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Proper Handling of Medical Specimens and Procedures, Exams of Nursing

Important guidelines and best practices for medical professionals when handling medical specimens and performing various medical procedures. It addresses topics such as infection control, proper specimen collection techniques, patient safety, medical ethics, and legal considerations. The information provided can help ensure accurate test results, protect patient confidentiality, and minimize the risk of complications or liability. Key areas covered include hand hygiene, personal protective equipment, venipuncture, urine specimen collection, and medical record documentation. The document aims to equip medical assistants and other healthcare providers with the knowledge and skills necessary to deliver high-quality, safe, and ethical patient care.

Typology: Exams

2024/2025

Available from 09/21/2024

Tutorwac
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Download Proper Handling of Medical Specimens and Procedures and more Exams Nursing in PDF only on Docsity! AMCA MAC EXAM 2024-2025 ACTUAL EXAM QUESTIONS AND DETAILED CORRECT ANSWERS WITH RATIONALES| A+ GRADE What is the purpose of performing a specific gravity on a urine sample? A) It determines whether the patient's diet is high in fat. B) It measures its density when compared with distilled water. c) It screens for glomerulonephritis. D) It detects the presence of nitrate in the urine. Correct Answer It measures its density when compared with distilled water. All of the following demonstrate quality control. What is the exception? A) Proper documentation B) Testing with control samples c) Calibrating equipment D) Treating every customer properly Correct Answer Treating every customer properly What is the pacemaker of the heart? A) (SA) sinoatrial node B) (LB) left bundle branch C) (BH) bundle of His D) (AV) atrioventricular node Correct Answer (SA) sinoatrial node Which of the following commonly used disinfectants is used in the medical field and found to be effective against bloodborne pathogens? A) Radiation B) Bleach c) Dry heat D) Ethylene oxide Correct Answer Bleach Which of the following is the most appropriate method for disposing of contaminated needles? A) Insert in the biohazard container located in the office laboratory. B) Place in a biohazard container without recapping. c) Place it in a biohazard sharps container located in the room where used. D) Disengage the needle from the syringe, and then dispose of it in the biohazard sharps container. Correct Answer Place it in a biohazard sharps container located in the room where used. What is the most important step in achieving medical asepsis? A) Washing hands B) Using surgical soap to scrub hands c) Cleaning patient examination rooms with disinfectant D) Placing soiled linens in an appropriate bag as soon as possible Transmission by touching is the most common means of transmitting Correct Answer Washing hands Which of the following solutions will help prevent the transmission of hepatitis? A) Fluconazole B) Household bleach c) Hydrogen peroxide D) Isopropyl alcohol Correct Answer Household bleach How often should quality control tests be done for procedures performed in the office? A) Yearly B) Every 6 months c) Monthly D) Daily Correct Answer Daily To prevent a urine specimen from becoming an unreliable pH sample, the specimen should be handled in which manner? A) Always refrigerated immediately upon collection B) Exposed to air for slightly more than 1 hour c) Tested within 1 hour of collection D) Allowed time for the urea to convert to ammonia in order to decrease the pH Correct Answer Tested within 1 hour of collection Which color on a vacuum tube top indicates that the blood specimen will be used for cultures? A) Red B) Blue c) Light blue D) Yellow Correct Answer Yellow When placing a urine specimen tube into the centrifuge for later creating a wet mount, where should you place an identical tube containing water in that same centrifuge? A) A second tube is not required B) Right beside the tube containing the specimen c) At a 90° angle from the urine specimen tube D) Directly opposite the tube containing the urine specimen Correct Answer Directly opposite the tube containing the urine specimen What are bioethics concerned with? A) criminal actions that deal with life and health care B) In vitro fertilization c) Genetic engineering D) Moral controversy over biomedical technology Correct Answer Moral controversy over biomedical technology What is the principal reason for bracing the hand holding the needle assembly against the patient's arm during phlebotomy? A) Prevent excess needle movement B) Ease vein palpation c) Decrease the possibility of hemolysis D) Cause the evaluation tubes to fill more quickly Correct Answer Prevent excess needle movement When a reagent strip is used to test a urine specimen and the result is positive for ketones, this may be an indication of which condition? A) Hypercalcemia B) Poisoning C) Diabetes mellitus D) Liver damage Correct Answer Diabetes mellitus What is the term for the measure of the degree of acidity or alkalinity of urine? A) Specific gravity B) Routine urinalysis C) pH D) Supernatant Correct Answer pH Which of the following steps listed is NOT appropriate when performing a capillary puncture? O A) Gently rubbing the sides of the finger B) Discarding the first drop of blood C) Selecting the ring finger of the hand D) Placing a tourniquet around the finger Correct Answer Placing a tourniquet around the finger When would a capillary blood sample be diluted with tissue fluid? A) If it is immersed in cool water B) If the first drop is discarded c) If the finger is squeezed excessively D) If the sides of the finger are gently rubbed Correct Answer If the finger is squeezed excessively Where is the most common micropuncture site on an adult? A) Outer heel B) Ring finger c) Ear lobe D) Little finger Correct Answer Ring finger To transport oxygen and carbon dioxide to and from the body's cells, what do erythrocytes need? A) Bilirubin B)Nitrates C) Hematocrit D) Hemoglobin Correct Answer Hemoglobin Which of the following is NOT a reason to perform a hemoglobin? A) To aid in determining blood loss B) To detect anemia c) To monitor dehydration D) To detect inflammation Correct Answer To monitor dehydration After you have washed your hands, put on PPE, and assembled the equipment and supplies, what is your next step in obtaining a capillary blood sample? A) Perform the capillary puncture. B) Cleanse the puncture site with an alcohol wipe. C) Identify the patient. D) Ask the patient whether they are left handed or right handed. Correct Answer Identify the patient What can you do to lower the risk of bruising after venipuncture? A) Apply a heating pad to the puncture site and have the patient bend his or her arm to keep it in place. B) Apply pressure to the puncture site. C) Keep the tourniquet in place for one full minute the procedure. B) Legal actions to civil wrongs C) Practical actions to taken D) Guidelines for occupational professionalism Correct Answer Principles of right and wrong Initiating and responding in a calm professional manner when communicating with others is known as which of the following? A) Diplomacy B) Diversity C) Flexibility D) Empathy Correct Answer Diplomacy Which of the following examples of disposed venipuncture equipment and supplies is INCORRECT? A) Placing used gauze and cotton balls in a biohazard container B) Placing the plastic venipuncture needle cover in a biohazard container C) placing the used needle and holder together into a puncture- proof container D) Placing used alcohol wipe in wastebasket Correct Answer Placing the plastic venipuncture needle cover in a biohazard container Which color-topped vacuum tube is used to collect specimens for tests requiring serum? A) Light blue B) Gray C) Red D) Green Correct Answer Red The red-topped tube contains no additive. This allows the blood to clot, which separates blood components from the blood's serum. Serum is used for blood chemistry and for viral and serologic testing. Blood grouping and typing are also performed with serum. What is the usual size of the needle being used when performing a veniouncture? A) ½ inch 23 gauge B) ½ inch 27 gauge c) 1 inch 24 gauge D) 1½ inch 21 gauge Correct Answer 1½ inch 21 gauge What is the purpose of the plastic collection tube holder? A) Prevent blood leakage before needle withdrawal B) Prevent blood specimen contamination C) Aid insertion and withdrawal of blood vacuum tubes D) Protect against accidental needle punctures Correct Answer Aid insertion and withdrawal of blood vacuum tubes What is the term for the relaxing phase of the cardiac cycle? A) Systole B) Repolarization C) Polarization D) Bradychardia Correct Answer Repolarization Which color-topped evacuation tube is most commonly associated with hematology testing? A) Green B) Red c) Lavender D) Light blue Correct Answer Lavender Lavender-topped tubes contain the anticoagulant EDTA and are used for blood cell counts, morphologic studies, WBC differentials, hemoglobins, hematocrits, ESRs, and creatine kinase. One complete heartbeat, known as a full cardiac cycle, lasts approximately how long? A) 0.28 seconds B) 0.6 seconds C) 0.8 seconds D) 1.8 seconds Correct Answer 0.8 seconds A patient agrees to and signs a written payment plan because of the high cost of cosmetic surgery. The payments are to be for 7 months and 7 installments of $95. What is the legislative act that gives the requirements for the written payment plan? A) Fair Debt Collection Practices Act B) Truth in Lending Act C) Patient Self-Determination Act D) Medical Practice Act Correct Answer Truth in Lending Act The Truth in Lending Act requires written disclosure about any finance charges or interest rates for any fee that will be collected in more than 4 installments. This act is also called Regulation Z of the Consumer protection act. A medical assistant suspects a young patient is the victim of child abuse; signs of abuse are also the finding of the examining physician. What should the medical assistant and physician do? A) Speak to parent/guardian about their suspicions and document the encounter B) Document findings in the medical record and report it to the proper authorities C) Not document these suspicions in the chart because the abuse should first be ruled out B) A wife is not always responsible for her husband's treatment charges. c) A father is responsible for his minor children's debts. D) If a mother refuses to pay for her treatments, her adult son is responsible for payment. Correct Answer If a mother refuses to pay for her treatments, her adult son is responsible for payment. Responsibility for the actions of a medical assistant falls first to whom? A) Medical assistant, if nationally certified as an RMA or a CMA в) Medical assistant's clinical or administrative supervisor C) Employer/physician D) Medical office manager Correct Answer Employer/physician What is the legal term for the confidential information exchanged in a physician and patient relationship? A)Classified B) Professional c) Res ipsa loquitur D) Priveleged Correct Answer Priveleged Privileged information protects the patient's right to confidentiality. This information may be released only with the patient's written permission or if subpoenaed by a court of law and/or obeying lawful reporting. Any breach by medical office staff of patient confidentiality may result in which of the following charges? A) Malfeasance B) Assault c) Maloractice D) Negligence Correct Answer Negligence What is the legal term for committing an improper act that is legally unjustified and possibly harmful to another? A) Nonfeasance B) Negligence C) Res ipsa loquitur D) Malfeasance Correct Answer Malfeasance Malfeasance is a type of professional liability malpractice. Performing an act that one should not do at all or the unjustified performance of some act that one has no right to do is malfeasance. The courts mandate that the physician uphold the "standard of care" in practice. This means the physician is required to provide what kind of care? A) The highest degree possible under the circumstances B) Comparable to all other physicians of the same specialty anywhere c) Comparable to all given circumstances D) Comparable to reasonable, attentive, diligent physicians of the same education, same specialty, and practicing in the same or similar geographic area Correct Answer Comparable to reasonable, attentive, diligent physicians of the same education, same specialty, and practicing in the same or similar geographic area Which of the following is a possible factor that may influence when the onset period of time for the statute of limitations on a negligent action resulting in an injury begins? A) The date of the patient's last treatment B) When the final payment for services is made c) When the plaintiff files a suit for the injury D) When the injury is discovered Correct Answer When the injury is discovered Slander is defamation through which type of act? A) Spoken statements that damage someone's reputation B) Written statements that damage someone's reputation C) Res ipsa loquitur D) Improper performance of an act Correct Answer Spoken statements that damage someone's reputation Any breached federal or state narcotics laws are considered which type of offense? A) Criminal acts B) Misdemeanors c) Torts D) Civil wrongs Correct Answer Criminal acts Which of the following situations would present a civil rather than a criminal liability for a physician? A) A physician in medical practice treats patients without a valid license. B) A physician falsifies medical records for a workers' compensation case. C) A surgeon performs knee replacement on the wrong knee. D) A physician is accused of substance abuse while on the job. Correct Answer A surgeon performs knee replacement on the wrong knee. This is a case of professional negligence, so it falls under civil law. There is no criminal offense. Res ipsa loquitur (it speaks for itself) would apply. Which of the following responses is NOT a true statement about ethics? A) Ethics comprises are principles of right and wrong conduct. B)Ethics comprises self-imposed standards of conduct. c) Ethics comprises formal actions of a legislative body. D) Ethics relates to morals and moral judgments. Correct Answer Ethics comprises formal actions of a legislative body. B) When the patient's physician is notified of the document's existence c) When the patient can no longer make competent medical decisions D) When the patient has been placed in a nursing home Correct Answer When the patient can no longer make competent medical decisions A patient's unreasonable conduct resulted in injury to himself, and he has filed a claim of medical malpractice against his physician. What is the term for the finding for when/if the court determines the patient to be fully or partially at fault? A) Malfeasance B) Quid pro quo C) Nonfeasance D) Contributory negligence Correct Answer Contributory negligence What is the term for an employee who is considered to be acting on the doctor's behalf while performing professional tasks? A) Respondeat superior B) Subpoena duces tecum c) Malfeasance D) Res ipsa loquitur Correct Answer Respondeat superior If a physician simply decided to stop providing care for his or her noncompliant patient without following the appropriate legal steps, the patient could file a lawsuit against the physician on which of the following grounds? A) Quid pro quo B) Malfeasance c) Abandonment D) Res ipsa loquitur Correct Answer Abandonment The Americans with Disabilities Act guarantees which of the following rights for the physically impaired? A) Equal pay for like positions B) Health insurance for full-time employees c) Vacation pay D) Ease in physical access to the workplace Correct Answer Ease in physical access to the workplace Which of the following demonstrates positive communication skill? A) Ignoring a patient's anger B) Giving advice to the patient although they may not have asked for it C) Responding to the patient's stated problem by saying "let's discuss it" D) Telling an unhappy patient to "cheer up; things will get better" Correct Answer Responding to the patient's stated problem by saying "let's discuss it" What form of medical practice may have personal property attached in case of business failure and earns all of the profit when the business succeeds? A) Profit sharing corporation B) Partnership with limits c) Sole proprietorship D) Specialty group Correct Answer Sole proprietorship What is libel? A) Action intended to deceive another person B) Verbal statements made about another person that are malicious and/or false C) Ruining someone's good reputation by spreading verbal rumors D) Statements written or pictures about another person that are intended to be cruel and damaging to a person's reputation Correct Answer Statements written or pictures about another person that are intended to be cruel and damaging to a person's reputation A breach of confidentiality is considered unethical and illegal and is prohibited by which of the following? A) OSHA B) Civil Rights Act c) Standard of care D) HIPAA Correct Answer HIPAA What does civil law include? A) Torts B) Implied contracts c) Medical malpractice D) All of these answers Correct Answer All of these answers The privacy rule is in place to protect which of the following? A) All medical billing B) Specialists in the field of medical law c) The considerations of cultural beliefs D) Electronic transfer of information Correct Answer Electronic transfer of information How would a medical provider can avoid patient abandonment? A) Giving verbal notice of withdrawal from an established patient B) Declaring the patient to be indigent c) Mailing the patient a copy of the borrowed servant doctrine D) Giving formal notice of withdrawal from the established patient Correct Answer Giving formal notice of withdrawal from the established patient You are employed at an OB/GYN practice. The physician has confirmed a suspected pregnancy of one of your husband's family relatives. The relative nervously lets you know that no one else D) An illegal act, dereliction of duty, malfeasance, damages Correct Answer Duty to the patient, dereliction of duty, direct cause, damages Which of the following is the foundation for developing good listening skills? A) sitting within someone's personal space B) Paraphrasing c) Moderate and clear vocal tone D) Taking notes Correct Answer Paraphrasing What is the term for an injury to another person as a result of failure to act when duty is indicated? A) Feasance B) Malfeasance c) Misfeasance D) Nonfeasance Correct Answer Nonfeasance Nonfeasance is considered malpractice. Feasance means doing an act or performing a duty. Nonfeasance is the failure to act when duty is indicated and that failure results in injury to another. In order to have the best therapeutic communication, what should the medical assistant do? A) Accept each patient's particular attributes B) Overlook educational differences C) Ignore language barriers D) Use local area street slang to address the patient Correct Answer Accept each patient's particular attributes Which of the following actions is a roadblock to therapeutic communication? A) asking closed-ended questions B)Giving advice c) Taking notes D) Paraphrasing Correct Answer Taking notes What is the best way to address an elderly patient ? A) Mr. or Mrs B) Honey or Sweete C) Last name only D) First name only Correct Answer Mr. or Mrs When calling a facility to schedule a patient, what is the most important factor to remember? A) To get off the phone as quickly as possible B) To get the most convenient appointment possible c) To maintain patient confidentiality D) To discuss the patients limitations regarding diagnosis Correct Answer To maintain patient confidentiality After how many minutes after a patient has missed an appointment, should the medical assistant call to reschedule? A) 5 B) 15 C) 25 D) 30 Correct Answer 15 Which it the following scheduling methods books several patients around the A) Cluster booking в) Stream scheduling c) Wave scheduling D) Open appointment scheduling Correct Answer Cluster booking Which temperature site would give the highest normal values? A) Rectal B) Tympanic c) Oral D) Armpit Correct Answer Rectal Which of the following describes the patient's chief complaint? A) The main reason the patient is seeking care that day B) The most significant finding on the patient's exam c) The highest level diagnosis coded assigned to the patient D) The issue that takes the longest for the physician to resolve Correct Answer The main reason the patient is seeking care that day. The selection of one of the three available blood pressure cuff sized depends on which of the following criteria? A) Age of the patient B) Weight of the patient/ size of the arm c) Chief complaint D) Position of the patient Correct Answer Weight of the patient/ size of arm What is latex sensitivity a type of? A) Biologic hazard B) Chemical hazard c) Physical hazard D) Allergic reaction Correct Answer Allergic reaction What is the scrubbing of instruments with special brushes and detergents to remove blood, mucous, etc.? A) Sterilization B) Disinfection c) Sanitization D) Distillation Correct Answer Sanitization What is the process that involves a soaking or wiping process and inhibits the activity of disease-causing organisms? A) Sanitizing в) Disinfecting c) Sterilizing D) Counsel Correct Answer Client's words An RN asks you to start an IV. Which is true? A) Assistive personnel do not start IV's B) The RN must supervise your work c) Your must be trained to start IVs D) You must know whey the person needs the IV Correct Answer Assistive personnel do not start IV's You decide to refuse a task. What should you do? A) Delegate the task to someone else B) Communicate your concerns to the nurse c) Ignore the request D) Talk to the nurse's supervisor Correct Answer Communicate your concerns to the nurse Which of the following best defines a demographic? A) The neighborhood in which the doctor's office is located B) The number of physician's who work in an office c) The statistical date of a population, such as age, gender, etc. D) The medications prescribed by the physician Correct Answer The statistical date of a population, such as age, gender, etc. Which of the following would be appropriate for free screenings? A) Blood pressure B) Physical exams c) Stress tests D) Physical exams Correct Answer Blood pressure What type of fever is known as a fluctuating fever that remains elevated and does not return to baseline? A) Fever B) Intermittent c) Remittent D) Continuous Correct Answer Remittent Respiration rates can vary if abnormalities are present. Which type of abnormality is a temporary complete absence of breathing? A) Apnea B) Tachypnea c) Bradypnea D) Tachycardia Correct Answer Apnea What is accounts receivable? A)A record of all monies due to the practice B) The people the practice owes money to c) Materials that need to be paid for D) Accounts in good standing at the bank Correct Answer A record of all monies due to the practice Upon receiving cash in the doctor's office, what is the best way you should get it to the bank? A) Send it by mail return receipt B) Take it to the bank in person c) Drop it off in a drop box D) Do not accept cash as payment Correct Answer Take it to the bank in person What type of medication constricts blood vessels? A) Synergists в) Vasoconstrictors C) Diuretics D) Analgesics Correct Answer Vasoconstrictors Which of the following statements is true about working in a sterile field? A) Sterile packages should be opened to check the contents в) Your back must be kept to the sterile field at all times C) All sterile items should be held above waist level D) Cover your mouth when sneezing near the sterile field Correct Answer All sterile items should be held above waist level Why is a preservative added to specimen containers that are to be sent to a pathologist? A) Help the specimen be seen at night B) Prevent cross contamination C) Delay decomposition D) Prevent growth and inhibit false test results Correct Answer Delay decomposition Which of the following items should be added to the label on a specimen container? A) The name of the lab B) The patient's diagnosis c) The date D) The patient's address Correct Answer The date What should a medical assistant do before removing a patient's sutures? A) Apply a local anesthetic to numb the area B) Place an ice pack on the patient's forearm c) Advise the patient that he/she should feel a pulling sensation but not pain D) Advise the patient that this will hurt Correct Answer Advise the patient that he/she should feel a pulling sensation but not pain What is the best way to prepare a patient for surgery? A) Remind the patient of procedures by calling a few days before the surgery B) Tell the patient all the instructions upon their arrival C) Call the patient and discuss over the phone D) Send the patient home with written instructions on what to do Correct Answer Send the patient home with written instructions on what to do C) Notated consent D) Patient consent Correct Answer Implied consent What has HIPAA enabled patients to do? A) Have more control over their medical records B) Prescribe their own medications c) Allow their pharmacist to give emergency medical advice D) Allow their primary doctor to have complete control Correct Answer Have more control over their medical records What type of insurance coverage is provided for employees who are injured while working? A) Medicaid B) CHAMPVA c) Worker's compensation D) TRICARE Correct Answer Worker's Compensation What do you call the family members covered by an insurance plan? A) Subscribers в) Policy holders c) Beneficiaries D) Dependent Correct Answer Dependent How is a consultation different from a referral? A) A consultation is needed when the patient moves to another city B) A consultation is needed when the physician asks for the opinion of anotner provider c) A consultation is needed only in terms of mental health D) A consultation is needed before the physician can submit a claim for services rendered Correct Answer A consultation is needed when the physician asks for the opinion of anotner provider A routine hand wash procedure uses plain soap to remove transient bacteria. Hand antisepsis requires the use of which of the following? A) Gel-based creams after the routine hand wash B) Scrub brushes c) Antimicrobial soap D) Medicated towels for drying clean hands Correct Answer Antimicrobial soap Which of the following is a fever that comes and goes or, fluctuates and returns into the average range? A) Continuous B) Intermittent C) Remittent D) Crisis Correct Answer Intermittent How is a patient's general medical history preferably obtained? A) Before admission to the hospital B) Over the telephone before the initial appointment C) At the end of the first office visit D) Whenever the need arises Correct Answer Before admission to the hospital Which of the following is considered inapporpriate communication with a patient? A) Taking the time to listen with patience and kindness B) Using positive nonverbal responses such as a warm smile c) Touching and holding the hands of the patient intimately D) Communicating clearly, without the use of "uh's" or "you know" Correct Answer Touching and holding the hands of the patient intimately Which of the following thermometers is considered the most accurate indicator of body temperature? A) Oral B) Aural or tympanic c) Axillary D) Rectal Correct Answer Rectal Which of the following is NOT considered a vital sign? A) Blood pressure B) Pulse rate C) Respiration D) Weight Correct Answer Weight Which route is involved in administering a drug by placing it under the patient's tongue and leaving it there until it is dissolved? A) Buccal route B) Sublingual route c) Subcutaneous D) Transdermal route Correct Answer Sublingual route What is the average normal heart rate? A) 63 beats per minute B) 72 beats per minute c) 81 beats per minute D) 96 beats per minute Correct Answer 72 beats per minute If the provider of medical services wishes to discontinue care to a noncompliant patient, which U.S. postal classification should be used to notify the patient? A) Priority в) First-class c) Registered D) Certified, with return receipt Correct Answer Certified, with return receipt What is the term describing the process of sharing data by linking two or more computers? A) A 21-year-old woman who requires a pre-externship physical examination for enrollment into her medical assisting externship course B) A 16-year-old girl who requires a school sports physical examination to participate on the soccer team c) A 45-year-old man who requires an office visit for renewal of his prescribed hypertensive medication D) A 50-year-old woman who requires a preoperative history and physical examination for a scheduled surgical procedure Correct Answer A 50-year-old woman who requires a preoperative history and physical examination for a scheduled surgical procedure In order to achieve minimal disruption in the daily schedule while accommodating acutely ill patients, what should the medical assistant do? A) Refer those patients to the nearest hospital B) Leave "buffer" times in the appointment schedule c) Change the schedule matrix D) Double book those patients Correct Answer Leave "buffer" times in the appointment schedule In order to complete the matrix before scheduling any appointments, which of the following do you NOT need to know? A) When the physician(s) perform procedures in hospital B) When the patients prefer to set up appointments C) Days and times the physician(s) will be working at the satellite office location D) Vacation dates for the physician(s) Correct Answer When the patients prefer to set up appointments A scheduled patient calls the office to change the date and time of the appointment. What do you need to do? A) Delete the patient's name from the original appointment and place it in the new date and time slot. B) Take the opportunity to remind the patient of any past due balance c) Note the reason for the cancellation in the patient's medical record. D) Tell the patient that he or she may not reschedule a 2nd time Correct Answer Delete the patient's name from the original appointment and place it in the new date and time slot. What is the most important reason for documenting all appointment "no shows" in each patient's medical record? A) To provide risk management B) To provide billing documentation for office time set aside for the patient's appointment, to track the "no snows tor the pallent c) To remind the office to call and reschedule the patient D) To remind the patient of missed appointment when he or she calls the office Correct Answer To provide risk management The office appointment book does NOT need to provide space for recording which piece of patient information? A) Patient's address B) Patient's reason for visit c) Patient's name D) Patient's daytime telephone number Correct Answer Patient's address What are the three common types of medical records? A) Emergency, office, hospital B) New, established, destroyed c) Active, inactive, closed D) Active, inactive, dead Correct Answer Active, inactive, closed Medical office patient records are most likely filed using which of the following systems? A) Alphabetic B) Account number c) Numeric D) Subjective Correct Answer Alphabetic A patient in the military has been stationed overseas for 3 years. The patient is now stateside and has called to schedule an appointment. Where in your files would you most likely find the record? A) Dead files B) Closed files c) Active files D) Inactive files Correct Answer Inactive files Which of the following filing systems provides the greatest amount of confidentiality? A) Category B) Numeric c) Condition D) Alphabetic Correct Answer Numeric Of the following, which is considered subjective information within the medical record? A) Diagnosis B) Examination review c) Family history D) Treatment Correct Answer Family history A new patient arrives for his or her appointment and provides date of birth, home address and phone number, place of employment, and health insurance carrier. Which of the following is this information referred to as? A) Hard copy D) Clean-catch midstream Correct Answer First morning What is the approximate normal range for the specific gravity of urine? A) 1.000 t0 1.015 B) 1.003 to 1.040 C) 1.005 to 1.030 D) 1.020 to 1.030 Correct Answer 1.005 to 1.030 Usually, freshly voided normal urine from well patients is acidic, with a pH of which of the following values? A) 3.5 B) 6.0 C) 7.0 D) 8.0 Correct Answer 6.0 What is the average quantity of urine produced by an adult over a 24-hour period? A) 750 mL B) 1,000 mL c) 1,250 mL D) 2,000 mL Correct Answer 1,250 mL Which of the following sites is most commonly used in venipuncture to withdraw blood? A) Median cubital vein B) Femoral vein C) Median radial vein D) Basilica vein Correct Answer Median cubital vein What is the normal value range for a hematocrit reading for females? A) 20% to 35% B) 32% to 41% c) 37% to 47% D) 42% to 52% Correct Answer 37% to 47% Which blood type is considered the universal recipient? A) O positive B) O negative C) AB positive D) AB negative Correct Answer AB positive EDTA (ethylenediaminetetraacetic acid) is present in which color- topped vacuum tube? A) Light blue B) Gray c) Pink D) Lavender Correct Answer Lavender Blood would be used for what kind of testing if it was collected in a vacuum tube containing no additive? A) Hematology tests B) Electrolyte studies C) Blood chemistries D) Arterial blood gases Correct Answer Blood chemistries Blood would be used for what kind of testing if it was collected in a vacuum tube containing EDTA? A) Hematology tests B) Blood chemistries C) Coagulation studies D) Lactic analysis Correct Answer Hematology tests Which of the following ensures test result accuracy by monitoring the test procedures performed in the medical office? A) (MSDS) material safety data sheets B) OSHA regulations c) Quality control program D) Medical Practice Acts Correct Answer Quality control program Which of the following on an ECG reflects the depolarization of the atria of the heart? A) QRS wave B) P-R interval c) P wave D) T wave Correct Answer P wave It is acceptable for a blood clot to form in which color-topped tube? A) Lavender B) Green C) Light blue D) Red Correct Answer Red Which of the following on an ECG reflects ventricular heart depolarization? A) T wave B) U wave C) P-R interval D) QRS wave Correct Answer QRS wave What is the universal standard speed for recording an ECG? A) 20 mm/second B) 25 mm/second c) 30 mm/second D) 35 mm/second Correct Answer 25 mm/second