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CCMA Final Exam Study Guide
CCMA Final Exam Study Guide
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Medical Assistant final exam study guide (unfinished)
Flashcards
180 cards
F
Practice quiz
P
Host live
L
Questions
180
Answers
1
The ROS section of medical history is
Review of symptoms
Review of situation
Review of signs
Review of systems
2
A 12 lead EKG may be performed on any patient who presents with which symptom
Syncope
All of the above
Shortness of breath
Chest pain
3
The mid sagittal plane can also be referred to as the
Frontal plane
Medial plane
Transverse plane
Median plane
4
Which of the following is not true about red blood cells
Also called erythrocytes
Biconcave disk
Have a nucleus where oxygen attaches
Have antigens which determine blood type
5
Which type of urine sample provides the clearest most accurate results
Clean catch specimen
1st morning sample
24 hour collection
Mid stream specimen
6
One conteaindicator for taking an axilla temperature is
There are no contraindications
Damaged skin
Otitis media
Recent rectal surgery
7
Correct order of draw for a PTT, CBC, lactate levels, and cardiac enzymes
Light blue, red, green, lavender
Lavender, red, light blue, yellow, green
It doesn't matter as long as you draw the correct tubes
Yellow, red, light blue, green, lavender
8
Peak flow may be used to monitor
Emphysema
Fever
Normotension
Hypertension
9
Which of the following is true about -lactams
Inhibiting peptidoglycan cross linking
All of the above
A component in antibiotics safe for the general population
Inhibiting growth of bacterial population
10
Correct flow of blood through heart is
Left ventricle, left atrium, right atrium, right ventricle
Right atrium, left ventricle, left atrium, left ventricle
Left atrium, left ventricle, right atrium, right ventricle
Right atrium, left atrium, right ventricle, left ventricle
11
If your patient develops a severe reaction to a GTT what should you do
Contact a physician and do not administer further glucose
Give patient a longer break then you would normally between
Reschedule the patient to take the test at another time
Make a note in the chart
12
After gram staining, gram negative bacteria will appear
Either Violet or red
Only gram positive bacteria will be visible
Light to dark red
Deep Violet
13
If blood is splashed in eye or mucous membrane, affected area should be flushed how long?
15 minutes
5 minutes
1 minute
30 seconds
14
Proper ratio of bleach to water in Dakin's solution
1/10
10/1
10:1
1:10
15
How many leads are used in telemetry
3
Can be 3 or 5
10
5
16
What should be used to flush wounds
Purified water
Isopropyl alcohol
Antiseptic cleaner
Sterile saline
17
In addition to cessation therapy, what else is important in the treatment of addiction
Lifestyle changes
Talk therapy
Mood stabilization
Both talk therapy and lifestyle changes
18
Which of the following is not a right of medication administration
Right patient
Right diagnosis
Right dose
Right time
19
What is the tunica media
The middle layer of smooth muscle in vessels
A type of white blood cell used in immunity
The middle branch of the venous return
The sheath that surrounds the heart
20
Which section in the lab would perform a test evaluating a patient's immune response
Hematology
Microbiology
Serology
Chemistry
21
In order to properly end a standard blood draw procedure which sequence is correct
Tourniquet, bandage, needle
Needle, tourniquet, bandage
Tube, tourniquet, needle, pressure
Tourniquet, tube, needle, pressure
22
Which type of fracture has occurred if a patient's bone has broken into 5 pieces
Spiral fracture
Oblique fracture
Comminuted fracture
Transverse fracture
23
How many hours is a holter monitor worn
24 - 48
72 - 120
24 - 72
48 - 72
24
T wave on an ECG lead represents
Atrial repolarization
Atrial depolarization
Ventricular depolarization
Ventricular repolarization
25
Common symptom for cirrhosis hepatica
Shortness of breath
Unintended weight loss
Jaundice
Lethargy
26
The use of alcohol prep pads before venipuncture interrupts the chain of infection at the
Agent
Mode of transmission
Portal of entry
Susceptible host
27
Anatomy is the study of
Function of the body and cells
Microscopic organization of the body
Macroscopic organization of the body
Terms used in medicine
28
Serum is ____ with the ____ removed
Water; blood
Blood; plasma
Plasma; fibrin
Plasma; red blood cells
29
Which type of coding classifies occasion's and circumstances related to an injury
Z-codes
UB-04
CMS-1500
ICD-10
30
And interoffice letter sent to notify employees of workplace announcements
Printed materials
Office note
Interoffice communication
Memorandum
31
Patient sits down in the draw chair and extends their arm for a blood draw
Implied consent
Informed consent
Confidentiality
AMA
32
A superbill includes
Transition planning
Financial and payment information
Emotional support
Service information
33
What is the name of the form used by a hospital or inpatient facility to bill medicare?
HCFA-1500
UB-04
CMS-1500
ICD-10-CM
34
Scientific study of the human mind and its functions
Psychology
Psychiatry
Mental health studies
Developmental studies
35
Responsible for the transportation of oxygen, carbon dioxide, and nutrients to cells
Arteries
Veins
Hemoglobin
Capillaries
36
4x4 is a type of
Surgical sponge
All of the above
Gauze
Sterile dressing
37
A normal heart rate for adults
60 - 100 beats per minute
50 - 70 beats per minute
60 - 100 beats per second
50 - 70 beats per second
38
Which of the following is required on a referral
DOS
Diagnosis
All of above
PCP name
39
Which method of charging organizes information by the source of the information?
SOMR
Subjective charting
Progress notes
POMR
40
Angina:
Pain or pressure but only if it's in the chest
Patient is having a heart attack
Pain or pressure
None of the above
41
Process where SA node recovers and reestablishes its electrical potential
Sinus rhythm
Repolarization
Depolarization
Relative refractories
42
COC refers to:
Continuity of care
Component of chief complaint
Cycle of cardiac activity
Circumference of chest
43
Which artery is occluded by the cuff during a blood pressure collection
Carotid
Brachial
Atrial
Radial
44
Which test requires pre warming the collection tube
Glucose tolerance test
Cultures
Blood gas
Cold agglutinins
45
What does SOP stand for
Senior on-call physician
Series of patients
Source of patient information
None of the above
46
The bicuspid valve
On the left side of the heart
Also known as the mitral valve
All of the above
And atrioventricular valve
47
Which treatment type could include use of a therapy animal
Surgical
Interaction
Lifestyle
Physical
48
Physiology is the study of
Function of the body and cells
Macroscopic organization of the body
Terms used in medicine
Microscopic organization of the body
49
What is the proper conversion equation when converting from Celsius to Fahrenheit
C/2.2= F
(C-32) X 5/9= F
(CX9/5) + 32= F
C x 2.2= F
50
Holding the capillary tube parallel to the floor will
Prevent air bubbles in the sample
Prevent clotting of the sample
Introduce air bubbles into the sample
Introduce clots in to the sample
51
ABG's require what type of specimen
Stool
Clean catch urine
Blood from veins
Blood from arteries
52
Why are GTT's performed
Test for a glucose allergy
Test for a gluten intolerance
Test for diabetes mellitus
Test for normal glucose levels
53
What is the thickest region of the myocardium
Apex
Ventricles
Pulmonary arteries
Atria
54
Condition in which the AV valves invert during the systolic phase of the cardiac cycle
Ischemia
Prolapse
Atrial septal defect
Chordae tendineae
55
When conducting a patient medical history the patient's own words should be denoted how?
Underlining
Italics
Quotation marks
None of the above
56
Process where patient and health team work together to manage on going health care of patient
Patient centered care
Transition of care
Provider network
Continuity of care
57
Source of an infectious organism is called
Mode of transportation
Reservoir
Portal of exit
Agent
58
Which rhythm presents a 'sawtooth' P-wave formation
Sinus Bradycardia
Normal sinus rhythm
None of the above
Atrial flutter
59
A location that is contralateral and ventral to the left ear would be
On the right side of the face
On the right side of the back of the head
On the left side of the back of the head
On the left side of the face
60
Referral sent by faxing paperwork directly to the insurance company and receiving reply in hour
Emergency referral
Urgent referral
STAT referral
Regular referral
61
Normal heart rate range for healthy adult
40 - 80 BPM
60 - 100 BPM
40 - 100 BPM
60 - 120 BPM
62
Which is a true statement about gloves used during venipuncture
Webster disposed of in biohazard bins
Sterile gloves are worn during all venipunctures
Gloves changed when moving to a different draw site same pt
Gloves should be disposed of in the same room they were used
63
Taking the blood pressure of a patient with the cuff positions below their heart will results i
A falsely low reading
An underestimation of systolic & overestimation of diastolic
A falsely high reading
A normal reading
64
What type of sample must be taken for a bacterial culture of the urine
Clean catch, midstream sample
First morning sample
Fasting sample
Quantitative sample
65
Which part of the hearts conduction system acts as the pacemaker of the healthy heart
Bundle branches
AV node
SA node
Purkinje fibers
66
Which acronym describes the principles used to show your patient that you are here to support
DOS
AIDET
PASS
ABN
67
Best way to prevent a Hematoma is
Remove the needle before releasing tourniquet
Place bandage on the site immediately after needle removal
Apply direct firm pressure to the site until clot has formed
Using the smallest gauge needle available
68
Repeated venipuncture of the same vein can result in
Petechiae
Thrombus
Hemolysis
Phlebitis
69
Which of the following would be an appropriate question during a social history?
Education level
Illnesses in family
All of the above
History of surgeries
70
An intercostal space is described as
Gap in the intra-arterial septum
Layer of loose tissue surrounding the heart
Line separating the clavicle
Space between two ribs
71
Sharps containers, self sheathing needles, and special airflow rooms are examples of
Workplace practices
Record keeping
Engineering practices
Annual employee education
72
Which pregnancy category indicates the highest risk of use
Category N
Category D
Category X
Category A
73
Which term references the duty of health care workers to "do good" for the patient?
Beneficence
Confidentiality
Nonmaleficience
Code of ethics
74
D in AIDET stands for:
Duration
Diaphoretic
Diagnostics
Density
75
Which provider prove vides insurance for low income or disabled individuals
Medicare
Health maintenance organization
Department of health
Medicaid
76
Which of the following is the largest
Eosinohil
Lymphocyte
Neutrophil
Monocyte
77
Which of the following is true about a vector of disease
Will die because of the infection
Can be considered a susceptible host
Starting point of the chain of infection
Not affected by the infection
78
Which is the smallest gauge needle
22G
24G
21G
14G
79
Healthy eating pattern should include a very limited amount of which of the following
Legumes
Oils
Trans fat
Whole grains
80
Which of the following is a susceptible host for virus X
A child who has been immunized against virus X
Adult who was previously infected with virus X as a child
An elderly person who had an infection with similar symptoms
An animal who is not affected by virus X but can carry it
81
The autoclave method of sterilization uses which mechanisms
UV rays
Chemical and heat
Mechanical and chemical
Heat and pressure
82
Which organization accredits and certifies health care organizations by monitoring pt outcomes?
Occupational safety and health administration (OSHA)
Department of Health & Human Services
The Food and Drug Administration
Joint commission
83
Which is a feature of a sharps container
All of the above
Internatonal biohazard symbol
Closable
Puncture resistant
84
Correct order of the stages of gestation
Blastocyst, gametes, embryo, zygote, fetus
Gametes, zygote, blastocyst, embryo, fetus
There is only one stage between conception and birth
Gametes, blastocyst, zygote, embryo, fetus
85
Standard gain setting for amplitude of an
10 mm/mV
15 mm/mV
25 mm/mV
20 mm/mV
86
Fragile X syndrome and cerebral palsy are examples of what disorder
Mental retardation and developmental disabilities
Dementia
Depression
Alzheimer's
87
Blood type is determined by
Antigens on RBC
Number of RBC
Hemoglobin on RBC
Antibodies on RBC
88
900mg of a drug given at 8pm, drug concentration is 450mg at 11pm. What's the half life
4 hours
3 hours
2 hours
Can't be determined
89
Which is true of the integumentary system
This system has no role in protecting against disease
This system processes lymph
The skin is an organ of this system
This is the system that contains bones and muscles
90
Knowingly allowing or causing harm to your patient
Consent
Malpractice
Negligence
Neglect
91
In order to safely perform a standard draw you should always wear
A lab coat
A mask
Gloves
A full surgical gown
92
Which is a class of immunoglobulin
IgG
IgA
T cells
IgG and IgA
93
Which of the following could not be used to close an incision
Sutures
Kerlix
Staples
Steristrips
94
Least numerous WBC in circulation
Leukocyte
Monocyte
Neutrophil
Lymphocyte
95
The endocardium is the ____ of the heart
Outermost layer of tissue
Middle layer of tissue
Innermost layer of tissue
Network of vessels inside the tissue
96
Example of a healthy dietary choice
Consuming less than 1800mg of sodium per day
Avoid oils whenever possible
Sugar composes 15% or less of your diet
Avoiding whole grains
97
Which the following is the best test sample to check for pregnancy
Cerebrospinal fluid
Urine
Stool
Blood
98
Which isolation requires that the patient has a private room?
Droplet Isolation
Respiratory isolation
Contact isolation
All of the above
99
Which section of a medical chart will include demographic and contact information?
Privacy information form
Medical survey
Intake form
Progress notes
100
Define loading dose
Dosage prescribed for loading into an intravenous line
Dose routinely given to adults
Larger 1st dose of a medication
Time it takes for a given dose to become half concentrated
101
Written record of the type of medical care a patient would want in specific circumstances
Power of attorney
Health care proxy
Living will
Advance directive
102
Why do we ask open ended questions during the initial sections of an interview?
To hear the patient's own words without restriction
To elicit yes or no answers
Because all questions are open ended
We are looking for particular answers
103
Which of the following refers to the localized death and decomposition of body tissue
Proliferation
Flushing
Gangrene
Necrosis
104
When you insert a needle into someone's arm the bevel should be
Facing down
Facing up
Visible during entire procedure
To the side
105
Which portion of physical exam includes tapping with intent to find solid and hollow structures
Auscultation
Visual inspection
Percussion
Palpation
106
3 steps of wound healing in chronological order
Coagulation, remodeling, late inflammation
Late inflammation, coagulation, remodeling
Coagulation, late inflammation, remodeling
Remodeling, coagulation, late inflammation
107
Purpose of a Beta blocker
Group of drugs that have activity in inhibiting bacteria gro
Reduce heart rate, blood pressure, myocardial contractility
For suppression of ventricular ectopy contractions
Blocks necessary component of viral reproduction
108
Turn described as tingling or numbness
Cyanosis
Neuropathy
Lethargy
Syncope
109
Correct order for the flow of electricity through the heart
Purkinje, bundle of his, bundle branches, SA node, AV node
SA node, bundle of his, AV node, bundle branches, purkinje
AZ node, SA node, bundle of his, bundle branches, purkinje
SA node, AV node, bundle of his, bundle branches, purkinje
110
A warm dermal puncture site will
Will reduce the pain caused during venipuncture
Eliminates need for a tourniquet
Have a higher rate of flow than a cooler site
Will not need to be cleaned with alcohol
111
What is appropriate for use in large defects
Wet to dry with vaseline
Neosporin
Sutures
Chlorahexidine
112
All cells have the machinery to produce
All of the above
Proteins
RNA
DNA
113
Term for "mankind" is:
Andro-
Anthropo-
Gyno-
Homo-
114
health centers that receive payments from medicare to give pt opportunity for advance directive
Good samaritan law
Controlled substances act
Uniform anatomical gift act
Patient self determination act
115
Which blood type is considered the universal donor
O+
AB+
O-
AB-
116
Which the following are among the 7 attributes of a symptom?
Location
Exacerbating factors
Chief complaint
Location and exacerbating factors
117
Which of the following are included in protected patient information
Phone messages
Appointment times
All of the above
Medical records
118
"As needed" is abbreviated as?
PRN
p.c.
PP
AN
119
Describes process where musculoskeletal system produces heat when the body's core temp falls
Fasciculations
Osteomyelitis
HEM ATO POI ESIS
Surfactant
120
The term for death of heart tissue due to lack of blood supply is called
Myocardial infarction
Congestive heart failure
Stenosis
Angina pectoris
121
P in PASS stands for what?
Pull the pin
Press the button
Personal history
Prepare for evacuation
122
When performing an injection which of the following is not an important step
These are all important steps
Cleaning the top of the bottle
Pulling air into the syringe to inject into the bottle
Cleaning the injection site
123
When performing a capillary draw it is important to always
Clean the site with chlorohexidine
Use a lancet that is 1.8 MM
Wipe away the 1st drop
Use thumb only
124
A patient's temperature is 99゚F .Approximate this temperature in Celsius
39゚C
37゚C
40゚C
35゚C
125
Color codes are used in hospitals for what purpose
To offer community based care for inpatients
For docs to communicate without sharing info with med staff
Notify staff of a situation that requires response
To give patients info about their diagnosis
126
Blood is a mixture of solvent, solutes, and
Plasma
Formed elements
Nutrients
Serum
127
Blood pressure describes what
Force the aqueous blood exerts on the arterial wall
Conduction of electricity through heart
How much fluid is pumped out of the heart
Speed of the heart's pumping action
128
The specific gravity of pure water
All of the above
Used as a baseline in urinalysis
Lower than the specific gravity of plasma
Always 1
129
Which disease may cause damage to the retinas
Asthma
Type 2 diabetes
Ebola virus
COPD
130
Which of these is a possible cause of alopecia
Age
Smoking
Infection
Genetics
131
What route is faster than transdermal but slower than IV
Intramuscular
Subcutaneous and intramuscular
Subcutaneous
Oral
132
Which of the following is a common cardiovascular system test
Tissue biopsy
PSA
ALT
PTT
133
An HCG positive test conclusively means that
None of the above
Female patient of child bearing age she is pregnant
Female patient older than childbearing age she is on hormone
If a male patient he has a form of cancer
134
Which attitude is a reversible anticoagulant
Sodium citrate
Lithium heparin
Potassium EDTA
Sodium fluoride
135
Disorder described as depression followed by Mania
Anxiety
Addiction
Bipolar disorder
Body dysmorphia
136
When a patient opts to check themselves out of a care facility against the physician's advice
None of the above
LWBS
AMA
NS
137
On a typical patient the best way to take a blood pressure is
Left arm at level of heart
It doesn't matter
Right arm at level of heart
Left arm any level
138
Study of diseases of the brain
Psychology
Psychiatry
Mental health studies
Neurology
139
Normal range for length of a PR interval
. 10 - . 22 seconds
.12- .20 seconds
.04- .10 seconds
0.6- 1.0 seconds
140
If a doctor asks you to administer a PPD test to a patient the injection would be
Intradermal
Subdermal
Intramuscular
Subcutaneous
141
If a physician orders a test that requires a serum specimen which tube would you use
Gold
Light blue
Green tiger top
Lavender
142
Term described as the destruction of pathogenic microorganisms after they leave the body
Hand washing
Disinfection
Sterilization
Asepsis
143
Depression lasting 2 weeks + & is accompanied by low selfesteem and withdrawl from activities
Post partum depression
None of the above
Persistent depressive disorder
Major depressive disorder
144
Type of scheduling may also be called single booking
Times specific scheduling
Modified wave scheduling
Clustering
Open booking
145
Deoxygenated blood would be found in the
Right ventricle
Pulmonary vein
Both right ventricle and pulmonary artery
Pulmonary artery
146
Why may a syringe need to be used to draw a patient's blood
Collapsing veins
Fragile veins
Blood cultures
Both fragile and collapsing veins
147
Procedures, actions and processes a healthcare worker can do within their license
Good samaritan law
HIPAA
Scope of practice
Uniform anatomical gift act
148
Which of the following might a medical assistant perform using a JP drain
Record fluid emptied
Empty the drain
Both empty and record fluid from the drain
Removal of the drain
149
Blood pressure is measured in
mmol
mmHg
mm/dL
mg/L
150
A patient has a blood pressure of 150/96. This condition can be called:
Hypertension
Hypotension
Normotension
Tachycardia
151
The need for air, water, food, sunlight, except era is known as
Safety needs
Social needs
Physiological needs
Esteem needs
152
Would you the following items might be waived by CLIA
EKG
CBC with differential
Cholestech
In lab urinalysis
153
-lytic is an example of what?
Prefix
Root
Combining form
Suffix
154
Which order does food pass through the digestive structures between the mouth and the anus
Stomach, large intestine, small intestine, colon
Stomach, small intestine, large intestine
Stomach, pancreas, large intestine, small intestine
Small intestine, stomach, liver, large intestine
155
What is the correct order for the chain of infection
Exit, agent, mode of transmission, susceptible host, entry
Mode of transmission, exit, agent, entry, susceptible host
Susceptible host, exit, agent, entry, mode of transmission
Agent, exit, mode of transmission, portal of entry, host
156
A pulse oximetry test is used to measure
BMI
Oxygen saturation
Heart rate
Body temperature
157
Gram's iodine is used as the ____ in gram staining
Decolorizer
Dye
Mordant
Counterstain
158
The system used to determine the stage of a cancer is called
TNM
NSAID
EVD
COPD
159
Adhering to standards of appropriate dress, appearance, and behavior
Personal conduct
Medical ethics
Professional conduct
Following the rules
160
Which inventory component requires the signature of two employees
Dry stock
Controlled substances
Specialty supplies
Expired stock
161
Which of the following does not appear on a prescription
Patients height and weight
Patient's date of birth
Dosage
Physician's signature
162
During which psychosocial development stage does the crisis "who am I" appear
School age
Adolescence
Early adulthood
Adulthood
163
Describe wet to dry debridement
Dry dressing allowed to soak up interstitial fluids then wet
Wounds packed with wet dressing, dry and rewet on removal
Sterile saline used to clean a wound before dressing
Wu's packed with wet dressing, dry then remove
164
High selfesteem is a result of what
Attention
Solid self image
Glory
Prestige
165
Which injection type requires that no pressure be applied to the site following the injection
IM
Sub-Q
All of the above
PPD
166
Stage of grief in which a person will seek to negate or undo the trauma
Anger
Bargaining
Depression
Acceptance
167
Small box on grid is .04 sec, 5 small boxes per large box, R-R interval is 4 large boxes; pt hr
60
120
75
100
168
What color tube should you use for a stat electrolyte test
Red
Light blue
Gray
Green
169
When performing an hour to scratch test, the sites are observed for how long
15 - 30 minutes
10 - 30 minutes
20 - 30 minutes
10 - 15 minutes
170
Crunches are used when an injury requires that a patient be
Casted
Sitting
Non weight bearing
Supported
171
Average adult produces how much urine in a 24 hour period
900 mL - 1200 mL
1200 mL - 1500 mL
600 mL - 900 mL
1500 mL - 1800 mL
172
When should specimen tubes be labeled
Before specimen collection when you gather your supplies
Before specimen collection in front of the patient
When you deliver them to the laboratory
After collection in front of the patient
173
conduction system in the heart carries the action potential through the septum to perkinje sys.
Bundle of his
AV node
Bundle branches
Purkinje fibers
174
The reactivation of a latent infection is called
Secondary
Fulminant
Opportunistic
Latent
175
Which blood cells responsible for the transportation of oxygen and carbon dioxide
Lymphocyte
Erythrocyte
Basophil
Monocyte
176
The study of fungi is
Mycology
Parasitology
Microbiology
None of the above
177
A laceration is best described as
A wound from a penetrating sharp object
A surgical separation of the skin
A type of ulceration
A tear in the skin
178
What form must medicare patient sign to the knowledge that medicare may not pay for their tests
ABN
PPO
TOC
HMO
179
A in CHEDDAR stands for
Assessment based on diagnostics
After care instructions
Answers to questions
Assignment of care giver
180
Vein most commonly used for venipuncture
Basilic vein
Median Cubital vein
Cephalic vein
Anticubital fossa