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Medical Assistant: CMA
Certification Exam Practice
Questions and Correct Solutions
Clia-waived laboratory procedures Tests to be performed are simple with a low risk of error What is the normal temperature 97.6-99.6 (36.4c-36.7c) Oral temperature above 100 (37.8c) rectal/ear temperature above 101 (38.3c) what do these numbers indicate? Fever Pediatric patient fever Rectal temperature is 100.4 (38c) or above Normal blood pressure Systolic is less than 120 and diastolic is less than 80 (120/80) Pre hypertension Systolic 120- 139 diastolic 80- 89 Hypertension stage 1 Systolic 140- 159 diastolic 90- 99 Hypertension stage 2 Systolic 160+ diastolic 100+ Hypertensive crisis
Systolic 180+ diastolic 110+ Hypotensive Systolic < diastolic < Heart rate range 60 - 100 bpm resting state athlete 40bpm Tachycardia 100+ bmp heart rate Bradycardia <60bpm heart rate Respiration rate 12 - 20rpm abnormal-pale skin/cold Vital signs Provides diagnostic information for the physician blood pressure, temperature, pulse, and respirations Ventricles contract Blood is pushed out of heart and into the aorta and pulmonary artery Blood pressure is divided into two section Systolic/diastolic Systole When the heart contracts Diastole When the heart relaxes Sphygmomanometer Used to measure a patient's blood pressure
(f-32) x 5/ 1 pound=.45kg Kilograms to pounds Kilogram x 2. Pounds to kilograms Pound x. Supine position Laid flat Dorsal recumbent Laid face up with knees bent Fowlers position Patient is laid on a table with head of the table elevated to 90 degrees Semi fowlers Table elevated to 45degrees Prone position Patient is face down Sims position Patient lies on their left side with the right leg sharply bent with knee on exam table Knee chest position Patient rests on the knees and chest with head turned to one side Trendelenburg position Patient is supine and bottom of the table is raised about 30 degrees Medication administered Oral, topical, and parenteral Injectable medication
Intramuscular, intradermal, and subcutaneous Intramuscular injection Seated position exposing deltoid, 3 fingers below acromial process, aspirate and observe for blood, if no blood inject medication 90 degree angle Intradermal injection Seated position 15 degree injection Subcutaneous injection Upper arm inject 45 degrees aspirate for blood and then inject medicine Pulmonary function test Uses spirometer and blow as hard as possible Snellen chart Vision test Routine specimens Most common urine test Midstream specimen Urinate a little, collect the sample, and then continue to empty bladder Clean catch urine sample Clean urethral opening of patient before urinating Sputum testing Detect lower respiratory tract infections cough into container Saliva testing Monitor hormone, drug, and alcohol levels Fecal testing Dectect parasites, blood and bacteria Semen testing Fertility testing
Which of the following is the appropriate part of the eye at which to aim the solution when beginning to perform an eye irrigation? Inner canthus A patient measures 5ft 8in which is her height in cm 173 (5 x 12 + 8 x 2.54) Which of the following would be a normal adult temperature 37c (98.6f or 37c) Hypertensive crisis Systole of 190 Correct device to perform a pulmonary function test Spirometer Acromial process Outermost point of the spine of the shoulder blade Aorta Main trunk of the systemic arteries Aseptic Free from pathogenic micooranisms Autoclave An instrument that sterilizes equipment and supplies by high pressure saturated steam Axillary The area on the human body under the joint that connect the arm to the shoulder Brachial artery The major artery of the upper arm Bradycardia
Slow heart rate Biohazard bag A container designed to collect any biological waste Bronchodilators A substance that dilates the bronchi in the lungs decreasing resistance in the respiratory airways Cerumen A wax in the ear Conjunctiva A clear mucous membrane that covers the inner surface of the eyelid and white part of the eyeball Cyanotic Appearance of blue or purple skin Hemorrhoids Swollen veins in the anal canal Holder monitor A device that measures a patients cardiac activity over a period of time Inner canthus The corner of the eye where the upper and lower eyelids meet Intradermal injection An injection within the skin Intramuscular injection An injection of a substance directly into the muscle Nebulizer A device that administers medication in a. Mist form Osha Occupational safety and health administration
Super Excessive, more De- Not, down Dia- Across, through Epi- Upon, above Para- Beside, along Per- Through Post- After Pre- Before Re- Again Retro Backward Cardi- corp- cost- gastr- hem- myo- oste- nephr- nuer- ren-
skelet- ur- vascul- Heart body ribs stomach blood muscles bone kidney nerve kidney skeleton urine blood vessels
- emia Blood - ia, - ism, - osis, - y Condition or process - itis Inflamation - lysis Death or breakdown - pathy Disease - plegia Paralysis - orna Tumor - rrhythmia Rhythm
Fax Must have a cover sheet to whom it is directed hippa permits faxes between a lab and physician regarding patient test results a physician may fax a copy of a medical record to a specialist a hospital may fax care instructions to nursing home Email Physician to physician A physicians signature is required on To a medical community committee member In which of the following situations is it appropriate for a physician to discuss a patients information thru email Consulting with another doctors Hipaa permits faxes Forwarding care instructions to a nursing home Appropriate to make to patient Will you repeat the directions Rapid heartbeat Tachycardia Heart muscles diseas Cardiomyopathy Difficulty breathing Dyspnea Geriatric Relating to elderly patients determined by age and patients profile Paper based medical records Organized by source, soap, pomr Soap
Subjective impressions, objective clinical evidence. Assessment or diagnosis, and plans for the future Subjective data Patients explanation of the problem and perception of pain Objective clinical evidence Section contains information like physical exam, lab results, and radiological information Assesment Diagnosis of disease Pomr Problem oriented medical records database, problem, treatment, progress Database The patients chief complaint, symptom review, physical exam, lab reports and profile Patient medical records are owned by The medical facility that created them Paper based system Adv: familiarity dis: accessed by one medical professional and lost Computer based medical records Adv:multiple medical professionals dis: power failure, confidentiality Paper based records filed and storage steps Conditioning, releasing, indexing and coding, sorting, and filing Conditioning Removal of any attached metal and staples. Release of a document Performed by making a mark like a stamp to show ready for filing
Allows the electronic transfer of data for insurance payment putposes Privacy rule Generally requires a minimum standard to protect patient information Medical records sent to insurance company Patient but be informed and sign a release Security rule Requires specific technical precasutions to be taken to insure the patient information stored remains confidential Refuse treatment Adults older than 18 minor must be from parent minor 12 years+ can refuse when it is substance or pregnancy, or physical abuse Durable supplies Ekg machines, copiers, etc Nondurable supplies Paper pens tissues Inventory list Contain information like the name, size, supplier, cost of the item, and color and amount Controlled substances inventory Requires inventory and send a daily check every 2 years to the dea Icd- 9 - cm codes Published yearly in the federal register 3 volumes Icd9cm volume Tabular list- organized by disease and injuries according to the organ systems Icd9cm volume
Alphabetic index contains the same diseases and conditions in alpha order and divided into diseases poison and external causes Icd9cm volume Contains alphabetic and tabular index of procedures used in hospitals 2 digist First diagnosis coded is the problem the patient brought into office Coding Find diagnosis in index and then check out the diagnosis in the tabular list Cpt codes Procedures on claim forms for payment from medicare and many insurance companies Current procedural terminology (cpt) Five digit code used to describe medical surgical radiology and laboratory Cpt code sections 6 sections
- Evaluations and management- physician encounters for all patient visits and transports
- Anesthesia-contains rank of patients in order of complexity
- Surgery codes- all services that are part of the procedure 4.radiology-ultrasound
- Pathology and lab- covers tests by laboratory
- Medicine- covers services not covered in other sections Which of the following would be charted in the objective section when using the soap method Patients blood pressure Using the wave scheduling method, which of the following would be the priority patient to be seen The patient who arrives first A patients blood panel results have been sent to a medical facility. If the medical record is organized by section how should the new results be placed Above the previous blood test results
Patients bill of rights Health care system is fair and meets a patients needs Ppe Personal protective equipment Soap and water 30 second Alcohol rub 60% Specimens must be places In a leak proof container Hep b vaccine Should be offered to medical professionals within 10 days of assignment to a job including blood/fluids Osha blood borne pathogen standard Protect healthcare professionals exposure to orangisms that can cause disease in humans hiv hbv hcv Joint commission (tjc) recommends All professionals be immunized against the flu Clinical lab and standards institute (clsi) Organization to keep professionals safe fire hazards. Electrical safety Standard precautions All fluids, blood, non intact skin, mucous membranes, tissues are infectious Chain of custody cases Alcohol drugs, dan test, rape. All initals once opened Rape kit 72 hours of attack Blood draw cleaning and court cases Alcohol must not be used to clean site Medical assistant reports abuse to police
Substance abuse in medical office Report to supervisor Department of health invesitgates Fraud medical insurace Class a fire Combustible materials require water to extinguish Class b fire Flammable liquids and needs extiguisher Class c fire Electrical fire and extinguishing non conductive Class k fifre Kitchen fire When there is an electrical fire which of the following fire extinguishers is the proper one Class c If blood splashes into eye Flush eyes During a fire what is the action to take Crawl to exit Undergoing surgery the patient has the right to know How many procedures the surgeon has performed A police officer opens a rape kit and hands it to the ma and 2 doctors All initials and time of every person For a ventipyncture to be performed on a patient of drunk driving which is the proper cleaning agent Benzalkonium chloride
