AMCA CERTIFICATION TEST - MEDICAL ASSISTING STUDY GUIDE
89) A patient's weight should be listed in the patient's chart to the nearest: A. Pound B. 1/2 pound C. Ounce D. 3/4 pound
1/4 pound
186) A physician, specialist or any person that provides medical care is known as the _______. A. Provider B. Policyholder C. Subscriber D. Dependent
A. Provider
36) A patient has an oral temperature of 100.8 F. The medical term for this is: A. Pyrexia B. Pyuria C. Hyperpyrexia D. Purulent
A. Pyrexia
134) Samples appear to have been mislabeled and mixed on two patients. Each outpatient has orders for both blood and urine test, so there were two samples for each. What would be the best course of action? A. Recollect all four specimens from the patients B. Re-label the urine samples, but redraw the blood C. Have the patients come back and identify their specimens D. Re-label all the specimens
A. Recollect all four samples from the patients
136) Which of the following are also referred to as serum separator tubes (SST)? A. Red/Gray-top tubes B. Red-top tubes C. Light blue-top tubes D. Lavender-top tubes
A. Red/Grey-top tubes
4) This unit in the hospital is run by physicians and experts in the field of musculoskeletal disorders of bones, joints, ligaments and tendons, identify this department. A. Rheumatology B. Obstetrics C. Ophthalmology D. Oncology
A. Rheumatology
193) The method of scheduling in which one patient is scheduled for a specific appointment time is known as: A. Single booking B. Standard scheduling C. Cluster scheduling D. Fixed appointment scheduling
A. Single booking
102) Which of the following tests is not a part of complete blood count? A. Activated partial thromboplastin time B. Differential C. Hemoglobin D. Hematocrit
A. Activated partial thromboplastin time
2) Aspirin and acetaminophen are examples of: A. Analgesics and antipyretics B. Antitussives and decongestants C. Antihistamines and antiemetics D. Antidotes and antibiotics
A. Analgesics and antipyretics
135) What specimens require protection from light? A. Bilirubin B. Lactic acid C. Blood gases D. Cryo fibrinogens
A. Bilirubin
129) A patient has been taking aspirin for arthritis. Which of the following is most likely to be affected by it? A. Bleeding time B. Glucose time C. Blood culture collection D. Blood culture results
A. Bleeding time
47) A pulse site used to measure blood pressure is: A. Brachial B. Popliteal C. Radial D. Temporal
A. Brachial
87) Sinus __________ is a slow dysrhythmia. A. Bradycardia B. Tachycardia C. Rhythm D. Dysrhythmia
A. Bradycardia
93) Collection devices used in skin punctures are called: A. Capillary tubes B. Butterfly sets C. Blood culture collection systems D. 25 gauge needles
A. Capillary tubes
119) If a laboratory test requires serum, which Vacutainer tube is the tube of choice? A. Lavender - topped tubes B. Black- topped tubes C. Yellow - topped tubes D. Red - topped tubes
D. Red-topped tubes
142) Which limb sensor is the reference or ground electrode? A. Right arm B. Left arm C. Left leg D. Right leg
D. Right leg
80) Which of the patient's limbs serves as an electrical ground? A. Right arm B. Left leg C. Left arm D. Right leg
D. Right leg
29) Defamation through spoken statements is known as: A. Libel B. Sympathy C. Empathy D. Slander
D. Slander
161) In a standard 12-lead ECG, the measurement of current that the heart muscle produces between the right arm electrode and left arm electrode is known as the: A. Standard limb lead lll B. Augmented leas aV C. Standard limb lead ll D. Standard limb lead l
D. Standard limb lead I
217) The patient complains that it hurts when they swallow. This type of complaint is considered: A. Assessment B. Plan C. Objective D. Subjective
D. Subjective
180) Which is the most common route of administration of nitroglycerin? A. Intravenous B. Intradermal C. Suppository D. Sublingual
D. Sublingual
117) You performing a venipuncture procedure on a patient- the needle appears to be inside the vein yet no blood id flowing into the tube. What should you do? A. Pull back on the needle B. Terminate the procedure C. Slightly rotate the needle D. Switch the tubes
D. Switch the tubes
77) What drug enhances the effects of another drug? A. Narcotic B. Antagonist C. Trade D. Synergistic
D. Synergistic
147) Hypotension is defined as: A. No measurable Systolic pressure B. Systolic pressure above 150 mmHg and diastolic pressure above 90mmHg C. Systolic pressure of 129 mmHg and diastolic pressure of 80 mmHg D. Systolic pressure below 90 and diastolic pressure below 60mmHg
D. Systolic pressure below 90 and diastolic pressure below 60 mmHg
92) Automaticity refers to: A. The ability of the myocardial cell to contract when stimulated by an electrical impulse B. The ability to transmit an electrical stimulus from cell to cell throughout the myocardium C. The ability to respond to an electrical stimulus D. The ability of certain myocardial cells to produce an electrical impulse without the need for outside nerve stimulation
D. The ability of certain myocardial cells to produce an electrical impulse without the need for outside nerve stimulation
212) What does the "inside address" in a typewritten letter need to include? A. The salutation B. The body of the letter C. The name and address of the person sending the letter D. The name and address of the person receiving the letter
D. The name and address of the person receiving the letter
67) Which of the following is the most common means of transmitting pathogens? A. Ingesting food B. Blood transfusions C. Coughing D. Touching
D. Touching
49) The patient has been given a prescription that says the medication should be taken "bid". This medication should be taken: A. Before bed time B. Once a day C. Before meals D. Twice a day
D. Twice a day
139) When would a phlebotomist use a multiple-sample needle? A. Along family members who all require the same test B. In a large out-patient laboratory for all patients requiring the same test C. For microcapillary collection D. When more than one tube of blood is to be collected
D. When more than one tube of blood is to be collected
111) The Medical Assistant was sent to the ward to draw blood for coagulation studies, Which of the following is correct about this draw? A. The Medical Assistant can use capillary tubes for the blood collection B. Draw a red top tube before the light blue tube C. Fill a light blue to the top D. Before drawing the specimen, make sure the patient has fasted for 12 hours
D. before drawing the specimen, make sure the patient has fasted for 12 hours
133) The phenylketonuria (PKU) test is used to diagnose deficiency of phenylalanine hydroxylase, the most common clinically encountered inborn error of metabolism. it is performed on: A. Blood drawn from a newborn's finger B. A newborn's fecal specimen C. Blood drawn from a newborn's buttocks D. Blood drawn from a newborn's heel
D. blood drawn from a newborns heel
126) A patient came to the clinic for a low-grade fever of one month duration. As part of the laboratory work-up, the physician ordered erythrocyte sedimentation (ESR). What color tube would be used for this test? A. Green-top tube B. Light-blue top tube C. Lavender-top tube D. Red-top tube
C. Lavender-top tube
118) Which of the following Vacutainer tubes is routinely used for hematology testing? A. Light blue-topped tubes B. Red-topped tubes C. Lavender topped tubes D. Green-topped tubes
C. Lavender-topped tubes
120) Sodium Citrate is the additive in what color tube? A. Red B. Green C. Light-blue D. Lavender
C. Light blue
73) A patient is having a seizure. Which of the following is the most appropriate step for the medical assistant to take to protect the patient? A. Raise the patient's feet B. Call for help C. Loosen clothing around the patient's neck D. Administer small amounts of liquid
C. Loosen clothing around the patients neck
17) The smallest structural unit of the nervous system is the: A. Spinal cord B. Neurofibrils C. Neuron D. Supine
C. Neuron
34) Which situation would a Medical Assistant's signature be required? A. After the chief complaint is documented B. After the patient gives a medical history account C. On an informed consent document D. When a patient gives implied consent
C. On an informed consent document
14) A structure that is composed of two or more tissue types is called a/an: A. System B. Organism C. Organ D. Cell
C. Organ
52) A round, raised skin lesion with itching that is a positive sign of reaction to allergic testing is a: A. Wheal B. Nodule C. Papule D. Vesicle
C. Papule
128) Two employees discussing a patient diagnosis on a hospital elevator with other people present is a violation of: A. Patient rights B. Patient privacy C. Patient confidentiality D. Patient insurance
C. Patient confidentiality
137) Which of the following specimens are best utilized to measure clotting factors? A. Serum B. Whole blood C. Plasma D. Sterile blood
C. Plasma
146)The main purpose of PPE is to: A. Help project a professional appearance B. Protect street clothes from getting soiled C. Provide the employee a barrier against infection D. Systolic pressure below 90 and diastolic pressure below 60mmHg
C. Provide the employee a barrier against infection
85) How many electrodes are used as part of a 12-Lead EKG? A. 10 B. 6 C. 12 D. 8
A. 10
90) Which of the following blood pressure readings would be considered Stage 1 Hypertension? A. 148/96 B. 116/72 C. 126/84 D. 178/104
A. 148/96
42) A patient weights 83.92 kg. How many pounds does he weigh? A. 185 lb. B. 210 lb. C. 200 lb. D. 195 lb.
A. 185 lb
106) How far above the site of draw is the tourniquet placed? A. 3-4 inches B. 1-2 inches C. 5-7 inches D. 4-6 inches
A. 3-4 inches
171) A 67 year-old man comes into the doctor's office for a regular checkup. The doctor orders an Electrocardiography (ECG/EKG) to be done on the patient. There is junctional escape beat noticed by you. What is the origin of this rhythm? A. AV - node B. Bundle Branches C. Ventricle D. Sinus node
A. AV node
176) The correct lead from the center of heart to the positive pole of the leg is: A. AVF B. AVR C. lll D. ll
A. AVF
27) A provider withdraws from the care of a patient without reasonable notice of discharge is considered: A. Abandonment B. Malpractice C. Negligence D. Slander
A. Abandonment
95) What is the function of the large intestine (aka colon)? A. Absorb water B. Absorb sugar C. Absorb fat D. Absorb vitamins
A. Absorb water
35) The Privacy Rule gives patients the right to: A. Access their medical record B. Access their ex-spouses record C. Sue the doctor D. Refuse treatment
A. Access their medical record
60) What is the best location to check the pulse of an adult who is unconscious and not breathing? A. At the carotid artery of the neck B. On the chest, directly over the heart C. At the radial artery of the wrist D. At the brachial artery of the arm
A. Carotid artery
113) The function of the platelet is to: A. Cause the blood to clot B. Fight infection C. Carry oxygen D. Carry nutrients
A. Cause the blood to clot
150) Which of the following supplies blood to the heart muscle? A. Coronary arteries B. Brachial arteries C. Carotid arteries D. Cerebral arteries
A. Coronary arteries
143) One method to calculate heart rate from an EKG strip is to: A. Count the small boxes between the R-R interval and divide by 1500 B. Count the number of small boxes in the R-R intervals and divide by 2 C. Estimate by counting R peaks in 10 sec strip and multiply by 10 D. Count the number of QRS complexes in a 3 strip and multiply by 10
A. Count small boxes between the R-R interval and divide by 1500
169) Which body system has the liver, gallbladder and pancreas as accessory organs? A. Digestive B. Endocrine C. Integumentary D. Lymphatic
A. Digestive
74) Most specialists are paid by MCOs using which of the following methods? A. Fee-for-service B. Coinsurance C. Copayment D. Capitation
A. Fee-for-service
174) What is the name of the law that protects health care workers who gave aid during the time of an accident? A. Good Samaritan Law B. Megan's Law C. Right to know Law D. HIPAA
A. Good Samaritan Law
112) The tube of choice for glucose testing is: A. Gray-top tube B. Red-top tube C. Light-blue top blue D. Lavender-top tube
A. Grey-top tube
25) Dr. Jones and Dr. Brown decide to share a practice. Together, they share patients, expenses, profits and assets. Which type of medical practice is this? A. Group practice B. Clinic C. Partnership D. Sole proprietorship
A. Group practice
166) Tachycardia is a pathology that damages mainly the: A. Heart muscle B. Brain C. Blood vessels D. Body organs
A. Heart muscle
57) The information of blood cells is defined as: A. Hematopoiesis B. Erythropoietin C. Mean corpuscular volume D. Hemoglobinopathy
A. Hematopoiesis
64) A female patient came into the office for her scheduled routine physical. You are measuring the patient's vital signs. Which part of the brain is responsible for the temperature regulation? A. Hypothalamus B. Thalamus C. Medulla oblongata D. Pons
A. Hypothalamus
71) The interval between exposure to infection and the appearance of the first symptom is called: A. Incubation period B. Active period C. Means of transmission period D. Incineration period
A. Incubation period
121) A fluctuating fever that returns to or below baseline then increases again is: A. Intermittent B. Remittent C. Onset D. Continuous
A. Intermittent
50) Which of the following procedures can be performed by a medical assistant? A. Intramuscular injection B. Start fluids through a catheter C. Insert peripheral catheter D. Intravenous injection
A. Intramuscular injection
201) Faithfulness, or allegiance to a cause, ideal, custom, institution or product, is called: A. Loyalty B. Dependability C. Courtesy D. Flexibility
A. Loyalty
149) Narrowing of the valve between the left atrium and the left ventricle is called: A. Mitral stenosis B. Aortic stenosis C. Pulmonary stenosis D. Tricuspid stenosis
A. Mitral stenosis
200) The mental and emotional condition, enthusiasm, loyalty, or confidence of an individual or group with regard to function or tasks at hand is called: A. Morale B. Insubordination C. Initiative D. Tenacity
A. Morale
16) Somatic tremor is the result of: A. Muscle movement B. Loose sensors C. Unequal amounts of electrolytes D. Improper standardization of the instrument
A. Muscle movement
21) The functional unit of the kidney is the: A. Nephron B. Ureter C. Urethra D. Bladder
A. Nephron
153) A patient has a possible corneal abrasion and needs a referral. Which specialty is a physician that deals with eye injury and disease? A. Opthalmologist B. Oncologist C. Optician D. Optometrist
A. Ophthalmologist
109) Which of the following is known as swimmer's ear? A. Otitis externa B. Otitis C. Otitis media D. Otitis interna
A. Otitis externa
156) A pounding or racing of the heart, such that the patient is aware of his/her heartbeat is called a/an: A. Palpitation B. Ectopic beat C. Hemoptysis D. Arrhythmia
A. Palpitation
157) Which of the following cannot be handled by the medical assistant? A. Patient requesting emergency medical advice B. New patient and return appointments C. Directions to the facility D. Whether or not a physician is in a certain health plan
A. Patient requesting emergency medical advice
6) The physician prescribes a buccal medication. The medical assistant should instruct the patient to: A. Place the medication between the lower teeth and cheek B. Chew the medication and swallow it C. Place the medication under the tongue D. Dissolve the medication in water and drink it
A. Place the medication between the lower teeth and cheek
154) A phlebotomist enters a room to draw blood on a patient who is hospitalized with an infected wound. The site of the wound and any of its bandages are considered which link in the chain of infection? A. Portal of exit B. Susceptible host C. Infectious agent D. Mode of transmission
A. Portal of exit
33) PHI stands for: A. Protected health information B. Private health instructions C. Private health information D. Protected health instructions
A. Protected health information
72) Complete destruction of all forms of microbial life. A. Sterilization B. Germicide C. Sanitization D. Disinfection
A. Sterilization
175) The contraction phase of the heartbeat is called: A. Systole B. Diastole C. Tachycardia D. Pacemaker
A. Systole
208) During assessment, the best source from which to obtain patient information is the: A. The medical record B. Physician's notes C. A family member D. The physician
A. The medical record
48) What is the correct way to calculate pulse pressure? A. The number found when subtracting the diastolic from the systolic B. The sum of the diastolic and the systolic C. The pulse taken at the carotid location D. The pulse taken at the apical location
A. The number found when subtracting the diastolic from the systolic
24) There are two types of civil actions healthcare providers for injuries resulting from health care, The first one is lack of informed consent and the second one is: A. Violation of standard of care B. Trial and Post trial C. Violation of confidentiality D. Violation of continued care plan
A. Violation of standard care
122) Identify the tubes needed to collect a PT,STAT lytes, and BC in the proper order of collection. A. Yellow, light-blue, PST B. SST, yellow, light-blue C. Light-blue, lavender, yellow D. Gold, Yellow, light-blue
A. Yellow, Light-blue, PST
170) Regulation of the heart rate, speed of electrical conduction and strength of contraction are influenced by the brain via the _______ nervous system. A. Autonomic B. Somatic C. Core D. Voluntary
A. autonomic
70) A quantitative test is one that: A. Tests for the presence and amount of substance in sample B. Tests for presence of substance only C. Does not require a trained technician D. Tests for all substances found in the sample
A. tests for the presence and amount of a substance in sample
160) A monitor that a patient wears for 24 hours is called a(n): A. Halter B. 12-lead C. Holter D. Echocardiogram
C. Holter
26)What is the appropriate test used for heparin therapy? A. POCT B. APPT C. H&H D. SST
B. APPT
100) The normal volume of urine produced by an adult in a 24-hour period generally does not exceed: A. 2000 L B. 2000 mL C. 400 mL D. 750 ml
B. 2000 mL
211) The principle advantage of using wave method when designing the scheduling process is that it: A. Provides more breaks for staff B. Allows flexibility to accommodate the unpredictable C. Gives priority to established patients D. Enables the physician to see more patients each day.
B. Allows flexibility to accommodate the unpredictable
104) What is the best sample for the determination of blood pH and blood gases? A. Cerebrospinal fluid B. Arterial blood C. Venous blood D. Capillary blood
B. Atrial blood
82) When the body has had adequate rest and no food for at least 12 hours, it is said to be in: A. Hemostasis B. Basal state C. Homeostasis D. Steady state
B. Basal state
86) The amount of blood pumped by the heart per minute is called: A. Ejection fraction B. Cardiac output C. Contractility D. Blood pressure
B. Cardiac output
155) Two premature ventricular complexes (PVCs) in a row are called a/n _______ of PVCs. A. Deuce B. Couplet C. Bigeminy D. Double
B. Couplet
28) Which agency regulates the Controlled Substances Act? A. IRS B. DEA C. SWAT D. OSHA
B. DEA
9) Every prescription for a controlled substance requires the physicians signature and a ____________ number? A. FDA B. DEA C.EPA D.CDC
B. DEA
198) Which of the following skills would not be an appropriate expectation of the competent medical assistant? A. Giving instructions to patients about self-care after treatments B. Diagnosing common patient symptoms C. Performing insurance coding and billing D. Using the computer to perform a variety of office functions
B. Diagnosing common patient symptoms
216) After a patient interview by the medical assistant, which of the following should not be recorded by the medical assistant? A. Family medical history B. Examination narrative C. Chief complaint D. Medication allergies
B. Examination narrative
204) Which of the following is an example of proxemics? A. Eye contact B. Facial expression C. Personal contact D. Personal hygiene
B. Facial expressions
31) Which of the following is not true regarding HIPPA laws? A. Patients can make informed choices regarding how their personal health information is used B. Few boundaries are set on the use and release of health records C. Patients have more control over their medical records D. Violators are held accountable if patient privacy rights are compromised
B. Few boundaries are set on the use and release of health records
202) When medical assistants are able to adapt to various situations, they are considered to be: A. Courteous B. Flexible C. Dependable D. Loyal
B. Flexible
78) When using a venterogluteal approach to give an intramuscular injection in the buttock area, what is the muscle the medication goes in? A. Gluteus maximus B. Gluteus medius C. Right upper and outer quadrant D. Gluteus minimus
B. Gluteus medius
53) You are to draw the blood of a patient. After reviewing the lab order, you realize that you need to draw a CBC w/diff (complete blood count with differential) on your patient. knowing that this test is drawn in a lavender top-tube, which lab department would this go to for processing? A. Microbiology B. Hematology C. Coagulation D. Chemistry
B. Hematology
178) A blood sample is collected from a patient and the plasma is pink to red in color. Which of the following is the most likely cause? A. Polycythemia B. Hemolysis C. Lipema D. Agglutination
B. Hemolysis
39) Which of the following is correct regarding contact transmissions> A. It involves the transfer of pathogens by food and water. B. It involves contaminated instruments, needles, or contaminated hands that are not washed. C. It involves transmission of pathogens that remain suspended in air for a long period of time. D. It refers to the transfer of pathogens by mosquitoes, flies, and rats
B. It involves contaminated instruments, needles, or contaminated hands that are not washed
56) The medical assistant is to collect a Prothrombine time (PT) test, a complete Blood Count (CBC), and a fasting Blood Sugar (FBS). What is the correct order of draw? A. Grey ( FBS), Lavender (PT), Red (CBC) B. Light-blue (PT), Lavender (CBC), Grey (FBS) C. Lavender (FBS), Red (CBC), Green (PT) D. Grey (FBS), Lavender (CBC), Light-blue (PT)
B. Light-blue (PT), Lavender (CBC), Grey (FBS)
63) The body organ targeted by HBV is the: A. Brain B. Liver C. Heart D. Lungs
B. Liver
107) A female patient came into the clinic for follow-up after a right sided mastectomy with some removal of lymphoid tissue. What is the name of the condition that makes blood draw on the right arm not recommended? A. Syncope B. Lymphostasis C. Anemia D. Hemoconcentration
B. Lymphostasis
220) This is federal program that provides medical care for the indigent: A. PHS B. Medicaid C. Medicare D. HIPAA
B. Medicaid
8) All pathogens are: A. Microorganisms that live in soil B. Microbes that can cause disease C. Communicable microorganisms D. Normal bacteria found on skin
B. Microbes that can cause disease
15) Cellular respiration is a function of the: A. Cell membrane B. Mitochondria C. Golgi apparatus D. Nucleus
B. Mitochondria
151) The layer of the heart that is responsible for contraction and relaxation is known as the: A. Pericardium B. Myocardium C. Endocardium D. Epicardium
B. Myocardium
101) The patient's specimen is lipemic. This is usually an indicator that the patient is: A. Smoking B. Not fasting C. Normal D. In basal state
B. Not fasting
116) When performing a dermal puncture and the lancet hits the bone, what is the potentially serious fatal bone infection that could occur? A. Osteochondritis B. Osteomyelitis C. Osteomalacia D. Osteoporosis
B. Osteomyelitis
152) A 67 year-old man is diagnosed with Atrial Fibrillation and is treated with Warfarin (Coumadin). What is the characteristic of Atrial Fibrillation? A. Saw tooth-shaped waves B. P waves are absent C. P waves with uniform shape D. P waves of multiple shapes
B. P waves are absent
3) Demerol 75 mg, IM every 4 hours, as needed for severe pain, is what type of medication order? A. Single B. PRN C. Stat D. Routine
B. PRN
12) Co-insurance is calculated based on a: A. A capitation rate B. Percentage of charge C. A fixed charge for each visit D. Number of policy holders in the plan
B. Percentage of charge
99) Which of the following procedures is appropriate for preparing blood and other potentially infectious materials for transport? A. Freezing the materials before transport B. Placing the materials in a leak-proof container during collection C. Decontaminating the hazardous waste container D. Relabeling containers provided for waste
B. Placing the materials in a leak-proof container during collection
81) Another name for chest leads is: A. Standard B. Precordial C. Limb D. Augmented
B. Precordial
125) Asystole: A. Is defined as the presence of chaotic cardiac activity B. Produces a complete cessation of cardiac output C. Is the most common primary event in cardiac arrest in the adult D. Appears as a chaotic line on the ECG monitor
B. Produces a complete cessation of cardiac output
132) You are the only CMAC the night shift. You receive orders for all of the following tests within minutes of one another. Which test has the greatest collection priority? A. STAT CBC in labor and Delivery B. STAT electrolytes in the ER C. Timed blood cultures in ICU D. ASAP electrolytes in CCU
B. STAT electrolytes in the ER
41) What is the process used to wash and remove blood and tissue from medical instruments called? A. Asepsis B. Sanitization C. Disinfection D. Sterilization
B. Sanitation
141) Identify the rhythm that will often produce an irregular rhythm. A. Atrial Tachycardia B. Sinus Dysrhythmia C. Ventricular Tachycardia D. Sinus Bradycardia
B. Sinus dysrhythmia
181) Your patient is experiencing chest pain and has a heart rate of 132 beats per minute. You attach the ECG monitor and see a fast, regular rhythm with a round upright P wave that precedes each QRS complex. The QRS complexes are 0.10 seconds in duration. This patient is experiencing: A. Junctional escape rhythm B. Sinus tachycardia C. Complete AV heart block D. Idioventricualr rhythm
B. Sinus tachycardia
159) A female patient came into the emergency room due to vaginal bleeding. What is the name of the instrument used to hold open the wall of the vagina? A. Retractor B. Speculum C. Hemostat D. Forceps
B. Speculum
163) Which of the following is an example of a biohazard? A. Spilling a chemical on a countertop B. Splashing of blood when a cap is removed C. Touching electrical equipment with wet hands D. The potential for a fire to start
B. Splashing of blood when a cap is removed
144) A 45 year-old man comes in for a stress test. His resting blood pressure is 120/80. During the stress test, his blood pressure dropped to 95/55 and his skin is cold and clammy. What is the best course of action? A. Stop for a minute, then resume B. Stop the test immediately C. Slow the test and then pick the pace back up D. Push forward with the test
B. Stop the test immediately
65) What position should the patient be placed in when performing an ECG? A. Dorsal recumbent B. Supine C. Trendelenburg D. Prone
B. Supine
62) When a blood pressure cuff is deflated, the first tapping sound is the _____ pressure. A. Pulse B. Systolic C. Mean arterial D. Diastolic
B. Systolic
75) Which of the following is classified as abnormally rapid, deep or labored breathing? A. Hypertension B. Tachypnea C. Hyperpnea D. Hyperpyrexia
B. Tachypnea
219) The term used to describe sophisticated and highly complex care is: A. Managed care B. Tertiary care C. Secondary care D. Primary care
B. Tertiary care
40) Important information a patient should know about immunizations would be that: A. They are not necessary if quality infection is maintained B. They are prophylactics against deadly diseases C. They are known to cause autism D. They can unintentionally give the recipient a disease
B. They are prophylactics against deadly diseases
162) What is the name of the heart valve that separates the right atrium and right ventricle/ A. Aortic valve B. Tricuspid valve C. Pulmonic valve D. Mitral valve
B. Tricuspid
30) Insulin syringes are calibrated in: A. Milliliters B. Units C. Cubic centimeters D. Minims
B. Units
22) Which of the following types of gloves can be decontaminated and reused if they show no signs of deterioration after use? A. Disposable B. Utility C. Sterile D. Examination
B. Utility
172) Which chest lead is placed on the right sterna border in the 4th intercostal space? A. V3 B. V1 C. V2 D. V4
B. V1
84) A murmur is an abnormal sound that may indicate: A. Intestinal obstruction B. Valvular heart disease C. Stroke D. Bronchial asthma
B. Valvular heart disease
179) Which drug is used as an anticoagulant? A. Fluoxetine (Prozac) B. Warfarin (Coumadin) C. Digoxin (Lanoxin) D. Triazolam (Halcion)
B. Warfarin (Coumadin)
88) When a person stays in the same position all the time, pressure causes the skin to: A. Become firm and dry B. Weaken and become necrotic C. Become stronger D. Stay pink and moist
B. Weaken and become necrotic
37) A routine hand wash procedure uses plain soap to remove soil and transient bacteria. A. Scrub brushes B. Antimicrobial soap C. Gel- based creams after the routine hand wash D. Medicated towels for drying clean hands.
B. antimicrobial soap
127) An obese patient was sent to the laboratory for a complete blood count. Which of the following veins is mot likely to be the only that the Phlebotomist can palpate? A. Basilic vein B. Cephalic vein C. Median cubital vein D. Sclerosed vein
B. cephalic vein
108) Which of the following is correct for ending a venipuncture procedure? A. Remove the tourniquet, remove the needle, remove the tube, apply pressure B. Remove the tourniquet, remove the tube, remove the needle, apply pressure C. Remove the needle, remove the tube, remove the tourniquet, apply pressure D. Remove the tube, remove the tourniquet, remove the needle, apply pressure
B. remove the tourniquet, remove the tube, remove the needle, apply pressure
10) When using a No. 10 envelope, where should the address be placed? A. 10 lines down from the top and 4 inches from the left edge of the envelope B. 14 lines down from the top and 2 inches from the left edge of the envelope C. 10 lines down from the top and 2 inches from the left edge of the envelope D. 14 lines down from the top and 4 inches from the left edge of the envelope
C. 10 lines down from the top and 2 inches from the left of the edge of the envelope
97) Without a clot activator, whole blood typically clots in____ minutes. A. 60 to 20 B. 1 to 2 C. 30 to 60 D. 5 to 10
C. 30-60
59) While Mr. Dillon's hematocrit is spinning in the centrifuge, you perform an automated hemoglobin test on a sample of his blood and record the value as 15g/dL. You do a quick mental calculation and expect that the hematocrit value will be approximately: A. 5g/dL B. 45% C. 5% D. 45g/dL
C. 45%
165) What is the minimum number of electrodes that may be attached to the patient for Holter Monitoring? A. 12 electrodes B. 2 electrodes C. 5 electrodes D. 10 electrodes
C. 5 electrodes
94) Normal sinus rhythm has a heart rate of ______ beats per minute: A. 80 to 120 B. 50 to 75 C. 60 to 100 D. 40 to 60
C. 60-100
44) Most exposures to HIV in healthcare settings are the result of: A. Contact with AIDS patients B. Splashes during surgery C. Accidental needle sticks D. Tainted blood transfusions
C. Accidental needle sticks
76) The invoice for the monthly rent of the building where the medical office is located, is typically handled by which department? A. Compliance B. Human Resources C. Accounts payable D. Accounts receivable
C. Accounts payable
20) Mr. Smith is suffering from an enlargement of the bones in the entire skull as well as in the hands and feet, in addition to thickening of the skin. Which of the following conditions is Mr. Smith suffering from? A. Addison's B. Cushing's C. Acromegaly D. Cretinism
C. Acromegaly
38) Which of the following precautions require special air handling and ventilation? A. Contact precautions B. Standard precautions C. Airborne precautions D. Droplet precautions
C. Airborne precautions
203) One mental health illness that can hinder patient education is: A. Chicken pox B. High blood pressure C. Alzheimer's disease D. Depression
C. Alzheimer's disease
195) Another term for outpatient care is: A. Rehabilitation care B. Non ambulatory care C. Ambulatory care D. Nursing home care
C. Ambulatory care
46) A tympanic temperature means the body temperature is measured: A. Under the armpit B. Under the tongue C. At the eardrum D. In the rectum
C. At the eardrum
61) The act of listening for sounds made by internal organs to aid in the diagnosis of certain disorders is called: A. Menstruation B. Percussion C. Auscultation D. Palpation
C. Auscultation
158) Issues relating to medical advances come under the heading of: A. Malfeasance B. Religious freedom C. Bioethics D. Ethics
C. Bioethics
205) Which is an example of a recommended preventive procedure? A. Eating the recommended daily allowances B. Teeth whitening C. Childhood immunizations D. Daily exercise
C. Childhood immunizations
210) The way to organize appointment scheduling so that it best supports the success of the practice is to: A. Include a lot of time physician's administrative activities B. Allow frequent breaks C. Consider the preferences of the physician D. Schedule as many patients as possible throughout the entire day
C. Consider the preferences of the physician
188) A ________ is a set amount that the patient may be required to pay the provider before they can receive benefits. A. Coinsurance B. Deductible C. Copayment D. Fee Schedule
C. Copayment
110) Which of the following should be used to chill a specimen as it transported? A. A small freezer unit B. Frozen blocks of ice C. Crushed ice D. Tepid water
C. Crushed ice
207) Before developing a medication schedule, you should evaluate the patient's: A. Bathroom habits B. Medical record C. Daily routine D. Side effects
C. Daily routine
185) Family members, such as spouse or children that are covered under the member's insurance policy are known as ________. A. Members B. Beneficiaries C. Dependents D. Subscribers
C. Dependents
140) A collection tube containing an anti-coagulant must be inverted how many times? A. Tubes containing anti-coagulants are not inverted at all B. Ten times C. Eight times D. Shake vigorously for 30 seconds
C. Eight times
79) A baby's pulse and respirations are: A. The same as adults B. Not significantly different than an adult C. Faster than an adults D. Slower than an adults
C. Faster than an adults
18) A patient came into the doctor's office with chest pain and shortness of breath. which position is the best to help him breathe better? A. Lithotomy B. Prone C. Fowler's D. Supine
C. Fowler's
197) Which of the following is an example of negative kinesics? A. Smiling B. Eye Contact C. Frowning D. Good grooming
C. Frowning
5) MSDS information includes: A. Table of chemical elements B. Product manufacturing conditions C. General and emergency information D. Information on competitor products
C. General and emergency information
45) The four symptoms of inflammation are erythema, edema, pain, and: A. Irritation B. Vomiting C. Heat D. Headache
C. Heat
196) The best way to handle a "difficult" or "bad" patient is to: A. Threaten to report the patient to his or her doctor B. Speak firmly to maintain charge of the situation C. Help the patient to feel in control of the situation D. Leave the room without collecting the specimen
C. Help the patient to feel in control of the situation
164) How do you know when you have achieved adequate ventilation for a patient when doing CPR? A. Air escapes the nose B. Air enters the stomach C. Rise of the chest D. You hear a popping sound
C. Rise of the chest
221) To indicate that something lies nearer the surface, use the term: A. Distal B. Deep C. Superficial D. Proximal
C. Superficial
7) Which of the following is the best specimen to test for levels of iron in the blood? A. The one collected in a tube that contains sodium citrate B. The one collected in a microcuvette C. The one collected in the tube that contains EDTA D. The one collected in a tube with no additive
C. The one collected in the tube that contains EDTA
19) The primary function of the nervous system is: A. To protect deep organs B. To cleanse the blood of pathogens C. To detect changes in the internal and external environment and respond appropriately D. To provide body support and levers for muscle action
C. To detect changes in the internal and external environment and respond appropriately
213) Which of the following would be filled SECOND? A. Tommie Turner B. Thomas Turner C. Tom A. Turner D. Tommy Turner
C. Tom A. Turner
98) Thixotropic gel, found in the SST red gray marbled- topped Vacutainer tube: A. Is more dense than red blood cells and less dense than white blood cells B. Is more dense than red blood cells and less dense than serum C. Is less dense than red blood cells but more dense than serum D. Has the same density as red blood cells
C. is less dense than red blood cells but more dense than serum
138) Which of the following is a standard speed for an EKG machine? A. 50 mm/second B. 100 mm/second C. 10 mm/second D. 25 mm/second
D. 25 mm/second
173) The patients chart indicates a urine sample was collected at 1800. This means the sample was collected at: A. 8 am B. 8 pm C. 6 am D. 6 pm
D. 6 pm
91) A normal resting heart rate for the average adult is: A. 15-20 BPM B. 80-120 BPM C. 10-15 BPM D. 60-100 BPM
D. 60-100
51) Post- prandial means: A. Before a meal B. Before bed time C. Fasting D. After a meal
D. After a meal
124) Which choice is a typical educational for elderly patients to prevent disease? A. The location of the patient's public health resources in their community B. Health anti-aging skin care techniques and products C. Sterile technique used in the medical practice D. Annual flu pneumonia vaccination information
D. Annual flu pneumonia vaccination and information
11) What drug prevents the action of another drug or chemical? A. Trade B. Narcotic C. Synergist D. Antagonist
D. Antagonist
123) A female patient came into the emergency room with her husband. She was suffering from severe shortness of breath. She appeared to be unable to take in sufficient oxygen. What is the color of the skin and nail beds? A. Brownish B. Greenish C. Reddish D. Bluish
D. Bluish
32) To determine our ventricular pulse, the EKG technician would: A. Calculate the ST repolarization segments B. Calculate the spacing between the P waves C. Calculate the spacing between the ventricular repolarization T waves D. Calculate the spacing between the QRS complexes
D. Calculate the spacing between the QRS complex
69) Notifiable infection must be reported to: A. The patient's physician B. Your supervisor C. World Health Organization D. Center for Disease Control
D. Center for disease control
130) Mr. Matthews called the office to get the test results for his wife, Martha. What should the medical assistant do? A. Tell Mr. Matthews that you cannot release the information B. Check the medical record to see if Mr. Matthews is really Martha's husband - if so then release the information. C. Tell Mr. Matthews the test results D. Check the medical record to see if Mr. Matthews is authorized to have this information on Mrs. Matthews HIPAA form. if so, then release the information.
D. Check the medical recored to see if Mr. Matthews is authorized to have this information on Mrs. Matthews HIPAA form. If so, then release the information
68) When a patient fails to show for their appointment, the event must be: A. Erased from the schedule B. Written on a no-show log C. Monetarily charged to the patient D. Documented in the patient's chart
D. Documented in the patients chart
105) The ability to identify with someone else's feelings is called: A. Respect B. Feedback C. Sympathy D. Empathy
D. Empathy
114) The three kinds of blood cells are: A. Leukocytes, red blood cells, erythrocytes B. Erythrocytes, Platelets, thrombocytes C. Leukocytes, white blood cells, platelets D. Erythrocytes, thrombocytes, leukocytes
D. Erythrocytes, thrombocytes, leukocytes
209) Verbal facial expressions or body language, such as a nod of understanding, are called: A. External noise B. Internal noise C. Channels D. Feedback
D. Feedback
13) Muscles that act on the knee joint exhibit two actions: A. Adduction and lateral rotation B. Medical rotation and extension C. Adduction and Abduction D. Flexion and extension
D. Flexion and extension
115) The hormone tested for in pregnancy tests is: A. TSH B. Progesterone C. Estrogen D. HCG
D. HCG
168)Which of the following requires all employees' workplace hazard training? A. Standard precautions B. Bloodborne pathogen C. Emergency action plans D. Hazard communication standard
D. Hazard communication standard
131) If a finger is "excessively" milked during a skin puncture, the result will be: A. A decrease in pain for the patient B. Increased venous blood flow to the puncture site C. An adequate of blood for filling several capillary tubes D. Hemolysis and contamination of the specimen with tissue fluids
D. Hemolysis and contamination of the specimen with tissue fluids
177) The correct lead from the right arm to the leg is: A. AVR B. AVF C. lll D. ll
D. II
66) Which mode of infection transmission occurs from touching contaminated linens? A. Droplet contact B. Direct contact C. Vehicle contact D. Indirect contact
D. Indirect contact
218) Telephone etiquette involves: A. Remaining anonymous to avoid any responsibility B. Leaving a person on hold until you have the answer C. Referring an emotional caller to the administrator D. Keeping your statements simple and to the point
D. Keeping your statements simple and to the point
83) What organ's main function is to eliminate excess water and waste products from the body? A. Liver B. Intestines C. Gall Bladder D. Kidneys
D. Kidneys
1) Which of the following is considered a parasitic infection? A. Lyme disease B. Rabies C. Ringworm D. Malaria
D. Malaria
43) While taking a patient's medical history for active tuberculosis, what type of PPE is required? A. Goggles B. Lab coat C. Gloves D. Mask
D. Mask
167) The national health insurance plan for Americans age 65 and older is: A. CHAMPVA B. Medicaid C. TRICARE D. Medicare
D. Medicare
145) The Q wave, if present, is always: A. Positive B. Present C. Isoelectric D. Negative
D. Negative
206) Which of the following types of filing systems requires a cross reference files? A. Alphabetic B. Subject C. Geographic D. Numeric
D. Numeric
23) After obtaining an ECG tracing, a Medical Assistant would be expected to? A. Check the patient with a pulse oximeter to verify accuracy of the ECG tracing B. Evaluate the patient's medication list for cardiac altering drugs C. Instruct the patient on the tracing results and cardiac prognosis D. Observe the tracing for quality and decide if another tracing may be required
D. Observe the tracing for quality and decide if another tracing may be required
148) The acronym used to remember the actions to take when using a fire extinguisher is: A. ACT B. HELP C. RACE D. PASS
D. PASS
54) The patient information sheet contains: A. The past medical history of the patient B. The patient's past family history C. The patient's chief complaint D. patients personal and insurance information
D. Patients personal and insurance information
58) The primary purpose of wearing gloves during phlebotomy procedures is to protect the: A. Venipuncture site from contamination by the phlebotomist's hands B. Specimen from contamination by the phlebotomist C. Patient from contamination by the phlebotomist D. Phlebotomist from exposure to the patient's blood
D. Phlebotomist from exposure to the patients blood
192) Information given by a patient to medical personnel that cannot be disclosed without consent constitutes: A. Duty of care B. Negligence C. Judgment D. Privileged communication
D. Privileged communication
96) No anticoagulants are found in which of the following tubes? A. Green-topped B. Yellow-topped C. Lavender-topped D. Red-topped
D. Red-topped
55) Which of the following drug administration routes is the most appropriate for a patient who has nausea and vomiting? A. Nasal B. Buccal C. Sublingual D. Rectal
D. rectal
103) The boundaries for the approved area in performing heel punctures are: A. The line extending from the third toe, dividing the plantar surface into medial and lateral aspects. B. The line extending from the third and fourth toe, dividing the plantar surface. C. The lateral line extending from the third toe and the medical line extending from the second toe. D. The medial line extending from the great toe and lateral line extending from the fourth and fifth digit.
D. the medical line extending from the great toe and lateral line extending from the fourth and fifth toe
