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