H Flashcards
(182 cards)
1
Q
A medical assistant drops an instrument on the floor while setting up a sterile tray for a procedure. They pick up the instrument and place it back on the sterile field. A few days after the procedure, the patient calls the office concerned that the area surrounding the procedure site is infected. Which of the following torts has the assistant committed?
—Which tort has the medical assistant committed by placing a dropped instrument back on the sterile field?
A
Negligence
Negligence occurs when a healthcare professional fails to provide the standard of care that a reasonably competent professional would provide in similar circumstances.
2
Q
What organization dictates the operations of physician office clinical laboratories?
A
Centers for Medicare and Medicaid Services (CMS)
3
Q
In which position should a patient be placed for a flexible sigmoidoscopy examination?
A
Left lateral position
4
Q
What supplies are required for proper handwashing technique?
A
Paper towels
5
Q
What is the final step a medical assistant should take before running an EKG tracing?
A
Double-check the electrodes’ attachment
6
Q
Which letter format uses indented paragraphs?
A
A semi block letter
7
Q
What should a medical assistant do first when calling a patient from the waiting area?
A
Identify the patient
8
Q
Which component is part of the standard precautions for personal protective equipment (PPE)?
A
Masks
9
Q
What fasting blood sugar laboratory result should be recognized as abnormal?
A
101 mg/dL for a nondiabetic
10
Q
According to the Controlled Substances Act, how should controlled substances be stored in the office?
A
In a locked cabinet
11
Q
What is the correct spacing for small amounts of allergen scratched into the skin during a scratch allergy test?
A
1 ½ to 2 inches
12
Q
Which cardiac procedure can a medical assistant perform without requiring a licensed technician or provider?
A
A Holter monitor application
13
Q
How should a medical assistant confirm a patient’s identity before venipuncture?
A
Ask the patient to state and spell their full name and provide date of birth
14
Q
What is the weight of a patient that is 72 kg converted to pounds?
A
158.4
15
Q
What type of artifact does the tracing contain if it shows a wandering baseline?
A
Wandering baseline
16
Q
What method aids in gathering additional details from a patient regarding their chief complaint?
A
Asking open-ended questions
17
Q
Which resource should a medical assistant refer a patient to who is experiencing home displacement following a hurricane?
A
American Red Cross
18
Q
Overwhelming experiences often cause which condition?
A
Posttraumatic stress disorder (PTSD)
19
Q
Which action is within the scope of practice for a medical assistant?
A
Providing first aid procedures
20
Q
What should a medical assistant do if a patient faints after an injection?
A
Place the patient in a supine position
21
Q
What should be available to the provider for a general physical examination?
A
Otoscope
22
Q
What is defined by 9 calories per gram?
A
The number of calories from fat
23
Q
What should a medical assistant verify with a patient prior to administering a prescription for an ear infection?
A
Medication allergies
24
Q
According to OSHA guidelines, what should be disposed of in a regular waste container?
A
An empty urine container
25
What is the recommended age for children to receive their first HPV vaccine?
11 to 12 years of age
26
In the Kubler-Ross grieving process, which stage indicates a patient may attempt to give something up to gain more time?
The bargaining state
27
What must a medical assistant document in the electronic health record when administering immunizations?
Lot number
28
Where is lead V4 correctly placed?
Fifth intercostal space at the midclavicular line
29
What technique is used when a medical assistant states, 'I hear what you are saying...'?
Paraphrasing
30
What is a first aid procedure a medical assistant can perform on a patient with a third degree burn?
Separate the patient's burned fingers
31
What action should a medical assistant take when confronted by an angry patient?
Escort the patient to a more private area
32
Which cell structure provides energy for cells?
Mitochondria
33
To which specialty should a patient with severe headaches and chronic tingling in their arms and legs be referred?
Neurology
34
What is the appropriate instrument for removing stitches?
Suture scissors
35
What should a medical assistant do if they forget to draw for a prothrombin time (PT) after collecting other blood cultures?
Keep the specimens collected and draw the PT
36
What type of advance directive provides information about the person who can make healthcare decisions on behalf of the patient?
Health care proxy
37
Which class of fire extinguisher should be used on flammable liquids?
Class B
38
What process allows the ability to send prescriptions electronically?
E-prescribing
39
What information should a medical assistant verify at every office visit?
Allergies
40
Which eating disorder is characterized by purging, use of laxatives, and mood swings?
Bulimia nervosa
41
What should a medical assistant do to prepare a site for a mole excision?
Cleanse the site with surgical soap and an antiseptic
42
What nonverbal communication style is exhibited by a patient who is fidgeting and appears anxious?
Passive communication
43
Which regulation allows an office to release information to an insurance company without written authorization?
The HIPAA Privacy Rule
44
What describes the appropriate placement of electrodes during an EKG?
Tabs downward on the arm
45
Which tube should be used to draw a blood glucose level?
Gray top tube
46
What does the doctrine of professional discretion state?
The provider may choose not to disclose all patient information upon request
47
What component of the 837P/CMS-1500 claim form identifies the practitioner who provided the services?
National provider identifier (NPI)
48
What is the correct method for applying a transdermal patch?
Apply the patch directly to the skin
49
What should a medical assistant label on the requisition form for anemia?
STAT-CRIT hematocrit
50
What might cause an insurer to deny a claim submitted by a specialist after obtaining preauthorization?
Service provided after the expiration date of the preauthorization
51
What should a medical assistant do if they are unsure where to distribute a piece of mail?
Ask the office manager or provider
52
What type of documentation should a medical assistant complete after receiving a small laceration from a sharps container?
Incident report
53
What action should a medical assistant take when measuring oxygen saturation with a pulse oximeter?
Check capillary refill in the patient's finger
54
What type of health information exchange does the ONC promote for patient control over their health information?
Consumer-mediated exchange
55
What manifestations should a medical assistant expect to find in a patient experiencing heatstroke?
Hot skin
56
Which technique should be used for sterilizing hemostats after an invasive procedure?
Autoclave
57
When taking a blood pressure reading, when should the diastolic pressure be read?
When the sound disappears
58
Which medication is available in sublingual form?
Nitroglycerin
59
How far should a thermometer be inserted to obtain a rectal temperature from an infant?
½ inch into the rectum
60
What feature should be used in simplified letter style business correspondence?
Center aligned dateline and salutation
61
What information should be recorded on venipuncture tube labels prior to transport?
Initials of collector and the time collected
62
Which type of allergy testing involves applying an allergen to the skin?
Patch testing
63
In which position should a patient be placed for a colposcopy procedure?
Lithotomy position
64
How should an 18-month-old patient be positioned for administering ear drops to the right ear?
Right ear facing up with the earlobe pulled down and back
65
What can prevent a patient from comprehending informed consent?
Language barrier
66
What term refers to the absence of infection or infectious material?
Asepsis
67
What should a medical assistant do to assist with hemostasis after venipuncture?
Tell the patient to hold pressure on the site and elevate their arm
68
What is the first step a medical assistant should take when scheduling a procedure?
Verify insurance will cover the procedure
69
What personal protective equipment is required by OSHA regulations during venipuncture?
Gloves
70
What measurement is required to complete the pediatric growth chart for a 6-month-old patient?
Head circumference
71
What mechanism indicates a medical assistant is receptive and listening to an upset patient?
Maintaining an open posture toward the patient
72
To which resource should a patient with a foot fracture and difficulty navigating with crutches be referred?
Meals on Wheels
73
How should a medical assistant adapt when working with a patient who has cognitive impairment and short-term memory loss?
Provide easy-to-read handouts
74
Over what period of time should a patient collect a urine creatinine test specimen?
24 hr
75
In which quadrant is the gallbladder located?
Right upper quadrant
76
What is the recommended temperature for effective sterilization in an autoclave?
121° to 123° C (250° to 255° F)
77
What legal principle does failing to document a patient's preference for not using blood products fall under?
Negligent torts
78
What method is the best way to measure body fat on a patient?
Body mass index (BMI)
79
What information must be included on the document for DNA analysis and paternity testing to maintain chain of custody?
Initials of the person transporting the specimen
80
What spatial consideration should a medical assistant take when checking in a patient?
4 to 12 feet
81
What type of medical coverage do practices in Accountable Care Organizations (ACO) focus on improving care for?
Medicare
82
Which blood pressure reading is considered to be in the elevated stage according to hypertension stages?
128/78 mm Hg
83
What term refers to the process of ensuring a financial account's balance matches the bank statement?
Reconciliation
84
According to the order of draw, which tube should be drawn after blood cultures?
Light blue
85
What is a CLIA-waived laboratory test?
Human chorionic gonadotropin (hCG) test
86
In which position should a patient be placed for a 12-lead EKG?
Supine
87
What risk is associated with a patient who regularly contacts coal and wood dust?
Emphysema
88
What term should a medical assistant use to describe a patient having discomfort and difficulty breathing?
Dyspnea
89
What information is required when completing an 837P/CMS-1500 claim form for a burn injury?
Current procedural terminology code
90
What aseptic technique can be achieved using various methods such as dry heat or chemicals?
Sterilization
91
What is the purpose of the right route in medication administration?
Administering medication using the technique identified by the provider's order
92
What supplies should a medical assistant hand to the provider for suturing a laceration?
The needle holder with the suture attached
93
What should a medical assistant do when collecting a health history from a patient with moderate hearing loss?
Face the patient and speak clearly
94
What symptoms should a medical assistant recognize as manifestations of gonorrhea?
Dysuria, discharge from the penis, and pain in the lower abdomen
95
What resource should be provided to a patient who reports domestic violence?
Domestic violence shelter
96
What should the assistant do when interacting with a patient who has moderate hearing loss?
Face the patient and speak clearly.
97
What disorder is indicated by dysuria, discharge from the penis, and pain in the lower abdomen?
Gonorrhea
98
What community resource should be provided to a patient whose partner broke their arm?
Domestic violence shelter
99
Which document is required for billing a patient's third-party payer for an office visit?
An 837P/CMS-1500 claim form
100
What action should the assistant take if a cholecystectomy is denied due to 'preauthorization required'?
Submit an appeal for the denied claim.
101
At what age should a colonoscopy be initially completed?
45 years old
102
What measurement is taken to determine if a child has microcephaly?
Head circumference
103
When bandaging a wound with a roller bandage, which technique should be used?
Wrap the wound from distal to proximal.
104
What is the acceptable temperature range for a urine sample in drug testing?
32° to 38° C (90° to 100° F)
105
In the five stages of grief, when does depression typically present?
Fourth
106
What should a medical assistant do to help a patient from a different culture feel comfortable?
Try to understand their beliefs about disease.
107
What example of patient coaching addresses disease prevention?
Providing information on the importance of recommended vaccines
108
For a lead level blood draw on an 18-month-old, which site should be chosen?
Superficial dorsal hand veins
109
What should a medical assistant do when removing sutures from a patient's leg?
Grasp and lift the knot away from the skin.
110
What is an advantage of using electronic practice management software?
Ability to generate reports
111
What percentage of alcohol should an alcohol-based hand sanitizer contain?
60%
112
What condition involves an overload of iron in the body?
Hemochromatosis
113
Which disinfectant should be used for cleaning after a surgical procedure?
A 1:10 bleach and water solution
114
What vaccinations should patients receive at 7 years of age or older?
Tetanus, diphtheria, and pertussis (Tdap)
115
What does an extremely strong and full feeling in a pulse indicate?
Bounding pulse
116
A pulse oximeter can register an artificially low oxygen saturation in which condition?
Cold fingers
117
What should a medical assistant do with a scalpel used in a biopsy?
Dispose of it in a properly labeled, puncture-proof container.
118
If prescribed BID, how many times a day should a patient take the medication?
Twice
119
What task should a medical assistant anticipate during a punch biopsy?
Receive and prepare tissue specimens for processing.
120
What should a patient do before gowning for a physical examination?
Empty their bladder
121
What instruction should be given when administering an enteric-coated tablet?
'Swallow the tablet whole with a glass of water.'
122
Which condition requires a patient to avoid gluten?
Celiac disease
123
What is the first step of first aid for a laceration?
Ensure bleeding of the laceration is under control.
124
What is commonly included in electronic prescription templates?
The medication type
125
What action should a medical assistant take when administering an intradermal injection?
Locate the middle portion of the anterior forearm.
126
Who should sign the documentation for a forensic specimen according to chain of custody?
All personnel that come in contact with the specimen
127
Which finger should be chosen for a capillary puncture on an adult?
Middle
128
What section of clinical medical records includes a patient's subjective data?
Health history
129
What should occur before a patient signs an informed consent form?
The provider should include information about alternative procedures.
130
According to the CDC, when should a medical assistant wash their hands for 1 full minute?
When handling specimens
131
What formula is used to convert kilograms to pounds?
Multiply the number of kilograms by 2.2
132
What does the abbreviation PRN stand for?
As needed
133
What defines the process of sterilization?
Killing all pathogenic organisms and spores
134
What is the purpose of utilizing a clinical centrifuge?
To separate a specimen into different components
135
Which disease is mandatorily reportable to the state?
Tuberculosis
136
What type of scheduling involves scheduling three patients at the top of each hour?
Wave
137
What should a medical assistant do when dealing with an angry patient?
Allow the patient to talk through their anger.
138
Where should a medical assistant enter information about headaches from computer use?
Subjective
139
What is considered an adverse reaction?
Anaphylaxis
140
What is a preanalytical error that can affect test results during venipuncture?
Adjusting the order of draw
141
What can result from using outdated or incorrect codes on a billing claim?
Reduction of payer reimbursement
142
What screening evaluates a patient's ability to perform daily activities?
Functional status screening
143
What should a medical assistant do when using a butterfly needle set?
Hold the needle by its wings.
144
How high should a medical assistant inflate a blood pressure cuff?
To approximately 30 mm Hg above the previously measured brachial pulse reading
145
To which care facility should a patient with less than 6 months to live be referred?
Hospice care facility
146
What pulmonary function test involves measuring oxygen saturation with a probe?
Pulse oximetry
147
What term best represents absorption, distribution, metabolism, and excretion of medications?
Pharmacokinetics
148
When should an appointment be scheduled for a patient with an acute illness?
The same day
149
What does a Snellen chart measure?
Visual acuity
150
What direct identifier should be verified when printing an after-visit summary?
Mailing address
151
What is the normal setting for the standardization mark on an EKG?
10 mm/mV
152
What aseptic technique uses sound waves to cleanse surgical instruments?
Ultrasonic sanitization
153
What step should be taken to prevent contamination of a sterile field?
Place all sterile items in the center of the sterile field.
154
Which parent's policy is primary if an adolescent is covered by two insurance policies?
The policy of the parent who has the earliest birth month
155
What position should a medical assistant choose when speaking to a hard of hearing patient?
Face the patient when speaking
156
Which examination assesses a patient's color perception?
Ishihara test
157
What is the highest pressure level indicated by the first sound heard during blood pressure measurement?
Systolic pressure
158
What is the correct order of draw for venipuncture?
Green, lavender, gray
159
What recommendation should be made to reduce the spread of infection?
Routinely wash hands before and after meals.
160
What should a medical assistant do first after exposure to an infectious disease via a human bite?
Immediately flush the exposed area following the exposure.
161
For which screening should a medical assistant provide information for a 45-year-old female patient?
Mammography screening
162
What instrument should be prepared for a cervical polypectomy?
Uterine curette
163
What is an appropriate diagnostic statement in the outpatient setting?
Fever of unknown origin
164
What do team members consider in a patient-centered medical home (PCMH)?
Respecting a patient's culture with their health care needs
165
What is true regarding the reporting of a communicable disease?
The disease is reported directly to the state's public health department.
166
Which part of Medicare covers durable medical equipment (DME)?
Part B
167
What component of medical terminology ensures ease of pronunciation?
Combining vowel
168
When is it necessary for a medical assistant to use personal protective equipment (PPE)?
Administering injections
169
What should a medical assistant do first if a patient provides an unsatisfactory progress report during a follow-up call?
Notify the provider immediately.
170
Which body systems work together to move hormones throughout the body?
Circulatory and endocrine
171
What cell structure helps mobilize and secrete mucus from the respiratory system?
Cilia
172
What method of draw should be used for a patient with small veins?
Butterfly method
173
What is a safeguard for health care employees and patients at risk of exposure to infectious materials?
Standard precautions
174
What should a medical assistant do after calling a pharmacy with a prescription request?
Provide the patient with a copy of the prescription with 'Copy only' written on it.
175
What action ensures accurate reimbursement of a claim?
Reporting codes that are supported by the encounter documentation.
176
Where should a patient place buccal medication?
Between the cheek and gums.
177
What is an example of a root word?
Col
178
What is considered a positive nonverbal behavior?
Leaning towards the other person.
179
What technique should be used to increase circulation for a capillary collection?
Warm the patient's hand.
180
In which position should a patient experiencing dyspnea during an EKG be placed?
Fowler's position.
181
What type of mask is required when caring for a patient with COVID-19?
N-95 mask.
182
What weight status category does a BMI of 30.5 fall into?
Obese class I.
