Medical Assistant Knowledge and Responsibilities, Exams of Advanced Education

Download Medical Assistant Knowledge and Responsibilities and more Exams Advanced Education in PDF only on Docsity! NCCT Medical assistant Exam Questions and Answers The medical assistant is providing instructions for a patient with pneumonia. The optimal time a sputum specimen should be collected is A. first thing in the morning. B. after lunch. C. at bedtime. D. after breakfast. - Answer -A. first thing in the morning. While performing a Snellen visual acuity test, the patient misses two letters on the 20/70 line with his right eye. How should the medical assistant document this finding? A. Snellen chart OD 20/70-2 B. Snellen chart OD 20/80 C. Snellen chart OS 20/80 D. Snellen chart OS 20/70-2 - Answer -A. Snellen chart OD 20/70-2 Venipuncture should be avoided on an arm with A. excessive hair. B. muscular hypertrophy. C. an elbow splint. D. alopecia. - Answer -C. an elbow splint. The importance of accurate anatomic positioning of leads on a patient when performing an ECG is to A. allow interruption of negative electrical conduction. B. stimulate positive electrical impulses. C. capture true cardiac activity. D. ensure proper machine calibration with universal measurements. - Answer -C. capture true cardiac activity. For which of the following incidents is employer provided post-exposure follow-up indicated? A. An employee fall from a step stool while obtaining medical records. B. A polycup containing urine splashed into the eye of an employee. C. Loss of power during an ECG procedure. D. An employee falls in the parking lot, resulting in a hand laceration. - Answer -B. A polycup containing urine splashed into the eye of an employee. The medical assistant is scheduling a patient for a gallbladder study. Which of the following terms should the medical assistant use on the patient test order? A. Angiography B. Cystography C. Cholecystography D. Cholangiography - Answer -C. Cholecystography A patient's encounter form contributes to the efficiency and flow of information in the medical office at check-out in which of the following ways? A. Provides written documentation about medications prescribed during the visit. B. Outlines discharge instructions related to the patient's condition. C. Lists codes for services and procedures performed during the visit. D. Summarizes limitations and exclusions in the patient's insurance policy. - Answer -C. Lists codes for services and procedures performed during the visit. An incorrect dose of medication is delivered to a patient in the medical clinic. As a result, the patient experienced mild kidney damage. The responsible health care providers and/or clinic is at risk for which of the following? A. Slander B. Libel C. Defamation D. Negligence - Answer -D. Negligence The medical assistant reviews instructions with the patient with hypertension about techniques to manage this condition at home. Which of the following statements by the patient indicates teaching has been successful? (Select the three (3) correct answers.) A. "I will take prescribed medications regularly at the same time each day." B. "I will monitor my blood pressure and record readings daily." C. "I will increase salt intake in my diet." D. "I will incorporate moderate exercise into my daily routine." E. "I will check my blood sugar regularly." - Answer -A,B,D. "I will take prescribed medications regularly at the same time each day.", "I will monitor my blood pressure and record readings daily.", "I will incorporate moderate exercise into my daily routine." A patient has refused to pay for a medical procedure that was performed six months ago. The medical procedure was not listed under the patient's schedule of benefits, and she is now fully responsible for all costs. Her account has now been turned over to a collection agency. This scenario is most likely an example of failure of the medical office assistant to properly B. Premature ventricular contraction C. Sinus bradycardia D. Ventricular tachycardia - Answer -B. Premature ventricular contraction The medical assistant applies pressure to the venipuncture site using gauze. After two minutes the medical assistant observes that bleeding has not stopped. The next appropriate action would be to A. elevate the arm while applying pressure. B. wrap the arm with a pressure dressing. C. continue to apply pressure while bending the arm at the elbow. D. notify the physician immediately. - Answer -A. elevate the arm while applying pressure. The medical assistant asks a patient, "How are you doing today?" The patient yells, "How do you think I'm doing? I just got out of that terrible hospital and they didn't help me at all! I still have cancer don't I?" The medical assistant recognizes that this patient is most likely experiencing which of the following stages of dying/grief according to Kubler-Ross? A. Depression B. Anger C. Denial D. Bargaining - Answer -B. Anger The medical assistant receives a call from an attorney requesting information about an established patient's operative report. Which of the following actions is required prior to fulfilling the request? A. Call the patient to request verbal consent. B. Check the patient's file for authorization of release of information listing the name of the attorney. C. Ask for the name and number of the attorney and return the call to confirm the identity of the caller. D. Refer the call to be handled by the physician directly to prevent liability. - Answer -B. Check the patient's file for authorization of release of information listing the name of the attorney. Which of the following complications occurs from prolonged lack of muscle use? A. Hypertrophy B. Atrophy C. Tendonitis D. Cellulitis - Answer -B. Atrophy Which of the following ECG leads records the electrical activity of the inferior surface of the left ventricle and is closest to the heart? A. Lead I B. aVR C. Lead II D. aVL - Answer -C. Lead II Which of the following rhythms is shown in the strip above? A. Atrial fibrillation B. Premature atrial complex C. Atrial flutter D. Atrial tachycardia - Answer -C. Atrial flutter The medical assistant demonstrates proper handling of sharps containers by doing which of the following? A. Discard the sharps container in a biohazard waste container when it is two-thirds full. B. Inspect the sharps container to ensure that only sharps have been deposited. C. Seal the sharps container and place in the regular waste container. D. Empty half full sharps containers into a larger container to maintain cost effectiveness. - Answer -A. Discard the sharps container in a biohazard waste container when it is two-thirds full. The patient is not able to distinguish certain numbers on an Ishihara test. This indicates a problem with which of the following? A. Rods B. Cones C. Pupils D. Sclera - Answer -B. Cones When inspecting a patient's arm before performing a venipuncture, the most desirable site appears to be the back of the hand. Which of the following venipuncture methods is most appropriate in this situation? A. Evacuated tube B. Needle and syringe C. Butterfly needle D. Capillary puncture - Answer -C. Butterfly needle When performing a capillary puncture on an infant, the medical assistant understands the lateral heel is the proper site for collection due to which of the following? A. The tissue layers on the finger are more susceptible to permanent nerve damage. B. The finger produces a slower flow of blood, making it more difficult to obtain a specimen. C. The small amount of tissue between the skin and bone in the finger makes an injury to the bone likely. D. The blood in the fingertip has been found to contain a higher concentration of hemoglobin than the heel. - Answer -C. The small amount of tissue between the skin and bone in the finger makes an injury to the bone likely. Which of the following medical office software applications uses an electronic signature? A. Spreadsheets B. EHR C. Encoders D. Scheduling - Answer -B. EHR Which of the following acts involves the termination of a patient from the care of a physician without reasonable, written notice of withdrawal from the case? A. Slander B. Discrimination C. Battery D. Abandonment - Answer -D. Abandonment The medical assistant documented an IM injection as follows: 10/12/XX @ 1030, Rocephin 1 gram IM patient tolerated procedure well. Amy Ray, medical assistant. Which of the following necessary pieces of documentation is missing? A. Site of administration B. Physician signature C. Use of the medication D. Frequency of administration - Answer -A. Site of administration Which pregnancy risk drug category indicates the greatest risk of fetal harm? A. X B. D C. C D. A - Answer -A. X Which part of Medicare covers office visits with a primary care provider? A. Part A B. Part B C. Part C D. Part D - Answer -B. Part B D. Informed consent - Answer -C. Living will A medical assistant obtains the tracing shown above on a patient. Which of the following actions should the medical assistant take? A. Check for incorrect lead placement. B. Place the patient in Trendelenburg's position. C. Ensure precordial lead wires are crossed to balance polarization. D. Remind the patient to remain as still as possible. - Answer -D. Remind the patient to remain as still as possible. The physician orders "Xanax (alprazolam) 0.5mg po tid X 3 days." Xanax 1 mg scored tablets are available. The medical assistant should write which of the following numbers of tablets on the dispense line for this prescription? A. 1.5 B. 3 C. 4.5 D. 6 - Answer -C. 4.5 In most cultures in the United States, when a medical assistant is speaking with a patient, making direct eye contact encourages A. Open communication B. Emotional reasoning C. A subordinate relationship D. Control of the conversation - Answer -A. Open communication Prior to purging and destroying paper medical charts, a medical assistant should consult which of following guidelines? A. Municipal B. AMA C. OSHA D. State and Federal - Answer -D. State and Federal A patient notices the symbol above on the door and asks what it means. The medical assistant should tell the patient the symbol means A. isolation precautions required. B. hazardous chemicals in use. C. emergency eye wash station. D. biohazardous material present. - Answer -D. biohazardous material present. The medical assistant documents a patient's temperature as 101.4F. Which of the following types of medication is this patient most likely to receive? A. Antipyretic B. Antihistamine C. Anticoagulant D. Antiemetic - Answer -A. Antipyretic The medical assistant is preparing to remove her gloves after a venipuncture and notices blood on the gloves. Where should the medical assistant dispose of her gloves? A. Biohazard waste container B. Red sharps container C. Regular trash container Specimen transport bag - Answer -A. Biohazard waste container A patient called the office complaining his hydromorphone prescription was not honored at the pharmacy. The patient stated, "The doctor gave me this prescription six weeks ago when I was in the office." The prescription was denied because it is a schedule A. I drug. B. II drug. C. III drug. D. IV drug. - Answer -B. II drug. A medical assistant posts damaging remarks on a social media site about a provider at the clinic where she is employed. She may be legally found guilty of which of the following? A. Assault B. Libel C. Slander D. Battery - Answer -B. Libel Which of the following insurance programs covers active duty military personnel? A. CHAMPVA B. TRICARE C. BCBS D. Medicare - Answer -B. TRICARE An older adult patient arrives to have blood drawn. While assessing the arms for venipuncture, the medical assistant notices scar tissue in the anticubital areas and is unable to palpate a vein. Which of the following is an appropriate alternative course of action? A. Draw blood from the hand using an evacuated tube system. B. Draw blood from the hand using a winged infusion set. C. Use a larger gauge needle to penetrate through the scar tissue. D. Perform a capillary puncture on the lateral thumb. - Answer -B. Draw blood from the hand using a winged infusion set. A 6-month-old child is at the clinic for their well-child visit and routine vaccines. Which of the following is the preferred site for an intramuscular injection on this patient? A. Deltoid B. Ventrogluteal C. Dorsogluteal D. Vastus lateralis - Answer -D. Vastus lateralis A female patient has come in for an ECG following a mastectomy. ECG electrodes should be placed A. three inches above the surgery site to avoid disruption of the site. B. as close to the surgery site as possible without touching the site. C. three inches lower than the surgery site in order to avoid disruption of the site. D. in the intercostal spaces above the heart to avoid the surgical site. - Answer -B. as close to the surgery site as possible without touching the site. Which of the following prevents duplication of payment by more than one insurance carrier? A. Fee-for-service B. Precertification C. Coordination of benefits D. Preauthorization - Answer -C. Coordination of benefits Which of the following is a likely complication from repeated phlebotomy procedures in the same area? A. Thrombosis B. Sclerosed veins C. Petechiae D. Varicose veins - Answer -B. Sclerosed veins Commitment to privacy, continuity of care, advance directives, and the authority to refuse treatment are granted according to which of the following? A. Americans with Disabilities Act B. The Patient's Bill of Rights C. Informed Consent D. Good Samaritan Law - Answer -B. The Patient's Bill of Rights C. Adjust the temperature of the room to the patient's preference. D. Measure blood pressure and heart rate frequently. E. Observe facial expressions, skin color and perspiration. - Answer -B,D,E. Instruct the patient to report any symptoms., Measure blood pressure and heart rate frequently., Observe facial expressions, skin color and perspiration. The medical assistant is caring for an adult patient with a history of coronary artery disease. Which of the following BP measurements should prompt the medical assistant to notify the health care provider? (Select the three (3) correct answers.) A. 132/78 mmHg B. 162/96 mmHg C. 129/88 mmHg D. 138/98 mmHg E. 92/44 mmHg - Answer -B,D,E. 162/96 mmHg, 138/98 mmHg, 92/44 mmHg Disinfecting an ECG machine and lead wire surfaces with antimicrobial wipes after each patient use is an example of which of the following? A. Biohazard precautions B. Sterile technique C. Surgical asepsis D. Medical asepsis - Answer -D. Medical asepsis When preparing a site with alcohol for venipuncture, the medical assistant should cleanse in which of the following motions? A. Back and forth B. Up and down C. From the inside out D. From the outside in - Answer -C. From the inside out Which of the following is the most likely cause of the deposits not agreeing with the credits on the day sheet or the patient ledgers? A. There are duplicate cards. B. The bank made an error. C. Cash is missing. D. Payment is misplaced. - Answer -D. Payment is misplaced. When preparing to assist the physician with collection of a deep wound culture, the medical assistant should have which of the following available? A. Blood culture media B. Viral transport media C. Bacterial culture swabs D. Cotton tipped swabs - Answer -C. Bacterial culture swabs The patient receiving an albuterol treatment by nebulizer in the clinic complains of tremors, nausea, blurred vision, and headache. Which of the following actions should the medical assistant take? A. Decrease the oxygen flow meter to three liters per minute. B. Report these symptoms to the physician. C. Place the patient on NPO status. D. Tell the patient these are common side effects. - Answer -B. Report these symptoms to the physician. The primary care provider hands the medical assistant a referral for a patient to get an MRI. Which of the following should the medical assistant do first? A. Call the facility and schedule the MRI. B. Call the insurance company and process an authorization. C. Fax pertinent medical records to the facility. D. Document the precertification number in the patient's chart. - Answer -B. Call the insurance company and process an authorization. Which of the following indicates a medical office is compliant with the Americans with Disabilities Act? A. Providing interpreting services for a non-English speaking patient. B. Providing employees the opportunity to receive the Hepatitis B vaccine. C. Providing hand rails in at least one restroom stall. D. Providing up to 12 weeks of unpaid leave to an employee that has a critically ill child. - Answer -C. Providing hand rails in at least one restroom stall. A finger stick capillary puncture should be performed at which of the following sites to prevent injury? A. At the most distal end of the fingertip B. Slightly to the side of the center of the fingertip C. Directly in the center of the fingertip D. Proximal to the skin crease located at the first joint on the fingertip - Answer -B. Slightly to the side of the center of the fingertip Which of the following actions should the medical assistant take first after coming in direct contact with a patient's blood via needlestick injury? A. Obtain the Hep B vaccine if not currently immunized. B. Apply pressure at the site to stop bleeding. C. Flush the area with water and thoroughly wash it. D. Inform the patient about the incident. - Answer -C. Flush the area with water and thoroughly wash it. A parent brings their four-year old in for a well-child exam. The medical assistant should assign an ICD-CM code beginning with which of the following? A. E B. M C. V D. + - Answer -C. V The use of smaller electrodes while running an ECG on a four-year-old pediatric patient will require which of the following modifications? A. Decrease the paper speed. B. Increase the paper speed. C. Place the patient in Sim's position. D. Place the patient in a dorsal recumbent position. - Answer -B. Increase the paper speed. An effective way for a medical assistant to communicate office policies and procedure information to their patients is to A. answer questions as they arise. B. refer queries to the practice manager. C. develop a brochure. D. answer questions at the initial visit. - Answer -C. develop a brochure. A patient presents to the medical office with nausea and vomiting. Which of the following types of medication is likely to be prescribed? A. Antiarrhythmic B. Antitussive C. Antidiarrheal D. Antiemetic - Answer -D. Antiemetic Flow charts, progress notes, and narrative notation are all examples of A. medical record charting styles. B. patient chart filing systems. C. recording patient information in a medical record. D. patient documentation in a SOAP format. - Answer -C. recording patient information in a medical record. Which of the following is necessary before ordering or paying for medical office supplies? C. Give 250 milliliters of cefaclor (Ceclor) post-operatively as needed, and then give 150 milliliters every 2 hours. D. Give 250 milligrams of cefaclor (Ceclor) post-operatively, and then give 150 milligrams every 2 hours. - Answer -A. Give 250 milligrams of cefaclor (Ceclor) orally immediately, and then give 150 milligrams every 2 hours. Which term describes the failure to provide care that a prudent and reasonable professional with the same education would provide under similar circumstances? A. Reasonable doubt B. Beneficence C. Negligence D. Defamation - Answer -C. Negligence The medical assistant should administer nitroglycerin by which of the following methods? A. Buccal B. Sublingual C. Intramuscular D. Intradermal - Answer -B. Sublingual Which type of medication is used to increase urinary output? A. Diuretic B. Vasopressor C. Antiemetic D. Cathartic - Answer -A. Diuretic Which of the following describes proper aseptic technique regarding the cleaning of the venipuncture site? A. Allow the alcohol air dry before inserting the needle. B. Allow the alcohol to soak into the skin, then wipe off excess with sterile gauze. C. Wipe the site in a back and forth motion with an alcohol wipe, then immediately insert the needle. D. Wave above the site with a gloved hand to dry the alcohol faster. - Answer -A. Allow the alcohol air dry before inserting the needle. The provider prescribed and ordered a wheel chair for a patient with a below the knee amputation. Which of the following manuals should the medical assistant use to code these services? A. ICD-10-CM B. CPT C. HCPCS D. CPT-assistant - Answer -C. HCPCS Which of the following blood components are visible in a centrifuged, evacuated red top tube? (Select the two (2) correct answers.) A. Plasma B. Serum C. Individual erythrocytes D. Platelets E. Coagulated blood (blood clot) - Answer -B,E. Serum, Coagulated blood (blood clot) It is appropriate for the medical assistant to use an alcohol-based hand rub as the only method of hand hygiene after which of the following activities? A. Applying non-sterile gloves for a dressing change B. Measuring a patient's apical pulse C. Using the restroom D. Assisting the physician with a laceration repair - Answer -B. Measuring a patient's apical pulse Which of the following should be included on a patient's laboratory requisition? A. Insurance contact number B. Patient signature C. Test priority D. Patient next of kin - Answer -C. Test priority Which of the following organizations makes on-site visits to inspect medical office laboratories? A. WHO B. DEA C. CLIA D. FDA - Answer -C. CLIA Which of the following pieces of equipment should the medical assistant anticipate using when taking a patient's blood pressure? A. Sphygmomanometer B. Otoscope C. Speculum D. Pulse oximeter - Answer -A. Sphygmomanometer While a new patient is in the examination room with a physician who is explaining treatment options to the patient, the medical assistant is contacting the insurance carrier to discuss the patient's insurance coverage. This scenario is an example of obtaining A. a preauthorization for the patient. B. a statement of probable cause. C. a disclosure of benefits and eligibility for the patient. D. verification of benefits and eligibility for the patient. - Answer -D. verification of benefits and eligibility for the patient. When performing a 12-lead ECG, which of the following positions demonstrates correct lead placement? A. V4 is placed left midclavicular 5th intercostal space B. V4 is placed left midclavicular 4th intercostal space C. V5 is placed left midaxillary 5th intercostal space D. V5 is paced left midclavicular 4th intercostal space - Answer -A. V4 is placed left midclavicular 5th intercostal space While emptying the autoclave, the medical assistant notices that the wrapped instruments are damp. The medical assistant should A. remove the instruments and set them on the counter to dry. B. remove the instruments and place them on the Mayo stand for surgery. C. leave the instruments in the autoclave with the door slightly open to finish drying. D. leave the instruments in the autoclave and run the cycle again. - Answer -C. leave the instruments in the autoclave with the door slightly open to finish drying. A standard of behavior impacting the moral concept of right and wrong is known as which of the following? A. Advocacy B. Idealism C. Ethics D. Justice - Answer -C. Ethics Which of the following tasks is outside the scope of practice of a medical assistant? A. Using an ECG to record the electrical rhythm of the heart B. Performing patient education related to diabetes C. Dispensing medication, such as Glucola, in collaboration with the physician D. Performing quality control functions on all laboratory equipment - Answer -D. Performing quality control functions on all laboratory equipment What does the color of an evacuated collection tube represent? A. A visual identifier for tests expected to be above or below normal range. B. The minimum volume of blood to be obtained. C. The personal protective equipment required for collection. While scheduling an appointment, the medical assistant's computer freezes. When attempting to restart the program, which of the following should the medical office assistant do first? A. Unplug computer from the outlet source. B. Press the Ctrl, Alt and Delete keys. C. Shut down the computer. D. Restart the computer. - Answer -B. Press the Ctrl, Alt and Delete keys. A medical assistant is positioning a patient for sigmoidoscopy. Which of the following positions would be appropriate for the procedure? A. Lithotomy B. Trendelenburg C. Supine D. Sims - Answer -D. Sims Which of the following actions by the medical assistant is appropriate when interacting with a patient who is visually impaired? A. Take special care to enunciate each word. B. Stand behind the patient and gently guide them into the exam room. C. Explain where things are positioned by referencing a clock image. D. Limit communication with the patient. - Answer -C. Explain where things are positioned by referencing a clock image. Placement of the ground lead on an ECG is on the A. RL on the muscular portion of the leg. B. LL on the soft tissue of the leg. C. RL on the soft tissue of the leg. D. LL on the muscular portion of the leg. - Answer -C. RL on the soft tissue of the leg. Which of the following statements is true about the SDS? A. The SDS contains basic information about specific chemicals. B. SDS must be kept on file for 30 days. C. OSHA is responsible for developing the hazard identification system. D. The SDS is required only in offices with 10 or more employees. - Answer -A. The SDS contains basic information about specific chemicals. A pediatric patient has been diagnosed with a mild skin infection and the physician orders Amoxicillin. The ordered dose (based on today's weight) is 91 mg every 8 hours. The patient is to receive a first dose of medication before leaving the office and the suspension available is 125 mg/5 mL. How much medication should the medical assistant administer? A. 7.2 mg B. 7.3 mL C. 3.6 mL D. 1.8 mg - Answer -C. 3.6 mL Which of the following types of appointment scheduling would be the best method for an office with standard hours, multiple practitioners, and accommodating work-in appointments? A. Clustering B. Open office hours C. Double booking D. Wave - Answer -D. Wave Which of the following is required for permission to treat a patient scheduled for a complex procedure? A. Implied consent B. Informed consent C. Advanced directive D. Living will - Answer -B. Informed consent The mother of a 6-month-old patient arrives at a busy clinic and states the child has a high fever. The medical assistant measures the patient's temperature and confirms a temperature of 103°F. Which of the following is an acceptable course of action for the medical assistant? A. Administer Tylenol 160 mg PO immediately. B. Activate EMS. C. Assess the remaining vital signs and notify the physician. D. Perform venipuncture for a blood culture and a CBC with Diff. - Answer -C. Assess the remaining vital signs and notify the physician. The medical assistant should instruct the patient obtaining a 24-hour urine collection to A. keep the sample at room temperature. B. discard the first morning sample. C. void mid-stream into the collection container. D. collect samples exactly two hours after each meal. - Answer -B. discard the first morning sample. The patient is referred to a neurosurgeon. Entering the specialist's NPI number and number of visits requested into the patient's insurance carrier's website is part of which of the following processes? A. Precertification B. Compensation C. Electronic claims submission D. Assignment of benefits - Answer -A. Precertification Older adult patients are the population most at risk for which of the following medication complications due to a declining liver function? A. Anaphylaxis B. Toxicity C. Tinnitus D. Polyuria - Answer -B. Toxicity The transfer of information such as patient eligibility, payment remittances, claims, claim status, authorizations and referrals are addressed under the HIPAA Administrative Simplification and Compliance Act as electronic A. report management. B. remittance advice. C. data interchange. D. clearinghouse. - Answer -C. data interchange. Which of the following diseases is a healthcare worker at the greatest risk of developing following an exposure incident with blood from a needle stick injury? A. HSV B. HAV C. HPV D. HBV - Answer -D. HBV The physician has ordered acetaminophen (Tylenol) E.S.1000 mg po q day. The amount on hand is 500 mg tabs. What is the correct dose to administer? A. 2 tabs B. 1 tab C. 0.5 tab D. 2.5 tabs - Answer -A. 2 tabs A medical assistant is reviewing a chart with the following documentation: patient presented with a complaint of itchy, red bumps on her chest and neck. Diagnosis: Urticaria, Procedure: Expanded Office Visit. The coding reference manual that would contain the term Urticaria and the associated code is the D. Have the patient put on a gown - Answer -C. Place the wrist under cool running water When measuring oxygen saturation on a child breathing room air, with normal color, and no signs of respiratory distress, the medical assistant obtains a reading of 79%. Which of the following actions should the medical assistant take next? A. Notify the physician B. Supplement the child with oxygen per protocol C. Reposition the finger probe D. Take a full set of vital signs - Answer -C. Reposition the finger probe Which of the following is the purpose of scheduling preadmission testing (PAT) prior to surgery? A. To assess patients' health to make sure they can tolerate the proposed surgical procedure. B. To assess preparation and recovery time needed before and after surgery. C. To ensure the procedure is covered by the patient's insurance. D. To provide documentation to the insurance company to waive the copay. - Answer - A. To assess patients' health to make sure they can tolerate the proposed surgical procedure. Which of the following is a requirement for a healthcare facility to be in compliance with OSHA? A. Payment of annual dues B. Current certificate of compliance on file C. Annual employee safety training D. Annual inspections conducted by OSHA - Answer -C. Annual employee safety training Which of the following techniques is correct when collecting a throat culture? A. Depress the patient's tongue and place the swab in a viral media tube following collection. B. Insert swab into the nostril and rub against the turbinate to absorb mucous. C. Use a tongue depressor and swab both sides of the throat. D. Swab both sides of the mouth, tongue, and nasopharnyx. - Answer -C. Use a tongue depressor and swab both sides of the throat. The main function of a centrifuge is to A. freeze cells for transport. B. determine the concentration of glucose. C. magnify blood components. D. separate cells from plasma. - Answer -D. separate cells from plasma. Which of the following forms must be signed by the patient and kept on file, allowing physicians to be paid directly from the insurance carrier? A. HIPAA waiver B. CMS-1500 C. Assignment of benefits D. Living will - Answer -C. Assignment of benefits When managing multiple incoming calls, the medical assistant should handle which of the following calls first? A. A patient calling to schedule a follow-up visit for uncontrolled pain after hip surgery. B. A patient calling to cancel today's appointment for a needle biopsy of a breast mass. C. A lawyer with a subpoena asking for patient information. D. A neurologist seeing a patient on consult. - Answer -D. A neurologist seeing a patient on consult. The adult patient has a puncture wound on the sole of the right foot due to stepping on a nail in a construction area. Which of the following immunizations is particularly important for the medical assistant to ask about while taking the patient's history? A. HepB B. Td C. PCV D. DTaP - Answer -B. Td During a routine visit, a petite female patient becomes very distraught while discussing the recent death of her husband. She suddenly faints. Which of the following actions should the medical assistant take next? A. Protect the patient from injury. B. Activate EMS. C. Notify the physician. D. Draw blood for laboratory tests. - Answer -A. Protect the patient from injury. The physician orders the following blood work to evaluate a patient for sepsis: CBC, Blood Culture, and BMP. When using the evacuated tube method for venipuncture, in which of the following orders should the tubes be drawn? A. Red top, blood culture, lavender top B. Lavender top, red top, blood culture C. Blood culture, lavender top, gray top D. Blood culture, red top, lavender top - Answer -D. Blood culture, red top, lavender top Which of the following resources should the medical assistant use to look up the code for a laceration repair? A. International Classification of Disease B. Physician's Desk Reference C. Healthcare Common Procedural Coding System D. Current Procedural Terminology - Answer -D. Current Procedural Terminology The medical assistant preps the median cubital vein for a venipuncture procedure. How should the medical assistant prep the patient's skin? A. Use a circular motion, from the inside out. B. Use a circular motion, from the outside in. C. Wipe the area from top to bottom. D. Wipe the area from bottom to top. - Answer -A. Use a circular motion, from the inside out. Which of the following is a CLIA waived test that can be performed by the medical assistant? A. Differential B. Chemical urinalysis C. Gram stain analysis D. Crossmatch - Answer -B. Chemical urinalysis Which of the following components are included in the "4 D's" of negligence? (Select the four (4) correct answers.) A. Denial B. Damages C. Duty D. Direct cause E. Dereliction - Answer -B,C,D,E. Damages, Duty, Direct cause, Dereliction The medical assistant schedules the patient with a sebaceous cyst for an I & D. Which of the following statements best describes this procedure? A. Excision of lacerated, dead, or contaminated tissue and removal of foreign matter from a wound. B. Incision into a localized area of infection (abscess), to drain the exudate from the area. C. Debridement of tissue and skin lesions by using extremely cold temperatures. D. Excision of a small, painless sac containing a build-up of sebum. - Answer -B. Incision into a localized area of infection (abscess), to drain the exudate from the area.