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AMCA Certification Test Medical Assisting Study Guide Set A, Exams of Nursing

A study guide for the AMCA Certification Test for Medical Assisting. It contains 61 multiple-choice questions covering various medical topics such as medication orders, medical departments, gloves, immunizations, and more. The questions are designed to test the knowledge of medical assistants and other healthcare professionals. The document can be used as study notes or as a practice exam for those preparing for the certification test.

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2023/2024

Available from 12/08/2023

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Download AMCA Certification Test Medical Assisting Study Guide Set A and more Exams Nursing in PDF only on Docsity! AMCA CERTIFICATION TEST MEDICAL ASSISTING STUDY GUIDE SET A (DOWNLOAD TO SCORE A) 1) Which of the following is considered a parasitic infection? A. Lyme disease B. Rabies C. Ringworm D. Malaria - 2) Aspirin and acetaminophen are examples of: A. Analgesics and antipyretics B. Antitussives and decongestants C. Antihistamines and antiemetics D. Antidotes and antibiotics - 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 - 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 - 5) MSDS information includes: A. Table of chemical elements B. Product manufacturing conditions C. General and emergency information D. Information on competitor products - 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 - 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 - 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. Neurofibrils C. Neuron D. Supine - 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 - 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 - 20) Mr. Smith is suffering from an enlargement of the bones in the entire skull as well as in the hands and fee, 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 - 21) The functional unit of the kidney is the: A. Nephron B. Ureter C. Urethra D. Bladder - 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 - 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 - 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 - 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 - 26)What is the appropriate test used for heparin therapy? A. POCT B. APPT C. H&H D. SST - 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 - 28) Which agency regulates the Controlled Substances Act? A. IRS B. DEA C. SWAT D. OSHA - 29) Defamation through spoken statements is known as: A. Libel B. Sympathy 38) Which of the following precautions require special air handling and ventilation? A. Contact precautions B. Standard precautions C. Airborne precautions D. Droplet precautions - 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 - 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 - 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 - 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. - 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 - 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 - 45) The four symptoms of inflammation are erythema, edema, pain, and: A. Irritation B. Vomiting C. Heat D. Headache - 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 - 47) A pulse site used to measure blood pressure is: A. Brachial B. Popliteal C. Radial D. Temporal - 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 - 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 - 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 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 - 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 - 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 - 62) When a blood pressure cuff is deflated, the first tapping sound is the _____ pressure. A. Pulse B. Systolic C. Mean arterial D. Diastolic - 63) The body organ targeted by HBV is the: A. Brain B. Liver C. Heart D. Lungs - 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 - 65) What position should the patient be placed in when performing an ECG? A. Dorsal recumbent B. Supine C. Trendelenburg D. Prone - 66) Which mode of infection transmission occurs from touching contaminated linens? A. Droplet contact B. Direct contact C. Vehicle contact D. Indirect contact - 67) Which of the following is the most common means of transmitting pathogens? A. Ingesting food B. Blood transfusions C. Coughing D. Touching - 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 - 69) Notifiable infection must be reported to: A. The patient's physician B. Your supervisor C. World Health Organization D. Center for Disease Control - 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 - 71) The interval between exposure to infection and the appearance of the first symptom is called: A. Incubation period B. Active period 80) Which of the patient's limbs serves as an electrical ground? A. Right arm B. Left leg C. Left arm D. Right leg - 81) Another name for chest leads is: A. Standard B. Precordial C. Limb D. Augmented - 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 - a 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 - 84) A murmur is an abnormal sound that may indicate: A. Intestinal obstruction B. Valvular heart disease C. Stroke D. Bronchial asthma - 85) How many electrodes are used as part of a 12-Lead EKG? A. 10 B. 6 C. 12 D. 8 - 86) The amount of blood pumped by the heart per minute is called: A. Ejection fraction B. Cardiac output C. Contractility D. Blood pressure - 87) Sinus __________ is a slow dysrhythmia. A. Bradycardia B. Tachycardia C. Rhythm D. Dysrhythmia - 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 - 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 - 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 - 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 - 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 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 - 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 - 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. - 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 - 105) The ability to identify with someone else's feelings is called: A. Respect B. Feedback C. Sympathy D. Empathy - 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 - 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 - 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 - 109) Which of the following is known as swimmer's ear? A. Otitis externa B. Otitis C. Otitis media D. Otitis interna - 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 - 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 - 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 - 113) The function of the platelet is to: A. Cause the blood to clot B. Fight infection 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 - 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 - 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 - 125) Asystole: A. Is defined as the presence of chaotic cardiac activity B. Procedures 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 - 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 - 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 - 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 - 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 - 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. - 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 - 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 - 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 A. Right arm B. Left arm C. Left leg D. Right leg - 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 into 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 - 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 - 145) The Q wave, if present, is always: A. Positive B. Present C. Isoelectric D. Negative - 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 - 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 - 148) The acronym used to remember the actions to take when using a fire extinguisher is: A. ACT B. HELP C. RACE D. PASS - 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 - 150) Which of the following supplies blood to the heart muscle? A. Coronary arteries B. Brachial arteries C. Carotid arteries D. Cerebral arteries - 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 - 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 - 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 - 154) A phlebotomist enters a room to draw blood on a patient who is hospitalized with an infected wound. The site of the would and any of its bandages are considered which link in the chain of infection? A. Portal of exit B. Susceptible host C. Infectious agent 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 - 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 - 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 - 166) Tachycardia is a pathology that damages mainly the: A. Heart muscle B. Brain C. Blood vessels D. Body organs - 167) The national health insurance plan for Americans age 65 and older is: A. CHAMPVA B. Medicaid C. TRICARE D. Medicare - 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 - 169) Which body system has the liver, gallbladder and pancreas as accessory organs? A. Digestive B. Endocrine C. Integumentary D. Lymphatic - 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 - 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 - 172) Which chest lead is placed on the right sterna border in the 4th intercostal space? A. V3 B. V1 C. V2 D. V4 - 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 - 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 - 175) The contraction phase of the heartbeat is called: A. Systole C. Worker's Aide D. Group Health Insurance - 184) Health policies that concern a patient's constitutional right to privacy, informed consent and confidentiality are part of: A. Medical statutes B. Patient's Bill of Rights C. Consent laws D. Disclosure laws - 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 - 186) A physician, specialist or any person that provides medical care is known as the _______. A. Provider B. Policyholder C. Subscriber D. Dependent - 187) The term _________, refers to the list of charges for each of the provider's services. A. Fee schedule B. Coinsurance C. Copayment D. Cost sheet - 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 - 189) The insurance carrier is allowed to use any method to determine the amount for a service, also known as the ________. A. Fee schedule B. Deductible C. Allowed amount D. Insurance Premium - 190) Which of the following statements is true under the doctrine of respondeat superior? A. The physician is responsible for any errors made by the medical staff. B. The person who has been employed for the longest period of time is responsible for any errors made by them medical staff. C. The medical administrative assistant is responsible for any errors made by the medical staff. D. The medical administrative assistant is superior to other members of the medical staff. - 191) One example of a physiologic response to negative stress is: A. Headache B. High energy C. Sleep deprivation D. Upset stomach - 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 - 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 - 194) ___________________, also known as POMR, is a method of tracking the patient's problems during the time they are receiving medical care. A. Problem-oriented model records B. Problems on medical records C. Problem-oriented medical record charting D. Prognosis on medical record charting - 195) Another term for outpatient care is: A. Rehabilitation care B. Non ambulatory care C. Ambulatory care 204) Which of the following is an example of proxemics? A. Eye contact B. Facial expression C. Personal contact D. Personal hygiene - 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 - 206) Which of the following types of filing systems requires a cross reference files? A. Alphabetic B. Subject C. Geographic D. Numeric - 207) Before developing a medication schedule, you should evaluate the patient's: A. Bathroom habits B. Medical record C. Daily routine D. Side effects - 208) During assessment, the nest source from which to obtain patient information is the: A. The medical record B. Physician's notes C. A family member D. The physician - 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 - 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 - 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. - 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 - 213) Which of the following would be filled SECOND? A. Tommie Turner B. Thomas Turner C. Tom A. Turner D. Tommy Turner - 214) The amount that an insurance company may say is not allowed and not the responsibility of the patient, for a contracted physician, would be identified as this on the patient's account? A. A payment B. An adjustment C. A charge D. A deductible - 215) Managed care organizations control costs by: A. Limiting patient enrollment B. Detecting risk factors early C. Discouraging patient visits D. Eliminating case managers - 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 225) Name this part of the EKG. SELECT ONE: A. R to R interval B. ST segment C. PR segment D. QRS Complex - 226) Choose the answer that corresponds with letter A. SELECT ONE: A. Cephalic vein B. Radial artery C. Ulnar artery D. Brachial artery - 227) Choose the answer that corresponds with letter B. SELECT ONE: A. Brachial artery B. Cephalic vein C. Ulnar artery D. Radial artery - 228) Choose the answer that corresponds with number C. SELECT ONE: A. Radial artery B. Brachial artery C. Ulnar artery D. Cephalic vein - 229) Choose the answer that corresponds with number D. SELECT ONE: A. Ulnar artery B. Radial artery C. Brachial artery D. Cephalic vein - 230) Choose the answer that corresponds with number E. SELECT ONE: A. Basilic vein B. Radial artery C. Cephalic vein D. Median Cubital vein -