RMA Practice Test Attempt Two

The suffix meaning "inflammation" is....

-itis

Nancy has been given the following physician order: Give Keflex 500 mg of a medication intramuscularly now. The drug that is available is Keflex 1000mg/1mL. The amount of the drug that Nancy should draw up is

0.5 ml

The basic EKG has how many leads?

12 (and ten sensors)

To obtain the most accurate rate, respirations should be counted for

60 seconds

The average pulse for an adult at rest is in the range of

60-80 bmp

What kind of machines do electrocardiograph technicians operate?

EKG

A urine pregnancy test checks for the presence of

HCG (human chorionic gonadotropin)

A patient diagnosed with epistaxis has

a bloody nose

The instrument used to view the urinary bladder is

a cystscope

What is a fenestrated sterile drape?

a drape that is placed over the patient, with the opening over the area where the surgical procedure will be performed

A sudden attack, such as that observed in epilepsy is known as

a seizure

In a collection situation, when a statement is returned marked "Moved - no forwarding address", the account may be termed

a skip

Medical Practice Acts are laws enacted to

define what is included in the practice of medicine

Which one of the following represents the statistical characteristics of human populations (as in date of birth, address, telephone number, occupation, place of employment) used especially to identify markets?

demographic

Dr. Elisabeth Kübler-Ross' stages of Death and Dying progress through five stages. Which of the following is the correct order of her Death and Dying stages?

denial, anger, bargaining, depression, acceptance

Sterilization is the

destruction of all microbial life

The first step in controlling bleeding is

direct pressure

For minor surgical procedures, acceptable skin cleansing agents include all of the following EXCEPT

acetone

Staphylococci are the primary causative pathogen for which one of the following diseases?

acne/boils

Approximately 60% of the plasma proteins are formed by

albumins

The autoclave chamber door is slightly opened at the end of the autoclave cycle to

allow the items to dry

Functional units of the lungs that are air sacs are called

alveoli

Which statement is considered to be closed-ended?

do you have a headache?

If it is necessary to move an unresponsive, adult victim quickly away from a scene unassisted, you should

drag the patient by the heels to safety

A medical assistant, made an incorrect entry into her patient's medical record. She understands that corrections in the medical record are made by

drawing a line through the text to be corrected, writing the new information above the old, dating the new entry, and signing it

When making travel arrangements for the physician to attend a medical seminar or convention, the medical assistant should provide the physician with details of the entire trip, including dates and times of arrival and departure, flight and hotel confirmation numbers, and other details all in one document. This detailed description is called

an itinerary

A drug used to relieve pain is an

analgesic

"Abnormal widening of the arterial wall that is weak and bulges", defines the term

aneurysm

Which of these statements is true regarding angioplasty?

angioplasty is used to restore blood flow to ischemic myocardial tissue

The ventral cavity refers to the

anterior body cavities

Encephalopathy is defined as

any dysfunction of the brain

The left ventricle of the heart sends blood out through which artery?

aorta

What type of pulse is obtained using a stethoscope?

apical

After putting gloves on, what should be done to assist a bleeding victim?

apply direct pressure to the site

Medicare patients treated by a non-participating physician

are responsible for a portion of the fee

An accumulation of serous fluid in the peritoneal cavity is

ascites

Microorganisms may be transmitted by each of the following EXCEPT

asepsis

What is the first thing you should do if you walk into a room and find a patient collapsed on the floor?

assess the scene before going any further

The criteria of "duty owed, dereliction of duty, direct cause, and damages" are used in reference to which of the following situations?

assessing the possibility of negligence

The function of insulin is to

assist glucose into the cells

When obtaining a patient's blood pressure, the patient's arm should be

at the level of the heart

For a medication to be maintained at the proper blood level, it must be given

at the right time

The signature of the treating physician, medical assistant, or other healthcare provider on the medical record indicates that the record is accurate. This is called

authentication

Positioning or sitting behind a desk communicates the message of

authority

The most effective method of sterilization is

autoclaving

When educating your patient, which of the following is not recommended for the prevention of deep vein thrombosis?

avoid compression stockings

What is the first portion of the small intestinal?

duodenum

The three sections of the small intestine are the

duodenum, jejunum, and ileum

The medical term fir indigestion is

dysepsia

Normal bacteria that are found in the intestinal tract and are the most common cause of lower-tract urinary infections (due to improper hygiene after bowel movements), are

e. coli

The tympanic thermometer is inserted into the

ear

Sarah knows that legally, all vaccine providers must give patients, their parents, or their legal representatives, the appropriate Vaccine Information Statement (VIS) whenever a vaccination is administered. The required information that must be recorded on the patient's medical record includes the

edition date of the VIS, the date the VIS is provided (i.e., the date of the visit when the vaccine is administered)

The purpose of HIPAA security standards is to set national standards for safeguarding the confidentiality of

electronic exchange of patient information

When a patient cancels his or her appointment or merely does not show up, the correct course of action is to

call the patient and try to reschedule for another time; document the missed appointment in the patient record and in the appointment book or database

The gray matter on the surface of the cerebral hemispheres is called the

cerebral cortex

Which one of the following is an acceptable patient check?

certified

Sensitivity testing in Microbiology is performed to

check for antibiotic sensititvity to the bacteria found in the specimen

When preparing a pamphlet for the gastroenterologist's office regarding IBS you would want to include information regarding the treatment of

chronic constipation and diarrhea

The mucous membrane that lines the inner surface of the eyelid is called

conjuctiva

The thin membrane that lines the eyelids and covers the white of the eye is the

conjuctiva

A hemostat is used to

control bleeding

A "non-duplication of benefits" is also called

coordination of benefits

The specific amount specified by an insurance plan that the patient must pay toward the charges for professional services rendered is the

copayment

This bookkeeping entry occurs when a patient has paid in advance or when an over payment or duplicate payment has been made.

credit balance

Which one of the following tests identifies the organism associated with a urinary tract infection?

culture and sensitivity

An approach of sensitivity to the individual needs and reactions of patients begins from the initial contact with the medical receptionist to the conclusion of the patient's treatment. This approach is known as

empathy

Which of the following is an appropriate responsibility for the medical assistant when assisting the physician with a surgical procedure?

ensuring that there is a signed patient consent form on file

The combining form that means "red" is

erythro

Where do peristaltic waves occur?

esophagus

If a physician accepts payment from another physician solely for referral of a patient, both are guilty of an unethical practice called

fee splitting

The abbreviation "QID" means

four times a day

The study of the stomach and the intestine is

gastroenterology

Which one of the following is a physician having a practice limited to the aging population?

gerontologist

Substitution of another surgeon without the patient's consent when the patient has already received anesthesia and has no idea that a substitution has been made is called

ghost surgery

An example of a medical assistant illegally practicing medicine is

giving advice on a patient condition

The correct site for an adult IM injection is the

gluteus medius

What should be done if a person exhibits changing levels of consciousness?

have the patient lie down

A genetic disorder characterized by the inability of the blood to clot properly is

hemophilia

Which of the following is a surgical instrument with slender jaws used for grasping blood vessels and establishing homeostasis?

hemostat clamp

A greenish-brown urine may be indicate of

hepatitis

Tim is newly diagnosed with Type 1 Diabetes Mellitus. Tim is receiving insulin. His medical assistant knows that Tim needs to be taught to be cautious about which of the following adverse effects?

hypoglycemic reaction

Which one of the following is a highly specific host defense mechanism?

immune response

The patient puts out his or her arm to allow the medical assistant to draw blood. This type of consent is called

implied

Which of the following is a surgery that is used to treat an abscess?

incision and drainage

Choose the abbreviation that means four times a day.

QID

The abbreviation for "prescription" is

Rx

Which of the following is the correct way to write the first line of an inside address in a letter to Susan Martin, a pediatrician?

Susan Martin, MD

Who is the legal owner of the medical record (original hardcopy or electronic medical record)?

the physician or medical facility which initiated and developed the record

Mrs. Jones is diagnosed with a terminal illness. She has given permission for her husband, Mr. Jones, to have access to her medical information. Dr. Smith informs Mr. Jones that his wife is terminally ill. Mr. Jones does not want Dr. Smith to tell her patient that she is terminally ill. The physician would violate which of the following ethical principles if she does not inform her patient of the correct diagnosis?

veracity

This type of check has a detachable form. The detachable portion is used to itemize or specify the purpose for which the check is drawn and shows discounts and various itemizations. The detachable portion is removed before the check is presented for payment.

voucher check

The signs and symptoms of IDDM (insulin-dependent diabetes mellitus) do not include

weight gain

The origin of a muscle is

where the muscle begins

An afebrile patient is

without fever

Psychologist Abraham Maslow created the "Hierarchy of Needs". Maslow believed that our human needs can be categorized into five levels and that the needs of each level must be satisfied before we can move on to the next. Which of the following is the correct order of Maslow's "Hierarchy of Needs" starting from the bottom to the top?

physiological needs, Safety and Security, Love and belonging, Esteem and recognition, Self-actualization

The thoracic cavity is lined by

pleural membrane

Which of the following means pertaining to after meals?

postprandial

Consider the legal statement in which a person authorizes another person to act as his or her agent. The authority may be limited to the handling of specific procedures. The person to which authorization is granted is known as the

power of attorney for healthcare

Laura disinfects the exam tables in between each patient using a 1:10 bleach solution. In order for the process to be effective she must

prepare the solution according to the recommended dilution, store the solution in a closed container to avoid evaporation, change after the recommended period of expiration

A range of usual fees in the same community is the

prevailing fee

When explaining drug use terminology to the patient, prophylactic is best explained as

preventing the occurrence of a condition (e.g. vaccines prevent the occurrence of specific infectious diseases)

Which of the following means a physician who specializes in the study of the anus and the rectum?

proctologist

A doughnut-shaped gland that encircles the urethra is the

prostate gland

Bilirubin specimens require what special preparation?

protection from light

Sperm & Egg cell maturity begin at....

puberty

It is recommended that a multipurpose ABC fire extinguisher be readily available and prominently mounted in a visible, convenient place in the medical office. All employees must be trained in the use of the fire extinguisher. The proper way to operate a fire extinguisher is to

pull the pin, aim the hose, squeeze the handle, sweep the nozzle

When using a fire extinguisher, what does the acronym PASS mean?

pull, aim, squeeze, and sweep

The most common arterial site for obtaining an adult pulse is

radial

The justification of behavior with socially-acceptable reasons and the tendency to ignore the real reasons underlying the behavior is a defense mechanism. An example is, "I dieted strictly all day; therefore, it's okay to eat a couple of candy bars later in the evening after supper." This defense mechanism is known as

rationalization

A hernia of part of the rectum into the vagina is called

rectocele

A second degree burn would appear as

red, edematous, wet, shiny or blistered

What typically does not cause an artifact in the tracing of an electrocardiogram?

relaxed patient

Electrosurgery is used for

removal of benign skin lesions

Patient education for preventing Lyme disease includes all of the following except

remove a tick by squeezing or crushing the tick with tweezers

The cavity within the kidney that collects urine is the

renal pelvis

A medical assistant makes a medication error while under the physician's direction. The patient is injured and files a medical malpractice lawsuit. The court determines that the physician is liable for the medical assistant's negligence. This is known as the doctrine of

respondeat superior

Under this doctrine, physicians are legally responsible for the acts of their employees when they are acting within the scope of their duties or employment.

respondeat superior

A discussion involving the physician providing the patient or the patient's legal representative with a deeper understanding of the patient's condition, a full explanation of the plan for treatment, and enough information to decide whether the patient will undergo the treatment or seek an alternative is called what type of consent?

informed consent

The receptors for hearing and equilibrium are located in the

inner ear

A syringe marked with U 100 would be used for administering which of the following?

insulin

When instilling eye drops into the eye, where is the proper placement of the drops?

into the center of the lower conjunctival sac

A physician performed plastic surgery on a patient and later published an article about the procedure in a medical journal. A photograph of the surgical site was included. Permission to publish the photograph had not been obtained. This act is an example of

invasion of privacy

Which of the following is the best method of interacting with an angry patient in the reception area?

invite the patient into a room out of the reception area

With respect to educating patients on the functions of minerals in the body, which combination of mineral to sources is incorrect?

iron- nuts, whole grains, vegetables, coffee, tea, cocoa, egg yolks

In the absence of the employing physician, a medical assistant determines that a patient needs a prescription drug and dispenses the wrong drug from the physician's supply the performance of this totally wrongful and unlawful act is known as

malfeasance

What term is best associated with cancer that has spread to other organs of the body?

metastasis

Sterile field rules include all of the following EXCEPT

sterile team members do not need to face each other

Which one of the following processes is required for surgical instruments and equipment that will come into contact with internal body tissues or cavities that are considered sterile?

sterilization

A normal color of urine is

straw

Which of the following is a court order requiring a witness to produce records for a trial?

subpoena duces tecum

Which of the following is a legally binding request to provide records or documents to a court that is usually issued to the person considered the custodian of the records?

subpoena duces tecum

"Ostomy" is a

suffix

The law requires that which one of the following be reported to the appropriate authorities?

suspected child abuse

When reconciling a bank account the "outstanding checks" are those

that have not cleared the bank

Regulation Z of the Truth in Lending Act is enforced by the Federal Trade Commission and is a part of the Consumer Credit Protection Act. When a physician agrees and accepts payment in installments, the physician must provide a disclosure statement about finance charges even if no finance charges are involved. What is the minimum number of installments in this Regulation?

more than four installments

The term "myotomy" means incision into

muscle

What instrument holds open layers of tissue, exposing the areas beneath?

retractors

Nonsufficient funds or NSF refers to the situation in which the bank

returns a deposited check from an account that does not have enough funds to cover the amount of the check

If the total income for one month is $17,500 and the total expenses for the same month are $15,500, the profit and loss statement would show a

net profit of $2,000

A nerve impulse is carried across a synapse by

neurotransmitter

The most common blood type is

o+

Workers' Compensation insurance provides benefits for

occupational injuries

A marked drop in blood pressure is found with

shock

Inflammation of the salivary gland is known as:

sialadenitis

The "Snellen Chart" is used to test

sight

Of the following, what is the most appropriate patient position for a venipuncture?

sitting in a chair

When preparing a patient for an EKG, leads should be placed

on the intercostal spaces

Instructing patients in the collection of a clean-catch, midstream urine specimen is especially important in order to avoid contamination. Which of the following is incorrect in patient education?

on the second motion, cleanse directly across the meatus, back-to-front, using another antiseptic wipe

When an order arrives from a supplier, the box should be inventoried. The list of the items included in a shipment is called the

packing slip

The inflammation of the pancreas is

pancreatitis

The name that follows the words "Pay to the order of" on a check is the

payee

Instruments used to take blood pressure are the

sphygmomanometer and stethoscope

What organ is located in the lymphatic system?

spleen

Which of the following best represent the major areas of urinalysis?

physical, chemical, microscopic

Claims with a signed assignment of benefits are paid to the

physician

Which of the following type of magazines or journals should not be in the reception area?

physician's professional journals

In 2006, drug and prescription benefits were added allowing Medicare recipients the option of choosing, at a reduced cost, a plan that pays for prescription drugs with just a small co-payment from the patient. Beneficiaries choose the drug plan and pay a monthly premium. This option is

Medicare Part D

Where are the diagnosis codes found that are descriptive of the disease or condition presented by the patient?

ICD code

The term "total permanent impairment" means that the patient

is unable to perform previous occupational duties

Things that are owed or debts are called

liabilities

Banking fees will appear on a monthly statement in the form of a

service charge

Medical records in this medical office are filed alphabetically. Arrange the following names in alphabetical order to prepare them for filing. Select the sequence of the numbers correctly that alphabetizes the names. (1) Smith, James (2) Smithson, Jane (3) Smithy, J. (4) Smithe, John

(1), (4), (2), (3)

Medical records in this medical office are filed via terminal digit order. Arrange the following medical record numbers in terminal digit order from the lowest to the highest. Select the correct terminal digit order sequence. (1) 06 14 06 (2) 06 06 06 (3) 06 05 06 (4) 05 01 06

(4), (3), (2), (1)

Permanent adult dentition consists of ___ teeth.

32

Sarah has been given the following physician order: Give Keflex 1 gram orally now. The drug that is available is is Keflex 250mg per capsule. How many capsules should the patient receive?

4

Which of the following is the correct accounting equation?

Assets = Liabilities + Proprietorship (Capital)

This insurance covers health benefits program for the spouses and dependent children of veterans suffering total, permanent, service-connected disabilities and for surviving spouses and dependent children of veterans who died as a result of service-related disabilities.

CHAMPVA

An employer is required to make payments for which one of the following?

FUTA

Traditional health insurance plans that pay for all or a share of the cost of covered services, regardless of which physician, hospital, or other licensed healthcare provider is used. Policyholders and their dependents choose when and where to get healthcare services.

Indemnity plan

An example of a Medicare HCPCS code number is

J0540 (HCPCS coding system is composed of alpha/numeric codes from A0000 to V5999. )

Which of the following dates is written correctly for inclusion in the heading of a business letter?

July 27, 2011

The hormone responsible for ovulation is

LH (luteinizing hormone)

What regulatory body is responsible for monitoring the observance of Standard Precautions guidelines?

OSHA

What is the proper treatment for syncope?

Place the patient in a supine position with the legs elevated.

The position pictured below is the

Sims

Medicare Part B pays physicians on a fee scale consisting of three parts: 1. Physician's work. 2. Charge-based professional liability expenses. 3. Charge-based overhead. This fee scale is known as

a. Resource-based Relative Value Scale (RBRVS)

A small mass of masticated food ready to be swallowed is

bolus

In some states, a minor is legally unable to make treatment decisions with limited exceptions. Under what circumstances would a patient such as Jane Doe, a 16-year-old minor, suffering from cancer, be allowed to refuse continued chemotherapy treatments?

being an emancipated minor

When performing medical aseptic handwashing, the hands should be positioned

below the elbows

Where are the sublingual glands located?

beneath mucous membrane

The medical assistant develops a matrix or a template prior to creating the physician's schedule in order to

block out time slots when the physician is not available to see patients

Cardinal signs are also known as

blood pressure, temperature, pulse, respirations

What information would you need in order to properly matrix the appointment book or electronic medical record?

days and hours the physician performs hospital rounds

In a patient's progress note you see that the physician has used the term "necrosis" regarding a lesion. The physician is referring to

dead tissue

The routine waiving of co-payments

is against federal guidelines

Which statement best describes the practice known as "fee splitting"?

it is the unethical practice in which physicians are paid for referring patients

The notice sent to the patient showing the amount owed to the physician is called the

itemized statement

To prevent backpain or a workplace injury when working with an object, ergonomically, which of the following ergonomic stance is not recommended?

keep feet together

The surgical incision into the abdomen is

laparotomy

Medical sole proprietorship, partnerships, groups, and corporations are encouraged to purchase insurance policies that include benefits for medical expenses payable to individuals who are injured in the insured person's home, business, or car, without regards to the insured person's actual legal liability for the accident. This type of insurance is called

liability insurance

Diabetic patient education must be acknowledged and followed by the patient. Which of the following is not recommended for the diabetic patient?

maintain plasma glucose level between 120 and 200 mg/dL

Types of health insurance and plan benefits: This type of benefit covers catastrophic or prolonged illness or injury. This insurance takes over when basic medical, hospitalization, and surgical benefits end.

major medical

Digestion that breaks food into tiny pieces is

mechanical

Expenses that will most likely be included in the capital budget for a medical facility are

medical equipment

The part of the pharynx that is a passageway for air only is the

nasopharynx

Instruments required by the physician for a basic suture set-up include

needle holder and scissors

Urine is formed in the

nephron

In electrocardiography, the electrode used as a ground is

rl

The cleansing process used to remove debris such as blood, tissue, and other body fluids from medical instruments or equipment is called

sanitation

The right lung is divided into how many sections?

three

HIPAA requires covered entities to submit Medicare claims

through electronic data exchange

A urine specimen collected over a specific period of time for quantitative analysis is

timed

The combining form "hist/o" means

tissue

The prefix "ad" means

to add to

Which of the following is the correct spelling of the term meaning inflammation of the tonsils?

tonsillitis

The major function of the circulatory system is

transportation

A stainless steel instrument with a handle at one end and two prongs at the other end used to test hearing is a

tuning fork

Which of the following is not associated with Insulin-dependent diabetes mellitus?

type II

Cheyne Stokes describes a

type of respiration

Where is the stomach located?

under the diaphragm

Which one of the following is an insurance claim processing error?

using "rule out" diagnosis