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1. A patient asks a medical assistant to explain the difference between a liniment and a medicated lotion. Which of the following responses should the assistant make? a) “Medicated lotions are used to treat disorders in the muscles and bones.” b) “Liniments contain a higher portion of oil than medicated lotions.” c) “Liniments are used to control itching.” d) “Medicated lotions are emulsions used to protect dried or cracked skin.”
2. A medical assistant is speaking with a patient who recently received a terminal diagnosis. The patient state, “ I regret not taking better care of myself. Now, I won’t be able to accomplish what I wanted to do with my ife.” The assistant should identify that the patient is in which of the following stages of grief? a) Anger b) Bargaining c) Depression d) Acceptances
3. A medical assistant is collecting a health history from an older adult patient who exhibits moderate hearing loss. Which of the following actions should the assistant take? a) Keep her hands still to avoid distracting the patient. b) Speak with a raised pitch when clarifying information. c) Use longer sentences to keep the patient’s attention. d) Remain within the patient’s view to allow lip-reading.
4. A medical assistant is obtaining a blood pressure measurement from an adult patient. Which of the following actions should the assistant take to ensure an accurate reading? a) Instruct the patient to set with his legs crossed. b) Position the patient’s cuffed arm about the level of his heart. c) Apply the cuff to the patient’s arm with the weaker palpated pulse. d) Place the stethoscope’s diaphragm over the patient’s palpated artery.
5. A medical assistant is measuring a patient’s

oxygen saturation with a pulse oximeter. Which of the following actions should the assistant take? a) Report a reading of 97% to the provider. b) Wash the site with soap and warm water. c) Instruct the patient to take several deep breaths while the sensor is in place.

d) Check capillary refill in the patient’s finger.

6. A provider prescribes oxycodone for a patient after abdominal surgery. Which of the following describes this type of medication? a) Oxycodone is a Schedule I controlled substance and ahs a low potential for abuse b) Oxycodone is a Schedule V controlled substance and has a high potential for abuse. c) Oxycodone is a Schedule IV controlled substance and has a low potential for abuse. d) Oxycodone is a Schedule II controlled substance and has a high potential for abuse.
7. A medical assistant is preparing to assist a provider with suturing a wound. Which of the following items should be in the sterile field for this procedure? a) Bandages b) Skin retractor c) Scalpel d) Hemostat
8. A medical assistant is preparing a patient who has bilateral below-the-knee amputations for an EKG. Which of the following sites should the assistant select for electrode placement? a) Lower arms b) Elbows c) Abdomen d) Knees
9. A medical assistant is preparing to apply ointment to several abrasions on a patient’s leg. Which of the following supplies should the medical assistant use to remove the medication from the jar? a) A gloved finger b) A syringe c) A cotton ball d) A tongue blade
10. A medical assistant is measuring the vital signs of an adult patient. The assistant should identify which of the following blood pressure readings as stage 2 hypertension? a) 110/80mm Hg b) 135/80mm Hg c) 1 50/95mm Hg d) 120/85mm Hg
11. The parent of a child who has pediculosis is asking a medical assistant for more information about her child’s condition. The

assistant should begin by explaining that pediculosis is which of the following types of infection? a) Fungal b) Bacterial c) Parasitic d) Helminthic

12. A medical assistant is explaining to a female patient how to collect a clean-catch urine specimen. Which of the following instructions should the assistant include? a) Place the removable lid of the specimen container face down on a clean surface. b) Clean the perineal area from back to front with three antiseptic towelettes. c) With the labia spread, urinate a small amount into the toilet before collecting the sample. d) To collect the urine, press the specimen container’s edges up against the perineum.
13. A medical assistant is assisting with the physical examination of a patient who has scabies. Besides gloves, which of the following pieces of personal protective equipment would the assistant wear. a) Gown b) Mask c) Goggles d) N95 Respirator
14. A medical assistant is explaining a venipuncture procedure to a patient. Which of the following statements should the assistant make? a) “I’ll be collecting a blood sample from you today. There will be a small stick in your arm.” b) “I’m here to draw a blood sample for a test. I t won’t hurt at all.” c) “I’ll be puncturing your vein with this needle. Hopefully you won’t feel the vacuum in the tube draw your blood.” d) “I’m going to draw a blood sample. I’m sure that you aren’t going to faint.”
15. A medical assistant is measuring the circumference of an infant’s head. Which of the following actions should the assistant take? a) Position the infant prone on the examination table. b) Place the measuring tape so it covers the infant’s ears. c) Place the zero mark of the measuring tape against the infant’s forehead. d) Mark the measuring tape and record the measurement after the visit.

16. A medical assistant is reinforcing teaching with a patient about the self-administration of insulin injections. Which of the following patient statements indicates an understanding of the teaching? a) “I will roll the bottle between my hands before drawing the medication.” b) “I will blow on the sire to make sure the alcohol dries.” c) “I will consistently use the same site for my injections.” d) “I will hold the needle at a 15-degree angle for the injection.”
17. A medical assistant discovers a garbage can fire has started in the break room of the medical office. According to the RACE acronym for emergency response, which of the following actions should the assistant take first? a) Close the doors and windows. b) Turn off the oxygen in the adjacent examination rooms. c) Use the office fire extinguisher. d) Evacuate staf f and patients for the immediate area.
18. A medical assistant should use which of the following solutions to prepare a patient’s skin prior to drawing blood cultures? a) Benzoin tincture b) Hydrogen peroxide c) Isopropyl alcohol d) Chlorhexidine
19. When assisting a provider with a punch biopsy of a mole , which of the following tasks should a medical assistant expect to perform? a) Receive and prepare tissue specimens for processing. b) Swab fluids from the biopsy site. c) Retract the edges of the biopsy site. d) Place sutures at the incision site.
20. A medical assistant is preparing to administer a liquid, oral medication to a patient. Which of the following methods should the assistant use to ensure the correct dose is delivered? a) Pour the medication to the prescribed dose in the medicine cup on a flat surface. b) Add slightly more than the prescribe dose to account for the medication adhering to the sides of the cup. c) Pour the medication into the container’s lid for easy administration. d) Measure the dose at the top of the meniscus in the medicine cup.
21. A medical assistant is scheduling diagnostic test for a patient’s liver and pancreas. Which of the

following systems is being assessed? a) Cardiovascular

b) Integumentary c) Respiratory d) Digestive

22. Which of the following actions should a medical assistant take to verify the quality of the venipuncture supplies before beginning a blood draw? a) Determine that the tourniquet is the proper size. b) Check the vacuum of the tube. c) Inspect the integrity of the needle’s seal. d) Verify that the adapter is the correct color.
23. A medical assistant is testing a patient’s visual acuity using a Snellen chart. Which of the following actions should the assistant take? a) Position the patient 40 feet from the chart. b) Make sure the patient does not lean forward during the test. c) Have the patient close her left eye behind an occlude when testing the right eye. d) Ask the patient to read the smallest line first and then proceed to the largest.
24. A medical assistant is writing a piece of professional correspondence to a consulting provider. In which of the following ways should the assistant record the date on the letter? a) January 1ST, 2020 b) January 1, 2020 c) 1 st^ of January, 2020 d) 01/10/
25. A medical assistant is preparing a patient who has intermittent peripheral cyanosis for an examination by the provider. The assistant should understand that healthy perfusion of the hands and feet depends on adequate interaction between which of the following two body systems? a) Muscular and digestive b) Integumentary and lymphatic c) Endocrine and skeletal d) Circulatory and respiratory
26. Which of the following cell structures is the source energy for a cell? a) Endoplasmic reticulum b) Ribosomes c) Golgi apparatus d) Mitochondria
27. An adolescent is covered by two insurance policies under her divorced parents who have birthdays in

May and August and have

joint custody. Which policy is the primary policy for the adolescent? a) The policy that the adolescent chooses b) The policy written in which the adolescent is the dependent c) The policy that was written first d) The policy of the parent who has the earliest birth month

28. Which of the following items in a medical office are considered administrative office supplies? a) Computers, telephones, and chairs b) Letterhead, envelopes, and business cards c) Examination table paper, stethoscopes, and otoscopes d) File cabinets, storage bins, and shelves for records
29. A medical assistant is caring for a 4-month-old infant who has a temperature of 100.4 ° F. Which of the following is this temperature when converted to Celsius? a) 38° C b) 36.5 ° C c) 37.5° C d) 34.2° C
30. A medical assistant is preparing a patient who has psoriasis to be examined by the provider. When inspecting the patient’s skin lesions, the assistant should expect to observe which of the following characteristics? a) Yellow, waxy b) Gray, crusty c) Silvery, scaly d) Brown, flat
31. A medical assistant is talking with a patient who is experiencing home displacement following a hurricane. To which of the following resources should the assistant refer the patient for information, support, and links to community services? a) Department of Health and Human Services (HHS) b) American Red Cross c) National Council on Aging d) Centers for Disease Control and Prevention (CDC)
32. According to OSHA guidelines for universal precautions, which of the following types of patient contact would require a medial assistant to wear gloves, a mask, a face shield, and protective apparel? a) Measuring a patient’s blood pressure b) Assisting a provider with the removal of a cyst c) Applying medicated nose drops as indicated by a provider d) Providing a patient with cardiopulmonary resuscitation

33. A medical assistant is removing sutures from a patient who has a laceration on his left lower leg. After setting up the sterile field, which of the following actions should the assistant take? a) Discard each suture immediately after removal. b) Lift the first knot away from the skin. c) Cut the knot away from the skin. d) Use bandage scissors to cut the suture.
34. A medical assistant is performing spirometry testing for a patient who has shortness of breath. Which of the following results of the spirometry test indicates a successful maneuver? a) A slow and progressive start b) A fast and steady flow with no variability c) An exhalation of 3 seconds d) Light coughing during the test
35. A medical assistant is entering a new prescription into a patient’s electronic medical record (EMR). While entering the prescription, an alert notifying the assistant of a medication interaction appears on the screen. Which of the following actions should the assistant take? a) Override the alert and enter the prescription. b) Call the pharmacist to obtain information about alternative medications. c) Notify the patient of possible interactions with the prescribed medication. d) Consult with the provider before continuing to process the prescription.
36. A medical assistant is preparing 1g/kg of activated charcoal for a patient who weighs 176 lb. How many grams of charcoal should the assistant prepare? a) 79 g b) 387 g c) 352 g d) 76 g
37. A medical assistant is assisting a provider with an abdominal examination. When the provider palpates the major portion of the liver, the assistant should recognize that the is palpating which of the following abdominal quadrants? a) Right upper b) Right lower c) Left upper d) Left lower
38. A medical assistant is collecting a urine

specimen from a patient for a drug screening. Which of the following actions

should the assistant take to adhere to the chain custody for this specimen? a) Ensure the specimen has a volume of 20 mL. b) Record the specimen’s temperature 8 min after collection. c) Send the specimen to the testing laboratory on the same day as the collection. d) Ask the provider to supervise the collection and shipment of the specimen.

39. A patient requests a female provider to perform her examination due to a religious conviction. A female provider is not available. Which of the following is the appropriate response by the medical assistant? a) Decline treatment of the patient. b) Assist the patient in locating a provider to accommodate the patient’s needs. c) Reassure the patient that the male provider will be respectful. d) Instruct the patient to visit an emergency room.
40. A medical assistant is disposing of the syringe and needle she used to inject a seasonal influenza vaccine. Which of the following actions should the assistant take? a) Recap the needle before disposing of it in the biohazardous sharps container. b) Use a gauze square to break of the needle and place it in the biohazardous sharps container. c) Drop the syringe, needle first, into the biohazardous sharps container. d) Replace the biohazardous sharps container once it is half full.
41. A medical assistant is administering heparin subcutaneously to a patient. Which of the following actions should the assistant take? a) Spread the skin taut over the injection site. b) Insert the needle at a 30° angle. c) Inject the medication slowly. d) Massage the site after removing the needle.
42. Which of the following groups of EKG leads are bipolar? a) Leads V1, V2, and V b) Leads V4, V5, and V c) Leads aVR, aVL, and aVF d) Leads I, II, and III
43. A medical assistant is composing business correspondence using the simplified letter style. Which of the following features should the assistant use?

a) A complimentary closing b) A subject line in all capital letters

c) Indented paragraphs in the body of the letter d) Center aligned dateline and salutation

44. A medical assistant is reviewing a patient’s recent medical history and notes that she has a healing fracture of the distal femur. Where on the patient’s body should the assistant expect to find the injury? a) Just above the knee b) Just above the elbow c) Just below the hip d) Just below the shoulder
45. Which of the following cell structures is instrumental in helping the body mobilize and secrete mucus from the respiratory tract? a) Centrioles b) Ribosomes c) Cilia d) Mitochondria
46. Which of the following information should the medical assistant enter into the appointment calendar when scheduling a patient for a skin rash? a) Diagnosis code for dermatitis b) Daytime phone number c) Date of birth d) Patient’s identification number
47. A patient tells a medical assistant that his provider’s office is incompetent, as there is no improvement in his condition. Which of the following is an appropriate response for the assistant to make? a) “I think that you feel that your treatment is not effective.” b) “I’m sure that the provider can help you get better.” c) “That isn’t fair. Our office treats many patients successfully.” d) “You could take a different medication and then you’ll feel better.”
48. A medical assistant is checking a patient’s hearing using the Weber test. Which of the following actions should the assistant take? a) Position a vibrating tuning fork over the patient’s matroid process. b) Invert a vibrating tuning fork while the patient still hears sound. c) Instruct the patient to raise his hand when he no longer hears any sound. d) Ask the patient if he hears the vibration louder in one ear than the other.
49. A medical assistant is speaking with a patient who has seasonal allergies. Which of the following health

care providers

should the assistant identify as being able to make a diagnosis and initiate the necessary treatment? a) Pharmacist b) Physician assistant c) Respiratory therapist d) Registered nurse

50. A medical assistant is responsible for cleaning the instruments used in a minor surgery. Which of the following is the first step in this process? a) Sanitization b) Chemical sterilization c) Disinfection d) Autoclave
51. When informed consent is required for a procedure, which of the following steps should occur prior to the patient signing the form? a) The medical assistant should explain the procedure to the patient. b) The medical assistant should describe the risks of the procedure to the patient. c) The provider should review alternative procedures with the patient. d) The provider should review the patient’s insurance coverage for the procedure.
52. A provider places an open sharps container in the linen hamper by mistake. Which of the following is the appropriate action for the medical assistant to take? a) Question the provider. b) Dispose of the linen hamper’s contents as a biohazard. c) Disinfect the contents of the linen hamper with bleach. d) Prepare a report for OSHA.
53. Which of the following is outside of a medical assistant’s scope of practice? a) Perform clinical duties under the direct supervision of the provider. b) Order additional laboratory tests to confirm he patient’s condition. c) Provide directions to a patient about preparation for a diagnostic test. d) Reinforce instruction about medications and special diets.
54. A medical assistant is administering an intramuscular injection into the gluteus medius of an adult patient. At which of the following angles should the assistant insert the needle? a) 15° angle b) 25°angle c) 45°angle

d) 90° angle

55. A medical assistant should follow chain of custody guidelines for which of the following types of laboratory results? a) Digoxin levels b) Blood cultures c) Parentage testing d) Lead levels
56. Which of following terms should a medical assistant use to tell a provider that a patient is having discomfort and difficulty breathing? a) Dyspnea b) Eupnea c) Pneumothorax d) Pneumonia
57. A patient arrives at a clinic with a bill for x-rays that were required due to an injury at the patient’s place of employment. The patient has private insurance and is eligible for workers’ compensation. The assistant should recognize that which of the following parties is responsible for payment of this bill? a) Paid in full by the patient b) Paid in full by the patient’s private insurance c) Paid in full by workers’ compensation d) Paid in part by private insurance and in part by workers’ compensation
58. Which of the following instruction should a medical assistant give to a patient when administering an enteric-coated tablet? a) “Swallow the tablet whole with a glass of water.” b) “Chew the tablet thoroughly before swallowing.” c) “Dissolve the tablet in a glass of water before drinking.” d) “Crush the tablet and mix it with applesauce.”
59. A medical assistant is contacting a patient to schedule a repeat Papanicolaou test due to abnormal results. The assistant should identify that which of the following factors can interfere with the test results? a) Engaging in intercourse 48 hr. prior to the test b) Douching 1 week prior to the test c) Using an over-the-counter vaginal cream prior to the test d) Taking prescribed oral birth control pills
60. A medical assistant is reinforcing teaching with a patient about pulse oximetry. Which of the following statements should the assistant include in the teaching?

a) “Cold hands improve the test’s accuracy.” b) “Remove your nail polish before the test.” c) “Clip the probe onto your second toe.” d) “This test will measure your pulmonary capacity.”

61. A medical assistant is encouraging a patient to increase her intake of insoluble fiber to help prevent constipation and hemorrhoids. Which of the following foods should the assistant recommend as the best source of insoluble fiber? a) Cooked white rice b) Pears with skin c) Strawberries d) Popcorn
62. A medical assistant is reviewing the list of medications a patient report currently taking. The assistant should recognize that which of the following medications is available in a sublingual form? a) Propranolol b) Nitroglycerin c) Metoprolol d) Atorvastatin
63. When completing documentation in a patient’s paper medical record, a medical assistant realized she made an error. Which of the following actions should the assistant take? a) Leave the error in the medical record. b) Draw a line through the error and initial it. c) Erase the entry in the medical record. d) Use correction fluid to correct the entry.
64. A medical assistant needs to remove all living micro-organisms from a contaminated towel clamp. Which of the following methods should the assistant use to cleanse this instrument? a) Disinfection b) Sanitization c) Sterilization d) Ultrasonic
65. A medical assistant is preparing a community resource library. Which of the following actions should the assistant take first? a) Collect feedback from patients about their experiences with the resources. b) Update the community resource information. c) Compile a list of local community agencies. d) Make a spreadsheet that has the contact information of services.
66. Which of the following techniques should a medical assistant use to confirm a patient’s understanding of insulin administration? a) Observe the patient as she performs a self-demonstration.

b) Provide the patient with written instructions, c) Offer the patient a website to visit for directions.

d) Repeat the instructions to the patient.

67. At work, a medical assistant cared for a neighbor who sustained multiple injuries in a fall. After work, another neighbor asks the assistant what happened to the neighbor who fell. Following the American Association of Medical Assistants’ (AAMA) Code of Ethics, which of the following responses should the assistant make? a) “She broke a couple of bones, but she’ll be fine.” b) “It was nothing serious. You’ll see her soon enough.” c) “We’ll see her every week or so during her recovery.” d) “I can’t share any information about what happens at my job.”
68. A medical assistant is preparing to create a report about patients who have a family history of breast cancer. Which of the following types of software will allow the assistant to sort, retrieve, and combine information for this report? a) Database management b) Accounting and billing c) Appointment scheduling d) Word processor
69. A medical assistant is cleaning an examination room after assisting a provider with a biopsy. Which of the following actions should the assistant take? a) Place the caps back on the needles to reduce the risk of puncturing the sharps container. b) Break off the tops of any unused ampules and discard the liquid. c) Hold sharps by the blunt end to avoid a needlestick injury. d) Dispose of the sharps container once it is completely full.
70. A medical assistant works at an urgent care center that uses open hours scheduling. Which of the following describes this form of scheduling? a) Three patients are scheduled for the same time and are taken to be seen as they arrive. b) Patients arrive at their convenience and are seen on a first- come, first- served basis. c) Each patient arrives at an assigned time with enough time reserved for the reason of the visit. d) Patients who have the same disorders are seen on a specific day or for a specific block of time during the day or week.
71. When performing the palpatory method for obtaining blood pressure, which of the following indicated the level at which the medical assistant should inflate the cuff? a) 30 mm Hg above the radial pulse cessation b) 30 mm Hg above the brachial pulse cessation

c) 30 mm Hg above the reappearance of the radial pulse d) 30 mm Hg above the reappearance of the brachial pulse

72. A medical assistant has a blood pressure cuff inflated and partially opens the valve to deflate as he listens with a stethoscope. When should he read the diastolic pressure? a) When the sound disappears b) When repetitive sounds begin c) When the sounds change from strong to muffled d) When the sounds change from swishing to sharp
73. Which of the following methods is used to notify a provider of the denial of a claim by an insurance carrier? a) Remittance advice b) Coordination of benefits c) Eligibility for insurance d) CMS-1500 claim form
74. Prior to a patient’s follow-up appointment, which of the following information should a medical assistant report to the provider? a) Anthropometric measurements b) The date of an upcoming mammogram appointment c) Recent laboratory results d) A change in the patient’s insurance policy
75. A patient report getting a bill that includes services she did not receive. Which of the following actions should a medical assistant take to reconcile these charges? a) Review that day’s encounter forms to determine if another patient received the services. b) Instruct the patient to pay for the services to avoid collection procedures. c) Ask the provider to write off the charges on the patient’s account. d) Determine if the patient has a previous balance.
76. A medical assistant has requested a preauthorization for a patient’s referral to a specialist. Which of the following is a reason for the claim submitted by the specialist to be denied? a) The approved visits are listed in the authorization comments section. b) The patient previously submitted and received a self-referral. c) The specialty provider’s national provider identifier (NPI) is not included in the authorization. d) The service is provided after the expiration date.
77. A medical assistant has a request to collect a

routine CBC from a healthy 10-month-old infant. Which of the following is the most appropriate collection site? a) Third finger of left hand

b) Median antecubital vein c) Cephalic vein d) Left heel

78. A medical assistant is reviewing laboratory requisitions. For which of the following patient conditions should the assistant perform a capillary collection rather than a venipuncture? a) Edema in the fingers b) HIV-positive c) Previous thromboses d) Hypothyroidism
79. A medical assistant receives a telephones call from a patient who seems anxious about the results of a test. Which of the following responses should the assistant make? a) “The doctor is busy right now and will call you back. You don’t really want me to give you the results, do you?” b) “I’m afraid it’s bad news. I would get a second opinion if I were you.” c) “Don’t worry about it. Until we say you have something to worry about, try to relax.” d) “I know you are concerned about your test results. We’ll call you as soon as your results come in.”
80. During a routine venipuncture, the patient becomes pale and diaphoretic. What condition is most likely to occur in this patient? a) Syncope b) Seizur c) Nausea d) Shock
81. Which of the following EKG artifacts is caused by a disconnected electrode and results in the tracing going into the margins of the paper? a) Wandering baseline b) AC interference c) Interrupted baseline d) Somatic tremor
82. A provider has requested a dissecting instrument on a sterile tray that a medical assistant is preparing. Which of the following instruments should the assistant include on the tray? a) Retractors b) Thumb forceps Scissors c) Probes
83. A medical assistant is using a butterfly needle set