NCCT Review Questions and Answers for Medical Office Procedures, Exams of Health sciences

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NCCT REVIEW QUESTIONS AND ANSWERS

Which of the following statements support the purpose of taking extra care in using appropriate grammar in written medical office communication? (Select the three (3) correct answers.) - It is a reflection on the physician and medical practice. , It makes a positive impression on others. , It demonstrates professionalism and competence. Which of the following refers to a physician's written order specifying a patient has indicated that he or she does not want CPR? - DNR The medical assistant notices that the physican prescribes which of the following drugs to patients complaining of frequent insomnia? - zolpidem tartrate (Ambien) The physician has ordered Benadryl 50 mg p.o. to be given to a patient in the clinic experiencing an allergic reaction. The amount on hand is 25 mg tabs. How many tabs will be administered to the patient? - 2 tabs When collecting a 24-hour urine, a total output of 100 ml for an adult patient is considered

• oliguria Which of the following is the maximum time the medical assistant should leave a tourniquet secured in place on a patient's arm when performing a venipuncture? - one minute Which of the following solutions is used to fill the reservoir of an autoclave when sterilizing instruments? - distilled water The medical assistant adheres to which of the following provisions to ensure the patient with multiple insurance plans is not reimbursed more than once for care received? - coordination of benefits Which of the following sites should the medical assistant select to administer an IM injection of antibiotics to an 8-month old infant with bilateral otitis media? - vastus lateralis The medical assistant anticipates teaching the patient recovering from a tib-fib fracture about which of the following orthopedic devices? - crutches After receiving the MMR vaccine, a 12 month old begins to experience coughing, wheezing, and labored breathing. Which of the following actions should the medical assistant take? - Obtain epinephrine and oxygen and await physician's orders. An adult patient sitting in the waiting area, with a known history of epilepsy, begins having apparent tonic-clonic movement of the arms and legs. How should the medical assistant respond? - Move the patient to the floor and clear surrounding objects.

When performing an Ishihara test, which of the following items is most appropriate for use when tracing the colored dots? - cotton swab Which of the following is the reason for wiping off the first drop of blood from the patient's finger with gauze when performing a capillary puncture? - the first drop of blood may contain traces of alcohol A patient shares with the medical assistant the last time he was in the clinic to have his blood drawn, he "became very dizzy and felt like the room was spinning." Which of the following actions should the medical assistant take? - encourage the patient to lie down during venipuncture Which of the following techniques is most likely to cause contamination of a urine specimen during collection? - cleansing the urethral meatus from back to front with sterile wipes Which of the following laboratory specimens is acceptable for a patient to collect at home with proper education? - fecal specimen Upon examination of an adult patient reporting ear pain, the physician discovered a large amount of cerumen in the canal. The order is to irrigate and instill two drops of aminoglycoside (Tobramycin). For the procedure, the medical assistant should pull the - pinna up and back Which of the following is considered a potentially biohazardous substance? - sputum The medical assistant is preparing an exam room for removal of a benign nevi. Which of the following instrument trays should be set up? - cryosurgical tray Which of the following mandates how long patient records must be retained? - federal and/or state laws A physician has ordered STAT blood work for a patient. The tests ordered are Hgb/Hct, chemistry panel, and PT test. Which of the following tubes are needed for this procedure? (Select the three (3) tubes that apply.) - lavender, light blue, red The physician ordered Amoxicillin 500 mg p.o. q.i.d. X 10 days. How many tablets should the pharmacy dispense to fill this prescription? - 40 The medical assistant was stuck by a contaminated needle while changing out an overflowing sharps container. The medical assistant should immediately - wash the exposed area with soap and water A patient with the left arm amputated comes in for an ECG. Which of the following is the proper placement for the left arm lead on this patient? - as close to the site as possible but higher on the limb and in a similar position

A patient presents to the medical office of the primary care provider stating the following: "I was previously seen for physical exams, and the EOB I received contained an error regarding my medical coverage. The doctor drew blood screening for hypercholesterolemia, and I'm out of my blood pressure meds." Which of the following questions should the medical assistant ask the patient first? - Did the doctor say you needed to be seen today? Fines ranging from $100 to $50,000 may be imposed to an individual for a violation of which of the following? - HIPAA Which of the following describes a written request for reimbursement for eligible medical expenses? - CMS 1500 Male patients are properly prepared and positioned for an ECG if they are positioned in - supine with chest and extremities exposed. During a routine exam, the physician determines that the patient needs to have an immediate I & D, to be performed in the office. The physician explains the procedure to the patient and asks the medical office assistant to obtain consent and record the proper documentation. Upon completion of this task, the medical office assistant alerts the doctor that the patient is ready for the procedure. This scenario is an example of - informed consent Which type of scheduling works well for specialty and consulting practices because it allows the physician time to prepare for each office visit with the knowledge that the day will begin and end on schedule if patients adhere to their assigned times? - stream scheduling Which of the following is the most appropriate action when there are delays in the physician's schedule? - Give patients an estimate of delay and options to deal with delay. A patient's wife calls the office and states that her husband is experiencing left arm pain and chest pressure. Which of the following could the patient be suffering from? - MI Which of the following forms should always be included when sending a fax originating from the medical office? - cover sheet The medical office assistant is scheduling new patients for an office with three physicians and two nurse practitioners. The office policy is for patients to arrive 30 to 45 minutes prior to their appointment to complete patient history forms. Which of the following is the most efficient scheduling technique for this office? - time-specified scheduling Which of the following types of licensure must a physician have and maintain to legally dispense, prescribe, or administer controlled substances? - narcotics

The medical assistant is obtaining an infant's respiratory rate. The correct procedure for performing this measurement is to count the respiratory rate for - one full minute while observing the rise and fall of the abdomen. Which of the following must be written on a patient's label when handling a specimen tube after it has been obtained? - medical assistant's initials The rubber sleeve at the end of a venipuncture needle allows for - multiple tube collections A medical assistant draws a patient that is on anticoagulant therapy. Which of the following actions should the medical assistant take immediately post venipuncture? - hold pressure over the site and call the nurse To correct a wandering baseline, the medical assistant should - replace loose electrodes Which of the following USPS mailing services should the medical assistant select when mailing routine patient records to an insurance carrier? - standard mail Which of the following requires the patient's signature just prior to being seen in the medical office? - consent for treatment Which of the following requires the medical office to develop an exposure control plan? - OSHA A patient who is insured by an HMO calls the office stating he received a bill of $185. His deductible has already been met and he made the copayment of $10 at the time of service. The HMO paid 80% of the charges. Which of the following parties is responsible for the remaining balance? - the patient Failure to act as the law obligates you to act, within the expected standard of care, is known as - breach of duty A patient presents to the clinic reception area with a fever and a harsh cough. Which of the following actions should the medical assistant take? (Select the two (2) correct answers.) - ask the patient to wear a mask, assist the patient to an exam room for screening While performing an ECG on a patient, electrodes keep falling off. Which of the following should the medical assistant do? (Select the two (2) correct answers). - Place tape over the wires of the electrodes., Clean the skin with 70% isopropyl alcohol. The procedural steps in the correct order for filing patients' medical records. - index, code, sort, file The patient is performing a cardiac stress test. Which of the following is the proper placement for lead V2? - fourth intercostal area to the left of the sternum

OWK - every week Susp - Suspension OTC - Over the counter cap, caps - capsule Amt - Amount TDS - three times daily dL - Deciliter TX - treatment Emuls - Emulsion Sol - Solution c - with qpm - every night pc - after meals Per - By or through RLQ - Right lower quadrant