CCMA NHA
remittance advice
A remittance advice document itemizes all paid, denied, and allowable charges for a patient. This document notifies the provider of any and all claim denials.
A medical assistant is reviewing discharge information with a patient who is postoperative following cryosurgery to the cervix. Which of the following statements should the assistant include?
A. "You can resume sexual activity 3 days after your procedure." B. "It is normal for pain to last for up to 1 week after your procedure." C. "Your menstrual cycle will cease for 3 to 4 months following the procedure." D. "You may experience a watery discharge for up to 1 week after your procedure." (answer The assistant should tell the patient to expect to experience a watery discharge that can last up to 1 week following the cryosurgery procedure.)
A Medical Assistant is preparing 1g/kg of activated charcoal for a patient who weighs 176lb. How many grams of charcoal should the assistant prepare?
A. 79g (answer To convert from lb to kg, multiply 176 lb by 0.45. The correct answer is 79.2, which is rounded to 79. Since the preparation of activated charcoal is 1 g/kg, the ratio of grams of activated charcoal to the patient's weight in kg should be 1:1. Therefore, the amount of activated charcoal the assistant should prepare is 79 g.) B. 387g C. 352g D. 76g
Which of the following types of appointment systems allows flexibility to allow for the most consistent patient flow?
A. Double Booking B. Cluster Booking C. Wave Scheduling (answer Wave scheduling organizes patients in the first 30 min of the hour to allow for patients who are early, patients who are late, and patients who do not show up for appointments. All patients scheduled for that hour are seen within that hour.) D. Stream Scheduling
A patient who vomited and saw blood in her vomitus. Which of the following terms should the medical use to document the patients report?
A. Melena B. Hemoptysis C. Hematuria D. Hematemesis ( answer Hematemesis is a term used to document blood in the patient's vomitus. The assistant should use this term to document the finding in the patient's report.)
A medical assistant notices spots on an instrument after unloading from an autoclave; the assistant should recognize that is a result of which of the following?
A. Mineral deposits from tap water(answer The assistant should recognize that spots or stains on instruments are caused by mineral deposits from the tap water.) B. Improper cleaning of the chamber C. Clogged chamber drain D. Exposure to hard chemicals
An MA is caring for a patient who has a body mass index(BMI) of 23. This patient should be categorized as which of the following?
A. Obese B. Underweight C. Normal Weight (answer BMI of 18.5 to 24.9 is within the normal weight range for a healthy adult.) D. Overweight
An MA is checking a patient's hearing using the Rinne test. Which of the following actions should the MA take?
A. Position the vibrating tuning fork on the top of the patient's head. B. Invert the vibrating tuning fork and place it 5 cm (2 in) in front of the ear canal. C. Ask the patient to raise his hand when he no longer hears any sound. (answer During the Rinne test, the patient is instructed to raise his hand when the sound disappears.) D. Place headphones over the patient's ears and adjust for comfort.
A medical assistant is preparing a patient for a physical exam when he notices that the patient's eyes are moving back and forth in a constant, involuntary movement. Which of the following terms should the assistant use when documenting this finding?
A. Strabismus B. Nystagmus (answer Nystagmus is the constant involuntary movement of the eyes in a circular, vertical, or horizontal pattern. Nystagmus can be caused by brain injury or by the adverse effects of medications. C. Conjunctivitis D. Hordeolum
Which of the following stages of the cardiac cycle on an ekg strips represents ventricular depolarization?
A. T Wave B. ST Segment C. QRS Complex (answer) D. P Wave
A medical Assistant is caring for a patient who has come in contact with concrete debris. Upon inspection of the eye, the assistant sees debris on the surface of the sclera. Which of the following actions should the 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.(answer) D. Irrigate the eye by flushing it with cold tap water.
A medical assistant is preparing a patient who has psoriasis to be examined by the provider/ When inspecting the patient's skin lesions, the assistant should expect to observe which of the following characteristics?
A. Yellow, waxy B. Gray, crusty C. Silvery, scaly(answer) D. Brown, flat
Which of the following should a medical assistant identify as the purpose of a Category II code in procedural coding?
A. Indicates special circumstances B. Works as a temporary code C. Tracks provider performance measures (answer A Category II code is used to track provider performance measures, such as preventive care for cancer disorders and substance use treatment plans.) D. Identifies preventive measures
Which of the following groups of EKG leads are bipolar?
A. Leads V1, V2, and V3 B. Leads V4, V5, and V6 C. Leads aVR, aVL, and aVF D. Leads I, II, and III(answer make up Einthoven's Triangle.)
AC interference
AC interference is caused by electrical currents from nearby wiring or equipment and results in a series of even, small spikes in the tracing.
Abandonment
An example of abandonment would be discontinuing a patient's medical care without advance notice.
Assualt
An example of assault would be intentionally harming a patient's body with force.
Slander
An example of slander would be someone making false statements against a patient.
When removing debris from the patient's eye, the assistant should irrigate the eye beginning at the inner canthus and allowing the solution to flow to the outer canthus. This allows the debris to move away from the cornea and decreases the chance of causing further injury to the patient's eye.
Answer C from last card reasoning- When removing debris from the patient's eye, the assistant should irrigate the eye beginning at the inner canthus and allowing the solution to flow to the outer canthus. This allows the debris to move away from the cornea and decreases the chance of causing further injury to the patient's eye.
Interrupted Baseline
Interrupted baseline is caused by an electrical disconnection or a detached electrode and results in the tracing moving into the margins of the paper.
Kyphosis
Kyphosis, or humpback, is a curvature of the thoracic spine that is a common result of aging. Kyphosis can also be caused by vertebral disk problems resulting from osteoporosis (loss of bone density).
Dorsal Recumbent
Lying face up, with the legs bent and feet flat on the table
Negligence
Negligence is the failure to exercise proper care for a patient, such as a provider or assistant not performing hand hygiene before starting a procedure.
Somatic Tremor
Somatic tremor is caused by muscle movement and results in irregular, jagged peaks with a shifting baseline in the tracing.
Goniometer
The provider uses a goniometer to measure joint movement in a single plane. This instrument is used for orthopedic examinations.
Urticaria
Urticaria is a rash on the skin that consists of hives or wheals, which are itchy, raised lesions. It is a sign of an allergic reaction.
Wandering Baseline
Wandering baseline is caused by poorly attached electrodes or patient movement and results in a gradual shift of the tracing away from the center of the paper.