medical assistant practice exam
Mrs plan a 46 old female came in to your office because of fever and jaundice she is on her 34th week of pregnancy the doctor diagnosed her to have hepatitis D infection which of the following hepatitis virus can simultaneously be in her blood together with the hepatitis D?
Hepatitis B
A patient complains that he had chest pains for 3 months associated with dyspnea and diaphoresis he self medicated with aspirin and antacids which part of the medical history should this information be placed?
Present illness
All of the following are steps in the hiring process, EXPECT
Supervison
A sigmoidoscopy is performed to examine the?
Large intestine
All of the following are components of the infection cycle EXCEPT
Means a termination
What agency protects workers from health and safety hazards on the job in the workplace?
OSHA
Which of the employment forms is necessary when considering choosing tax exemptions?
W4
The medical assistant that handles the scheduling has scheduled 3 patients for the three to four o'clock time frame. All of the patients were told to arrive at 3 o,clock which of the following scheduling methods BEST describes which is being used in this example?
Wave
What is the best time of the day to hold an all-staff meeting?
at the beginning of the day
The most accurate reading for a temperature is done?
aurally through a clean canal
Which of the following vital signs can be expected in a child that is afebrile?
axillary temp of 98.6 degrees F
Establishing a matrix in the appointment book refers to
blocking out the times when the health provider is unavailable
Which of the following instruments are used for a pelvic examination?
both a and b only
In the chain of infection the susceptible host?
can reduce the chances of being infected by living a healthy lifestyle and using proper hand washing techniques
What does CDC stand for?
centers for disease control
The following are included in the rules on charting EXCEPT
chart in pencil
A sphygmomanometer is used to?
check blood pressure
When supplies are delivered to the office, a medical assistant accepting the delivery should
check the supplies with packing slip
What is the actual purpose of a visit or consult of a patient with a physician?
chief complaint
The doctor's office schedules flu shots on wednesdays from 10 am to noon. what type of scheduling is this?
clustering scheduling
The advantage of a handwritten appointment book is?
computer deficient employees easily use the book
To accurately asses a patient's respiration rate, which of the following methods would be BEST
count the pulse rate for one minute then while keeping your index fingers on the patient's radial artery count the respiration for an additional minute
A common error when taking a pulse is?
counting the pulse for 15 seconds and multiplying the number by four
A physician may assess turgor when?
dehydration is suspected
A patient is having difficulty understanding how to properly run her glucose meter which of the following teaching methods would best help the patient understand how to use her instrument correctly?
demonstrate the proper use of the instrument and then have the patient perform the process while in the office
Round - shaped bacteria that are seen in pairs are called?
diplococcus
A medical assistant cleaned a patients wound using forceps she then soaked the forceps in alcohol, which aseptic technique did she use?
disinfection
When an appointment is canceled by a patient, the medical assistant should
document the cancellation and contact the patient for rescheduling
What type of scheduling is used when two or more patients are scheduled at the same time?
double booking scheduling
A performance appraisal can be based on the following EXCEPT
ethnicity
Intermittent fevers are?
fevers which come and go.
The proper personal protective equipment necessary for collecting a sputum specimen would include
gloves and face mask
The most effective way to prepare a schedule matrix is to?
have the doctors provide you with their schedules and block out times they are unavailable
What is the position that produces the most accurate blood pressure determination?
have the patient in a sitting position with an arm extended at heart level
Mrs simon a known diabetic came to your clinic because of dizziness when you took her blood pressure while she was lying down on the bed, her blood pressure was 110/70 mm Hg, but when she stood up, she started to become dizzy again. a repeat blood pressure was 80/50 mm Hg what would be the condition of the patient?
having orthostatic hypotension
Betsy, a 4 month old infant, was brought to your clinic because of a seizure. The doctor asked you to obtain a rectal temperature. You obtain it using a digital thermometer and the reading is 104 degrees F. Which of the following is most likely true?
her seizure is a result of her being febrile
In scheduling procedures, the chief complaint of the patient assists the medical assistant in the following, EXCEPT?
identify the diagnosis of the patient
When performing out an EKG a medical assistant notices that the QRS complexes are extremely small what should be the next step?
increase the sensitivity control to 20mm deflection
What does pulse oximetry evaluate?
it measures oxygen saturation in arterial blood
The patient position that is most useful for proctologic exams is the?
jack knife
Which of the following is not properly part of the interviewing process to obtain patient medical history?
juding the behavior of the patient
When dealing with a patient who is getting mad and irritated, the medical assistant should?
keep calm and remain courteous
Which of the following is not a type of business formation for a medical practice?
liability ownership
A physician is about to give a pap smear procedure to a patient as a medical assistant you assist the patient and help her get into position for the procedure what position should you put her in?
lithotomy
when placing a patient on the weighing scale, the medical assistant should?
make sure that the scale is calibrated and balanced before actually weighing the patient.
Which of the following is a method to track incoming telephone calls so that all messages are taken care of?
making a telephone log
What type of scheduling breaks hour long blocks down into smaller time increments?
modified wave scheduling
A patient, a 17 yearl old female, is complaining of palpitation and fast heart beat. the patient has a history of panic attacks and anxiety to determine if she has tachycardia, the medical assistant decided to use her thumb to count the pulse, is this recommended to determine pulse?
no the thumb has its own pulse
If you were tasked to record the minutes of a meeting, which of the following would not be included in the information you record?
none of the above
Normally the pulse rate is the same as the?
number of heart beats in one minute
Which of the following scheduling methods would be best for an Urgent care setting?
open-hour scheduling
Voucher checks are commonly used for?
payroll
A medical assistant does not need to wear gloves when?
performing blood pressure
Which of the following is not part of the medical history
physical examination
Michael, a 5 year old boy, has been complaining of itchiness, rash and irritation around the anal area. He was brought to the clinic by his mother, and to her surprise, the doctor performed a scotch tape test. This test is used to diagnose infestation of which parasite?
pinworms
Rales and rhonchi are frequently noted during an examination of lung sounds. What is the difference between the two?
rales occur on inspiration, rhonchi on expiraton
Screening calls is important because it allows the office to
triage patients according to priority
The most effective step of hand washing is?
using friction to remove potential pathogens
The purpose of a spirometer is to evaluate?
volume of inhaled and exhaled air in the lung
Infection control and universal precautions guidelines include the following EXCEPT?
wear only PPE when in contact with infected patients
Which of the following is an anthropomorphic measurement?
weight
Office equipment inventory and maintenance requires keeping records on which the following?
All of the above
A wound where tissue is not just separated but torn away from the body is referred to as?
Avulsion
What artery should be palpated during cardiopulmonary resuscitation (CPR) to determine the presence of a pulse?
Carotid pulse
If the physician writes on the medical chart "Impression is acute lymphoblastic leukemia" where would should this be placed in the SOAP chart?
A
What legislation prohibits discrimination against people with disabilities in employment transportation, public accommodation, communications, and governmental activities?
ADA
The professional organization for the field of effective management of health data and medical record is?
AHIMA
A patient is diagnosed with essential hypertension which of the following blood pressures would you expect to see in this patient prior to taking medications for his condition?
142/92
Each small square on the EKG paper is
.04 seconds long and 1mm tall
You have been monitoring the oral temperature of Mr hadley for the past 10 days his temperature shows that he is having alternating febrile and afebrile days this type of fever pattern is known as?
Intermittent fever
red marked glass thermometers are used to take what temperature
Rectal
A 45 years old man came in for edema and fatigue, on physical examination the lungs had decreased breath sounds rales and crackles the patient has a family history of heart disease and smokes 3 packs of cigarettes and drinks vodka every day. under what part of the medical history will you include the smoking and drinking habits of the patient?
Social history
A patient's body temperature has varied over the last 24 hours from 97.6 degrees Fin the morning to 99 degrees F in the evening the patient is worried that this change in temperature may indicate the beginning of a fever which of the following BEST explains this phenomenon?
The patient is experiencing changes related to a diurnal rhythm
Korotkoff sounds are
The result of the vibration of blood against artery walls while blood pressure readings are being taken
Mrs williams came to your office with profuse vaginal bleeding because of a spontaneous abortion. her blood pressure initially was 90/60 mmhg five minutes after, the bp started to go down to 70/50 mmhg which of the following positions should you put her in to improve her blood pressure.
Trendelenburg
Patient cancellation should be noted?
all of the above
The best way to avoid injuries when using a computer?
all of the above
The pulse point located on the top of the foot is?
all of the above
When medical supplies are being inventoried, the medical assistant should
all of the above
When setting up the front desk, which of the following would enhance patient privacy?
all of the above
cold and heat modalities can be applied to?
all of the above
Maintenance of office cleanliness and arrangement is the responsibility of?
all staff of the physician
What is the benefit of the advanced scheduling system?
allows patients to plan ahead with their health care needs.
If you have a new patient appointment, which of the following should not be asked from the patient?
religion
What is a recommended way of scheduling so that a physician can catch up with the appointment schedules?
schedule at least 15 minutes free in the morning and afternoon
Which of the following is not usually used when making appointment reminders for the patient?
sending appointment letter by fax
Patients who are habitually late?
should be scheduled at the end of the day
Marital status occupation and lifestyle of the patient are part of the?
social history
Over a patient's lifespan, the pulse rate?
starts out fast and decreases as the patient ages
what term is used when all microorganisms including the spores in an instrument have been eliminated?
sterile
Surgical asepsis is being performed when?
sterilizing instruments
SOAP chart refers to?
subjective, objective, assessment, plan
A medical assistant took the vital signs of a patient. the patient has been complaining of palpitations and dyspnea his pulse rate is 120 and respiratory rate is 8 what is the patients condition?
tachycardia and bradypnea
When performing an EKG the patient starts to laugh out of feeling of anxiety what would you expect the EKG to show
tachycardia, poor EKG graph
A patient is in the office for a cyst removal and is very anxious about the procedure which of the following descriptions of his respirations would be expected
tachypnea
The purpose of ear instillation is to?
teat otitis externa
Which of the following statements is an example of an open-ended question?
tell me more about your symptoms
The procedure for taking a pulse rate on an infant differs from an adult how?
the apical pulse method is used on infants
Federal insurance contribution ACT (FICA) funds are paid into social security who pays into the FICA fund?
the employer and the employee each pay half of what is due
When teaching a patient to use the three point technique of crutch use?
the injured leg moves ahead at the same time as both crutches
