Core CCHI Exam Practice (245 Questions) With 100% Correct And Verified Answers, Exams of Health sciences

Download Core CCHI Exam Practice (245 Questions) With 100% Correct And Verified Answers and more Exams Health sciences in PDF only on Docsity! Core CCHI Exam Practice (245 Questions) With 100% Correct And Verified Answers What organ has a lymphatic and endocrine function? ANSWER: spleen What humidifies and filters air when it passes through the nasal cavity to prevent harmful organisms from going in? ANSWER: cilia and mucus What is the thickest muscular layer of the heart and is the main force behind continuous pumping of blood? ANSWER: myocardium What vessels have one-way valves to prevent back flow? ANSWER: lymphatic vessels What defect is this: hole in the wall that separates the two lower chambers of the heart? ANSWER: ventricular septal defect Suffix: -itis - ANSWER: inflammation What are some confidentiality laws? ANSWER: HIPPA, FERPA, GLBA Interstitial fluid - fluid floating around capillaries What are some positive symptoms and negative symptoms of someone with schizophrenia? ANSWER: positive: hallucinations, delusions - negative: flat effect What plane divides the left and the right and which one divides front and back? ANSWER: sagittal plane: left right, coronal plane: front back LEP - ANSWER: Limited English Proficiency hematuria - ANSWER: blood in the urine A test used to see electrical activity of the heart - ANSWER: electrocardiogram The prefix "Brady" means? ANSWER: slow How does expectation of confidentiality vary across cultures? ANSWER: Topics considered private as well as who has a right to certain info varies across culture. Levels of collectivism and individualism impact these. A person exhibiting signs and symptoms of Cerebrovascular Attacks (CVA) or Transient Ischemic Attack (TIA) may be described as having _______? ANSWER: Brain attack Dynamic Equivalence - ANSWER: thought for thought interpretation What philosophy is associated with being overly involved with clients? ANSWER: helper philosophy What gland is known as the master gland? ANSWER: pituitary gland What is a balanced approach with dynamic equivalence? ANSWER: bilingual/bicultural What controls unconscious functions such as respirations and digestion. Consists of midbrain, pons and medulla oblongata? ANSWER: brainstem What are the interpreter’s standards of conduct? ANSWER: accuracy, confidentiality, professionalism, cultural awareness, professional development, transparency, impartiality, respect Nephrology - ANSWER: branch of medicine dealing with kidneys What two things do you not use during an interpretation? ANSWER: additions: adding things to target language that was not present explicitly or implicitly in the source, omissions: leaving out pieces of info with distortion in message to target language What region of the brain deals with motor portions of language formation? ANSWER: Brocas Area What is the purpose of language in accuracy big 3? ANSWER: social relations, self-expression prefix: sclero - ANSWER: hardening What is the ileum? ANSWER: final part of the small intestine The ______ Model of Interpretation goes as follows: What chronic condition does the immune system attack and kill cells in charge of pigmentation? ANSWER: vitiligo What is the difference between A, B and C language? ANSWER: A: native language most fluent, B: fluent knowledge somewhat limited, C: understand cant interpret completely Cholecystitis - ANSWER: inflammation of the gallbladder What are the atria and ventricles? ANSWER: atria is top chamber of the heart in which blood enters the heart and ventricles are bottom chambers of the heart that pump blood out of the heart What are some situations in which consumers have an expectation of confidentiality? ANSWER: healthcare appointment, educational records, legal consultation, discussions with financial institutions White blood cells aka:______ , fight_____? ANSWER: leukocytes, infection What hormone is released when blood levels of glucose are low? ANSWER: glucagon What is in a message? ANSWER: (accuracy's big 3) - spirit, context, content, register Left side of the brain affects the ______ of the body ANSWER: right side What part of the lymphatic system develops t-cells? ANSWER: thymus In this dimension of culture people are group oriented, believe that rights of families and communities supersede those of the individual and decisions take time and deliberation group consensus. ANSWER: collectivists What are the accessory structures of the integumentary system? ANSWER: hair, nails, melanin What are the intentions of the National Standards of CLAS? ANSWER: advance health equity, improve quality and help eliminate health disparities Changing attitude or behavior by focusing on thoughts, images, beliefs and attitudes that are held and how these processes relate to the way a person behaves as a way of dealing with emotional problems is what type of therapy? ANSWER: cognitive behavioral therapy . _____ culture is procedure based, low-context, fast-paced, focused on the pathological perspective. ANSWER: Biomedical culture Bundle of His - collection of heart muscle cells specialized for electrical conduction Public health insurance ______ is for people over 65 or older and patients with end stage renal disease while _____ is mostly income based, varies by state, depends on citizenship status and is for qualified children and children. ANSWER: medicare, medicaid Root: angio - vessel A professional: 1. is_______ ( ), 2. Holds ____ _____ to code of ethics, 3. values interest of _____ above ______. 4. Can discuss her work using ______ and ____ ANSWER: 1. trustworthy (honestly, reliability, accountability), 2. self accountable, 3. client, money. 4. appropriate vocabulary and concepts proximal - ANSWER: point closest to mid line of body Fibrous serous sac around heart - ANSWER: pericardium Tiny tube that doctor can insert into blocked passageway to keep it open. Restores flow of blood or other fluids - ANSWER: Stent Congestive Heart Failure - ANSWER: heart is weaker than it should be and is not able to pump with same power than it did Removal of plaque - ANSWER: atherectomy Flap that prevents food from entering trachea by closing over during swallowing - ANSWER: epiglottis Abnormal amount of fluid accumulates in pleural cavity. Prevents lungs from fully expanding - ANSWER: pleural effision left brachiocephalic vein, lymph drained back to circulatory system into left brainchiocephalic vein to bring blood back to heart - ANSWER: thoracic duct suffix: -megaly - ANSWER: enlargement Anatomical term for loose connective tissue composed of adipocytes. Main role is to store energy in form of fat, aslo cushions and insulates body - ANSWER: adipose tissue Chronic disorder characterized by excess production of skin cells. Tend to build up on surface to form thick patches that can be very red, itchy and painful. - ANSWER: psoriasis Secretes digestive enzymes that assist in absorption of nutrients and digestion in small intestine. - ANSWER: Pancreas Chronic inflammatory disease that forms in digestive tract, no cure but changes in diet and lifestyle help. - ANSWER: Crohn's Disease Process to supplement work of kidneys and filter out waste of body. Patients are connected to machine that takes their blood filters it and puts it back. - ANSWER: Dialysis Specialist that incorporates the study of liver, gallbladder, biliary tree and pancreas - ANSWER: Hepatology Relieves taste and smell impulses, coordinates messages from peripheral nervous system, controls heart rate, blood pressure and body temp, has sensors that control mood and emotion - ANSWER: Hypothalamus Dysphagia - ANSWER: difficulty swallowing Dysphasia - ANSWER: difficulty speaking Connects anterior part of femur to posterior of tibia - ANSWER: Posterior Cruciate Ligament Long bone that lies horizontally in body, acts as barrier between between scapula and sternum - ANSWER: Calvicle Muscles connected to bones by - ANSWER: tendons Abduct - ANSWER: bring towards midline voluntary muscles - ANSWER: skeletal muscles Cartrilage degeneration due to wear and tear through the years - ANSWER: osteoartritis Act of maintaining the systems in the body at equilibrium - ANSWER: homeostasis How to deal with figures of speech: -good: -good: -best: - ANSWER: -good: interpret explicit meaning in TL -good: retain original figurative language in TL -best: equivalent expression in TL How to deal with double negatives: -best: -good: - ANSWER: -best: retain structure in TL if possible -good: render as an affirmative statement Interpretation Process: Reception 1. make sure you can ____ 2. Manage _____ of _____ 3. Ask for clarification appropriate to ___ - ANSWER: 1. hear 2. flow of communication 3. setting Interpretation process: 1. take in _____ ____ 2. _______ deep structure meaning 3. Apply ______/ schema screen 4. ______/ rehear TL utterance 5. ________ interpretation in TL - ANSWER: 1. source language 2. identify 3. context 4. formulate 5. produce Everyone wants to work with an interpreter with what 3 qualities - ANSWER: warmth, confidence, respect What voice do you use - ANSWER: speak as one adult to another Encouraging consumer eye contact by - ANSWER: helpful positioning, using notes, when necessary address situation directly How to maintain message accuracy - ANSWER: use words to clarify body language and tone that might be misinterpreted, incorporate meaning of tone and body language Ethical reasoning frameworks - rules based, code of ethics as sole guides, technical professions - deontological Ethical reasoning frameworks: -outcome based, utilitarianism, code of ethics as foundation, practice professions - teleological -Beneficence: -fidelity/accuracy: - - ANSWER: well being of patient -faithfulness to original message root: thera - ANSWER: muscle suffix: -us - ANSWER: a conditon An interpreter is assisting with an inpatient admission form.What is the MOST appropriate mode of interpreting for the interpreter to use? ANSWER: sight translation Main function of the prostate gland - ANSWER: produces lubricating liquid for sperm An interpreter has just lost a close family member to suicide. A patient arrives in the emergency room after surviving an attempted suicide. The interpreter begins to feel emotionally overwhelmed during the interpretation. Which is the MOST appropriate action for the interpreter to take? ANSWER: disqualify himself from encounter A male interpreter has been assigned to interpret for a mother and child instructional class that is required for all first-time mothers. The interpreter notices that one young woman is not interacting with the instructor. Additionally, the mother is blushing and looking down. The interpreter believes that he may be the cause of the mother's discomfort since in some cultures it is shameful for women to talk about female hygiene in the presence of men. The interpreter knows that a female colleague is the dedicated emergency interpreter that day and considers calling her regarding this assignment. ANSWER: answer next 2 questions Why is it important that the emergency interpreter for the day is female? A. The female interpreter might have better insight into the patient's behavior. B. Female interpreters have better rapport with female patients than male interpreters. C. The female interpreter could replace the male interpreter for this encounter. ANSWER: C What led the interpreter to suspect that his presence was making the patient uncomfortable? A. The patient was sending non verbal cues B. The patient was not interacting. C. It's the patient's first delivery. D. The patient is young. ANSWER: A Perineal care - ANSWER: is usually called "peri care." It means washing the genitals and anal area. An interpreter is working with a new provider. What should the interpreter FIRST address with the provider prior to the start of the encounter? Inform the provider that everything said will be interpreted. Interpreting every speaker's utterances accurately and completely is the essential function and responsibility of the interpreter B. Ask if the provider wants to be briefed following the encounter. C. Clarify to the provider cultural issues based on the interpreter's knowledge of the patient's background. D. Remind the provider that everything said will remain confidential. ANSWER: A What is the name of the surgical procedure where part or all of the foreskin (prepuce) is removed? ANSWER: circumcision During a healthcare encounter, the patient is extremely expressive through gestures while communicating with the provider. The provider misinterprets the gestures as a sign of anger. Which is the MOST appropriate action for the interpreter to take? A. Avoid mentioning anything since this is not an oral response. B. Intervene transparently and offer to clarify the cultural context of the gestures to the provider. C. Wait until the healthcare encounter is over and discuss the use of gestures with the provider and patient. D. Tell the provider that this is not anger and that such gestures are common in the patient's culture. ANSWER: B After a healthcare appointment, the patient has a question about getting medical insurance. Which is the MOST appropriate action for the interpreter to take? ANSWER: Refer the patient to Financial Services Arrhythmia is an indication that which of the following body systems is functioning abnormally? ANSWER: cardiovascular During a healthcare encounter where the female patient is present with her husband, the provider directs his questions to the patient, but the husband always answers in her place. The physician does not intervene. Which is the MOST appropriate action for the interpreter to take? In a healthcare encounter, the patient uses a word that has multiple meanings depending on the region or country the patient is from. Which is the BEST action for an interpreter to take? A. Inform the provider that the patient has used a word that the interpreter doesn't understand and suggest that the provider request a telephone interpreter from the patient's home country. B. Let the physician know that the interpreter needs to clarify the word with the patient for a potential linguistic difference. C. Based on the context of the message, relay what the interpreter thinks the patient means. D. Interpret to the best of their ability, and after the encounter has concluded, debrief with the physician on the potential linguistic difference. ANSWER: B During a healthcare encounter at a follow-up appointment for a cancer patient, the spouse whispers to the interpreter in English that if her spouse has a terminal diagnosis, not to interpret that to the patient. The provider does not hear the request. Which is the BEST action for an interpreter to take? A. Interpret the spouse's request to the provider and then tell the spouse that the interpreter must interpret everything. B. Agree to omit that information. C. Interpret the spouse's request to the provider and then, maintaining transparency with the provider, suggest to the spouse to share with the doctor their reason behind the request. D. Disregard the spouse's request without explanation and continue interpreting. ANSWER: C Overhead: silver - ANSWER: shooter Overhead: pink - ANSWER: infant or child abduction During a healthcare encounter at a pediatrician's office, what mode of interpreting will an interpreter MOST likely use? ANSWER: consecutive Triage - ANSWER: the assignment of degrees of urgency to wounds or illnesses to decide the order of treatment of a large number of patients or casualties. During a healthcare encounter in the emergency room, the triage nurse instructs the interpreter and the patient to sit in the waiting room. Hours later, the patient is still waiting. The patient insists on seeing the doctor right away because she arrived before other patients. Which of the following is the MOST appropriate action for the interpreter to take? A. Tell the patient that this is a public hospital, and the waiting time is always longer here than at a private one. B. Explain to the patient the importance of triage and why she has to wait to be seen. C. Go with the patient to the appropriate staff to inquire about the situation and interpret for the patient. D. Go to the nurse's station and inform the nurse that the patient has been waiting for several hours and ask that she be seen right away. ANSWER: C At a healthcare encounter in the psychiatry unit, the interpreter introduces herself to the patient and the provider. Immediately after, the patient begins to speak at a very fast pace. What should the interpreter do? A. Refuse to interpret for this patient. B. Ask the patient to speak in short sentences. C. Tell the provider that the patient is not making sense. D. Begin interpreting simultaneously. ANSWER: D Which healthcare specialty involves diagnosis and treatments of tumors and cancers? ANSWER: oncology Diseases characterized by characterized by inflammation that affects the connecting or supporting structures of the body — most commonly the joints, but also sometimes the tendons, ligaments, bones, and muscles. ANSWER: rheumatic disease A medical or osteopathic doctor who specializes in eye and vision care. They differ from ___________ and ________ in their levels of training and in what they can diagnose and treat. ANSWER: ophthalmlogist. Optometrists, optricians A nurse asks the interpreter to read a consent form to the patient and make sure that the patient signs it while the nurse checks on another patient. What should the interpreter do? A. Read the consent form but have the patient wait for the nurse to come back in order to sign the document in her presence. B. Politely explain that sight translation of a consent form is not considered informed consent and ask the provider to go over the form with the patient. C. Summarize the contents of the form mentioning what is relevant for this particular procedure. D. Read the entire document to the patient and ask him to sign it while the nurse is checking on other patients. ANSWER: B A patient recently suffered a stroke and has been receiving daily occupational therapy and speech therapy. After receiving occupational therapy, the patient will be taken to a different department to receive speech therapy. The patient has difficulty walking and the interpreter notices that no wheelchair is available. How should the interpreter proceed? A. Advise the patient's relative to request a wheelchair. B. Notify a provider about the patient's need for a wheelchair. C. Leave the patient in the waiting area and try to find a wheelchair in the building. D. Call the Patients Rights Office to complain about the situation. ANSWER: B Lower intestinal exploration - ANSWER: colonoscopy A patient complains of abdominal pain, flatulence, and bloating. The gastroenterologist recommends a colonoscopy. To prepare for the test, the patient has to follow a soft diet for a few days and drink a prescribed mixture and clear liquids for 24 hours before the procedure. The prep nurse gives the patient a hotline number in case of any discomfort or if questions arise. The interpreter has learned from previous encounters that the patient is diabetic, but the patient fails to convey that information to the providers. - ANSWER: for next two questions What did the nurse mean by hotline? A. A number with information on spicy food restrictions. B. The weather hazard phone number for the hospital area. C. A phone number for quick access to a source of information or help. D. The gastroenterologist's cell phone number. ANSWER: C Knowing that the patient has diabetes, what should the interpreter do in this situation? A. Tell the provider that the patient has diabetes. B. Not mention anything about diabetes since the provider should have the patient's records. C. Not mention anything about diabetes since there is a hotline available. D. Advise the patient to mention diabetes to the provider. ANSWER: D The main artery of the body, supplying oxygenated blood to the circulatory system - ANSWER: aorta ENT / otorhinolaryngology - ANSWER: A medical specialty that treats ear, nose, and throat problems. A thin membrane that separates the external ear from the middle ear. Its function is to transmit sound from the air to the bones inside the middle ear. Rupture or perforation of the eardrum can lead to hearing loss. - ANSWER: ear drum What standard of practice does an interpreter use when he or she does not leave notes on an interpreting session in public view. - ANSWER: confidentiality What standard of practice does an interpreter use when he or she has omitted an important word corrects the mistake as soon as possible. - ANSWER: accuracy What standard of practice does an interpreter use when he or she alerts his or her supervisor to patterns of disrespect towards patients - ANSWER: advocacy What is the IMIA and what are their three main standards of practice. - ANSWER: International Medical Interpreters Association. Interpretation, cultural interface and ethical behavior Where is it recommended for the interpreter to position themselves in an inpatient interview? - ANSWER: At bedside Generally when systolic blood pressure is less than 90 mm Hg or diastolic less than 60mm H - ANSWER: hypotension Is arteriosclerosis of the inner lining of the blood vessels that supply blood to the heart. - ANSWER: coronary artery disease Chest pain or discomfort that usually occurs with activity or stress. - ANSWER: agina dyspnea - ANSWER: shortness of breath When the heart stops beating suddenly and respiration and other body functions stop as a result.Sudden cessation of heartbeat and pumping action of the heart, resulting in the loss of effective circulation. - ANSWER: cardiac arrest the ultrasound of the heart - ANSWER: echocardiogram a piece of tissue or an organ transplanted from a donor or from the patient's own body to an area of the body needs the tissue - ANSWER: graft procedure that can correct arrythmias - ANSWER: cardiac ablation otoscope - ANSWER: to examine ear canal An infection of the bone behind the ear. It is usually caused by a middle ear infection (acute otitis media). The infection may spread from the ear to the mastoid boneof the skull. The mastoid bone fills with infected materials and its honeycomb-like structure may deteriorate. - ANSWER: mastoiditis Medical problems that arise from the pressure differences between earsand the environment(water, air)and is a particular concern for scuba divers. It may also happen during an airplane flight. - ANSWER: ear barotrauma ringing in ear - ANSWER: tinitus A noncancerous growth or tumor on the auditory nerve near the inner ear. - ANSWER: acoustic neuroma tympanostomy tubes - ear tubes Hearing specialists who are trained to identify, diagnose, measure, and treat hearing disorders or balance problems. - ANSWER: audiologist A contagious disease characterized by spasms of deep, noisy coughing and a loud "whooping" sound upon inhalation - ANSWER: pertussis, whooping cough A genetic condition causing poor clearance of mucus from the bronchi. The accumulated mucus results in repeated lung infections. - ANSWER: cystic fibrosis Supplemental healthcare services such as laboratory work, x-rays or physical therapy that are provided in conjunction with medical or hospital care - ANSWER: ancillary services first part of large intestine immediately beyond the stomach - ANSWER: duodenum A physician who specializes in the diagnosis and treatment of diseases of the digestive system. - ANSWER: gastrointerologist Enlarged, swollen due to pressure from inside; bloated. - ANSWER: distended A condition when the skin, mucus membranes,or whites of the eyesturn yellow. The yellow coloring comesfrom excess of the pigment bilirubin;typically caused by an obstruction of the bile duct, by liver disease, or by excessive breakdown of red blood cells. - ANSWER: jaundice A branch of medicine dealing with the use of radioactive materials in the diagnosis and treatment of disease. - ANSWER: radioactive medicine surgery when the gallbladder is removed. - ANSWER: cholecystectomy A small pear-shaped sac located under the liverthatstores and concentrates bile produced in the liver. - ANSWER: galbladder