Professionalism and Medical Ethics for Medical Assistants and Physicians, Exams of Medicine

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Clinical Medical Assistant Final Exam 237 Questions with Answers 2024 If a medical assistant performs a patient exam after the patient has refused to allow it, the medical assistant can be charged with ✔ Battery The insurance plan called _____ is designed to provide health insurance for low-income and needy populations that covers children, the aged, the blind and/or people with disabilities who are eligible. ✔ Medicaid What is the federal insurance plan that provides health insurance for the persons over 65 years of age and/or disabled? ✔ Medicare What is it called when a physician receives one monthly fee from the insurance company for each subscriber and his or her practice? ✔ Capitation Insurance policies that provide benefits for conditions diagnosed and treated before the policy was issued are said to cover ____ conditions. ✔ Pre-existing Which law or government agency is primarily responsible for the regulation of laboratories and laboratory tests? ✔ Clinical Laboratory Improvement Act (CLIA '88) If a medical assistant performs only those procedures that he or she is trained for and allowed to perform by law, what is this an example of? ✔ Working within the scope of practice Which medical assistant is likely to be most successful? ✔ One who can remain calm when things do not go as planned Why are neatness and good grooming important for medical assistants? ✔ -they help the medical assistant project a professional image -clean hair and hands help prevent the spread of infection -if medical office staff looks professional, it helps patients believe that they will receive competent care -excessive jewelry can become tangled in equipment or tear gloves Which of the following is an important element a professionalism for medical assistants and physicians ✔ Obtaining continuing education to stay current in the profession Right and wrong conduct is known as ✔ ethics Negligence by a professional person is called ✔ malpractice What is the purpose of an advance directive ✔ States an individual's wishes regarding health care if the individual is not able to speak for him or herself Names an individual to make decisions for an individual if he or she becomes incapable of doing this Expresses an individual's wish to donate organs when he or she dies States an individual's wish not to be resuscitated if his or her heart stops beating What is the name for the crime of billing an insurance company for tests and procedures that were never performed? ✔ fraud Which of the following patients would be able to give informed consent for treatment? ✔ A 35-year-old woman with a hip fracture How should a physician terminate a relationship with a patient in order to avoid a possible lawsuit for abandonment? ✔ Notify the patient in writing What does the doctrine of respondent superior mean? ✔ The physician is liable for the negligent actions of his or her employees What is the name for the party against whom the lawsuit is brought, whether this is a doctor, medical facility, or hospital? ✔ defendant Lack of physical or mental fitness is known as ✔ incompetence When one employee engages another with unwanted comments or physical contact of a sexual nature, what is it called? ✔ harassment Which of the following must be reported to the proper authorities even if the patient does not consent? ✔ Gun shot wound, possible rape, case of tuberculosis, suicide attempt To whom would physicians report cases of specific infectious diseases? ✔ white blood cells and platelets What do the prothrombin time (PT) and the partial thromboplastin time (PTT) laboratory test monitor? ✔ Anticoagulation therapy Thrombocytes are also known as ✔ platelets Which of the following carries blood towards the heart ✔ veins The respiratory center is located in the ✔ pons and medulla of the brain stem What is the function of the gallbladder ✔ stores bile Which of the following is a characteristic of the urethra in a male? ✔ transports urine and semen Branches of the bundle branches, which transmit the impulses to the walls of the ventricles, causing the ventricles to contract are called ✔ Purkinje fibers The proportion of blood volume occupied by red blood cells and expressed as a percent (%) is measured by which test? ✔ Hematocrit (HCT) All of the following make a person less resistant to a pathogen except: Poor nutrition Immunizations Poor hygiene Stress ✔ Immunizations The purpose of the Occupational Safety and Health Administration Bloodborne Pathogens Standard is to: ✔ Reduce the risk to employees of exposure to infectious diseases The evacuated tube used to collect a blood sample for a complete blood count (CBC) has which additive? ✔ EDTA Which of the following is an example of an exposure incident Spilling blood on a laboratory worktable Sticking yourself with a needle after drawing up an injectable medication Getting blood onto your bare hands Splashing blood into your eyes ✔ Splashing blood into your eyes A patient with a sesamoid fracture could have a broken bone in any of these areas except the Knee hand skull foot ✔ Skull Which of the following is an example of a personal protective equipment? Clean disposable gloves biohazard sharps container scrubs prescription eyeglasses ✔ Clean disposable gloves What is the first thing you should do if a cut on your bare hand accidentally comes in contact with a patient's blood? ✔ Wash your hands with soap and water Gloves must be used to: ✔ Draw blood An extra-uterine pregnancy in which the fertilized ovum begins to develop outside the uterus is described as ✔ Ectopic Acquired immunodeficiency syndrome is cause by a: ✔ Virus Treatment administered to an individual after exposure to an infectious disease to prevent the disease is known as ✔ postexposure prophylaxis Acquired immunodeficiency syndrome cannot be transmitted through: ✔ casual contact Which of the following is used most often to sterilize articles in the medical office? Dry heat oven Ethylene oxide sterilizer Autoclave chemical agents ✔ Autoclave Something that is sterile is free of: ✔ All living microorganisms and spores Which of the following is true regarding a material safety data sheet ✔ It provides information regarding hazardous chemicals, it must be kept on file for each hazardous chemical stored in the workplace, It must be readily available to employees, it is available from the manufacturer of the hazardous chemical The process of using soap and water scrubbing to remove blood, tissue, or debris from medical instruments is known as ✔ Decontaminating What type of water should be used in the autoclave? ✔ distilled Which of the following must be re-sterilized ✔ A pack that has been dropped a pack that has been opened a pack that has gotten wet a pack that is torn What is the normal range for body temperature? ✔ 97 F to 99 F Which of the following terms refers to a fever? ✔ febrile A vague sense of body discomfort, weakness, and fatigue that often marks the onset of a disease is known as ✔ malaise Where is the radial pulse located? ✔ Thumb side of wrist What is the normal range for the pulse rate of an adult ✔ 60-100 BPM The normal respiratory rate of an adult ranges from ✔ 12-20 respirations per minute What is the term used to describing breathing that is easier in a sitting position ✔ orthopnea The oxygen saturation level of a healthy individual is For which of the following wounds would the physician be most likely to order a tetanus booster ✔ puncture What is the first line of defense of the body ✔ skin Which of these is a blood thinner Fluoxetine Warfarin Naproxen Dilantin ✔ Warfarin After a sterile dressing change, the medical assistant should instruct the patient to: ✔ Return for further care as directed by the physician,Keep the dressing dry , Keep the dressing clean, Contact the office if signs of inflammation occur function of sutures ✔ Approximate a wound Sutures inserted into the arms or legs are usually removed after ✔ 7-10 days What would a physician do is a sebaceous cyst is infected? ✔ Incise and drain the cyst The reason for enterically coating a tablet is to ✔ Prevent the medication from irritating the stomach lining Which of the following represents an equivalent value for a cubic centimeter? ✔ 1cc= 1 ml All of the following are units of weight except Gram Millimeter Milliliter Kilohram ✔ Milliliter Which of the following must be included on a prescription for a controlled drug ✔ Physician's DEA number Which of the following categories includes drugs that have a very high potential for abuse but are accepted medical use ✔ Schedule II All of the following are examples of schedule II drugs except Percocet Demerol Valium Ritalin ✔ Valium A patient that is conscious, but lethargic, with a rapid and weak pulse, and has a fruity or acetone breath odor might be ✔ Hyperglycemic What is the usual treatment for anaphylactic reaction ✔ epinephrine injection What is the term for the slanted edge at the top of a needle ✔ bevel Which of the following needles has the largest lumen 18G 20G 25G 27G ✔ 18G If a vial requires mixing before the medication is administered, the medical assistant should ✔ Roll the vial between the hands Which of the following is most likely to be used to administer intradermal injection ✔ Tuberculin syringe A subcutaneous injection is given into what type of tissue ✔ fat The purpose of aspirating when administering an injection is to ✔ Ensure that the needle is not in a blood vessel The vastus lateralis site is used most often to administer medication to ✔ infants and young children What angle of needle insertion should be used to administer an intramuscular injection ✔ 90 degrees Which of the following helps to reduce the pain of an intramuscular injection ✔ Telling the patient to breathe deeply, Inserting the needle quickly into the patient's skin Holding the needle steady after inserting it Withdrawing the needle at the same angle as used for insertion The method used to administer medications that are irritating to subcutaneous tissue is called ✔ Z-track Symptoms of active tuberculosis include all of the following except Fever cough abdominal pain hemoptysis (coughing up blood) ✔ Abdominal pain After administering a tuberculin skin test it should be read within ✔ 48-72 hours What is the abbreviation for before meals ✔ Ac What is the abbreviation for three times a day ✔ tid What is the abbreviation for one half ✔ SS Which of the following is an example of a medical office emergency situation in which intravenous access may be established Myocardial infarction Anaphylactic reaction Diabetic emergency Heat stroke ✔ All of the above An electrocardiogram is the recording of the: ✔ electrical activity of the heart How many leads are there on a standard electrocardiogram ✔ 12 Which electrode is used as a ground reference? ✔ right leg Chest lead V2 is located at the ✔ fourth intercostal space at left margin of sternum ✔ gtts Removal of synovial fluid from a joint is called? ✔ arthrocentesis The maximum time a tourniquet should be tied on the upper arm while drawing blood is ✔ 1 minute When collecting blood by skin puncture on an infant, you should use a ✔ Lancet It is very important when performing a capillary stick to do which one of the following? ✔ wipe away the first drop of blood The blood urea nitrogen test is used to: ✔ Detect kidney disease In drug testing the ______ regulates how specimens/evidence is to be collected and handled. ✔ Chain of custody The hemoglobin A1c test measures the: ✔ Average amount of blood glucose over a 3-month period Which of the following is a screening test for syphilis? ✔ VDRL Hepatitis b is transmitted through ✔ Sexual intercourse Escherichia coli normally resides in the: ✔ Large intestine A throat specimen should be collected from the ✔ Tonsillar area and posterior pharynx Which of the following is not a symptom of a heart attack? ✔ Sudden weakness on one side of the body What is another name for a stroke? ✔ cerebrovascular accident What is the name of the type of bleeding in which there is a slow and steady flow of blood that is dark red in color? ✔ venous The purpose of the Health Insurance Portability and Accountability Act is to: ✔ Provide patients with more control over the use and disclosure of their health information The medical term for straightening of a body part is ✔ extension When a medical assistant witnesses a patient's signature, it means that he or she: ✔ Verified the patients identity and watched the patient sign the form Which of the following is the abbreviation for a medical record stored on the computer? ✔ EMR What is the chief complaint? ✔ The symptom causing the patient the most trouble All of the following must be done when charting except: Begin each new entry on an empty line Include the patient's name at the beginning of each entry Begin each phrase with a capital letter Include the date and time with each entry ✔ Include the patients name at the beginning of each entry Why should a recording in the medical record never be erased or obliterated? ✔ Credibility is reduced if the physician is involved in litigation Which of the following is an example of a subjective symptom Rash Pain Dyspnea Bleeding ✔ Pain What is the term used to describe dizziness ✔ vertigo Which of these practices demonstrates adherence to HIPAA regulations? ✔ Giving patients a privacy notice each year with acknowledged receipt and Before scheduling an appointment for a patient with a specialist, what is the FIRST thing a medical assistant should do? ✔ Determine whether the patient's insurance with cover a specialist Under the Peer Review Improvement Act of 1982, Peer Review Organizations are responsible for the review for appropriateness and necessity of putting a patient into the hospital by a process known as ___________ review. ✔ Admissions Which of the following can be performed by an electronic medical record program? ✔ Creation of a medical record Storage of a medical record Editing of a medical record Retrieval of a medical record An electronic medical record prescription program can send a prescription to the pharmacy using: ✔ E-fax or e-mail The American Medical Association developed a numerical system for identifying procedures that is commonly known as a(n) _______ code book ✔ CPT What is the term for a duplicate copy of a program of data kept to reference in case the original is damaged, lost, or destroyed? ✔ Backup What answering the telephone, what is the best question for the medical assistant to ask to find out a callers name? ✔ "May I ask who is calling, please?" Which of these is a predetermined (flat) fee that an individual pays for health care services, in addition to what insurance covers, usually before each medical service or visit? ✔ Co-payment If an angry person calls the office, what should the medical assistant do or try to do? ✔ Use a calm voice to ask questions and obtain information about what has angered the caller Wave scheduling works best in which types of medical environments? ✔ Larger medical facilities A person or institution that gives medical care is a ✔ provider Which of the following reasons for an office visit will require the most time ✔ complete physical examination