Medical Office Practices and Procedures, Exams of Advanced Education

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CMA Clinical practice test Sterilization means that a. all organisms have been removed from an object b. all pathogenic organisms have been removed from an object c. debris has been removed from an object with soap and water d. the object has been placed in boiling water e. the object has been subjected to ultrasonic cleaning - a. all organisms have been removed from an object Which of the following actions should the medical assistant take to ensure disposable thermometers are ready for an exam? a. make sure they have been autoclaved within 28 days b. ensure the expiration dates have not passed c. swab the tips with alcohol d. place probe covers on them e. store them in a locked cabinet - b. ensure the expiration dates have not passed What information will not be found in the medical record of a patient? a. if the patient admits to any illegal drug use b. personal opinion of the medical stall c. legal history of the patient d. direct quotations from the patient e. medication history - b. personal opinion of the medical staff Using a tape measure to evaluate the head and chest circumference of an infant is called a. auscultation b. mensuration c. palpation d. percussion e. obersvation - b. mensuration What is the maximum time allotted for a collected blood sample to sit in a serum separator tube before being centrifuged? a. 1 minute b. 5 minutes c. 15 minutes d. 30 minutes e. 60 minutes - d. 30 minutes A medical assistant is giving a DPT injection to a six-month-old infant. The assistant would give the injection at which of the following sites? a. upper outer quadrant of the gluteus muscle b. deltoid muscle c. vastus lateralis d. subcutaneous tissue of the high e. gluteus medius - c. vastus lateralis If the physician is going to do a Pap smear, the medical assistant should have which of the following equipment available? a. curette and dilator b. speculum and water soluble lubricant c. suture removal try d. hemocult card e. sterile gloves and a light source - b. speculum and water soluble lubricant Emergency treatment for a second-degree burn would include a. bandaging tightly b. breaking any blisters seen a. report it to the physician b. remove it at once c. leave it on the sterile field but cover it with a sterile towel d. replace the item with a similar sterile one e. redo the sterile field and resterilize any instruments - e. redo the sterile field and resterlize any instruments The process used to wash and remove tissue from medical instruments is called a. asepsis b. disinfection c. sanitization d. sterilization e. boiling - c. sanitization Which of the following is the maximum amount of time a tourniquet should remain on the patient's arm during the performance of a routine venipuncture? a. 30 seconds b. 60 seconds c. 2 minutes d. 3 minutes e. 5 minutes - b. 60 seconds In a large-scale national disaster or disease outbreak which of the following considerations should be taken into account by a medical practice office? a. some patients will come to the office for care due to overcrowded emergency rooms b. the practice may need to administer vaccinations or immunizations to their patients c. open lines of communication with local public health officials and participation in a coordinated plan d. none of the above e. all of the above - e. all of the above Employment, use of tobacco and alcohol, and exercise habits are listed in which of the following sections of the patient's chart? a. social history b. chief complaint c. review of systems d. medical history e. family history - a. social history If your patient is being treated for a severe upper respiratory infection, which of the following medications would you NOT expect to see ordered? a. amoxicillin b. albuterol c. robitussin d. hydrocholorothiazide e. cipro - d. hydrochlorothiazide The microscope condenser is responsible for a. collecting and concentrating light rays b. holding and moving the slide c. controlling the amount of light focused on an object d. coarse and fine adjustment for object focus e. evaporating water from the slide - a. collecting and concentrating light rays You should suspect that a patient might possibly be having a heart attach if she is complaining of a. blurred or double vision b. severe headache c. pain in the shoulder or jaw d. difficulty understanding spoken words e. weakness on one side of the body - c. pain in the shoulder or jaw When drawing multiple tubes of blood via venipuncture, what is the correct order of draw based on colored stoppers? a. lavender, red, green, yellow b. red, yellow, lavender, green c. green, yellow, lavender, red d. gray, yellow, red, blue e. yellow, red, lavender, green - e. yellow, red, lavender, green Which of the following is a CLIA-waived (low complexity) test? a. microscopic examination of urine b. gram stain c. blood chemistry d. pregnancy test e. pap smear - d. pregnancy test Normal respiratory rate for an adult is a. 8-12 breaths per minute b. 8-16 breaths per minute c. 12-20 breaths per minute d. 12-26 breaths per minute e. 20-26 breaths per minute - c. 12-20 breaths per minute After drying and removing packs from the autoclave, the FIRST thing that you should do is a. place the newly sterilized packs under the older ones in the storage area b. discard all outdated packs c. check the indicators to make sure it has changed color d. mark packs with your initials and the date sterilized e. seal in a plastic bag to ensure sterility - c. check the indicators to make sure it has changed color b. visual acuity c. ability to hear vibratory sound d. blood pressure e. coloblindness - b. visual acuity Which of the following emergency situation should receive the first priority? a. bleeding from a laceration of the forearm b. occluded airway c. open fracture of the femur d. mid-sternal chest pain e. grand mal seizure - b. occluded airway The medical assistant's role in obtaining informed consent is a. explaining the benefits and risks of the procedure b. making sure that the patient understands and has no questions c. answering all questions that the patient has about the procedure d. witnessing the signature of the patient e. explaining alternative treatments to the patient - b. making sure that the patient understands and has no questions To remove sutures, the medical assistant should have a tray with instruments that should include a. kelly hemostat b. mayo scissors c. senn retractor d. littaeur scissors e. bandage scissors - d. littauer scissors When there is an unidentified clear liquid on the floor of the exam room after a patient has left the room the medical assistant should a. go and ask the patient if they are aware of what the liquid is b. clean up the spill with a disposable paper towel and place in the biohazard garbage c. put up a wet floor sign and ask a housekeeper to clean up the area d. put on disposable gloves and clean up with a paper towel and put in the biohazard garbage e. put on sterile gloves and clean up the spill with disposable paper towels - d. put on disposable gloves an clean up with a paper towel and put in the biohazard garbage A viral infection a. cannot be transmitted by droplets b. will always resolve in 7 to 10 days c. does not respond to antibiotic treatment d. causes tuberculosis e. can always be prevented by vaccination - c. does not respond to antibiotic treatment Factors that affect the action of drugs include all EXCEPT a. body weight b. use of generic medication c. sex d. age e. disease process - b. use of generic medication When checking supplies in the office, the medical assistant notices that the hemostats in the cupboard were autoclaved 28 days ago. He would a. check to see if the packages are intact and without damage b. count to see if there are enough available for the amount of expected procedures c. placed the packages back in the autoclave and run the appropriate cycle to re-sterilize using the autoclave d. unwrap and repackage items and run through the appropriate cycle to sterilize using the autoclave e. re-date the packages for an additional 28 days - d. unwrap and repackage items and run through the appropriate cycle to sterilize using the autoclave Symptoms of insulin shock include a. fruity or acetone smell to the breath and a decreased blood sugar reading b. tremulousness and an elevated blood sugar reading c. diaphoresis and a fruity smell to the breath with an increased blood sugar reading d. confusion, tachycardia, and an elevated blood sugar reading e. diaphoresis, tremulousness, confusion, and decreased blood sugar reading - e. diaphoresis, tremulousness, confusion, and decreased blood sugar reading Which of the following steps helps ensure smooth operation in the medical office during a patient emergency? a. adhering to a pre-established plan and protocols for managing the emergency b. avoiding setting up appointments for seriously ill patients c. arranging for close proximity to the local emergency room d. clearing the office out during a patient emergency e. having an AED device on hand - a. adhering to a pre-established plan and protocols for managing the emergency Prior to administration of a local anesthesia, the medical assistant should a. administer a test dose to make sure the patient does not have an allergic reaction b. ask the patient what local anesthesia they have had in the past and use the same medication c. carefully take an allergy history from the patient prior to the procedure d. make sure that the patient has brought someone along to drive them home after the procedure e. look in the patient's chart to see if the patient has had a minor surgery procedure done prior - c. carefully take an allergy history from the patient prior to the procedure The knee-chest position is used for a. procotological exams b. vaginal exam c. exam of the chest and upper torso c. 1:20 d. 10:1 e. 1:100 - b. 1:10 To screen for hearing acuity or bone conduction of sound, the medical assistant would use a/an a. oloscope b. ophthalmoscope c. tuning fork d. snellen test e. reflex hammer - c. tuning fork Which of the following is NOT considered proper patient instruction for obtaining a clean-catch mid- stream urine specimen? a. have the patient remove undergarments b. make sure not to touch the inside of the container c. continue to hold the labia apart and void a small amount into the toilet d. clean the urinary meatus from back to front e. the specimen container should not touch any part of the body - d. clean the urinary meatus from back to front If an medical assistant discovers a know diabetic patient who is disoriented and confused, the first thing she should do is a. check the vital signs b. give a form of glucose to the patient c. draw a blood glucose or accucheck d. check for spontaneous respirations e. ask him what symptoms he is having - b. give a form of glucose to the patient A procedure that a medical assistant would not expect to take part in when doing minor surgeries in the office is a. suture of lacerations b. biopsy of the lung c. cyst removal d. biopsy of a skin lesion e. incision and drainage of a wound - b. biopsy of the lung Heart sounds that are heard when the blood pressure is being measured are called the a. korotkoff sounds b. rinne sounds c. snellen sounds d. isharhar sounds e. jeager sounds - a. korotkoff sounds The popliteal pulse is located a. on the thumb side of the wrist b. behind the knee' c. on the dorsal surface of the foot d. at the apex of the heart e. at the inner aspect of the leg in the groin - b. behind the knee The most important thing to do to prevent transfer to infectious material is a. use biohazard bags b. dispose of sharps in a rigid container c. wash your hands d. disinfect patient care equipment between uses e. wear gloves when exposed to body fluids - c. wash your hands Which of the following types of urine specimen contains the greatest concentration of dissolved substances? a. random b. first-voided morning c. clean-catch midstream d. 24-hour e. second-voided - b. first-voided morning When moving a heavy object one should a. bend from the waist to lift the object b. ask for help if you try to lift the object but feel it is too heavy c. make sure that the object is at least 5 inches away from the body d. assess the object prior to trying to lift it and ask for help if needed e. lift heavy objects only if they are stored at waist level or higher - d. assess the object prior to trying to lift it and ask for help if needed When removing paper that is soiled with biohazardous waste from the exam table, the medical assistant should do which of the following before cleaning the table with disinfectant and pulling down unused paper? a. use sterile gloves b. roll the paper inward and toward the body working from the end of the exam table c. gather the soiled paper in gloved hands and discard d. using unsterile gloves, roll the paper down toward the body and discard e. roll the paper inward and away from the body, discard, and change gloves - e. roll the paper inward and away from the body, discard, and change gloves In an infant, you should check the pulse in which of the following arteries in an emergency situation? a. carotid b. radial c. brachial d. femoral e. temporal - b. brachial Which of the following is NOT a true statement regarding tuberculin testing? a. a small amount of tubercle bacillus is administered intradermally b. the results are read in 48-72 hours c. induration is a positive indicator of disease d. a person who has been vaccinated with BCG will test positive e. follow-up testing for a positive test includes chest x-ray - c. induration is a positive indicator of disease Which one of the following is NOT a proper procedure for performing the Multistix 10 reagent strip test? a. immediately recap the testing strip bottle b. do not touch the strip with your fingers c. hold the strip in a vertical position d. completely immerse the strip in the specimen e. discolored strips should be discarded - c. hold the strip in a vertical position Major depression is most commonly treated with a. xanax b. ativan c. zoloft d. buspar e. serax - c. zoloft Which of the following instruments would NOT be needed when preparing for a cyst removal? a. scalpel b. needle holder c. senn retractor d. dressing forceps e. speculum - e. speculum To encourage an elderly patient to give information while taking the patient history, the medical assistant should a. ask questions that can be answered with "yes" or "no" answers b. interview a family member instead of the patient c. speak loudly because the patient is likely to be hard of hearing d. inform the patient in the beginning that there is only a short time to perform his history e. ask open-ended questions - e. ask open-ended questions Urine or serum pregnancy tests are utilized to detect the presence of which of the following? a. antidiuretic hormone (ADH) b. human growth hormone (hGH) c. heterphile anibody d. human chorionic gonadotropin hormone (hCG) e. phenylketonuria - d. human chorionic gonadotropin hormone (hCG) The correct position to place a patient who has fainted is a. prone b. trendelenburg c. lithotomy d. supine e. fowler's - d. supine If a medical assistant is giving a 75 pound child a dose of antibiotic using Clark's Law, which of the following would be administered if the usual adult dose is 500 mg? a. 500 mg b. 250 mg c. 200 mg d. 125 mg e. 375 mg - b. 250 mg When performing an EKG on a patient, if the tracing is not what is expected, the FIRST thing that should be checked is a. placement of the electodes b. the status of the patient c. electrical interference d. machine settings e. patient movement - b. the status of the patient When performing a surgical hand scrub, make sure to a. wash for 60 seconds b. hold fingers lower than the wrists c. dry hands with paper toweling d. hold fingers higher than the elbows e. dry hands before turning off the water faucet - d. hold fingers higher than the elbows Lyme disease, if untreated, can progress into a/an a. viral infection b. contagious disease c. chronic infection d. acute infection e. nonpathogenic condition - c. chronic infection Initial treatment for a sprained ankle would include a. application of a heating pad in 20 -minute intervals for the first 48 hours b. exercise the ankle in order to prevent stiffness c. application of ice in 20-minute intervals for the first 48 hours d. massage the ankle with pain relief ointment as needed c. splinting d. casting e. treating a wound - a. bandaging Which of the following is the correct angle for a needle to enter the vein for venipuncture? a. 5 degrees b. 15 degrees c. 30 degrees d. 45 degrees e. 90 degrees - b. 15 degrees Which of the following is a Gram-positive cocci that grows in clusters? a. staphylococcus aureus b. neisseria meningitidis c. mycrobacterium tuberculosis d. escherichia coli e. steptococcus pneumoniae - a. staphylococcus aureus A scraping of the superficial layer of skin is called a/an a. abrasion b. avulsion c. laceration d. incision e. contusion - a. abrasion When preparing the skin for a minor surgical procedure, the medical assistant should a. wash the skin with antiseptic soap in an up and down motion and using friction b. wash the skin with antiseptic soap from the inner area to the outer in a circular motion c. wash the skin with alcohol and air dry d. wash the skin with antiseptic soap after applying sterile gloves and gown e. wash the skin with a disinfectant solution from the inner area to the outer in a circular motion - b. wash the skin with antiseptic soap from the inner area to the outer in a circular motion Which of the following diseases is confirmed by a positive VDRL and RPR? a. hepatitis b. mononucleosis c. syphilis d. rheumatoid arthritis e. systemic lupus erythematosus - c. syphilis If the medical assistant notices a small tear in the sterile glove during a procedure, she should a. put a piece of sterile tape over the hole in the glove b. alert the physician that she is not able to assist any longer c. ask a coworker to put on sterile gloves and take over d. continue the procedure but do not pick up sterile objects with that hand e. step away from the procedure and replace the gloves with new ones - e. step away from the procedure and replace the gloves with new ones Which of the following statements is TRUE? a. a spirometer is used to measure the relative humidity of exhaled air b. the specific gravity of urine is part of the microscopic examination of urine c. the erythrocyte sedimentation rate is a means of identifying how fast blood clots d. hematocrit is expressed in mm/sec e. hemoglobin measures the oxygen-carrying capacity of blood and is expressed g/dl - e. hemoglobin measures the oxygen-carrying capacity of blood and is expressed g/dl c v