medical assisting review chapter 27

Marcy needs to take her patient's radial pulse. First, she washes her hands. She then introduces herself and explains the procedure to the patient. She places the patient into position and places her arm palm down. Next, Marcy finds the patient's pulse on the wrist above the base of the thumb. Marcy applies a slight pressure with her first two fingers. She counts beats for one minute and documents the procedure.

Marcy followed the correct procedures, however our lessons explain to use the pads of the first three fingers. Other than this, Marcy was correct.

Rewrite the following names in alphabetical order. Spencer, Gene C. Smith, Gary H. Soloman, Idris H. Smith, Jerry P. Schettler, Robin A. S'oleil, Francois M. Schmidt, Lorri L. Schetler, Mary C.

Schetler, Mary C. Schettler, Robin A. Schmidt, Lorri L. Smith, Gary H Smith, Jerry P. S'oleil, Francois M. Soloman, Idris H. Spencer, Gene C.

What is the root word for kidney?

Renal

Why is confidentiality important in the medical field?

Respecting a patient's privacy and protecting their confidentiality is extremely important in the medical field for legal and ethical reasons. Confidentiality is enforced by the Constitution's Fourth Amendment and upheld by medical personnel in order to keep a patient's private matters private.

What does osteomalacia mean?

Softening of the bone

When you arrive each morning, what seven duties are your first priority?

The seven duties that are a medical assistant's first priority when arriving in the morning are unlocking the doors, checking messages from the previous night, checking e-mails, checking for lab results, turning on the computers and other machines, pulling health records for the day's patients, and checking the fax machine.

When instilling ear drops the MA should _____.

a. warm the solution c. check the label of solution three times, just like other medications }d. a and c

The normal adult respiratory rate range is _____ respirations per minute.

b. 12-20

When giving an intramuscular injection it is important to hold the syringe/needle unit at a _____ degree angle.

b. 90

After giving an injection the MA should massage the site with all but which of the following meds?

b. Insulin and blood thinners

A virus needs _____ to supply ATP for energy or proteins to build body parts.

b. a cell

The largest artery in the body where the major arteries arise is the _____.

b. aorta

Blood pressure is measured by listening using a sphygmomanometer and a stethoscope. The listening method of examination is called _____.

b. auscultation

The C in the early signs of cancer acronym for adults stands for _____.

b. change in bowel and bladder habits

DRGs are _____.

b. diagnostic-related groups

Another word for the breakdown of fats and proteins to produce glucose in the liver is _____.

b. gluconeogenesis

A spirometry test measures _____.

b. lung capacity

PPO stands for _____.

b. preferred provider organization

The spleen is not responsible for _____.

b. producing lymphocytes in the fetus d. saving iron

Patients scheduled for a sigmoidoscopy may be instructed to _____.

b. take a non-prescription laxative the night before

Stage II of labor is complete with _____.

b. the appearance of true uterine contractions

The acronym _____ will help you remember the early signs of cancer in adults.

c. CAUTION

_____ is the United States' largest insurance program.

c. Medicare

UCR stands for _____.

c. Usual, Customary and Reasonable

Hypertension is a(n)_____.

c. abnormally high BP

During telephone triage, you must _____.

c. assess the severity of the patient's condition over the phone

The three structures of the internal ear are the _____.

c. cochlea, vestibule and semicircular canals

The _____ gives eyes their color.

c. iris

Medicaid is a healthcare program that _____.

c. is federally funded but managed by each state

The most common site for an MA to take an adult's pulse is the _____ artery.

c. radial

A symptom in the acronym used to spot early signs of cancer in children includes _____.

c. recurrent fevers not due to infections

The top number in a blood pressure ratio is called the _____ measurement.

c. systolic

When instructing a patient for a spirometry test it is important to tell him to _____.

c. take a deep breath and exert as much effort as possible

If an office accepts assignment with Medicare that means _____.

c. the physician agrees to follow Medicare's fee schedule

An otoscope is used to _____.

c. visualize the ear canal

Make the word cervix plural.

cervices

What does the suffix /osis mean?

condition

A visitor's log is _____.

d. a record of all patients and non-employees who visit the office

The pulse that the MA generally takes on an infant is called the _____ pulse.

d. apical

The wave-scheduling system _____.

d. assigns each patient a specific block of time for the type of appointment he is coming in for

To maintain sterility, an MA should _____.

d. clean equipment after use

If a patient is a walk-in, without a scheduled appointment, you should _____.

d. greet him and ask the purpose of his visit

When instilling eye drops the MA should _____.

d. instill drops into the exposed conjunctival sac

The olfactory nerves are located in the roof of the _____.

d. nasal cavity

To remove air bubbles from the medication you have drawn up in a syringe you _____.

d. tap the side of the syringe with your finger and push the plunger up slightly to expel the air bubbles as they rise

The right and left lobes of the thyroid gland lie on either side of the _____.

d. trachea

The medical professional must complete five requirements before a patient can give informed consent. What are they?

Before a patient can give informed consent the medical professional must have explained all aspects of the medical situation, identified the terms and conditions of the treatments and procedures, address any risks and all potential outcomes for each possible treatment, including refusing the treatment suggested, and the patient must be given the chance to ask any questions they have and feel confident that they clearly understand what is to come after choosing a specific treatment plan.

Carol needs to assist her patient, a paraplegic, into a sitting position in his wheelchair. She washes her hands. Next, she helps the patient into his wheelchair and ensures his feet are in the footrests. She makes sure his knees are bent at a 90-degree angle and sees that his calves aren't touching the chair. She helps the patient move backward so his buttocks and back rest against the back of his wheelchair.

Carol was mostly correct. However, she incorrectly transferred the patient into his wheelchair when she did not make sure that the breaks were locked before helping him into the chair. She also does not need to make sure his knees are bent at a 90 degree angle, she should focus on the patient's safety and comfort level.

For the following questions, read each scenario and determine whether each technique was performed correctly or not. If not, explain what part of the technique the healthcare professional performed incorrectly, and how he or she should fix the problem. Each item is worth 5 points. Daniel provides home health care for Mr. Watson. One day, a candle in the bathroom catches a towel on fire and quickly spreads. Daniel rushes to the kitchen and grabs the fire extinguisher. He pulls the pin and breaks the seal. Daniel points the fire extinguisher nozzle at the base of the fire and squeezes the handle. He then lifts the nozzle and aims it at the candle, delivering several blasts directly at the source of the fire.

Daniel correctly handled the fire extinguisher for the most part, however it's dangerous to deliver several blasts directly at the source of the fire. He should have continued to aim at the fire's base and evacuated to call for help if he felt it was out of his control.

What does cardiomegaly mean?

Enlargement of the heart

In what phase of the patient interview would you ask the patient why he is visiting the doctor?

In Phase Two a medical assistant would ask the patient why they are visiting the doctor.

Abby needs to transfer Arnold with a gait belt. She helps him sit on the edge of the bed. Facing Arnold, Abby secures the gait belt around his waist and buckles it. She threads the tongue of the belt through the buckle with the teeth, and pulls the tongue of the belt through the other side of the buckle. Once buckled, she turns the belt to the side. She puts her first two fingers on the inside of the belt and tightens it. Next, Abby places her arms around Arnold's waist and grabs the belt behind Arnold's back from underneath. With two fingers between the belt and the patient, Abby lifts Arnold. As Abby lifts, Arnold falls forward, and the bed slides back, causing both Abby and Arnold to stumble.

Incorrect. Abby should have stood in front of Arnold as she leaned back to help him instead of lifting him up without being there to steady him. She also should have been grasping the belt on both sides from the top while lightly pulling upward instead of from underneath.

As you're reviewing files, patients begin to arrive. You quickly remind yourself of a few important communication concepts to prepare yourself for your first contact with patients. Describe four key mistakes to avoid when listening to a patient or coworker.

Interrupting, pretending to listen, overreacting to something that has been said, and believing you know more than the speaker does are four key mistakes to avoid when listening to a patient or coworker.

Determine the length of time that Mr. Jensen should keep a chemical hot pack on his left knee.

No, Physician

Ask the pharmacy to give Jenny's mother a local antibiotic for the sutures on Jenny's leg.

No, Psychiatrist

Teresa's patient, Marcia, suffers from epilepsy. One day, Marcia was walking to the restroom when she fell to the floor and began to convulse. Teresa rushed to her side and moved an end table out of the way so Marcia wouldn't injure herself. Teresa then held Marcia's arms at her side to avoid any additional injury. She turned Marcia's head to the side to prevent her from choking on her saliva. After Marcia's convulsive stage, Teresa helped Marcia up and allowed her to rest in bed, while providing support and reassurance.

Teresa was incorrect in restraining Marcia's movement. Other than holding Marcia's arms at her side, she was correct.

What are the five steps (ROLES) you can take to become a more active listener? Answer very briefly.

The five steps one can take to become a more active listener are: 1. Relax 2. Open your posture 3. Lean toward the speaker 4. Eye contact should be maintained throughout the conversation 5. Squarely face the speaker

Why is verbal communication so important in the medical office?

Verbal communication in the medical office can help to assure the patient's information is accurate, reliable, and up to date. Verbal communication also confirms to the patient that the physician and medical assistant are interested in their well-being and providing the proper care. Verbal communication allows the patient and physician to come to an agreement on a diagnosis and treatment plan and also prompts the patient to play a more active role in the care that they are receiving.

A patient arrives at the office for an appointment. Unfortunately, he's shown up a day early. When you tell him this, he becomes angry and insists he has the right day. He wants to see the doctor as he planned to. What should you do when dealing with an angry visitor?

When dealing with an angry visitor, one should always remain calm and find a private place to discuss the situation. Remind the patient you are trying to help and ask questions to help find a solution. Listen carefully to the visitor and their concerns and do not reply with criticism or defensive speech. In worst case scenarios, ask for a security guard or a co-worker to act as a witness in case the situation escalates.

What methods of instruction might you use for a patient who learns best with the verbal/auditory style?

When helping a patient who learns best with the verbal/auditory style the medical assistant could offer to fill out the patient's interview forms, ask open-ended questions without interrupting, try to minimize background noise and other distractions, use phrases like "What do you think about this?" and "Let's discuss....", as well as having a conversation about the patient's specific preferences.

For the following questions, determine the tasks that you can perform as a medical assistant in a physical therapy setting. Write "Yes" next to the tasks you can perform and write "No" next to the tasks you can't perform. For the tasks that you can't perform, write in the professional who is responsible for that task. Each question is worth 1 point. Administer a localized muscle relaxant in John Bennett's lumbar region.

Yes

Perform goniometry on a stroke victim's limbs and report your findings to the physical therapist.

Yes

The structures in the CNS are connected and lie in the cranial _____.

a. vault and the spinal canal

When performing an EKG it is important to apply the leg leads with the tabs pointing in which direction?

a. Upwards?

The test used to detect colon cancer is _____.

a. a barium enema

A blood pressure cuff that is too small for an arm will result in _____.

a. an abnormally high reading

When the pulse is irregular it is recommended that the MA take it _____.

a. at the apical site d. for 60 seconds

When you create an appointment schedule for the doctor, _____.

a. avoid scheduling appointments too early or too late b. try to schedule appointments in blocks c. consider travel time when making out of office appointments }d. all of the above

A medical assistant should wash her hands _____.

a. between patients b. after assisting with a procedure c. before giving a medication }d. all of the above

An activity that can affect the results of an oral temperature is _____ just prior to taking the temperature.

a. chewing gum

The _____ is not a part of the anatomy of the large intestine.

a. defecation

Finger-like projections extending into the epidermis are _____.

a. dermal papillae

Glands are classified regarding _____.

a. how the material that the gland produces is secreted

Macrophages that develop from WBCs are related to _____.

a. lymphocytes and RBCs

The skeletal system is composed of three major components:

a. osseous tissue, cartilage and ligaments ?

The _____ tonsils lie at the base of the tongue in the anterior wall of the oropharynx.

a. palatine

Sudoriferous glands are also called _____.

a. pores

**The stratum germinativum produces epidermal epithelial cells through _____.

a. simple cell division b. specific gravity c. special sense organs d. spondylolysis

Pharmaceutical or medical supply representatives may be scheduled to see the physician if _____.

a. the facility's policies on sales people permits it

Antibodies bind with _____.

}a. a specific antigen b. any antigen