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CLINICAL II
CLINICAL II
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#CLINICAL II
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1
At 5 months, a typical infant can:
use a thumb-finger grasp
bang two objects together
transfer objects from one hand to the other
hold a bottle
2
What is the normal value of mucus in a urine sample?
heavy
moderate
much
slight
3
After beginning the immunization schedule, infants are typically examined:
every 5 to 6 months for the first 18 months
every 2 to 3 months for the first 5 years
every 2 to 3 months for the first 18 months
every 5 to 6 months for the first 5 years
4
Influences growth patterns, it's important to have a family health history in the med record
inevitable conditions
diet
genes
heredity
5
A positive parent-child relationship through examining, touching, cuddling, and love
spare the rod, spoil the child
over-protection
distancing
attachment
6
When conducting a GYN examination, a provider usually performs which of the following first?
bimanual examination
Pap test
brief general check of the patient
mammogram
7
Period of three months
trimester
1/4 of a year
12 weeks
quarter
8
On prenatal visits, the MA does not typically ____ before the patient is seen by the provider.
measure the height of the fundus
obtain a urine specimen
weigh the patient
obtain a blood sample if needed
9
At age 18 months, a child can typically:
say 10 or more words
babble
speak gibberish
speak 4 to 6 words
10
Indicated for diagnostic analysis when a patient has an unresolved cough with mucus production
throat culture
sputum specimen
rapid strep
chest xray
11
Pap test result that means an invasive squamous cell cancer is likely
other malignant neoplasms
CBC
squamous cell count
WBC
12
Reagent strips are:
Expensive
unreliable
convenient
slow acting
13
Normal by-product of hemoglobin degradation that occurs in the intestines by intestinal flora
glycosuria
ketonuria
urobilinogen
nitrite
14
Pap result: the cells of the lining layer of the cervix show cancer or a precancerous condition
epithelial cell abnormalities
negative for intraepithelial lesion or malignancy
fibroids
other malignant neoplasms
15
A urine sample from a patient with hepatitis will have a ____ foam if shaken.
green
white
orange
yellow
16
Occurs when an infant or young child is below the third % on standardized growth charts
low percentage group
failure to thrive (FTT)
below standard
call to CPS
17
With a specimen for substance abuse analysis the ____of a urine specimen is immediately checked
pH
color
volume
temperature
18
Proper handling of reagent strips includes all
but
which of the following?
protecting them from exposure to moisture
keeping them refrigerated
capping them tightly once a strip has been removed
protecting them from light
19
At 12 to 15 months, a child typically
cannot
yet:
crawl up stairs
jump in place
walk alone well
put raisins into a bottle
20
Number of pregnancies a patient has had
term
gravida
obstetric history
para
21
CDC releases Recommended Childhood Immunization Schedules for children in the United States?
every month
only when circumstances require an update
every year
every 3 years
22
The Papanicolaou (Pap) technique is a cytologic screening test that detects:
diabetes
cancer
diverticulitis
pregnancy
23
Urine specimens that have a high number of bacteria will have a characteristic smell of:
bleach
vinegar
ammonia
sulfur
24
Number of live births a patient has had
para
plura
gravida
gravitas
25
It is customary to weigh infants:
wearing only a diaper
unclothed
wearing a diaper and clothes, but not shoes
wearing a diaper, clothes, and shoes
26
Enzyme released by wbc's when significant numbers of these cells are present in a fluid
esterase
glycosuria
nitrite
urobilinogen
27
Screening test performed to check for gestational diabetes
Urinalysis
Ketone Test
A1c
Glucose Tolerance Test
28
Item that may be kept near the front desk in case a child becomes sick in the reception area
bathroom
disposable emesis basin
paper bags
waste basket
29
Which of the following is
not
a measurement commonly obtained at well-child visits?
circumference of the head and chest
weight
circumference of the abdomen
height or recumbent length
30
Helps to keep sick children isolated from well children while they wait to see the provider
separate toys
quarantine
first come first serve
separate reception area
31
Which of the following types of info is not typically required on a cytology request form?
method of contraception the patient uses
regularity and duration of the patient’s cycles
number of abortions the patient has had
date of patient's first mammogram
32
Catheterization is usually performed by a:
general practitioner
medical assistant
patient
urologist
33
When collecting a throat swab from a patient for the rapid test or routine culture, you swab:
the lips, cheeks, gums, teeth, tongue, and peritonsillar
the cheeks, gums, and peritonsillar area
only the peritonsillar area
only the cheeks and peritonsillar area
34
A _____ is a special stethoscope used to determine the heart rate of a developing fetus.
fetoscope
otoscope
anoscope
gastroscope
35
Measures the amount of human chorionic gonadotrop (hCG) in the blood or urine
clean catch urine test
glucose test
pregnancy test
std test
36
Approximate date of delivery
due date
estimated date of confinement
estimated date of delivery (EDD)
Neagele's Rule
37
Type of classes that teach patients about the childbirth process
parenting classes
breathing classes
pottery classes
lamaze
38
Inflicting emotional, physical, or sexual injury
psychiatric issues
pedophilia
abuse
scarring
39
It is recommended that a patient collect ____ specimen(s) for occult blood specimen testing.
no more than five
no more than one
at least three
at least five
40
Medicaid’s comp. and prev. child health program
doesn't
include the following services?
lead toxicity screening
laboratory tests
dental services
cosmetic surgery
41
Which of the following is a symptom of neglect?
apparent malnutrition
suspicious story about an injury
discoloration/bruises on the back or buttocks
frequent injuries requiring medical attention
42
Naegele’s rule, if the day of the last menstrual period was Oct 14, her date of delivery is:
August 14
July 21
June 21
July 14
43
If a urine specimen cannot be tested within an hour, it must be:
disposed of and replaced with a new specimen
reheated to body temperature in a microwave
refrigerated
reheated to body temperature on a warmer or stove
44
What color is bilirubin?
yellow to orange
red to orange
blue to purple
green to blue
45
Pap test result that means there are no signs of cancer or precancerous changes
negative Pap test
other malignant neoplasms
epithelial cell abnormalities
negative for intraepithelial lesion or malignancy
46
Type of practice that focuses on pregnancy and childbirth
obstetrics
orthodontia
gynecology
lamaze
47
Female patients can typically get a Pap test from:
both a gynecologist and a general practitioner
a general practitioner
a gynecologist
an obstetrician
48
AutoCyte, a new liquid-based form of Pap testing, involves collecting the sample with a:
wooden tongue depressor
rubber aspirator
plastic broom
tiny steel cylinder
49
Occult blood specimens from stools are common screening tools for early detection of:
liver disease
leukemia
stomach cancer
colon cancer
50
Female patients should be instructed to:
use perfumed soaps and sprays for vaginal cleaning
douche regularly
use condoms only if they are in a monogamous relationship
schedule a routine mammography if they are over age 40
51
A normal pregnancy can range from _____ weeks.
36 to 45
34 to 38
37 to 41
40 to 50
52
Presence of red blood cells or hemoglobin in the urine
hematoma
hematuria
hemolysis
dysmennorhea
53
Can indicate complications in a pregnant patient
discoloration of toenails
hypertension
hair loss
stretch marks
54
Sterile swab that is brushed on the infected area and replaced in the sleeve for collection
plastic broom
culturette
throat swab
wooden tongue depressor
55
A patient preparing for a Pap test should be told
not
to douche for ____ hrs prior to the test.
48
36
12
24
56
A patient’s first prenatal visit, CBC will be done to check ___level and screen for infection.
iron
magnesium
calcium
phosphorus
57
Infants typically begin their journey through the pediatrician’s office:
at 4 to 6 weeks
at 1 to 2 weeks
at 2 to 3 months
immediately after birth
58
Using AutoCyte, the collection device is swished how many times in the preservative solution?
1
20
5
10
59
A urine specimen with a strong ammonia-like smell, it probably indicates that the patient has:
high blood sugar
low blood sugar
urinary tract infection
phenylketonuria
60
Condition in which large amounts of very dilute urine are excreted by the body
diabetes insipidus
diabetes mellitus
faulty bladder sling
overactive bladder
61
When measuring a child’s chest circumference, the measuring tape should be placed:
just above the nipples
directly over the nipples
just below the nipples
exactly halfway between the navel and nipples
62
An Apgar score _____ requires immediate intervention and continued evaluation.
higher than 8
below 4
below 40
higher than 80
63
Performing a Gram Stain, microorganisms on the slide that are Gram positive will appear:
bright red to maroon
dark green to light blue
bright yellow to dark orange
dark blue to violet
64
Lack or withholding of care
detachment
distancing
neglect
abuse
65
Indicates that the fat has been broken down and metabolized in the digestive tract
urobilinogen
ketonuria
exudate
esterase
66
A microscopic exam of a urine sample, bacteria and epithelial cells may be quantified as:
clear
enlarged
few
heavy
67
Observed by watching a child from behind as he or she walks to the caregiver
gait
suspicious people around child
babysitter
attitude
68
Method of determining a pregnant patient’s estimated date of delivery
estimated date of deliver (EDD)
estimated date of confinement (EDC)
Neagele’s rule
due date
69
Documents the possible side effects of an immunization
vaccination information statement (VIS)
shot record
side effects sheet
immunization schedule
70
Urine should be:
slightly alkaline
very acidic
very alkaline
slightly acidic
71
When measuring a child’s head circumference, the measurement should be read to the nearest:
1/8 inch
1/12 inch
1/4 inch
1 inch
72
Introduction of a sterile plastic tube into the bladder
catheterization
tracheotomy
intubation
culturette
73
When you assist a pt into the stirrups during a GYN exam, they are in the _____ position.
prone
lithotomy
Sim's
Fowler's
74
Cancer is detected in the sputum specimen through the use of this stain
gram stain
glycosuria
Papanicolaou
sputum stain
75
Present in urine samples that have increased numbers of microorganisms, namely bacteria
nitrite
glucose
leukocytes
bilirubin
76
A Pap test should be scheduled _____ the menstrual period.
at least five days after
at least five days before
on the first day of
on the last day of
77
Typically included during the patient’s annual appointment for the Pap test and pelvic exam
cervical
vaginal ultrasound
total hysterectomy
breast exam
78
Toys in the play area of the reception area should:
be washable
have many parts
have tiny parts
be disposable
79
Referring to the entrance to the uterus
urethra
cervical
Fallopian tubes
vagina
80
Female patients should be instructed to perform breast self-examinations:
every time they shower
each month, following their menstrual period
each month, during their menstrual period
each month, just before the start of their menstrual period
81
Breast lumps are most often discovered by the:
patient
gynecologist
medical assistant
primary provider
82
Which of the following is
not
a sign of a vision deficiency in a child?
excessive blinking
looking cross-eyed
holding books an arm’s length away when reading
tilting the head forward to see well
83
The ACS recommends women older than ____ the option of Pap test every 3 years, & HPV DNA test.
70
50
30
20
84
Observed by watching a child’s reaction to surrounding sounds
hearing
sound reaction
anxiety
depth perception
85
When checking the clarity of a urine specimen, which of these descriptions is considered worst?
cloudy
hazy
turbid
clear
86
Screening test performed to check for neural tube defects
other malignant neoplasms
Pap test
IQ Test
Alpha-fetoprotein (AFP)
87
At what age can an infant first role from the back to the side?
6 to 8 months
4 to 6 months
1 month
2 to 4 months
88
Known risk factor for developing cervical cancer
uterine cancer
ovarian cancer
pelvic inflammatory disease (PID)
human papillomavirus (HPV)
89
Type of practice that addresses diseases and disorders of the female reproductive system
gynecologist
obstetrics
infertility specialist
general medicine
90
The system most widely used to describe Pap test findings is known as the:
Cytology System
Bethesda System
Epithelial Review
Naegele’s Rule
91
When using the Ictotest®, if the mat shows a _____ color, the urine sample contains bilirubin.
bluish to green
reddish to orange
yellowish to orange
bluish to purple
92
When a Pap smear is performed, samples are taken from all but the following parts of the body?
vagina
uterus
endocervix
cervix
93
Which of the following is a sign of abuse?
developmental delay
frequent injuries requiring medical attention
inadequate clothing for season or size
obvious lack of dental care
94
At 24 months, a child can typically:
jump with both feet
throw a ball
jump with both feet
ride a tricycle
95
When using a Snellen chart, the child:
points to the color that seems brightest
indicates verbally which way the big “E” is facing
indicates with the fingers which way the big “E” is facing
states which color seems brightest