NHA study guide 2.0 for CCMA

Farenheit to Celsius

(F-32)/1.8

Maslow's Hierarchy of Needs

(level 1) Physiological Needs, (level 2) Safety and Security, (level 3) Relationships, Love and Affection, (level 4) Self Esteem, (level 5) Self Actualization

Documenting medications

* Drug name * Drug concentration * Route of administration * Dose administered * Time dose was given

What does the thymus gland do?

* Produces matured T cells (T lymphocytes) that fight infection (T Cells are a type of leukocyte)

How many times should the medication be checked before administering it

3 times

How long will a normal referral take to process

3-10 days

How far above the venipuncture site should the tourniquet be wrapped around the arm?

3-4 inches

iniative vs guilt

3-6 years; If exploration are effective, they learn to deal with people and events in a constructive way and gain a sense of initiative. If severly critizized, they will feel guilt for many of their own actions

Needle length ranges

3/8 to 4 inches

What is normal hematocrit range for females

37-47%

middle finger

3rd digit

WBC count

4,500-11,000

RBC count

4-6 million

Urine pH

4.5-8

How BPM does bundle of his have ?

40-60BPM

What is normal hematocrit range for men

42-52%

At what angle is a subcutaneous injection given?

45 degrees

ring finger

4th digit

Where is V2 placed?

4th intercostal space to the left of the sternum

Where is V1 placed?

4th intercostal space to the right of the sternum ( over right ventricle )

there are many steps in basic filing

5

How many bones in lumbar vertebrae

5 bones

How many mL in a teaspoon (tsp)?

5 mL

How much water is in the body

50 to 80%

How much plasma is in the blood?

55%

Idustry vs. Inferiority

6-12 yrs Encourage child's participation in their care

Normal adult pulse

60-100 bpm

normal adult diastolic blood pressure

60-80

How many bones in cervical vertebrae

7 bones

How many stages does Eriksons psychological development have

8 stages

How bones does axial skeleton have

80

How many oz in 240 ml

8oz ( 1 cup )

Normal child pulse

90-120bpm

Normal adult systolic BP

90-140 mmHg

What is a normal temperature

98.6 F ( 37 C )

Radioallergosorbent test (RAST)

A blood test used to detect antibodies associated with allergens

Endoplasmic Reticulum

A cell structure that forms a maze of passageways in which proteins and other materials are carried from one part of the cell to another.

What is health history

A collection of subjective data that provides a detailed profile of the patient's health status

fee schedule

A detail of all the fees that may be charged on a bank account.

What is a pathogen?

A disease causing agent

Res Ipsa Loquitur

A doctrine under which negligence may be inferred simply because an event occurred, if it is the type of event that would not occur in the absence of negligence. Literally, the term means "the facts speak for themselves."

living will

A document that indicates what medical intervention an individual wants if he or she becomes incapable of expressing those wishes.

Vector

A living thing that carries pathogens

Notify next patient about delay

A patient is going to be 20 min , what should MA do

Golgi apparatus

A system of membranes that modifies and packages proteins for export by the cell

What is the matrix?

A table used for scheduling

What is hemoglobin A1C?

A type of glucose testing that is taken over 3 months ( blood sugar )

What are the fat soluble vitamins?

A, D, E, K

When handling medications do not

Abbreviate medication names, change appearance of look alike medication , create labels

How many drops are in 1 mL

About 15 drops (gtt)

SPS (sodium polyanethol sulfonate)

Additive used in blood culture collection (bottles)

allergy

Adverse reaction caused by an antigen antibody response

When can referrals be submitted

After approval from provider , and authorization from insurance company is obtained

Factors that affect the ability to break down chemicals in medication

Age , how many meds patient takes , health of organs , and even genetic makeup

Simplified letter style

All elements are LEFT justified, greeting is replaced by subject line in all caps , types signature all in caps

Amplitude

Also known as gain ( height ) degree of change in an EKG tracing

Specimen containers

Always be labeled at time of collection

essential amino acids

Amino acids that are needed, but cannot be made by the body; they must be eatin in foods

tort

An action that wrongly causes harm to someone but it is not a crime and is dealt in civil court

Lysosomes

An organelle containing digestive enzymes

What is celecoxib?

Anti-inflammatory

What is azithromycin

Antibiotic

What is warfarin?

Anticoagulant

Clonazepam is used for

Anticonvulsant

What is aripiprazole?

Antipsychotic

Reminders for collecting specimens

Appropriate time Collect from infected site Minimize transport Use correct containers and labels

Precertification

Approval obtained by insurance provider that identifies insurance coverage for diagnostic and therapeutic activities

What screenings are performed during physical exams

Audiometry , visual acuity , routine urinalysis , anthropometric measurements and vital signs

What has the greatest effect on the appointment matrix

Availability of equipment and facilities

What is lateral?

Away from the midline of the body

What are the water soluble vitamins?

B vitamins and vitamin C

How do you clean venipuncture site

Back and forth motions causing friction

Homeostasis

Balance, stable within the body

What are three primary veins for venipuncture

Basilic , cephalic, median cubital

Where is V3 placed?

Between V2 and V4, 5th intercostal space midclavicular line

Where is V5 placed?

Between V4 and V6 , 5th intercostal space midaxillary line

Leads I, II & III are ?

Bipolar leads

Which is a connective tissue

Blood

Common types of specimens in ambulatory care setting

Blood , urine, and swab samples

Type and cross match

Blood bank

What is sedimentation rate

Blood test that detects inflammation in the body

What blood tests are used for kidney functions

Blood urea nitrogen ( BUN) and creatinine monitor kidney function

What are arteries?

Blood vessels that carry blood away from the heart

What are veins?

Blood vessels that carry blood back to the heart

Cushing disease/syndrome

Body produces too much cortisol

Calcium is good for

Bones, tooth development , nerve and muscle function

Interrupted baseline

Break in the tracing usually caused by disconnected or broken lead

What are capillaries?

Capillaries are the exchange vessels. They are microscopic and have only one wall—tunica intima—allowing substances to pass through quickly.

middle or ring finger

Capillary puncture

What systems help remove waste from the body's cells

Cardiovascular and respiratory

palliative care

Care designed not to treat an illness but to provide physical and emotional comfort to the patient and support and guidance to his or her family.

Which bones are considered short bones

Carpals and tarsals

myocardial infarction (MI)

Cause by lack of blood flow

Centrioles

Cell organelle that aids in cell division

anticoagulant

Chemical substance prevents blood clots

fasting blood sugar (FBS)

Chemistry

Red tube

Chemistry tests , used for serum

What are CLIA "waived" tests?

Chemistry, immunology , microbiology and hematology

CHEDDAR stands for

Chief Complaint, History, Exam, Details (of problem and complaints), Drugs and dosages, Assessment, Return visit info (if applicable)

Never skip these two areas while interviewing/ rooming a patient

Chief complaint & medication review

Progress notes obtain

Chief complaint or SOAP note that describes each visit

What UA is used for cultures

Clean catch midstream

CLIA

Clinical Laboratory Improvement Amendments

What does CLIA stand for

Clinical Laboratory Improvement Amendments

Gold or tiger top (red-grey)

Clot activator

Always avoid these safety concerns

Cluttered hallways , spills , furniture with sharp edges , items on the floor

What is the light blue tube used for?

Coagulation

What causes dizziness while doing ear irrigation's

Cold water

Chart reviews consist of

Collection and clinical review to make sure payment is made only for services that meet all plan coverage and medical necessity requirements

What is a cyst?

Collections of fluid that can be infectious

numeric filing

Combined with color coding used for larger health centers , unlimited expansion

surgical asepsis

Complete removal of micro organisms and their spores from the surface of an object

What are the 5 stages of patient centered medical home

Comprehensive care Patient centered care Coordinated care Accessible services Quality and safety fee commitments

What is systolic pressure?

Contraction phase of the heart

What is the six second method?

Count the number of QRS complexes in 6 seconds and multiply by 10. Works well for normal to slow rates.

What is large box method

Counting number of big boxes between two R waves and dividing it by 300

Bandages cover

Cover dressings

Rales

Crackles; wet crackling noise in lungs

CPT

Current Procedural Terminology

When cutting sutures always

Cut close to the knot and away from the wound/incision observing making sure it's the entire thing

Pap smear

Cytology

objective

Data or information the observer can see , measure , detect

What is subjective data?

Data that only the subject or "patient" can feel and will tell you. Usually in a statement.

D

Day

Accounts Payable

Debts incurred , not yet paid

visual field testing (perimetry)

Defects eye diseases such as glaucoma

What does the lymphatic system do?

Defend body against foreign cells and diseases , provides immunity and maintain fluid balance

conjunctiva

Delicate membrane lining the eyelids and covering the eyeball

parenteral nutrition

Delivered intravenously into a vein

What body areas are used do r intramuscular injection

Deltoid muscle , ventrogluteal muscle & vastus lateralis muscle

Reimbursement pay

Depends on age and gender

3rd or 4th finger

Dermal puncture for children and adults.

medical asepsis

Designed to reduce the number and transfer pathogens

Sterilization ( auto clave )

Destroying pathogens and their spores on objects , using heat , water , chemicals and gases

lithotrispy

Destruction of kidney stones using shock waves

Urine smells fruity due to

Diabetes

myopia

Difficulty focusing distant objects (nearsightedness)

hyperopia

Difficulty focusing nearby objects (farsightedness)

The teeth are apart of what organ system

Digestive

The pancreas is in what two organ systems

Digestive and endocrine

Which body system experiences decrease in activity during fight or flight response

Digestive system

What should an MA do at the end of the day in a medical office

Disinfect work area , stock exam rooms for next day

What method do you use to clean EKG cables

Disinfection

frontal plane (coronal plane)

Divides the body into front and back portions.

Medical Directives

Do not expire , legally validated thru USA

Most common cardiac ambulatory test

EKG

Where is the tympanic thermometer used

Ear canal

EFF

Electronic fund transfers

Chance of human error is reduced when using

Electronic prescription

coronary artery bypass graft

Eliminates a blockage in an artery going to the heart , repacking it with a vessel from another area

The thymus is apart of what two systems

Endocrine and immune

The thymus is apart of what two body systems

Endocrine and immune system

Two general routes of administration

Enteral ( through gastrointestinal tract ) Paranteral ( outside gastrointestinal tract )

identity vs. role confusion

Erikson's stage during which teenagers and young adults search for and become their true selves ( 12-20 years old )

Autonomy vs. Shame and Doubt

Erikson's stage in which a toddler learns to exercise will and to do things independently; failure to do so causes shame and doubt

Intimacy vs. Isolation

Erikson's stage in which individuals form deeply personal relationships, marry, begin families (20-35 years )

What are the four stages of POMR

Establishing a database Compiling a problem list Plan Progress notes

What is E/M coding

Evaluation and management

What examinations are done by Fowler's position

Eyes , ears , nose , throat , chest

What are ways you can send a prescription

Faxing , via telephone, and written prescription

Grains produce

Fiber

What is the dermis composed of?

Fibrous connective tissue with nerve endings, blood vessels, sensory nerve endings, hair follicles, and glands.

Subject filing

Filing by subject

Terminal digit filing

Filing by the last set of a group of numbers

Shingling

Filing method that involves placing newer reports on top of older reports

Spun hematocrit

Finger stick collection of blood

What food is a good source of vitamin b6, vitamin D and protein

Fish

Korotkoff sounds

Five phases of articulate relaxation that are audible while obtaining a manual blood pressure

Class D fire extinguisher

Flammable metals

Where should the limb leads be placed

Fleshy areas of skin

intermittent fever

Fluctuating fever that returns to or below baseline then rises again.

Remittent fever

Fluctuating, remains elevated and does not return to baseline

Potassium is good for

Fluid balance in the body

iron is good for

Formation of hemoglobin in red blood cells for oxygen transport

What does chemistry/metabolic testing include

Glucose, BUN( blood urea nitrogen ) / creatinine ( kidney function ) liver function , cholesterol ( lipid) and hemoglobin A1C

Orange/yellow fruits

Good source of vitamin A

When removing sutures

Grasp the knot using forceps and cut next to the knot to remove

Conditioning filing

Grouping related papers together , removing all paper clips / staples , fixing damaged records

What is needed to file insurance claim

Guarantor , insurance plan, and ID numbers

What is a lipid profile?

HDL , LDL, and total cholesterol

what is the most important way to not spread infection

Hand washing

WBC count

Hematology

Lavender Tube

Hematology EDTA

Red top tube

Hematology testing

What is included in a hematology panel

Hemoglobin , hematocrit , ESR, cell counts and INR

Schedule I drugs

High potential for abuse , Not approved in USA, they are illegal , providers will not prescribe them

Schedule II drugs

High potential for abuse , can lead to psychological dependency, include morphine, methadone, oxycodone ,fentanyl. Providers must give hand written prescription with NO refills

What are the three level of service by E/M coding

History , examination and medical decision making

What is medication half life

How long it takes for the process of metabolism and excretion to eliminate half the dose

purchase order

How should an MA perform inventory for a clinic

Inferior Infarction

II, III, aVF

powders for reconstitution

IV, IM, subcut, ID

When is the physician reimbursed directly for his services by insurance company

If the patient has signed an assignment of benefits form

Where is the humerus located?

In the upper portion of the arm

Vital Signs (Cardinal Signs)

Include temperature, heart rate , respiration's and BP used to evaluate homeostasis

subjective

Includes patient demographics

Wandering baseline

Inconsistent baseline location caused by poor lead context or skin application

What ages have lease efficient metabolism

Infants and older adults , medications must be modified

What part of the heart is viewed from leads II, III and AVF

Inferior

objective information

Information collected that is observed by someone other than the patient

subjective information

Information that is personal or what someone is feeling

What is a hemostat

Instrument with locking teeth for controlling bleeding and blunt dissection Comes in straight and curved

What injection is most commonly used for TB testing

Intradermal , ( forearm)

smooth muscle

Involuntary muscle found inside many internal organs of the body

cardiac muscle

Involuntary muscle tissue found only in the heart.

Clearinghouse submission

Involves electronic auditing and sorting of claims

What does the Bundle of His do?

It separates the impulse of the heart so it can travel down the septum of the heart via either the right or left bundle branches.

Chronological filing

Items are filed by date

What are the parts of urinary system in order

Kidney - removing waste from blood Ureters - long tubes carry the urine to bladder Bladder - stores urine Urethra - tube that brings urine outside the body

Where is the spleen located?

LUQ

Where is the stomach located?

LUQ

Hypoxia

Lacking oxygen in the body

Aorta is the

Largest artery in the body

What lead is the best view of the heart

Lead II

Lead III views

Left arm , left foot ( bipolar )

aVL (augmented voltage left arm)

Left arm positive, other limbs negative

AvF (augmented voltage foot)

Legs positive , other limbs negative

liniment

Liquid preparation containing oil , alcohol, or water for application

What organ is primary for metabolism

Liver

Hepatitis B Virus (HBV)

Liver infection transmitted by blood , semen, or another bodily fluid

For mole/cyst removal what supplies is needed

Local anesthetic , scalpel or punch device , suture supplies

Where is the thyroid gland located?

Located in the neck, consists of two lobes one on each side of trachea

Precordial

Located on the chest / in front of heart

aVF

Looking at heart from foot view

AVL

Looks at heart from left shoulder ( unipolar )

AVR

Looks at the heart from Right shoulder ( unipolar)

Schedule IV (4)

Low potential for dependence, providers must sign prescriptions for these drugs , can refill 5x in 6 months. Authorizations are allowed via phone

Where do you apply eye medication

Lower conjunctivital sack

Releasing filing

Marking the form to be filed with a mark of designated preference with providers initials using a stamp

After inserting intramuscular injection

Massage the site

What is a erythrocyte sediment ( ESR) rate

Measurement of time it takes for red blood cells to settle at the bottom of the tube

Peak flow testing

Measures a patient's ability to exhale

Hemoglobin A1c

Measures average blood sugar over 3 months

When patient signs consent forms , who is the witness

Medical assistant

When administration is being done for ears and eyes

Medication always at room temperature

Antiplatelets

Medication that delays blood blotting

ACE inhibitors

Medication to lower blood pressure

culture and sensitivity

Microbiology

Where is V6 placed?

Mid-axillary line on the left side, 5th intercostal space

Potassium

Mineral that controls fluid volume , muscle and cardiac activity

Schedule III drug

Moderate low potential for physical and psychological abuse, steroid , testosterone, ketamine. Providers must give hand written prescription, may get refill 5x in 6 months

Accounts Receivable

Money owed to provider

Green stick fracture

Most common fracture

Patients covered by Medicare/ Medicaid

Must have medical records retained for a minimum of 10 years

How do you test for distance vision

Myopia ( nearsightedness)

demographic information

Name , address , birthdate , SSN, phone # , INS info

Fomite

Non living object or substance capable of carrying infectious organisms

What do you do when you have a critical value result

Notify provider

villus/villi

One of the many folds in the intestines

Solutions are taken

Oral , topical , urethral , rectal ( enemas)

Tinctures can be taken

Oral, topical

What medication route is used for gels

Oral, topical & rectal

Elixirs are what kind of medication

Orally

How are emulsions taken

Orally

Lozenges are taken

Orally

Suspensions are taken

Orally

Capitation

PCP receives payment from managed care insurance company , specialists are not paid by capitation

Fifth Disease

Parvovirus B19

What bone is considered sesamoid

Patella

PCMH

Patient Centered Medical Home

What is in included in a referral

Patients demographics, ins info , provider NPI , diagnosis and planned procedure for treatment

Specimen containers should always include

Patients name , DOB, providers name , initials of person collecting specimen and time of collection

Complete patient referral

Patients needs to see a dermatologist, what should MA do first

What are considered administrative supplies

Pens, pencils, reams of paper, toner, paper clips, register forms, clipboards, patient information sheets

Hematocrit

Percentage of a blood sample that is red blood cells

What is coinsurance?

Percentage of costs the insurance company and insured each pay (usually 80/20)

Misfeasance

Performance of a LAWFUL act in an illegal or improper manner

malfeasance

Performance of an UNlawful , wrongful act

Quality Assurance

Policies and procedures to maximize patient safety and endure reliability , related to laboratory testing

EMR is also known as

Practice management system

What leads are the anterior ( front ) view of the heart

Precoridal leads V1,V2,V3 and V4

What do near vision tests screen for

Presbyopia & hyperopia

chain of custody

Processes and procedures used to ensure security and accuracy

Schedule V (5)

Providers must sign prescription, refill 5x in 6 months , may authorize refills via phone

PASS acronym

Pull, Aim, Squeeze, Sweep

What are the 6 rights of medication administration?

RIGHT: PATIENT, MEDICATION, ROUTE, TIME, DOSE, AND DOCUMENTATION.

Three things you don't do to a sterile field

Reach over, leave unattended, turn your back

Tmpanometry

Recording movement of the tympanic membrane through pressure variances

What is responsible for producing new blood cells also known as " hematopoiesis"

Red bone marrow

What do anticholinergics do?

Reduce bronchospasm

Proton Pump Inhibitors

Reduces stomach acid

quality control

Reliability and accuracy of results while eliminating test errors

curettage

Removal of tissue or growths from a body cavity, scraping with a curette

When removing staples or sutures

Remove every OTHER one while observing the site

Under direction of provider medical assistants can

Remove sutures and staples

Sanitization

Removing debris with soap and water BEFORE disinfecting

While interviewing patients use these 3 techniques

Restatement , reflection and clarification

When a patient checks out of the office , always

Review patients medical record

Two triangles facing each other

Revised text

Lead II views

Right arm , left foot ( bipolar)

aVR (augmented voltage right arm)

Right arm positive, other limbs negative

Lead I views

Right arm, Left arm ( bipolar )

Where is the sinoatrial node located? ( SA NODE )

Right atrium

Always do this when using transdermal medication routes

Rotate sites

What causes sinus arrest

SA node fails to fire

how to clean instruments from minor office surgery

Sanitization

Wave scheduling

Scheduling 3 patients at the same time to be seen in the order they arrive

What are anthropometric measurements?

Screening tests that include height and weight as well as head circumference in infants

MA cannot write or prescribe medications but they can

Send medication prescribed by provider to pharmacy electronically or via phone

Denver Developmental Screening Test (DDST)

Series of activities used to determine the developmental stage of children

Gold or tiger top ( red - Grey) tube

Serum separator ( SST) clot activator , used for chemistry

What do HCPCS level II codes identify?

Services performed by physician & non-physician providers, ambulance services , prosthetics , orthotics

colored circle

Simbolizes new code

What are sesamoid bones?

Small round bones found in joints and are held in place by tendons

What is the most common solution to disinfect a surface

Sodium hypochlorite ( 1:10 dilution of bleach and water )

What is a suppository?

Solid dosage form inseted into rectum, vagina, or urethra

What form does an enema come in

Solution

Current Procedural Terminology (CPT)

Standard language services provided during visit

What is the ST segment?

Starts at the S wave and ends at the beginning of T wave

Explanation of Benefits (EOB)

Statement from insurance carrier describing what services were paid , denied or reduced in payment

Supplies for toenail removal

Sterile scissors, forceps or hemostats , bandaging materials

How to remove all living micro organisms from an instrument

Sterilization

What equipment is needed for suture removal

Stitch or suture scissors and forceps

What kind of data is health history under ?

Subjective

What kind of information is a chief complaint considered

Subjective information

What makes up semen?

Sugar, protein, and lipids ( fat) to support sperm cells

Elixir

Sweet, often alcoholic liquid that has medication in it

What is the thymus responsible for?

T cell maturation

What is the PT/INR test?

Test used to monitor blood coagulation, monitor patients on blood thinners

Cilia

The hairlike projections on the outside of cells that move in a wavelike manner

What part of the body do you use a tuning fork , for ?

The head

when labeling specimens never label this part

The lid , due to easy mistake of placing it on another test

random urine collection

The patient urinates in a clean, nonsterile container.

Who is responsible for obtaining consent for surgical procedures

The provider

metastasis

The spread of disease , usually cancer , to the body sites besides where the tumor originated

Accounts Reveivable

The total amount of money owed to a business.

What communication technique is used during intake process

Therapeutic communication ( active listening )

T wave

Third wave in the cardiac cycle representing ventricular repolarization

Urinalysis test

This is a common test for the renal system. It helps diagnose kidney disease & other systemic diseases which may affect the kidneys and gives results regarding the function of the kidney & other various body functions.

Where is the radial pulse located?

Thumb side of wrist

Cross-index

To file under one unit and use a guide or card filed under another unit that refers to the primary filing location

Whistleblower Act

To keep employees safe when they report patient neglect and abuse

hemoglobin test

Total amount of hemoglobin in a sample of blood. ( capillary stick)

alphabetic filing

Traditional system , files arranged by last name , first name , middle initial

How does water help the body

Transports nutrients and oxygen, removes wastes , regulated body temperature

What are federal policies

Tricare, Medicare , Medicaid

What is a network

Two or more computer systems connected together

Modified wave scheduling

Two patients arrive at the same time , 3rd patient patient arrive approximately 30 min later

When throwing out medication always do this

Two people witness , names documented on disposal bag

Capitation and fee for service

Two types of insurance reimbursement

How long do specimens take to clot prior to centrifugation

Typically 30 mins

Biohazard Symbol

Universal indicator of an infectious hazard.

Standarization

Universally acceptable speeed of the tracing and gain ( height ) used for accurate interpretation tracing

Subcutaneous injections sites

Upper outer arm , abdomen, thigh

Nitrite

Urinalysis

Lavender top tube

Used for hematology contains EDTA

Green tube

Used for plasma determinations in chemistry

yellow tube ( blood culture )

Used for sodium polyanethol sulfonate ( SPS )

What exams are used for semi Fowler's

Used for the chest

Chlorhexidine or povidone -iodine

Used to prep for blood cultures

Category II codes

Usually not reported to insurance , may be used to track performance , updated twice a year

informed consent

Usually oral or written, freely given circumstances where the available options and their consequences have been made clear

Indexing and coding filing

Usually with a chart number

Tablets can be taken by what routes?

Vaginal , oral , Buccual, sublingual

Suppositories are taken

Vaginal , rectal

Which bones are considered irregular

Vertebrae, pelvis

whole blood

Volume of blood including plasma , blood that has not been separated by chemical additives or centrifuging

malaise

Weakness, fatigue

Blood glucose

Whole blood is analyzed, diabetes ( capillary puncture )

Insurance disallowance

Why should an MA enter an adjustment to patients account

Dressings cover

Wounds

Always provide

Written instructions

Helicobacter pylori (H. pylori)

a bacterium residing in the GI tract that causes peptic ulcers

fee schedule

a document that specifies the amount the provider bills for provided services

stethoscope

a medical instrument for listening to the sounds generated inside the body

Suspension

a mixture in which particles of a material are more or less evenly dispersed throughout a liquid or gas

What is an emulsion?

a mixture of oil and water

What is a mayo stand?

a movable stainless steel instrument tray on a stand

health care proxy

a person chosen by another person to make medical decisions if the second person becomes unable to do so

meatotomy

a surgical incision made in the urinary meatus to enlarge the opening

fee-for-service

a system under which doctors and hospitals receive a payment for each service they provide

tincture

a typically alcoholic mixture containing a medicine or remedy

Random urine specimen

a urine specimen collected at any time, without regard to diet or time of day

24 hour urine specimen

a urine specimen consisting of all urine voided in a 24-hour period , used for quantitative analysis, analyzing kidney function

first morning urine specimen

a urine specimen that is collected after a night's sleep; contains greater concentrations of substances that collect over time than specimens taken during the day

tort

a wrongful act or an infringement of a right (other than under contract) leading to civil legal liability.

lapar/o

abdomen, abdominal wall

orthopnea

ability to breathe only in an upright position

trust vs mistrust stage

according to Erikson, the period during which infants develop a sense of trust or mistrust, largely depending on how well their needs are met by their caregivers

What are the four types of immunity

active natural, active artificial, passive natural, passive artificial

How is varicella transmitted?

airborne route and direct contact

bulimia nervosa

an eating disorder characterized by episodes of overeating, usually of high-calorie foods, followed by vomiting, laxative use, fasting, or excessive exercise

What is tramadol?

analgesic

Where is the posterior tibial pulse?

ankle

What is diphenhydramine?

antihistamine

Where is the apical pulse located?

apex of the heart

What is the appendicular skeleton?

arms, legs, pelvis

Somatic tremor

artifact caused by voluntary or involuntary muscle movement.

ad lib

as desired

prn

as needed

ASA

aspirin

What is AED?

automated external defibrillator

dys-

bad, painful, difficult

BE

barium enema

BRP

bathroom privileges

AC

before meals

Inferior

below

Infra-

beneath

BPH

benign prostatic hypertrophy

cysto

bladder

What is hematopoiesis?

blood cell formation

Vitamin D is good for

bones, calcium absorption

Where is the pineal gland located?

brain

What does the central nervous system consist of?

brain and spinal cord

transient ischemic attack ( TIA)

brief episode of loss of blood flow to the brain, usually caused by a partial occlusion that results in temporary neurologic deficit (impairment); often precedes a CVA

What is amlodipine?

calcium channel blocker

ca

calcium, cancer

What do red blood cells do?

carry oxygen

chondr/o

cartilage

CNS

central nervous system

thromb/o

clot

-is, -ism

condition

CABG

coronary artery bypass graft

Small box method

count number of small boxes between an RR interval and divide into 1500

Hyponatremia

deficient sodium in the blood

grief cycle -Kubler Ross

denial, anger, bargaining, depression, acceptance

What is metformin used for?

diabetes, hypoglycemia

dysphonia

difficulty producing speech sounds, usually due to hoarseness

Peps

digest

DAW

dispense as written

What are forceps

dissection tool used to grasp

transverse plane (horizontal plane)

divides the body into upper and lower portions

Rubella (German Measles)

droplet precautions

analgesic

drug that relieves pain

ot

ear

myring

eardrum

Ov

egg

Class C fire extinguisher

electrical equipment

AC interference

electrical interference

What is EHR

electronic health record

What is EMR?

electronic medical record

What is amylase?

enzyme that breaks down starch

QOD

every other day

ocul, ophthalm

eye

What does the oculomotor nerve do?

eye movement

What does the trochlear nerve do?

eye movement

blephar/o

eyelid

pseudo

fake, false

Libel

false and defamatory printed (or written) statement

hyperopia

farsightedness

What are long bones?

femur, tibia, humerus, radius, ulna,radius

FUO

fever of unknown origin

What do the kidneys do?

filter blood

dactyl

finger, toe

Class B fire extinguisher

flammable substances - grease, oil, gas

Alphabetical Filing

folders are arranged in the same sequence as the alphabet

pod

foot

What is blood pressure?

force of blood against arterial walls

Anterior

front of the body

HDL cholesterol

greater than 40 mg/dL

Where is the femoral pulse located?

groin

trich

hair

Demi

half

Hct

hematocrit

What does HDL stand for?

high-density lipoprotein

integrity

honesty

Medicare Part A

hospital insurance

Allergic reaction

hypersensitivity reaction to a particular allergen

presbyopia

impairment of vision as a result of old age

aphasia

inability to speak

pyloromyotomy

incision into the pyloric muscle

mononucleosis

infectious disease marked by increased numbers of leukocytes and enlarged cervical lymph nodes

Epstein-Barr virus

infectious mononucleosis

What are prions?

infectious proteins

What is Zolpidem used for?

insomnia

spygmomanometer

instrument for measuring blood pressure; also referred to as blood pressure cuff

scope

instrument for viewing

otoscope

instrument used for visual examination of the ear

What is INR?

international normalized ratio

IUD

intrauterine device

What makes up the urinary system?

kidneys, ureters, bladder, urethra

Disenfection

kills bacteria but will not destroy completely

What do T cells do?

kills cancer cells, cells that are infected (viruses)

Spleen

largest lymphatic organ LUQ

Levo

left

LDL cholesterol

less than 130mg/dL

Total Cholesterol

less than 200 mg/dL

What is pediculosis?

lice ( parasitic )

What is the primary organ of metabolism

liver

What does LDL stand for?

low-density lipoprotein

Antilipemics

lower cholesterol

prone position

lying face down on stomach

Sims position

lying on left side with right knee drawn up and with left arm drawn behind, parallel to the back ( rectal exam )

Supine

lying on the back

What do ribosomes do?

make proteins

bandages

material used to hold dressings in place, secure splints, and support and protect body parts

audiometry

measurement of hearing

Medicare Part B

medical insurance

MOLST

medical orders for life sustaining treatment

menses

menstruation

SOAP notes

method of charting Subjective- what client tells you; stated feelings,etc. Objective- observed behaviors Assessment- conclusions based on data review Plan- plan of action to resolve problems

mEq

milliequivalent

mg/dL

milligrams per deciliter

How to request medical record

must be in writing

Where are lymph nodes located?

neck, axilla, groin

Acu o

needle

-stomy

new opening

NSAID

non-steroidal anti-inflammatory drug

NSF

non-sufficient funds

Nulli

none

What is a remittance advice?

notice sent by the insurance company that contains payment information about a claim

Class K Fire Extinguisher

oils/fats in cooking appliances

ung

ointment

Presby means

old age

Class A fire extinguisher

ordinary wood, paper, cloth

OOB

out of bed

oophor/o

ovary

-algia

pain

-dynia

pain

clean catch specimen

patient begins to urine then collections specimen midstream into a sterile container

PID

pelvic inflammatory disease

What does the "P" stand for in SOAP

plan

What is a deductible?

portion of bill patient is required to pay each year

pylorus

portion of the stomach that connects to the small intestine opening to the duodenum

PET

positron emission tomography

PAC

premature atrial contraction

POMR

problem-oriented medical record

-graphy

process of recording

What do B cells do?

produce antibodies

What does the mitochondria do?

produces energy

What is pepsin?

protein digesting enzyme

Left side of the heart

pumps blood to the body

right side of heart

pumps blood to the lungs

Qs

quantity sufficient

wheal

raised red skin lesion due to interstitial fluid

electrocardiogram

record of the electrical activity of the heart

Sims/Lateral Position

renal surgery

RACE acronym

rescue, alarm, contain, extinguish

RICE

rest, ice, compression, elevation

triangle symbol

revised code

Where is the liver located?

right upper quadrant RUQ

atrioventricular node ( AV node )

secondary pacemaker of the heart, located in the right atrial wall near the tricuspid valve

What does the olfactory nerve do?

sense of smell

What is an enema?

serves to introduce a solution into the colon via the anus, through the rectum, and into the colon

Safety Data Sheet (SDS)

sheet that provides information on the safe use of and hazards of chemicals, as well as emergency steps to take in the event chemicals are splashed, sprayed, or ingested

What is the AED used for?

shock

Fowler's position

sitting position ( 90 degree angle )

What is the largest organ in the body?

skin

What is the axial skeleton?

skull, vertebral column, rib cage

-ole

small

Light Blue Tube

sodium citrate additive

veins feel

soft and bouncy

dressings are

sterile gauze pads

lith

stone

Hemostasis

stoppage of bleeding

skeletal muscle

striated and voluntary

Cytology

study of cells

Pharmacology

study of medications and how they affect the body

mastopexy

surgical fixation of the breast

hysteropexy

surgical fixation of the uterus

-centesis

surgical puncture

tympanoplasty

surgical repair of the eardrum

hidr/o

sweat

Sx

symptoms

orchid/o

testicle

What is menarche?

the first menstrual period

Battery

the intentional touching of a person without his or her consent

What is hematocrit?

the ratio of the volume of red blood cells to the total volume of blood

hemolysis

the rupture or destruction of red blood cells.

What is pharmacokinetics?

the study of drug movement throughout the body

proctosigmoidoscopy

the viewing of the rectum and sigmoid colon

Arteries are

thick-waller, muscular, and elastic, conduct blood at high pressure, and have a pulse

Hist

tissue

-cise

to cut

Gloss

tongue

Tx

treatment

Bid

twice a day

sub

under

A cystoscope is used in

urology

hearing test

use of tuning fork or audiometer

what is CPOE used for

used for entering ALL orders..not just medication orders (orders for pt admission, lab tests, consults, referrals, discharge of pt and medication orders) radiology orders , prescriptions

Snellen chart

used to measure visual acuity

colp/o

vagina

What is the largest vein

vena cava

spondyl/o

vertebrae, vertebral column, backbone

-opia means

vision

What does the optic nerve do?

vision

-scopy

visual examination

colonscopy

visual examination of the colon

otoscopy

visual examination of the ear

-emsis

vomiting

aq

water

WNL

within normal limits

Sig

write on label

flav/o

yellow

Hemoglobin (Hgb)

• Females 12-16 g/dL • Males 14-18 g/dL

What is a healthy BMI?

18.5-24.9

If an adult has normal hearing they can hear tones up to

25 decibels

Equal Pay Act

1963 law that required both men and women to receive equal pay for equal work

1 fluid oz

2 tsp 30 mL

How many lbs in a kg?

2.2 lbs

How long with a STAT referral take

24 hrs

How many cranial nerves are there?

12

How many bones in thoracic vertebrae

12 bones

What is normal hemoglobin for a woman

12-16

appendicular skeleton

120 bones

How long do red blood cells live?

120 days

What is normal hemoglobin for men

14-18

Gauge ranges in sizes

14-31

A child can hear normal tones up to

15 decibels

How many mL in a tablespoon? ( TBSP)

15 mL

What is the max time a patient should wait in the waiting area

15 minutes

tape test

-for enterobius vermiculans (pinworm) -instruct parents to place transparent tape over child's anus at night and remove tape following morning before tolieting/bathing; if possible apply tape after child has gone to sleep and remove before they wake up -pinworm is helminthic infection manifested by perianal itching, enuresis, sleeplessness, restlessness, irritability d/t itching -transmission is via fecal-oral route

How long is the QRS complex?

.06-.12 seconds

How long is the P wave?

0.06-0.12 seconds

How long is the PR interval?

0.12-0.20 seconds

International Normalized Ratio (INR)

0.8-1.2

How far away should the phone/headset be held

1 inch

How many tsp in 5ml

1 teaspoon

What is the order of draw?

1. Yellow - Culture Tubes 2. Light blue - Sodium Citrate 3. Red - nothing 4. Green - Heparin 5. Lavender - EDTA 6. Gray - Blood glucose tubes

intradermal injection

10-15 degrees angle

Sinus Tachycardia

100-160bpm

1 gram equals

1000 mg