCMA observes a hematoma developing at the site of a venous blood draw. What should the CCMA do?
It is below the normal reference range.
A CCMA records a male patient's hemoglobin value as 9 g/dL. What should she tell the provider about this result?
Assign a temporary code
A CCMA uses a Category III code in procedural coding to do what?
is
A HCG test is/is not a CLIA-waived laboratory test? (PICK ONE)
temporal artery
A ____________________ _______________ temperature measures infrared heat waves from the temporal artery under the skin across the forehead.
Positive
A ____________________ deflection is a wave that exists above the isoelectric line. Any part of a wave that exists above the isoelectric line is said to be this, even if it is moving downward on the EKG paper. Once the wave reaches the isoelectric line and continues to travel downwards, then the wave becomes negatively deflected.
Snellen chart
A _____________________ ________________ is used in vision test for far distances.
What is a negative holter?
A negative holter will have no significant arrhythmias or ST changes
Describe the procedure.
A patient states that this is his first blood draw. What action should the CCMA take?
cyanotic
A patient with readings above or below 12 to 20 also should be observed for pale, ashen, or _______________ skin that may be cold to the touch, which could indicate a potential breathing dif culty in the patient
prehypertension
A patient's blood pressure is considered in the _____________________________ stage when the systolic is 120 to 139 or the diastolic is 80 to 89
120/80
A patient's blood pressure is considered normal when the systolic is less than ____________ and the diastolic is less than ___________ (ANSWER IS WRITTEN #/#)
4:00 AM
A patient's body temperature will be at its lowest at what times?
A blood specimen was rejected by the laboratory with the abbreviation QNS. Why was the specimen rejected? A specimen was insufficient The specimen was exposed to light The specimen was chilled The specimen was not properly mixed
A specimen was insufficient "QNS- quality not sufficient"
40
A trained athlete's heart rate may be closer to ______ beats a minute
Define Angina
Acute severe chest pain
(Prescription) pc
After meals or not on an empty stomach, from the Latin post cibum
Special air handling and ventilation are required to prevent
Airborne diseases under Airborne Precautions
What defines standard precautions?
All patients are presumed to be infective for blood borne pathogens
Precordial Chest Unipolar Leads
All these electrodes are positive and record the heart electricity in the horizontal plane. They include leads: V1, V2, V3, V4, V5, and V6.
Define Portal Of Entry
Allows the infectious agent access to the susceptible host.
Chux
An impermeable pad used to protect the patient's clothing and bedding.
Know as the father of Modern Anatomy. Dissected human bodies.
Andreas Versalius
The Semilunar valves
Aortic and pulmonic
Arterial Blood Gas Studies (ABG's)
Are valuable tools in the treatment of critically ill patients; used to monitor critically ill patients.
(Prescription) prn
As needed, from the Latin pro re nata, "as circumstances may require"
LL
Attach the _______ lead (red) to the patient's left leg with the tab facing the upper leg
Bloodborne Pathogen Abbreviation
BBP
should
Before taking a Pulmonary Function Test (PFT), patients (CHOOSE should/should not) refrain from smoking and using nebulizers or bronchodilators for 6 hours
12) At which point during a venipuncture process should a medical assistant label the blood specimen tube?
Before the patient is discharged
Normal Adult BP
Below 120/80
Test performed for lavender tube
CBC (complete blood count)
Test performed for red tube
CMP (comprehensive metabolic panel)
9) A medical assistant is reviewing dietary minerals with a patient which of the following minerals is essential for blood coagulation?
Calcium
9) A medical assistant is talking with a patient who has a vaginal yeast infection. Which of the following micro organisms causes the type of infection?
Candida albicans
The blood vessels, except for the _____, are composed of 3 layers.
Capillaries
4) Which of the following components of the body cells helps propel substances through passageways in the body?
Celia
(C x 9/5) + 32 = F
Celsius to Fahrenheit conversion equation is
14) a medical assistant is preparing to administer a vitamin injection to a patient. As part of verifying the right medication, which of the following actions should the medical assistant take?
Check the medication labels expiration date
2) which of the following is a risk factor the development of congestive heart failure CHF?
Chronic hypertension
12) A low fiber, high fat diet is a risk factor for which of the following diseases?
Colo rectal cancer
Vacutainer Tubes
Color-coded for specific tests and available in adult and pediatric sizes.
5) Which of the following should a medical assistant identify as a diagnostic Procedure that produces images of body structure?
Computed tomography (CT)
183 lbs
Convert 83 kg to lbs
37 C
Convert 98.6° F to C
cm x 0.39 = in
Convert centimeters to inches equation
in x 2.54 = cm
Convert inches to centimeters (cm) equation
kg x 2.2 = lbs
Convert kilograms to pounds
lbs x 0.45 = kg
Convert pounds to kilograms
Leukopenia
Decrease in WBC's seen with viral infection and leukemia
14) To be successful members of a team which of the following actions should a medical assistant take?
Demonstrate willingness to perform extra duties
The OGTT test is used for ?
Diagnosing diabetis mellitius and evaluating patients with frequent low blood sugar
QRS
Expected reference wave for this interval is 0.06 to 0.12 seconds
1) A medical assistant receives a splash of potentially infectious material to the eye while collecting a urine specimen. Which of the following actions should the medical assistant take to prevent the spread of infection?
Flush eyes and an eyewash station for at least 15 minutes
(Prescription) qid
Four Times a Day, from the Latin quater in die
9) Which of the following digits is the preferred site for capillary puncture on adult patient?
Fourth
Parasympathetic (Vagus Nerve)
Generally has an inhibitory effect via the neurotransmitter.
3) Which of the following structures in a human cell swords and synthesizes glycoproteins?
Golgi apparatus
History of Present Illness Abbreviation
HPI
Abbreviation for Heart Rate
HR
3) Which of the following statements about alcohol-based hand sanitizer is correct?
Hand sanitizer's should be applied to dry hands
What is the most important means of preventing the spread of infections?
Handwashing
7) which of the following methods should a medical assistant use when storing a disinfected endoscope?
Hang vertically
Know as the father of medicine. Identified syntoms of the disease and included a prognosis. The medical rule, " First do no harm" was contributed to him.
Hippocrates
A provider has ordered a patient to wear a telemetry monitor at home. Which of the following statements by the patient requires further instruction? I should take a sponge bath while wearing the monitor I'll keep track of my activities while wearing the monitor If an electrode comes off, I will reattach it at home I should wear loose clothing while wearing the monitor
If an electrode comes off, I will reattach it at home
2
If counting respirations for 30 seconds, multiply the number by ________.
Dry skin
If the patient has _________ ________________, the electrodes and gel won't adhere well to the skin. The gel will be unable to have the appropriate surface area contact to ensure a strong signal. The medical assistant can reduce artifact from dry skin by gently abrading the skin and using tincture of benzoin to promote good adhesion and surface contact.
Reason for visit
In addition to name and phone number, what other piece of information is required to schedule an appointment?
supine
In the __________________ position, the patient is laid at, facing upward
Phlebitis
Inflammation of a vein as a result of repeated venipuncture on that vein.
Thrombophlebitis
Inflammation of a vein with a clot formation
Hemostatis Stage 2: Platelet phase
Injury to the endothelial lining causes platelets to adhere to it.
7) A medical assistant notices rhythmic sharp spikes throughout EKG tracing which of the following artifacts is occurring?
Interference
Define Body Temperature
Is a balance between heart production and heart loss in conjunction with each other, maintained and regulated by the hypothalamus.
Stress Testing
Is a noninvasive diagnostic procedure indirectly, the presence and severity of coronary artery disease and the heart muscle lack of blood supply.
Define Electrode
Is a paper, plastic or metal sensor placed on the patient's skin on a specific location and transmit it to the cable.
Define Glycosuria
Is the presence of glucose in the urine.
Type 1 First Degree AV Block
It is characterized by a delay of impulses at the level of AV Node.
RR Interval
It is important to determine the HR and its regularity. This is the interval between two R waves.
2) A medical assistant is obtaining samples for a CBC test. Which of the following tubes should the medical assistant select?
Lavender
F stands for
Left Leg (LL)
receives oxygenated blood from the left atrium and pumps it to the body thru the aorta
Left Ventricle
What is the second most numerous WBC?
Lymphocyte with 20-40%
These WBC's play an important role in viral infection as well as in immunity.
Lymphocytes
12) a medical assistant is explaining to an older adult patient that she will require a lower dosage of medication than a younger adult. The medical assistant should explain that the difference in is primarily because of the effect on aging has on which of the following pharmacokinetic processes?
Metablolism
Define Cardiopulmonary Resuscitation
Most healthcare institutions require their professionals to be certifies in CPR. It is important for all professional to maintain all certifications acquired.
sharps container
Needles and any other item that has sharp edges or blades, such as a scalpel, should also be placed in a __________________ __________________________.
2) When a medical assistant is documenting data in a patient's progress notes, which of the following abbreviations is acceptable for use
O2 oxygen
Prevention/Management for Irritant Contact Dermatitis
Obtain medical diagnosis, avoid irritant product, consider use of cotton glove liners, consider alternative gloves/products.
Microscope
One of the most commonly used instruments in the medical laboratory.
Identify and examine the P waves
PP interval and measure the size of the P wave in different leads.
Fistula
Permanent surgical connection between an artery and a vein, never used for venipuncture
Which of the following test results is affected when povidone iodine is used to cleanse the site for a dermal puncture? Glucose Blood urea nitrogen Potassium Coagulation studies
Potassium
Increased levels of hCG are a natural marker for _____.
Pregnancy
Probably the most common specialized urine test is the _____ _____.
Pregnancy Test
A CCMA is measuring the intervals on an EKG tracing. Which of the following is an anticipated finding of impared conduction through the AV node? Decreased QT interval Prolonged QRS interval Prolonged QT interval Prolonged PR interval
Prolonged PR interval
A CCMA is measuring the intervals on an EKG tracing. Which of the following is an anticipated finding of impaired conduction through the AV node? Decreased QT interval Prolonged QRS interval Prolonged QT interval Prolonged PR interval
Prolonged PR interval is a direct reflection of AV node conduction
This fires at 20-40 bpm
Purkinje fibers
According to OSHA guidelines, a CCMA should dispose of blood-soiled gauze dressings in which of the following? Red biohazard bag Sharps container Trash can with clear leak-proof liner purple medical waste container
Red biohazard bag
Define contact precautions
Reducing the risk of transmission of microorganisms direct or indirect
Define Anthropometric Measurements
Refers to comparative measurements of the body.
Define Waveform
Refers to movement away from the isoelectric line either upward (positive) deflection or downward (negative) deflection.
9) using knowledge of Roots and suffixes, a medical assistant should identify the term for oophorectomy has which of the following meaning ?
Removal of the ovaries
4) Which of the following is recommended regarding finger nail care in hand hygiene?
Remove artificial nails when working with high-risk populations
Good Samaritan Law
Rendering first aid within the scope of knowledge by a health care worker with out fear of being sued for negligence
Eosinophils
Represent 1% to 3 % of the WBC population. They are active against antibody-labeled foreign molecules. Their numbers are increased in allergies, skin infections, and parasitic infections.
OSHA is
Responsible for the identification of the various hazards present in the work place and for the creation of rules and regulations to minimize exposure to such hazards.
7) when reviewing a patient's medical history, a Medical assistant should identify which of the following terms is a medical disorder that involves inflammation of the joints?
Rheumatoid arthritis RA
15) a medical assistant is preparing to administer a medication that should be taken at least 2 hours after a meal. The medical assistant asks when the patient last ate. Which of the following rights of medication administration is the medical assistant demonstrating?
Right time
Symptoms/Signs of Irritant Contact Dermatitis
Scaling, drying, cracking of skin,
1) A medical assistant is repairing your patient who has shortness of breath for an EKG. In which of the following positions to the assistant place the patient?
Semi Fowler
Expresionless face and staring eyes are indications of
Shock
12) A medical assistant is reviewing the results of the urine collection provided by an adult patient at the clinic. Which of the following laboratory results is outside of the expected reference range?
Specific gravity 1.042
Define Mode Transmission
Specific ways in which microorganism travel from the reservoir to the susceptible host.
3) A medical assistant is checking in a patient who has hearing loss. Which of the following actions should the medical assistant take?
Stand with the patient the other vision
2) A medical assistant is speaking with a patient. Which of the following might occur as a barrier to communication?
Stereotyping
Cadiac Output Formula
Stroke Volume x HR per/min
SQ
Subcutaneous
9) Which of the following medical record content areas includes a patients demographic data?
Subjective
R-R interval
The ____-_____ ____________________ represents the amount of time between ventricular depolarization cycles (between R waves). The R-R interval is measured from the beginning of one R wave to the beginning of the next R wave.
6-second rule
The _____-__________________ ____________ is simple and works well in any situation. It is the gold standard for estimating the rate of an irregular rhythm. At the top of the tracing, there are small hash marks indicating 3-second intervals. Count the number of QRS complexes in two of the sections (6-second period) and multiply by 10. For example, you count six QRS complexes in 6 seconds. 6 X 10 = 60/min.
Define Conductivity
The ability to receive and transmit electrical impulses to adjacent cells.
Emergency First Aid
The ability to recognize and react quickly to an emergency may be the difference of life or death for the patient.
Define Automaticity
The ability to spontaneously trigger electrical impulses without being stimulated by another source.
Define Heart as a Pump
The blood volume ejected outside the heart is equal to the blood volume returning back 1 into the heart.
Expanded problem-focused history
The clinical medical assistant is coding an office visit where the provider reviews the systems that are related to the chief complaint, but does not go into the patient's family or social history. In determining the level of service provided, what will the assistant use to code this visit?
8) In medical assistant is preparing business correspondence. Which of the following is a characteristic of the modified block letter style?
The complementary closing is centered on the page
Define Medical Asepsis
The destruction of pathogenic microorganisms after them leave the body. It also involves environmental hygiene measures such as equipment cleaning and disinfection procedures.
S (s) Wave
The first negative deflection produced by the ventricular depolarization that follows the first positive deflection, (R) wave.
R (r) Wave
The first positive deflection produced by ventricular depolarization.
T Wave
The first wave after the QRS complex has the following characteristics: -The deflection produced by ventricular repolarization -It is slightly asymmetric -No more than 5mm in height
The Circulatory System
The function of this system is to deliver oxygen, nutrients, hormones, and enzymes to the cells (exchange is done at the capillary level) and to transport cellular waste sure as carbon dioxide and urea to the organs (lungs and kidneys, respectively) where they can be expelled from the body.
Dry gel
The gel on the EKG electrodes is specially designed to interface with the patient's skin. The gel is able to sense extremely low levels of energy and requires the full surface area to make contact with the patient. Electrodes with __________ ___________ should not be used.
Starling Law
The greater the volume of blood inside the heart during diastole, the stronger the heart contraction force during the systole.
Dermal Punctures (Infants)
The heel is used. Areas recommended are the medical and lateral areas of the plantar surface of the foot.
Explanation of Hemoconcentration
The increase in proportion of formed elements to plasma caused by leaving on the tourniquet for more than two minutes
Hemoconcentration
The increase in proportion of formed elements to plasma caused by the tourniquet being left too long.
Define Susceptible Host
The infectious agent enters a person who is not resistant or immune. Control at this level is directed towards the identification of the patients at risk, treat their underlying condition for susceptibility, or isolate them from the reservoir.
Q (q) Wave
The initial negative deflection produced by ventricular depolarization.
Lead aVL
The left arm is positive and the other limbs are negative.
Define Portal of Exit
The method by which an infectious agent leaves it reservoir.
Neutrophils
The most numerous, comprise about 40% to 60% of WBC population. The are phagocytic cells, meaning, they engulf and digest bacteria. Their # increases in bacterial infection, and often, the first one on the scene.
6 second Method
The number of QRS Complexes between 6 sec marks on the EKG paper is multiplied by 10. Used generally for estimating slow or irregular rhythms.
Define The Pulmonary Veins
The only veins in the body that carry oxygenated blood (because they are going towards the heart).
13) using knowledge of positional and directional prefixes and terms a medical assistant should identify that term contralateral has which of the following meanings?
The opposite side
Define hematocrit
The percentage by colume of packed red blood cells in a given sample of blood after centrifugation
An adolescent child is covered by two insurance policies under her married parents. In order to determine the primary policy, which of the following should the CCMA obtain? The policy of the parent with the earliest birth month The policy written in which the patient is the dependent The policy written first The policy that the patient chooses
The policy of the parent with the earliest birth month (according to third party guidelines)
chain of custody
The process that maintains control of and accountability for each specimen from the time of collection to the time of disposal is called the ______________________ _______ _______________________.
Chief Complaint Definition
The reason why the patient came to see the physician.
Normal Sinus Rhythm
The rhythm originated from the SA has the following characteristics: -HR 60-100 bpm -Similar P in all the leads in front of all QRS (0.1 sec) -A constant PR (0.12 to 0.2) sec interval in all the leads, regular rhythm
Lead aVR
The right arm is positive and the other limbs are negative.
1 hour
The semen sample should be tested within ______ ______________.
Mycology
The study of fungi.
Parasitology
The study of parasites.
Virology
The study of viruses.
venipuncture
The superficial veins for _______________________ on a patient under 2 years old include the scalp, wrist, and medial ankle.
4) when considering the anatomy of the body, which of the following statements is correct?
The thumb is lateral to the index finger
First Morning Sample
The type of specimen most commonly used for routine urinalysis.
Hand Antisepsis requires:
The use of antimicrobial soap to remove, kill or inhibit transient microorganisms.
Median Cubital Vein
The vein of choice because it is large and does not tend to move when the needle is inserted.
Timed specimen
This test is collect over a predetermined time period to obtain additional health information. The patient should discard the first specimen. After this, all urine should be collected for a specified time period. The patient's urine should not contact either stool or toilet paper. Refrigerate the specimens until someone brings them to the physician's office or laboratory.
(Prescription) tid
Three Times a Day, from the Latin ter in die
aspirate
To __________________ is to pull back the plunger a little to observe for blood to ensure that you have will not be injecting into a blood vessel.
Specimen Labels
To be placed on each tube collected after venipuncture.
oral
To perform an __________________ temperature, inform patient that their temperature will be taken from under their tongue.
3) which of the following planes divides the body into upper and lower portions ?
Transverse
While administering a OGTT it is important to take what with each sample
Urine Sample
Define Urine Composition
Urine formed by a healthy kidney is approximately 96% water and 4% dissolved substances consisting mainly of urea, sodium chloride, sulfates and phosphates.
A Routine Hand Washing Procedure:
Uses plain soap to remove soil and transient bacteria.
The inner layer of the Pericardium is called:
Visceral Pericardium or Epicardium
13) Which of the following is used to indicate homeostasis in the body?
Vital signs
EDTA
What additive should be used when performing a CBC?
The absence of a P wave
What finding on the tracing below should a CCMA be most concerned with?
Swallow the tablet whole with a glass of water.
What instructions should a CCMA use to administer an enteric-coated tablet to a patient?
Coach the patient through the test.
What is a CCMA's role in pulmonary function testing (PFT)?
Benzalkonium chloride
What is appropriate for cleansing around the urinary meatus in a clean-catch urine collection?
The primary purpose is to provide reliable data about a patients health status by ensuring the accuracy of a test while detecting and eliminating error
What is quality control
The patient's demographic information
What is required to schedule an outpatient procedure after receiving a provider's order?
10 mm/mV
What is the EKG gain of the tracing below?
Arrhyythmias of Sinus Origin
Where electrical flow follows the usual conduction pathway but is too fast, too slow, or irregular.
6) A medical assistant is washing infections to breeze of several sharp surgical instruments. Which of the following actions should the medical assistant take?
Where utility gloves will sanitizing the instruments
Transdermal
Which parenteral medication routes should a CCMA administer for a slow release of medication into the blood stream?
Define Inspection
Which provided an enormous amount of information. The observer uses observation to detect significant physical features or objective data.
Patient's movement
While performing a pulse oximetry reading on a patient, what factor should the CCMA recognize as contributing to an erroneous result?
What is the name of the legislation that protects health care staff from retaliation by their employers who they report cases of patient neglect and abuse? Good Samaritan Act HTECH Act Whistleblower Protection Act Patient's Rights Act
Whistleblower Protection Act
The biohazard bag prevents a possible exposure incident.
Why is it important to place a specimen in a biohazard specimen bag when transporting to an outside laboratory?
Smear Preparation
Will produce a thin monolayer of organisms for easy visualization but will be thick enough to reveal characteristic arrangement of the bacteria.
Discovered how the heart pumps blood through the circulatory system.
William Harvey
Butterfly
Winged infusion set
What is important to do first after dermal puncture?
Wipe away the first drop
2) a medical assistant is reviewing nutritional guidelines with a patient who is following a high protein diet. Which of the following statements should the medical assistant make?
Without sufficient carbohydrates and fat the body will burn protien for energy
Whats does WHO stand for?
World Health Organization
Which of the following techniques should the CCMA use when bandaging a wound? Wrap the wound from distal to proximal Bandage fingers and toes to prevent further injury Extend the wound dressing 3 to 5 inches beyond the bandage Moisten and apply ointment before bandaging
Wrap the wound from distal to proximal
Hypertension Stage 1
_________________________ _______________ _____ is when the systolic range is 140 to 159 or the diastolic is 90 to 99.
Which of the following questions is important to ask a patient prior to collecting a metabolic panel? a. "When was the last time you ate?" b. "What time did you go to bed?" .c "Do you take and medications?" d. "What is your weight?"
a. "When was the last time you are?"
When performing the palpatory method for obtaining blood pressure which of the following indicates the level the CCMA should inflate the cuff? a. 30 mm above radial pulse cessation b. 30 mm above the brachial pulse cessation c. 30 mm above the reappearance of the radial pulse d. 30 mm aboce the reapperance of the brachial pulse
a. 30 mm above the radial pulse cessation
When applying a Holter monitor, how many leads are placed on the patinet? a. 5 b. 9 c. 10 d. 12
a. 5
A patient reports she weighs 110 lb. How must does the patient weight in kg? a. 50 kg b. 220 kg c. 55 kg d. 242 kg
a. 50 kg
Which of the following terms should a CCMA use to tell a provider that a patient is having discomfort and difficulty breathing? a. Dyspnea b. Eupnea c. Pneumothorax d. Pneunmonia
a. Dyspnea
Which of the following statements madr by a CCMA about patient records indicates a need for further teaching? a. "It is okay for me to share personal information with the patient's employer." b. "I must keep all medical records locked in the file cabinet when not being used." c. "It is OK for me to share test results with the patient's provider." d. "I must shred patient records and place them in the shredded material disposal box."
a. It is OK for me to share personal information with the patient's employer."
In which of the following positions should a CC<A place a patient for a rectal exam? a. Sims b. Lithotomy c. Supine d. Trendelenburg
a. Sims
A CCMA is preparing sterilization for hemostats before an invasive procedure. Which of the following techniques should the CCMA use. a. Autoclave b. Gas c. Dry heat d. Chemical
a. autoclave
Which of the following laboratory values should a CCMA immediately report to a patient's provider? a. Blood glucose - 500 mg/dL b. Potassium - 4.1 mEq.l c. Hematocrit - 42% d. Hemoglobin - 14 g/dL
a. blood glucose - 500 mg/dL
For 5-lead electrode placement for ambulatory monitoring, where should the CCMA place the green ground electrode? a. Centered over a rib on the right side b. On the right area of the manubrium c. Fifth intercostal space midclavicular d. On the xiphooid process of the sternum
a. centered over a rib on the right side
Which of the following is a CCMA's role in pulmonary function testing (PFT)? a. Coach the patient through the test b. Check the patient's vital signs during the test to ensure stability c. Administer the proper medication prior to the test d. Instruct the patient in the use of the inhaler used in testing
a. coach the patient through the test
Which of the following techniques should the CCMA use for routine cleaning of EKG cables? a. Disinfect b. Sanitize c. Sterilize d. Soak
a. disinfect
Where should a CCMA place the eletrodes for leads V7, V8, and V9? a. Evenly spaced on the back between the axillary line and the vertebral column at the 5th intercostal space b. Evenly spaced on the right chest between the sternum and the right axillary line at the 5th intercostal space c. On the axillary plane at the 5th intercostal space d, On the frontal plane at the 6th intercostal space
a. evenly spaced on the back between the axillary line and the vertebral column at the 5th intercostal space
The CCMA is coding an office visit where the provider reviews the systems that are related to the chief comaplint, but does not go into the patent;s family or social history. In determining the level of service provided, which of the following will the CCMA use to code the visit? a. Expanded problem-focused history b. Comprehensive history c. Detailed history d. Problem focused history
a. expanded problem-focused history
A CCMA is preparing to draw venous blood samples. Due to OSHA requirements, the CCMA should wear which of the following protective devices? a. Gloves b. Eye protection c. Surgical mask d. Face shield
a. gloves
A CCMA must choose the correct tube color to correspond with which of the following a. Laboratory test b. Order of draw c. Priority status d. Handling order
a. laboratory test
The lab report on a patient indicates a hemoglobin level of 7 g/dl. Which of the following is the first action for the CCMA? a. notify the provider b. inform the patient c. record the results in the medical record d. reperat the test to insure accuracy
a. notify the provider
Which of the following techniques can a CCMA use to confirm patient understanding of insulin administration? a. Observe the patient as seh performs a self-demonstration b. Provide the patient with written instructions c. Offer the patient a website to visit for directions d. Repeat the instructions to the patient
a. observe the patient as she performs a self-demonstration
Which of the following should a CCMA recognize as "open hours" scheduling used at the urgent center where she works? a. Patients arrive at their convenience and are seem on a first-come first-serve basis. b. Three patients are scheduled at the same time. They are taken as they arrive c. Each patient arrives at the particular time assigned. Enough time is reserved for their reason of visit. d. Patients with the same disorders are seen on a specific day or for specific block of time during the day of week
a. patients arrive at their convenience and are seen on a first-come. forst-serve basis
A CCMA is taking the temperature of a patient who just smoked a cigarette. Which of the following is the correct sequence for taking this patient's temperature? a. Pulse respirations, blood pressure, temperature b. Temperature, pulse, repirations, and blood pressure c. Blood pressure, pulse, repirations, and temperature d. Repirations, pulse, temperature, and blood pressure
a. pulse, respirations, blood pressure, temperature
Which of the following tests is granted waived status under Clinical Laboratory Improvment Amendments (CLIA)? a. Rapid strep test b. Urine microscopy analysis c. Thyroid stimulating hormone d. White blood cell differential
a. rapid stress test
According to OSHA guidelines, a CCMA should dispose of blood-soiled gauze in which of the following? a. Red bio-hazard bag b. Sharps container c. Trash can with clear leak-proof liner d. Purple medical waste container
a. red bio-hazard bag
Which of the following activities should a CCMA tell a patient to record in his Holter monitor diary? a. Running b. Swimming c. Eating d. Sleeping
a. running
I which of the following scenarios should a CCMA chose a CPT modifier? a. Special circumstances applied to the procedure performed by the provider b. Examination performed to diagnose the patient's condition and to determine treatment c. Follow-up procedure performed by the CCMA d. Routine services provided by the physician to healthy patient
a. special circumstances applied to the procedure performed by the provider
A blood specimen was rejected by the laboratory with the abbreviation QNS. Why was the specimen rejected? a. The specimen was insufficient b. The specimen was expossed to light c. The specimen was shilled d. The specimen was not properly mixed
a. the specimen was insufficient
Which are unipolar leads?
aVR, aVL, aVF
Excitability or irritability
ability of cardiac cells to respond to external stimulus
Contractility
ability of cardiac cells to shorten (muscle contraction) in response to electrical stimulus
Automaticity
ability of the cardiac cells to initiate own electrical impulses without outside stimulation
Re
again, back
Which of the following routes for taking a patient's temperature is the most accurate? a. Axillary b. Rectal c. Oral d. Temporal
b, rectal
A first-time patient is late arriving to the office. Which of the following should the CCMA say first? a. "Have a seat, We will be with you shortly." b. "Hello, Welcome to our office." c. "What is your best phone number? We couldn't reach you this morning." d. "Please complete these forms and return them to the desk."
b. "Hello, welcome to our office."
Which of the following is the proper time period for the collection of newform screening card? a. Less than 24 hours b. 1 to 7 days c. 8 to 14 days d. 15 to 28 days
b. 1 to 7 days
A CCMA is educating a patient about the home use of his ambulatory telemetry monitor. The CCMA should tell the patient that, if his electrode comes loose, the patient should do which of the following? a. Use an alcohol swab to wipe the dirt and oils from the body surface b. Apply surgical table to the electrodes to keep them in place c. Shave the hair and replace the electrode d. Apply fresh electrodes from the same manufacturer
b. apply surgical tape to the electrodes to keep them in place
A CCMA uses a Category III code in procedure coding to do which of the following? a. Indicate special circumstances b. Assign a temporary code c. Aid in tracking of the code d. Identify a performance measurement
b. assign a temporary code
A patient loses consciousness. The EKG tracing reveals ventricular fibrilation, Which of the following should the CCMA do first? a. Notify the provider of the arrest b. Call for help and begin CPR c. Get the automated external defibrillator d. Administer oxygen
b. call for help and begin CPR
A CCMA must invert anticoagulant tubes to prevent which of the following? a. Hemolysis b. Clotting c. Hemoconcentration d. Reflux
b. clotting
The patient's Bill of Rights protects individuals from which of the following? a. Lawsuites when rendering voluntary assitance in an emergency b. Denial of care due to the patient's age c. Financial obligation incurred for health care services provided d. Release of medical information to patient's emplyer without consent
b. denial of care due to patient's age
A provider places an open sharps container in the lined hamper by mistake. Which is the appropriate action for the CCMA to take? a. Question the provider b. Dispose of the linen hamper's contents as biohazard c. Disinfect the contents of the linen hamper with bleach d. Prepare a report for OSHA
b. dispose of the linen hamper's contents as a biohazard
How often should a CCMA perform an inventory of controlled substances? a. End of each week b. End of each shift c. Every year d. Every six months
b. end of each shift
Which of the following dressings should a CCMA use on burns or wounds that have necrotic tissue? a. Foams b. Hydrogels c. Alginates d. Gauze
b. hydrogels
A CCMA had orders to collect blood cultures, CBC,PTT,and an iron panel. HE forgets to draw for the PTT. Which of the following actions should the CCMA take? a. Discard the specimens and redraw b. Keep the specimens collected and draw the PTT c. Call another CCMA and notify the supervisor d. Draw a discard tube and redraw blood cultures and blue top
b. keep the specimens collected and draw the PTT
The CCMA should regonize that a typical 7-year-old child's heart rate should be between which of the following? a. Higher that a toddler's b. Lower that a newborn c. Lower that an adult's d. Higher that an infant
b. lower than a newborns
Twenty seconds into measuring a patient's pulse, a CCMA detects an irregular heartbeat. The CCMA should take which of the following actions? a. Stop measuring the pulse b. Measure the pulse for 1 min c. measure the pulse for 30 sec d. Measure the pulse on the opposite wrist
b. measure the pulse for 1 min
A CCMA is scheduling a patient for an outpatient procedure. The CCMA should take which of the following actions first? a. Precertify the procedure with the patient's insurance company b. Obtain an oral or written order from the provider for the procedure c. call the outpatient facility to inquire about available days and times for the procedure d. Contact the patient to find out his availability for the procedure
b. obtain oral or written orders from the provider for the procedure
Which of the following is the most important factor to consider when collection a chain of custody specimen? a. Appropriate amount b. Proper identification c. Appropriate collection method d. Proper handeling
b. proper identification
Which of the following should a CCMA perform on a hemostat prior to autoclaving? a. Antiseptic procedure b. Sanitization c. Disinfection d. Sterilization
b. sanitization
A CCMA is performing a spirometery test for a patient who has a repiatory disease. Which of the following is the best position for this patient to be placed? a. Supine b. Seated c. Standing d. Prone
b. seated
A CCMA is preparing to perform an EKG on a 3-year-old patient. Which of the following is an appropriate action for the ccma to take before the procedure? a. Restrain he child b. Tell the child that the procedure won't hurt c. Ask the parent to hold the child during the procedure d. Require the parents to leave the room
b. tell the child that the procedure won't hurt
Why is it important to place a specimen in a bio-hazard bad when transporting to an outside laboratory? a. The bio-hazard bad ensures prompy transportation of the specimen b. The bio-hazard bag prevents a possible exposure incident c. The bio-hazard bag allows the whole blood specimen to be placed in the freezer d. The bio-hazard bag maintains the proper in vitro characteristics of th specimen
b. the bio-hazard bag prevents a possible exposure incident
A CCMA is preparing to perform a hand draw. Which of the following should the CCMA assemble? a. ETS needle and transfer device b. Winged infusion set and adaptor c. Syringe and vacutainer d. Lancet and microtainer
b. winged infustion set and adaptor
Retro
backward, behind
The presence of leukocytes in urine is an indicator for what?
bacteruria or UTI
Pre
before
Infra
below, beneath
Ambi
both
When performing a visual acuity test for a pediatric patient, which of the following distances should the CCMA use? a. 20 feet b. 5 feet c. 10 feet d. 15 feet
c. 10 feet
Which of the following waves should a CCMA use to determine the regularity of ventricular depolarization? a. U b. T c. R d. P
c. R
A patient is reporting chest pain and pressure. If this patient is experiencing a heart attack, which of the following laboratory test results caould be elevated? a. Urolilinogen b. Reticulocyte c. Troponin d. Prolactin
c. Troponin
What is the name of the legislation that protects health care staff from retaliation by their employers when they report cases of patient neglect and abuse? a. Good Samaritan Act b. HITECH Act c. Whistleblower Protection Act d. Patient's Rights Act
c. Whistlerblowers Protection Act
According to OSHA's guidelines for proper waste disposal, which of the following should a CCMA place in a regular waste container? a. A positive culture plate b. Suture staples c. An empty urine container d. A capillary tube
c. an empty urine container
A CCMA is drawing blood from a patient and observes red spots. Which of the following is an appropriate action for the CCMA to take? a. Stop the draw immediately b. Apply ice to the site after draw c. Apply more pressure to the site after the draw d. Instruct the patient to open and close her fist
c. apply more pressure to the site after the draw
For a 12-lead EKG, which of the following is the correct placement for the fourth precordial electrode (V4)? a. At the fourth intercostal space, right margin of the sternum b. Halfway between V3 and V5 c. At the fifth intercostal space, left mid-clavicular line d. At the fourth intercostal spasce, right midclavicular line
c. at the fefth intercostal space, left mid-clavicular line
Which of the following steps for a finger stick should a CCMA complete first? a. Cleanse the site with an antiseptic wipe b. Select the appropriate part of the 3rd or 4th finger c. Position the blade of the lancet across the lines of the fingertip d. Confirm the correct identity of the patient
c. confirm the correct identity of the patient
Which of the following methods for calculating a patient's heart rate from the EKG is correct? a. Calculate the mean rate and divide 1500 by the rate b. Count the number of small boxes in two cardiac cycles c. Divide 1500 by the number of small boxes between two R-waves d. Count the number of large boxes between P and T waves
c. divide 1500 by the number of small boxes between R-waves
Which of the following is required when drawing a forensic sample? a. Have another CCMA witness the draw b. Have the next of kin sign a chain of custody form c. Have the receiving laboratory sign a chain of custody form d. Have a provider withness the draw
c. have the receiving laboratory sign a chain fo custody form
Which of the following actions should the CCMA take to verify the quality of venipuncture supplies before beginning a blood draw.? a. Determine that the tourniquet is the proper size b. Check the vacuum of the tube c. Inspect the integrity of the needle's seal d. Verify that the adapter in the correct color
c. inspect the integrity of the needle's seal
A CCMA is caring for a patient who has a body mass index (BMI) of 23. The patient should be catergorized as which of the following? a. Obese b. Underweight c. Normal weight d. overweight
c. normal weight
For which of the following must the CCMA follow chain of custody guidelines? a. Digoxin levels b. Blood cultures c. Paternity testing d. Lead levels
c. paternity testing
While performing a pulse oximetry reading, which of the following factors should the CCMA recognize as contributing to an erroneous result? a. Patient's blood pressure b. Patient's weight c. Patient's movement d. Patient's hydration
c. patient's movement
Which of the following tests results is affected when providone iodine is used to cleanse the site for a dermal puncture? a. Glucose b. Blood Urea Nitrogen c. Potassium d. Coagulation studies
c. potassium
Which of the following is an example of the acceptable reporting of routine lab results? a. Call the family physician with the results b. E-mail the results to the patient c. Send the results to the physician in a marked envelope d. Fax the results to the insurance office
c. send the results to the physician in a marked envelope
Which of the following can cause a hemolyzed specimen? a. Inverting the specimen four times b. Partially filling the collection tube c. Shaking the collection tube vigorously d. Allowing the specimen to clot
c. shaking the collection tube vigorously
A clinical medical assistant is drawing five blood tubes. When should the tourniquet be released? a. When the draw in complete b. After a flash of blood is seen c. Within 1 min of application of the tourniquet d. Between 2 and 3 min after application of the tourniquet
c. within 1 min of application of the tourniquet
A _____-______ _____-______ urine sample is usually required for any bacterial culture.
clean catch mid stream
-ia, -ism, -osis, -y
condition process
-tripsy
crushing
Category 1 CPT codes describe
current procedure
Which of the following is the proper procedure after collection an ammonia specimen? a. Protect the specimen tube from light b. Keep the specimen tube warm c. Keep the specimen tuve at body temperature d. Place the specimen tube in an ice-water slurry
d. Place the specimen tube in an ice-water slurry
A patient states that this is his first blood draw. Which of the following actions is appropriate? a. Explain the reason the test was ordered b. Infrom the patient of all possible test results c. Show the patient that gauge of the needle d. Describe the procedure
d. describe the procedure
Which of the following should a CCMA do first when blood is splashed in her eyes? a. Apply cold compresses b. Instill ophthalmix ointment c. Use antibiotic eye drops d. Flush with tepid water
d. flush with tepid water
A CCMA is mearuring the intervals on an EKG tracing . Which of the following is an anticipated finding of impaired conduction through the AV node? a. Decreased QT interval b. Prolonged QRS interval c, Prolonged AT interval d. Prolonged PR interval
d. prolonged PR interval
In addition to name and phone nunber, which of the following pieces of information is required to schedule an appointment? a. insurance b. social security number c. date of birth d. reason for visit
d. reason for visit
Patients are restricted from doing which of the following while wearing a Holter monitor? a. Exercise b. smoking c. Sexual activity d. Taking a showe r
d. taking a shower
The choice to perform a capillary puncture is best determined by which of the following factors? a. Patient weight b. Patient diagnosis c. Test results d. Test ordered
d. test ordered
-lysis
death or breakdown
Ischemia
decrease in amount of blood flow
For which procedure would you warm the site for a minimum of 3-4 minutes to increase blood flow?
dermal punctures (heel sticks)
qhs
each night or at bed time
The two hour postprandial test is used for?
evaluation of diabetes mellitus
qd
every day
Ultra
excessive
Supra
excessive, more
When checking for hormones in urine when do you collect the urine sample
first voiding in the morning
Quadra, Tetra
four
Hematocrite is made up of
hemoglobin x 3
Convert in to cm
inches x 2.54 = cm
(Prescription) IV
intravenous
Convert kg to lb
kg x 2.2 = lb
Ren
kidney
Class K fires
kitchen fires
Mega
large
OS
left eye
Multi
many
-meter
measure
Red gel separator
plastic tube
Glycosuria
presence of glucose in the urine
Pulse is taken where and how long
radial for 30sec x2, if tachy or brady take it 1 minute
Hypothalamus
regulates and maintains body temperature
-ectomy
removal
-rrhythmia
rhythm
Cost
ribs
Olig
scanty
Green tube
sodium heparin
-stomy or ostomy
surgical creation of an opening
-rrhaphy
suturing
The ans or autonomic nervous system is subdvided into
sympathetic and parasympathetic nervous system
Tri
three
tid
three times a day
Per
through
Ad
toward
-oma
tumor
Epi
upon, above
what does the QRS complex represent?
ventricular depolarization
The vertical axis represents:
voltage, measures in millivolts (1/1000 part of a volt) but expressed in millimeters: 0.1mV-1mm.
At the fifth intercostal space, left midclavicular line
For a 12-lead EKG, which of the following is the correct placement for the fourth precordial electrode (V4)?
Atrial flutter
What is the name of the arrhythmia in the EKG tracing below?
Blood cultures or sterile specimens
#1 in order of draw
Green top tube
#4 in order of draw, comes after red top tubes but before lavender top tubes
Lavender top tube
#5 in order of draw, comes after green top tubes, but before grey tubes
*C to *F
(*C x 9/5) + 32
*F to *C
(*F - 32) x 5/9
Define Excitability
(also called irritability) the ability to respond and react to a stimulus.
Typical Electrode Placement for Holter monitoring:
-2 exploring electrodes are placed over bone (to minimize motion artifact) near the V1 (over the 4th or 5th rib to the right of the sternum) and V5 (over the 5th rib at the left midaxillary line) -2 indifferent electrodes placed over the sternal head -One ground electrode placed over the 9th or 10th rib at the right midaxillary line
Some of the tests that require chilled specimen are:
-Arterial Blood Gases -Ammonia -Lactic Acid -Pyruvate -ACTH -Gastrin -Parathyroid Hormone
Patient's have the responsibility to:
-Ask for pain relief when you pain first starts -Help those caring for you to asses you pain -Tell those caring for you if your pain is not relieved -Tell those caring for you about any worries that you have about taking pain medications -Decide if you want your family and/or significant others to aid in your relief of pain
4 Cardiac Cell Properties
-Automaticity -Excitability -Conductivity -Contractility
Supplies for a Venipuncture:
-Laboratory Requisition slip and pen -Antiseptic -Vacutainer Tubes -Vacutainer Needles -Needle Adapters -Winged Infusion Sets -Sterile Syringes and Needles -Tourniquets -Chux -Specimen Labels -Gloves -Needle Disposal Container
First Aid For Shock
-Maintain an open airway for the victim -Call for assistance -Keep the victim lying down with the head lower than the rest of the body -Attempt to control bleeding or cause of shock (if known) -Keep the victim warm until help arrives
Myocardial Infarction Characteristics
-Marked ST elevation with hyperacute T waves reflect complete muscular wall damage -In later stages (sub-acute MI) deep Q waves are seen on the leads facing the lesion manifesting necrosis -Pathological Q waves and inverted T waves are signs of fibrosis and scar tissue formation It is an Emergency. Notify The Doctor.
PPE Includes:
-Mask -Goggles -Face Shields -Respirator
The 5 types of WBC's:
-Neutrophils -Lymphocytes -Monocytes -Eosinophils -Basophils
Physical Hazards - Electrical Safety Regulations:
-Use only ground plugs that have been approved by Underwriters' Laboratory (UL) -Never use extension cords -Avoid electrical circuit overloading -Inspect all cords and plugs periodically for damage -Use a surge protector on all sensitive electronic devices -Before servicing, UNPLUG the device from the electrical outlet -Use signs and/or labels to indicate high voltage or electrical hazard
Winged Infusion Sets
-Used for venipuncture on small veins such as those in the hand. They are also used for venipuncture in the eldery and pediatric patients. -The most common size is 23 gauge, 1/2 to 3/4 inch long.
Standard Precautions are:
-Wear gloves when collecting and handling blood, body fluids, or tissue specimen. -Wear face shields when there is a danger for splashing on mucous membranes. -Dispose of all needles and sharp objects in puncture-proof containers without recapping.
What methods are used to limit the transmission of infectious agents:
-Wound Care -Transmission-Based Precautions -Aseptic Technique
Oral Temperature is not taken from what patients:
-infants and children less than six years old -patients who has had surgery or facial, neck, nose, or mouth injury -those receiving oxygen -those with nasogastric tubes -patients with convulsive seizure -hemiplegic patients -patients with altered mental status
Chemical Examination of Urine Involves:
-pH -Glucose -Ketone -Protein -Blood -Bilirubin -Urobilinogen -Nitrite -Leukocyte Esterase
Rectal Temperature is not taken from what patients:
-patient's with heart disease -patients with rectal disease or disorder or has had rectal surgery -patients with diarrhea
Tympanic Temperature is not taken from what patients:
-patients with an ear disorder or ear drainage
ESR
0-22mm/hr (men) 0-29mm/hr (women)
1500 small blocks
1 min
25 small blocks
1 sec
Five big blocks
1 sec
Which of the following is the proper time period for the collection of a newborn screening card? Less than 24hrs 1 to 7 days 8 to 14 days 15 to 28 days
1 to 7 days
Order of Draw (BeCause Better Specimens Generate Perfect Goals)
1. Blood Cultures 2. Light Blue Top Tubes 3. Serum or non-additive tube (Red or Red/Gray Top Tubes) 4. Green Top Tubes 5. Lavendar Top Tubes 6. Gray Top Tubes
Intradermal 3 main sites
1. Forearm 2. Upper chest 3. Upper back
Order of Draw for Capillary Specimens
1. Lavender Tube 2. Tubes with other additives 3. Tubes without additives
The stages of Hemostasis:
1. Vascular 2. Platelet Phase 3. Coagulation Phase 4. Fibronolysis
What is the normal range of specific gravity of random collection
1.005-1.030
During a 24-hour period, normal adults with normal diets and normal fluid intake produce urine with a specific gravity of between _____ and _____.
1.015 and 1.025
normal range of specific gravity of urine in adults with normal diet and fluid intake
1.015-1.025
Chain of Infection (6 steps)
1.Susceptible Host 2.Infectious Agent 3.Reservoir 4.Portal of exit 5.Mode of transmission 6.Portal of entry
Intramuscular 4 main sites
1.Thigh 2.Deltoid 3.Hip 4.Buttocks
Subcutaneous 4 main sites
1.Upper arm 2. Above/ below waist 3.Upper buttock 4.Front of thigh
A CCMA is to administer a subcutaneous injection on a patient who is obese. Which of the following needles should the CCMA use? 1/2 to 5/8 inch needle, 23 to 25 guage 1 to 2 inch needle, 18 to 23 guage 3/8 to 5/8 inch needle, 25 to 27 guage 1/2 to 1inch needle, 21 to 22 guage
1/2 to 5/8 inch needle, 23 to 25 guage
A CCMA is to administer a subcutaneous injection on a patient who is obese. Which of the following needles should the CCMA choose? 1/2 to 5/8" needle, 23 to 25 gauge 1 to 2 inch needle, 18 to 23 gauge 3/8 to 5/8" needle, 25 to 27 gauge 1/2 to 1 inch needle, 21 to 22 gauge
1/2 to 5/8" needle, 23 to 25 gauge
7) In medical assistant is reviewing a prescription for oral liquid medication. The prescription calls for 10 mg of diazepam oral solution. Available is diazepam oral solution 5 mg/5 mL how many milliliters of the solution are required for each dose?
10 mL
When the vaccutainer method can not be used you would use
10-12ml Syringes
Intradermal injections are given at a ___angle with a ___gauge needle.
10-15*; 25-27
Microscopic examination of urine requires this amount
10-15ml
Pediatric fever rectal temperature
100.4 (38 C)
Rectal/Ear
101 F (38.3 C)
8) What is the ratio of applied leads to recorded leads for a standard EKG machine?
10:12
The EKG machine must be properly standardized so that 1mV will produce a deflection of _____.
10mm
Normal Adult Range of Respiratory Rate
12 to 20 per minute
Normal Adult Respirations
12-20 rpm
Normal adult Respiration rate
12-20rpm
Pre- Hypertension
120-139/ 80-89
Normal BP normal range
120/80
Normal Range for Platlets
130-400mm
A CCMA should recognize which of the following blood pressure readings as indicative of a patient who is prehypertensive? 140/90 mmHg 130/86 mmHg 100/65 mmHg 115/75 mmHg
130/86 mmHg is prehypertensive 140/90 mmHg is hypertensive 100/65 is average for a 10-15 yo, but hypotensive for an adult 115/75 is below 120/80 which is considered optimal blood pressure for an adult
Normal Range for Sodium
135-145mEq/L
sodium
136-144 mEq/L
Normal Range for Male Hgb
14-18g/dl
Hypertension (stage 1)
140-159/ 90-99
Intradermal injection degree
15
A CCMA is preparing a patient for a near visual acuity test. How far away should the patient hold the chart from the face? 12 inches 15 inches 20 inches 30 inches
15 inches
5) according to the CDC recommendations, what is the minimum length of time a medical assistant should spend scrubbing hands with soap and water when preferring hand hygiene?
15 seconds
The clinical and laboratory standards institute (CLSI) states that the needle insertion in the antecubital area should be at a : 5 to 10 degree angle 50 to 60 degree angle 15 to 30 degree angle 35 to 45 degree angle
15 to 30 degree angle
With the bevel upward insert the needle at which angle?
15-30 degrees
Total Platelets
150,000-400,000/mL
A CCMA is caring for a patient who weighs 72kg. What is the patient's weight in lbs?
158.4lbs 72*2.2= 158.4lbs
The provider orders the CCMA to prepare a tablespoon of medication for a patient. How many milliliters of medication should the CCMA draw up? 15mL 5mL 30mL 2.5mL
15mL
Hypertension (stage 2)
160+/100+
A CCMA is caring for a patient who is 5'7" tall. What is the patient's height in centimeters? (Round the answer to the nearest whole number)
170cm Convert 5'7" to 67" and multiply by 2.54 which gives you 170.18
8) A patient expresses to a medical assistant that he would like to designate his daughter as his health care proxy. Which of the following is the minimum age to be eligible as a healthcare proxy?
18
14) A patient believes that her healthcare privacy has been violated. The patients complaint must be filed within how many days?
180
Hypertensive crisis
180+/110+
Total cholesterol
180-200 mg/dl
2) Which of the following concentrations of bleach solution should a medical assistant use as a disinfectant in a clinical setting?
1:10
What is the ratio of bleach and water is a disinfected:
1:10
What is the least expensive and most available disinfectant for surfaces
1:10 bleach solution
The horizontal axis represents time:
1mm = 0.04 seconds 5mm = 0.2 seconds
5) A medical assistant is performing a visual acuity test and an adult patient. The patient is able to read 20/30 line with both eyes, but misses one letter which of the following results which of the medical assistant documented in the patient's medical record?
20/30- 1 ou
Average gauge of needle used for drawing blood
21-22
Boiling water at what temperature is considered a form of disinfected:
212 F
How long is a holter monitor worn?
24 hours or longer
Which of the following needle sizes is the most appropriate for a subcutaneous injection? 25 gauge 21 gauge 16 gauge 27 gauge
25 gauge
4) A medical assistant is calibrating and EKG machine. Which of the following should the assisted identify as the standard speed of recording?
25 mm/second
What amount of urine must you have to be sufficient for analysis?
25ml
The running speed of an EKG machine is _____.
25mm/sec
6) A medical assistant is converting a prescription for 30 mL of liquid medication from milliliters to tablespoons. The medical assistant should calculate this amount of medication converts to how many tablespoons?
2tbs
limb leads consist of
3 bipolar and 3 augmented leads
WBC
3,500-11,000/mL
How many inversion for the blue tube
3-4
When taking an oral temperature how long do you leave the thermometer in the patient's mouth?
3-5 minutes
Normal Range for Potassium
3.5-5 mEg/L
potassium
3.7-5.2 mEq/L
How long after a patient eats, smokes or drinks do you wait to take an oral temperature?
30 minutes
How many 1mm boxes are in a 6 second Rythm strip?
30 one millimeter boxes
When performing palpatory metyhod for obtaining BP. MA should inflate cuff ____ mm above ____ pulse cessation.
30; radial
When performing the palpatory method for obtaining blood pressure, which of the following indicates the level the CCMA should inflate the cuff? 30mm above the radial pulse cessation 30mm above the brachial pulse cessation 30mm above the reappearance of the radial pulse 30mm above the reappearance of the brachial pulse
30mm above the radial pulse cessation
Axillary temperature range in celsius
35.9-37.0C
Rectal Temperature range in celsius
37.0 -38.1 C
A CCMA is caring for a 4 month old infant who has a temperature of 100.4 degrees F. What is the temperature in Celsius?
38 Degrees Celcius (F-32)x 5/9
How many inversion for the gray tube
4-5 or 8-10
Normal RBC count (female)
4.2-5.4mm
How many RBC's per microliter of blood
4.2-6.2 million
hemoglobin A1C
4.5 to 6%
Normal, freshly voided urine will usually have a pH of _____ to _____.
4.5 to 8.0
RBC
4.5-6.0 (men) 4.0-5.5 (women)
Normal RBC count (male)
4.7-6.1mm
HCT
40-54% (men) 37-47% (women)
Subcutaneous injection degree
45
11) A medical assistant should allow a red top or serum separator tube SST to stand for which of the following lenghths of time prior to centrifuge?
45 minutes
Percentage of Formed Elements in the blood
45%
The formed elements constitute the remaining _____ of the blood. They are erythrocytes (red blood cells), which comprise 99% of the formed elements, the leukocytes (white blood cells) and the thrombocytes (platelets).
45%
How many electrodes are on a holter monitor
5
When applying a Holter monitor, how many monitor leads are placed on the patient? 5 9 10 12
5
How many inversion for the red tube
5 (plastic) 0 (glass)
If skin or eyes come in contact with chemicals wash area with water for ?
5 minutes
The average adult has _____ to _____ liters of blood.
5 to 6
The normal amount of WBC's (white blood cells) for an adult is _____ to ______ per microliter.
5,000 to 10,000
WHen taking axillary temerature how long should it be taken
5-10 mins or as required by office policy
When taking an axillary temperature how long should the thermometer be held in place?
5-10 minutes
Number of leukocytes for average adult per micrometer
5000-10000
A patient reports she weighs 110lbs. How much does the patient weigh in kg?
50kg 110lbs /2.2=50kg
Percentage of plasma in blood
55%
The normal heart rate is _____ to _____ bpm.
60 to 100
What is the normal range for an adult pulse:
60 to 100 beats per minute
Normal Sinus rate is
60-100 beats per minutes
Normal Adult Heart Rate
60-100 bpm
Normal adult pulse/heart rate
60-100bpm
A pH of _____ to _____ is considered to be alkaline or basic.
7 to 14
Bun
7-20 mg/dl
A pH of _____ is considered to be neutral.
7.0
A urine pH of what is considered neutral?
7.0 pH
Fasting BS
70-120
How many inversion for the green tube
8-10
How many inversion for the lavender tube
8-10
How many inversion for the yellow tube
8-10
calcium
8-5-10.9 mg/dl
The percentage of the target heart rate during a stress test that makes it valid
85%
When taking a pharmacologic stress test, it is concluded when
85% of the target rate is achieved
How long is the lifespan of a platelet?
9-12 days
Intramuscular injection degree
90
Intramuscular injections are given at a ___ angle with a ______gauge needle.
90*; 22-25
What is the percentage of water in blood?
92%
Normal Temperature Range for Axillary
96.6F to 98.6F 35.9C to 37.0C
Oral temperature range in Fahrenheit
97.6-99.6 F
Normal temperature range
97.6-99.6 F ( 36.4-36.7 C)
Normal Temperature Range for Oral
97.6F to 99.6F 36.5C to 37.5C
Normal body temperature
97.6° F to 99.6° F (36.4° to 36.7° C) is considered what?
Normal Temperature Range for Tympanic Membrane
98.6 F 37 C
Tympanic temperature range in F and C
98.6 F and 37C
Normal Body Temp
98.6*F or 37.0*C
Normal Temperature Range for Rectal
98.6F to 100.6F 37.0C to 38.1C
Normal QRS Interval
< 0.12s < 3 small boxes
Normal Weight
A CCMA is caring for a patient who has a body mass index (BMI) of 23. This patient should be categorized as which of the following?
N95 respirator
A CCMA is caring for a patient who has active tuberculosis. What PPE must be used during the patient's care?
170 cm
A CCMA is caring for a patient who is 5' 7" tall. What is the patient's height in centimeters? (Round the answer to the nearest whole number.)
158.4 lbs
A CCMA is caring for a patient who weighs 72 kg. What is this patient's weight in lb?
Begin chest compressions.
A CCMA is collecting a blood sample from a patient and notices the patient becomes unresponsive. The CCMA determines the patient is not breathing and does not have a pulse. What should the CCMA do first to respond to the patient's status?
Apply more pressure to the site after the draw.
A CCMA is drawing blood from a patient and observes red spots. What is an appropriate action for the CCMA to take?
lung
A Pulmonary Function Test (PFT) may be required when a patient's ______________ volume is in question.
Negative
A ____________________ wave is a wave that exists below the isoelectric line. Any part of a wave that exists below the isoelectric line is said to be this, even if it is moving upward on the EKG paper. Once the wave reaches the isoelectric line and continues to travel upward, then the wave becomes positively deflected.
spirometer
A _______________________ is an instrument for measuring the air capacity of the lungs.
wandering baseline
A _________________________ __________________________ appears on the EKG when the contact between electrode and skin is impeded. This can occur for a number of reasons, including patient movement or the presence of lotions or creams on the patient's skin.
Continuous Fever
A fever that remains constant above the baseline; it does not fluctuate.
The hear is:
A hollow muscular organ located in the thoracic cavity between the lungs in a space called Mediastenum.
13) a patient tells a medical assistant that the provider said to take the prescribed antibiotic four times per day because of the medications half-life. The patient wants to know what half-life means. Which of the following responses should the medical assistant make ?
A medcations. Half-life is the time it takes for the body to process and eliminate half of the dosage
1 ½ tablets
A medication container states there is 250 mg of medication in each scored tablet. The provider orders 375 mg. How many tablets should the CCMA give the patient?
What do you find in capillaries?
A mixture of venous and arterial blood is found
Define Contractility
A myocardial cell's ability to shorten (or contract) in response to a stimulus.
Quote the cost of the procedure.
A patient calls a facility and asks for the cost of a surgical procedure. How should the CCMA respond?
Don gloves
A patient presents to the emergency department with a large laceration to the wrist that is bleeding profusely. What action should the CCMA take first?
12 - 20
A patient's respiration rate should be ______ to ______ respirations per minute. (WRITTEN # - #)
Premature Ventricular Complex (PVC)
A premature ventricular complex arises from an irritable site within the ventricles. -The ORS is typically greater than 0.12 sec because the ventricular depolarization is abnormal or aberrant -T wave are usually in opposite direction of the QRS complex -A full compensatory pause usually follows
Encrypted e-mail
A provider is going on vacation and wants a CCMA to notify his patients. What is the best form of communication for notification for a patient who cannot be reached by phone?
Verify the dose with the nurse.
A provider ordered a tobramycin level to be drawn 1 hr after dose. The tobramycin has been ordered for an inpatient at 1100. What action should the CCMA take?
tachycardia
A resting heart rate consistently above 100 beats a minute may indicate ___________________________
bradycardia
A resting heart rate consistently below 60 beats a minute may indicate ___________________________
Common Cardiovascular Agents -Epinephrine
A sympathetic drug used to manage cardiac arrest, because increases heart contractibility.
The two layers of Pericardium are separated by:
A thin layer of fluid to prevent friction. These layers and the fluid between them are referred to as the pericardial sac.
4) Which of the following moral codes should a medical assistant reference when facing an ethical dilemma?
AMA code of Ethics
Test used to evaluate the intrinsic pathway and monitor heparin therapy
APTT also know as PTT
What fires at 40-60 bpm
AV junction, bundle of HIS
Define Hyperpnea
Abnormal increase in the depth and rate of breathing.
Define Afebrile
Absence of Fever
Anuria
Absence of urine.
Cause of Allergic Contact Dermatitis
Accelerators processing chemicals.
Red biohazard bag
According to OSHA guidelines, a CCMA should dispose of blood-soiled gauze dressings in what?
Basophils
Account for 0% to 1 % of WBC's in the blood. They carry histamine, which released in allergic reactions.
Edima
Accumulation of fluid in tissue
13) A medical assistant is engaging in conversation with the patient who is recently terminated from the practice. The patient has come to the office and is demanding!. Which of the following actions should the medical assistant take?
Acknowledge the patients concern
13) A medical assistant is reviewing the plan of care summary with the adult son of an 81-year-old patient who has dementia. The patients son states he is feeling overwhelmed with his mothers care. Which of the following community-based organizations should the medical assistant recommend?
Adult daycare
13) A medical assistant is collecting a specimen for testing. When is the appropriate for the medical assistant to label to specimen?
AfterCollecting the specimen
11) using knowledge of prefixes and suffixes, A medical assistant should identify that the term presbyopia has which of the following meanings ?
Age related vision loss
Define surgical asepsis
All microbial life, pathogen and non pathogens are destroyed
Define Surgical Asepsis
All microbial life, pathogens, pathogens and non-pathogens, are destroyed before an invasive procedure is performed. Often used interchangeably.
A medical assistant is reviewing charges for an in-office procedure. Which of the following terms describes the maximum reimbursement a third-party payer will provide?
Allowable amount
7) When communicating on the telephone with the patient, which of the following actions by a medical assistant demonstrates the use of appropriate technique for outgoing calls?
Allowing the patient to be the one to end the call
Needle Adapters
Also called the tube holder. One end has a small opening that connects the needle, and the other end has a wide opening to hold the collection tube.
Define Augmented Unipolar
Also records electrical activity in the frontal plane.
The Endocardium is:
Also the layer in which the heart's conduction system is embedded.
When using CPT codes, what do modifiers indicate? Place of service for the procedure Alteration in service performed Inpatient or outpatient distinction Critical care or emergency services
Alteration in service performed
The vertical axis on the ekg paper measures
Amplitude or voltage
intradermal
An ___________________________ injection is the injection of a substance into the dermis, just below the epidermis.
intramuscular
An ____________________________ injection is a technique used to deliver a medication deep into the muscles.
After Elizabeth Saint and before John A. Thomas
An office is still using paper charts. In what order would the CCMA return the chart of Mary St. Thomas? Other charts include Mary Perez, Elizabeth Saint, and John A. Thomas.
Fever
An oral temperature above 100° F (37.8° C) or a rectal or ear temperature above 101° F (38.3° C) is considered a?
Define Artifact
An unwanted interference or jitter on the EKG recording. This makes the EKG reading difficult or impossible, as well as can lead to a misdiagnosis.
What is Electophoresis?
Analyzation of the chemical components of blood e.g. hemoglobin, serum, urinem cerebrospinal fluid based on electrical charge.
Toxicology
Analyzes plasma levels of drugs and poisons.
The preferred site for venipuncture is the _____ _____ of the upper extremities.
Antecubital Fossa
Preferred site for venipuncture
Antecubital fossa
Cold Agglutinins
Antibodies produced in response to atypical pneumonia must be kept at 37c
3) A medical assistant is really good medications for a patient who is undergoing chemo therapy to treat breast cancer. The medical assistant should identify the provider prescribed ondansetron Because it is in which of the following medication classifications
Antiemetic
He was the first to study bacteria and Protozoa using a microscope.
Antoni van Leeuwenhoek
Agents are
Any infective microorganisms, viruses,fungi, bacteria, and parasites
Blood Vessels
Aorta, arteries, arterioles, capillaries, venues, veins, superior and inferior vena cavae.
The tip of the heart (_____) is located at the level of 5th intercostal and mid-clavicular line on the left.
Apex
The _____ _____ is a more accurate measurement of the heart rate and it is taken over the apex of the heart by auscultation using the stethoscope.
Apical Pulse
Method of taking pulse used on children and patient with irregular heartbeat
Apical pulse
3) a medical assistant is encouraging a patient to increase fiber intake. Which of the following statements the medical assistant recommend?
Apples
Cold Agglutinins
Are antibodies produced in response to Mycoplasma pneumoniae infection (atypical pneumonia). The antibodies formed may attach to red blood cells at temperatures below body temperature, and as such, the specimen must be kept warm until the serum is separated from the cells.
Gram-Negative Bacteria
Are bacteria that are decolorized completely by ethanol and take up safranin counterstain. They appear red.
Gram-Positive Bacteria
Are bacteria that take up and retain the crystal violet and resist alcohol decolonization. They appear blue to black.
Define Murmurs
Are caused by diseases of the valves or other structural abnormalities.
Define Heart Sounds
Are caused by the closure of the heart valves.
Define Standard Precautions and Transmission-Based Precautions
Are controlled measures aimed at preventing the spread of the disease as infectious agents exit the reservoir.
Define Airborne Precautions
Are designed to reduce the risk of airborne transmission of infectious agents. Microorganisms carried in this manner can be dispersed widely by air currents and may become inhaled by or deposited on a susceptible host within the same room or over a longer distance from the source patient.
Define Droplet Precautions
Are designed to reduce the risk of droplet transmission of infectious agents.
Define Contact Precautions
Are designed to reduce the risk of transmission of microorganisms by direct or indirect contact.
Define Agents
Are infectious , microorganisms that can be classified into groups namely: viruses, bacteria, fungi, and parasites.
What age groups use Height, Weight, Body Mass Index (BMI), waist-to-hip ratio, and % of body fat - Anthropometric Measurements:
Are the measurements used for adults.
Define The Pulmonary Arteries
Are the only arteries in the body that carry deoxygenated blood (because they are going away from the heart).
What age groups use Length, Height, Weight, Weight-for-Length, and Head Circumference - Anthropometric Measurements:
Are used to assess growth and development in infants, children, and adolescents.
Define Throat Culture
Are used to detect a bacterial, fungal, or ciral infection in the throat. In order to conduct this test, the patient should be placed in a comfortable lying or sitting position. After the patient have been asked to open their mouth, the MA should depress the patient's tongue then vigorously swab the throat with a sterile swab. After the specimen is collected, it should correctly labeled with the patient's information.
Thermometers
Are used to measure temperature using the Fahrenheit and Centigrade or Celsius scale.
10) A medical assistant is caring for a patient who is frustrated and states, my doctor doesn't have any idea how to treat my condition. Which of the following responses by the medical assistant is an example of therapeutic communication?
Are you saying that you don't think your provider knows how to help you?
Which of the following techniques should a CCMA use to put a young child at ease prior to administering an injection? Show the child the needle that will be used for the procedure Use the medical terms to help the child understand what is happening Tell the child that the procedure will not hurt Ask the child about non-health related subjects
Ask the child about non-health related subjects
A CCMA uses a Category III code in procedural coding to do which of the following? Indicate special circumstances Assign a temporary code Aid in tracking of the code Identify a performance measurement
Assign a temporary code
3) Which of the following actions is important for a medical assistant to take to serve patients effectively?
Assist patients with locating appropriate community resources
10) A patient who is coughing and sneezing repeatedly enters the reception area the clinic. Which of the following actions should a medical assistant take?
Assisted patient into an examination room
P-wave
Atrial Depolarization
P wave
Atrial depolarization
LA
Attach the _______ lead (black) to the patient's left arm with the tab facing the upper arm.
V4
Attach the _______ lead (blue) to the fth intercostal space at the left midclavicular line, tab facing the cable yoke
V3
Attach the _______ lead (green) halfway between leads V2 and V4 tab, facing the cable yoke
RL
Attach the _______ lead (green) to the patient's right leg with the tab facing the upper leg.
V5
Attach the _______ lead (orange) on a horizontal line with V4 at the anterior axillary line, tab facing the cable yoke.
AV stands for
Augmented Coltage
9) Which of the following instruction should I medical assistant provide to a patient prior to a spirometry testing?
Avoid smoking for at least six hours prior to the test
1) A medical assistant is reviewing a patient's medical record. Which of the following acronyms should the medical assistant identify as the new Tatian use when interpreting the correlation between the patient's body weight and height?
BMI body mass index
Blood Pressure Abbreviation
BP
AV junction
Back up pace maker 40-60 bpm narrow <12s
11) A medical assistant is talking with the patient who has a new prescription for amoxicillin. The medical assistance explained that this medication is in the distraction of which of the following types of micro organisms?
Bacteria
The heart _____ is located at the level of the 2nd intercostal.
Base
Define Infection Control/Chain of Infection
Based on the fact that the transmission of infectious disease will be prevented or stopped when any level in the chain is broken or interrupted.
Meter
Basic unit of length. Is 39.37 inches long. Often used in laboratory reports, charts, and other data requiring linear measurements.
Carries Histamine
Basophil
unpriveleged touching
Battery
Examples of Tort
Battery, invasion of privacy, defamation of character
When instructing a patient to obtain a midstream urine sample, which of the following instructions should a CCMA offer? Begin urinating into the toilet, collect the next portion, and complete urination into the toilet. Collect the sample as quickly as possible once urination has begun. Begin sample collection on the first urination of the day upon arising. Collect urine throughout the day and add it to the container that was provided.
Begin urinating into the toilet, collect the next portion, and complete urination into the toilet.
Antiseptic not used on a dermal puncture site
Betadine (because it interferes with several tests like bilirubin, uric acid, phosphorus and potassium
The Atrioventricular Valves (AV) are located:
Between the atria and ventricles.
9) In which of the following locations should the inside address appear in a business letter?
Between the dateline and the salutation
Billi
Bile
Whhich test is used to evaluate primary hemostasis
Bleeding time test
Symptoms/Signs of Allergic Contact Dermatitis
Blistering, itching, crusting (similar to poison ivy reaction).
1) Which is the following as an example of connective tissue?
Blood
Order of Draw
Blood cultures/ sterile specimen (Yellow) Blue- sodium citrate additive Red (or gold or tiger top) Green - Heparin additive Lavendar -EDTA additive Gray- potassium oxilate additive
Which of the following laboratory values should a CCMA immediately report to a patient's provider? Blood glucose 500mg/dL Potassium 4.1mEq/L Hematocrit 42% Hemoglobin 14g/dL
Blood glucose 500mg/dL
Which of the following laboratory values should a CCMA immediately report to a patient's provider? Blood glucose- 500 mg/dL Potassium- 4.1 mEq/L Hematocrit- 42% Hemoglobin- 14 g/dL
Blood glucose- 500 mg/dL This is very high and should be within 70 to 110 mg/dL
High Power Objective (4-mm, 40X)
By combining the ten-power (10X) ocular lens with the magnification power of forty times life (40X), the magnification vision is increased to four hundred times the normal size.
How is EKG gain on tracing paper concluded?
By counting how many MMs the calibration box is tall
Lavender Top Tube Common Test:
CBC (Complete Blood Count) Included: RBC count, WBC count and Platelet count; WBC differential count; Hemoglobin and Hematocrit determinations; ESR (Erythrocyte Sedimentation Rate); Sickle Cell Screening.
Common tests for the lavendar edta tube
CBC, differential or diff., ESR, sickle cell screening
Chief Complaint Abbreviation
CC
1500
Calculate the heart rate using the __________________ method by counting the number of small boxes between the P-P interval (for atrial rate) or R-R interval (for ventricular rate), then dividing 1,500 by that number. Fifteen hundred represents the number of small boxes, or the number of mm of paper consumed in one minute of time at the standard 25 mm/second paper speed. For example, if there are 15 small boxes between two R waves (R-R interval), the heart rate equals 1500/15, or 100/min. This is a great method for very precise measurements and is best applied to fast rhythms.
Broken Recording
Can be caused by a damaged wire or loose electrodes. If the probes are placed properly, the cause is origination from a broken or damaged wire. Use a different EKG machine or replace the wires. Never use a damaged or malfunctioning machine.
older
Capillary collections performed on a patient _______________ than 2 years of age should be performed on the side of the middle or ring nger
Blood Pressure Formula
Cardiac Output x Vascular Resistance
CPR stands for
Cardiopulmonary Resuscitation
10) Which of the following body systems works with the respiratory system to transport waste products from the body cells?
Cardiovascular
Injury to a blood vessel that causes it to constrict, slowing the clot of blood
Cascular phase of hemostasis
60-cycle Interference
Cause by improperly grounded electrical equipment that is directly or indirectly in contact with the patient. Cellular phones and pagers may also interfere with the EKG trace. Disconnect and remove all the electric objects from the patient or near by the machine.
For 5 lead electrode placement for ambulatory monitoring, where should the CCMA place the green ground electrode? Centered over a right rib on the right side On the right area of the manubrium Fifth intercostal space, midclavicular On the xiphoid process of the sternum
Centered over a right rib on the right side
5) Which of the following components of the body cells place a part in cell division?
Centriole
2nd choice vein for venipuncture most often the only one palpatable in an obese pt
Cephalic vein
The provider requests that a CCMA provides lab results to a patient. When the CCMA calls, the phone is disconnected. Using the EMR program, what is another way to get lab results to the patient? Fax machine Text message Email Certified mail
Certified mail This offers proof of receipt
Green Top Tube Common Test
Chemistry test: performed on plasma such as Ammonia, carboxyhemoglobin & STAT electrolytes.
Heart rate is controlled by _____ and _____ located in Aortic Arch and Carotid arteries.
Chemo-receptors (chemical sensors) and Baro-Receptors (pressure receptors)
CC
Chief Complaint
ABG, AMMONIA, lactic acid, pyruvate, parathyroid test handling
Chilled in crushed ice and water mixture
A patient experiencing a subluxation should be treated by which of the following alternative medicine practices?
Chiropractic care
14) A medical assistant is educating the patient about how to interpret food labels. The medical assistant should inform the patient that the FDA requires nutrition labels to include measurements of which of the following nutritional elements?
Cholesterol
Which urine specimen provides the clearest, most accurate results?
Clean catch midstream specimen
Which urine sample requires aseptic technique?
Clean catch specimen
7) A medical assistant is performing claim submission for a medical office. Which of the following processes involves the electronic auditing and sorting of claims?
Clearinghouse submission
10) a medical assistant should identify which of the following lookalike and sounds alike medications as an anticonvulsant.?
Clonsepam
A CCMA must invert anticoagulant tubes to prevent which of the following? Hemolysis Clotting Hemoconcentration Reflux
Clotting
Which of the following is a CCMA's role in pulmonary function testing (PFT)? Coach the patient through the test Check the patient's vital signs during the test to ensure stability Administer the proper medication prior to the test Instruct the patient in the use of the inhaler used in testing
Coach the patient through the test
Light-Blue Top Tube Common Test
Coagulation Studies-Prothrombin Time (PT)-evaluates the extrinsic; system of the coagulation cascade and monitors; Coumadin therapy; Activated Partial Thromboplastin Time (APTT, PTT) - Evaluates the intrinsic system of the coagulation cascade and monitors Heparin therapy. Fibrinogen Degradation Products (FDP) Thrombin Time (TT); Factor assays, Bleeding Time (BT)
Converts the temorary platelet plug into a stable fibrin clot
Coagulation phase
Common tests for the lifht blue sodium citrate tube
Coagulation studies, PT (extrinsic, warfarin) APTT, PTT (intrinsic, heparin) TT, BT, FDP
The standards of right and wrong in a medical setting
Code of Ethics
Define Clean-Catch Specimen
Collecting this sample required special cleaning of the external genitalia.
14) A medical assistant is discussing dietary concerns with a patient to his heart disease the patient states I haven't been as careful about salt and fat as I should be but I have been exercising more than usual. The medical assistant should identify that this patient is using which of the following defense mechanisms?
Compensation
3) A medical assistant received instructions from her primary care provider to refer a patient to a dermatologist. Which of the following actions should the medical assistant take first?
Complete a patient referral form
2) A medical assistant is reviewing the chart every patient who is scheduled for an appointment later that day. Which of the following tasks to the medical assistant complete prior to the patient's appointment?
Confirm all pertinent information is available
Which of the following steps for a finger stick should a ccma complete first? Cleanse the site with an antiseptic wipe Select the appropriate part of the third or fourth finger Position the blade of the lancet across the lines of the fingertip Confirm the correct identity of the patient
Confirm the correct identity of the patient
Define Internodal Pathways
Consists of anterior, middle and posterior division that distribute electrical impulses generated by the SA node throughout the right and left atria to the atrio-ventricular (AV) node.
14) In medical assistant is talking with a parent of a child who has molluscum contagiosum warts. The medical assistant should explain that which of the following is the mode of transmission for this infection?
Contact
Droplet Transmission involves:
Contact with the conjunctive of the mucous membrane of the nose or mouth of a susceptible person with large particle droplets generated from the source person primarily during coughing, sneezing or talking.
Red/Gray (Speckled) Top Tube
Contain clot activators: glass particles, silica and celite which hastens clot formation, and thixotropic gel, a serum separator which when centrifuged forms a barrier between the serum and the cells preventing contamination of the serum with cellular elements.
Gray Top Tube
Contains additives and anticoagulants. Contains glucose preservative (antiglycolytic agent): sodium fluoride - preserves glucose for 3 days; or lithium iodoacetate-preserves glucose for 24 hours.
Red Top Tube
Contains no additive or anticoagulant. Collected blood clots by normal coagulation process in 30-60 minutes. This is no need to invert the tube after collection.
Green Top Tube
Contains the anticoagulant Heparin combined with sodium, lithium, or ammonium ion. Heparin works by inhibiting thrombin in the coagulation cascade. It is not used for hematology because heparin interferes with the Wright's stained blood smear. This tube should be inverted eight times.
Light-Blue Top Tube
Contains the anticoagulant Sodium Citrate, which also prevents coagulation by binding to calcium in the specimen. The tube must be filled completely to maintain the ratio of nine parts blood to one part sodium citrate, and should be inverted 3 to 4 times.
Lavender Top Tube
Contains the anticoagulant ethylenediaminetetraacetic acid (EDTA). EDTA inhibits coagulation by binding to calcium present in the specimen. The tubes must be filled at least two-third full and inverted eight times.
5) A patient has a new diagnosis of a malignant melanoma. When transitioning the patient's care from primary Provider to an oncologist, which of the following process is the PCP taking pardon?
Continuity of care
Define External Hemorrhage
Controlling the bleeding is most effectively accomplished by elevating the affected part above heart level and applying direct pressure to the wound. Do not attempt to elevate a broken extremity as this could case further damage.
63 kg
Convert 143 lbs to kg
70.2 in
Convert 180 cm to in
59.4 F
Convert 33° C to F
168 cm
Convert 66 inches to centimeters
12) A medical assistant is observing a patient who is doing a mini-mental State Examination. To test the patients ability to perform tasks in the area of language the examiner asks the patient to do which of the following?
Copy of geometric design
The right and left _____ _____ are the first branches coming out of Aorta and supply the heart with oxygenated blood. The blood runs through there arteries during diastole. Located on the epicardium.
Coronary Arteries
(Taking a pulse at the radial artery) If the rate is unusually fast or slow then:
Count it for 60 seconds
How is a Respiratory Rate calculated:
Count respirations for 30 seconds then multiplied by two or count for a full minute.
Large Boxes Method
Count the number of large boxes between two consecutive RR (one RR interval) and divide into 300 for the ventricular rate; and count large boxes between two consecutive P waves for the atrial rate. Used mainly in regular rhythms.
5) A medical assistant is reviewing to nutritional intake of a patient who has lactose intolerance. Which of the problem is the medical assistant reminded patient to limit?
Cream cheese
2) Which of the following resources provides a standard language for services provided during a medical visit?
Current procedural terminology manual
11) Which of the following terms describes a collection of associative files that function as a basis for retrieving information?
Database
14) In medical assistant is performing venipuncture. Which of the following pieces of information should be included on both the requisition form and the specimen label?
Date of birth
Define Bradypnea
Decrease in numbers of respirations. This occurs during sleep. It may also be due to certain diseases.
Define Oliguria
Decreased urinary output.
Consists of injury to another person's reputation , name or character through spoken (slander) or written (libel)
Defamation of character
Atrio-Ventricular Blocks (AV Blocks)
Defined as a delay or interruption of the electric impulse conduction beyond the AV node. It is evaluated by measuring the PR interval in EKG traces. The PR interval is the key of differentiation and classification of the AV blocks.
The right side of the heart pumps _____ blood with low pressure from the veins into the lungs (pulmonary circulation).
Deoxygenated
The venules, veins and the superior and inferior vena cavae carry _____ blood back to the heart.
Deoxygenated
4) A medical assistant is talking with a patient who's brother died of heart disease 1 month ago. The patient tells the medical assistant that she blames herself because she should have persuaded her brother to take better care of himself. The patient is in which of the following Elisabeth Kubler-Ross's stages of grief?
Depression
A patient states that this is his first blood draw. Which of the following actions is appropriate? Explain the reason the test was ordered Inform the patient of all possible test results Show the patient the gauge of the needle. Describe the procedure.
Describe the procedure.
Preparing Solution and Dilutions
Desired strength = X(amount needed) Available strength amount available
8) The following diseases affects about 9% of the population of the US it is characterized by the bodies and ability to produce sufficient insulin?
Diabetes mellitus
11) When reviewing a patient's medical record prior to an appointment with a primary care provider, it is important for a medical assistant to verify which of the following items is in the chart?
Diagnostic test results
Orthopenia
Difficulty breathing when laying flat
15) Which of the following body systems experiences a decrease in activity caused by the sympathetic branch of the nervous system during the fight or flight response?
Digestive
Cause of Irritant Contact Dermatitis
Direct skin irritation by gloves, powder, soaps/detergents, incomplete hand drying.
2) In medical assistant is instructing a patient about collecting stool specimens at home for occult blood testing. Which of the following statements should the medical assistant make about the patient's medications?
Discontinue NSAID' s a week before the test
Which of the following techniques should the CCMA use for routine cleaning of EKG cables? Disinfect Sanitize Sterilize Soak
Disinfect
A provider places an open sharps container in the linen hamper by mistake. Which of the following is the appropriate action for the CCMA to take? Question the provider Dispose of the linen hamper's contents as biohazard Disinfect the contents of the linen hamper with bleach Prepare a report for OSHA
Dispose of the linen hamper's contents as biohazard
A patient presents to the emergency department with a large laceration to the wrist that is bleeding profusely. Which of the following actions should the CCMA take first? Don gloves Elevate the extremity above the wound site Examine the wound site for foreign objects Place pressure directly on the wound with sterile gauze
Don gloves
2) a medical assistant is collecting data from a patient who reports back pain. Which of the following terms terms should the medical assistant use to describe the patients pain in the intake notes?
Dorsal
This position is used for examination of the pelvic organs
Dorsal Lithotomy
Patient laying on back with knees flexed, soles of feet on bed
Dorsal recumbant
Digitalis, dopamine, epinephrine
Drugs that increase the contractility of the heart
14) In which of the following categories would a medical assistant find a wheelchair listed?
Durable item
The four elements of Negligence
Duty, duty of care, derelict= breach of duty of care, direct cause, damage
Lavender tube
EDTA
Which of the following additives should be used when performing a CBC? SPS EDTA Lithium heparin Sodium Citrate
EDTA
Which of the following additives should be used when performing a CBC? SPS EDTA Lithium heparin Sodium citrate
EDTA
8 - 10
EDTA and heparin-containing tubes (lavender top and green top) get _____ to ______ inversions
Which blood tests can NOT be done using dermal puncture
ESR, BC
(Prescription) qhs
Each night, from the Latin quaque hora somni, or "at bedtime"
cerumen
Ears may become impacted with ________________________ and may need to be irrigated
Conduction Blocks
Electrical impulses go down the usual pathway but encounter blocks and delays.
Pre-excitation Syndrome
Electrical impulses of the heart bypass the normal pathway and instead go down an accessory shortcut
Ectopic Rhythma
Electrical impulses originate from somewhere else other than the sinus node.
8) A medical assistant is preparing to record a patient's heart rhythm. Which of the following devices should the medical assistant used to before this recording?
Electrocardio gram machine ECG
6) The medical assistant notes a wandering baseline throughout an EKG tracing. Which of the following electrocardiograph issues could have resulted in this occurrence?
Electrode pads were defective or poorly attached
Define Fever
Elevated body temperature beyond normal range.
A provider is going on vacation and wants a CCMA to notify his patients. Which of the following is the best form of communication for notification for a patient who cannot be reached by phone? Encrypted email Text messaging Fax Certified Mail
Encrypted email
A provider is going on vacation and wants a CCMA to notify his patients. Which of the following is the best form of communication for notification for a patient who cannot be reached by phone? Encrypted email Text messaging Fax Certified mail
Encrypted email
How often should a CCMA perform an inventory of controlled substances? End of each week End of each shift Every year Every six months
End of each shift
A provider requests that a patient see a specialist for hyperthyroidism. The assistant should expect to contact which of the following specialty clinics for this consultation?
Endocrinology
The capillaries, composed of a layer of _____ _____, connect the arterioles and venules
Endothelial Cells
Define Urinary Bacteria
Enteric gram-negative bacteria that are always nitrite positive can convert urinary nitrate to nitrite. A positive nitrite test is an indication that a significant number of bacteria are present in the urine.
actually the inner visceral layer of the pericardium
Epicardium
7) In medical assistant is talking with a patient who has a new diagnosis of mononucleosis. Which of the following viruses causes this infection?
Epstein-Barr virus
V3
Equidistant between V2 and V4.
Granulocytic leukocytes release:
Esterase when the cells lyse.
3) A medical assistant sees a coworker take a pain medication from the locked cabinet. The medical assistant knows that the coworker is a single parent who has a child who was recently injured. Which of the following types of ethical situation does this problem crate for the medical assistant?
Ethical distress
Normal indication for a stress test
Evaluation of a patient withchest pain and a normal ekg, arrythmia, monitoring a pt, with a recent MI
(Prescription) qd
Every Day, from the Latin quaque die
15) In medical assistant is reviewing OSHA regulations regarding sharps container placement. In which of the following location should the medical assistant place a sharps container?
Exam room
Define Routine Urinalysis
Examination of the urine is a diagnostic tool to detect or monitor certain conditions.
You have the right to caring staff who believe your reports of pain
Example of the patient bill of rights for pain management
Stress test is performed through _____ or _____ while hooked up to an EKG monitor. The limb leads are applied to the torso of the patient rather than on the extremities.
Exercise (by having the patient walk on a treadmill or by pedaling on a bicycle) Pharmacologically (by administration of medication that causes increase in heart rate)
The clinical medical assistant is coding an office visit where the provider reviews the systems that are related to the chief complaint, but does not go into the patient's family or social history. In determining the level of service provided, which of the following will the assistant use to code this visit? Expanded problem-focused history Comprehensive history Detailed history Problem-focused history
Expanded problem-focused history
PR
Expected reference wave for this interval is 0.12 to 0.2 seconds
7) a patient who uses a wheelchair arrives at the office for an appointment as a visibly upset. Which of the following methods should the medical assistant use to establish positive therapeutic communication with the patient?
Face the patient at eyes level
4) A medical assistant is providing teaching to a patient who is starting lisinopril, A medication that helps lower blood pressure. The middle school assistant should instruct the patient to report which of the following if that's to the provider immediately?
Facial swelling
(F - 32) × 5/9 = C
Fahrenheit to Celsius conversion equation is
Analytical errors after blood collection
Failure to separate serum from cell (glycolisis), improper use of serum separator (not inverting tubes or not spinning tubes) delays in processing, exposure to light, improper storage conditions, dimming clots
Which of the following health care professionals is legally responsible for the outcomes of a medical assistant's duties and performance?
Family practitioner
Which of the following types of providers is qualified to assess patients of all ages with a wide variety of acute to severe medical conditions?
Family practitioner
Prandial
Fasting
Gray Top Tube Common Test
Fasting blood sugar (FBS); Glucose tolerance test (GTT); Blood alcohol levels; Lactic acid measurement.
4) A medical assistant is posting charges to a patient's account. The medical assistant should obtain the necessary information from which of the following sources?
Fee schedule
5) A medical assistant is preparing a patient for an EKG. In which of the following location should the assistant place the V4 lead?
Fifth intercostal space at the mid Clavier line
V5
Fifth intercostal space, anterior axillary line.
V4
Fifth intercostal space, left midclavicular line.
V6
Fifth intercostal space, midaxillary line.
When taking a pulse at the radial artery it is felt with the:
First two or three fingers (never with the thumb) and usually taken for 30 seconds multiplied by two to get the rate per minute.
4) a Medical Assistant is reviewing a daily diet with a patient. Which of the following foods should the medical assistant recommend to help the patient increase intake of vitamin D ?
Fish
Remittent Fever
Fluctuating fever that remains elevated; it does not return to baseline temperature.
Intermittent Fever
Fluctuating fever that returns to or below baseline then rises again.
Intermittent fever
Fluctuating fever that returns to or below the baseline then rises again
Remittent Fever
Fluctuating, remains elevated and does not return to baseline
10) A medical assistant should identify which of the following features is part of the patient centered medical home model of care?
Focuses on evidence-based patient care and share decision making
microbiological
For ___________________________________ specimens, such as blood or throat cultures, sputum, semen, stool, and urine, quick transport is essential.
seated
For a subcutaneous injection the patient should be in a ___________________ position.
prone
For allergy testing, the patient must be in the _________________ position, as the upper back is used for injection
volar forearm
For an intradermal injection, position the patient in a seated position, exposing the ________________ _______________________.
90
For an intramuscular injection, insert the needle with one swift motion at a ________° angle, all the way to the hub of the syringe
deltoid, acromial process
For an intramuscular injection, position the patient in a seated position, exposing the ________________, then find the location 2 to 3 finger widths below the _______________________ __________________ (ANSWER written ________, _________)
under
For capillary collections on a patient _________________ 2 years of age, the draw should be performed on the medial or lateral plantar portions of the heel
EDTA
Found in the lavender or pink stopper tubes. These are mostly used for hematology and some blood banking tests, respectively, because they help preserve the shape of cells and reduce platelet clumping
Sodium citrate
Found in the light blue stopper tubes. These are mostly used for coagulation tests because it is the best at preserving the coagulation factors. Fully ll the tubes to prevent dilution and incorrect results.
ACD
Found in the light yellow stopper tube and used for DNA testing because the additive has little impact on platelets and cells.
SA Node
Found in the upper posterior portion of the right atrial wall just below the opening of the superior vena cava. It is the primary pacemaker of the heart and has a normal firing rate of 60-100 bpm.
Purkinje Fibers
Found within the ventricular endocardium, it consists of a network of small conduction fibers that deliver the electrical impulses from the Bundle Branches to the ventricular myocardium.
V2
Fourth intercostal space, left sternal border.
V1
Fourth intercostal space, right sternal border.
This position is used to promote drainage or ease of breathing
Fowler's
(Prescription) po
From the Latin per os, or "by mouth" or "orally"
(Prescription) pr
From the Latin per rectum, or "by way of the rectum," by suppository
12) Which of the following types of micro organisms is a mold when it is multicellular?
Fungi
Based his ideas about the body with the help of animal cadavers. Discovered that arteries carried blood instead of air. He also developed a technique for taking the pulse, we still use today.
Galen
EKG is a _____ that measures the heart electricity traveling through the conductive system and an important tool for patient's diagnosis.
Galvanometer
Inspection focuses on certain aspects of the patient:
General Appearance, State of Nutrition, Body Habitus, Symmetry, Posture and Gait
Conduction System of The Heart
Generates and delivers (conducts) the electricity to all the muscle fibers of the heart resulting in a smooth, complete contraction of the cardiac muscle fibers, which forcefully ejects the blood outside the heart.
Smearing and Fixation Technique
Gently roll the swab across the slide, in one direction, leaving a thin film of specimen material on the slide.
Common Cardiovascular Agents -Oxygen
Given to all patients with angina (acute severe chest pain). Causes vasodilation and protests the tissues from hypoxia. It can be administered through a cannula or a facial mask.
biohazard bag
Gloves, gauze, bandages, and other items that do not have sharp edges or needles should be placed in a _______________________ ____________, which is leak-proof and is labeled with the biohazard symbol.
Test performed for gray tube
Glucose levels, blood alcohol levels
9) A medical assistant is caring for a patient who is dietary choices have resulted in elevated uric acid levels. As a result of these receptors, the patient is at risk of developing which of the following musculskeletal disorders?
Gout
6) A medical assistant is teaching a patient about the major food groups. Which of the following information about grains sure the medical assistant include?
Grains help prevent and manage constipation
Which of the following is a CLIA-waived laboratory test? Pap smear Scotch tape test Fecal leukocyte HCG Test
HCG Test
12) Which of the following Entities must adhere to the HIPAA guidelines?
Health care clearing houses
11) Which of the following to give patients the race over there healthcare information, including the right to receive a copy of your information, the right to ensure their medical records are correct, and the right to know who had access to the records?
Health insurance portability and accountability act HIPPA
Which of the following insurance plan models requires a referral from a primary care provider to schedule an appointment with a dermatologist?
Health maintenance organization (HMO)
Sinus node
Heart main pacemaker 60-100 bpm narrow <12s
14) Which of the following actions involves health coaching?
Helping patients find community resources related to health care needs
7) Which of the following hernias is characterized by the top portion of the stomach protruding through the diaphragm?
Hiatal
4) The medical assistant should recognize that which of the following is the purpose of a contract media in diagnostic imaging?
Highlights in the inner contours of body structures
Symptoms/Signs of NRL Allergy IgE/histamine mediated
Hives in area of contact with NRL.
Timed specimens
Hormone levels, blood levels of medications, monitor PT condition E.G. Hemoglobin level *internal bleeding )
Divide 1,500 by the number of small boxes between two R waves.
How do you calculate a patient's heart rate from the EKG?
End of each shift
How often should a CCMA perform an inventory of controlled substances?
Which of the following dressings should a CCMA use on burns or wounds that have necrotic tissue? Foams Hydrogels Alginates Gauze
Hydrogels
BP cuffs too short and narrow can give false reading of what?
Hypertension
A CCMA is providing instruction to a patient prior to a pulmonary function test. Which of the following statements by the patient indicates a need for further education? I can use my nebulizer 20 minutes prior to the pulmonary function test I must not use any inhalers for at least 6 hours before the test I should not eat a heavy meal prior to the PFT I will have to seal my mouth around the mouthpiece during the test
I can use my nebulizer 20 minutes prior to the pulmonary function test
5) A patient calls into the office to report that I medication is not working. Which of the following responses should the medical assistant make?
I will notify the provider about your situation
14) A provider request a rhythm strip in addition to her regular EKG tracing for a patient. The medical assistant should identify that which of the following these provides the clearest recording of the heart rhythm?
II
Do not draw blood from an arm with _____ _____ running into it.
IV Fluids
9) according to Erickson's psychological theory, and adolescent experiences which of the following stage?
Identity v role confusion
faint
If the patient begins to feel _______________ during the procedure, withdraw the needle, have the patient lean forward (this helps bring blood to the brain), and call for help.
Sims'
In _____________ position, patient lies on his or her left side with the right leg sharply bent with knee on the exam table
prone
In ________________ position, the patient is face-down.
Fowler's
In ________________ position, the patient is laid on a table with the head of the table elevated to 90°
knee-chest
In _____________________ position, the patient rests on the knees and the chest with head turned to one side
Trendelenburg
In ___________________________ position, the patient is supine and the bottom of the table is raised about 30°
subcutaneous
In a __________________________ injection, a short needle is used to inject a drug into the tissue layer between the skin and the muscle.
fever
In a pediatric patient, the reading is considered a ______________ when the rectal temperature is 100.4° F (38° C) or above.
dorsal recumbent
In the _________________ __________________________ position, the patient is laid face-up with knees bent
Sims
In which of the following positions should a CCMA place a patient for a rectal exam?
Past Medical History Definition
Includes all health problems, major illnesses, surgeries the patient has had, current medications complete with reasons for taking them, and allergies.
Social History Definition
Includes marital status, occupation, educational attainment, hobbies, use of alcohol, tobacco, drugs, and lifestyles.
Recording artifacts can result from the following: -With an analog system
Incomplete tape erasure - this can result in EKG tracings belonging to two different patients confounding both the scanner and the interpreter. Tape drag within the apparatus - this will result in recording of spuriously rapid cardiac rhythms. A narrowing of all EKG complexes and intervals should give clue to this situation.
Define Polyuria
Increased urinary output.
Digitals
Increases the force of cardiac contraction as well as cardiac output. This is a drug with high toxicity, therefore patients require constant monitoring for signs and symptoms of toxicity such as: yellow vision, nausea, vomiting, and drowsiness.
The leukocytes function is to provide the body protection against _____.
Infection
13) Which of the following links initiates the chain of infection?
Infectious agent
Thrombophlebitis
Inflammation of a vein with formation of a clot.
Hemostatis Stage 1: Vascular phase
Injury to a blood vessel causes it to constrict slowing the flow of blood.
5) which of the following is the medical assistant primary role in magnetic resonance imaging (MRI) in the medical office setting ?
Instructing a patient about examination preparations
Define Ischemia
Insufficient blood supply to the myocardium. Atherosclerosis of the coronary arteries is the most common cause of the blood supply reduction.
Consists of anterior, middle and posterior divisions that distribute electrical impulses by SA to AV node
Internodal pathway
2) a medical assistant is talking with a young adult patient who says he found a partner he loves but cannot make a commitment to their relationship. The developmental crisis this patient is experiencing is which of the following?
Intimacy v isolation
11) a medical assistant I'd preparing to perform a Mantoux test. Which of the following routes should the medical assistant use for this injection?
Intradermal
IM
Intramuscular
The release of medical records with out the patient's knowledge or permission
Invasion of privacy
Define Indirect-Contact Transmission
Involves contact with a contaminated intermediate object in the patient's environment.
Define Direct Contact Transmission
Involves skin-to-skin contact and physical transfer of microorganisms to a susceptible host from an infected or colonized person.
6) When drawing blood cultures, a medical assistant should prepare a patients medical skin using which of the following products?
Iodine solution
Taking an apical pulse is used for patients with:
Irregular heart rate and for infants and small children.
Nitroglycerin
Is a powerful smooth muscle relaxant effective in relieving angina pectoris. Headache is a common side effect. Hypotension may occur and patients should be instructed to sit or lie down while taking this medication.
Gram
Is the basic unit of weight or mass.
Define Stroke Volume (Preload)
Is the blood volume ejected outside the ventricle after each contraction.
Define Somatic Tremor
It is a jittery pattern caused by the patient's shivering or by shaking wires. Help the patient relax, cover the patient, make sure that the wires are correctly placed, or try the examination two more times. Redo the EKG until the tracing is more readable.
Type II Second Degree AV Block (Mobitz)
It is a more serious pathology. Conducted P waves have a constant PR interval; but there are always non-conducted P waves between cardiac cycles, usually producing a "conduction ratio" between atria and ventricles.
Asystole (cardiac Arrest, Standstill)
It is a total absence of ventricular electrical activity. It is an emergency. Notify the Doctor.
A CCMA records a male patient's hemoglobinvalue as 9g/dL. Which of the following should she tell the provider about this result? It is below the normal reference range It is a low value within the reference range It is above the normal reference range It is a high value withing the reference range
It is below the normal reference range
A CCMA records a male patient's hemoglobin value as 9g/dL. Which of the following should she tell the provider about this result? It is below the normal reference range It is a low value within the reference range It is above the reference range It is a high value within the reference range
It is below the normal reference range: Normal male Hemoglobin reference range is 14 to 18 g/dL
A CCMA has orders to collect blood cultures, CBC, PTT, and an iron panel. He forgets to draw for the PTT. Which of the following actions should the CCMA take? Discard the specimens and redraw Keep the specimens collected and draw the PTT Call another CCMA and notify the supervisor Draw a discard tube and redraw blood cultures and blue top
Keep the specimens collected and draw the PTT
Never leave the patient alone in the room when he/she is in this position
Knee Chest
This position is usually used for rectal or vaginal examination
Knee Chest
An employee at a cadiologist's office calls a CCMA's office, inquiring about a referral patient. Which of the following test results can the CCMA disclose to the caller? LDL TSH GTT HCG
LDL
13) Which of the following disposable methods should a medical assistant use in accordance with OSHA guidelines for handling biohazard waste?
Label chemicals with their names and data before disposal
A CCMA should choose the correct tube color to correspond with which of the following? Laboratory test Order of draw Priority status Handling orders
Laboratory test
6) A medical assistant should identify which of the following micro organisms is having a helpful function in the human body?
Lactobacillus acidophilus
U wave
Late ventricular repolarization (not seen)
This is an emerging and important problem in the health care field
Latex Sensitivity
11) a medical assistant is collecting information from a patient prior to physical exam. Which of the following findings disclosed by the patient should the medical assistant recognize as an indication of bulimia nervosa?
Laxative use
These record electrical potentials in the frontal plane
Lead I, Lead II, Lead III and the chest leads
L stands for
Left Arm (LA)
Which tube nmust be filled completely?
Light Blue sodium citrate tube to maintain a ratio of 9:1
Segment
Line between two wave forms
Define Segment
Line between two waveforms.
14) A medical assistant is preparing a patient for a rectal exam. The medical assistant should help the patient into which of the following position?
Lithotomy
Define Anuria
Little to no urine output.
5) Which of the following is a legal document that states the life-saving procedures a patient all the races in the event he is in capable of verbalizing his desire for medical treatment?
Living will
Bundle Branches
Located at the interventricular septum, the Bundle His divides into the right and left bundle branches, the function of which is to conduct the electrical impulse to the Purkinje fibers throughout the ventricles,
Define Aortic Valve
Located between the left ventricle and aorta.
10) A medical assistant is preparing to perform a pulmonary function test on a patient who is dressed in a suit and tie. When preparing the patient for the test the medical assistant should instruct the patient to do which of the following?
Loosen the time and top buttons
8) which of the following systems provides the framework to protect the body from pathogenic organisms and maintain fluid balance?
Lymphatic
3) A medical assistant ship Perry to perform an EKG recording And a patient. Which of the following information is true of limb leads and electrodes?
Lynn leads are placed on the fleshy areas of the skin
Material Safety Data Sheet Abbreviation
MDSD
7) Which of the following approaches city medical assistant take when discussing a patient's adherence to dietary guidelines
Maintain an empathetic tone
2) A medical assistant witnesses a coworker knowingly commitment unlawful and wrongful act. The medical assistant should identify this act as which of the following types of negligence?
Malfeasance
MSDS
Material Safety Data Sheet
Dermal Punctures (Microcapillary Collection)
May be done on both pediatric and adult patients.
Assess interval (PR, QRS,QT)
Measure each of these intervals and determine if they are normal.
Twenty seconds into measuring a patient's pulse, a CCMA detects an irregular heartbeat. The CCMA should take which of the following actions? Stop measuring the pulse Measure the pulse for 2 mins Measure the pulse for 30 secs Measure the pulse on the opposite wrist
Measure the pulse for 2 mins
5) Which of the following veins is the preferred vein for routine phlebotomy?
Median cubital
Every health care worker with this latex allergy should wear this
Medical alert bracelet
Which of the following roles provides an opportunity to obtain certification or registration based on state regulations but does not require a license to secure employment within the health care industry?
Medical assistant
7) When designating A medical power of attorney, which of the following people is an acceptable choice for a healthcare proxy?
Member of the patients faith community
Tissue trauma
Missing the vein and repeatedly probing with the needle causes ___________________ ___________________. This can be painful and represents poor technique.
2) Which of the following components of the body cells provides the energy the cell needs to perform its specific functions?
Mitochondrion
Valve located between the left atrium and the left ventricle
Mitral or bicuspid
Comprises 3-8% of wbc or leukocytes
Monocytes
Largest in size of the leukocytes
Monocytes
Their numbers increase in intracellular infections and TB
Monocytes
Red/Gray (Speckled) Top Tube Common Test
Most Chemistry Test
Temperature Sites
Mouth, Rectum, Ear (Tympanic Membrane), and the axilla (underarm).
caused by diseases of the valves or other structural abnormalities
Murmors
14) What pain signals are received by the brain, which of the following body systems is alerted to initiate movement response?
Muscular
9) Which of the following body system contains cardiac, skeletal, and smooth tissues?
Muscular
Gloves
Must be always be worn when collecting blood specimen.
Needle Disposal Container
Must be clearly marked puncture-resistant biohazard disposal containers. NEVER RECAP!
10) using knowledge of medical roots And suffixes, a medical assistant should identify which of the following terms as a procedure that involves incision into the eardrum
Myringotomy
A CCMA is caring for a patient who has active tuberculosis. Which of the following PPEs must be used during the patient's care? N95 respirator Gown Eye protection Hair cover
N95 respirator
Cause of NRL Allergy IgE/histamine mediated
NRL proteins; direct contact with or breathing NRL proteins, including glove powder containing proteins, from powdered gloves or the environment.
Their numbers increase in bacterial infections and often are first on scene
Neutrophils
This technique is not permitted in the lab
Never draw a pipette by mouth
What is a powerful smooth muscle relaxant with the side effect of headache
Nitroglycerin patch or SL
Red tube
Non- Additive (glass)
15) When measuring the vital signs every 10-year-old child, a medical assistant recognizes indications of abuse. Which of the following actions should the medical assistant take?
Notify the child's provider
A lab report on a patient indicates a hemoglobin level of 7g/dL. Which of the following is the first action for the CCMA to take? Notify the provider Inform the patient Record the results in the medical record Repeat the test to insure accuracy
Notify the provider These results are at a critically low level
7) A medical assistant is performing an allergen skin test. Which of the following actions should the medical assistant take?
Notify the provider immediately if the patient demonstrates signs of anaphylaxis
respirations
Observe the patient's chest rising and falling to count the number of __________________________ for either 30 seconds or 1 minute.
Define Repolarization
Occurs immediately after depolarization and is the movement of positively charged ions back to the outside of the cell, returning the cell back to its original polarized state. A cell must repolarize before it can depolarize again.
What counts as one respirations:
One inspiration (inhale) and One Expiration (exhale).
Small Boxes
One minute have 1500 small boxes (0.04 sec). Count the number of small boxes between an RR interval and divide into 1500. This method is more accurate and is used for regular rhythms only.
The SA node represents which waveform on the ekg?
Only the P-wave
When is the event monitor used?
Only when symptoms occur
First aid for shock
Open airway, call assistance, position head lower, control bleed if any, keep warm
8) Which of the following foods should a medical assistant recommend to the patient who needs to increase dietary intake of vitamin a?
Oranges
Which of the following is outside of a CCMA's scope of practice? Perform clinical duties under teh direct supervision of the provider Order additional laboratory tests to confirm the patient's condition. Provide directions to a patient about preparation for a diagnostic test. Reinforce instructions about medications and special diets.
Order additional laboratory tests to confirm the patient's condition.
9) A medical assistant is loading prepackaged hemostats into an autoclave. Which of the following actions should the medical assistant take to ensure sterilization?
Organize the packages loosely without touching the walls of the autoclave
4) Which of the following community resources should a medical assistant recommend to an older adult patient who lost his partner three months ago?
Organized support groups
1) Which of the following conditions is defined is a loss of bone density?
Osteoporosis
List drugs givenfor acute MI
Oxigen, Epinephrine, Isoproterenol, Dopamine (Intropin) Beta blocker (olol), Lidocaine, Verapamil, Digitalis, Morphine, Nitroglycerin
The aorta, arteries, and arterioles carry _____ blood from the heart to the various parts of the body.
Oxygenated
The left side of the heart pumps _____ blood with high pressure (blood pressure) toward the tissues through arteries (systemic circulations).
Oxygenated
Atrial Depolarization
P wave
Past, Family and Social History Abbreviation
PFSH
Which of the following abbreviations applies to HIPPA regulations and to insurance in the health care setting? PHI PDA HHS OCR
PHI
Abbreviation for Personal Protective Equipment
PPE
5) which of the following body structures is part of both the digestive and endocrine systems?
Pancreas
13) Medical assistant should recognize that a worldwide, rapidly spreading novel infection can result in which of the following?
Pandemic
The outer layer of the Pericardium is called:
Parietal Pericardium
Which of the following must the CCMA follow chain of custody guidelines? Digoxin levels Blood cultures Paternity testing Lead levels
Paternity testing
HIPPA is for?
Patient Confidentiality
Analytical errors before collection of blood
Patient misidentification, improper time, wrong tube, not fasting, exercise (cortisol levels), PT posture, poor coordination with other treatments, improper side prep, medication interference
8) recognizing patients needs and barriers, Coordinating care, and identify resources to meet those needs best describes responsibilities of which of the following positions?
Patient navigator
1) prior to performing a phlebotomy procedure, A medical assistant should ask the patient to verify which of the following information?
Patient's date of birth
While performing a pulse oximetry reading on a patient , which of the following factors should the CCMA recognize as contributing to an erroneous result? Patient's blood pressure Patient's weight Patient's movement Patient's hydration
Patient's movement
Which of the following health care delivery models emphasizes patients' involvement in organizing their own health care?
Patient-centered medical home (PCMH)
Taking a shower
Patients are restricted from doing which of the following while wearing a Holter monitor?
Rectal temperature is not taken from the following patients
Patients with heart disease
head circumference, length
Pediatric anthropometric measurements are ______________ _________________________ (usually performed from birth to 3 years) and ________________ (performed until the child can stand).
po
Per oral
pr
Per rectum/suppository
12) Which of the following information should a medical assistant include when creating a list of community-based organizations related to a patient's physical health care needs?
Physical addresses
Which of the following professionals assists patients with improving mobility, strength, and range of motion?
Physical therapist
A patient has had a cerebrovascular accident (CVA). Which of the following types of therapy will assist him with regaining motor functions and independence?
Physical therapy
Hazards
Physical, chemical , biological
2-
Place Channel _____ __ (black) left manubrial border of the sternum for a 3-channel 7-lead monitor
3-
Place Channel _____ __ (blue) center of the manubrium for a 3-channel 7-lead monitor
2+
Place Channel _____ __ (brown) approximately 1 inch right of the xiphoid process on the rib for a 3-channel 7-lead monitor
1+
Place Channel _____ __ (brown) lower right rib margin over bone for a 3-channel 5-lead monitor
3+
Place Channel _____ __ (orange) left mid-clavicular line 6th rib for a 3-channel 7-lead monitor
13) A medical assistant that the computer unlocked with the patient's chart visible. Which of the following actions should the medical assistant take in the future to prevent on authorized viewing of patient information?
Place privacy filters on the monitor screen
last
Place the _________ lead (green) lower right rib margin over bone for a 3-channel 5-lead monitor
last
Place the ___________ lead (green) lower right rib margin over bone for a 3-channel 7-lead monitor
The liquid portion of blood is called ______.
Plasma
10) While performing an EKG, a medical assistant does a pause in the EKG pattern. The medical assistant ensures that all of the leads are probably connected, and patter regularity resumes. The short pause is an indication of which of the following?
Polarization
15) Which of the following viral diseases resulted in an epidemic in the US and presents with symptoms including weakness paralysis of muscles fever and headache?
Polio
Which of the following laboratory results is abnormal? Sodium 138mEq/L RBC 5.2mm3 Platelets 350mm3 Potassium 3mEq/L
Potassium 3mEq/L
Gray tube
Potassium Oxalate/ Sodium fluoride
Which of the following laboratory results is abnormal? Sodium- 138 mEq/L Red blood cell count- 5.2 mm3 Platelets- 350 mm3 Potassium- 3 mEg/L
Potassium- 3 mEg/L
Urine Screening for UCG or HCG
Pregnancy Test
9) When performing a EKG, medical assistant notices a widen QRS complex on the patient's EKG strip. Which of the following is a possible cause of this type of artifact?
Premature ventricular contraction
Define Febrile
Presence of Fever
Which of the following professionals specializes in evaluating mental illness, physical illness, and disability through analyzing patient health needs and providing health education to patients of all ages?
Preventive medicine specialist
Patient Representative
Primary assignment is to assist you in exercising your rights as a patient.
Which of the following is the most important factor to consider when collecting a chain of custody specimen? Appropriate amount Proper identification Appropriate collection method Proper handling
Proper identification
Beta Blockers
Propranolol, Metoprolol, Atenolol, and Esmolol
Define Barrier Protection
Protective clothing provides a barrier against infection.
10) a medical assistant is collecting information for a patient prior to a physical examination. Which of the following findings should the medical assistant recognize as an indication of anorexia nervosa?
Protruding bones
Sim's
Pt on left side w/ right leg bent and knee on exam table would use for anal temperature
What are the identification requirements for blood bank
Pt's full name and DOB, hospital id # or ssn for outpatient, date and time of collection as well as the phlebotomist's initials
A positive test by the reagent strip method is indicated by a:
Purple Color
Define Quality Control (QC)
Purpose of a quality control program is to provide reliable data about the patient's health status by ensuring the accuracy of test results while detecting and elimination errors.
Ventricular Depolarization
QRS Complex, Q (q) Wave, R (r) Wave, S (s) Wave
Which of the following waves should a CCMA use to determine the regularity of ventricular depolarization? U T R P
R- ventricular depolarization
Where you find Hemoglobin
RBC's
99% of formed elements in blood
RBC's or Erythrocytes
Review of Systems Abbreviation
ROS
Respiratory Characteristics
Rate, Rhythm, and Depth
In addition to name and phone number, which of the following pieces of information is required to schedule an appointment? Insurance SSN Date of Birth Reason for visit
Reason for visit
Define the Left Atrium
Receives oxygenated blood returning from the lungs via the right and left pulmonary veins.
Common Cardiovascular Agents -Beta Blockers (Propranolol, Metoprolol, Atenolol, and Esmolol)
Reduce heart rate, blood pressure, myocardial contractility, and myocardial oxygen consumption which make then effective in the treatment of angina pectoria and hypertension.
Define Respiratory Depth
Refers to the amount of air that is inspired and expired during each respiration.
Define Respiratory Rhythm
Refers to the pattern of breathing. It can vary with age: infants have an irregular rhythm while adults have regular.
11) A medical assistant is preparing a patient for the Mini Mental State Examination. The examiner names 3 objects and asks the patient to repeat them. In doing so, the examiner is asking the patient to perform a task in which the following areas?
Registration
15) The parent of a five-year-old child tells a medical assistant that the child has begun sucking her thumb. The parent states she hasn't done this since she was a baby the medical assistant should identify that the child is using which of the following defense mechanisms?
Regression
Define Cheyne- Stokes
Regular pattern of irregular breathing rate
15) Which of the following elements is essential for successful team work?
Related short term and long term goals
2) A medical assistant is preparing a patient for an EKG which of the following instruction should the medical assistant provide?
Remove all clothing from the waist up
7) To avoid hemoconcentration during venipuncture, which of the following actions should a medical assistant take?
Remove the tourniquet before one minute has elapsed
Define Dry Heat Sterilization
Requires higher temperature that steam sterilization but longer exposure times. Used for instruments that easily corrodes.
6) A medical assistant is caring for a patient who has a new medication prescription from a provider. Which of the following actions should the medical assistant take to facilitate patient understanding and medication if years?
Review the dosage and administration instructions with the patient
1) A medical assistant is helping a patient check out. Which of the following actions should the medical assistant take?
Review the patient's medical record
R stands for
Right Arm (RA)
recieves deoxygenated blood returning to the heart from the body
Right Atrium
There is only one main artery that supplies the right side of the heart:
Right Coronary Artery (RCA)
recieves deoxygenated blood from the right atrium which it pumps to the lungs throguh the pumonary artery
Right Ventricle
Medical Assistant role in the physical examination
Room prep, patient prep, assisting the doctor
3) Which of the following abbreviations is used in place of the word prescription in a patient's chart?
Rx prescription
First heart sound due to the closure of the mitral and tricuspid valves
S1 in the upper chambers or the atria
Conduction System
SA node, AV node, bundle of His, bundle branches, purkinje fibers
Method of charting that includes, subjective, objective,assesment and plan.
SOAP
Indication for temination of a stress test
SOB (shortness of breath), chest pain, dizziness, blood pressure abnormalities
Evaluate ST segments and T waves
ST segment elevation or depression and/or T wave abnormalities can suggest the presence of myocardial ischemia or injury.
Test performed for green tube
STAT
12) Which of the following resources provides information about the use of chemicals any medical facility?
Safety data sheet
5) A medical assistant is transcribing a prescription for Fenton all patches for a patient. The medical assistant should identify that this medication his specific requirements because is classified in which of the following schedules of control substances?
Schedual II
Sequence Method
Select the R that falls on a dark vertical line. Number the next consecutive dark line as 300, 150, 100, 75, 60, and 50. Note where the next R wave falls in relation to the dark lines. That is the heart rate.
A structure in the middle of the heart called the _____, divided the heart into two sides.
Septum
This section of the lab uses serum to analyze the presence
Serology (immunology) Section
Red Top Tube Common Test
Serum chemistry test: Serology test; blood bank (glass only)
Common test for the red topped tube
Serum chemistry tests, serology tests, blood bank (glass only)
5
Serum separator tubes (SST, red tops) and serum tubes (red tops without the separating gel) get _____ inversions
15) to avoid having patients underestimate the amount of nutrients in a food product, a medical assistant should remind patients to check which of the following on a label?
Serving size
Complex
Several waveforms
Define Complex
Several waveforms.
8) Which of the following methods of filing paper medical records involves placing new reports on top of all the reports?
Shingling
Patient in on left side with the right knee flexed against abdomen
Sim's position
Patients with leg injuries or arthritis can not assume this position
Sim's position
This position is usually used for taking rectal temperature
Sim's position
In which of the following positions should a CCMA place a patient for a rectal exam? Sims Lithotomy Supine Trendelenburg
Sims
If the sinus rate goes below 60 per minute, it is referred to as _____.
Sinus Bradycardia
If the sinus rate goes beyond 100 per minute, it is called _____.
Sinus Tachycardia
11) And EKG tracing shows and expected P wave, QRS complex, and T wave configuration. There are five complete cardiac cycle's and a 6 2nd St. This represents which of the following cardiac rhythms?
Sinus bradycardia
Skelet
Skeleton
7) which of the following organs produces vitamin D, provides protection and helps regulates body temperature?
Skin
11) Which of the following organ structures with the digestive system is primarily responsible for the absorption of nutrients?
Small intestine
Guage of needle that can cause hemolysis
Smaller than 23 guage
14) Which of the following diseases caused a hysterical pandemic that led to the creation of the first vaccine?
Smallpox
10) Which of the following factors put a patient at high risk of developing coronary artery disease?
Smoking
9) A medical assistant is caring for a patient who is scheduled for a flexible sigmoidoscopy and will be Self administering an enema at home. The medical assistant should explain that the medication will be in which of the following forms?
Solution
Type II Second Degree AV Block
Some of the atrial impulses, but not all, are blocked at the AV node level. Because SA node fires regular rhythmic impulses, each P wave occurs in a regular interval across the EKG strip, but no all P waves will be followed by a QRS complex.
Trembling
Some patients may be anxious, cold, or have an essential tremor all which will cause _____________________. The medical assistant must reassure the patient to keep him/her calm, provide warm blankets to control shivering, and attempt to move the electrodes to an area with minimal tremor.
Wet skin
Some patients will be diaphoretic during EKG acquisition which will cause _________ ______________. The medical assistant can wipe the patient off with a towel and apply tincture of benzoin to the patient's skin before placing the electrodes. The benzoin needs to completely dry prior to applying the EKG electrodes.
Fasting
Some test such as those for glucose, cholesterol, and triglycerides require that the patient abstain from eating for at least 12 hours.
Chilled Specimens
Some tests require that the specimen collected by chilled immediately after collection in crushed ice or ice and water mixture.
12) which of the following procedures requires a medical assistant to use aseptic techniques?
Sonogram
Which of the following templates for medical record documentation is organized by the entity that supplied the data? Source-oriented Problem-oriented SOAP format CHEDDAR format
Source-oriented
The Myocardium is made up of:
Special striated muscle fibers with strong connection with each other (intercalated disks) and branches that ensure a unified and simultaneous contraction of all muscle fibers. There is a high concentration of calcium ions in the space between the muscle fibers (interstitial space), which influences the force of the muscle contraction.
Light-Sensitive Specimens
Specimens are protected from light by wrapping the tubes in aluminum foil immediately after they are drawn.
6) A medical assistant recommend the rest, ice, compression, and elevation method to a patient who called the office to report an injury. Which of the following injuries is the patient likely to have sustained?
Sprained ankle
Don gloves, face shields if danger of splashing, dispose of all needles with out recappiong into the sharps container
Standard Precautions
This is an infection control method designed to prevent direct contact with blood or other body fluids
Standard precautions
This replaces universal precautions and body substance isolation
Standard precautions
Define Hypoventilation
State in which reduced amount of air enters the lungs resulting in decreased oxygen level and increased carbon dioxide level in blood. It can be due to breathing that is too shallow, or too slow, or to diminished lung function.
Define Hyperventilation
State in which there is an increased amount of air entering the lungs.
_____ ischemic injury is manifested by ST segment depression in the leads recording in front of the ischemic site.
Subendocardial
Define Myocardial Infarction MI
Sudden death of the myocardial tissue due to an abrupt cessation of the blood flow. Clotting and total obstruction of a coronary artery are frequently superimposed on an already narrowed vessel from atherosclerosis.
Family History Definition
Summary of health problems of siblings, parents, and other blood relatives that could alert the physician to hereditary and/or familial disease.
3) A medical assistant is talking with the parents of a one year old infant about developmental achievements and milestones to expect. According to the infants developmental stage, a lack of achievement of the tasks of that stage can result in which of the following negative outcome?
Suspiciousness
Which of the following instructions should a CCMA use to administer an enteric-coated tablet to a patient? Swallow the tablet whole with a glass of water Chew the tablet thoroughly before swallowing Dissolve the tablet in a glass of water before drinking Crush the tablet and mix it with apple sauce
Swallow the tablet whole with a glass of water
3) A man with assistant is speaking with the patient who recently underwent a right sided radical mastectomy and lymphadenectomy. The medical assistant should inform the patient that which of the following is a manifestation of lymphedema?
Swelling of the right arm
The heart is under the influence by the autonomic nervous system (ANS) which is subdivided into the _____ and _____ nervous systems.
Sympathetic and Parasympathetic
Taking BP hearing two consecutive beats gives which reading
Systolic
BP Pre-hypertension stage
Systolic 120-139 or Diastolic 80-89
BP Hypertension stage 1
Systolic 140-159 or Diastolic 90-89
BP Hypertension stage 2
Systolic 160 or higher or Diastolic 100 or higher
Define Hypotension
Systolic blood pressure is less than 90 mmHG
BP Hypertensive crisis
Systolic higher then 180 or Diastolic higher than 110
Ventricular Repolarization
T Wave and U Wave
A positive holter is one that recorded at least one or more of these abnormalities
Tachy or bradycardia, ST segment elevation or depression, pauses
15) in medical assistant is performing an EKG and a patient who has a heart rate of 105/min. The medical assistant should identify this finding is an indication of which of the following conditions
Tachycardia
12) A medical assistant is providing instructions to a female patient prior to her stress test. Which of the following instructions should the medical assistant include?
Take your medications and the day of the test
Patients are restricted from doing which of the following while wearing a Holter moniotor? Exercise Smoking Sexual activity Taking a shower
Taking a shower
4 Vital Signs of Body Function are:
Temperature, Pulse, Respiration, Blood Pressure
The choice to perform a capillary puncture is best determined by which of the following factors? Patient weight Patient diagnosis Test results Test ordered
Test ordered
Which of the following is the first step in the blood collection procedure? Test requisition Patient identification Test accession Vein location
Test requisition
PKU
Tests for babies and to detect phenylketouria, a genetic disease that causes mental retardation and brain damage
Define pH
The % of hydrogen ion concentration of a solution.
Cephalic Vein
The 2nd choice. It is usually more difficult to locate and has a tendency to move, however, it is often the only vein that can be palpated in the obese patient.
Lymphocytes
The 2nd most numerous, comprising about 20% to 40% of the WBC population. Their number increases in viral infection, and they play a role in immunity.
The Electrocardiographic Grid and Waves
The EKG paper is a graph paper with horizontal and vertical lines at 1-mm intervals. A heavy line appears every 5mm.
Assess Rhythm/Regularity
The HR is considered regular is all the RR or PP intervals on the EKG leads are equal. If there are changes in their durations the rhythm is irregular.
BP consist of two components:
The Highest (systole) and lowest (diastole) amount of pressure exerted during the cardiac cycle.
P-P interval
The ____-_____ ____________________ represents the amount of time between atrial depolarization cycles (between P waves). The P-P interval is measured from the beginning of one P wave to the beginning of the next P wave.
J point
The _______ _________________ represents the exact point in time where ventricular depolarization stops and ventricular repolarization starts. The J point occurs at the end of the QRS complex, or where the ST segment begins. During myocardial ischemia the J point can elevate or depress below baseline.
PR interval
The ________ ____________________ represents the time it takes for the SA node to re, atria to depolarize, and electricity to travel through the AV node. The PR interval is measured from the beginning of the P wave to the beginning of the QRS complex.
PR segment
The ________ _____________________ represents the time it takes for electricity to travel through the AV node. The PR segment is measured from the end of the P wave to the beginning of the QRS.
ST segment
The ________ ______________________ represents the early phase of ventricular repolarization. The shape of the ST segment is very important when looking for patterns of ischemia.
QT interval
The _________ ______________________ represents one complete ventricular cycle; in other words, it represents one complete cycle of ventricular depolarization and repolarization. The QT interval is measured from the beginning of the Q wave to the end of the T wave.
QRS complex
The ___________ _____________________ represents the time it takes for the ventricles to depolarize. The QRS complex is measured from the end of the PR interval to the J point.
open office
The ____________ _______________ scheduling system most often is used in medical facilities that offer urgent care, where time is governed more by needs of patients than adherence to a schedule. This method reduces the number of broken appointments and provides more convenience to the patient. Some disadvantages of this system are that the waiting room may be over lled and the long wait can irritate patients. Patients may arrive in groups at different times of the day, such as the lunch hour or after the normal work day. This could result in times that the of ce is very busy or is slow.
self-scheduling
The ____________-______________________ appointment system enables patients to be able to schedule their own appointments 24 hours a day via their computers. The advantage of this system is the reduction of calls to the medical facility and patient frustration due to long wait times on hold. The disadvantage is that complicated or longer visits must still be scheduled by the medical facility.
sequence
The __________________________ method (also known as the 300 method) is derived from the 1500 method. There are 300 large, 5 mm boxes in every minute of EKG tracing at the normal 25 mm/second print speed. Remember the pattern 300-150-100-75-60-50. Calculate these numbers by dividing 300 by the number of large boxes between QRS complexes. Find an R wave and start counting away from it moving towards the right of the tracing in 5 mm segments (one large box). With every move, apply the number in the pattern you memorized. This is a wonderful rule to apply most of the time, with one exception: irregular rhythms.
amplitude
The __________________________ of any wave is measured using the horizontal grid lines on the EKG. Each small square is exactly 1 mm tall. Locate the lowest and highest points of the wave. Count the number of small boxes between the two points. The answer is the number of small boxes in millimeters.
Which of the following findings of a tracing would be a cause for concern?
The absence of P-waves
Define Cardiac Ouput
The amount of blood ejected outside the heart per minute.
13)a medical assistant is explaining how to understand nutritional information on food labels to the patient. Which of the following statements should the medical assistance make?
The amount of each nutrient is expressed in weight per serving and as a percentage of the daily value
Define Battery
The basis of tort in this case is the unprivileged touching of one person by another. When a procedure is to be performed on a patient, the patient must give consent in full knowledge of the procedure and the risk it entails (informed consent).
Why is it important to place a specimen in a biohazard specimen bag when transporting to an outside laboratory? The biohazard bag ensures prompt transportation of the specimen. The biohazard bag prevents a possible exposure incident The biohazard bag allows the whole blood specimen to be placed in the freezer The biohazard bag maintains the proper in vitro characteristics of the specimen
The biohazard bag prevents a possible exposure incident
Test ordered
The choice to perform a capillary puncture is best determined by what?
injury
The classic pattern of myocardial ________________ is ST segment elevation myocardial infarction (STEMI)
ischemia
The classic pattern of myocardial ____________________ is ST segment depression and/or T wave inversion. Deeply inverted T waves are a frequently encountered presentation of this.
Dermal Punctures (Older children and adults)
The distal segment of the 3rd or 4th finger of the non-dominant hand is recommended site.
Pre-Excitation Syndromes
The electrical impulses bypass the normal pathway and, instead, go down an accessory shortcut.
Define Palpation
The examiner uses the sense of touch to determine the characteristics of an organ system.
Define Endocardium
The innermost layer of the heart. It is a thin layer of epithelium very similar to vessels' endothelium, which covers the inside part of the heart. It forms the lining and folds back onto itself to form the heart valves and also covers the papillary muscles that anchor chordae tendinae, strings of connective tissue that keep in place the AV valves.
A CCMA is teaching a patient to give himself insulin injections. Which of the following patient statements confirms understanding of the instructions? I will shake the bottle prior to drawing the medication I will blow on the site to make sure the alcohol dries The insulin will be at room temperature for the injection The needle needs to be at a 15 degree angle for insertion
The insulin will be at room temperature for the injection
Notify the provider
The lab report on a patient indicates a hemoglobin level of 7 g/dL. What is the first action for the CCMA to take?
Lead I
The left arm is positive and the right arm is negative. (LA-RA)
Lead aVF
The left leg (or foot) is positive and the other limbs are negative.
Lead III
The left leg is positive and the left are is negative. (LL-LA)
Lead II
The left leg is positive and the right arm is negative. (LL-RA)
11) A medical assistant is approached by a patient who is angry and yelling which of the following actions should the medical assistant take?
The medical assistant should remain calm and offer to help the patient
Define Myocardium
The middle and contractile layer of the heart.
Hematoma
The most common complication of phlebotomy procedure.
Define Pericardium
The outermost layer of the heart. Attached with ligaments to the spinal column and diaphragm fixing the heart in its position. Built by two layers of connective tissue.
Polyuria
The passage of large volumes of urine.
Random specimen
The patient can take this type of urine test at any time. It is the most common form.
hypertensive crisis
The patient is considered in ___________________________ ______________ when the systolic is higher than 180 or the diastolic is higher than 110
hypotensive
The patient is considered in the ________________________ stage when the systolic is less than 90 and the diastolic is less than 60
Trendelenburg Position
The patient is placed flat on the back, face up, the knees flexed and legs hanging off the end of the table, with the legs and feet supported by footboard. The table is positioned with the head 45 degrees lower than the body. This position is used primarily for surgical procedures of pelvis and abdomen.
respirations
The patient should not be aware that you are measuring ______________________________ during vitals.
Which of the following is required to schedule an outpatient procedure after receiving provider's order? A signed consent form The patient's demographic info A list of alternate facilities for procedure Alternate payment options
The patient's demographic info
60 - 100
The patient's pulse or heart rate typically ranges from ______ to _________ beats per minute during the resting state (ANSWER WRITTEN # - #)
capillary
The preferred order of the draw for __________________________ puncture is EDTA additive tube, other additive tubes, and then serum tubes
Rh Blood Group System
The presence or absence of the "D" antigen on the RBC membrane determines whether a person is RH positive of negative.
15) a medical assistant is part of the team that is caring for a patient who is being discharged from the hospital. Which of the following actions would contribute to a successful transition of care?
The provider just continues all medication started in the hospital and release the information to the rest of the team
The site most commonly used for taking a pulse is:
The radial artery (found in the wrist on the same side as the thumb).
Urine Specific gravity
The ratio of weight of a given colume of urine to the weight of the same volume of distilled water at a constant temperature
Testing for leukocyte esterase by:
The reagent strip method is used in tandem with the microscopic examination of urine sediment for the diagnosis of bacteriuria or UTI.
chain of custody
The recieving laboratory is required to sign a _____________ _____ ________________ form when drawing a forensic sample?
15) A medical assistant is assisting a provider of the collection of a fecal occult specimen. Which of the following statements about the collection is true?
The results could be interpreted one minute after the developer is applied
Staining of Blood Smears
The stain commonly used for examination of blood cells is all polychromatic because they contain dyes that will stain various cell components different colors.
Staining Bacteria
The staining procedure involves the sequential application of primary stain mordant, decolorizer, and counter-stain to a bacterial smear.
Bacteriology
The study of bacteria.
Petechiae
These are tiny non-raised red spots that appear on the skin from rupturing of the capillaries due to the tourniquet being left on too long or too tight.
Tortuous Veins
These are winding or crooked veins. There veins are susceptible to infections, and since blood flow is impaired, the specimen collected may produce erroneous test results.
Sclerosed Veins
These veins feel hard or cordlike. Can be caused by disease, inflammation, chemotherapy or repeated venipunctures.
Blood Cultures (BC)
They are ordered to detect presence of microorganisms in the patient's blood. Usually ordered STAT or as a timed specimen.
Define Semilunar Valves
They have half-moon shaped leaflets.
Low Power Objective (16mm, 10X)
This allows the item being viewed to be magnified ten times larger than life.
Define Defamation of Character
This consists of injury to another person's reputation, name, or character through spoken (slander) or written (libel) words.
Common Cardiovascular Agents -Dopamine (Intropin)
This drug is indicated and is used in cases with hypotension. It causes vasoconstriction. It should be used at the lowest dose that produces adequate perfusion of vital organs.
Review of Systems Definition
This is an orderly and systematic check of each organ and system of the body by questions. Both positive and pertinent negative findings are documented.
Define Informed Consent
This is consent given by the patient who is made aware of any procedure to be performed, its risks, expected outcomes, and alternative.
Define Orthopnea
This is difficulty or inability to breath unless in an upright position.
Hemostatis Stage 4: Fibrinolysis
This is the breakdown and removal of the clot.
Define Negligence
This is the failure to exercise the standard of care that a reasonable person would give under similar circumstances and someone suffers injury because of another's failure to live up to a required duty of care.
Define Patient Confidentiality
This is the key concept of HIPAA. All patients have a right to privacy and all information should remain privileged.
Define Blood Pressure
This is the measurement of the amount of force exerted by the blood on the peripheral arterial walls and is expressed in millimeters (mm) of mercury (Hg).
Define Invasion of Privacy
This is the release of medical records without the patient's knowledge and permission.
Two-Hour Postprandial Test
This is used to evaluate diabetes mellitus. Fasting glucose level is compared with the level 2 hours after eating a full meal or ingesting a measured amount of glucose.
Recording artifacts can result from the following: -Battery Depletion
This may result in varying QRS amplitude
PR Segment
This segment is measured from the end of the P wave to the beginning of the QRS Complex.
ST Segment
This segment represents the time of ventricular contraction and the beginning of repolarization of both ventricles. It is measured from end of QRS to the beginning of the T wave. From J point to the onset of the T wave.This segment is compared to the PR segment to help identify myocardial ischemia or injury.
Suprapubic specimen
This test involves the use of a sterile syringe with a needle that is inserted directly into the urinary bladder to aspirate urine. A physician may order this to obtain samples required for microbial analysis or for cytology studies. This procedure is usually done in an inpatient or surgical environment.
Pharmacologic Stress Test
This test is appropriate for patients with physical limitation. Medications such as adenosine, dipyridamole, or dobutamine are given intravenously through an IV line to cause the heart rate to climb to the target level or the same symptoms and EKG changes as the exercise test develop. The test is concluded after 85% of the target heart rate is achieved.
First-voided morning specimen
This test is collected in the morning after sleeping. It is also called an 8-hour specimen. This type of specimen contains greater concentrations of substances that collect over time than are found in specimens taken during the day. Use a urine specimen container or a clean, dry jar. This test is commonly used for pregnancy testing, culturing, and microscopic examination.
PKU
This test is ordered for infants to detect phenylketonuria, a genetic disease that causes mental retardation and brain damage. Test is done on blood from newborn's heel or on urine.
Exercise Stress Test
This test is performed until at least 85% of the target heart rate is reached or symptoms or EKG changes develop which requires the test to be terminated. Target heart rate is 220 minus patient's age.
Oral Glucose Tolerance Test (OGTT)
This test is used to diagnose diabetes mellitus and evaluate patients with frequent low blood sugar.
Therapeutic Drug Monitoring
This test is used to monitor the blood levels of certain medication to ensure patient safety and also maintain a plasma level.
Known as the English Hippocrates and founded the science of epidemiology.
Thomas Sydenham
Consequence of insufficient pressure applied after withdrawal of needle
Thrombus
12) Which of the following glands is part of both the immune in the in endocrine systems?
Thymus
6) which of the following glands in the endocrine system is located just below the larynx and consist of two lobes, one on each side of the trachea .?
Thyroid
15
To inject an intradermal injection take one hand and grasp the tissue of the posterior upper arm. Hold the syringe in the other hand between the thumb and first two fingers. With a swift movement insert the needle at a ________° angle up to the hub of the syringe with skin held taut.
axillary
To perform an __________________ temperature, inform patient that their temperature will be taken via their armpit.
The function of the Endocardium is:
To prevent blood cell destruction and clotting.
Why is a holter monitor done?
To rule out arrhythmia's or ischemia
The 3 hour OGTT is used to test for
To test for hyperglycemia
The 5 hour OGTT is used for
To test for hypoglycemia, for disorders of carbohydrate metaolism
8) A medical assistant is arranging medication any storage cabinet according to the routes of the administration. The medical assistant should categorize methyl salicylate liniment in which of the following routes?
Topical
Which of the following parenteral medication routes should a CCMA administer for a slow release of medication into the blood stream? Transdermal Sublingual Buccal Inhalation
Transdermal
This is the second tier of precautions used when patient is contagious
Transmission based precautions
as soon as possible
Transportation of specimens should occur _______ _______________ ______ _______________________ after collection. This is critical because significant delays may greatly affect test results
This position is used for surgical procedures of pelvic abdomen and also for shock treatment
Trendelenburg
This position is used for surgical procedures of pelvic and abdomen and also for shock treatment
Trendelenburg
The av valves
Tricuspid and Mitral (bicuspid ) valves
List some cardiac markers
Triponin, CK, LDH, SGOT, AST
A patient is reporting chest pain and pressure. If this patient is experiencing a heart attack, which of the following laboratory test results could be elevated? Urobilinogen Reticulocyte Troponin Prolactin
Troponin
Blood Vessels Layers: The outer connective tissue layer is called the _____ _____.
Tunica Adventitia
Blood Vessels Layers: The inner endothelial layer is called the _____ _____.
Tunica Intima
Inner endothelial tissue layer of a blood vessel
Tunica Intima
Blood Vessels Layers: The middle smooth muscle layer is called the _____ _____.
Tunica Media
Outer connective tissue layer of a blood vessel
Tunica adventitia
The inner smooth layer of a blood vessel
Tunica media
6) A medical assistant is performing a routine hearing test on a patient. Which of the following procedures measures a patient's hearing by using air in bone conduction?
Tuning fork test
Positive testing for occult blood in a stool sample turn which color?
Turns Blue on a positive test for occult blood in feces.
Measure the pulse for 2 min.
Twenty seconds into measuring a patient's pulse, a CCMA detects an irregular heartbeat. What should the CCMA do next?
(Prescription) bid
Twice a Day, from the Latin his in die
Components of the Urinary System
Two kidneys, two ureters, urinary bladder, and a urethra.
infarction
Two main electrocardiographic changes can be observed days to weeks after myocardial ___________________; complete resolution of and normalization of the tracing, or the development of a pathological Q wave. It is of critical importance to remember that the presence of pathological Q waves does not rule out an acute cardiac event.
Abbreviation for Uterine Chorionic Gonadotropin
UCG
Abbreviation for Urinary Tract Infection
UTI
Thrombotic Veins
Unsuitable Veins
5) Which of the following terms describes the act of unlawfully increasing the reimbursement amount from a third party pair?
Up coding
8) which of the following sites should the medical assistant use for the administration per cutaneous skin test?
Upper arm
Which of the following providers specializes in the management and treatment of interstitial cystitis?
Urologist
4) The medical assistant is providing discharge instructions for a patient who has visually impaired. Which of the following actions should the medical assistant take?
Use body gestures when communicating
A CCMA is preparing to irrigate a patient's ear. Which of the following correctly describes the procedure? Use room temperature water to irrigate the ear canal Use hot water to irrigate the ear canal Clean the war canal within a cotton-tipped swab prior to irrigation Clean the ear canal using a high pressure syringe.
Use room temperature water to irrigate the ear canal
The Gram Stain
Used to classify bacteria on the basis of their form, size, cellular morphology, and gram stain reaction.
Define Steam Sterilization
Uses steam under pressure to obtain high temperature of 250-254F with exposure times of 20-40 minutes depending on the item being sterilized.
Define Chemical Sterilization
Uses the same chemical used for chemical disinfection, but the exposure time is longer.
4) Which of the following abbreviations should a medical assistant use when documenting initial assessment data collected prior to a patient's wellness exam?
VS vital signs
What is the primary stage of Hemolisis?
Vascular phase and platelet phase together
15) In medical assistant is talking with a patient who has lime disease. Which of the following is the name of the transmission for this infection?
Vector
What is the reading you can get from the RR interval?
Ventricular Pulse
QRS complex
Ventricular depolarization
T wave
Ventricular repolarization
13) A medical assistant has completed a blood collection. Which of the following actions should the medical assistant take to ensure proper specimen processing?
Verify that the requisition form has been completed
10) Which of the following types of bacteria has a structure with the shape similar to a comma?
Vibrio
7) a medical assistance is provided patient education on bone loss and calcium regulation. Which of the following supplements for the medical assistant recommend?
Vitamin D
1) A medical Assistant is instructing a patient on the collection of a clean catch urine specimen for culture and sensitivity. Which of the following instructions to the medical assistant give the patient?
Void a small amount of urine into the toilet and then void the next portion into a sterile container
decrease
Warfarin and aspirin can _______________________ the ability of the blood to clot for several days after a patient has stopped taking these medications.
1) a medical assistant is providing teaching a patient about the importance e of water intake. Which of the following information should medical assistant include?
Water helps regulate body temperature
Define common vehicle
Water, food, drinking from the same glass, kissing
Which of the following types of appointment systems allows flexibility to allow for the most consistent patient flow? Double booking Cluster booking Wave scheduling Stream scheduling
Wave scheduling
Define Interval
Waveform plus a segment.
R
What EKG wave should a CCMA use to determine the regularity of ventricular depolarization?
PHI
What abbreviation applies to HIPAA regulations and to insurance in the healthcare setting?
Inspect the integrity of the needle's seal.
What action should the CCMA take to verify the quality of venipuncture supplies before beginning a blood draw?
Wandering baseline
What is the artifact shown in this tracing?
Test requisition
What is the first step in the blood collection procedure?
Proper identification
What is the most important factor to consider when collecting a chain of custody specimen?
1 to 7 days
What is the proper time period for the collection of a newborn screening card?
Hydrogels
What kind of dressing should a CCMA use on burns or wounds that have necrotic tissue?
Flush with tepid water
What should a CCMA do first when blood is splashed in her eye?
Sanitization
What should a CCMA perform on a hemostat prior to autoclaving?
Confirm the correct identity of the patient.
What step for a finger stick should a CCMA complete first?
Ask the child about non-health related subjects.
What technique should a CCMA use to put a young child at ease prior to administering an injection?
Disinfect
What technique should the CCMA use for routine cleaning of EKG cables?
Wave scheduling
What type of appointment systems allows flexibility to allow for the most consistent patient flow?
5
When applying a Holter monitor, how many monitor leads are placed on the patient?
Time next dose is due
When determining therapeutic medication monitoring levels, what information should the CCMA recognize as most important in measuring trough levels?
30 mm above the radial pulse cessation
When performing the palpatory method for obtaining blood pressure, what level the CCMA should inflate the cuff?
Endocarditis
When recording information into the medical record for a patient diagnosed with inflammation of the lining of the heart, what term should the CCMA use?
1 minute
When should you remove the tourniquet during a venipuncture procedure?
irrigation
When there is in ammation, drainage, chemicals, or foreign bodies in a patient's eye, it may be necessary to perform eye ____________________________.
A CCMA is preparing to perform a hand draw. Which of the following should the CCMA assemble? ETS needle and transfer device Winged infusion set and adapter Syringe and vacutainer Lancet and microtainer
Winged infusion set and adapter
11) which of the following steps should a medical assistant take to follow aseptic Guidelines when administering injections?
Wipe the injection site with an alcohol pad
more than, less than
With beats per minute _________ _______ 100 or ________ _______ 60, the patient should be observed for signs of fainting, such as dizziness or shortness of breath (WRITTEN _________ ______, _________ ______)
45
With one hand, grasp the tissue of the posterior upper arm. Hold the syringe in the other hand between the thumb and first two fingers. With a swift movement insert the subcutaneous injection at a _______° angle up to the hub of the syringe.
A clinical medical assistant is drawing five blood collection tubes. When should the tourniquet be released? When the draw is complete After a flash of blood is seen Within 1 minute of application of the tourniquet Between 2 and 3 minutes after application of the tourniquet
Within 1 minute of application of the tourniquet
Tort
Wrongful act that results in injury to one person to another
8) Which of the following tubes should a medical assistance select first when adhering to the proper order of draw?
Yellow
13) A medical assistant is providing teaching to a patient who is to undergo Holter Monitoring. Which of the following information should the medical assistant include?
You can place a piece of tape over the electrode if it becomes loose
10) A medical assistant is assisting a provider with a gynecology Examination. The patient says my religious please do not allow me to use contraception. The medical assistant should expect a divider to make which of the following statements?
You have the right to make choices regarding your health
12) A patient is in a waiting Room approach is a medical assistant and states I've been waiting 30 minutes to see my doctor can't you do something? Which of the following responses by the medical assistant is an example of active listening?
You sound frustrated about having to wait so long
1) A medical assistant is preparing a patient for a physical examination. The patient reports difficulty falling asleep. The medical assistant should anticipate with the provider will prescribe which of the following medical medication?
Zolpidem
T wave symmetry
_______ ________________ ______________________ is defined as a T wave that is symmetrical with respect to the Y axis. In other words, a T wave whose right and left sides form mirror images on the vertical axis are said to exhibit symmetry.
P wave symmetry
_______ _________________ _______________________ is defined as a P wave that is symmetrical with respect to the Y axis. In other words, a P wave whose right and left sides form mirror images on the vertical axis are said to exhibit symmetry.
Cell phone interference
____________ _________________ __________________________ can cause artifact on the EKG. It may appear as utter or P waves on the tracing at a rate of 300/min. Though the cell phone artifact morphology is different than normal P wave or utter wave morphology, take special care to ensure the patient's cell phone is off or moved away from the patient during the procedure.
Aural
_______________ temperature measures infrared heat waves released by the eardrum using a tympanic thermometer.
Hemolysis
_________________________ occurs when cells are ruptured (hemo means blood, lysis means breaking), and certain measurements, such as potassium level, can become falsely elevated. This can make it difficult to perform certain tests that evaluate a blood sample using light waves.This can occur when a tourniquet is left on too long, when blood is transferred incorrectly from one container to another or when the blood sample is stored at very low or very high temperatures.
Glycolytic
___________________________ action may interfere with analysis of glucose, calcitonin, aldosterone, phosphorus, and enzymes
Catheterization
_____________________________ is the insertion of a sterile, flexible, narrow plastic tube, or catheter, through the urethra into the bladder to withdraw urine. Use this test to obtain sterile urine specimens when a patient cannot void naturally or to measure the amount of residual urine in the bladder after normal voiding. Use this test for female patients to prevent vaginal contamination of a specimen, or for infants in culture and sensitivity tests. This type of test is not routinely used because it may cause infection.
Performance failure
_______________________________ ________________________ includes using an incorrect order of draw, using an incorrect tube for an ordered test, incorrect physical handling of the specimen, such as shaking the tube vigorously instead of simply inverting it to mix, using expired collection tubes (collection tubes expire in a specific year and on the last day of the month that is printed on the tube), failure to make sure that the patient has been properly prepared, such as making sure she has had nothing to eat or drink for 8 to 10 hours prior to a fasting glucose test.
sphygmomanometer
___________________________________ is used to measure a patient's blood pressure (also known as a blood pressure cuff)
A CCMA is caring for a patient who has active tuberculosis. Which of the following PPEs must be used during the patient's care? a. N95 respirator b. Gown c. Eye protection d. Hair cover
a, N95 respirator
A phlebotomist receives orders to draw a infant screening card. O2 levels, bilirubin, and DNA. Which of the following should be drawn first? a. O2 levels b. Bilirubin c. DNA d. Screening card
a, O2 levels
A CCMA is provideing instruction to a patient on how to take an extended release medication PO. Which of the following statements made by the patient indicates a need for further teaching? a. "I can crush or chew the pill, if it is too hard for me to swallow." b. "I should drink plenty of water when taking the extended release pill." c. "Extended release pills provide a consistent amount of medication for my bady to use over a period of time. " d. "I should take my puill at the same time each day."
a. "I can crush or chew the pill, it is is too hard for me to swallow."
A patient tells a CCMA that her physician's office is incompetent, as there is no improvement in her condition. Which of the following is an appropriate response? a. "I think that you fell that your treatment is not effective." b. "That isn't fair, Our office treats many patients successfully." c. "I'm sure that the provider can help you get better." d. "You could take a different medication and then you'll feel better."
a. "I think that you feel that your treatment is not effective."
Which of the following statements made by a CCMA demonstates an understanding of required patient identification techniques? a. "I will ask the patient to state her full name, and date of birth, before administering vaccines." b. "I can look in the patient's chart to obtain the name of the patient, prior to obtaining blood samples." c. "I can look at the daily chedule to ovtain the patient's name and the reason for the visit." d. "I will ask a coworker to confirm the identity of the patient, prior to collection a urine specimen."
a. "I will ask the patient to state her full name, and date of birth, before administering vaccines."
A CCMA should recognize that which of the following statements by a patient indicates a meed for further education? a. " I will take my medication with food before I go for my surgery." b. "I may be charged no-show fee, if I miss my appointment." c. "I won;t eat breakfast before my glucose tolerance test." d. "I can schedule my husband's appointment, if he is unable to do so."
a. "I will take my medication with food before I go for my surgery."
A CCMA is performing a chain of custody specimen collection. Which of the following statement by the CCMA indicates a need for further teaching? a. "Specimens collected at the end of the day should be transported immediately the next morning." b. "Specimens should be tested for correct temperature within 5 minuted of collection." c. "I will have the patient sign the chain of custody form." d. ""I will have the receiving lab sign the chain of custody form."
a. "Specimens collected at teh end of the day should be transported immediately the next morning."
A medication container states there is 250 mg if medication in each scored tablet. The provider orders 375 mg, How many tablets should teh CCMA give the patient? a. 1 1/2 tablets b. 1 tablet c. 2 tablets d. 1/2 tablet
a. 1 1/2 tablets
A CCMA is to administer a subcutaneous injection on a patient who is obese. Which of the following needles should the CCMA choose? a. 1/2 to 5/8 inch needle, 23 to 25 gauge b. 1 to 2 inch needle, 18 to 23 gauge c. 3/8 to 5/8 inch needle, 25 to 27 gauge d. 1/2 to 1 inch needle, 21 to 23 gauge
a. 1/2 to 5/8 inch needle, 23 to 25 gauge
The provider orders the CCMA to prepare a tablespoon of medication for a patient. How many milliliters of medication should the CCMA draw up? a. 15 mL b. 5 mL c. 30 mL d. 2.5 mL
a. 15 mL
CCMA is caring for a patient who weights 72 kg. What is the patient's weight in lb? a. 158.4 lb b. 32.47 lb c. 115.2 lb d. 45.1 lb
a. 158.4 lb
A CCMA is caring for a patient who is 5'7" tall. Which of the following is the patient's height in centimeters? (round the answer to the nearest whole number) a. 170 cm b. 145 cm c. 114 cm d. 26 cm
a. 170 cm
Which of the following needle sizes is the most appropriate for a subcutaneous injection? a. 25 gauge b. 21 gauge c. 16 gauge d. 27 gauge
a. 25 gauge
A CCMA is caring for a 4-month-old infant who has a temperature of 100.4 degrees F. Which of the follwing is this temperature in Celsius? a. 38 degree Celsius b. 36.5 degree Celsius c. 37.5 degree Celsius d. 34.2 degree Celsius
a. 38 degree Celsius
A CCMA is caring for a preschooler who weighs 40 kg. Which of the following is the correct conversion to lb? a. 88 lb b. 18 lb c. 42 lb d. 38 lb
a. 88 lb
An employee at a cardiologist's office calls a CCMA's office, inquiring about a referral patient. Which of the following test reselts can the CCMA disclose to the caller? a. LDL b. TSH c. GTT d. HCG
a. LDL
Which of the following abbreviations applies to HIPPA regulations and to insurance in the health care setting? a. PHI b. PDA c. HHS d. OCR
a. PHI
Which of the following is the first step in blood collection procedure a. test requisition b. Patient identification c. Test accession d. vein location
a. Test requisition
A CCMA is preparing a patient for a 12-lead EKG. Which of the following is the correct placement for lead V4? a. The 5th incostal space at the mid-clavicular line b. The 4th intercostal space at the midaxillary line c. The 5th intercostal space at the mid-axillary line d. The 4th intercostal space at the midclavicular line
a. The 5th intercostal space at the midclavicular line
Some older-adult or obese patients may not have accessible antecubital veins. In these situations, the CCMA can use which of the following? a. Hand veins b. Neck veins c. Wrist veins d. Foot veins
a. hand veins
A CCMA records a male patient's hemoglobin as 9 g/dl. Which of the following should she tell the provider about the result? a. It is below the normal reference range b. It is low value with the reference range c. It is above the normal reference range d. It is a high value within the reference range
a. it is below the normal reference range
A CCMA needs to type a professional business letter form the office. Which of the following formats is appropriate? a. Keep flush with the left margin b. Leave two lines between the closing and the types signature c. Center the inside address and greeting d. Omit the date and the typed signature
a. keep flushed with the left margin
Which of the following templates for medical record documentation is organized by the entity that suppled the data? a. Source-oriented b. Problem-oriented c. SOAP format d. CHEDDAR format
a. source-oriented
Which of the following is the ergonomically correct method for lifting heavy loads in the workplace? a. Squat and lift with the legs b. Reach and life with arms c. Flex at the hips and life with hack d. Twist at the waist and life with the hips
a. squat and life with the legs
Which of the following instructions should a CCMA use to administer an enteric-coasted tables to a patient? a. Swallow the tablet whole with a glass of water b. Chew the tablet thoroughly before swallowing c. dissolve the tablet in a glass of water before drinking d. Crush the tablet and mix it with apple sauce
a. swallow the tablet whole with a glass of water
During a routine venipuncture, the patient becomes pale and diaphoretic. What condition is most likely to occur in this patient? a. syncope b. Seizure c. Nausea d. Shock
a. syncope
An adolescent child is covered by two insurance policies under her married parents. In order to determine the primary policy, which of the following should the CCMA obtain? a. The policy of the parent with the earliest birth month b. The policy written in which the patient is the dependent c. The policy written first d. The policy that the patient chooses
a. the policy of the parent with the earliest birth month
Which of the following reasons should a CCMA document on the chart when a patient calls to cancel a postoperative appoitment, and she says that she will reschedule later? a. To prove that the office wasn't negligent b. To explain the loss of revenue c. To deny future appointments d. To demonstrate confidentiality
a. to prove that the office wasn't negligent
Which of the following parenteral medication routes should a CCMA administer for a slow release of medication into the blood stream? a. Transdermal b. Sublingual c. Buccal d. Inhalation
a. transdermal
A CCMA in preparing to irrigate a patient's ear. Which of the following correctly describes the procedure? a. Use room temperature water to irrigate the ear canal b. Use hot water to irrigate the ear canall c. Clean the ear canal with a cotton=tipped swab prior to irrigation d. Clean the ear canal useing a high pressure syringe
a. use room temperature water to irrigate the ear canal
Which of the following types of tracings show a baseline that does not appear to have a set baseline a. Wandering baseline b. Somatic tremors c. A/C interference d. Broken recording
a. wandering baseline
Which of the following techniques should the CCMA use when bandaging a wound? a. Wrap the wound from distal to proximal b. Bandage fingers and toes to prevent further injury c. Extend the wound dressing 3 to 5 inches beyond the bandage d. Moisten and apply ointment before bandaging
a. wrap the wound from distal to proximal
Dia
across, though
Drugs used for a pharmacologic stress test
adeosine, dipyridamole, dobutamine
Post
after
Anti, Contra
against
Pari
all
Para
along, beside
A CCMA is drawing blood from a patient and observes red spots. Which of the following is an appropriate action for the CCMA to take? stop the draw immediately apply ice to the site after the draw apply more pressure to the site after the draw instruct the patient to open and close her fist
apply more pressure to the site after the draw
Circum, Peri
around
prn
as necessary or when needed
The pns or parasympathetic nervous system affects
atria only by decreasing heart rate, conduction and irritability
what does the P-wave represent?
atrial depolarization
Ab
away from
A CCMA should recognize which of the following blood pressure readings as indicative of a patient who is pre-hypertensive? .a. 140/90 mm Hg b. 130/86 mm Hg c. 100/65 mm Hg d. 115/75 mm Hg
b. 130/86 mm Hg
A CCMA is preparing a patient for a near visual acuity test. How far away should the patient hold the chart from the face? a. 12 inches b. 15 inches c. 20 inches d. 30 inches
b. 15 inches
Which of the following is outside of a CCMA's scope of practice? a. Performing clinical duties under the direct supervision of the provider b. Order additional laboratory tests to confirm the patient;s condition c. Provide directions to a patient about preparation for a diagnostic test d. Reinforce instructions about medications and special diets
b. Order additional laboratory tests to confirm the patient's condition
When useing CPT codes, which do modifiers indicate? a. Place of service for the procedure b. Alteration in service performed c. Inpatient or outpatient distinction d. Critical care or emergency services
b. alteration in services performed
A patient requests a female provider to perform her exam due to religious conviction. A female provider is not available. Which of the following is the appropriate response by the CCMA? a. Decline treatment of the patient b. Assist the patient in locating a provider to accommodate the patient's needs c. Reassure the patient that the make provider will be respectful d. Instruct the patient to visit the emergency room
b. assist the patient in locating a provider to accommodate the patient's needs
A provider ordered a tobramycin level to be drawn 1 hr after dose. The tobramycin has been ordered for an inpatient at 1100. Which of the following actions should the CCMA take? a. Draw blood at 1100 b. Verify the dose with the nurse c. Contact the laboratory d. Ask the patient
b. verify the dose with the nurse
Clean genitals with ____ to not mess up urine test results
benzol chloride
Hemat, Hem
blood
Yellow tube
blood cultures, SPS
Vascul
blood vessels
Crop
body
Oste
bone
OU
both eyes
The SP or sympathetic nervous system affects
both, the atria and the ventricles by increasing heart rate conduction and irritability
Diastole is the ___ number on the BP and occurs when the heart ____.
bottom; relaxes
Abbreviation for Beats Per Minute
bpm
Less than 60
bradycardia
-pnea
breathing
Which of the following statements made by a new CCMA, regarding an artifact, demonstrates a meed for further teaching? a. "a broken recording is not caused by patient movement." b. "Wandering baseline artifact is due to patient movement and respiration." c. "Electrical interference on the EKG is not caused by cell phones." d. "Sonatic tremor is due to muscle movement."
c. "Electrical interference on the EKG is not caused by cell phones."
The Clinical and Laboratory Standards Institution(CLSI) stats that needle insertion in the antecubital area should be at a a. 5 to 10 degree angle b. 50 to 60 degree angle c. 15 to 30 degree angle d. 35 to 45 degree angle
c. 15 to 30 degree angle
A patient presents to an office for treatment. After reading the consent form, she has second thoughts. Who is responsible for counseling the patient? a. Receptionist b. CCMA c. Provider d. Administrative manager
c. provider
A patient calls a facility and asks for the cost of a surgical procedure. Which of the following is an appropriate response by the CCMA? a. Tell the patinet she must speak directly with her provider b. Suggest the patient contact her insureance provider c. Quote the cost of the procedure d. Advise the patient that the information must be mailed
c. quote the cost of the procedure
A CCMA observes a hematoma developing at the site of a venous blood draw. The CCMA should do which of the following? a. Observe the site to see if the hematoma worsens b. Ask the patient to apply pressure to the area c. Release the tourniquet and stop the draw d. Call for a nurse and assess the patient's condition
c. release the tourniquet and stop the draw
Meta
change
Convert cm to in
cm x 0.39 = inches
Physical examination of urine consists of
colume (adequate for testing, observing color and appearance, odor, specific gravity
Modes of transmission
contact (direct or indirect) droplet, airborne, common vehicle, vector
-systole
contraction of the heart
The primary code in the CPT coding system consists of have many digits? a. 2 b. 3 c. 4 d. 5
d. 5
A CCMA is caring for a patient who is crying. Which of the following actions should the CCMA take? a. Ask the patient why he is crying b. Tell the patient there is no reason to cry c. Tell the provider immediately d. Allow the patient to cry
d. Allow the patient to cry
Which of the following is a CLIA-waived laboratory test? a. PAP smear b. Scotch tape test c. Fecal leukocyte d. HCG test
d. HCG test
A provider requests that a CCMA provides lab results to a patient. When the CCMA calls, the phone is disconnected. Using the EMR program, what is another way to get lab results to the patient? a. Fax machine b. Text message c. E-mail d. Certified letter
d. certified letter
The contraction of cardiac cells from electrical discharge is ____.
depolarization
When the heart muscle is contracting -
depolarization
-pathy
disease
Used for instruments that easily corrode
dry heat sterilization
Agonal means
dying heart
Class C fires
eleCtrical fire- nonconductive way to extinguish
Conduction Block
electrical impulses go down but encounter blocks and delays
Ectopic Rythms
electrical impulses originating from somewhere else but the SA node
Tachycardia is a _____ heart rate of over ____ bpm.
elevated; 100
The inner most layer of the heart
endocardium
Analytical errors during collection of blood
extended tourniquet time, hemolysis, wrong order of draw, failure to invert tubes, faulty technique under filling tubes
Tachy
fast
Class B fires
flammable liquids/vapors- remove oxygen to extinguish
PR segment
flat line between P wave and QRS complex
ST segment
flat line between QRS complex and T wave
Lithotomy
flat on back, knees bent in stirrups
qid
four times a day
ST segment
from J point to the onset of the T wave
sig
from the latin, let it be labeled
Convert ft to in
ft/ 12 = total inches
Symptoms of patients with diabetes mellitus
glycosuria, polyuria, and thirst
Fever for oral
greater than 100 F (37.8 C)
Abbreviation for Human Chorionic Gonadotropin
hCG
Hemi
half
Cardi
heart
Functions necessary for life
heart function, blood pressure, respiration, temperature
The tracing is marked on the paper by a stylus using _____.
heat
additives in green top tube
heparin, sodium, litium, ammonium
Convert in to ft
inches/12 = feet
-tomy
incision
Digitalis does
increases the force of cardiac contractions as well as cardiac output, tocicity in 20% of patients
heel sticks are performed on which patients?
infants less than 1 year old
-itis
inflammation
-scope
instrument for viewing
(Prescription) IM
intramuscular (in the muscle)
Nephr
kidney
Trendelenburg
laid flat, facing up, bottom of table raised 30*
Order of draw for cappilary specimens
lavender first, then tubes with other additives, then tubes with out additives
Convert lb to kg
lb x 0.45 = kg
Hypo
less, decreased
Defamation of character by written statement is considered
libel
Poly
many
PPE includes?
mask, goggles, face shields, respirator
Explain blood pressure
measurement of amount of force blood excertes on peripheral artery walls
Hyper
more, increased
Waveform
movement away from the isoelectric line either positive or negative
heart sounds produced by closure of the valves
murmors
Muscul, Myo
muscles
Neur
nerve
Ventricles
no P wave 20-40 bpm wide > 12s
De
not, down
-emia
of the blood
Mono
one
Five small block
one big block
Class A fires
ordinary combustible material- water to extinguish
What will occur if you puncture the heel too deep? more than 2 mm
osteomyalitis
-plegia
paralysis
Semi
part
What is the most important task of a phlebotomist
patient ID
the sac containing the heart
pericardium
Examination of urine consists of
physical, chemical, microscopic
Category 2 CPT codes used to
physicians to track services that will assist w/ quality care.
What are the symptoms of shock
plale cold clammy skin, blank stare, rapid weak pulse, fast shallow breathing
J (RST) junction
point at which QRS complex ends and the ST segment begins
When the heart muscle is resting/relaxing-
polarization
Opposite of anemia
polycythemia
pc
post consumption/ after a meal
serous fluid
prevents friction as the heart beats
-metry
process of measuring
-graphy
process of recording
-scopy
process of vewing
patient lays on his/her stomach with head turned to one side for comfort
prone position
Valve lovated between the right ventricle and the pulmonary trunk
pulmonic valve
2) A medical assistant is transcribing a prescription for a provider for a medication that must be taken hourly. Which of the following abbreviations should the medical assistant identify is the correct notation of when and how often the patient should take the medication?
qh
-gram, graph
record
Continuous Fever
remains constant above baseline, does not flucuate
-plasty
repair
Results in myocardial relaxation
repolarization
When myocardial cells recover electrically its called _____
repolarization
When the heart muscle is recovering-
repolarization
Arteries supplying the heart
right and left coronary from the aorta
arteries supplying the heart
right and left coronary from the aorta
Where does deoxygenated blood enter the heart?
right atrium
OD
right eye
Which limb is always the ground
right leg
the copper reaction test is used for what?
screening for glucose in urine
S2 in the ventricles
second heart sound due to the closure of the aortic and pulmonic valves
(Prescription) SQ
short for subcutaneous (meaning under the skin)
Uni
single, one
Brady
slow
Bradycardia is a ____ heart rate of less then _____ bpm.
slowed; 60
Micro
small
3 skills of the phlebotomist
social, clerical, technical
Light blue
sodium citrate, coagulation
Gastr
stomach
(Prescription) sl
sublingual (under the tongue)
sl
sublingual under tongue
Greater then 100
tachycardia
Category 3 CPT codes are
temporary codes
Which are the preferred sites for dermal punctures
the distal segment of the third or fourth finger of the non-dominant hand
dermal puncture is made in
the fleshy portion of the finger slightly to the side of the center perpendicular to the lines of the fingerprints
a muscular hollow organ located in thoracic cavity between lungs
the heart
On Lead III, which is the positive lead
the left leg is positive
Where on the foot is the dermal puncture made on patients less than a year old
the medial and lateral areas of the plantar surface of the foot
When checking peak therapuetic monitoring levels chek the...
time last dose was taken
Systole is the ____ number on BP and occurs when the heart ____.
top; contracts
-latric
treatment
bid
twice a day
Bi-Di
two
Ur
urine
Prone position is used for
used to examine back and spine
Interval
waveform plus a segment
A, An
without
The specimen was insufficient.
A blood specimen was rejected by the laboratory with the abbreviation QNS. Why was the specimen rejected?
Provider
A patient presents to an office for treatment. After reading the consent form, she has second thoughts. Who is responsible for counseling the patient?
Alteration in service performed
When using CPT codes, what do modifiers indicate?
25 gauge
Which of the following needle sizes is the most appropriate for a subcutaneous injection?
Within 1 min of application of the tourniquet
A clinical medical assistant is drawing five blood collection tubes. When should the tourniquet be released?
Common errors in blood pressure measurements:
-Improper Cuff Size -The arm is not at heart level -Cuff is not completely deflated before use -Deflation of the cuff is faster than 2-3mmHG per second -The cuff is re-inflated during the procedure without allowing the arm to rest for 1-2 minutes between reading -Improper cuff placement -Defective Equipment
Patient's have the Right to:
-Information about pain and pain relied -A caring staff who believes in your reports of pain -A care staff with concern about your pain -A quick response when you report your pain
EKG Evaluation:
-Monitoring patient's HR -Evaluates injuries to the heart muscle -Evaluates the pacemakers and conductive system function -Evaluate the response toward medication -Provides a baseline record for medical procedure
Common Shock Symptoms:
-Pale, Cold, Clammy Skin -Rapid, Weak Pulse -Increased, Shallow Breathing Rate -Expressionless Face/Staring Eyes
Blood Request forms should include the following:
-Patient's name and age from ID plate or wristband -Identification # -Date and time the specimen is obtained -Name or initials of person who obtains the specimen -Accessioning # -Physician's name -Department for which work is being done -Other useful info.
3 Parts of Examination of Urine
-Physical Examination -Chemical Examination -Microscopic Examination
Antiseptic
-Prepackaged 70% isopropyl alcohol pads are the most commonly used -For collections that require more stringent infection control such as blood cultures and arterial punctures Povidone-iodine solution is commonly used -For patients allergic to iodine, chlorhexidine gluconate is used.
Tourniquets
-Prevents the venous outflow of blood from the arm causing the veins to bulge thereby making it easier to locate the veins. -The most common is a latex strip -Blood pressure cuffs may also be used
QRS Complex
-Represents ventricular depolarization (activation) -The ventricle is depolarized from the endocardium to the myocardium, to the epicardium -Normal duration is no more than 0.1 sec (otherwise stated as "less than .12 sec)
The four chambers of the heart:
-Right Atria -Left Atria -Right Ventricle -Left Ventricle
Acetylcholine may cause what to happen:
-Slow SA pacemarker and HR -Slow the conduction of electricity in AV node -Decreased the strength of atrial and ventricular contraction
The medical assistant uses 3 skills when contacting patients for phlebotomy:
-Social -Clerical -Technical
Common causes of Failure to Obtain Blood:
-The tube has lost its vacuum -Improperly positioned needle. -Collapsed Vein
Sharps Injury Log must contain, at the minimum:
-The type and brand of device involved in the incident -The department or work area where the exposure incident occurred -An explanation of how the incident occured
The Stroke Volume Depends on:
-The volume of blood returning into the heart -The force of the myocardium contraction -Vascular resistance (After Load)
Vacutainer Needles
-These are disposable and are used only once both for single-tube draw and multidraw (more than one tube) -Needle sizes differ both in length and gauge. 1-inch and 1.5 inch long are routinely used
AV Cusped Valves Characteristics are:
-They have tough fibrous rings. -Long and strong leaflets (cuspids). -They have accessory organs, such as papillary muscles and chordea tendinae.
Semilunar Valves Characteristics
-Three Leaflets -Shallow in depth -They have no accessory organs
Time Specimens
-To determine blood levels of medications -To monitor changes in a patients conditions -to measure blood levels of substances exhibiting diurnal variation
A pH of _____ to _____ is considered to be acidic.
0 to 7.0
One small block
0.04 sec
1 lb = ____kg
0.45
Total Bilirubin
0.8-1.4 mg/dl
When are OGTT scheduled to begin?
0700-0900 7-9am
A medication container states there is 250mg of medication in each scored tablet. The provider orders 375mg. How many tablets should the CCMA give the patient? 1 1/2 1 2 1/2
1 1/2
A medication container states that there is 250mg of medication in each scored tablet. The provider orders 375mg. How many tablets should the CCMA give the patient? 1 1/2 tablets 1 tablet 2 tablets 1/2 tablet
1 1/2 tablets (1.5 x 250=375)
Length of needle commonly used in venipuncture
1 ince (up to 1.5")
300 Big blocks
1 m
Subcutaneous injections are given at a ___angle with a ___gauge needle.
45*; 23-25
Plasma comprises _____ of the circulating blood and it contains proteins, amino acids, gasses, electrolytes, sugars, hormones, minerals, vitamins, and water (92%).
55%
Antiseptics used in Phlebodtomy
70% isopropyl alcohol pads most common, provolone iodine for bc, s and chlorhexidine gluconate for patients that are allergic to betadine/ iodine
Have the patient repeat information
A CCMA is educating an older adult patient on wound care. What should the CCMA do to ensure patient understanding?
6) Once in advance directives are in place, they can be updated at which of the following times?
Anytime
The blood vessels are:
Aorta, Arteries, Arterioles, Capillaries, Venule, Veins, Superior and Inferior Vena Cavae.
V6
Attach the _______ lead (purple) on a horizontal line with V3 at the midaxillary line, tab facing the cable yoke.
When should the code on glucose cuvettes be compared to the code on the glucometer? After a new package of cuvettes is opened Before a patient is tested At the beginning of the shift Following an error code
Before a patient is tested
A CCMA is collecting a blood sample from a patient and notices the patient becomes unresponsive. The CCMA determines that the patient is not breathing and does not have a pulse. Which of the following should the CCMA do first to respond to the patient's status? Begin chest compressions Administer epinephrine Provide ventilatinos Initiate an intravenous line
Begin chest compressions
3 - 4
Blue tops get ____ to ____ inversions (WRITTEN # - #)
Yellow Top Tube (sterile)
Contains the anticoagulant sodium polyanetholesulfonate (SPS). These are used to collect specimens to be cultured for the presence of microorganisms.
growth rate
For newborn, infant and toddler patients, additional pediatric anthropometric measurements are recorded to determine ___________________ ____________.
The cellular portion of blood is called the _____ _____.
Formed Elements
Bundle of His
Found at the superior portion of the interventricular septum, it is the pathway that leads out of the AV node and connects to the Bundle Branches.
Heparin
Found in green stopper tubes and used for most chemistry tests that require plasma or whole blood and STAT chemistry tests. Heparin and separator gel that is found in light green (or black and green mottled) stopper tubes are used for chemistry testing as well.
EKG
Graphical presentation of heart electricity (voltage) over time. This electricity is created by specialized cells called pacemaker cells. These cells generate electrical impulses spontaneously (without outside influence) and rhythmically (automatically).
Common tests for this color tube are chemistry tests performed on plasuma such as Ammonia, carboxyhemoglobin and STAT electrolytes
Green top tube (heparin) Tests
Why is the green top tube never used for hematology
Green tops additive heparin interferes with the Wright's stained blood test
15) After receiving blood test results from the reference laboratory, which of the following actions to the medical assistant take?
Have a provider review the lab Result
Which of the following actions should the CCMA take to verify the quality of ventipuncture supplies before beginning a blood draw? Determine that the tourniquet is the proper size Check the vacuum of the tube Inspect the integrity of the needle's seal Verify that the adapter is the correct color
Inspect the integrity of the needle's seal
The 4 principles of a physical examinations:
Inspection, Palpation, Percussion, Auscultation
6) A medical assistant is performing bookkeeping duties using the offices in EHR software. For which of the following reasons should the medical assistant enter an adjustment on a patient's account?
Insurance disallowance
Recording artifacts can result from the following: -Loose Connection
Intermittently loose connection in the insertion of the electrodes into the recording apparatus can result in the absence of all EKG signals which may mimic bradycardia-tachycardia syndrome. Clue to this artifact is the attenuated QRST morphology of the complexes beginning and ending the pause in rhythm.
Define Lead
Is a recorded tracing of the heart electricity from one or two electrodes that provides a specific view of the heart.
Define Cable
Is a wire that connects the electrode to the EKG machine (cardiac monitor).
Define Tort
Is a wrongful act that results in injury to one person by another.
Define Latex Sensitivity
Is an emerging and important problem in the health care field.
Atrial Fibrillation
Is caused by multiple irritable sites all over the atria firing at a rate exceeding 350 bpm. These rapid impulses case quivering (fibrillation) of the muscular fibers, which results in a drastic decrease in the cardiac output, blood stagnation and the formation of a clot. It is an emergency. Notify the Doctor.
AV Reentry Tachycardia
Is caused when the electrical impulse passes through a passage other than AV node. Cardiac rhythm is regular but up to 250 bpm. It is an emergency. Notify the Doctor.
Ventricular Tachycardia (VT)
Is characterized by 3 or more PVC's in a row at rate over 100 bpm. -Regular fast rhythm, 100 to 250 bpm - No P waves -Wide, bizarre QRS complexes with T waves pointing in opposite direction from main QRS direction
Atrial Flutter
Is characterized by rapid depolarization of a single atrial focus at a rate of 250-350 bpm. -b/c the AV node cannot transmit every impulse at excessive rates, there is typically a slower ventricular rate (often appearing at a 2:1, 3:1, 4:1, etc, conduction ratio). It is an emergency. Notify the Doctor.
PR Interval
Is defined as P wave and PR segment and is measured from the beginning of P wave to the beginning of QRS complex. The normal interval is 0.12-0.2 sec.
Define Urine Ouput
Is dependent upon the body's state of hydration and normally averages 1200-1500ml every 24 hours.
Define Microscopic Examination of the Urine
Is done on urine sediment obtained by certrifugation of 10 to 15ml of urine. The identification and enumeration of the urinary sediment constituents require that only highly skilled and qualified individuals undertake the microscopic examination.
Define Wandering Baseline
Is it when the baseline moves up and down on the EKG paper. It is often caused by lotion or sweat on the skin interfering with the signal transmitted to the machine. Cleaning the site of the electrode and properly placing it resolves the interference.
Define Bicuspid Mitral Valve
Is located between the left atrium and the left ventricle. It has two cusps (or leaflets) and it also called the mitral valve.
Define Tricuspid Valve
Is located between the right atrium and the right ventricle. As the name connotes, it has three cusps (or leaflets).
Define "Heart Skeleton"
Is made up of four rings of thick connective tissue. These rings which surround the base of the heart and large vessels, create the cardiac septum, and provide a solid connection between the heart chambers and a strong attachment for the heart valves.
Ambulatory EKG Monitoring
Is mainly, but not only, used for diagnosis of cardiac dysrhythmias (disorders of the heart rhythm). It can also evaluate the heart rate, rhythm and function during daily activities.
Mid-Stream Specimen
Is one that is collected not at the beginning or end of voiding, but in the middle of urination.
Rectal Temperature
Is taken when oral temperature is not feasible.
Absolute Refractory Period
Is the 1st phase of repolarization in which a myocardial cell is unable to react to any electrical stimulus.
Hemostatis
Is the process by which blood vessels are repaired after injury.
Define Specific Gravity of Urine
Is the ratio of the weight of given volume of urine to the weight of the same volume of distilled water at a constant temperature. This is the most convenient way of measuring the kidney's ability to concentrate and dilute.
Define Urinary pH
Is the reflection of the acidity or alkaline of solution.
Define Urinary Glucose
Is the sugar typically found in urine.
Morphine Sulfate
Is the traditional drug of choice for the pain and anxiety associated with acute myocardial infarction. In high doses, may cause respiratory depression. This is a controlled substance.
The Heart Valves Purpose
Is to prevent back flow of the blood thereby assuring uni-directional flow thru the heart.
3) A medical assistant is obtaining a sample for a erythrocyte sedimentation rate ( ESR) test. Which of the following tubes should the medical assistant he was for blood collection?
Lavender
Define Vasoconstriction
Narrowing of the blood vessel.
2 tablespoons
Patients who have anemia may be worried about the amount of blood that is taken during phlebotomy. You can reassure them it is safe by letting them know that the amount of blood that fills three specimen tubes is less than or equal to _____ __________________________ and this is less than 1% of their total blood volume
1+
Place Channel _____ __ (red) left anterior axillary line 6th rib for a 3-channel 7-lead monitor
1-
Place Channel _____ __ (white) right manubrial border of the sternum for a 3-channel 7-lead monitor
2+, 3+
Place Channel _____ __, _____ __ (black) lower left rib margin over bone for a 3-channel 5-lead monitor
1-, 2-
Place Channel _____ __, _____ __(red) centered on the manubrium for a 3-channel 5-lead monitor
11) which of the following factors put a patient at higher risk of experience in cerebrovascular accident (CVA)
Sleep apnea
_____ and _____ injury is manifested by ST segment elevation in the leads recording in front of the lesion.
Subepicardial and Transmural
4) A medical Assistant Reviews results of the urine pregnancy test and sees it a blue line did not disappear in the control area. This indicates which of the following?
The practice test is not valid
What is the hallmark of a infarction
The presence of abnormal Q waves
Hematuria
The presence of blood in urine.
Proteinuria
The presence of excess proteins in urine.
Define Urinary Leukocytes
The presence of increased numbers of leukocytes or white blood cells in the urine is an indicator of bacteriuria or urinary tract infection (UTI).
Hemostatis Stage 3: Coagulation phase
This involves a cascade of interactions of coagulation factors that converts the temporary platelet plug to stable fibrin clot.
Define Auscultation
This involves listening to sounds produced by internal organs. It is usually done to evaluated the heart, lungs, and the abdomen.
Define Percussion
This involves tapping or striking the body, usually with the fingers or a small hammer to determine the position, size and density of the underlying organ or tissue.
Define Chemical Examination of Urine
This involves the chemical evaluation of the contents of the urine which can be qualitative or quantitative.
Trauma
This is an injury to underlying tissues caused by probing of the needle.
Good Samaritan Law
This law deals with the rendering of first aid by health care professionals at the scene of an accident or sudden injury.
Fecal
________________ testing is performed to detect the presence of parasites, blood, and bacteria. Collect in a clean, sealable container and send to the laboratory immediately.
Gold
_________________ (or black and red mottled) stopper tubes contain gel and a clot activator. You may also use these for chemistry and immunology tests.
STEMI
_________________ is diagnosed using the following criteria: 1. ST segment elevation in two or more contiguous leads - Greater than 1 mm in the limb leads - Greater than 2 mm in the precordial leads 2. Reciprocal changes may also be present.
Semen
_________________ tests are performed for fertility testing and collected for future insemination. Collect in a sterile container, protected from light, and kept at body temperature.
Wave
__________________ scheduling has all patients to be seen in an hour scheduled to arrive at the beginning of the hour and are then seen in the order of their arrival. The advantage is that a patient who arrives late does not disrupt the entire schedule. The disadvantage is that there may be issues if all of the patients arrive at the same time, as some will have a longer wait.
Cluster
__________________ scheduling has patients with similar problems or procedures book consecutively. It is used in of ces that have specialized equipment or services available at certain limited times
Red
__________________ stopper tubes contain a clot activator, Use these for tests that require the blood to clot before being centrifuged, for draws that require serum, use these tubes for chemistry and immunology tests.
Serial
__________________ urine specimens are typically collected for glucose tolerance tests.
Sputum
___________________ testing is most often done to detect lower respiratory tract infections such as tuberculosis. The test requires that the patient cough deeply and the material that is expelled is collected with a sterilized container.
Syncope
_____________________ is another word for fainting
A CCMA should administer an intramuscular injections at which of the following angles? a. 90 degrees b. 45 degrees c. 25 degrees d. 15 degrees
a. 90 degrees
A CCMA is to use the Shellen chart to test an adult patient;s visual acuity. The CCMA should instruct the patient to stand which of the following distances away? a. 10 feet b. 20 feet c. 14 inches d. 30 inches
b. 20 feet
Which of following is appropriate for cleansing around the urinary meatus in a clean-catch urine collection? a. Hydrogen peroxide b. Benzalkonium chloride c. Providone iodine d. 70% alcohol pad
b. Benzalkonium chloride
Which of the following additives should be used when performing a CBC? a. SPS b. EDTA c. Lithium heparin d. Sodium citrate
b. EDTA
When should the code on glucose cuvettes be compared to the code on the glucometer? a. After a new package of cuvettes is opened b. Before a patient is tested c. At the beginning of the shift d. Following an error code
b. before the patient is tested
A patient's body temperature will be at its lowest at which of the following times? a. 10:00 AM b. 9:00 PM c. 4:00 AM d. 1:00 PM
c. 4:00 AM
Which of the following types of appointment systems allows flexibility to the most consistent patient flow? a. Double booking b. Cluster booking c. Wave scheduling d. Stream scheduling
c. wave scheduling
Sterile Syringes and Needles
10-20ml syringe is used when the Vacutainer method cannot be used.
Blue top tube
#2 in order of draw, comes after blood cultures/sterile specimens but before red top tubes
Red top tube
#3 in order of draw, comes after blue top tubes but before green top tubes
Gray
#6 in order of draw, comes after lavender top tubes
Analyzing the EKG Strip
-Assesses the HR -Assess Rhythm/Regularity -Identify and examine the P waves -Assess interval (PR, QRS,QT) -Evaluate ST segments and T waves -General Evaluation and Conclusion
Physical Examination of Urine
-Assessing the volume of the urine specimen to determine if it is adequate for testing -Observing the color and appearance (or character) of the specimen noting the odor. -Measuring the specific gravity.
Third Degree Block's Characteristics
-Atrial rate is greater than ventricular rate -P waves are normal, there are no measurable PR intervals -The atrial rhythm (P waves) is regular;AND the ventricular rhythm is regular (QRS complexes) -There is no relationship between P waves and QRS complexes -If the escape rhythm is ventricular, the QRS complexes will be abnormally wide with a slower ventricular rate
Exposure to light could alter the test results for:
-Bilirubin -Beta-carotene -Vitamins A & B6 -Porphyrins
Common Entry Sites:
-Broken Skin - Mucous Membranes -Body systems exposed to the external environment such as the respiratory, gastrointestinal, and reproductive.
The World Health Organization criteria for the diagnosis of myocardial infarction are the presence of at least two of:
-Clinical history of ischemic-type of chest discomfort -Changes on serial EKG tracings -Rise and fall in serum cardiac markers demonstrating cardiac tissue damage
5 Main Types of Mode Transmission:
-Contact: direct and indirect -Droplet -Airborne -Common Vehicle -Vectorborne
Biological Hazards - Biological Safety Regulations
-Disinfect the laboratory work area before and after each use when dealing with biologicals -Never draw a specimen through a pipette by mouth. This technique is not permitted in the laboratory -Always wear gloves -Sterilize specimens and any other contaminated materials and/or dispose of them through incineration -Wash hand thoroughly before and after every procedure
Precautions when performing a dermal puncture:
-Do not puncture deeper than 2.0mm -Do not perform dermal punctures on previous puncture sites -Do not use the back of the heel or arch of the foot -Use the medial and lateral areas of the plantar surface of the heel
The 4 Elements of Negligence:
-Duty: duty of care -Derelict: breach of duty of care -Direct cause: legally recognizable injury occurs as a result of the breach of duty of care -Damage: wrongful activity must have caused the injury or harm that occurred
Gram Staining Procedure
-Dye: crystal violet -Mordant: Gram's iodine -Decolorizer: 95% ethyl alcohol/acetone mixture -Counterstain: safranin stain
4 Methods of Sterilization
-Gas Sterilization -Dry Heat Sterilization -Chemical Sterilization -Steam Sterilization
ABO Blood Group System (4)
-Group A blood has "A" antigen -Group B has a "B" antigen -Group AB has both "A" and "B" antigens -Group O has neither "A" nor "B" antigen on the cell membrane
Sinus Arrhythmia
-HR 60 to 100 bpm -Normal equal P and QRS in all leads, as well as normal PR intervals -Different diastolic pause after each systole. If there are changes with the respiration is names.
Sinus Bradycardia
-HR less than 60 bpm -Normal equal P and QRS in all the leads, as well as normal PR intervals -Diastolic pause is longer (main graphic characteristic) -Bradycardia decreases the blood flow in the brain and other body tissues
Sinus Tachycardia
-HR over 100 bpm -Normal equal P and QRS in all the leads, as well as normal PR intervals -Diastolic pause is very small or nonexistent (main graphic Characteristic) -Tachycardia reduces the blood supply to the cardiac muscle
Erythrocytes contain:
-Hemoglobin, the oxygen-carrying protein
Chemical Hazards - Chemical Safety Regulations
-If skin or eyes come in contact with any chemicals, immediately wash the area with water for at least 5 minutes -Store flammable or volatile chemicals in a well-ventilated area -After use, immediately recap all bottles containing toxic substances -Label all chemicals with the required Material Safety Data Sheet (MDSD)
Bloodborne Pathogen Standard
-Revision and updating of the exposure control plan -Solicitation of employee input in selecting engineering and work practice controls -Modification of definitions relating to engineering controls -New record keeping requirements
The Medical Assistant's Role In the Physical Examination:
-Room Preparation -Patient Preparation -Assisting the Physician
The average adult has how many liters of blood?
5-6 liters
Prolonged PR interval
A CCMA is measuring the intervals on an EKG tracing. What is the anticipated finding of impaired conduction through the AV node?
Head Circumference
A CCMA is monitoring an infant patient for microcephaly. Which of the following describes the anthropometric measurement that the CCMA should perform?
The 5th intercostal space at the midclavicular line
A CCMA is preparing a patient for a 12-lead EKG. What is the correct placement for lead V4?
15 inches
A CCMA is preparing a patient for a near visual acuity test. How far away should the patient hold the chart from the face?
Autoclave
A CCMA is preparing sterilization for hemostats before an invasive procedure. Which of the following techniques should the CCMA use?
Winged infusion set and adapter
A CCMA is preparing to perform a hand draw. What should the CCMA assemble?
Tell the child that the procedure won't hurt
A CCMA is preparing to perform an EKG on a 3-year-old patient. What is an appropriate action for the CCMA to take before the procedure?
Obtain an oral or written order from the provider for the procedure.
A CCMA is scheduling a patient for an outpatient procedure. What action should the CCMA take first?
otoscope
A _________________________ an instrument designed for visual examination of the eardrum and the passage of the outer ear, typically having a light and a set of lenses.
When taking a Tympanic Temperature:
A covered probe is gently inserted into the ear canal and temperature is measured with seconds (1-3 seconds).
Electrophoresis
Analyzes chemical components of blood such as hemoglobin and serum, urine and cerebrospinal fluid, based on the differences in electrical charge.
1) A medical assistant is checking in on a patient who does not speak the same language as a medical assistant. Which of the following actions should the medical assistant take?
Ask a bilingual staff member to assist with communication
V1
Attach the _______ lead (red) to the fourth intercostal space at the right sternal border, tab facing cable yoke.
RA
Attach the _______ lead (white) to the patient's right arm with the tab facing the upper arm.
V2
Attach the _______ lead (yellow) to the fourth intercostal space at the left sternal border, tab facing cable yoke.
8) A medical assistant is preparing to sterilize a vaginal speculum. Which of the following sterilization techniques should the medical assistant use?
Autoclave
What is used at 250-254F, 15 pounds of pressure for 20-40 minutes
Autoclave
15) Which of the following allows a patient to confirm or cancel an appointment remotely?
Automated call routing
12) a medical assistant should identify that which of the following manifestations differentiates binge-eating disorder from bulimia nervosa?
Avoid self-indused vomiting
6) when processing a patient referral, a medical assistant should identify which of the following is a laboratory test
Blood urea nitrogen
Which of the following insurance providers is the oldest and largest system of independent health insurers in the U.S.?
Blue Cross/Blue Shield
3 Body Processes Necessary for life are:
Body Temperature, Respiration, Heart Function
All blood cells normally originate from the stem cells in the _____ _____.
Bone Marrow
Where do all blood cells originate?
Bone Marrow
12) Using knowledge of prefixes and suffixes a medical assistant should identify the term for slow breathing as which of the following?
Bradypnea
Fibrinolysis
Breakdown and removal of a clot
3) A medical assistant is preparing to perform a rapid strep test. Which of the following actions should the medical assistant take?
Bring the reagents and devices to room temperature
4) A medical assistant is performing phlebotomy on an 80-year-old patient who has small veins. Which of the following venue puncture methods should the medical assistant use for this patient?
Butterfly needle
Clean-catch midstream specimen
Collect this test after the genital area is cleaned. It is often ordered to diagnose urinary tract infections or to evaluate medication effectiveness. This type of specimen is required for culture and sensitivity tests. The specimen should be free from contamination, and the container must be sterile. Use antiseptic towelettes to clean either the perineal area (in females) or the penis (in males). Rinse away any soap residue because it can affect the specimen's pH. The patient must first void urine into the toilet, then into the container. Discard any remaining urine after the desired amount into the toilet.
24-hour specimen
Collected to measure urine output over a _____-____________ ______________________. These tests for substances released sporadically into the urine. During this type of collection, the patient should avoid bedpans, urinals, and toilet paper because they may retain the substances you are tested for. Discard the first specimen. The patient should urinate into a small collection container, which they then pour into a larger collection container. Clean the small container with soap and warm water between collections. The patient must refrigerate the urine prior to delivery to the physician's office or laboratory.
9) A patient centered medical home has five core functions in attributes. Which of the following features is including those functions?
Comprehensive care
Monocytes
Comprising 3% to 8% of the population, they are also the largest WBC's. Their number increases in intracellar infections and tuberculosis.
10) A medical assistant remove the needle from the antecubital space of a patient following a phlebotomy procedure and applies pressure. Which of the following steps should the medical assistant take next?
Dispose of the needle
15) A middle of the system is preparing to apply a compression bandage To a patient's extremity. The medical assistant Big M is applying to bandage at the farthest point from the patient's trunk in moves to the nearest point which of the following pairs of terms describes this progression?
Distal to proximal
Which of the following methods for calculating a patient's heart rate from the EKG is correct? Calculate the mean rate and divide 1,500 by that rate Count the number of small boxes in two cardiac cycles Divide 1,500 by the number of small boxes between two R waves Count the number of large boxes between P and T waves
Divide 1,500 by the number of small boxes between two R waves
1) Which of the following describes the purpose of a patient's discharge summary in a providers office?
Document information necessary for continuity of care
6) During the admission process, a patient explains manifestations of a cheap complaint to a medical assistant. Which of the following actions should the medical assistant take?
Document the patient's concerns in the medical record
1) A medical assistant is talking with an older adult patient who expresses frustration about having looked forward to retirement but now finding "too much time on my hands " which of the following is one of the developmental tasks for this patients age group?
Having sense of self-worth
8) A medical assistant is talking with a patient who has a new diagnosis of pediculus Humanous capitus. The medical assistant should explain that this is an infestation of which of the following multicellular parasites?
Head lice
frozen
Hormone tests require that the specimen is ____________________ when sent to a laboratory for testing
6) a patient walks with difficulty as a result of nerve damage on one side of the body, enters a clinic for a first visit. Which of the following statement should the medical assistant in the front office?
How can I make you more comfortable while you wait?
A patient tells a CCMA that her physician's office is incompetent, as there is no improvement in her condition. Which of the following is an appropriate response? I think that you feel that your treatment is not effective I'm sure that the provider can help you get better That isn't fair. Our office treats many patients successfully You could take a different medication and then you'll feel better
I think that you feel that your treatment is not effective
Which of the following statements made by a CCMA demonstrates an understanding of required patient identification techniques? I will ask the patient to state her full name and date of birth, before administering vaccines I can look in the patient's chart to obtain the name of the patient, prior to obtaining blood samples I can look at the daily schedule to obtain the patients name and reason for the visit I will ask a coworker to confirm the identity of the patient, prior to collecting a urine specimen.
I will ask the patient to state her full name and date of birth, before administering vaccines
Relative Refractory Period
Is the 2nd phase of repolarization during which time a strong enough electrical stimulus might cause new depolarization and contraction.
Edema
Is the accumulation of fluid in the tissues. Collection from edematous tissue alters test results.
Liter
Is the basic unit of capacity of volume. This measure tells us how much space an item occupies.
UWave
Is the deflection seen following the T wave but preceding the diastole. -Represents repolarization of Purkinje fibers -Round and symmetric less than 1.5mm in height -A prominent U wave is due to hypokalemia (low potassium, blood level)
Common Cardiovascular Agents -Lidocaine
Is the drug of choice for the suppression of ventricular ectopy (a beat located outside the conductive system) contractions (PVC), including ventricular tachycardia and ventricular flutter.
P Wave
Is the first deflection after the diastole, produced by atrial depolarization. It is smooth, round, not more than 2.5mm high and no more than 0.11 sec. Positive in I, II, and V2 to V6.
Peripheral Vascular Resistance
Is the force exerted against the blood flow and is determined by the diameter of the vessel. The lower the vascular resistance the less force is needed to eject the blood out of the heart during systole.
Axillary Temperature
Is the least accurate and is taken only when no other temperature site can be used.
Oral Temperature
Is the most common method of measurement.
Define Hand Washing
Is the most important means of preventing the spread of infections.
Define Heart Rate
Is the number of heart contractions per minute.
Respiratory Rate
Is the number of respirations per minute.
Define Systole
Is the period of contractions of both Arial and Ventricles.
Define Diastole
Is the period of relaxation and filling of all cardiac chambers.
Fistula
Is the permanent surgical connection between an artery and a vein. Are used for dialysis procedures and must never be used for venipuncture's due to the possibility of infection.
Dorsal Lithotomy Position
Is used for examination of pelvic organs. This position is similar to the dorsal recumbent position, except that the patient's legs are well separated and thighs are acutely flexed. The feet are usually placed in stirrups and a folded sheet or bath blanket is places crosswise over thighs and legs so that genital area is easily exposed.
Horizontal Recumbent Position
Is used for most physical examinations. The patient lies on his/her back with legs extended. Arms may be above the head, alongside the body or folded on the chest.
The Sim's Position
Is used for rectal examination. The patient is on his/her left side with the right knee flexed against the abdomen and the left knee slightly flexed. The left arm is behind the body; the right arm is placed comfortable.
The Knee-Chest Position
Is used for rectal or vaginal examinations and as treatment to bring uterus into a normal position. The patient is on his/her knees with his/her chest resting on the bed and elbows resting on the bed or arms above head. The head is turned to one side.
Verapamil
Is used in the treatment of paroxysmal supraventricular tachycardia (PSVT), effective in terminating more than 90% of episodes of PVST in adults and infants.
Define Hemoccult Fecal Occult Test
Is used to detect hidden blood in stool specimens. The 1st and last portion of the stool after the bowel movement usually contain concentrations of the substances most often required for testing. In order to conduct this test, a Hemmocult developing solution is applied to a stool specimen. Any trace of blue that appears within the specimen is a sign of a positive result.
Define Sputum Specimen
Is used to determine the presence of pathogens in a patient's respiratory passage. When obtaining the specimen the MA should instruct the patient to cough deeply, using the abdominal muscles as well as the accessory muscles to bring up secretions from the lungs as well as the upper airways. After the specimen is collected, it should correctly labeled with the patient's information.
The Pone Position
Is used to examine the back. The patient lies on his/her abdomen with head turned to one side for comfort, the arms may be above head or alongside the body.
Fowler's Position
Is used to promote drainage or to ease breathing. A sitting or semi-sitting position where the back of the examination table is elevated to either 45 degrees (45 degrees (Semi-Fowler's) or 90 degrees (High-Fowler's).
Tympanic Temperature
Is useful for children and confused patients because of the speed of operation.
Dorsal Recumbent Position
Is when the patient is on his/her back with knees flexed and soles of feet flat on the bed. The MA will need to fold a sheet once across the chest and fold a second sheet crosswise over the thighs and legs so that genital area is easily exposed.
Atrial Tachycardia (AT)
It is cause by an irritable focus in the atria that fires electrical impulses after the normal firing of the SA node pacemaker. HR is regular between 100 and 150 bpm.
Ventricular Fibrillation (VF)
It is produced by multiple electrical sites firing electrial impulses at the same time resulting in quivering of the ventricles myocardial muscle fibers, but not a uniform contraction. It is an emergency. Notify the Doctor.
QT Interval
It represents the total ventricular activity (ventricular depolarization PLUS ventricular repolarization), and it is measured from the beginning of QRS to the end of T wave. The normal duration of this interval depends on the age and the HR.
Define Pulmonic Valve
Located between the right ventricle and the pulmonary trunk.
9) Which of the following provides instructions for an emergency medical technician to follow when transporting an elderly or critically ill patient?
Medical order for life-sustaining treatment
General Evaluation and Conclusion
Notify the doctor for any abnormality that you can find on the EKG strip.
10) A provider notifies in medical assistant that she will be arriving 20 minutes late to the office. Which of the following actions should the medical assistant take?
Notify the next schedule patient about the delay
14) When reviewing blood work results, a medical assistant notices a fasting blood glucose of 200 mg deal. Which of the following actions should the medical assistant take?
Notify the patient provider of the results
The lab report on a patient indicates a hemoglobin level of 7 g/dL. Which of the following is the first action for the CCMA to take? Notify the provider Inform the patient Record the results in the medical record Repeat the test to insure accuracy
Notify the provider
11) A medical assistant received a call from a reference laboratory reporting a fasting blood glucose of 450 mg DL for a patient according to protocol, which of the following actions should the medical assistant take?
Notify the provider of the test results
1) Which of the following structures in a human cell contains the cells genetic information?
Nucleus
Needle Stick Prevention Act
OSHA has put into force the Occupational Exposure to Bloodborne Pathogen (BBP) Standard when it was concluded that healthcare employees face a serious health risk as a results of occupational exposure to blood and other boy fluids and tissues..
A CCMA is scheduling a patient for an outpatient procedure. The CCMA should take which of the following actions first? Precertify the procedure with the patients insurance company Obtain an oral or written order from the provider for the procedure Call the outpatient facility to inquire about available days and times for the procedure Contact the patient to find out his availability for the procedure
Obtain an oral or written order from the provider for the procedure
Prevention/Management for NRL Allergy IgE/histamine mediated
Obtain medical diagnosis, allergy consultation, subsitute non-NRL, gloves for affected worker and other non-NRL products. Eliminate exposure to glove powder - use of reduce protein, powder free gloves for coworkers. Clean NRL-containing powder from environment. Consider NRL, safe enviroment.
Prevention/Management for Allergic Contact Dermatitis
Obtain medical diagnosis, identify chemical. Consider use of glove liners such as cotton. Use alternative glove material without chemical. Assure glove material is suitable for intended use (proper barrier).
OSHA stands for
Occupational Safety and Health Adminstration
1) Employers Are accountable for providing a safe and healthy workplace for the employees by setting in forcing standards. This environment is achieved by providing training, out reach, education and assistance. Which of the following regulatory agencies oversees the standard?
Occupational safety and health administration OSHA
S1 First Heart Sound (Lubb)
Occurs during ventricle contraction and the closure of AV valves.
S2 Second Heart Sound (Dupp)
Occurs during ventricular relaxation when SL valves (Pulmonary and Aortic valves) close.
Define Depolarization
Occurs when positively charged ions (such as sodium and calcium) rapidly move from outside the myocardial cell membrane to the inside, changing the overall charge from negative to a positive.
Define Shock
Occurs when there is insufficient return of blood flow to the heart, resulting in inadequate supply of oxygen to all organs and tissues of the body.
Define Gas Sterilization
Often used for wheelchairs and hospital beds. Useful in hospitals, but costly for the office.
capillary
On an infant less than 2 years old, ____________________ collection is preferred over venipuncture
A medical assistant is preparing a referral slip for a patient who reports symptoms of vertigo. The assistant should refer the patient to which of the following specialists?
Otolaryngologist
Which of the following abbreviations applies to HIPPA regulations and to insurance in the health care setting? PHI PDA HHS OCR
PHI- protected health information
Test used to evaluate the extrinsic pathway and also used to monitor warfarin therapy
PT
Test performed for light blue tube
PTT
3-
Place Channel ______ __ (white) next to the right manubrium border on the clavicle for a 3-channel 5-lead monitor
14) In medical assistant is cleaning a room following a surgical procedure. Which of the following actions should the medical assistant take to ensure proper biohazard waste handling of used gauze pads?
Place the gods pads and a red polyethylene bag
J (RST) Junction
Point at which QRS complex ends and ST segment begins.
13) A medical assistant is performing inventory for a clinic. Which of the following actions should the medical assistant take?
Prepare a purchase order
Common Cardiovascular Agents -Isoproterenol (Isuprel)
Produces an overall increase in heart rate and myocardial contractility, but newer agents have replaced it in most clinical settings.
8) which of the following defense mechanisms characterized by a patients externalization of guilt, blame,or responsibly?
Projection
10) A medical assistant is preparing a patient for a physical examination. The patient tells the medical assistant that she is having serious problems at work, and she feels so much stress she cannot focus on anything at work or at home. Based of the patients anxiety level which of the following findings should the medical assistant expect?
Rapid respirations
Which of the following tests is granted waived status under Clinical Laboratory Improvement Ammendment (CLIA)? Rapid strep test Urine microscopy analysis Thyroid stimulating hormone White blood cell differential
Rapid strep test
Which of the following tests is granted waived status under clinical laboratory improvement ammendment (CLIA)? Rapid strep test urine microscopy analysis thyroid stimulating hormone white blood cell differential
Rapid strep test
Define Right Ventricle
Receives deoxygenated blood from the right atrium which it pumps to the lungs for oxygenation through the pulmonary trunk and then to the pulmonary arteries.
Define Right Atrium
Receives deoxygenated blood returning to the heart from the body via the superior vena cava which carries blood from the upper body and the inferior vena cava which carries blood from the lower body. Receives blood from the coronary sinus; the largest vein that drains the heart muscle's deoxygenated blood.
Define Left Ventricle
Receives the oxygenated blood from the left atrium and pumps it to the body through the aorta, the largest artery of the body.
Standard Bipolar Limb Leads
Record electrical activity in the frontal plane. Electrodes are applied to the left arm (LA), the right arm (RA) and the left leg (LL). These leads record the difference in electricity between two electrode.
Define Augmented Unipolar Leads
Record the heart electricity from one limb and compare it with a zero voltage lead in the center of the heart.
Which of the following duties is a medical assistant allowed to perform independently?
Record vital signs.
5) A medical assistant is talking with a patient who just learned that she has advanced breast cancer. The patient says" I'm way too young to have cancer!" Which of the following actions should the medical assistant take to help this patient during this stage?
Reinforce education about the patients disease process
BP Hypotensive stage
Systolic less 90 Diastolic less 60
Define Transmission-Based Precautions
The 2nd tier of precautions and are to be used when the patient is known or suspected to being infected with contagious disease.
Basilic Vein
The 3rd choice. It is the least firmly anchored and located near the brachial artery. If the needle is inserted too deep, this artery may be punctured.
13) A medical assistant is collecting initial data for an older adult patient at a clinic visit. Which of the following should suggest to the medical assistant that the patient needs a mental status evaluation?
The patient repeatedly asked the same question
Thrombus
This is a blood clot usually a consequence of insufficient pressure applied after the withdrawal of the needle.
Define Cheyne-Stokes
This is a regular pattern of irregular breathing rate.
Define Tachypnea
This is a respiration rate of greater than 40/min. It is transient in the newborn and maybe caused by the hysteria in the adult.
Septicemia
This is a systemic infection associated with the presence of pathogenic organism introduced during a venipuncture.
Define Apnea
This is a temporary complete absence of breathing which may by result of a reduction in the stimuli to the respiratory centers of the brain.
Holter Monitor
This is an ambulatory EKG done to rule out intermittent arrhythmia or ischemia that could be missed on a a routine EKG. 5 electrode are attached to the patient's trunk instead on the arms and leg to prevent muscle artifact.
History of Present Illness Definition
This is an explanation of the CC to determine the onset of the illness; associated symptoms; what the patient has done to treat the condition, etc.
Define Standard Precautions
This is an infection control method designed to prevent direct contact with blood and other fluids and tissues by using barrier protection and work control practices. All patients are presumed to be infective for blood-borne pathogens.
Recording artifacts can result from the following: -Movement of Electrode
This may occur during scratching the chest near the electrodes and can produce tracings that look like malignant ventricular arrhythmias. However, the underlying rhythm and rate remain undisturbed and should give clue to this artifact.
Define AV Junction (AV node)
This node is located at the posterior septal wall of the right atrium just above the tricuspid valve. There is normally a .12-.20 second delay of electrical activity at this level to allow blood to flow from the atria and fill the ventricles with blood.
Oil Immersion Objective (1.8mm, 100X)
This objective enables us to reach a possible total magnification of one thousand times normal life size by multiplying the ocular lens magnification (10X) by one hundred (100X), (10X x 100X = 1000X).
Define Disinfection
This procedure used in medical asepsis using various chemicals that can be used to destroy many pathogenic microorganisms. Since chemicals can irritate skin and mucous membranes, they are only used on inanimate objects.
Fasting Specimens
This requires collection of blood while the patient is in the basal state, that is, the patient has fasted and refrained for strenuous exercise for 12 hours prior to the drawing.
Immunochemistry
This section uses techniques such as radio immunoassay and enzyme immunoassay to detect and mausure substances such as hormones, enzymes and drugs.
Third Degree AV Block
This type of AV block is also called a Complete Heart Block, or CHB, because impulses generated by the SA node are completely blocked before reaching the ventricular muscle fibers. The atria and ventricles beat independently from each other.
When determining therapeutic medication monitoring levels, which of the following information should the CCMA recognize as most important in measuring trough levels? Time last dose was taken Effectiveness of dietary changes effectiveness of lifestyle changes time next dose is due
Time next dose is due
When determining therapeutic monitoring levels, which of the following information should the CCMA recognize as most important in measuring trough levels? Time last dose was taken Effectiveness of dietary changes Effectiveness of lifestyle changes Time next dose is due
Time next dose is due
Seizure
_____________________ activity will also cause artifact on the EKG. Seizure activity must be controlled prior to acquiring the EKG tracing.
Medical device interference
______________________ __________________ __________________________ and other electronic devices can interfere with the EKG tracing. Ensure that all unnecessary devices are moved away from the patient or turned off. These are often designed to minimize interference with other devices, so the medical assistant should consider nonmedical devices as the source of interference first.
Saliva
______________________ often used to monitor hormone, drug, and alcohol levels. Collect in a sterile container.
Systole
_______________________ is when the heart contracts
diastole
_______________________ is when the heart relaxes
Phlebitis
________________________ is an in ammation of the walls of the vein. Severe cases need to be treated in the hospital.
Semi-Fowler's
________________________ position is a modification of Fowler's position with the table elevated 45°
Hypertension Stage 2
_________________________ _______________ _____ is when the systolic is 160 or higher or the diastolic is 100 or higher
Hemoconcentration
____________________________________ occurs if a tourniquet is left in place for too long, the ratio of cells to liquid in the blood is altered and can affect the test results.
A CCMA is providing instructions to a patient prior to a pulmonary function test. Which of the following statements by the patient indicates a need for further education? a. "I can use my nebulizer 20 minutes prior to the pulmonary function test." b. "I must not use any inhalers fpr at least 6 hours before the test." c. "I should not eat a heavy meal prior to the pulmonary function test." d. "I will have to seal my mouth around the mouthpiece during the test."
a. "I can use my nebulizer 20 minutes prior to the pulmonary function test."
When instructing a patient to obtain a midstream urine sample, which of the following instructions should the CCMA offer? a. Begin urinating into the toilet, collect the next portion, and complete urination into the toilet. b. Collect the sample as quickly as possible once urination has begun c. Begin sample collection on the first urination of the day upon arising d. Collect urine throughout the day and add it to the container that was provided
a. Begin urinating into the toilet, collect the next portion, ad complete urination into the toilet
A CCMA has a blood pressure cuff inflated and parially opens the valve to deflate as she listens with a stethoscope. When should she read the diastolic pressure? a. When the sound disappears b. When repetitive sounds begin c. When the sound changes from strong to muffled d. When the sounds change from swishing to sharp
a. When the sounds disappears
An office is still using paper charts. In which of the following orders would the CCMA retuen the chart of Mary St. Thomas? Other charts include Mary Perez, Elizabeth Saint. and John A. Thomas. a. After Elizabeth and before John A. Thomas b. After John A. Thomas c. Before Mary Perez d. After Mary Perez and bfore Elizabeth Saint
a. after Elizabeth Saint and before Jogn A. Thomas
A CCMA is collecting a blood sample from a patient and notices that the patient becomes unresponsive. The CCMAC determines that the patient is not breathing and does not have a pulse. Which of the following should the CCMA do first to respond to the patient's status? a. Begin chest compressions b. Administer epinephrine c. Provide ventilations d. Initiate the intravenous line
a. begin chest compressions
A patient presents to the emergency department with a large laceration to the wrist that is bleeding profusely. Which of the following actions should the CCMA take first? a. Don gloves b. Elevate the extremity above the wound site c. Examine the wound site for foreign objects d. Place pressure directly on the wound with sterile gauze
a. don gloves
A provider is going on vacation and wants a CCMA to notify his patients. Which of the following is the best form of communication for notification for a patient who cannot be reached by phone? a. Encrypted e-mal b. Text message c. Fax d. Certified mail
a. encrypted e-mail
When recording information into the medical record for a patient diagnosed with inflammation of the lining of the heart, which of the following terms should the CCMA use? a. Endocarditis b. Myocarditis c. Pericarditis d. Epicarditis
a. endocarditis
Which of the following is required to schedule an outpatient procedure after receiving a provider's order? a. A signed consent form b. The patine's demographic information c. A list of alternate facilities for procedure d. Alternate payment options
b. the patient's demographic information
A provider has ordered a patient to wear a telemetry monitor at home. Which of the following statements by the patient indicates a need for further instruction? a. "I should take a sponge bath while wearing this monitor." b. "I'll keep track of my daily activities in a diary." c. "If an electrode comes off. I will reattach it at home." d. "I should wear loose clothing while wearing the monitor."
c. "If an electrode comes off, I will reattch it at home."
A CCMA is teaching a patient to give himself insulin injections. Which of the following patient statements confirms understanding of the instrictios? a. "I will shake the bottle prior to drawing theh mediation." b. "I will blow on the site to make sure the alcohol dries." c. "The insulin will be at room temperature for the injection." d. "The needle meeds to be at a 15 degree angle for insertion."
c. "the insulin will be at room temperature for the injection."
Upon entering a patient's room for a routine blood draw, a CCMA notices a clergy member is with the patient. The CCMA should so which of the following? a. Proceed with the draw b. Mark requisition "unable to draw at this time." c Return after drawing other patients d. Wait in the patient's room until the clergy member leaves
c. return after drawing other patients
When determining therapeutic medication monitoring levels. which of the following information should the CCMA recognize as most important in measuring trough levels? a. time last dose was taken b. Effectiveness of dietary changes c. Effectiveness of lifestyle changes d. Time next dose is due
d. Time next dose is due
A CCMA is caring for a number of patients at the same time. For which of the following patients should the CCMA interrupt a previously scheduled appointment? a. A patient who returns because of continuing symptoms of GERD b. An adult who is irritable because of a sever rash on her body c. A geriatric patient who demonstrates confusion and frustration d. An adult who is experiencing dyspnea and congestion
d. an adult patient who is experiencing dysphnea and congestion
Which of the following techniques should aCCMA use to put a young child at ease prior to administering an injection? a. Show the child the needle that will be used for the procedure b. Use medical terms to help the child understand what's happening c. Tell the child that the procedure will not hurt d. Ask the child about non-helath related subjects
d. ask the child about non-health related subject
An EKG strip that shows a saw tooth rhythm is an indication of what type of arrhythmia. a. Ventricle pacemaker b. Sinus tachycardia c. Accelerated juntional rhythm d. Atrial flutter
d. atrial flutter
Which of the following is the correct order of draw? a. Lavender, green,gray b. Gray,green, lavender c. Green,gray,lavender d. Green,lavender,gray
d. green,lavender, gray
A CCMA is educating an older adult patient on wound care. Which of the following should the CCMA do to ensure patient understanding? a. Speak louder to the patient b. Stand beside the patient c. Have additional medical staff present to expplain information d. Have the patient repeat information
d. have the patient repear information
A CCMA is montoring an infant patient for microcephly. Which of the following describes the anthropometric measurement that the CCMA should perform? a. Length b. Weight c. Chest circumference d. Head circumference
d. head circumference
Which of the following lead groups represents Einthoven's Triangle? a. The precordial leads b. Leads V1,V2, and V3 c. Leads aVR, aVL, and aVF d. Leads I,II,and III
d. leads i,II, and III
A CCMA has a request to collect a routine CBC form a healthy 10-month-old infant. Which of the following is the most appropriate collection site? a. Third finger of left hand b. Median antecunital vein c. Cephalic veign d. Left heel
d. left heel
Which of the following laboratory results is abnormal? a. Sodium - 138 mEq/l b. red blood cell count - 5.2 mm^3 c. Platelets - 350 mm^3 d. Potassium - 3 mEg/l
d. potassium 3 mEg/l
