MA Review - Chapter 9

Which of the following instruments must be sterilized? A. Anoscope and vaginal speculum B. Laryngeal mirror and nasal speculum C. Sphygmomanometer and stethoscope D. Ophthalmoscope and otoscope

A. Anoscope and vaginal speculum

Which of the following is used to disinfect bloody surfaces? A. Bleach B. Alcohol C. Iodine D. Formaldehyde

A. Bleach

Which of the following methods should be used to clean the work surfaces in the exam room, including the exam table, sink, and countertop? A. Disinfection B. Ultrasonic cleaning C. Sanitization D. Sterilization

A. Disinfection

Which of the following is commonly used as a preservative in a 10% solution and as a germicide and sporicide in a 5% solution? A. Formaldehyde B. Alcohol C. Iodine D. Hydrogen peroxide

A. Formaldehyde

Which of the following is the correct position for the examining table? A. In the center of the room or coming out from the wall B. Snug against the inside wall C. Lengthwise in front of the window D. Sideways in front of the window

A. In the center of the room or coming out from the wall

Who is responsible for preparing the examination room for patients? A. Medical assistant B. Nurse C. Housekeeper D. Physician's assistant

A. Medical assistant

Which of the following is an instrument used to examine the ear canal and the tympanic membrane? A. Otoscope B. Exam light C. Penlight D. Anoscope

A. Otoscope

Which of the following is used to listen to body sounds? A. Stethoscope B. Otoscope C. Tuning fork D. Ophthalmoscope

A. Stethoscope

Which of the following is used to sanitize delicate instruments that have moving parts? A. Ultrasonic cleaning B. Autoclave C. Scrub brush D. Alcohol

A. Ultrasonic cleaning

Which of the following is appropriate for cleaning surfaces in the exam room? A. Germicidal soap B. 10% solution of household bleach C. Iodine D. Alcohol

B. 10% solution of household bleach

A physician in a medical office should have a minimum of how many examination rooms for his or her exclusive use? A. 1 B. 2 C. 3 D. 4

B. 2

The temperature in the food refrigerator should be maintained between _____. A. 24 and 28 degrees F B. 32 and 40 degrees F C. 36 and 46 degrees F D. 50 and 56 degrees F

B. 32 and 40 degrees F

Which of the following is extremely corrosive and toxic to tissue and has strong killing power? A. Germicidal soap B. Acid C. Boiling water D. Iodine

B. Acid

Which of the following is commonly used to clean instruments and equipment that would be damaged by immersion in soap and water or other disinfectant solutions? A. Formaldehyde B. Alcohol C. Acid products D. Glutaraldehyde

B. Alcohol

Which of the following are examples of disposable instruments? A. Stethoscopes and blood pressure cuffs B. Curettes and needles C. Otoscopes and ophthalmoscopes D. Tuning forks and reflex hammers

B. Curettes and needles

Which of the following provides an additional source of light an examination and is usually on a flexible arm? A. Penlight B. Examination light C. Ophthalmoscope D. Otoscope

B. Examination light

Which of the following can be disinfected and used again without sterilization? A. Needles and syringes B. Glassware and enamel C. Vaginal specula D. Curettes

B. Glassware and enamel

Which of the following brand name chemicals, commonly known as Cidex, is used in a chemical sterilization processes? A. Formaldehyde B. Glutaraldehyde C. Chlorine D. Acid products

B. Glutaraldehyde

What is the first step in preventing the spread of infectious microorganisms in the examination area? A. Disinfecting examination area B. Hand hygiene C. Wearing exam gloves D. Wearing clean uniforms each day

B. Hand hygiene

Which of the following is used both as a disinfectant and as a antiseptic, but has limited effectiveness in the presence of blood products, mucus, or soap? A. Boiling water B. Iodine C. Acid products D. Formaldehyde

B. Iodine

Which of the following reflects the inside of the mouth and through for examination purposes? A. Sphygmomanometer B. Laryngeal mirror C. Nasal speculum D. Otoscope

B. Laryngeal mirror

Which of the following is the appropriate method for disposal of soiled linen cloths and pillowcases? A. Wash them in the office washing machine B. Place them in a biohazard-labeled bag and send to a laundry for cleaning C. Have office personnel take turns taking them home to wash D. Place them in a cloth bag to send a laundry for cleaning

B. Place them in a biohazard-labeled bag and send to a laundry for cleaning

After a minor surgical procedure, Karen is scrubbing the instruments to sanitize them before disinfection and sterilization. She notices that one of the hinged instruments does not close properly. What should Karen do? A. Wrap the instrument for sterilization B. Set it aside and notify the physician or office manager C. Place the instrument in the biohazardous waste container D. Leave it in the detergent solution overnight and check it again tomorrow

B. Set it aside and notify the physician or office manager

Which of the following instruments that a physician uses during an examination is sometimes mounted on the wall? A. Penlight and reflex hammer B. Sphygmomanometer and otoscope C. Laryngeal mirror and anoscope D. Nasal speculum and tuning fork

B. Sphygmomanometer and otoscope

Which of the following instruments tests a patient's hearing? A. Ophthalmoscope B. Tuning fork C. Sphygmomanometer D. Stethoscope

B. Tuning fork

Which of the following should you do when you sanitize instruments? A. Drop each instrument into the sink B. Wear utility gloves C. Scrub each instrument with a metal brush or steel wool D. Allow them to soak for six hours

B. Wear utility gloves

Which of the following is a reason for storing biohazardous substances in a separate refrigerator from food and beverages? A. Food or beverages may leak on the biohazardous substances B. You could accidentally grab a biohazardous substance that is not clearly labeled and ingest it C. There may not be enough room in one refrigerator for both D. Biohazardous substances do not have to be refrigerated

B. You could accidentally grab a biohazardous substance that is not clearly labeled and ingest it

The destruction of infectious agents by an object or direct application of a chemical is _____. A. sanitization B. disinfection C. purification D. sterilization

B. disinfection

The number of examination rooms in a medical office depends on the number of physicians who work there and on _____. A. how much time each physician spends with a patient B. each physician's patient load C. how many assistants each physician has D. how big the office is

B. each physician's patient load

The primary reason for having a minimum of two exam rooms per physician is that it _____. A. allows other physicians to use the room B. enables the medical assistant to prepare one room while the physician examines a patient in the other C. can serve as an additional waiting area for patients when the reception area is full D. can be used as a room for a contagious patient who comes to the office

B. enables the medical assistant to prepare one room while the physician examines a patient in the other

When the medical assistant puts a patient in the examination room to wait for the physician, the usual place to put the patient's medical record is _____. A. on the countertop in the examination room B. in a rack that hangs on the wall directly outside the examination room C. at the reception desk for the physician to pick up before entering the room D. in a rack attached to the inside of the examination room door

B. in a rack that hangs on the wall directly outside the examination room

If you cannot sanitize instruments immediately after using them, _____. A. wrap them in a towel B. place them in water with a neutral-pH detergent C. set them aside until you can clean them D. place them in cool water

B. place them in water with a neutral-pH detergent

The process of cleaning and scrubbing instruments and equipment, generally by washing with detergents and scrubbing as needed, is ______. A. surgical asepsis B. sanitization C. disinfection D. purification

B. sanitization

The temperature of the laboratory refrigerators should be maintained between _____. A. 10 and 15 degrees F B. 24 and 28 degrees F C. 36 and 46 degrees F D. 50 and 56 degrees F

C. 36 and 46 degrees F

The Americans with Disabilities Act of 1990 accessibility guidelines require the doors be _____ wide to allow a person in a wheelchair to pass through. A. 24 inches B. 30 inches C. 36 inches D. 60 inches

C. 36 inches

According to ADA guidelines, a clearance space in rooms and hallways must allow a person in a wheelchair to make a 180-degree turn. The minimum required clearance space is _____. A. 32 inches B. 36 inches C. 60 inches D. 90 inches

C. 60 inches

The most appropriate temperature setting for the exam room is _____. A. 55 degrees F B. 62 degrees F C. 72 degrees F D. 80 degrees F

C. 72 degrees F

Which of the following is the usual way to signal that an examination room is occupied? A. An "occupied" sign posted on the door B. A door lock that reads "occupied" when in the locked position C. A light on the door or wall is illuminated D. The door to the examination room is open, so people can see that it is occupied

C. A light on the door or wall that is illuminated

Sandra arrived a little late this morning because her car wouldn't start. Although she usually checks the exam rooms for cleanliness before bringing a patient back to an exam room, the rooms are almost always in good shape, so she skips that step this morning. As she brings the first patient into the exam room, she notices an unidentifiable clear gel-like substance on the edge of the examining table. The paper cover is clean and fresh. What should Sandra do? A. Wipe up the substance with a tissue and assist the patient onto the examining table B. Call the front desk and ask them to have housekeeping come and clean the table C. Ask the patient to step back into the waiting area while she cleans up the table D. Spray the substance with a disinfectant and tell the patient the physician will be in shortly

C. Ask the patient to step back into the waiting area while she cleans up the table

The last patient of the day was very ill and vomited twice in the exam room. The first time, she made it to the wastepaper basket, but the second time, she vomited on the examining table and floor. What should you do? A. Allow housekeeping to clean it up since the office is closing and they will be here shortly to clean B. Get a mop from the storage closet and mop the floor C. Clean up the vomitus, using Standard Precautions because the vomitus is potentially infectious D. Spray air freshener in the room and leave the mess for the morning shift to clean up

C. Clean up the vomitus, using Standard Precautions because the vomitus is potentially infectious

Which of the following is used on instruments and equipment that come in contact with mucous membranes or other surfaces not considered sterile? A. Surgical asepsis B. Sanitization C. Disinfection D. Sterilization

C. Disinfection

When beginning the sanitization process on instruments that are contaminated with blood, what additional personal protective equipment is needed? A. Sterile gloves B. Shoe covers C. Face mask D. Prescription glasses

C. Face mask

Which of the following is an example of a consumable supply? A. Specimen container B. Cotton-tipped applicator C. Isopropyl alcohol D. Gauze

C. Isopropyl alcohol

Which of the following is the main reason for dusting shelves and furniture in the exam room? A. It gives a clean appearance B. It preserves the finish of the furniture C. It eliminates dust that harbors bacteria and allergens D. It promotes a sterile environment

C. It eliminates dust that harbors bacteria and allergens

One of Stan's duties is to check the laboratory equipment and machines each morning when he arrives at the office. This morning, when he checked the temperature in the laboratory refrigerator, he discovered that the temperature was 62°F. What should Stan do? A. Call the repair company to fix the refrigerator B. Turn down the setting so the refrigerator will get colder C. Notify all lab personnel that specimens in the refrigerator may be compromised D. Record the current temperature and continue with his morning duties

C. Notify all lab personnel that specimens in the refrigerator may be compromised

Which of the following can be reused after completing the sanitization process without further disinfection or sterilization? A. Needles and syringes B. Ophthalmoscopes and otoscopes C. Glassware and enamelware D. Currettes and vaginal specula

C. Ophthalmoscopes and otoscopes

What is the most appropriate way to monitor the temperature in a laboratory refrigerator? A. Place an ice cube try in the refrigerator and see if the water freezes B. Open the refrigerator frequently to check items for coldness C. Place a thermometer in the refrigerator D. Place a bottle of drinking water and take a drink to determine coldness

C. Place a thermometer in the refrigerator

Which of the following has a hard-rubber triangular head and is used to check a patient's reflexes? A. Tuning fork B. Tape measure C. Reflex hammer D. Sphygmomanometer

C. Reflex hammer

Which of the following is the appropriate way to remove a used exam table cover? A. Crumple up the paper B. Shake it in the air to assist in easier removal C. Roll it up tightly and quickly D. Turn it inside out

C. Roll it up tightly and quickly

Which of the following procedures will the medical assistant use to clean blood pressure cuffs and reflex hammers? A. Ultrasonic cleaning B. Sterilization C. Sanitization D. Disinfection

C. Sanitization

Which of the following is part of the sanitization of soiled instruments? A. Soaking instruments with a bleach solution B. Scrubbing instruments with a steel wool pad C. Soaking instruments in a detergent solution D. Placing all instruments together for sanitization

C. Soaking instruments in a detergent solution

Which of the following does the physician use to confirm a patient's health or diagnose a medical problem? A. A report from another physician B. Documentation from the nurse C. The general physical examination D. The patient's medical record

C. The general physical examination

Which of the following is used to measure body temperature? A. Otoscope B. Tuning fork C. Thermometer D. Stethoscope

C. Thermometer

Which of the following instruments is used in the collection of gynecological specimens? A. Nasal speculum B. Laryngeal mirror C. Vaginal speculum D. Anoscope

C. Vaginal speculum

Transcutaneous absorption is absorption through ____. A. ingestion B. the body's organs C. a cut or crack in the skin D. inhalation

C. a cut or crack in the skin

The appropriate way to handle disinfected supplies is to _____. A. hand-remove each item from the disinfection unit B. store all items in water C. always wear gloves D. wash items with soap after removing them from the disinfection unit

C. always wear gloves

An instrument used to enlarge the opening of the nose to permit viewing is a(n) _____. A. ophthalmoscope B. otoscope C. nasal speculum D. sphygmomanometer

C. nasal speculum

An ultrasonic cleaner used to sanitize delicate instruments generates _____ to loosen contaminates from the instruments. A. heat B. chemicals C. sound waves D. special soap

C. sound waves

An autoclave is used to ______ instruments that penetrate the skin or come in contact with normally sterile areas of the body. A. sanitize B. disinfect C. sterilize D. heat

C. sterilize

The customary size for an examination room is _____. A. 4 ft by 6 ft B. 6 ft by 8 ft C. 8 ft by 10 ft D. 8 ft by 12 ft

D. 8 ft by 12 ft

How often should you change the cover on the exam table? A. Daily B. After every third use C. Weekly D. After every use

D. After every use

Which of the following activities does OSHA prohibit medical personnel from doing in a room where potentially infectious materials are present? A. Replacing the 10% bleach solution used to disinfect the surfaces B. Washing your hands C. Filling the paper towel rack D. Chewing gum and applying cosmetics

D. Chewing gum and applying cosmetics

Which of the following is the appropriate way to dispose of paper coverings soiled by body fluids or blood? A. Place them in the garbage can in the exam room B. Collect them in a central location until they can be disposed of C. Place them in a large garbage can in he hall D. Dispose of them in a biohazardous waste container

D. Dispose of them in a biohazardous waste container

Which of the following statements about a disinfectant is true? A. The disinfectant solution is more potent after several uses B. Items should be placed in the disinfectant wet C. Soap should be used as a main disinfectant D. Evaporation can alter the chemical makeup of the solution

D. Evaporation can alter the chemical makeup of the solution

Which of the following is permissible when using an ultrasonic cleaner? A. Placing all of the instruments together in the bath B. Replacing the cleaning solution after each use C. Removing the instruments from the ultrasonic cleaner and wrapping without rinsing D. Reusing the ultrasonic cleaning solution for several baths

D. Reusing the ultrasonic cleaning solution for several baths

Which of the following are examples of disposable supplies? A. Penlights and reflex hammers B. Laryngeal mirrors and vaginal specula C. Exam lights and stethoscopes D. Tongue depressors and glass slides

D. Tongue depressors and glass slides

Which cleaning process is used on instruments such as a nasal specula and endotracheal tubes? A. sterilization B. sanitization C. fumigation D. disinfection

D. disinfection

The first step in eliminating offensive odors from an exam room is to ____. A. spray the room with an air freshener B. open a window C. turn on a fan D. eliminate the source of the odor

D. eliminate the source of the odor

An anoscope is an instrument that is used to _____. A. measure body temperature B. examine the ear canal C. examine the eye D. open the anus for examination

D. open the anus for examination

A lighted instrument that is used to examine the inner structures of the eye is a(n) _____. A. penlight B. exam light C. otoscope D. ophthalmoscope

D. ophthalmoscope

A piece of equipment that measures blood pressure is a(n) _____. A. stethoscope B. otoscope C. tape measure D. sphygmomanometer

D. sphygmomanometer

The complete destruction of all pathogenic, microorganisms including bacterial spores from the surface of instruments and equipment is _____. A. sanitization B. disinfection C. purification D. sterilization

D. sterilization

When using disinfectant products, the medical assistant must check the labels to be sure they are approved by the _____ and the _______.

Food and Drug Administration and the Environmental Protection Agency

Iodine products that are used on human tissues as anti-infection agents are called ______.

antiseptics

Biological agents that can spread disease to living things are _____ materials.

biohazardous

Leakproof containers that are color-coded red or labeled with a special symbol to show that they contain biological agents that can spread disease to living things are called _______ containers.

biohazardous waste

A thick-walled reproductive body that is capable of resisting harsh conditions and has been known to survive disinfection with strong chemicals and boiling water is called a bacterial ______.

spore

Exposure that can spread disease may occur through inhalation, ingestion, or ________.

transcutaneous absorption