CCMA final final final final exam
What is included in the developmental assessment in pediatric procedures?
Language, motor, and social skills
Infection control
- All body fluids from any patient should be considered infectious - PPE should be provided by the healthcare facility for employee use (OSHA) - Written infection prevention policies/procedures should be available to all staff
Performed by MA during pediatric office visit
- Measurement of vital signs - Height and weight - Assisting provider with physical exam
What should be discussed with the patient prior to fecal occult blood testing
- dietary restrictions and supplements - testing instructions - testing restrictions
Considerations for medication administration
- hold the pt 20-30 minutes after - patients should be routinely asked about their allergies - know common conversion measurements
Truths about clean catch midstream specimens
- method used to detect suspected UTIs - requires the removal of as many pathogens as possible from the genital region of the patient - culture and sensitivity test may collected as an additional test
Sanitization of instruments
- removes debris in preparation for disinfection and sterilization
Correct technique for testing urine with reagent strip
- use freshly voided urine specimen - completely saturate reagent areas with urine - hold strip in horizontal position when reading results
Clean Catch Midstream Specimen (CCMS)
- used to eliminate microorganisms from urinary meatus and distal urethra - instruct patient to totally empty bladder into specimen container - instruct patient to cleanse around urinary meatus and collect in specimen container midstream
Preferred distance between injection sites if they are use on the same thigh (infants)
1 inch
Infant needle length
1 inch needle
How far should the medical assistant be from the Mayo stand?
12 inches
How many leads are there on a standard electrocardiogram?
12 leads, 10 electrodes
1 tbsp = x mL
15 mL
Routine venipuncture angle of insertion
15-30 degrees
1 oz = x tbsp
2 tbsp
Intravenous injection angle
25 degrees
Overweight BMI
25-29
1 fl oz = x mL
30 mL
V2 electrode placement
4th intercostal space, left of sternum
Intradermal injection angle
5-15 degrees
V5 electrode placement
5th intercostal space, left anterior axillary line
V6 electrode placement
5th intercostal space, left midaxillary line
Sutures in arms/legs are removed after
7-14 days
Normal temp
97-99
Used for blood collection with/without additives
Evacuated tube system (ETS)
Frequency of gynecologic exams
Every 1 to 3 years
How often should a medical assistant update the patient's medical history?
Every visit
True or False: a gown, face shield, mask, gloves, and shoe coverings must all be worn during the collection of a throat specimen
False
True or False: Single-dose vials are pre-measured, so calculation and dosage do not have to be monitored as closely
True
True or False: purpose of gynecologic exam is to assess the health of the female reproductive organs to detect early signs of disease
True
True/False: heavy duty utility gloves should be worn over disposable gloves to minimize the risk of sharps or chemical exposure to the skin
True
What MAs can perform during minor surgery
- Apply sterile dressings - Prep meds for procedure - Prep sterile field
Guidelines for Electrode use/maintenance
- Check expiration date on pouch before use - Reseal the electrode pouch and place it in plastic bag after use - Do not use dried out electrodes
Criterion that should be checked when gathering supplies
- Check whether the stripes on the autoclave tapes changed color - Check that the sterile packs are not expired - Check that there are no holes, tears, and moisture in wrapping materials
What is assessed during breast exam?
- Dimpling and change in skin texture - Nipple bleeding or discharge - Axillary lymph nodes
Proper technique for pouring sterile solution
- Ensure solution is within its expiration date - Placing your palm over the label to protect the label while pouring - Checking label of solution bottle
Something is considered contaminated if
- It comes in contact with a pathogen - Touches something clean - Becomes wet
Why is important to coach the pt thru spirometry and peak flow testing?
- It facilitates effective and efficient completion of testing - Helps reduce anxiety
What should the MA do if the patient is anxious about completing the spirometry test?
- Listen to concerns and try to comfort patient - If concerns are beyond your scope, share with provider
Two ways to lubricate speculum before giving to provider
- Lubricate with water-based lubricant - Lubricate with water
What should the MA check when administering medication?
- Name of med - Intended route - Expiration date
Spirometry Testing
- Provides narrative and graphic representation of breathing capacity - Explaining the procedure helps the patient understand what to expect - Obtain consent to perform the procedure
What should the medical assistant do if a patient has elevated blood pressure?
- Remeasure using the opposite arm - Wait for a few minutes and re-measure on the same arm - Follow facility policy regarding this incident
Supplies needed for nasopharyngeal specimen collection
- Sterile nasal swabs - Viral transport medium - Full PPE
Purpose of measuring head circumference
- To determine if normal brain development is taking place - To screen for microcephaly and macrocephaly
Why should sharp instruments should be separated from other instruments when sanitizing?
- To prevent instruments from rubbing together and becoming dull - To protect the healthcare worker from being injured by a sharp blade or edge
When handling test kits, the MA should...
- Wear PPE - Perform controls according to manufacturer's instructions - Run the test according to manufacturer's instructions
Intradermal Injections
0.1 mL (no more than 0.2) TB syringe Forearm
1 tbsp = x tsp
3 tsp
Sutures in face/head/neck are removed after
3-5 days
Subcutaneous Injection angle
45-90 degrees
Hours for PPD reading
48-72 hours
V1 electrode placement
4th intercostal place, right of sternum
Angle for winged infusion/butterfly needle on hand
5-10 degrees
V4 electrode placement
5th intercostal space, left midclavicular line
Intramuscular injection angle
90 degrees
Depth respiration characteristic
Amount of air inhaled or exhaled
Recommended frequency of well-child visits after 2 years old
Annually
Symptoms that warrant an EKG order
Fainting, shortness of breath, dizziness
True or False: Placement of the electrodes with tabs pointed toward the head allows for the lead wire to follow the contour of the body, reducing the tension and the likelihood of crimping
False
Best way to promote effective information gathering
MA should display compassion and understanding while interviewing the patient
Fainting medical term
Syncope
The ______ should be placed on a tray in the correct order the injections will be administered
Syringes
The measure of force of blood against arterial walls while the heart is contracting
Systolic pressure
Urine clarity descriptors
Turbid, cloudy, clear
Site for toddler IM injection
vastus lateralis
Oil-based medication injection site
ventrogluteal
Best way to prevent contaminating medication or equipment when prepping meds is to
wash hands
Tourniquet application
- 3 in above elbow - removed within 60 sec
What should the MA gather for a throat specimen that will be tested onsite?
1-2 sterile swabs depending on facility protocol
Toddlers-2 year olds needle length
1.5 inch needle
How full should the sterile container for urine testing be
1/2 full
What should the medical assistant do if a patient refuses to have their weight measured?
Document the refusal in the medical record for the provider
Which receptacle should sutures be disposed in?
Biohazardous waste container
LA wire color
Black
May occur if needle is removed from arm before tourniquet
Bleeding may occur around puncture site
What may alter the outcome of a pelvic exam?
Blood
V4 color
Blue
Supplies needed for chemical urine analysis
Bottle of test strips, paper towel, clinical analyzer
Over which artery is the stethoscope placed when taking BP?
Brachial artery
Fahrenheit to Celsius Conversion
C = (F - 32) x 5/9
Which step may the MA perform before a bimanual exam?
Apply lubricant on the provider's two fingers
What should the MA ask the patient to do before the pelvic exam?
Empty her bladder
Uses heat and high pressure with steam to sterilize equipment
Autoclave
Gene associated with higher risk for breast cancer
BRCA1 or BRCA2 gene
To start the pelvic exam, the OBGYN examines the external genitalia and palpates the perineal area. Next, the vaginal speculum is inserted for cervical and vaginal canal examination. What is the next step?
Bimanual exam
What is conducted after the pap smear has been collected?
Bimanual exam
Term for checking spirometer function
Calibration
Pulse site in the neck area
Carotid artery
First step for pap smear/pelvic exam
Check patient's EHR for the reason for the visit and for any orders
What symptoms are experienced by a patient when their temp begins to rise?
Coldness and chills
Components of physical analysis of urine
Color, odor, clarity
5 stages of grief
Denial, Anger, Bargaining, Depression, Acceptance
The measure of force of blood against arterial walls while the heart is relaxing
Diastolic pressure
True or False: the physical analysis urine test is used to detect disease or disorders of the kidneys or urinary tract. Along with this test, a culture and sensitivity test may be collected.
False.... chemical analysis. Physical analysis is used to determine color, odor, and clarity
Correct order of steps for patient interview
Gather patient's vital, obtain any equipment the physician may need, and provide patient with wait time
Components of chemical analysis of urine
Glucose, pH, ketones, etc
RL wire color
Green
V3 color
Green
Which of the following supplies should a medical assistant assemble for a wellness checkup?
Growth chart
Bradycardia
HR < 60bpm
Tachycardia
HR > 100bpm
Info included in cytology request form
Hormonal therapy, types of birth control, surgical gynecologic history
Pregnancy tests detect which hormone?
Human chorionic gonadotropin (hCG)
Supplies that should be gathered for infant immunization
Immunization schedule, vaccine site map, and ordered vaccine
What practice directly affects the health of the patient, provider, and staff?
Infection control practices
Obtaining any equipment/supplies that the physician may need occurs during the (initial/concluding) steps of a patient visit
Initial
Bimanual Exam
Inspect uterus, fallopian tubes, and ovaries
What should be in the sterile tray or pack?
Instruments and gauze
Wound that results from surgical incision
Intentional wound
Pelvic exam position
Lithotomy
How many times should labels on all irrigation solutions, antiseptic solutions, and medications be checked for minor office surgery procedures?
MINIMUM OF 3 TIMES
Which food item should be avoided before the fecal occult blood test (FOBT)?
Melons
MMSE
Mini mental status exam -- dementia
Results in patient discomfort during venipuncture
Moving needle after it has been inserted into vein
Rate respiration characteristic
Number of breaths per minute
One respiration
One inhalation and one exhalation
V5 color
Orange
OPIM
Other Potentially Infectious Material - Body fluids - Non-intact skin - Mucous membranes
Color descriptors of urine
Pale yellow, amber, straw yellow
Self-Breast exam
Patient uses circular motion moving up and down and across the breast from the outer edge toward the midline of the breastbone
What is the first step in setting up and prepping a pulmonary function test?
Peak flow meter
When prepping the Mayo stand and opening a sterile pack, what is the first step?
Performing hand hygiene and donning sterile gloves
What must be considered when prepping a patient for a minor surgical procedure?
Physical limitations
Best technique for measuring infant length
Place infant in supine position
Correct way to handle swab for onsite testing
Place the swab in its original wrapper
What effect can patient movement have on the pulse oximetry procedure?
Prevents probe from picking up the pulse signal
Reason for using warm water during handwashing
Prevents skin from chapping and cracking
Included on specimen label
Pt name, DOB, date of collection
Which receptacle should staples be disposed in?
Puncture-proof sharps container
V6 color
Purple
Violation of sterile technique
Reaching over sterile field
LL wire color
Red
V1 color
Red
What should the MA do first when setting up a peak flow test?
Review orders and reason for test in patient's chart
EKG ground lead
Right leg
Provides info on the hazards and actions necessary when working with specific chemicals
Safety data sheets
First step for urine chemical analysis
Select the start button and proceed to immediately dip the test strip into the urine
Red tube top
Serum determination
Which table holds items that cannot be directly placed on/next to the sterile field?
Side table
Type of patient visit that is conducted using technology to facilitate an encounter with the patient and the provider in different locations
Telehealth visit
What can the MA do to help the patient relax during a pelvic exam?
Tell the patient to breathe deeply, slowly, and evenly thru the mouth
What should the MA do if a patient is out of breath or feels faint during the spirometry test?
Temporarily stop the test to give the patient time to rest
Why is it important to develop rapport with a pediatric patient?
The child is more likely to be cooperative during procedures
Best description of sterilization
The complete destruction of all microorganisms through specific methods; can destroy spores
Which letter denotes the chest/precordial leads?
The letter V with a number 1 thru 6
Why should a lab coat, gloves, and protective eyewear be worn during hCG urinalysis?
To protect the MA from possible splash risks
True or False. When preparing surgical trays and items to be used during a surgical procedure, it is the medical assistant's responsibility to practice sterile techniques and ensure that items are sterile from preparation through the end of the procedure
True
When measuring BP, how should the patient's arm be positioned?
at heart level
EKG description
Used to record electrical activity of the heart
Personal record that includes the names of vaccines administered and dates of administration
Vaccine Administration Record if you can believe it
Info sheets produced by the CDC that explains benefits and risks of a vaccine
Vaccine Information Statement
Asked to ensure accuracy when measuring oral temp electronically
Verify that the patient has not consumed any cold or hot foods/liquids in the past 15-30 minutes
When is the first label review of solutions and medications conducted?
When pulling supplies
What increases visibility of the throat structures?
When the uvula is elevated
RA wire color
White
Blood culture tube top
Yellow
V2 color
Yellow
GAD
anxiety screening
Method to reduce microorganisms on the skin by destroying pathogens
aseptic handwashing
Right form
capsule, tablet, lotion, etc
What must the MA do before collecting a nasopharyngeal specimen?
check swab and transport medium packaging for expiration date
Hematoma
collection of blood underneath skin
May change status of patient's collection site
dehydration
IM injection site
deltoid
When performing capillary puncture, the finger should not be forcefully squeezed to avoid
diluting the blood sample with tissue fluid
Telehealth visits
each facility should establish its own protocol for the process of beginning a telehealth visit
Right to know
explanation of possible side effects
GDS
geriatric depression scale
Rooming
getting a patient ready for the provider
Gray tube top
glucose testing
What would indicate that the MA should not perform testing?
if individual testing items have been opened
What preservation tool should be used when sending a specimen for a throat culture to an outside lab?
transport medium
Following the patient interview phase of the telehealth visit, what should the MA do next?
let the patient know that they will be put on hold to wait for the provider
Right route
med delivery location
Best vein for venipuncture
median cubital cephalic basilic
Right Dose
medication strength
What type of analysis is conducted by pouring urine into the centrifuge to observe appearance of the specimen?
microscopic analysis
V3 electrode placement
midway b/w V2 and V4
Kg to lb conversion
multiply by 2.2
Inches to centimeters conversion
multiply by 2.54
When should a respirator be used?
only after a successful respirator fit test
PHQ
patient health questionnaire -- depression
Green tube top
plasma determination
SubQ injection site
posterior bicep, abdomen
Chief Complaint
primary reason for office visit
Set of infection control practices used to prevent the transmission of diseases that can be acquired through blood, body fluids, non-intact skin, and mucous membranes
standard precautions
After the patient interview process, what should the MA check before exiting the exam room?
that all the equipment is working properly
True statement about measuring head circumference
the tape measure should be wrapped above the eyebrows and ears when measuring head circumference
Why is a small amount of urine voided into the toilet before obtaining specimen?
to flush out microorganisms of distal urethra
