part III-clinical questions and answers
which of the following measures is a normal specific gravity of urine
1.025
normal respiratory rate for an adult is
12-26 breaths per minute
which one of the following is the correct angle for a needle o enter the vein for venipuncture?
15 degrees
which of the following values is considered a desirable cholesterol level?
180 mg/dl
the ratio for making a disinfectant from bleach and water is
1;10
if a medical assistant is having a 75- pound child a dose of antibiotic using clark's Law, which of the following would she administer if the usual adult dose is 500 mg?
250 mg
what is the maximum time allotted for a collected blood sample to sit in a serum separator tube before being centrifuged?
30 minutes
which of the following is the maximum amount of time a tourniquet should remain on the patient's arm during the performance of a routine venipuncture?
60 seconds
a scraping of the superficial layer of skin is called a/an
abrasion
Lyme disease, if untreated, can progress into a/an
acute infection
which of the following steps helps ensure smooth operation in the medical office during a patient emergency?
adhering to a pre-established plan and protocols for managing the emergency
which of the following medications would most likely NOT be ordered for a 52-year-old postmenopausal woman?
aircept
in a large-scale national disaster or disease outbreak, which of the following considerations should be taken into account by a medical practice office?
all of the above
sterilization means that
all organism have removed from an object
the generic name for lipitor is
altorvastatin calcium
a fomite is
an inanimate object that can harbor pathogens
a person who has difficult breathing and experiences swelling of the respiratory tract following a be sting may have
anaphylactic shock
initial treatment for a sprained ankle would include
application of ice in 20-minute intervals for the first 48 hours
emergency treatment for a second-degree burn would include
applying clean, cool wt cloth to the area
in order to correctly treat an adult with a foreign body airway obstruction, the medical assistant should first
ask the patient if he can speak
in order to encourage an elderly patient to give information while taking the patient history, the medical assistant should
ask-open- ended question
when moving a heavy object one should
assess the object prior to trying to lift it and ask for help if needed
applying an elastic or ACE wrap to a sprained ankle is an example of
bandaging
the popliteal pulse is located
behind the knee
a procedure that a medical assistant would not expect to take part in when doing minor surgeries in the office is
biopsy of the lung
in an infant, you should check the pulse in which of the following arteries in an emergency situation?
brachial
which of the following is a disposable glass or plastic tube used for hematocrit determination?
capillary tube
prior to administration of a local anesthesia, the medical assistant should
carefully take an allergy history from the patient prior to the procedure
after drying and removing packs from the autoclave, the first thing that you should do is
check the indicators to make sure it has has change color
which of the following is NOT considered proper patient instruction for obtaining a clean-catch mid-stream urine specimen?
clean the urinary meatus from back to front
the microscope condenser is responsible for
collecting and concentrating lights rays
the Ishihara test is used to diagnose
color blindness
after a patient has had a grand mal seizure, one would expect the patient to be
confused and drowsy
the patient is having occult blood in the stool caused by a medications that he is taking. which of the following medications would you suspect?
coumadin
symptoms of insulin shock include
diaphoresis, tremulousness, confusion and decrease blood sugar reading
a viral infection
does not respond to antibiotic treatment
which of the following actions should the medical assistant take to ensure disposable thermometers are ready for an exam?
ensure the expiration dates have not passed
when checking the sterile supplies in he office, the medical assistant should
examine sterile packs and discard any that are damaged
to palpate the pulse in an adult, the usual procedure would be to
feel at the inner aspect of the thumb side of the wrist with the first two fingers
which of the following types of urine specimen contains the greatest concentration of dissolved substances?
first-voided morning
the most appropriate position for a patient with respiratory problem is
fowler's
if a medical assistant discovered a known diabetic patient who is disoriented and confused, the first thing she should do is
give a form of glucose to the patient
in order to take the blood pressure correctly, the medical assistant should
have the arm at or near the level of the heart
which of the following statements is true?
hemoglobin measures the oxygen-carring capacity of blood and is expressed in g/dl
which of the following is NOT a normal vein for phlebotomy?
hepatic vein
when performing a surgical hand scrub, make sure to
hold fingers higher than the elbows
which one of the following is NOT a proper procedure for performing the multisite 10 reagent strip test?
hold the strip in a vertical position
urine or serum pregnancy tests are utilized to detect the present of which of the following
human chorionic gonadotropin hormone (hCG)
if your patient is being treated for a severe for upper respiratory infections, which of the following medication would you not expect to see ordered?
hydrochlorothiazide
an effective way to handle patient emergencies in a medical practice office is to take which of the following steps in advance?
identify the at-risk situations that are most likely to occur, given the patient population seen in the office, and prepare to provide care for these situations.
which of the following is NOT a true statement regarding tuberculin testing?
induration is a positive indicator of disease
heart sounds that are heard when the blood pressure is being measured are called the
korotkoff sounds
which of the following positions should the patient be in for a vaginal exam?
litholotomy
to remove sutures, the medical assistant should have a tray with instruments that should include
littauer scissors
the medical assistant's role in obtaining informed consent is
making sure that the patient understands and has no questions
using a tape measure to evaluate the head and chest circumference of an infant is called
mensuration
which of the following situations would be of least concern when involved in a sterile procedure?
non sterile person entering to the room
which of the following emergency
occluded airway
you should suspect that a patient that a patient might possible be having a heart attack if she is complaining of complaining of
pain in the shoulder or jaw
draping is done primarily for
patient privacy
what information will not be found in the medical record of a patient?
personal opinion of the medical staff
wearing a mask, gown, and gloves when working with a patient is an example of using
personal protective equipment
in order to have a method of checking to see if an autoclaved item is sterile, the medical assistant should
place indicator strips in the packs and envelopes and use autoclave tape to ensure the packs
sterile technique must be used when
placing sutures in a new laceration
which of the following is a CLIA-waived (low complexity)test?
pregnancy test
the knee-chest position is used for
procotological exams
evaluation of the spinal column is accomplished easily from which of the following positions?
prone
which of the following medications would not be ordered fora an elderly patient with cardiovascular disease?
prozac
when there is an unidentified clear liquid on the floor of the exam room after a patient has left the room, the medical assistant should
put on disposable gloves and clean up with a paper towel and put in a biohazard garbage
a non sterile item is accidentally added to a sterile field being prepared for the suture of a skin laceration. once the medical assistant discovers this, he should
redo the sterile field and resterilizes any instruments
which of the following terms is defined as the concentration at which a substance in the blood, not normally excreted by the kidney, begins to appear in the urine?
renal threshold
the first thing a medical assistant should do when she comes across an adult who is not breathing is
reposition the airway and check again for spontaneous respirations.
in order to be prepared for an office emergency, the medical assistant should
review the office policies and be aware of location of emergency supplies
when removing paper that is soiled with biohazardous waste from the exam table, the medical assistant should do which of the following before cleaning the table with disinfectant and pulling down unused paper?
roll the paper inward and away from the body, discard, and change gloves.
the process used to wash and removed tissue from medical instrument is called
sanitization
in the even of a large-scaled act of bioterrorism, which of the following steps would NOT be an approach to be used by a medical office practice?
seeing patients to the emergency room for diagnosis
which one of the following tests is used to determine the best antibiotic to treat a condition?
sensitivity
a "blind" weight is done on a patient by
shielding the readout so the patient is not aware of what the reading is
employment, use of tobacco an alcohol, and exercise habits are listed in which of the following sections of the patient's chart?
social history
which of the following instruments would NOT be needed when preparing for a cyst removal?
speculum
if the physicians is going to do a pap smear, the medical assistant should have which the following equipment available?
speculum and water soluble lubricant
which of the following is a gram-positive cocci that grows in clusters?
staphylococcus aureus
if the medical assistant notices a small tear in her sterile glove during a procedure, she should
step away from the procedure and replace her gloves with new ones
in which of the following radiographic positions is the patient lying on his back?
supine
using sterile instruments to perform a breast biopsy is an example of
surgical asepsis
which one of the following diseases is confirmed by a positive VDRL and RPR?
syphilis
in order to respect the patient's privacy while obtaining information about her history, you should
take the patient to a quiet and private are to obtain the history
when performing an EKG on a patient, if the tracing on the paper is not what is expected, the FIRST thing that should be checked is
the status of the patient
the correct position to place a patient who has fainted is
trendelenburg
examples of a bandage include
tubular gauze
to screener hearing acuity or bone conduction of sounds the medical assistance would us a/an
tuning fork
when checking supplies in the office, the medical assistant notices that the hemostats in the cupboard were autoclaved 28 days ago. he would
unwrap and repackage items and run through the appropriate cycle to sterilize using the autoclave
factors that affect the action of drugs include all EXCEPT
used of generic medication
a medical assistant is giving a DPT injection to a six month-old infant. the assistant would give the injection at what time of the following sites?
vastus lateralis
snelle testing results give information about
visual acuity
the most important thing to do prevent transfer of infectious materials is
wash and hands
when preparing the son for a minor surgical procedure, the medical assistant should
wash the skin with antiseptic soap from the inner area to the outer in a circular motion
when drawing multiple tubes of blood via venipuncture, what is the correct order of draw based on colored stoppers?
yellow, red, lavender, green
major depressions is most commonly treated with
zoloft
which of the following reagent strip panels would show an abnormal finding if a person is suffering from a bacterial urinary tract infection?
( + ) nitrites