Another CCMA exam review

Which of the following would be an inappropriate and potentially unlawful interview question?

"How do your children feel about your decision to work here?"

Which of the following questions is considered "open-ended?"

"Please describe your symptoms?"

When interviewing a potential employee, which of the following questions is legal and would give the interviewer the MOST USEFUL information?

"Tell me about a time when you had to use critical thinking skills to solve an issue that you were having on the job."

Which of the following formulas would correctly solve a dosage calculation problem?

(Ordered dosage/ Dosage On hand) * Amount of Drug = Dosage to be given

Each small square on the EKG paper is:

.04 seconds long and 1mm tall

If a doctor's order calls for the administration of 500 mg of medication, how many grams should be given?

0.5

If a medication order states that 300 mg of medication are to be given q.i.d. for 10 days, how many total milligrams of medication will be given over those 10 days?

12000 mg

A patient is diagnosed with essential hypertension. Which of the following blood pressures would you expect to see in this patient prior to taking medications for his condition?

142/92

A doctor orders 50 mg of a medication. The available dose is 5 mg/2 ml. How much medication should be given to the patient?

20 ml

A patient is morbidly obese. Which of the following needles would be best to give an IM injection in the deltoid?

21 gauge needle 1 1/2 inches

Which of the following scenarios provides an example of a medical assistant overcoming a barrier to communication?

A MA writes her directions to a patient that is hearing impaired

Classical conditioning is demonstrated in which of the following examples?

A child starts crying upon mention of going to the doctor.

When depositing checks in the bank:

A deposit ticket must be filled out, bills and checks must be listed individually, and a signature is needed to withdraw cash.

When referring to collections, what is a "skip"?

A patient who has moved purposely to avoid paying a bill.

ID injections are used for which of the following procedures?

Allergy testing, TB testing, Drug sensitivity testing

A delivery has just been received in your office. Which of the following scenarios is best when dealing with orders?

Allow anyone in the office to handle deliveries as long as the packing slips and invoices are handled appropriately and at the time the supplies are put away.

Which of the following labor situations is unlawful?

An employee is told to retire because she has turned 65 years old.

A patient displays the following body language: Slumped shoulders, grimace, and stiff joints. What message is this patient sending?

Anger

A patient has been diagnosed with an irregular heartbeat. Which of the following medications would be prescribed to treat this condition?

Antiarrhythmic

A patient has been coming to your office for many years. You know the patient and her family very well as they are all cared for by your office. The patient has invited you to her son's wedding. Which of the following would be the BEST response to this invitation?

Avoid to maintain professionalism

Which of the following vital signs can be expected in a child that is afebrile?

Axillary Temp of 98.6 degrees F

Category A drugs include those that:

Can be safely taken during all three trimesters of pregnancy according to results from adequate and controlled animal and human studies

You have been assigned the task of writing a patient education pamphlet for patients to instruct patients on how to correctly collect a 24-hour urine sample. Which of the following would be the BEST way to accomplish this task?

Choose terminology that patients would use in every day conversation.

Which of the following collections scenarios is allowed by law?

Collections calls should be done while maintaining the debtor's privacy and only during the hours of 8am until 8pm.

The "Write it Once" system is used in some offices as an alternative to:

Computerized bookkeeping

To accurately assess a patient's respiration rate, which of the following methods would be BEST?

Count the pulse rate for one minute, then, while keeping your index fingers on the patient's radial artery, count the respirations for an additional minute

Which of the following agencies would be responsible for monitoring the use of controlled substances?

DEA

A patient that is using a psychological behavior to deal with negative emotions is said to be employing a:

Defense Mechanism

A patient is having difficulty understanding how to properly run her glucose meter. Which of the following teaching methods would best help the patient understand how to use her instrument correctly?

Demonstrate the proper use of the instrument and then have the patient perform the process while still in the office.

A patient who refuses to believe a terminal diagnosis is exhibiting:

Denial

Which Stage of Grief is exhibited in the following scenario: A patient has reported that after the loss of his spouse, he has been having difficulty sleeping and has been agitated. He doesn't have the motivation to complete day to day tasks.

Depression

Elizabeth Kubler Ross is known for developing the Stages of Grief. Which of the following is true of these stages?

Each patient who goes through the grieving process will experience some or all of the Stages of Grief in varying amounts of time.

The proper personal protective equipment necessary for collecting a sputum specimen would include:

Gloves and face mask

When considering growth and psychological development, which of the following is TRUE?

Growth is considered to be evolving until the subject is around 20 yrs. old. Psychological development is ongoing throughout life

When printing out an EKG, a medical assistant notices that the QRS complexes are extremely small. What should be the next step?

Increase the sensitivity control to 20 mm deflection

This is the part of the prescription form that indicates the names and quantities of ingredients to be included in the medication.

Inscription

The patient position that is most useful for proctologic exams is the:

Jack Knife

To obtain collections through small claims court,

Judgment must be made on behalf of the plaintiff, an attorney is not necessary, a judge will pass judgment but will not collect funds owed the practice.

Liabilities are debt obligations. Which of the following formulas is accurate when calculating liabilities?

Liabilities= Assets - Owner's Equity

Restrictive endorsements on checks:

Limit how a check can be cashed

The Hierarchy of Needs was proposed by which of the following psychology researchers?

Maslow

A patient sends a check to pay for her last office visit. That check bounces at the bank. Which of the following is the most likely scenario when dealing with this situation?

NSF fees

Which of the following drugs would be used to treat GERD?

Nexium

A medical assistant is going to give a subcutaneous injection. Which of the following is TRUE concerning this procedure?

No more than 2 ml of medication should be injected using the subq method.

A patient is becoming belligerent at the front desk due to a long wait. Which of the following would BEST handle the situation?

Offer to reschedule the patient.

A doctor orders 500 mg of medication. Available in stock are one gram tablets. How many tablets should be given to the patient?

One half

B.F. Skinner is regarded as being the primary researcher for which learning method?

Operant conditioning

A patient who is displaying the defense mechanism of Compensation would:

Overemphasize behaviors which accommodate for perceived weaknesses.

Which of the following pieces of information would be considered patient demographics?

Patient's age

Which of the following medications would be given to treat vomiting?

Promethazine (Phenergan)

Rales and rhonchi are frequently noted during an examination of lung sounds. What is the difference between the two?

Rales occur on inspiration, rhonchi on expiration

Which of the following scenarios accurately describes "Self-Actualization?"

Reaching one's full potential

A doctor's order is written to give a patient a medication using a non-parenteral route. Which of the following is a non-parenteral route of medication administration?

Rectal Suppository

Which of the following will increase the owner's equity?

Revenue

Assets are:

Securities, Machinery, and Merchandise

What are the three necessary components of communication?

Sender, message, and receiver

According to Life's Eight Developmental Stages, Trust and Mistrust are most likely experienced:

Shortly after birth

Assuming that an elderly patient will have a difficult time understanding the directions for how to take medication is an example of:

Stereotyping

To assure that a medical assistant has understood what a patient has stated, which of the following scenarios would BEST verify understanding?

Summarize what the patient stated asking questions where you are unclear.

When performing an EKG, the patient starts to laugh out of feelings of anxiety. What would you expect the EKG to show?

Tachycardia, poor EKG graph

A patient is in the office for a cyst removal and is very anxious about the procedure. Which of the following descriptions of his respirations would be expected?

Tachypnea

A medical assistant is applying a transdermal patch. Which of the following procedures should the MA use and why?

The MA should use gloves to protect herself from getting the medication on her hands when applying the patch.

The procedure for taking a pulse rate on an infant differs from an adult how?

The apical pulse method is used on infants

The pulse point located on the top of the foot is:

The dorsalis pedis is checked in patients with peripheral vascular problems, it is absent in some patients due to a congenital anomaly.

When teaching a patient to use the three point gait technique of crutch use:

The injured leg moves ahead at the same time as both crutches.

To ensure that verbal orders for medications are recorded accurately,

The medical assistant should read the order back to the physician. The medical assistant should ask for clarification on any misunderstood information. The medical assistant should write down the order exactly as written.

A patient's body temperature has varied over the last 24 hours from 97.6 degrees F in the morning to 99 degrees F in the evening. The patient is worried that this change in temperature may indicate the beginning of a fever. Which of the following BEST explains this phenomenon?

The patient is experiencing changes related to a diurnal rhythm.

When giving a patient eye drops,

The proper medical term for this procedure is, "Instillation." Pull the lower eye lid down and place the drops in the conjuctival space. Allow the patient to blink a few times after administration to help distribute the medication.

When giving an injection of insulin, which of the following is TRUE?

The site should not be massaged after medication administration.

To most accurately measure medication,

Use a syringe that is closest in volume to the amount of medication needed. Read oral medication volume that is poured into a small measuring cup at eye level. Double check the order for accuracy.

Non-verbal communication is:

Uses facial expression and body language to send messages

the result of the vibration of blood against artery walls while blood pressure readings are being taken

Weight

Of the following medications, which is not used to treat depression?

Zoloft (sertraline hydrochloride)

Two medical assistants work very closely in their office. Over the past few weeks the atmosphere has become tense between the two of them. Arguments are becoming a daily occurrence and both MAs are starting to consider not going work just to avoid an altercation. Which of the following is true regarding this situation?

a. Productivity in the office will suffer due to poor employee morale. b. The best way to solve this situation is to identify the problem and come up with a mutually acceptable solution. c. Stress or stress related medical conditions are some of the most common reasons why employees choose to call off. ----->>>>d. ALL OF HE ABOVE ARE CORRECT

Deductions are:

also known as debits

Collection mailings:

are considered, "Dun Messages."

Buccal administration of medications:

are done to allow controlled dosing through the mucosa.

Drug schedules:

are scheduled in five categories with Schedule I being the most dangerous

In the chain of infection, the susceptible host:

can reduce the chances of being infected by living a healthy lifestyle and using proper hand washing techniques

In order to ensure that a check can only be cashed once,

checks are stamped by the bank when cashed.

A common error when taking a pulse is:

counting the pulse for 15 seconds and multiplying the number by four

A physician may assess turgor when:

dehydration is suspected

Geographical area is important when:

establishing fee schedules.

Intermittent fevers are:

fevers which come and go.

A patient has been receiving care from your office while fighting cancer. The patient dies before payment is received in the office. The best way to ensure that the office receives payment for services rendered is:

file a claim against the patient's estate.

A check stub:

is a smaller form to the left of each check that is used to manually record information placed on the check that is distributed.

The best way to handle petty cash:

is to assign one person to handle it.

When writing a check, the amount of the check:

is written in both numeric and word form, in most cases should exactly match the amount needed for the services rendered, should have the cents written as #/100 where # is the total cents needed.

The most accurate reading for a temperature is done:

rectally

I-9 forms are:

required by the federal government, require the employer to verify forms of identification, and filed within three business days of hire.

Bank statements:

show the current balance for that particular statement period, typically sent to the practice on a monthly basis, and must be reconciled when received by the office.

Over a patient's lifespan, the pulse rate:

starts out fast and decreases as the patient ages

Surgical asepsis is being performed when:

sterilizing instruments

Complete the following analogy: The smaller the lumen of a needle,

the larger the gauge of the needle

Korotkoff sounds are:

the result of the vibration of blood against artery walls while blood pressure readings are being taken

Aging accounts are addressed:

typically every thirty days until payment is received.

FICA is:

used to pay for Social Security and Medicare.

Clark's Rule:

uses a child's weight and assumes the child's weight and height are in proportion

The most effective step of hand washing is:

using friction to remove potential pathogens

When considering Sigmund Freud's Psychosexual Development theory, morals and values are found:

with the Superego