Medical Assistant Knowledge and Responsibilities, Exams of Medicine

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CCMA EXAM Q&A What is the most important role of the Medical Assistant? - Patient Education Threatening a person with bodily harm is considered: - Assault Unconsented physical contact with another person is considered: - Battery What is the medical term for painful menstrual periods? - Dysmenorrhea Of the following which is a medical assistant not allowed to perform? - ABG Entering a patients room without knocking or having permission is an example of: - Invasion of Privacy Deception with the intent to deprive another person of his/her rights: - Fraud What is the negligent delivery of professional services? - Malpractice What is the failure to do something that a reasonably prudent individual would do under similar circumstance? - Negligence What should an MA do if they suspect spousal abuse? - Provide a brochure or list of organizations that can assist the patient While working at an pediatric office you suspect abuse with one of your patients, what should you do? - report to provider A civil wrong committed against a person or property: - Tort Refers to the chronological documentation or paper trail of a specimen. - Chain of Custody What organization sets quality standards and issues certificates for human clinical laboratories? - CLIA What does the acronym CLIA stand for? - Clinical Laboratory Improvement Amendments What law protects the privacy of a patient's medical record? - HIPAA What is the organization that regulates healthcare facilities? - The Joint Commission What does OSHA stand for? - This Federal health insurance program provides insurance for those aged 65 or older, certain people with disabilities, and those with ESRD. - Medicare What is the healthcare plan for military personnel and their dependents to receive care from civilian providers at the expense of the Federal government? - Tricare Wage replacement and medical benefits for those injured on the job is: - Workers' Compensation What does ABN stand for? - Advanced Beneficiary Notice This document is a notice the provider gives the patient before services are provided if, based on Medicare coverage rules, the provider has reason to believe Medicare will not pay for the service: - ABN An insurance payment structure in which the insured pays a share of the payment made against a claim, always written as a fraction for which the insurer pays the top number and the patient pays the bottom number, e.g. 80/20. - Coinsurance A part of insurance for which the patient pays a fee at the time of service: - Copay A specified amount of money that the insured must pay before an insurance company will pay a claim: - Deductible What does EOB stand for? - Explanation of Benefits A statement detailing which services were paid, denied, or reduced by the patient's insurance company: - EOB Prior approval for treatment and procedures is called: - Preauthorization What is the process required by some insurance carriers in which the provider must prove medical necessity before performing a procedure? - Precertification When a provider sends a patient to another provider for specific care, what is this process called? - A referral This process confirms how a patient or their insurance provider will pay for services: - Verification of Eligibility What term in ICD-10 coding indicates that one procedure was used multiple times on a patient? - Modifier What does the acronym CPT mean? - Current Procedural Terminology What does the acronym ICD stand for? - International Classification of Diseases What is the first character in ICD-10? - Alphabetical What is the second and third character in ICD-10? - Numeric How many characters are there in ICD-10? - Seven What are the fourth, fifth, six, or seventh characters in ICD 10? - either alphabetical or numeric Scheduling appointments for patients on a future date is: - Advanced booking Scheduling patients on the same day at the same time is called? - Clustering Scheduling two patients to see the provider at the same time is called: - Double booking Communicating with a deaf or hard-of-hearing patient requires: - An interpreter What should a Medical Assistant do if a provider is late? - What is the process of coagulation and the body's ability to form a clot and dissolve them at the same time? - Hemostasis What does the term 'hypoglycemia' mean? - Low blood sugar The term for restriction of oxygen-rich blood to a portion of the body: - Ischemia What is secreted by the parathyroid gland and is important for bone growth? - Parathyroid hormone What concept allows patients and families to be involved in the delivery of care? - Patient-Centered Care What does the term anaphylaxis mean? - A severe, potentially life-threatening allergic reaction What is the term for inflammation of the pericardium? - Pericarditis Where would an influenza test be taken from a patient? - Nasal aspirate or throat swab What is not a PPE in a laboratory setting? - Lab coat What can occur if a tourniquet has been applied too tightly? - Petechiae What equipment protects the wearer from bodily injury or infection? - PPE A patients CC of lower back pain could be the result of: - Pyelonephritis A complication of diabetes mellitis is: - Retinopathy A patient receiving ear irrigation could experience which of the following? - Vertigo A format for communicating important PT information in a chart in an organized manner: - SOAP Notes Information the patient tells the Medical Assistant or provider is considered: - Subjective Measurable information or findings obtained by the provider about the patient: - Objective A detailed examination by the provider to determine health status: - Assessment Which test would be performed on a patient to check lung function? - Spirometry What is the medical term for fainting or 'passing out'? - Syncope The process whereby a provider who is providing management for some or all of a patient's problems relinquishes this responsibility to another provider. - Transition of Care What position should a patient be in during vaginal examinations? - Lithotomy What is the best position to help a patient who is having difficulty breathing? - Fowler's Which position is lying flat on the table with buttocks at the end of the table and feet resting in stirrups? - Lithotomy Which position is lying flat on the abdomen with arms above the head? - Prone What is the best position for procedures that require patients to be lying flat on the back with arms down to the side? - Supine Lying on left side with left leg slightly flexed and right leg flexed at 90° angle. Best position for rectal exams and administration of enemas. - A ______ is used to measure blood pressure. - Sphygmomanometer How would a medical assistant weigh a patient who is having difficulty standing? - Place a walker over the scale to help the patient balance By which method of transmission are influenza, measles, and tuberculosis transmitted? - Airborne Which of these are transmitted via blood borne route? - HIV What is transmitted by contact exposure? - STI's What is used to safely dispose of needles and other sharp objects? - Puncture-resistant container ______ disease is a type of inflammatory bowel disease and has an underlying genetic cause. - Crohn's _____ disease is an autoimmune disease that affects the thyroid gland. Smoking may increase the risk of this disease and may worsen eye problems. - Graves' A common viral infection that can be deadly with symptoms of body aches, sore throat, coughing, fever, runny nose, and feeling tired: - Influenza The function and processes of living organisms is called? - Physiology The study of the structure of living things is called? - Anatomy _____ transports oxygen throughout the body. - Erythrocyte (RBC) _____ stop bleeding by clumping and clotting at a vessel injury. - Platelets (Thrombocytes) _______ are cells of the immune system that are involved in protecting the body. - Leukocyte (WBC) ______ is the process of making something free from bacteria or living microorganisms. - Sterilization ______ is the removal of all or part of the breast. - Mastectomy ______ surgery helps improve blood flow to the heart. - Coronary Artery Bypass Graft (CABG) What is important to wear when cleaning and disinfecting surgical instruments? - PPE How do you open a sterile package maintaining sterile technique? - Open package away from the body _________ is a pressure chamber used to sterilize equipment requiring elevated temperature and pressure. - Autoclave What type of solution is used for sterilization ? - Distilled water What should you give a patient if they show signs of hypoglycemia? - Orange Juice Which leukocyte accounts for nearly 60% of white blood cell volume? - Neutrophils What is the least prevalent white blood cell which comprises less than 1% of white blood cell volume? - Basophils What is the definition of contrast that is used during an X-ray procedure? - A special solution to help highlight the areas of the body being examined Why is it important to ask a patient if they are allergic to shellfish before being administered contrast solution for an X-ray or computerized axial tomography (CT or CAT) scan? - Shellfish and contrast both contain iodine Coronary Artery Bypass Graft What does 'I and O' mean? - Intake and Output What does the chemical element 'K' represent? - Potassium What does 'NS' mean? - No Show What does 'O2' stand for? - Oxygen What does the acronym 'OTC' mean? - Over The Counter What does the suffix -plasty mean? - Surgical Reconstruction What does the medical term 'PO' stand for? - By Mouth, Latin for 'per os' What does the medical term 'STAT' mean? - Immediately What does the medical term 'TB' represent? - Tuberculosis What does the term 'UTI' stand for? - Urinary Tract Infection Who diagnoses and treats diseases of the heart? - Cardiologist Which provider treats patients who suffer from hormonal and balances? - Endocrinologist Which provider has advanced academic training beyond the Registered Nurse? - Nurse Practitioner (NP) Which provider is similar to medical doctors, but have a holistic approach? - Doctors of Osteopathy (DO) Which provider practices medicine under the direction and supervision of a licensed medical doctor (MD)? - Physicians Assistant Which medical service deals with the science of x-rays and other high-energy radiation, especially the use of such radiation for the diagnosis and treatment of diseases? - Radiology Which Medical service is concerned with the correction of deformities or functional impairments of the skeletal system? - Orthopedics Which body system's function helps with the absorption of nutrients? - Digestive Which body system transports hormones and is directly related with hypothyroidism or hyperthyroidism? - Endocrine Which body system protects underlying tissue and is the body system associated with skin? - Integumentary Which instrument would be used to remove suture? - Sterile thumb dressing forceps What would be the proper way to rinse surgical instruments prior to disinfection and sterilization? - Cold water, not hot or warm What medical equipment uses a chamber to sterilize equipment requiring elevated temperature and pressure? - Autoclave What should a Medical Assistant do if sterilized instruments have no process date on the wrapped package? - Reprocess and rewrap Which solution is used to help sterilize surgical equipment in conjunction with autoclaving? - Distilled water Contraindication What is the transfer of a drug from one location to another within the body? - Distribution What is the biological removal of a medication from the body? - Excretion What is the term used that makes a particular treatment or procedure advisable? For an example, a provider tells the patient to take two Tylenol tablets every four hours until their headache is gone. - Indication Which organ of the human body is the most important for metabolism of medications? - Liver Which medication dilates the bronchi and bronchioles by decreasing resistance in the respiratory airways and increasing airflow to the lungs. - Bronchodilators Which kind of tablet contains an outer shell that prevents it from dissolving until it reaches the intestines, often to prevent stomach irritation? - Enteric Coated What must the Medical Assistant document after giving a patient an influenza vaccine? - Expiration date and lot number Which classification of drug is derived from opium and is used to treat pain? - Opiates What classification of drug reduces pain and inflammation? - Non-Steroidal Anti-Inflammatory Drug (NSAID) The Medical Assistant should instruct the patient to write the date and time of each ____________ medicine patch when applied? - Transdermal After performing a capillary puncture, what is the next step the Medical Assistant should do? - Wipe off the first drop of blood Where would a Medical Assistant place the requisition if a patient's specimen is sent to an outside laboratory? - Outside Pocket What is the best way to help stop bleeding after performing a fingerstick on a patient? - Apply Pressure Which medication should the patient stop using if they have been scheduled a pulmonary function test? - Bronchodilators What particular medication is placed on patient's skin with a sticky backing and is absorbed slowly? - Transdermal Patches Which drug has a morphine-liike effect? - Opiates Which blood test determines the average blood sugar concentration for the preceding two to three months to check for diabetes? - Hemaglobin A1C When performing a blood culture, what kind of bottles are used for collection? - Anaerobic and Aerobic What does the term 'anaerobic' mean? - Without Oxygen What does the term 'aerobic' mmean? - With Oxygen When using an anaerobic and aerobic bottle for blood culture test, what precaution must the Medical Assistant be aware of? - Do not expose either bottle to the other. What is the purpose for an ABG? - To measure the oxygen and carbon dioxide in the blood from an artery What is the minimum amount of milliliters that a medical assistant should put in each bottle for a blood culture? - 8 - 10 What is the purpose for a blood culture test? - To detect the presence of bacteria or fungi in the blood What is a provider looking for in a patient when he/she orders an Erythrocyte Sedimentation Rate (ESR) on a patient? - Apply the safety device What should be checked when using a reagent strip or solution for a urinalysis? - Expiration Date What is a sure way that a urine sample would be rejected from the lab? - Sterile container was not used A patient could have a __________ infection if they are experiencing lower back pain or bilateral side pain. - Kidney What is another name for a winged infusion set? - Butterfly Needle What is considered the largest department in the core laboratory? - Chemistry What department studies the body's ability to form clots and dissolve them? - Coagulation (Coags) What laboratory department studies blood and blood cell counts? - Hematology What department test for poisons, pharmaceutical and recreational drugs? - Toxicology What department deals with microorganisms and their effect on other living organisms? - Microbiology What two laboratory tubes would yield serum once they are centrifuged? - Red or Gold What laboratory tube color would be used for glucose test? - Gray What term refers to a patient who has not eaten anything for a period of 12 hours or longer? - Basal State What is the chemical energy production structure of the cell that powers the cell's metabolic activities? - Mitochondria Shellfish, eggs, and milk contain which trace element? - Iodine What is considered a normal blood pressure by the American Heart Association? - 110/70 What is considered a normal pulse rate? - 60-100 bpm What is considered a normal oral temperature? - 98.6 An ____________ temperature is normally 1° lower than an oral temperature. - Axillary What is considered a normal respiration rate? - 15-20 What is the rate of deflation of the sphygmomanometer while doing a blood pressure. - 2-3 mm Hg per second What would a Medical Assistant take in consideration about the patient when performing a blood pressure check? - Weight If a provider checks the heart rate of an infant and places the stethoscope over the apex of the heart with a stethoscope, which pulse is he/she listening to? - Apical When performing a blood pressure what is the top number called? - Systolic The first sound heard during a blood pressure reading sounds like a __________ sound. - Tapping or Drumming Where would A Medical Assistant take a temporal temperature? - Forehead What is the bottom number of a blood pressure called? - Diastolic What location is a subcutaneous injection? - Under the skin What location is an intramuscular injection? - Deep in the muscle Which is the only route of a parenteral injection that is not aspirated? - Intradermal What is the medical term for lateral shoulder? - Deltoid How many fingers from the acromion process would a Medical Assistant administer an injection? - Three Where is the Vastis Lateralis? - Upper Thigh What would a Medical Assistant do if the injection dosage is not listed on the patient's chart or requisition? - Verify with the provider What kind of patient would a Medical Assistant take to a private area so as not to disturb the other patients that might be in the waiting area or within earshot? - Angry If body fluids or irritant chemicals came into contact with one's eyes, how many minutes should the eyes be flushed and irrigated? - 15 Make sure all employees are aware of the emergency exit in case of __________. - Fires If the office receives a call about someone who has ingested a hazardous chemical refer them to the __________. - Poison Control Center What is a local facility that is able to provide immediate free and expert treatment advice and assistance over the telephone in case of exposure to poisonous or hazardous substances? - Poison Control Center What is the hierarchal pyramid with five levels that are self actualization, self-esteem, belonging, safety, and physiological? - Maslow's What level on Maslow's Hierarchy of Needs would you find food, water, shelter, and warmth? - Physiological Infectious agent, reservoir, portal of exit, mode of transmission, portal of entry, and susceptible host are all part of what? - Chain of Infection. What is the best way for a Medical Assistant to prevent infection? - Hand Washing What traces the electrical activity of the heart? - EKG How long should a Holter Monitor be worn? - 24 hours Where would the ground lead of an EKG be placed? - Right Leg Where would creativity and morality be on the Maslow's Hierarchy of Needs? - Self-Actualization Which node is stimulated after the sinoatrial node (SA Node) fires? - Atrioventricular What is considered human pacemaker and is located on the right atrium of the heart? - Sinoatrial Node (SA Node) What is an electrical connection attach the body to perform an EKG? - Leads or Lead Wires Where would a Medical Assistant place the precordial leads on a patient? - Chest What are small pads or patches that are attached to the skin and connected to the leads to perform an EKG on a patient? - Electrodes What can be used to hold down the leads if they are not sticking properly on a patient? - Arteries carry oxygen __________ from the heart. - Away Veins carry oxygen __________ the heart - Toward A well seasoned athletes would have a lower heart rate under __________ bpm. - 60 An amount paid, usually monthly, to keep a healthcare policy current. - Premium The maximum amount a third-party payer will pay for a particular procedure or service. - Allowed Amount When should a Medical Assistant disinfect an exam room? - After each patient encounter How far should a patient be standing away from a vision eye chart when performing a distance visual examination? - 20 Feet What is a patient experiencing if they become dizzy, sweaty, and flushed during a venipuncture? - Syncope What should you do if a patient request the medical records of their spouses office visit? - Explain you are not allowed to release the records regardless of the relationship to the patient A patient comes to the office with symptoms of body aches, cough, and fever. This could indicate a diagnosis of: - Influenza If a Medical Assistant inadvertently documents inaccurate information in a patient's electronic medical record (EMR), which of the following is the next proper choice of action? - Create a new note Which of the following should patients always be provided when educating them on HIPAA? - Confidentiality Statement Where does electrical conduction begin in a healthy human heart? - Sinoatrial Node (SA Node) Which of the following would most likely be caused by smoking? - Atherosclerosis Parathyroid hormone is associated with the regulation of which element in the body? - Calcium