Exam Questions on Medical Assistant & Physician Professionalism, Anatomy, and Clinical Pra, Exams of Medicine

Download Exam Questions on Medical Assistant & Physician Professionalism, Anatomy, and Clinical Pra and more Exams Medicine in PDF only on Docsity! 1 Clinical Medical Assistant Final Exam 2024 If a medical assistant performs a patient exam after the patient has refused to allow it, the medical assistant can be charged with - ANS>> 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. - ANS>> Medicaid What is the federal insurance plan that provides health insurance for the persons over 65 years of age and/or disabled? - ANS>> Medicare What is it called when a physician receives one monthly fee from the insurance company for each subscriber and his or her practice? - ANS>> Capitation Insurance policies that provide benefits for conditions diagnosed and treated before the policy was issued are said to cover ____ conditions. - ANS>> Pre-existing Which law or government agency is primarily responsible for the regulation of laboratories and laboratory tests? - ANS>> 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? - ANS>> Working within the scope of practice Which medical assistant is likely to be most successful? - ANS>> One who can remain calm when things do not go as planned Why are neatness and good grooming important for medical assistants? - ANS>> - 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 - ANS>> Obtaining continuing education to stay current in the profession Right and wrong conduct is known as - ANS>> ethics Negligence by a professional person is called - ANS>> malpractice 2 What is the purpose of an advance directive - ANS>> 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? - ANS>> fraud Which of the following patients would be able to give informed consent for treatment? - ANS>> 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? - ANS>> Notify the patient in writing What does the doctrine of respondent superior mean? - ANS>> 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? - ANS>> defendant Lack of physical or mental fitness is known as - ANS>> incompetence When one employee engages another with unwanted comments or physical contact of a sexual nature, what is it called? - ANS>> harassment Which of the following must be reported to the proper authorities even if the patient does not consent? - ANS>> Gun shot wound, possible rape, case of tuberculosis, suicide attempt To whom would physicians report cases of specific infectious diseases? - ANS>> Local board of health or health department Which of the following is an example of a closed question? What is the reason for your visit today? Are you an only child? Can you describe your pain for me? What are your plans for the future? - ANS>> Are you an only child? How is the patient likely to react if the medical assistant asks, "why aren't you following your diet?" - ANS>> Become defensive What measure may improve communication if the patient has an impaired level of understanding? 5 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 - ANS>> 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 - ANS>> Skull Which of the following is an example of a personal protective equipment? Clean disposable gloves biohazard sharps container scrubs prescription eyeglasses - ANS>> 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? - ANS>> Wash your hands with soap and water Gloves must be used to: - ANS>> Draw blood An extra-uterine pregnancy in which the fertilized ovum begins to develop outside the uterus is described as - ANS>> Ectopic Acquired immunodeficiency syndrome is cause by a: - ANS>> Virus Treatment administered to an individual after exposure to an infectious disease to prevent the disease is known as - ANS>> postexposure prophylaxis Acquired immunodeficiency syndrome cannot be transmitted through: - ANS>> 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 - ANS>> Autoclave Something that is sterile is free of: - ANS>> All living microorganisms and spores Which of the following is true regarding a material safety data sheet - ANS>> It provides information regarding hazardous chemicals, it must be kept on file for each 6 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 - ANS>> Decontaminating What type of water should be used in the autoclave? - ANS>> distilled Which of the following must be re-sterilized - ANS>> 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? - ANS>> 97 F to 99 F Which of the following terms refers to a fever? - ANS>> febrile A vague sense of body discomfort, weakness, and fatigue that often marks the onset of a disease is known as - ANS>> malaise Where is the radial pulse located? - ANS>> Thumb side of wrist What is the normal range for the pulse rate of an adult - ANS>> 60-100 BPM The normal respiratory rate of an adult ranges from - ANS>> 12-20 respirations per minute What is the term used to describing breathing that is easier in a sitting position - ANS>> orthopnea The oxygen saturation level of a healthy individual is - ANS>> 95-99% Blood pressure measures - ANS>> The force exerted on the walls of the arteries by the blood Blood pressure is measured in - ANS>> millimeters of mercury Which of the following has an effect on blood pressure - ANS>> Pain, bladder distention, body position, smoking Which of the following is an example of a chronic illness - ANS>> arthritis What is the name of the instrument used to examine the external ear canal and tympanic membrane - ANS>> otoscope How should a patient be identified - ANS>> By name and date of birth 7 The lithotomy position is used to examine the - ANS>> vagina A patient has a burn on his lower back from lying on a heating pad. For this physical examination, you would place him in which of the following positions? Lithotomy Dorsal recumbent Supine Prone - ANS>> Prome The external auditory canal of an adult is straightened by: - ANS>> Pulling the ear upward and backward On a visual acuity reading of 20/50 what does the 20 represent - ANS>> Distance between patient and test chart What is the definition of the term ambulation - ANS>> ability to walk Pain associated with the menstrual period is known as - ANS>> dysmenorrhea In what position is the patient placed for breast examination? - ANS>> supine What is the purpose of the Pap test - ANS>> Early detection of cancer of the cervix Which type of drug relieves allergic symptoms or allergic reactions - ANS>> Antihistamine Nitroglycerine is typically used for - ANS>> Angina pectoris Chlamydia often occurs in association with: - ANS>> gonorrhea A patient with which of these conditions might be given corticosteroids and NSAIDs as treatment HIV or AIDS Infectious mononucleosis H1N1 influenza Systemic lupus (SLE) - ANS>> Systemic lupus (SLE) What is LMP? - ANS>> first day of last menstrual period A patient who places his head and chest on the exam table while kneeling with buttocks elevated is being examined in the - ANS>> Knee-chest What immunizations are included in a DTaP injection - ANS>> diphtheria, pertussis, tetanus 10 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 - ANS>> Z-track Symptoms of active tuberculosis include all of the following except Fever cough abdominal pain hemoptysis (coughing up blood) - ANS>> Abdominal pain After administering a tuberculin skin test it should be read within - ANS>> 48-72 hours What is the abbreviation for before meals - ANS>> Ac What is the abbreviation for three times a day - ANS>> tid What is the abbreviation for one half - ANS>> 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 - ANS>> All of the above An electrocardiogram is the recording of the: - ANS>> electrical activity of the heart How many leads are there on a standard electrocardiogram - ANS>> 12 Which electrode is used as a ground reference? - ANS>> right leg Chest lead V2 is located at the - ANS>> fourth intercostal space at left margin of sternum What is the term used to refer to an electrocardiogram that is within normal limits - ANS>> normal sinus rhythm After a grand maul seizure, a patient might typically - ANS>> Be confused and drowsy What is occult blood? - ANS>> Blood that is not visible According to the American cancer society prostate screening should be performed - ANS>> Once a year for men older than 50 Testicular cancer occurs most commonly - ANS>> Between ages 15 and 34 11 Which of the following is most commonly used as a contrast medium for fluoroscopic examination of the Gastrointestinal track - ANS>> Barium sulfate Which of the following occurs when the body is in homeostasis - ANS>> Laboratory test results fall within the normal range All of the following are included in a lipid profile except Glucose total cholesterol high density lipoprotein cholesterol triglycerides - ANS>> Glucose If a physician's office laboratory is performing moderate-complexity tests, the Clinical Laboratory Improvement Amendment requires: - ANS>> Proficiency testing three times a year, A system to identify patient specimens throughout the testing process, Two levels of controls daily, Calibration procedures every 6 months A ph reading of 8 means that the urine specimen is - ANS>> alkaline Which of the following urine test may be positive when a patient has hepatitis - ANS>> bilirubin How long does it take whole blood to clot in a red top evacuated tube - ANS>> 60 minutes Why should the veins of the hand be used only as a last resort when performing a venipuncture? - ANS>> The veins of the hands tend to roll procedure more uncomfortable for the patient Hand veins have thin walls, making them more susceptible to collapsing Which of the following antecubital veins is considered the best vein to use for venipuncture? - ANS>> median cubital vein Which of the following gauge needles should be used to perform a venipuncture? - ANS>> 21 G What color stopper tube is used to collect a blood specimen for complete blood count? - ANS>> lavender What color stopper tube is used to collect a blood specimen for a prothrombin time test? - ANS>> light blue What color stopper tube is used to Collect a blood specimen for most blood chemistry tests? - ANS>> red 12 Which of the following indicates the correct order or draw for the vacuum tube method of venipuncture? - ANS>> (Gold) Blue, red, green, lavender, gray Which of the following results in patient discomfort during the venipuncture process? - ANS>> Moving the needle after it has been inserted into the vein Which of the following should not be used as a venipuncture site? - ANS>> Scarred skin, bruised skin, an area that is painful to the patient, burned skin During the venipuncture procedure, a sudden swelling occurs in the area around the puncture site. What is the first thing you should do? - ANS>> Immediately remove tourniquet and then the needle You are performing a venipuncture, and the patient becomes dizzy and is about to faint. Your first priority in the situation should be to: - ANS>> Protect the patient from injury Drugs that have been mixed, but NOT dissolved in liquids are called - ANS>> Suspensions A low hemoglobin reading occurs with: - ANS>> anemia The abbreviation for drops is - ANS>> gtts Removal of synovial fluid from a joint is called? - ANS>> arthrocentesis The maximum time a tourniquet should be tied on the upper arm while drawing blood is - ANS>> 1 minute When collecting blood by skin puncture on an infant, you should use a - ANS>> Lancet It is very important when performing a capillary stick to do which one of the following? - ANS>> wipe away the first drop of blood The blood urea nitrogen test is used to: - ANS>> Detect kidney disease In drug testing the ______ regulates how specimens/evidence is to be collected and handled. - ANS>> Chain of custody The hemoglobin A1c test measures the: - ANS>> Average amount of blood glucose over a 3-month period Which of the following is a screening test for syphilis? - ANS>> VDRL Hepatitis b is transmitted through - ANS>> Sexual intercourse 15 Which of the following reasons for an office visit will require the most time - ANS>> complete physical examination The International Classification of Disease, 9th Revision, Clinical Modification (ICD-9- CM) is used to code ________ - ANS>> diagnoses Which condition is the lowest priority and could wait until an available appointment in a day or two? - ANS>> Cold with runny nose Medical doctors that operate a business as a corporation or partnership must have what type of number issued but the IRS? - ANS>> Employer Identification number Treating all Patients as if they could be Potentially Infectious - ANS>> Standard universal precautions Which of these transmission-based safety precautions would be used to reduce the transmission of tuberculosis? - ANS>> Airborne precautions Biohazard labels must be colored - ANS>> orange-red An EKG that demonstrates no variation of R-R intervals would indicate - ANS>> A regular heart rate Fluid that is held within body tissues, causing them to swell, is called - ANS>> Edema What is the CMA's role in a medical emergency if a patient calls in to report it or if a patient comes to the office in person? - ANS>> Make sure that a walk in emergency is seen by a physician as quickly as possible Make sure that a walk in emergency patient get to the ER if there is no physician Finding out immediately what the physician wants to do in case of a call in What is the term used to describe money that is owed to the medical office? - ANS>> accounts receivable If a patient takes her own pulse and count 20 20 heartbeats in 15 seconds what is her actual heart rate - ANS>> 80 The temperature scale with the freezing point of water at 32° and the boiling point at 212° is called - ANS>> Fahrenheit Which of these organizations affords the patient the option of using either network or non-network physicians or hospitals - ANS>> PPO Which of these is not one of the "six rights of medication administration" 16 The right patient the right doctor the right drug the right dosage - ANS>> The right doctor What does it mean when you see diagonal lines on the autoclave tape of a wrapped article - ANS>> the article has been autoclaved An instrument used to pen or distend a body orifice is called - ANS>> Speculum The angle of the needle for an intradermal injection should be - ANS>> 10-15 degrees What type of insurance are HCPCS codes used for - ANS>> Medicare and Medicaid Which of these patients has a nosocomial infection - ANS>> Patient who developed MRSA infection after hospital admission When the insurance company pays 80% of the charge and the patient pays the remaining 20% what is the patient's portion called - ANS>> Coinsurance When is the physician reimbursed directly for services by the insurance company - ANS>> If the patient has signed an assignment of benefits form A narrowing of the urethra caused by scar tissue is called - ANS>> urethral stricture To cleanse the typical venipuncture site, begin at the intended site of the draw and - ANS>> work in a circle from the center to the periphery A downward or negative wave of an electro cardiogram following the P wave is the - ANS>> Q wave A centrifuge works by - ANS>> separating cells and serum Spinning blood specimens how should a 24-hour urine specimen be stored during collection? - ANS>> refrigerator The most important initial step in the performance of a blood draw is - ANS>> identifying the patient The appropriate needle length for an intramuscular injection for adults is - ANS>> 1-1 1/2 inches The doctor orders Depo-Medrol 40 mg IM for a patient. You have a file that reads Depo-Medrol for injection only 80 mg/mL what will you give the patient? - ANS>> 0.5 ML 17 A noninvasive cardiac evaluation using an ECG under controlled exercise conditions is called a - ANS>> Treadmill stress trst 60 mg in the metric system is equivalent to what amount in the apothecary system - ANS>> 1 grain The 6 standard chest leads of an ECG are called - ANS>> Precordial leads When does an incident report need to be completed? - ANS>> Immediately after the incident occurs The drug classification for furosemide (Lasix) is - ANS>> Diuretic Which bone fracture goes entirely across the bone - ANS>> complete