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M165 Exam 3
M165 Exam 3
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1
Revealing information about a patient without consent unless otherwise require required by law is called
Bioethics
Genetic manipulation
Conflict of interest
Breach of contract
2
What manual is used to assign codes for procedures that are rendered in the physician’s office?
CPT
ICE-10 PCS
ICD-10-CM
CMS
3
Which are the accessory organs to digestion?
Duodenum and bile duct
Esophagus and pharynx
Cecum and rectum
Liver and gallbladder
4
The number of vertebrae within the thoracic region is
10
7
5
12
5
Before a patients medical information can be shared with others, what must be obtained?
Patients government issued id
Patient insurance card
Patients social security card
Release form signed by the patient
6
Structure that is composed of two or more tissue types
System
Cell
Organism
Organ
7
Patient approaches a check in window of the front desk at a physicians office. What should the MA do?
Instruct the patient to sign in and take a seat
Greet the patient and ask how they could be of service
Ask the patient for their insurance card
Instruct the patient that there is a copay for todays visit
8
Which of these laws protects you from exposure to blood-borne pathogens and other body fluids in the workplace
HIPAA
CLIA
Occupational safety act
OSHA
9
A patient has received a patient balance notification. When should the outstanding payment collection process start
After 90 days
After 30 days
After 60 days
After 10 days
10
What is the appropriate body position for breast self examination
Lithotomy
Knee chest
Fowlers
Supine
11
Which of the following is the first step in choosing an evaluation snd management code
Verify the patients DOB
Check the physicians credentials
Verify insurance eligibility
Identify the place of service
12
When looking on the imprinted numbers on a check, the second series of numbers is the
Bank identifier number
Account number
Routing number
Check number
13
Which part of SOAP notes should allergies be documented
Plan
Objective
Subjective
Assessment
14
physicians and experts in musculoskeletal diseases in bones, muscle muscles, and joints. Identify the department.
OBSTETRICS
Rheumatology
Ophthalmology
Oncology
15
The body organ targeted by HBV is the
Heart
Lungs
Brain
Liver
16
All pathogens are
Communicable microorganism
Microbes that caused disease
Normal bacteria found in skin
Microorganisms living in soil
17
What does PHI stand?
Private health instructions
Protected health instructions
Private health information
Protected health information
18
How often should be a patients medical record be reviewed to ensure it’s accuracy and completeness
Annually
On continuing basis
Bi annually
Quarterly
19
An optional health benefit program offered to people who are signing up for Social Security benefits
Medicare part a
Champus
Medicaid
Medicare part B
20
What organs main function is to elimination water and excess waste products
Intestines
Kidneys
Gallbladder
Liver
21
Smallest structural unit of the nervous system
Spinal cord
Neuro fibrils
Brain
Neuron
22
A murmur is abnormal sound that may indicate
Bronchial asthma
Stroke
Valvular heart disease
Intestinal obstruction
23
According to OSHA what is the leading cause of accidents in a medical office
Electrocutions
Workplace violence
Medication error
Slips and falls
24
What is the best time to run a control on POC test?
When opening a new box of tests
When abnormal test results have been obtained
When the patients test is complete
When preforming the test on the patient
25
A clinical MA has revived lab results from an outside provider. What is the next step
Send the patient a bill for lab results
Send the results back to the outside provider
Place results on the physicians desk for signature
Send the results to the patient
26
When collecting a sterile blood specimen, which blood tube could be used
Green tube top
Grey tube top
Yellow tube top
Lavender tube top
27
Coordination of benefits means that
Impatient coordinate healthcare cost and codes
Services are coordinated through then first snd second insurances
Codes are used to coordinate between procedure and diagnostics
Secondary insurance is always filed before the primary
28
Which of the following refers to the process of determining how long a patient balance has been outstanding
Account aging
Account receivable ratio
Accounts payable
Balance due
29
What does SOAP stand for?
Subjective opinion, assessment and plan
Scheduling objective assessment and predict
Subjective objective assessment and prognosis
Subjective objective assessment and plan
30
In which of the following conditions should foods with high levels of triglyceride be avoided
Crohns disease
Atherosclerosis
Arrhythmia
Chronic obstructive pulmonary disease
31
Mr. Smith called the office to get test results for his wife, which of the medical assistant do
Check the medical record and see if Mr. Smith is authorized…..
Check to see if Mr. Smith is really Mrs. Smith’s husband
Give him the results
Tell Mr. Smith that you cannot release the information
32
What is the max number of days for non absorbable sutures to stay on the patients face
15-20
5-7
9-12
1-3
33
clinical MA is preparing a patient for a medical procedure. They explained the procedure, risks and side effects…. Next?
Schedule a consultation with the physician
Proceed with the procedure
Obtain a signed informed consent form
Obtain verbal consent
34
Which chest lead is placed on the right sterna border in the 4th intercostal space?
V3
V4
V1
V2
35
What term is used to describe an intermediate diagnosis through evaluation of the patient’s health history and physical?
Physical diagnosis
Final diagnosis
Clinical diagnosis
Differential diagnosis
36
Best position to place a patient who is experiencing chest pain and shortness of breath
Supine
Prone
Lithotomy
Fowler’s
37
What type of urine specimen is cultured and examined for bacterial growth
Random
24 hour
First morning
Catheterized
38
When a patient fails to show for their appointment the event must be
Documented in the patient’s chart
Monetarily charged to the patient
Written as a no-show log
Erased from the schedule
39
What test tube is appropriate for a cbc test?
Green
Light blue
Red
Lavender
40
Entrance Rams wide end, restrooms, and braille signs are just a few requirements of this act
Clinical laboratory improvement act
American with disabilities act
Equal employment opportunities, commission
Civil rights act
41
What information should be verified on a requisition form before specimen collection
Demographics, patients, gender snd then and the name of the ordering dr
Date & time of collection, the initials of the person collecting specimen
Source of specimen, diagnoses and bar code
Patients name, dob, and tests requested
42
All jesters do not mean the same thing in cultures. What gesture would be most considered by most people?
Not of the head
Direct eye contact
Pointing a finger
Warm smile
43
A F patient came into the ER room due to vaginal bleeding. What is the name of the instrument used to open the vagina?
Hemostat
Forceps
Retractor
Speculum
44
A baby’s pulse and respiration rate are
Slower than an adult
Faster than an adult
Same as an adult
Not significantly different than an adult
45
Why is it important for medical facilities to go through in accreditation process?
Allows a facility to charge more
Provides better marketing of services
It’s required in order for the facility to bill. It’s patients
Let a community know that the facility works exceed standards
46
When preforming basic life support on an adult patient, what is the compression to breath ratio
30 to 2
30 to 1
15 to 2
15 to 1
47
What position is used for a pelvic exam?
Sims
Fowlers
Lithotomy
Knee-chest
48
Which motive infection transmission occurs from touching contaminated lines
Droplet contact
Airborne contact
Direct contact
Vehicle contact
49
What is another name for the duty to meet reasonable expectations of our patients?
Fidelity
Beneficence
Confidentiality
Loyalty
50
A blood culture and sensitivity (c&s) test is most likely performed in which division of clinical lab?
Hematology
Chemistry
Urinalysis
Microbiology
51
What type of urine specimen is cultured and examined for bacterial growth
Catheterized
24 hour
Random
First morning
52
Which of the following blood tester requires that a patient fast prior to the collection of a specimen
HCG
H&h
GTT
CBC
53
Part of the heart that pumps oxygenated blood out of the heart to the body
Left ventricle
Left atria
Right atria
Right ventricle
54
What information is included in the patient’s registration record of the electronic health record?
List of current diagnosis
Current list of medication’s
Demographic and billing data
Results of previous physical examinations
55
What are two general safety rules that apply to handling of fire hazards?
Lockout and tagout
Race and pass
Race and pace
Trip snd slip
56
What is the name of the law that protects health care workers who gave aid during the time of an accident?
HIPPA
Good Samaritan law
Megan’s law
Right to know law
57
When is the postprandrial serum glucose level measured
After eating
After drinking
After exercise
After sleeping
58
When a medical assistant witnesses a patient signature what information is being verified?
The patient’s identity and patient signature
Patient’s willingness to pay the balance due
Patient diagnosis
The patient’s identity
59
Defamation through spoken statements
Liable
Slander
Sympathy
Empathy
60
What section of a medical history from states the patients for reason a practitioner
Personal information
Past medical history
History of present illness
61
A patient has a cast on their left arm and a bruise on their right. Where should the MA draw blood
Right arm and above the bruise
Left hand
Right arm below the bruise
Right hand
62
When a patient presents with a temperature of 100° what would this be classified as?
Subnormal
Low-grade fever
Hyperpyrexia
Normal
63
Which of the following documents is prepared when a patients decides to grant another person legal authority to act?
Living will
Self determination
Informed consent
Power of attorney
64
A clinical MA is preforming a Snellen test. Which of the following numbers indicate the patient with normal vision?
20/30
20/40
20/20
20/50
65
24 hour specimen would be an example of _______
Clean, catch specimen
Morning specimen
Postprandial specimen
Timed specimen
66
Many diseases are harmful, even fatal to children. Which condition is most associated
Chickenpox
Meningitis
Fever
Cough
67
What legal statue is violated when a clinical MA forgets to log out of the medical records management system?
Freedom information act
Americans with disabilities act
HIPPA
CLSI guidelines
68
Which of the following tests is conducted in a clinical laboratory?
CBC
Allergy
Hearing
Visual activity
69
A fluctuating fever that returns to or below normal baseline then increases again is
Remittent
Onset
Intermittent
Continuous
70
Which blood test requires fasting?
CBC
Hcg
Cholesterol
Ptt
71
A patient calls a medical office to reschedule an appt. How should a clinical MA respond to this call.
Hold please
Let me direct you to the correct person
Im the medical assistant. I do not handle scheduling
We will have a physician call u back
72
Which of the following adult vital sign readings should be reported to a physician?
Pulse of 88 bpm
Temperature of 99.9 f
Blood pressure 220/180 mm hg
Respiration of 16 breaths per minute
73
Person who is trained to examine tissue samples and perform biopsies
Cytologist
Medical tech technologies
Phlebotomist
Histologist
74
What class of medications will require a prolonged pressure applied to the site of following venipuncture?
Anti hypertension
Antibiotics
Antipsychotics
Anticoagulants
75
A clinical MA is taking a patient pulse for 30 seconds and notices some irregularity. What must they do next?
Count the patients pulse for a full minute
Take the patients blood pressure
Record the pulse they measured in the patients chart
Take the patients temp
76
____ contains all the most current written documentation release a patient healthcare
Pathology report
Consultation report
Medical record
Consent forms
77
In which stage of infection would a patient be present with a complete of malaise
Convalescent
Acute
Prodromal
incubation
78
What can produce an artifact that mimics the baseline seen in atrial fib?
Use an electronic device
Machine malfunction
Muscle tremor
Poor skin contact
79
Which behavior of a clinical MA represents professionalism?
Wearing open toed shoes in the clinic
Usinch non verbal communication
Arriving to work on time
Keeping your cell phone in reach
80
Which of the following is correct regarding contact transmissions
Refers to the transfer of pathogens by mosquitoes flies or rats
Remain suspended in the air for a long period of time
Involves contaminated instruments and needles, hands that are not washed
It involves a transfer of pathogens by food and water
81
Choose the most appropriate way for all employees to understand their role in regarding emergencies
Physician explains everyone’s role
Office should have written plan of response for all employees
Office staff attends classes at community college
Professional company should provide instruction
82
Muscles that act on knee joint Exhibit 2 actions
Flexion and extension
Abduction and adduction
medial rotation and extension
83
Which of the following is a closed ended question
What is the reason for your appointment today?
What makes the pain worse?
Does the pain leave and return throughout the day?
How would you describe the pain your experiencing
84
What portion of a surgical tray is considered non sterile
One inch of the outer border
Half an inch of the outer border
Five inches of the outer border
Ten inches of the outer border
85
In a pediatric patient, which of the following urine specimens contains the highest solute concentration
First morning
Postprandial
Clean catch mid stream
Fasting
86
Equipment that separates liquids into their different part as a/AN
Incubator
Autoclave
Analyzer
Centrifuge
87
Which body position is commonly used for examining the head and neck
Prone
Sims
Lithotomy
Semi Fowlers
88
Under hippa who may access patient medical records
Any health healthcare provider
Only primary care physician
Only healthcare providers that are directly involved
Those with the same last name
89
Main purpose of PPE is to
Prevent infection transmissions to the patient
Protect clothes
Help project a professional appearance
Provide employee a barrier against infection
90
Which of the following medical tests is included in a lipid panel?
Glucose
Triglycerides
Potassium
Albumin
91
What do horizontal and vertical and axis lines represent on an ECG paper?
Repolarization and space
Speed and voltage
Time and depolarization
Time and amplitude
92
You are working on a medical intake at an urgent care center. 3 patients walking in at 9 AM.
Appointment scheduling
Patient registration
Phone screening
Triage
93
During a patient interview, your patient tells you that she drinks alcohol five times a week. Where is this documented?
Social history
Chief complaint
Past history
Present illness
94
The hormone that triggers, the bodies reaction in fight or flight is called
Thyroxine
Cortisol
Epinephrine
ACTH
95
Ethics is
Conforming tomorrow, standards of right behavior, and rule of conduct
Abstinence from any harm
A structure examination of how should be behave
Viewpoint of a system of values, general beliefs, and attitudes
96
What two fingers are the preferred locations for capillary puncture in an adult?
Middle and ring fingers on a non dominant hand
Index and middle fingers on a non dominant hand
Middle and ring fingers on a dominant hand
Index and middle fingers on a dominant hand
97
The knee chest position is used for which examination
Cervical spine
Abdominal
Rectal
98
Which of the following tasks is performed by a clinical MA while assisting a provider in the exam room?
Irrigating a wound
Preforming an arterial blood draw
Stitching a wound
Starting an IV for therapy
99
What is the patients right under the privacy rule?
Access their medical record
Sue the doctor
Access their ex spouses record
Refuse treatment
100
What is the appropriate way to dispose of a needle ?
Recap the needle
Unscrew the meddle from the vacutainer
Place a needle in a sharps container
Place the needle in a bio hazard bag
101
When collecting a chain of custody urine specimen. How soon should the urine temp be measured
Within 4 min
Within 9 min
Within 1 min
Within 14 min
102
What information should be written on the outside of the pack that has been sterilized
Initials, items inside and date of expiration
Initials, items inside and date of intended surgery
Items inside and name or provider
Initials, items inside and date of sterilization
103
Which of the following medical record management practices ensures compliance with HIPPA
Medical records must be stored snd used to maximize the disclosure of PHI
HIPPA rules do NOT apply to medical records of pediatric patient under 15
Medical records must not be stored where there is controlled access
Medical records should be stored out of sight of unauthorized individuals
104
What type of unprofessional conduct could result in a revocation of a physicians license?
Inappropriate contact with a patient
Failure to dictate patient notes
Failure to be on time
Incorrect charting
105
What choice is a typical educational topic for elderly patients to prevent disease
Annual flu and pneumonia vaccine information
The location of patient’s public health resources
Sterile technique used in medical practice
Health antiaging skin care techniques
106
What is the function of large intestine a.k.a Colon
Absorb vitamins
Absorb water
Absorb sugar
Absorb fat
107
Where is s tympanic temperature taken?
Under tongue
Armpit
The rectum
Ear
108
What is the best place to interview a patient?
In the exam room
Over the phone
The patient’s house
In the reception area
109
A round skin lesion with itching that is positive sign reaction if allergy testing
Papule
Wheal
Pustule
Vesticle
110
A F patient needs to provide a clean catch urine. At what point during urination should the specimen be collected?
At any point during urination
Towards the end of the urination
During mid stream
During the first stream
111
A patient information sheet contains
Past medical history
Chief complaints
Personal and insurance information
Past family history
112
The hormone tested for pregnancy test is
Progesterone
TSH
Estrogen
HCG
113
To create a successful team in the office, which of the following is essential?
Ensure that all team members have the same skills
Maintain a negative tone in the team meetings
Determine teams by location in the office
Clarify the roles of the team members
114
Which of the following is not true regarding HIPAA laws
Few boundaries are set and use and release of health records
Patients have more control over their medical records
Violators are held accountable of patient privacy, right become compromised
Patience can make informed choices regarding how their personal health….
115
Which of the following means the act of articulating and speaking clearly
Pronunciation
Conversation
Communication
Enunciation
116
Which process results in the complete destruction of pathogens?
Saline soak
Sterilization
Pre cleaning
Soaking in hot water
117
The patient account has been turned over to collection agency, patient calls about the bill. What should they do
Remit payment to the physicians office
Find another physician
Speak to the office manager
Contact the collection agency
118
Hypotension is defined as
Diastolic pressure of 129 diastolic pressure of 80
No measurable systolic pressure
Systolic pressure above 150 diastolic pressure above 90
Systolic pressure below 90 diastolic pressure below 60 MMHG
119
A patient is having a seizure. What is the most appropriate step for the clinical MA to protect the patient?
Raise the patients feet
Call for help
Loosen clothing around the patients neck
Administer small amount of liquid
120
What should a clinical MA do to practice cough etiquette in a hospital
Cough into their own elbow
Wear a mask
Use a face shield when coughing
Cough in their own hands
121
Which of the following is a common route for administration of parental medications
Transdermal
Injection
Oral
Topical
122
Quantitative test is one that
Test for presence and amount of the substance sample
Test for all substances in the sample
Test for the presence of substance only
Does not require a trained tech
123
MA informs patient that they need to work on their cholesterol and exercise. What is consistent with the MA instru..
Eating processed meat and avoiding French fries
Eating skinless chicken snd exercising daily
Eating canned food three times a week and watch to daily
Eating pork and exercise daily
124
A clinical MA is working with a patient over their bill. The patient is upset and yells. What should the MA do?
Ask the patient to lowered their voice
Invite the patient to join them in a room away from other patients
Ask the patient to come back later since they are upset
Ask the patient to express their complaint in writing
125
MA is checking in a new patient. Then has facial drooping snd slurring their speech. Which of the following conditions?
Anxiety attack
Cerebrovascular accident
Syncope
Myocardial infarction
126
A follow up note from a previous visit as a
Lab report
Progress note
Prescription note
Chief complaint
127
Which is the first topping sound when a BP cuff is deflated
Systolic
Mean arterial
Diastolic
Pulse
128
When preparing an ECG machine for testing, what patient identifying information is necessary to recall an ECG test
Address and phone number
SSN and drivers license number
Weight and height
Name snd DOB
129
Functional unit of the kidney
Nephron
Bladder
Ureter
Neuron
130
In order issued by court to obtain evidence is called a/an
Remand
Interrogation
Deposition
Subpoena
131
Hand asepsis uses
Scrub brushes
Antimicrobial soap
Medicated towels for dry, clean hands
Oil base creams after routine hand wash
132
MSDS info includes
General emergency information
Information on competitor products
Table of chemical elements
Product manufacturing conditions
133
What department performs a CBC
Hematology
Pathology
Serology
Cytology
134
The common name for medication is known as
Trade name
Generic name
Brand-name
Chemical name
135
What is the maximum amount of medication allowed when administered subcutaneously
0.5 ml
1.5 ml
1.0 ml
2.0 ml
136
Which of the following is the most appropriate action when changing a patients dressing
Loosen the dressing stuck to the wound with an antibacterial ointment
Loosen the dressing stuck to the wound with sterile water
Cleanse the wound site with an antiseptic solution
Pull off dressing stuck to the wound very quickly
137
Smith suffers from a condition that causes enlargement of the bones in his hands, skull feet and thickening of skin….
Acromegaly
Cushings
Addisons
Cretinism
138
Res lpsa liqutur means the thing that speaks for itself what does that referring to?
Malfeasance
Malpractice
Disobedience
Negligence
139
If a Medicare patient sees non participating provider who will receive insurance payment
Third party provider
Physician
Medicare
Patient
140
Most HIV exposures in a healthcare setting are usually due to
Accidental needles sticks
Splashes during surgery
Contact with patients
141
What type of communication involves listening to a patients responses. Observing non-verbal cues, & restating what said
Reflective
Active
Assertive
Empathetic
142
The physician prescribed penicillin for a patient with known allergy. The patient died. What type of negligence is this?
Malpractice
Magnificence
Misfeasance
Abandonment
143
How long has the pain been going scale of one to 10? How would you describe this as an example of?
Using a leading question
And open ended question
Demanding an explanation
How close ended question
144
Which of the following is a first step in choosing an evaluation and management code
Verify insurance eligibility
Verify the patient’s DOB
Identify the place of service
Check physicians credentials
145
Which of the following is an example of demographic information
Medication list
Surgical history
Social history
DOB
146
Which of following actions demonstrates professional handling of the telephone calls
Transferring the call to another department
Speaking loudly to a non English speaking patient
Answering the office phone promptly on the 5th ring
Placing the patient on hold politely after asking for permission
147
A patient arrives at an urgent care, complaining of nausea. They vomit red blood. What PPE would be most appropriate
Face shield and gloves
Gown, booties and gloves
Gloves and face shield and gown
Gown and gloves
148
Co insurance is calculated based on
Number of policyholder
Capitation rate
Fix charge
Percent of charge
149
The physician has ordered a fasting blood test from a patient. What must the clinical MA do if the patient didn’t fast
Have the patient reschedule the appt
Ask the patient to come back in an hour
Give the patient orange juice and draw the sample for 3 hours
Draw the blood sample as ordered
150
Any time an employee in a medical office is injured a/an _____ must be completed as soon as possible
Incident report
HIPAA form
Patient history sheet
Call to the emergency room
151
MA should answer the phone within how many rings?
5
3
4
6