Medical Office Procedures and Practices, Exams of Nursing

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CCBMA PRACTICE TEST QUESTIONS AND ANSWERS

Endometriosis is an abnormal condition of the female - reproductive system A CANCEROUS TUMOR IS - carcinoma CARDIALGIA IS - HEART PAIN INFLAMATION OF A VEIN IS - PHLEBITIS PATHOLOGY IS THE STUDY OF - disease SUBCUTANEOUS TISSUE IS - BENEATH THE SKIN REMOVAL OF THE STOMACH IS A/AN - gastrectomy Hyperopia - farsightedness Elevated temperature is - Hyperpyrexia The abbreviation of CHF means - congestive heart failure Neuritis - inflammation of a nerve Informed consent must be given by patients before they - are given anesthesia for a minor surgery The abbreviation ac means - before meals STAT MEANS - immediately Pertaining to the back - dorsal Proximal means - nearest the point of origin The largest bone in the body is the - Femur Food is absorbed into the body in the - small intestine An abnormal condition of the pancreas is - diabetes The transfer of gases in the respiratory system takes place in the - alveoli The pacemaker of the heart is the - S A Node The main organ of the urinary system is/are the - Kidney Three tiny bones in the middle war are called the - Ossicles

HCPCS are codes developed to identify - services/supplies not in CPT- Necessary traits for the medical assistant include - empathy Body language is an example of - nonverbal communication In California, the medical assistant may administer which of the following procedures - intramuscular injections By law in California, all medical assistants shall receive training in - infection control When one state accepts another states license this is known as - reciprocity The two main types of law are - civil and criminal When the physician has explained a procedure the risk and whether the are alternative to the patient this is called - Informed consent Arbitration - Mediating a dispute Misfeasance, malfeasance and malpractice are forms of - negligence Physicians in California are required by law to report - Abuse A housekeeper is a job classification which has - Occupational exposure Under CAL-OSHA, an exposure control plan must include - record keeping of occupational injuries Reportable disease and conditions include - Gonorrhea The medical record can be released when - There is a signed release Under the control substance act schedule || drugs - Are written on special Rx blanks When instruction a specific procedure to a patient it is most important that the medical Assistant - Show the patient what to do When giving a patient instructions for a 24 hour urine collection, you should

• provide a collection container with written orders Follow-up instructions for wound care would include - How to recognize complications Special diets may be needed for patients with - emphysema

Hemoccult instructions would include - Correct dietary modification When a patient has a hearing impairment you should - Face the patient directly when speaking A patient from a different culture may need - translated procedure Patient sign-in sheets used in a medical practice should only contain - Patient's first names as they sign in A medical practice may call patients by first name as long as they - Have permission to call them by first name Patients of a medical practice must have acknowledgement of their privacy in the form of a/an - Written signature and initials on notice The cycle the chain of infection explains how - pathogens transmit disease from person to person The sheets the contain information about chemicals lists hazards precautions and manufacturers information are called - MSDS files Personal Protective Equipment (PPE) includes - gowns, face shields, gloves A tympanic thermometer is an electronic thermometer that is used for temperatures taken - In the ear Visual acuity measures a person's sight at specific distances - Snellen chart Three instruments used in basic physical exams are - reflex hammer, tuning fork, stethoscope The term menstruation refers to - Blood pressure Patients education is important because it - Teaches patients that CPR and FA Are necessary When interviewing a patient to obtain their medical history the first step would be to ensure - adequate time for interview In the lithotomy position the patient would be draped with a - wide drape A percussion hammer is used to check for - reflex action The test that is used to access a patients lung function is - Spirometer

electrocardiography is used as a diagnostic tool to detect - Heart dysfunction When laboratory procedures are performed in a medical office, there must be a strict adherence to - CLIA and OSHA standards The urine specimen that is most concentrated is the - First morning The most common site for capillary puncture in adults is the - Middle finger Records for dispensing/administration of controlled drugs must be kept for a minimum of

• two years The label of a drug must be read how many times before being administered - three An advantage of using parenteral administration of medication is - Faster rate of absorption A 25-gauge needle with 3/8" length is used for a/an - intradermal injection The basic "ABC's" for resuscitation are - airway, breathing, circulation A severe allergic reaction caused by hypersensitive to a substance is called - Anaphylactic shock When responding to an office emergency - remain calm and follow office protocol The use of and AED is for patients who are - In cardiac arrest Four message sources in the medical office are - answering service, voice mail, e-mail, fax machine The receptionist area should have - Comfortable and durable furniture A patient should be roomed at arrival if they have the following - Influenza When taking a telephone message, you should have a list of - Questions concerning a patients condition When setting up a daily matrix for appointments scheduling leave daily time slots open for - Acutely I'll patients Three ways to remain patients of their appointment are - Appointment cards, mailed cards telephone In a modified block letter format each paragraph is - Indented five spaces

Registered mail is used when you are sending - A priority mail package that is valuable Email electronic mail is now used to - Send work related messages Computers are used In the medical office for - Insurance filing and patient billing Proper medical record entries are necessary as they are used for - legal documentation Terminal digit filing uses group of numbers read - From right to left The daysheet is a - Daily record of changes and payment Examples of accounts payable would be - rent, utilities, payroll A cashiers check is a special check sold to a customer by - financial institutions Federal regulations require that a sign be posted in the office to inform patients of - Their rights as a patient One of the most common ways of collecting over due accounts is - Phoning a patient to let them know a payment is due The list of charges for a medical practice is called a - fee schedule Common methods for determining insurance payments are - Capitation, UCR RVS When a patients has dual insurance plans working together to determine payment that is called - Coordination of benefits A group of physicians who have a contract to provide services to subscribers of a plan for a set fee are part of a/an - PPO Medicare claims are processed by regional insurance companies called - fiscal intermediaries The form that the patients signs to give the physician permission to disclose health information and insurance carrier is called - Release of information When using ICD-9 coding, E-codes provide a supplemental classification for - Circumstances/conditions as cause of injury/adverse effects An additional code composed of a hyphen plus two digits is called a/an - Modifier

Cysto- is a prefix meaning - bladder The term for narrowing is - Stenosis

Gastrectomy is the term for excision of the - stomach The abbreviation meaning two times a day is - bid Indicated the correctly spelled word - Pharyngitis Communication with patients can be improved by - providing privacy A trained medical assistant is able to - assist with minor surgery a patients photo was made public without her permission. This is called - invasion of privacy patient instruction sheets are used to - prevent misunderstanding The best time to perform a Brest exam - Monthly hyper - increased Nephro - Kidney Auto - Self ostero - bone Dys - Painful Litho - Stone Brady - Slow Chole - gallbladder Macro - Large Gastro - Stomach Arthro - Joint Tachy - Foot Throaco - Chest Hypo - Decreased

Mammo - Breast Veno - Vein Hepato - Liver Hemo - Blood Ophthalmo - Eye Trans - through, across -oma - tumor -algia - Pain -ectomy - surgical removal -itis - inflammation -ology - study of -emia - blood condition -tomy - incision -osis - abnormal condition -megaly - enlargement -graphy - xray exam -phasia - speech -scopy - examination -gram - Record -ptosis - falling, drooping -stasis - stopping -plegai - paralysis -desis - bind or tie

-phargia - Swallowing -ostomy - Surgical opening -pathy - disease Hs - At bedtime IM - Intramuscular Hx - history qid - four times a day gtt - drop Q.d - Once daily P.c - After meals OD - right eye CC - chief complaint CHF - congestive heart failure RLQ - right lower quadrant Dx - diagnosis LMP - last menstrual period L&D - Incision and drainage Tx - Treatment Hct - hematocrit LUQ - left upper quadrant SOB - shortness of breath Stat - immediately Po - By mouth

low blood pressure - hypotension scar tissue - cicatrix enlargement of the kidney - nephromegaly Gallstones - cholelithiasis beneath the skin - subcutaneous upper jaw - maxilla Endocrine system disease - goiter vomiting blood - hematemesis Smallest blood vessels - capillaries kneecap - Patella inflammation of a nerve - neuritis heart attack - myocardial infarction blood in urine - hematuria large tongue - macroglossia Fainting - syncope X-ray study of the bladder - cystogram slow heartbeat - bradycardia membrane covering the lungs - pleura loss of calcium in the bones - osteoporosis severe itching - pruritus Situated in front or in the forward part - anterior remote, farther from the point of origin - distal nearest, closer to the point of origin - proximal

situated toward the outer part - peripheral situated below, or directed downward - inferior Straighten motion that increases the angle between adjoining bones - Extension movement toward the midline - adduction situated near the surface - superficial pertaining to the belly - Ventral Away from the midline pertaining to a side - lateraled pertaining to the back - dorsal pertaining to the middle - medial situated above, or directed upward - superior Referring to the sole of the foot - plantar bending motion that decreases the angle between adjoining bones - flexion laying face down and flat - prone The lungs are found in the - thoracic cavity lying flat on the back - supine towards the tail - caudal The liver is found in the - abdominal cavity When two people communicate both persons will alter roles as sender and receiver as the seek responses and clarification - True shaking your head in a negative way can jeopardize your communication with the patient - True A medical assistant may need to enter a patients personal space to deliver care to a patient - True Explanations do not help ease patients anxiety about what will happen - False The use of touch can be therapeutic for some patients - True

Being touched by a stranger can be an uncomfortable or even a negative experience - True Many patients perceive touch in a medical setting as a prelude to something unpleasant, such as injections. - True You do not need to give your full attention to the patient to actively listen - False Occasionally a patient's verbal message may seem to conflict with the non-verbal message. - True A medical assistant will typically be responsible for gathering initial patients information - True A patients interview will typically be responsible for gathering initial patient information - True A patients interview does not include a review of past or current medical history - False Paraphrasing means to restate, using your own words, what you have heard. - True Miscommunication can happen because the message may have been unclear or inappropriate to the situation. - True The way a patient perceives situations is not influenced by their cultural, social or religious background. - False a physician may instruct a medical assistant to give medication by injection - True Medical Assistants are permitted to start intravenous therapy - False Medical assistant may assist with minor surgery - True If a physician is present on the site, a medical assistant may apply bandages.

• True A medical Assistant may administer a narcotic injection - True The ROS (review of system) is part of the medical history and is generally taken by the - Receptionist California law allows a medical assistant to draw blood in the clinical setting if they have completed proper training - True If directed, a medical assistant may insert a urinary catheter. - False

Medical Assistant are allowed to interpret laboratory results - False Ear lavage may be performed by a medical assistant if the physician is on site. - True Vital signs may be taken by a medical assistant - True Medical assistant may remove orthopedic casts - True Injecting collagen or Botox is within the medical assistant's scope of practice - False Medical Assistant are allowed to inject anesthetics - False Medication may be given orally by medical assistants - True A medical assistant is permitted to use a laser - False Medical assistant may call themselves the office nurse - False recommending a course of treatment for a patient is within the scope of practice - False If directed, a medical assistant can apply an orthopedic splint. - False A Medical Assistant can remove superficial sutures - True Medical assistant may perform finger sticks - True A physical retires without notifying his patients. The physician could be charged with - Abandonment The disposal of medical infectious waste is controlling by - CAL/OSHA Regulations a physician describes a procedure, risks and alternative treatment to a patient. this is called a - informed consent a medical assistant who performs a procedure ordered by the physician employer is protected under what principle? - respondeat superior A medical assistant can be required to appear in court with this document - subpoena narcotic prescriptions are regulated by which agency? - Drug Enforcement Administration A medical assistant discusses a patient by name at lunch with other in the building. The MA could be charged with - Invasion of privacy

a patient agrees to receive a flu shot. this is an example of - consent

a method of mediating disputes between a patient and physician is called - arbitration Patients rights include the principle - Confidentiality a false statement harmful to another persons character is called - Slander a person under legal age who is self supporting and living apart from parents is called a

• emancipated minor this document is required in order to provide medical records - Records release failure to perform professional care is called - negligence state law requires that physicians always report this condition - abuse billing an insurance company for false charges is considered - Fraud Carefully documenting the patient's care will help prevent professional - liability The patients medical records belong to the - Physician Written instructions are the best way to be sure patients understand directions - True one way to be sure a patient understands instructions would be to have the patient repeat them - True In communication responding may be verbal and nonverbal - True Patients should be informed of the office payments policy only after several visits - False Many offices use visual aids to inform patients about their medical care - True written prescriptions must be signed by the physician - True Verbal explanations of a procedure do not help the patient remain calm - False A patient on a soft diet should avoid rough foods such as ground meat - True A patient could have milk on a clear liquid diet - False Patients with certain allergies can have a reaction with routine immunization - True

Postoperative wound care instructions include dressing changes - True

Physically impaired patients may require an attendant when seen in the office

• True Guide dogs are allowed to accompany their blind person to a physician's office. - True The food guide pyramid is often used when explaining health eating habits - True The best fluid to ingest during and after physical exertion is water - True The best method of preventing transmission of disease is - Handwashing The artery normally used for taking a pulse reading is the - Radial An instrument used to examine the ears - otoscope social history includes the - marital status Which of the following occurs as a urine specimen remains on the counter for a long time - Bacteria multiply a holter monitor measures heart - rhythm The nerve most apt to be affected during an injection in the buttocks is the - Sciatic an injection into fatty tissue lying immediately under the skin is called - subcutaneous The first and most important rule to remember in an emergency is to - Stay calm Medical assistants are expected to make decisions on medical office emergencies based on their - Medical knowledge A surface free of contamination instruments - Sterile field gloves masks and gowns are known as - person protective equipment washing instruments to remove debris - sanitization absence of bacteria - asepsis bacteria that thrive in oxygen - aerobes An organism that produces disease - pathogens Molds and yeasts are types of - Fungi

instruments touched by ungloved hands are - contaminated

destruction of all microorgansisms - sterilization hinged instruments should be when sterilized - Open a sterile pack containing scissors, thumb forceps and gauze squares is called a - suture removal pack The term for removal of contamination material from a wound is - Debridement scrubbing the surgical site in a circular motion from the center of the edge is - surgical prep Removal fluid or gasses by suction is called - Aspiration flushing out a wound or cavity with a solution is called - irrigation a sterile surface containing sterile items is a - surgical tray S/s, s/b and b/b describe surgical - scissors Instruments used to clamp off blood vessels are called - hemostats a sterile covering placed over a wound is called a - dressing instruments such as fiberoptic scopes are soaked in chemicals in a procedure called - cold sterilization Pulse located at the slow - Brachial Pulse located at the thumb side of the wrist - radial pulse located on the knee - popliteal Pulse located at the side of the neck - carotid pulse located in the middle of the groin - femoral The highest reading of blood pressure is called - systolic Blood pressure measured while patient is lying sitting and standing - orthostatic An instrument used to test reflexes - percussion hammer An instrument used to open a body office for viewing - Speculum an instrument used to examine the eye is - ophthalmoscope

An instrument used to examine in ear - otoscope An instrument used to examine the rectum and colon - sigmoidoscope irregular heart rhythm - arrhythmia rapid pulse - tachycardia having no symptoms - asymptomatic slow pulse - bradycardia Martial status is considered. - social history The patients own words determine the - Chief complaint Family history is considered - subjective The physicians physical examination is considered - objective Physical chemical and microscopic examination - urinalysis A chemical substance that prevents clotting of the blood in a blood specimen

• Heparin a vacutainer that contains no anticoagulant has a stopper colored - Red Material that prevents a risk of possible infection - Biological hazard The first step in preparing a laboratory specimen - patient identification The usual site for capillary testing - fingertips urine specimen obtained by the patient simply urinating in a cup is called - random catch Patients is instructed to cleanse the urethra with an antiseptic called - Clean catch legal method of documenting lab testing process security - Chain of custody a sterile swab would be used for a - wound culture The intensity of color in a urine specimen indicates - concentration improper handling of lab specimens can result in - contamination

Instruments used to prepare urine for microscopic examination - centrifuge The standard EKG consist of - Twelve leds simple laboratory test with a high degree of accuracy - waived test Quality control in the laboratory ensures the - Accuracy of results stool specimens are tested for - occult blood a machine used for testing lung capacity - spirometer Tuberculosis can be diagnosed from a - Sputum specimen Patients begins urinating in the toilet and catches the remainder in cup - Midstream catch A physician orders 1500 mcg of vitamin B12. You have 1000 mcg/ml on hand. How many milliliter will you give? - 1.50 A physician orders 10 mg of compazine. You have 5 mg/ml on hand. How many milliliter will you give? - 2 ml A subcutaneous injection is given at an angle of - 45-90 The most used deep (adult) intermuscular injection site is the - Dorsogluteal When administering a subcutaneous injection, the amount of the dose should not exceed - 2cc when choosing a needle/syringe unit, you should keep in mind the patients - Age and size The gauge of a needle is determined by the diameter of its - Lumen A physician orders 0.250 mg of lanoxin. You have 0.125 mg tablets on hand. How many tablets will be given? - 2 What is the preferred sit for a tuberculin skin test? - Anterior forearm The proper way to express 1/2 cc is - 0.5 cc an injection into fatty tissue lying immediately under the skin is called - subcutaneous medication given p.o. is administered - orally

An ampule contains how many doses of medication? - 1 antitussive medications are used to control - coughing all procedures during a medical emergency must be - documented The first technique to use to control bleeding is - direct pressure poorly reacting pupils might indicate a severe - head injury a piece of emergency equipmentused to reestablish normal heart rhythm - defibrillator / AED The first thing a medical assistant should do in an emergency situation - assess the situation equipment prepared in advance for emergency use is called a - crash cart A basic CPR is to clear the - airway The lack of a pulse is one way to identify - cardiac arrest a straight fracture across the bone shaft is called a - transverse a weak and rapid pulse is a sign of - shock a severe involuntary contraction of muscles is called a - seizure an overdose of insulin would cause the patient to go into - diabetic shock Nitroglycerin is ordered for chest pain. It will be administered - under the tongue formation of blisters following a burn can be treated with - cool water an emergency tray would include - epinephrine to establish an airway, the patient would be places - On the back Symptoms of heart attack include pain in the chest - jaw or arm The procedure used for a chocking person - Heimlich maneuvered a broken bone wedged into another bone is called an - impacted fracture a patient who is having a seizure should never be - Restrained

what are the ABC's of emergency care? - airway, breathing, circulation you should first establish a patients responsiveness by asking - Are you okay? if the patient is unresponsive the medical assistant must determine if the patient is - conscious PPE supplies for CPR include - disposable gloves and CPR ventilator mask Fingers are placed at the point where the ------------ and the join. - sternum and ribs adult compression ratio - 30:2 both one and two man hands with two hands children compression ratio - 30:2 both one and two man hands with one hand Infant compression ration - 15:2 two man one hand 30:2 one man 2 fingers Adults compression depth - 1 1/2 to 2inches Children compression depth - 1 to 1 1/2 inches Infant compression depth - 1/2 to 1 inch When preparing envelopes one should use - capital letters in block format telephone calls should be answered no later than the - Third ring A patient fails to keep an appointment. The medical assistant should make a note on the - patients chart A backup tape for a computer is used to - Copy hard drive information which name would be filed first in an alphabetic filing system? - Wilson Babcock CPT codes are used to identify a - medical procedure ICD-9 codes are used to identify a - medical diagnosis A patient's insurance card should be reviewed - At each visit an HMO is an example of what kind of healthcare? - managed a good tool for reminding staff when certain things need to be done is called a - tickler file

information may be sent rapidly by using a - fax machine The process of arranging a series of printed pages is called - collating The post important part of preparing correspondence - Proofreading A daily log should be kept of all - incoming telephone calls incoming mail should be sorted and - date stamped The preferred way to send valuable items by mail - registered mail termination of care letters should be sent by - certified mail/ return receipt system for leaving messages which can be retrieved later is - voice mail cancelled appointments should be noted in the - patients chart a method of maximizing appointment time is - wave scheduling The appointment schedule can be sued as a - Legal records a useful telephone service for a physician with 2 office - call forwarding On a multi line telephone the line in use will be indicated by - steady light to best utilize the appointment schedule, set aside time for - call backs An important way to make the patient feel comfortable - warm greeting missed appointments can be reduced by - calls to confirm appointments patients should be notified of any - unusual delays having the patients chart at hand is necessary when - scheduling procedures First come first served method of appointment scheduling - open hours stating names within another patients hearing could be - breach of confidentiality The physical equipment of a computer is called - hardware computer hardware with permanent memory - hard disk A potable memory storage device is called a - Floppy disk

important procedure for protecting hard disk information - backing up The term used for stating the computer - Boot flashing line showing where data can be entered - cursor the most common device for data imput - keyboard Word processing allows the user to quickly move or delete blocks of - Text a convenient feature used when proofreading a document - spell check large group of files used for information retrieval is - data base all medical office should have a security policy to protect - patient information computerized patient accounts simply monthly statements and - insurance billing computer scheduling allows quick access to - open appointments this list can be easily prepared with computer scheduling - daily appointments a computer field contains a piece of - information software program that quickly calculates numbers - spreadsheet rearrangement of information in a database is called - sorting setting margins and tabs for a letter is called - formatting no office should download information from the internet without a - anti-virus program a method of controlling access to confidential patient information - passwords progress notes are usually filed in what order? - chronological The medical record belongs to the - Physician The document stating patient Agrees to a procedure - consent a method which speeds the filing process - color coding The term for removing inactive records from the files - purging chart notations require the date, - information and initials