FINAL CCMA CLASS EXAM!
Why should a lab coat, gloves, and protective eyewear be worn during lab testing of urine for pregnancy?
Lab coat, gloves, and protective eyewear should be worn during testing of hCG pregnancy test to protect the medical assistant for possible splash risks
What statement most accurately reflects how lab tests are used?
Lab testing is used in conjunction with health history and physical examination to provide essential data for the diagnosis and management of a patient's condition
Developmental assessment in pediatric procedures includes
Language skills, motor skills, social skills
How many times should labels on all irrigation solutions, antiseptic solutions, and medications be checked for minor office surgery procedures?
MINIMUM OF 3 TIMES
Which statement best promotes effective information gathering?
Medical assistants should display compassion and understanding while interviewing the patient
Which food items should be avoided before fecal occult blood test?
Melons
Capillary puncture description
Method of acquiring blood from fingertip or heel
Venipuncture description
Method of acquiring blood with a hollow needle inserted into a vein
MMSE
Mini mental status exam -- dementia
What results in patient discomfort during venipuncture procedure?
Moving the needle after it has been inserted into the vein
Phrase that best describes the patient's chief complaint
My back hurts and I feel tingling in my right leg
Rate respiration characteristic
Number of breaths per minute
Which items should a medical assistant gather for a throat specimen that will be tested onsite?
One to two sterile swabs depending on facility protocol
V5 color
Orange
What is used to create barriers that protect skin, clothing, mucous membranes, and the respiratory tract from infectious agents?
PPE
First step in setting up and preparing to conduct a pulmonary function test
Peak flow meter
When preparing the Mayo stand and opening a sterile pack, which of the following would be the first step?
Performing hand hygiene and donning sterile gloves
Which is a consideration when preparing a patient for a minor surgical procedure?
Physical limitations
What is the correct way to handle a swab for onsite testing?
Place the swab in the original wrapper
Why is warm water best for handwashing?
Prevents skin chapping and cracking
What is the first step in setting up and preparing to conduct a pulmonary function test?
Review the patient's chart to check the reason for the visit and any other testing orders
Medication strength is reviewed when checking which medication right?
Right dose
Explanation of possible side effects of a medication would be part of which rights of medication administration
Right to know
Which table holds items that cannot be placed directly on or next to the sterile field?
Side table
What should a medical assistant do if a patient has elevated BP?
- Remeasure using the opposite arm - Wait for a few minutes and re-measure on the same arm - Follow facility policy regarding this incident
True statements in regard to explaining and performing spirometry testing
- Spirometry tests provide a narrative and graphic representation of breathing capacity - explaining the procedure helps the patient understand what to expect - obtain consent to perform the procedure
Supplies for nasopharyngeal specimen collection
- Sterile nasal swabs - Viral transport medium - Full PPE
Purpose of measuring infant head circumference
- To determine if normal brain development is taking place - To screen for microcephaly and macroencephaly
Steps prior to placing an infant on a weight scale
- Undress the infant - Tare the scale - Place disposable paper protector on the scale Vaccines occur after provider exam
When handling test kits, the medical assistant should
- Wear gloves and other PPE - Perform controls according to manufacturer's instructions - Run the test according to manufacturer's instructions
1 oz = ? mL
30 mL
Obese BMI
30+
Appropriate angle for subcutaneous injections
45-90 degrees
Correct number of hours for PPD reading
48-72 hours
V1 Electrode
4th intercostal space, right of sternum
1 tsp = ? mL
5 mL
Winged Infusion/Butterfly needle angle of insertion (Hand)
5-10 degrees
Appropriate angle for tuberculin skin test
5-15 degrees
V4 Electrode
5th intercostal space, midclavicular line
Normal heart rate
60-100bpm
Sutures inserted into arms or legs are removed after
7-14 days
Body temp normal range
97-99 degrees Fahrenheit
Which of the following types of patient visits is conducted using technology to facilitate an encounter with the patient and the provider in different locations? a. Telehealth visit b. Office visit c. Physical therapy visit d. Orthopedic visit
A. Telehealth visit
Which of the following best apply to sterilization? A. The sterilization process can destroy spores B. Sterilization processes require 2 people C. Disinfecting a counter surface is a form of sterilization D. Face shields should always be worn during the sterilization process
A. The sterilization process can destroy spores
Which of the following is not applicable to instrument sanitization? A. Wrapping materials B. Sink with cold and hot running water C. Waste container D. Disinfection container
A. Wrapping materials
Which of the following represents an error in technique when pouring a sterile solution? A. Ensure that the solution is within its expiration date B. Place the solution cap on a flat surface with the open end facing down C. Placing your palm over the label to protect the label when pouring D. Check the label of the solution bottle
B. Place the solution cap on a flat surface with the open end facing down
What may occur if the needle is removed from the arm before removing the tourniquet?
Bleeding may occur around the puncture site
Which of the following is a set of infection control practices used to prevent transmission of diseases that can be acquired by contact with blood, body fluids, non-intact skin and mucous membranes? A. Sterilization B. Hand washing C. Standard precautions D. CDC
C. Standard precautions
Term that described the procedure for checking the spirometer function
Calibration
What should a medical assistant do when setting up a tray for winged infusion collection?
Check expiration dates on all supplies Labels should be placed AFTER blood collection
What symptoms are experienced by a patient when their temperature begins to rise?
Coldness and chills
Hematoma
Collection of blood under skin; a bruise
Which of the following does not belong to the supplies to be gathered when administering vaccines to an infant? A. Immunization schedule B. Vaccine site map C. Ordered vaccine D. 18-gauge needle
D. 18-gauge needle (way too big!)
Which of the following info belongs to the "social hx" category obtained during the patient interview? A. Previous hospitalization B. Childrens' ages C. Medications D. Illicit drug use
D. Illicit drug use
What should the medical assistant do if a patient refuses to have their weight measured?
Document the refusal in the medical record for the provider
Which statement is true about telehealth visits?
Each facility should establish its own protocol for the process of beginning a telehealth visit
How often should a medical assistant update the patient's medical history?
Every visit
True/False: placement of the electrodes with tabs pointed toward the head allows for the lead wire to follow the contour of the body, reducing the tension place on them and the likelihood of crimping
False
True/False: Obtaining equipment and supplies that the provider may need during the exam is usually done during the concluding steps of the patient visit.
False -- INITIAL STEPS
V2 Electrode
Fourth intercostal space, left sternal border
GDS
Geriatric depression scale
Which of the following describes rooming?
Getting a patient ready for the provider
Glucose testing tube top
Gray tube tops
Plasma testing tube top
Green top tubes
What supplies should a medical assistant assemble for a wellness checkup?
Growth chart
What would indicate that you should not perform testing?
If individual testing items have been opened
Wound resulting from a surgical incision
Intentional wound
Which statement is true when considering an effective patient encounter?
It is important to treat each patient encounter and visit as unique.
The measure of the force of blood against the artery walls while the heart is contracting
Systolic
What should the medical assistant do if a patient is out of breath or feels faint during spirometry testing?
Temporarily stop the test to give the patient time to rest
True/False: Heavy duty utility gloves should be worn over disposable gloves to minimize the risk of sharps or chemical exposure to the skin
True
True/False: Single-dose vials are premeasured, so calculation and dosage do not have to be monitored as closely
True
True/False: When preparing surgical trays and items to be used during a surgical procedure, it is the medical assistant's responsibility to practice sterile techniques and ensure that items are sterile from preparation through the end of the procedure
True
True/False: pressing fingers against the patient's arm to anchor the vein during blood collection procedure helps keep the needle in the vein
True
Best description of electrocardiogram
Used to record electrical activity of the heart
Which letter denotes the chest/precordial leads to the
V, with numbers 1-6
Personal record that includes the names of vaccines administered and dates of administration
Vaccine administration record
Info sheet produced by the CDC that explains benefits and risks of a vaccine?
Vaccine information statement
Common site for toddler when administering intramuscular injection
Vastus lateralis
What is true when ensuring the accuracy of oral temp electronically?
Verify that the patient has not consumed any cold or hot foods/liquids in the past 15-30 minutes
When is the first label review of solutions and medications conducted?
When pulling supplies
V2 color
Yellow
Blood culture tube top
Yellow top tubes
Volume
amount of blood pumped into the heart
What does a medical assistant perform prior to the collection of nasopharyngeal specimen?
check swab and transport medium packaging for expiration date
When performing a capillary puncture, the finger should not be forcefully squeezed to avoid
diluting the blood sample with tissue fluid
Pregnancy tests detect which hormone
hCG (human chorionic gonadotropic hormone)
___ is referred to as a silent killer because it is often asymptomatic
hypertension
V5 Electrode
midway between V4 and V6, anterior axillary line
Chief Complaint
primary reason(s) for the office visit
After the patient interview process, what should the medical assistant check before exiting the exam room?
That all the equipment is working properly
Why is it important to develop a rapport with a pediatric patient?
The child is more likely to be cooperative during procedures
What best describes instrument sterilization?
The complete destruction of all microorganisms through specific methods
Best technique for measuring infant length
The infant is in supine position
EHR
electronic health record
Best vein for venipuncture
Median cubital vein then cephalic, then basilic
Eupnea
normal breathing
The ___ should be placed on a tray in the correct order the injections will be administered
syringes
What is the rationale for being careful not to touch the lips, teeth, tongue, or inside cheeks during throat specimen collection?
to avoid contaminating the specimen
Best description of instrument sanitization
to remove debris from instruments in preparation for disinfection and sterilization
What is the common goal of telehealth visits?
to support the connection between doctors and their patients
Something that is sterile is considered contaminated if it
- Comes in contact with a pathogen - Touches something clean - Becomes wet
What must be taken into consideration when applying medications
- Hold the patient 20-30 minutes after medication administration - Patient should be routinely asked about their allergies to medications, latex, or adhesive bandages - It is important to know common conversion measurements
Max intradermal dose
0.2 mL
Symptoms that may warrant EKG
Fainting, shortness of breath, dizziness NOT headache
Wound resulting from disease or accident
Unintentional wound
What effect can patient movement have on the pulse oximetry procedures?
Prevents the probe from picking up the pulse signal
Infant vaccine needle size
1 inch
What is the preferred distance between injection sites if used on the same thigh in infants?
1 inch
Infection Control
1. All body fluids from any patient should be considered infectious 2. PPE should be provided by the healthcare facility for employee use (OSHA) 3. Written infection prevention policies and procedures should be available to all staff
3 Steps for Cleanliness
1. Sanitization, 2. Disinfection, 3. Sterilization
Sanitization
1. Scrubbing of instruments with a detergent 2. Removes blood, mucus, and other contaminants 3. Sanitization is the first step before disinfection and sterilization
Why should sharp instruments be separated from other instruments during sanitization?
1. To prevent instruments from rubbing together and becoming dull 2. To protect healthcare workers from being injured by a sharp blade or edge
Toddlers up to 2 years vaccine needle size
1.5 inches
How far should the medical assistant stand from the Mayo stand?
12 inches
How many leads on standard EKG
12 leads
Appropriate angle for intradermal injections
15 degrees
Routine venipuncture angle of insertion
15-30 degrees
1 oz = ? tbsp
2 tbsp
Appropriate angle for intravenous (IV) injections
25 degrees
Overweight BMI
25-29
Medication labels are compared to the provider's order ___ times throughout the procedure to ensure you are administering the correct medication
3
How many tsp in tbsp
3 tsp = 1 tbsp
Appropriate angle for intramuscular injections
90 degrees
Sites of subcutaneous injections
Abdomen, upper arm, upper back
What is used to reduce the number of microorganisms on the skin by destroying pathogens?
Aseptic handwashing
When measuring BP, how should the patient's arm be positioned?
At heart level
Machine that uses heat and high pressure with steam to sterilize equipment
Autoclave
Which of the following illustrates the correct order of steps for a patient interview? A. Instruct patient to change into gown, perform hand hygiene, and exit exam room B. Gather patient's vitals, obtain any equipment the physician may need, and provide patient with wait time. C. Perform hand hygiene, instruct patient to change into gown, and exit the exam room.
B. Gather patient's vitals, obtain any equipment the physician may need, and provide patient with wait time.
V3 Electrode
Between V2 and V4
Where should sutures be disposed of
Biohazardous waste container
Which artery is the stethoscope placed over when taking BP
Brachial artery
Which virus commonly uses nasopharyngeal specimen for testing
COVID-19
The measure of the force of blood against the artery walls while the heart is relaxing
Diastolic
Lab test used to check stool samples for hidden blood
Fecal occult blood test
Which type of specimen is best for pregnancy testing?
First urine specimen of the day
Red wire is connected to
Left leg
One respiration equals
One inhalation and one exhalation
Where should staples be disposed
Puncture-proof sharps container
V1 color
Red
Serum testing tube top
Red top tubes
Fainting aka
Syncope
What is the purpose of sanitizing instruments?
To remove debris from instruments in preparation for disinfection and sterilization
V4 color
blue
What is the best way a medical assistant can prevent contaminating the medication or equipment that is used when preparing medications?
wash hands
What increases the visibility of the throat structures?
when the uvula is elevated
Bradycardia
x < 60bpm
Tachycardia
x > 100bpm
Sutures inserted into face, head, or neck are removed after
3-5 days
Which of the following is not a criterion that should be checked when gathering supplies? A. Check that the internal indicator in a sterile tray turned the correct color B. Check whether the stripes on the autoclave tapes changed color C. Check that the sterile packs are not expired D. Check that there are no holes, tears, and moisture in wrapping materials
A. Check that the internal indicator in a sterile tray turned the correct color
Depth respiration characteristic
Amount of air inhaled or exhaled
Frequency of well-child visit after 2 years old
Annually
What may change the status of patient's collection site for venipuncture?
Dehydration
___ throughout the patient visit must be the priority to ensure that the patient has the optimal experience during their visit
Effective communication
Which of the following is used for blood collection with or without additives?
Evacuated tube system (ETS)
What PPE is the best option for a healthcare worker to wear if they wear prescription eyeglasses?
Face shield
True/False: A gown, face shield, mask, gloves, and shoe coverings are all needed to be worn during the collection of throat specimen
False -- shoe coverings are unnecessary
True or False: a respirator can be used at any time
False -- should only be used following a successful respirator fit test
V6 Electrode
Horizontal level of V4 at left midaxillary line
Which practice that directly affects the health of the patient, provider, and staff?
Infection control
Obtaining patient ___ is important to ensure that the provider has all the details necessary to treat the patient
Information
What should be in the sterile tray or pack?
Instruments and gauze
Following the patient interview phase of the telehealth visit, what should the medical assistant do next?
Let the patient know that they will be put on hold to wait for the provider
What should the medical assistant do first in setting up and preparing to conduct a peak flow test on the patient?
Review orders and reason for test in patient's chart
What provides info on the hazards and actions necessary when working with specific chemicals?
Safety data sheets
Examples of PPE
Shoe covers, face shield, and gown
Which of the following history-taking question may involve personal and highly sensitive information?
Social history
Used to obtain BP
Sphygmomanometer
What is true when measuring head circumference of infant?
The tape measure should be wrapped above the eyebrows and ears when measuring head circumference
Which preservation tool should be used when sending a specimen for a throat culture to an outside lab?
Transport medium
Hypopnea
slow breathing
Neck pulse site
Carotid
White wire is connected to
Right arm (white right)
What can a medical assistant do during minor surgery?
- Apply sterile dressings - Prepare medications for the procedure - Prepare the sterile field
Examples of other potential infectious material (OPIM)
- Body fluids - Non-intact skin - Mucous membrane
Guidelines for electrode use/maintenance
- Check the expiration date on the electrode pouch before use - Reseal the electrode pouch and place it in plastic bag after use - Do not use dried out electrodes
What should be discussed with patients prior to fecal occult blood testing?
- Dietary restrictions and supplements - Testing instructions - Testing restrictions
Why is it important to coach the patient throughout spirometry and peak flow testing?
- It facilitates effective and efficient completion of the testing - It helps to reduce anxiety
What should the medical assistant do if the patient is anxious about completing the spirometry test?
- Listen to concerns and try to make the patient feel comfortable - If concerns are beyond your scope, share with the provider
Performed by medical assistant during pediatric office visit
- Measurement of vital signs - Measurement of weight and height - Assisting with the physical exam
What should the medical assistant check when administering medication?
- Name of medication - Intended route - Expiration date
Intradermal injections
- Normal dose is 0.1 mL - A tuberculin syringe is often used - The amount injected is typically no more than 0.2 mL
Metric unit used to measure head circumference
centimeters
Violation of sterile technique
reaching over a sterile field
Arrhythmia
irregular heart beat