MISS K CCMA Practice Questions
Which of the following micro-organism is caused by the Epstein-Barr Virus? A. Polio B. Mononucleosis C. Gastroenteritis D. Fifth disease
B. Mononucleosis
A patient's eyes are moving back and forth in a constant, involuntary manner. What finding should this be documented as? A. Strabismus B. Nystagmus C. Conjunctivitis D. Hordeolum
B. Nystagmus
Which of the following cell structures is the source of energy for a cell? A. Endoplasmic reticulum B. Ribosomes C. Golgi apparatus D. Mitochondria
D. Mitochondria
Oxycodone is which type of medication? A. Oxycodone is a schedule 1 controlled substance and has a low potential for abuse B. Oxycodone is a schedule V controlled substance and has a high potential for abuse C. Oxycodone is a schedule IV controlled substance and has a low potential for abuse D. Oxycodone is a schedule II controlled substance and has a high potential for abuse
D. Oxycodone is a schedule II controlled substance and has a high potential for abuse
A patient begins to faint as a Medical Assistant is drawing her blood. What should the Medical Assistant do? A. Use an ammonia capsule to revive the patient B. Apply a warm cloth to the patients forhead C. Have the patient remain in the office for 5 min D. Position the patient flat on her back
D. Position the patient flat on her back
What is the purpose of a modifier when assigning a CPT code? A. Indicates the complexity of the medical history that led to the procedure B. Indicates the amount of time the provider has spent on the procedure C. Provides the clinical setting in which the procedure was performed D. Provides additional information or circumstances for a procedure
D. Provides additional information or circumstances for a procedure
How does an antitussive work? A. It reduces nasal membrane swelling B. Helps coughing up mucus C. Relieves allergy symptoms D. Suppresses the cough reflex
D. Suppresses the cough reflex
After requesting a preauthorization for a patient's referral to a specialist, what is one reason the claim may be denied? A. The approved visits are listed in the authorization comments section B. The patient previously submitted and received a self referral C. The specialty providers nation provider identifier (NPI) is not included in the authorization D. The service is provided after the expiration date
D. The service is provided after the expiration date
Which of the following refers to ringing in the ears? A. Presbycusis B. Otosclerosis C. Otalgia D. Tinnitus
D. Tinnitus
When collecting a blood sample, which tube should be drawn first? A. Light blue B. Green C. Gray D. yellow
D. Yellow
Which of the following can be used for an orthopedic exam? A. Goniometer B. Hemostat C. Retractor D. Tonometer
A. Goniometer
Which of the following statements should you make when explaining venipuncture to a patient? A. "I'll be collecting a blood sample from you today. There will be a small stick in your arm." B. "I'm here to draw a blood sample for a test. It won't hurt at all." C. "I'll be puncturing your vein with this needle. Hopefully you won't feel the vacuum in the tube draw your blood.' D. "I'm going to draw a blood sample. I'm sure that you aren't going to faint."
A. "I'll be collecting a blood sample from you today. There will be a small stick in your arm."
When preparing a patient to wear a Holter Monitor, which of the following instruction should the assistant include? A. "You should avoid using an electric blanket during monitoring." B. "You can bathe and shower as usual during monitoring." C. "You will be required to wear the monitor for 2 to 4 hours." D. "You should avoid your regular exercise routine during monitoring."
A. "You should avoid using an electric blanket during monitoring."
How many millimeters of medication are in a tablespoon? A. 15 mL B. 5 mL C. 30 mL D. 2.5 mL
A. 15 mL
A medical assistant is preparing 1g/kg of activated charcoal for a patient who weighs 176lbs. How many grams of charcoal should the assistant prepare? A. 79 g B. 387 g C. 352 g D. 76 g
A. 79 g
When controlling bleeding, the assistant should do which of the following? A. Apply layers of sterile gauze B. Sterilize her hands C. Suture the wound D. Flush the wound with sterile water
A. Apply layers of sterile gauze
Which of the following is an appropriate way to confirm a patient's identify? A. Ask the patient to state and spell their full name and provide their date of birth B. Ask the patient for their providers name C. Ask the patient to state their age and address D. Ask the patient to verify their examination room number
A. Ask the patient to state and spell their full name and provide their date of birth
When should the code on glucose cuvettes be compared to the code on the glucometer? A. Before a patient is tested B. After a new package of cuvettes is opened C. Following an error code D. At the beginning of the shift
A. Before a patient is tested
Which of the following should the assistant immediately report to the patient's provider? A. Blood glucose 500 mg/dL B. Potassium 4.1 mEq/L C. Hematocrit 42% D. Hemoglobin 15g/dL
A. Blood glucose 500 mg/dL
When initiating a referral for a patient, which of the following should be included? A. Diagnosis B. Current medications C. Age D. Family history
A. Diagnosis
If a patient becomes tachycardic and short of breath during a stress test, and you notice abnormalities in his EKG rhythm, what action should you take? A. Discontinue the test B. Instruct the patient to take slow, deep breaths C. Ask the patient if he is experiencing chest pain D. Obtain the patients vital signs
A. Discontinue the test
Which of the following form indicates when a patient needs a referral and/or follow up appointments? A. Encounter form B. CMS-1500 claim form C. OSHA form 301 D. Informed consent
A. Encounter form
Which of the following organ is located in the Right Upper Quadrant of the abdomen? A. Gallbladder B. Spleen C. Appendix D. Stomach
A. Gallbladder
Which of the following action should you take when using the butterfly method to obtain a blood sample? A. Hold the needle by its wings B. Insert the needle into the skin at a 45 angle C. Release the tourniquet after 2 min D. Activate the safety device before removing the needle
A. Hold the needle by its wings
A patient having a heatstroke may manifest which of the following? A. Hot skin B. Excessive sweating C. Bradycardia D. Slow breathing
A. Hot skin
What is not an untrue statement of an extended-release pill? A. It can be crushed or chewed if it is too hard to swallow B. The patient should drink plenty of water when taking the extended release pill C. Extended release pills provide a consistent amount of medication for my body to use over a period of time D. It should be taken at the same time each day
A. It can be crushed or chewed if it is too hard to swallow
How can you observe a patient's understand of insulin administration? A. Observe the patient as he/she performs a self demonstration B. Provide the patient with written instructions C. Offer the patient a website to visit for directions D. Repeat the information to the patient
A. Observe the patient as he/she performs a self demonstration
When preparing to use a glucometer to measure a patient's blood sugar, which of the following action should the assistant take? A. Obtain the blood sample after inserting the test strip into the glucometer B. Touch the testing pad on the test strip to make sure the surface is smooth C. Apply the first drop of blood that appears after the puncture to the test strip D. Smear the blood on the test pad
A. Obtain the blood sample after inserting the test strip into the glucometer
According to the OSHA's guidelines, blood-soiled gauze should be disposed of in which of the following? A. Red biohazard bag B. Sharps container C. Trash can with clear leak proof liner D. Purple medical waste container
A. Red biohazard bag
Which of the following notifies the provider of a claim denial by an insurance company? A. Remittance advice B. Coordination of benefits C. Eligibility for insurance D. CMS-1500 claim form
A. Remittance advice
What action should you take if a patient reports getting a bill for services she did not receive? A. Review that days encounter forms to determine if another patient received the services B. Instruct the patient to pay for the services to avoid collection procedures C. Ask the provider to write off the charges on the patients account D. Determine if the patient has a previous balance
A. Review that days encounter forms to determine if another patient received the services
When obtaining a rectal temperature, which of the following positions should the patient be placed in? A. Sims B. Knee-chest C. Lithotomy D. Dorsal recumbent
A. Sims
Which of the following documentation templates is organized by the entity that supplied the data? A. Source-oriented B. Problem-oriented C. SOAP format D. CHEDDAR format
A. Source-oriented
Where should you place the electrode for V4? A. The fifth intercoastal space, left midclavicular line B. The fourth intercostal space, left sternal border C. The left midaxillary line, lateral to V5 D. The anterior axillary line, lateral to V6
A. The fifth intercoastal space, left midclavicular line
What is the purpose of Category II codes in procedural coding? A. Tracks provider performance measures B. Indicates special circumstances C. Works as a temporary code D. Identifies preventive measures
A. Tracks provider performance measures
How should you communicate with a patient who has moderate hearing loss and reading lips? A. Use hand gestures B. Speak loudly C. Speak slowly D. Overenunciate words
A. Use hand gestures
When preparing a patient for a Holter monitoring, which of the following action should be taken? A. Vigorously dry the patients skin prior to electrode placement B. Apply the electrodes while the patient is in a standing position C. Ensure tension is on the lead wires after electrodes are in place D. Wash the patients skin with soap and water prior to electrode placement
A. Vigorously dry the patients skin prior to electrode placement
You are checking blood pressure and listening with a stethoscope, when should you read the diastolic pressure? A. When the sound disappears B. When repetitive sounds begin C. When the sounds change from strong to muffled D. When the sounds change from swishing to sharp
A. When the sound disappears
Which of the following techniques should be used 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 beyond the bandage D. Moisten and apply ointment before bandaging
A. Wrap the wound from distal to proximal
Which of the following instructions is correct when reinforcing teaching a patient who receiving suturing of a laceration? A. "Do not attempt to change your dressing until your next visit." B. "Be sure to call your provider if you have a fever over 100 degrees Fahrenheit." C. "Keep the dressing damp so moisture can surround the wound." D. "Red streaks near the wound are normal and can be addressed at your next visit."
B. "Be sure to call your provider if you have a fever over 100 degrees Fahrenheit."
How should the Medical Assistant greet a new patient that has arrived to the office late? A. "Have a seat. We will be with you shortley." 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 instructions should an assistant give regarding a transdermal patch and use? A. "Only sponge baths are allowed while wearing the patch." B. "Make sure to rotate patch placement to avoid skin irritation." C. "Keep all used patches for inspection at your next appointment." D. "Apply each new patch at a different time during the day."
B. "Make sure to rotate patch placement to avoid skin irritation."
When using a Snellen Chart to test visual activity in an adult, the assistant should have the patient stand which of the following distances away? A. 10ft B. 20ft C. 14 inches D. 30 inches
B. 20ft
When writing a business correspondence using the simplified letter style, which feature should you use? A. A complimentary closing B. A subject line in all capital letters C. Indented paragraph on the body of the letter D. Center aligned dateline and salutation
B. A subject line in all capital letters
When administering eye ointment to a patient, Which of the following action should the Medical Assistant take? A. Hold the ointment tube parallel to and above the patients eye B. Apply a thin ribbon of ointment along the conjunctival sac C. Apply the ointment from the outer canthus to the inner canthus D. Have the patient keep her eye open after application
B. Apply a thin ribbon of ointment along the conjunctival sac
A patient requests a female provider due to religious convictions, but there isn't one available. Which of the following is an appropriate response? A. Decline treatment of the patient B. Assist the patient in locating a provider to accommodate the patients needs C. Reassure the patient that the male provider will be respectful D. Instruct the patient to visit an emergency room
B. Assist the patient in locating a provider to accommodate the patients needs
An EKG tracing shows ventricular fibrillation on an unconscious patient. Which action should you take first? A. Notify the provider of the arrest B. Call for help and being CPR C. Get the automated external defibrillator D. Administer oxygen
B. Call for help and being CPR
When administering an intramuscular injection, which of the following actions should the Medical Assistant take? A. Select the patients forearm as the site of injection B. Cleanse the site in a circular motion from the center outward C. Cleanse the site with povidone-iodine solution D. Hold the needle and syringe at a 45 degree angle to the skin
B. Cleanse the site in a circular motion from the center outward
When using a POMR (Problem-Oriented Medical Record) where should you enter the patient's health history and lab results? A. Problem list B. Database C. Progress Notes D. Diagnostic and treatment plan
B. Database
Which of the following should be included in the appointment calendar when scheduling a patient? A. Diagnosis code B. Daytime phone number C. Date of birth D. Patient identification number
B. Daytime phone number
Pyloric Stenosis is a conditional of which of the following body systems? A. Urinary B. Gastrointestinal C. Nervous D. Cardiovascular
B. Gastrointestinal
When measuring a patient's temperature via tympanic membrane, where should you place the thermometer? A. On the forehead B. In the ear C. Under the tongue D. Under the arm
B. In the ear
Which of the following medical records is a patient entitled to? A. Detailed psychotherapy notes B. List of medications with diagnosis C. Original chest x-rays D. Information compiled for legal proceedings
B. List of medications with diagnosis
Which of the following is outside the scope of practice for a Medical Assistant? A. Perform clinical duties under the direct supervision of the provider B. Order additional laboratory test to confirm the patients 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 test to confirm the patients condition
Which of the following instrument can be sanitized and reused without needing disinfection and sterilization? A. Nasal specula B. Otoscope C. Curettes D. Suture removal instruments
B. Otoscope
Which of the following instrument should be available for a general physical examination? A. Forceps B. Otoscope C. Curette D. Endoscope
B. Otoscope
Which route is more accurate when checking a patient's temperature? A. Axillary B. Rectal C. Oral D. Temporal
B. Rectal
Which of the following is within the scope of practice for a Medical Assistant? A. Administering IV medication B. Removing sutures from a healing laceration C. Interpreting a 12-lead EKG tracing D. Identifying whether a skin lesion is malignant
B. Removing sutures from a healing laceration
Which of the following is the purpose of completing an incident report for a patient fall that occurred in the lobby of the clinic? A. To remove liability from the clinic B. To avoid future reoccurrences C. To document patient responsibility for the fall D. To create documentation for the patients medical record
B. To avoid future reoccurrences
When preparing a patient for a physical examination, which of the following action should the assistant take first? A. Give the patient a paper gown B. Verify the patients identity C. Record the patients vital signs D. Assist the patient into Fowlers postion
B. Verify the patients identity
Stage 2 Hypertension can be identified by which of the following blood pressure reading? A. 110/80 mm Hg B. 135/80 mm Hg C. 150/95 mm Hg D. 120/85 mm Hg
C. 150/95 mm Hg
You're reviewing a Medicare claim denial and realize the charges, exceed the usual, customary, reasonable fees. Which action should you take? A. Leave the unpaid balance on the record until the end of the revenue cycle. B. Wait until overpayment of the approximate amount balances the deficit. C. Adjust the patients account to reflect no unpaid charges and write off the balance. D. Request payment at the point of service during the patient's next visit
C. Adjust the patients account to reflect no unpaid charges and write off the balance.
Which of the following action should you take when preparing a patient for a procedure to have a mole excised? A. Administer the anesthetic to the patient B. Don sterile gloves and gown C. Cleanse the site with surgical soap an antiseptic D. Open a sterile pack and lay instruments on the counter
C. Cleanse the site with surgical soap an antiseptic
A pulse oximeter may inaccurately measure low oxygen saturation due to the following circumstances? A. Anemia B. Hyperventilation syndrome C. Cold Fingers D. Carbon monoxide poisoning
C. Cold fingers
When preparing a CMS-1500, (Claim Form), which of the following is required on the form? A. Physical address when the injury occured B. Patients health savings account number C. Current procedural terminology code D. Patients medical record number
C. Current procedural terminology code
Which of the following is an instrument necessary for a Papanicolaou (Pap) Test? A. Cryoprobe B. Senn retractor C. Cytobrush D. Adson forceps
C. Cytobrush
When disposing of a used needled and syringe, what action should the Medical Assistant take? A. Recap the needle before disposing of it in the biohazardous sharps container B. Use a gauze square to break off the needle and place it in the biohazardous sharps container C. Drop the syringe, needle first, into the biohazardous sharps container D. Replace the biohazardous sharps container once it is half full
C. Drop the syringe, needle first, into the biohazardous sharps container
How many primary digits does a CPT code insist of ? A. Two digits B. Four digits C. Five digits D. Seven digits
C. Five digits
Which of the following EKG artifacts is caused by disconnected electrode? A. Wandering baseline B. AC Interference C. Interrupted baseline D. Somatic tremor
C. Interrupted baseline
When trying to clear debris out a patient's eye, which of the following action should the Medical Assistant take? A. Use a clean, dry piece of gauze to sweep the debris out of the eye B. Position a bulb syringe on the lid of the eye during extraction C. Irrigate the eye starting at the inner canthus and flowing to the outer canthus D. Irrigate the eye by flushing it with cold tap water
C. Irrigate the eye starting at the inner canthus and flowing to the outer canthus
Which of the following conditions refer to the curvature of the thoracic spine? A. Lordosis B. Subluxation C. Kyphosis D. Scoliosis
C. Kyphosis
A patient who has a body mass index (BMI) of 23 should be categorized as? A. Obese B. Underweight C. Normal weight D. Overweight
C. Normal weight
A patient receives a bill for an X-Ray he had due to an injury at work. He has private insurance but is eligible for worker's comp. Who is responsible for payment? A. Paid in fully by the patient B. Paid in full by the patients private insurance C. Paid in full by workers compensation D. Paid in part by private insurance and in part by workers compensation
C. Paid in full by workers compensation
Pediculosis is what type of infection? A. Fungal B. Bacterial C. Parasitic D. Helminthic
C. Parasitic
When measuring the circumference of an infant's head, which of the following action/steps should you take? A. Position the infant prone on the examination table B. Place the measuring tape so it covers he infants. ear C. Place the zero mark of the measuring tape against the infants forehead D. Mark the measuring tape and record the measurement after the visit.
C. Place the zero mark of the measuring tape against the infants forehead
If a patient asks about the cost of a surgical procedure, which is an appropriate response? A. Inform the patient that the cost will be determined after the procedure is complete. B. Instruct the patient to contact her insurance carrier for a price. C. Provide the patient with an estimated cost for the procedure D. Advice the patient that all procedure pricing must be communicated by mail.
C. Provide the patient with an estimated cost for the procedure
Which of the following stage of the cardiac cycle represents ventricular depolarization? A. T wave B. ST segment C. QRS complex D. P Wave
C. QRS complex
Psoriasis can be identified by which of the following characteristic? A. Yellow, waxy B. Gray, crusty C. Silvery, scaly D. Brown, flat
C. Silvery, scaly
When you need to remove all microorganisms from an instrument, which of the following methods should you use? A. Disinfection B. Sanitization C. Sterilization D. Ultrasonic
C. Sterilization
Which of the following action should occur before a patient signs an informed consent form? A. The medical assistant should explain the procedures to the patient B. The medical assistant should describe the risks of the procedures to the patient C. The provider should review alternative procedures with the patient D. The provider should review the patients insurance coverage for the procedure
C. The provider should review alternative procedures with the patient
An MA has given a patient an injection and the patient begins developing an itchy rash with pink lesions. Which of the following terms should the assistant use when documenting this occurrence? A. Anaphylaxis B. Rhinitis C. Urticaria D. Erythema
C. Urticaria
What action should you take when removing a tick from a patient's leg after a tick bite? A. Grasp the tick at a point furthest from the skin B. Squeeze the body of the tick firmly to remove it. C. Use tweezers to pull the tick away from the skin slowly D. Discard the tick in the trash can
C. Use tweezers to pull the tick away from the skin slowly
When administering cough syrup to a patient, which of the following action should you take? A. Shake the bottle vigorously B. Keep the label side of the bottle on the bottom when pouring C. View the medication cup at eye level when pouring D. Match the mark for the medication dosage to the upper edge of the meniscus
C. View the medication cup at eye level when pouring
Which of the following increases circulation before a fingerstick? a. Hold the patients hand above his heart B. Squeeze the patients finger C. Warm the patients hand D. Apply a tourniquet above the patients wrist
C. Warm the patients hand
Which of the following appointment methods allows flexibility for the most consistent patient flow? A. Double booking B. Cluster booking C. Wave scheduling D. Stream scheduling
C. Wave scheduling
When drawing blood, when should the tourniquet be removed? A. After the needle is removes. B. After a flash of blood is seen in the hub of the first tube C. Within 1 min of application D. Between 2 and 3 min after application
C. Within 1 min of application
A patient calls in and is nervous about test results. Which is an appropriate response? A. "The doctor is busy right now and will call you back. You don't really want me to give you the results, do you?" B. "I'm afraid its bad news. I would get a second opinion if I were you." C. "Don't worry about it. Until we say you have something to worry about, try to relax." D. "I know you are concerned about your test results. We'll call you as soon as your results come in."
D. "I know you are concerned about your test results. We'll call you as soon as your results come in."
Which of the following is a proper statement when a patient is irate about a claim denial? A. "Thats not your fault. Your insurance company has several rules about what they cover and don't cover." B. "I don't take care of those matters. You'll have to call our billing department." C. "That kind of thing eventually happens to everyone. If the balance isn't that large, it's better to just pay it than try to fight with them." D. "Let's see if there is something we can do at our end. I'll ask our claims specialist to review the claim."
D. "Let's see if there is something we can do at our end. I'll ask our claims specialist to review the claim."
Which of the following can be signed by a Medical Assistant? A. A medical report for an insurance carrier B. A referral letter for a patient to an outside provider C. A letter containing medical advice to the parents of child D. A notification letter to a patient about surgery arrangements
D. A notification letter to a patient about surgery arrangements
You have to apply ointment to a patient's wound. Which should you use to remove the medication from the jar? A. A glove finger B. A syringe C. A cotton ball D. A tongue blade
D. A tongue blade
When performing a finger stick, which of the following should happen first? A. Cleanse the site with an antiseptic wipe B. Select the appropriate part of the third or fourth finger. C. Position the blade of the lancet across the lines of the fingertip D. Confirm the correct identity to the patient
D. Confirm the correct identity to the patient
Which of the following action should you take if a parent calls in reporting that her child has ingested a household cleaner? A. Tell the parent to call back after obtaining the child's vital sign B. Instruct the patient to administer syrup of ipecac to the child C. Direct the parent to manually induce vomiting D. Contact the local poison control center
D. Contact the local poison control center
When using the SOAP format, which of the following would be found in the assessment section? A. Family history B. Laboratory results C. Chief complaint D. Diangnosis
D. Diangnosis
According to the RACE acronym, what is the first action an assistant should take after discovering a fire? A. Close the doors and windows B. Turn off the oxygen in the adjacent exam rooms C. Use the office fire extinguisher D. Evacuate staff and patients from the immediate area
D. Evacuate staff and patients from the immediate area
How should you put a 7-year-old at ease prior to administering an injection? A. Show the child the needle that will be used for the procedure. B. Use medical terminology when discussing the procedure with the child. C. Tell the child that the procedure will not hurt. D. Explain the procedure to the child in simple steps.
D. Explain the procedure to the child in simple steps.
When educating an older patient, which of the following ensures the patient is understanding? A. Speak louder to the patient B. Stand beside the patient C. Have additional medical staff present to explain information D. Have the patient repeat information
D. Have the patient repeat information
Pinworms are what type of micro-organisms? A. Fungi B. Bacteria C. Protozoa D. Helminths
D. Helminths
Which of the following terms should be documented when a patient reports that she saw blood in her vomit? A. Melena B. Hemoptysis C. Hematuria D. Hematemesis
D. Hematemesis
Which of the following term is the body's adaptation and change to keep the body functions in balance? A. Peristalsis B. Hematopoiesis C. Physiology D. Homeostasis
D. Homeostasis
Which of the following is a CLIA-waived laboratory test? A. Papanicolaou (Pap) test B. Blood typing and crossmatching C. Fecal leukocyte D. Human chorionic gonadotropin (HCG) test
D. Human chorionic gonadotropin (HCG) test