Chapters 21, 22, & 23

True or false: The liver metabolizes a drug, and the kidneys excrete it.

True

True or false: Vermox could be prescribed for a patient with parasitic worms.

True

True or false: Whether site prepared or commercially prepared, trays are not processed or stored with liquids in open containers.

True

True or false: You should always face a sterile field to ensure that the area has not been contaminated.

True

Hypersensitivity is:

An allergy

The border around a sterile field that is considered contaminated is a:

1-inch border

What gauge suture is commonly used for the face and neck?

23-0 and 24-0

Bard Parker sterile transfer forceps are an example of:

A wrapped sterile package A dry sterile container A closed container system Sterile solution

Which of the following can contaminate a sterile field?

Passing a soiled scalpel over it Dust Passing soiled gauze over it Lint from clothing

A(n) __________________________ is a local collection of pus in a cavity surrounded by inflamed tissue.

Abscess

You should not allow sterile packages to become wet, because microorganisms can be drawn into it by:

Absorption

An existing pathology can alter a drug's:

Absorption Distribution Metabolism Excretion

Medical assistant may:

Administer drugs

Undesirable effects are called:

Adverse reactions

An example of a bronchodilator is:

Albuterol

If you know or suspect that a sterile field has been contaminated, you should:

Alert the physician immediately

An opposite or contrary action is produced by a(n)

Antagonism

Drugs that reduce or prevent cardiac irregularities are called:

Antiarrhythmics

Drugs that destroy or interrupt the growth of microorganisms are called:

Antibiotics

Heparin is an example of a(n):

Anticoagulant

Drugs that prevent the formation of, or dissolve, blood clots are called:

Anticoagulants

Drugs that reduce the excitability of the brain are called:

Anticonvulsants

When preparing the tray for excisional surgery, an item included on the sterile field is:

Antiseptic wipes Adhesive tape Specimen container Basin for solutions

Adhesive skin closures are used to ________________________ the edges of a small wound if sutures are not needed.

Approximate

A swaged needle is also called

Atraumatic

The type of laser used for cutting tissue is:

Carbon dioxide

A situation or condition that disallows prescribing or administering a drug is:

Contraindication

The act that regulates the manufacture and distribution of drugs with the potential for dependency or abuse is the:

Controlled Substance Act

The study of how drugs act in the body is called:

Pharmacokinetics

The study of the action of drugs within the body is:

Pharmacokinetics

When an incision site opens up or separates it is called:

Dehiscence

An example of an antianxiety drug is:

Diazepam

In most cases, items in pre-sterilized peel-back envelopes cannot be sterilized after being opened and must be __________________ even if not used.

Discarded

"DAW" placed on a prescription means:

Dispense as written

Movement of the drug from the bloodstream into the cells and tissues is called:

Distribution

A patient's weight may result in altered drug:

Dosage

If you suspect that a health care professional is illegally diverting controlled substances, you should report this to the:

Drug Enforcement Agency (DEA) American Medical Association (AMA) State medical society Police

Study of drugs and their origin, nature, properties, and effects of living organisms is:

Pharmacology

___________ uses high-frequency alternating electric current to destroy or cut and remove tissue.

Electrosurgery

Phase I of wound healing is referred to as inflammatory, lag, or _________________________ phase.

Exudative

True or false: Anesthesia with epinephrine should be used on the tips of the fingers, toes, nose, or penis to minimize pain and discomfort felt by the patient.

False

True or false: Antipyretics increase body temperature.

False

True or false: Cellular change is the drug effect and physiologic change is the drug action.

False

True or false: Demerol is an example of an anticonvulsant.

False

True or false: Drugs that relieve pain are called antiemetics.

False

True or false: Monistat is an example of an antidiarrheal.

False

True or false: Non-absorbable sutures are used most frequently in hospitals during surgery on deep tissues.

False

True or false: Peel-apart packages cannot be opened in a sterile field.

False

True or false: Round or tapered needles are used on tough tissues, such as the skin.

False

True or false: Some medications given over a long period of time may cause the body to become resistant to their effects, requiring smaller doses to achieve the desired response.

False

True or false: Spilling sterile liquids into a sterile field will not compromise it.

False

True or false: The hands can be sterilized:

False

A name given to a drug no longer owned by the company that developed it is the:

Generic name

Diazepam is a :

Generic name

Fenestrated drapes:

Have an opening to expose the operative site

Tylenol with codeine is an example of a Schedule _________ drug.

III

Phenobarbital is an example of a Schedule ______________ drug.

IV

The chemical name of a drug:

Identifies its components

Items are considered contaminated and should be repacked and sterilized again:

If the items are dropped outside the sterile field If the date on the outside of the package is beyond 30 days for site-prepared packages or it is past the posted expiration date on commercially prepared packages If the sterilization indicator inside the pack has not changed color When any area is known or thought to have been touched by a contaminated item.

An abnormal or unexpected reaction to a drug peculiar to the individual patient; not technically an allergy, is referred to as a(n) _____________________ reaction.

Indiosyncratic

What phase of wound healing do edema, warmth, and redness describe?

Inflammatory

After a needle biopsy has been done on a patient, the medical assistant should first:

Label the biopsy specimen for the laboratory

______________ are devices that focus high-intensity light in a narrow beam to create extreme heat and energy.

Lasers

An example of a diuretic is:

Lasix

Epinephrine is added to local anesthetics to:

Lengthen the time of effectiveness

Which of the following local anesthetics are most commonly used in medical offices?

Lidocaine

The action of a ____________________ drug is limited to the area where it is adminstered.

Local

Healing by primary intention results in:

Minimal scarring

_________ administration of medication is through the mouth.

Oral

A substance that delays decomposition is called a(n):

Preservative

Sterile dressings are used to:

Prevent damage Hold medications against a wound Hold a bandage in place Promote bleeding

_____________drainage, or drainage with color other than pink, is a sign of infection.

Purulent

If the package sterilized in the medical office becomes damp or wet, the medical assistant should:

Repackage and re-sterilize the contents in a clean, dry wrapper

Schedule II drugs:

Require a written prescription

Blood tinged wound drainage is referred to as:

Sanguineous

A small amount of wound drainage is described as:

Scant

Which of the following is a characteristic of phase III healing?

Scarring

Clear wound drainage is described as

Serous

_________ administration of medication is under the tongue.

Sublingual

A drug administered for a ___________________ effect is absorbed into the blood and carried to the organ or tissue on which it will act.

Systemic

Do not cough, sneeze, or _____________ over the sterile field, because microorganisms from the respiratory tract can contaminate the field.

Talk

The sterile area includes:

The contents inside a sterile package

There are ________________ ways to add the contents of peel-back packages to the sterile field.

Three

_________ administration of medication is through the skin.

Transdermally

True or false: Ampicillin is an example of an antibiotic.

True

True or false: Argon lasers are typically used for coagulation.

True

True or false: Children may have a more immediate response to drugs.

True

True or false: Dramamine is an example of an antiemetic.

True

True or false: Everyone who is in the room, including the patient, during a laser procedure is required to wear goggles for eye protection.

True

True or false: If a patient notifies you that his or her prescription was stolen, the physician may want to see a police report to verify the theft.

True

True or false: Insulin is derived from animal proteins.

True

True or false: Many of the minor surgical procedures that are performed in the medical office require a full explanation of the procedure and informed consent.

True

True or false: Minor office surgery involves procedures that penetrate the body's normally intact surface.

True

True or false: Part of your job is maintaining an inventory of pharmaceutical samples.

True

True or false: Straight needles are rarely used in medical offices.

True

True or false: The goal of preoperative skin preparation is to remove as many microorganisms as possible from the skin to decrease the chance of wound contamination.

True

Hold all sterile items above ___________________ levels.

Waist

Some factors that influence drug action are:

Weight, gender, and age

Which of the following is NOT true regarding the disposal of controlled substances?

You should use regular trash containers

When adding solutions to a sterile field, pour:

a small amount into a waste receptacle first to cleanse the lip of the bottle