Medical Assistant Practical Guide, Exams of Medicine

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NHA MEDICAL ASSISTANT (CCMA)

CERTIFICATION PRACTICE TEST 2.

(150 QUESTIONS AND ANSWERS)

The laboratory report on a patient indicates a hemoglobin level of 7g/dL. Which of the following is the first action for the medical assistant to take? Notify patient, Inform the patient, Record the results in the medical record, Repeat the test to insure accuracy. - \Notify the Provider ( Because the results indicate a critically low level of hemoglobin level, the assistant should notify the provider). A medical assistant is preparing a patient to have cryosurgery following an abnormal Papanicolaou test. Which of the following statements should the assistant make to explain the procedure? Cyrosurgery is a laser surgery that kills the abnormal cells, involves a probe that cauterizes and kill abnormal cells, involves an extremely cold probe to freeze and kill abnormal cells. - "Cryosurgery involves an extremely cold probe to freeze and kill abnormal cells." (This is an accurate description of cryosurgery, which involves a low-temperature probe to freeze tissue to destroy abnormal cells. Which of the following dressing should la medical assistant use on a partial-thickness burn? skin closure application, non adherent dressing, lubricated mesh gauze, sterile gauze dressing - \Nonadherent dressing (This type of dressing allows the wound to be exposed to air and heal). Which of the following positions is appropriate for a pelvic examination? lithotomy, prone, supine, high flowers - \Lithotomy Position A medical assistant receives a call from a patient requesting a refill for fentanyl patches for chronic pain. Which of the following actions should the assistant take? call the prescription in to the patient's pharmacy, tell the patient to schedule an office visit, fax the prescription to the patients pharmacy, refer the patients request to the provider. - \Refer the patients's request to the provider. (The assistant should recognize the fentanyl as a Schedule || drug that requires a written prescription from the provider. The first step when reviewing a refill request is to contact the provider. A medical assistant is preparing to create a report about patient 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? accounting and billing, appointment scheduling, word processor, data base management - \Database management (The assistant should use database management system to sort and retrieve information quickly. A database allows the assistant to track specific information and create customized applications to sort the information and create reports. A medical assistant receives a telephone call form a patient who is hesitant about discussing a new medical concern unless the conversation is with a provider. The assistant should use which of the following techniques to address the patients reluctance? tell the patient he has nothing to worry about, ask the patient why he does not trust the assistant, use reflective statement to recognize patient concerns, provide examples of other patients who has similar concerns - \Use a reflective statement to recognize the patients' concerns. (Reflection is an active listening technique that demonstrates to the patient that the assistant is listening to what is being said and is taking the patients feelings into consideration. The assistant should use this communication technique to express recognition of the patients concerns). Which of the following items in a medical office are considered administrative office supplies? computers, telephones and chairs | letterhead , envelopes, and business cards | exam paper, stethoscope, and otoscope | File cabinets, storage bins, and shelves for record. - \Letterhead, envelopes, and business cards (Letterhead, envelopes, business cards, stationary, copy paper, pens and pencils are considered administrative office supplies necessary for the admin of the practice). Which of the following laboratory results should the medical assistant recognize is abnormal? Sodium 138meq/L | Red blood cell count 5.2/mm^3 | Platelets 350/mm^3 | Potassium 3 mEq/L - \Potassium 3 meq/L ( This potassium level is below the expected reference range of 3.5 to 5 meq/L). A medical assistant is caring for a child who has varicella zoster virus. The assistant should recognize that varicella is transferred through which of the following modes of transmission? Airbone | Bloodborne | Vector-borne | Foodborne - \Air borne ( Varicella zoster virus is also known as chickenpox, is spread by airborne and contact transmission. Contaminated particles can be inhaled through any tiny droplets that are exhaled by the infected person). A medical assistant is reviewing laboratory results that confirm a patient has varicella zoster virus. The assistant should identify that this micro-organism causes which of the following types of infections? Mumps | Measles | Rubella | Chickenpox - \Chickenpox

A MA is collecting data fro a pt who has cold sores his lips. The assistant should identify that which of the following viruses causes this condition? Influenza A, Herpes simplex type 1, Epstein -Barr, Rhabdovirus. - \Herpes simplex type 1 A MA is explaining to a female pt how to collect a clean-catch urine specimen. Which of the following instructions should the assistant include? - \With the labia spread, urinate small amount into the toilet before collecting the sample. (A clean-catch urine specimen is a midstream specimen. The pt must begin urinating into the toilet, stop and the "mid-stream" of the urine with the specimen container). A primary care provider suspects that a pt has fibromyalgia. A MA should expect the provider to refer the pt to which of the following specialist? Gynecologist, Ophthalmologist, Gastroenterologist, Rheumatologist. - \Rheumatologist (A rheumatologist specializes in treating pt's who have diseases of the joints, muscles, and bones, including fibromyalgia). Which of the following actions should a MA take when obtaining the length of an infant during a well-child visit? Remove infants diaper, wrap infant in a blanket for warmth, position the infant on his back, keep infant's knees flexed. - \Position the infant of his back. (The assistant should place the infant on his back on an examination table with a paper cover, and draw a on the paper at the infant's head and a line at the heel of the extended legs. A M A MA is preparing to dispose of bandages that have been removed from a pt's open wound. Per OSHA guidelines which of the following actions should the assistant plan to take? place bandage in sharps container, in a red biohazard bag, double bag into the biohazard bags, disinfect and then place them in the biohazard bag. - \Place the bandage in a red biohazard bag. (OSHA requires all biohazards waste, such as bandages from an open wound, be placed in a red polyethylene of polypropylene bag that is sealed to prevent leakage). A MA is caring for a pt who is experiencing chills, nausea, and dizziness. The pt face appears pale. The assistant should recognize tithe the pt is exhibiting manifestations of which of the following emergencies? Seizure, Transient ischemic attack (TIA), syncope, Myocardial infection - \Syncope (Syncope is a sudden loss of blood flow to the brain. The pt can experience chills nausea, dizziness, and numbness in the extremities. A pale appearance is also a common manifestation). A MA is determining the amount a patient will be required to pay for a scheduled procedure that has an allowable amount of $200. The Patient has a $20 copayment, a

90/10 coinsurance, and has met his deductible. What is the total amount the pt will pay the provider for this procedure? $20 | $30 | $40 | $50 - $40 (The pt deductible has been met and the pt coinsurance is 90/10. The pt's responsibility of coinsurance is 10% of $200, which is $20, plus the copayment of $20. Therefore, the pt should pay a total of $40). A MA is scheduling diagnostic test for a pt's liver and pancreas. Which of the following systems is being assessed? cardiovascular, integumentary, respiratory, digestive - \Digestive (The liver and pancreas are both accessory organs to the digestive system. Performing diagnostic tests on these organs provides assessment data about the digestive system. A MA has just received a derogatory e-mail from a dissatisfied pt. What action should the assistant take? - \Print the e-mail and make notes about what needs to be addressed, in order to evaluate the pt concerns and develop a professional response. A MA is performing an EKG on a pt. Which of the following describes the appropriate placement of the electrodes? tabs toward on the arm | tabs downward on knee | tabs upward on the chest | tabs downward on the Lower leg - \Tabs downward on the arm ( Tabs should be downed to reduce tension and pulling on the electrodes). Which of the following routes of administration should a MA use when performing a tuberculin skin test? Intramuscular, Intradermal, Intravenous, Subcutaneous - \Intradermal ( The MA should use the intadermal route to administer a tuberculin skin test. The route of administration applies the medication to the epidermal layer of the skin and allows for subsequent evaluation of the reaction to the tuberculin testing agent). A MA is entering patient data into an electronic medical record (EMR) system. Which of the following information should be entered into the Patient Demographics section of the EMR? Allergies, Chief complaint, Occupation, Surgical history - \Occupation ( A pt's occupation is demographic information). A MA is administrating an injection, and the pt faints. Which of the following actions should the assistant take? elevate patient's head above his heart, apply a warm compress to the patients neck, offer the patient something to drink, place the patient in the supine position. - \Place the patient in a supine position. ( The assistant should place the pt In the supine position to allow the pt legs to be raised above the level of his heart. A MA is testing a patient's visual acuity using a Snellen chart. Which of the following actions should the assistant take? position the patient 40 feet away from the chart, make sure the patient does not lean forward during the test, have the patient close her

\Receive and prepare tissue specimens for processing. ( The assistant is responsible for receiving and preparing tissue specimens obtained from a punch biopsy for processing by the laboratory). A MA is collecting vital signs from a 6 year old child. The assistant should recognize that which the following vital signs is outside of the expected reference range for this patients and should be reported to the provider). - \Heart rate 140/mm ( A heart rate of 140/mm is outside of the expected reference range for a 6 year old child. A heart rate ranging from 70 to 130/mm is the expected reference range for a 6 year old. A MA is caring for a pt who is 5'7" tall. Which of the following is the patient's height in centimeters? - \170 cm (When making this conversion, the assistant should convert 5'7" to 67" inches. Next the assistant should convert inches to centimeters by multiplying by 2.54. The result is 170.18 cm, which rounds to 170 cm. While measuring a pt pulse, the medical assistant should recognize which of the following pt factors can contribute to an erroneous pulse rate? - \Movement ( The pt movement can alter results in the pulse measurement because of possible change in heart rate. If the pt is moving during the pulse measurements the assistant might receive an erroneous result. A MA 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? - \38 C ( To convert a temperature from Fahrenheit to Celsius, the assistant should subtract 32 from the Fahrenheit temperature and multiply the result by 5/9: (100.4 F -

32. x 5/9= 38 C). A clinic schedules all cardiac pt on Mondays and Wednesday and all oncology pt on Tuesdays and Thursdays. Which of the following types of scheduling is the clinic using?

\Cluster Scheduling ( Cluster scheduling is grouping pt who have similar conditions into specific time slot or days). A medical assistant is coding an office visit during which the provider reviewed the systems related to a pt chief complaint but did not discuss the pt's family or social history. Which of the following procedure codes should the assistant use for this visit? - \Expanded problem- focused history (An expanded problem-focused history includes the systems related to the chief complaint but does not include a family or social history). A MA is encouraging a pt 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. -

\Pears with the skin ( A medium pear with skin contains 4g of insoluble fiber per serving). For a 12-lead EKG, which of the following is the correct placement for the fourth precordial electrode (V4)? - \At the fifth intercostal space, left midclavicular line. A MA is assisting a provider with an abnormal examination. When the provider palpates the major portion of the liver, the assistant should recognize that he is palpating which of the following abdominal quadrants? - \Right upper quadrant ( The RUQ contains the major portion of the liver. It is also the quadrant that contains the gall bladder). A medication container states there is 250 mg of medication in each scored tablet. The provider orders 375 mg. How many tablets should the medical assistant give the pt? - \1.5 tablets ( The assistant should recognize the 250 multiplied by 1.5 equals 375. Therefore, 1.5 tablets provides the required 375 mg.) A MA is collecting blood samples to measure the pt's cholesterol levels. Which of the following actions should the assistant take before collecting the pt's blood? - \Make sure the Pt did not eat any food for the past 12 hr.