Which of the following is considered a parasitic infection?
Malaria
Aspirin and acetaminophen are examples of
Analgesics and antipyretics
This unit in the hospital is run by physicians and experts in the field of musculoskeletal disorders of bones, joints, ligaments and tendons, identify this department?
Rheumatology
MSDS information includes
General and emergency information
The physician prescribes a buccal medication. The medical assistant should instruct the patient to:
Place the medication between the lower teeth and cheek
Which of the following is the best specimen to test for levels of iron in the blood?
The one collected in the tube that contains EDTA
All pathogens are:
Microbes that can cause disease
Every prescription for a controlled substance requires the physicians signature and a ____________ number?
DEA
Co-insurance is calculated based on a:
Percentage of charge
Muscles that act on the knee joint exhibit two actions:
Flexion and extension
When using a No. 10 envelope, where should the address be placed?
10 lines down from the top and 2 inches from the left of the edge of the envelope
A structure that is composed of two or more tissue types is called a/an:
organ
What drug prevents the action of another drug or chemical?
Antagonist
Cellular respiration is a function of the:
Mitochondria
Somatic tremor is the result of:
Muscle movement
The smallest structural unit of the nervous system is the:
neuron
A patient came into the doctor's office with chest pain and shortness of breath. which position is the best to help him breathe better?
Fowler's
The primary function of the nervous system is:
To detect changes in the internal and external environment and respond appropriately
Mr. Smith is suffering from an enlargement of the bones in the entire skull as well as in the hands and feet, in addition to thickening of the skin. Which of the following conditions is Mr. Smith suffering from?
Acromegaly
The functional unit of the kidney is the:
Nephron
Which of the following types of gloves can be decontaminated and reused if they show no signs of deterioration after use?
Utility
After obtaining an ECG tracing, a Medical Assistant would be expected to?
Observe the tracing for quality and decide if another tracing may be required
There are two types of civil actions healthcare providers for injuries resulting from health care, The first one is lack of informed consent and the second one is
Violation of standard care
Dr. Jones and Dr. Brown decide to share a practice. Together, they share patients, expenses, profits and assets. Which type of medical practice is this?
Group practice
What is the appropriate test used for heparin therapy?
APPT
A provider withdraws from the care of a patient without reasonable notice of discharge is considered:
Abandonment
Which agency regulates the Controlled Substances Act?
DEA
Defamation through spoken statements is known as:
Slander
Insulin syringes are calibrated in:
units
Which of the following is not true regarding HIPPA laws?
Few boundaries are set on the use and release of health records
To determine our ventricular pulse, the EKG technician would:
Calculate the spacing between the QRS complex
PHI stands for:
Protected Health Information
Which situation would a Medical Assistant's signature be required?
On an informed consent document
The Privacy Rule gives patients the right to:
Access their medical record
A patient has an oral temperature of 100.8 F. The medical term for this is:
pyrexia
A routine hand wash procedure uses plain soap to remove soil and transient bacteria.
antimicrobial soap
Which of the following precautions require special air handling and ventilation?
Airborne precautions
Which of the following is correct regarding contact transmissions
It involves contaminated instruments, needles, or contaminated hands that are not washed
Important information a patient should know about immunizations would be that:
They are prophylactics against deadly diseases
What is the process used to wash and remove blood and tissue from medical instruments called?
Sanitation
A patient weights 83.92 kg. How many pounds does he weigh?
185
While taking a patient's medical history for active tuberculosis, what type of PPE is required?
mask
Most exposures to HIV in healthcare settings are the result of:
accidental needle sticks
The four symptoms of inflammation are erythema, edema, pain, and:
heat
A tympanic temperature means the body temperature is measured:
at the eardrum
pulse site used to measure blood pressure is:
brachial
What is the correct way to calculate pulse pressure?
the number found when subtracting the diastolic from the systolic
The patient has been given a prescription that says the medication should be taken "bid". This medication should be taken?
twice a day
Which of the following procedures can be performed by a medical assistant?
intramuscular injection
Post- prandial means:
after a meal
A round, raised skin lesion with itching that is a positive sign of reaction to allergic testing is a:
papule
You are to draw the blood of a patient. After reviewing the lab order, you realize that you need to draw a CBC w/diff (complete blood count with differential) on your patient. knowing that this test is drawn in a lavender top-tube, which lab department would this go to for processing?
hematology
Which of the following drug administration routes is the most appropriate for a patient who has nausea and vomiting?
rectal
The patient information sheet contains:
patients personal and insurance information
The medical assistant is to collect a Prothrombine time (PT) test, a complete Blood Count (CBC), and a fasting Blood Sugar (FBS). What is the correct order of draw?
light-blue, lavender, grey
The information of blood cells is defined as:
hematopoiesis
The primary purpose of wearing gloves during phlebotomy procedures is to protect the:
phlebotomist from exposure to the patients blood
What is the best location to check the pulse of an adult who is unconscious and not breathing?
carotid artery
The act of listening for sounds made by internal organs to aid in the diagnosis of certain disorders is called:
auscultation
When a blood pressure cuff is deflated, the first tapping sound is the _____ pressure
systolic
The body organ targeted by HBV is the:
liver
A female patient came into the office for her scheduled routine physical. You are measuring the patient's vital signs. Which part of the brain is responsible for the temperature regulation?
hypothalamus
What position should the patient be placed in when performing an ECG?
supine
Which mode of infection transmission occurs from touching contaminated linens?
indirect contact
Which of the following is the most common means of transmitting pathogens?
touching
When a patient fails to show for their appointment, the event must be:
documented in the patients chart
Notifiable infection must be reported to:
center for disease control
A quantitative test is one that:
tests for the presence and amount of a substance in sample
The interval between exposure to infection and the appearance of the first symptom is called:
incubation period
Complete destruction of all forms of microbial life.
Sterilization
A patient is having a seizure. Which of the following is the most appropriate step for the medical assistant to take to protect the patient?
loosen clothing around the patient's neck
Most specialists are paid by MCOs using which of the following methods?
fee-for-service
Which of the following is classified as abnormally rapid, deep or labored breathing?
tachypnea
The invoice for the monthly rent of the building where the medical office is located, is typically handled by which department?
accounts payable
What drug enhances the effects of another drug?
synergistic
When using a venterogluteal approach to give an intramuscular injection in the buttock area, what is the muscle the medication goes in?
Gluteus medius
A baby's pulse and respirations are:
faster than an adults
Which of the patient's limbs serves as an electrical ground?
right leg
Another name for chest leads is:
Precordial
When the body has had adequate rest and no food for at least 12 hours, it is said to be in:
Basal state
What organ's main function is to eliminate excess water and waste products from the body?
kidneys
A murmur is an abnormal sound that may indicate:
Valvular heart disease
How many electrodes are used as part of a 12-Lead EKG?
10
The amount of blood pumped by the heart per minute is called:
cardiac output
Sinus __________ is a slow dysrhythmia.
bradycardia
When a person stays in the same position all the time, pressure causes the skin to:
weaken and become necrotic
A patient's weight should be listed in the patient's chart to the nearest:
1/4 pound
Automaticity refers to:
The ability of certain myocardial cells to produce an electrical impulse without the need for outside nerve stimulation
Collection devices used in skin punctures are called:
Capillary tubes
What is the function of the large intestine (aka colon)?
Absorb water
No anticoagulants are found in which of the following tubes?
red-topped
Without a clot activator, whole blood typically clots in____ minutes.
30- 60
Thixotropic gel, found in the SST red gray marbled- topped Vacutainer tube
is less dense than red blood cells but more dense than serum
Which of the following procedures is appropriate for preparing blood and other potentially infectious materials for transport?
Placing the materials in a leak-proof container during collection
The normal volume of urine produced by an adult in a 24-hour period generally does not exceed:
2000 mL
The patient's specimen is lipemic. This is usually an indicator that the patient is:
Not Fasting
Which of the following tests is not a part of complete blood count?
Activated partial thromboplastin time
The boundaries for the approved area in performing heel punctures are:
the medical line extending from the great toe and lateral line extending from the fourth and fifth toe
What is the best sample for the determination of blood pH and blood gases?
Atrial blood
The ability to identify with someone else's feelings is called:
empathy
How far above the site of draw is the tourniquet placed?
3-4 inches
A female patient came into the clinic for follow-up after a right sided mastectomy with some removal of lymphoid tissue. What is the name of the condition that makes blood draw on the right arm not recommended?
Lymphostasis
Which of the following is correct for ending a venipuncture procedure?
remove the tourniquet, remove the tube, remove the needle, apply pressure
Which of the following is known as swimmer's ear?
otitits externa
Which of the following should be used to chill a specimen as it transported?
crushed ice
The Medical Assistant was sent to the ward to draw blood for coagulation studies, Which of the following is correct about this draw?
before drawing the specimen, make sure the patient has fasted for 12 hours
The tube of choice for glucose testing is:
grey-top tube
The function of the platelet is to:
Cause the blood to clot
The three kinds of blood cells are:
Erythrocytes, thrombocytes, leukocytes
The hormone tested for in pregnancy tests is:
HCG
When performing a dermal puncture and the lancet hits the bone, what is the potentially serious fatal bone infection that could occur?
osteomyelitis
You performing a venipuncture procedure on a patient- the needle appears to be inside the vein yet no blood id flowing into the tube. What should you do?
switch the tubes
Which of the following Vacutainer tubes is routinely used for hematology testing?
Lavender-topped tubes
If a laboratory test requires serum, which Vacutainer tube is the tube of choice?
Red-topped tubes
Sodium Citrate is the additive in what color tube?
light blue
A fluctuating fever that returns to or below baseline then increases again is:
Intermittent
Identify the tubes needed to collect a PT, STAT lytes, and BC in the proper order of collection.
yellow, light-blue, PST
A female patient came into the emergency room with her husband. She was suffering from severe shortness of breath. She appeared to be unable to take in sufficient oxygen. What is the color of the skin and nail beds?
bluish
Which choice is a typical educational for elderly patients to prevent disease?
annual flu pneumonia vaccination and information
Asystole:
produce a complete cessation of cardiac output
A patient came to the clinic for a low-grade fever of one month duration. As part of the laboratory work-up, the physician ordered erythrocyte sedimentation (ESR). What color tube would be used for this test?
lavender-top tube
An obese patient was sent to the laboratory for a complete blood count. Which of the following veins is mot likely to be the only that the Phlebotomist can palpate?
cephalic vein
Two employees discussing a patient diagnosis on a hospital elevator with other people present is a violation of:
Patient confidentiality
A patient has been taking aspirin for arthritis. Which of the following is most likely to be affected by it?
Bleeding time
Mr. Matthews called the office to get the test results for his wife, Martha. What should the medical assistant do?
Check the medical recored to see if Mr. Matthews is authorized to have this information on Mrs. Matthews HIPAA form. If so, then release the information
If a finger is "excessively" milked during a skin puncture, the result will be:
Hemolysis and contamination of the specimen with tissue fluids
You are the only CMAC the night shift. You receive orders for all of the following tests within minutes of one another. Which test has the greatest collection priority?
STAT electrolytes in the ER
The phenylketonuria (PKU) test is used to diagnose deficiency of phenylalanine hydroxylase, the most common clinically encountered inborn error of metabolism. it is performed on:
blood drawn from a newborns heel
Samples appear to have been mislabeled and mixed on two patients. Each outpatient has orders for both blood and urine test, so there were two samples for each. What would be the best course of action?
Recollect all four samples from the patients
What specimens require protection from light?
bilirubin
Which of the following are also referred to as serum separator tubes (SST)?
Red/Grey-top tubes
Which of the following specimens are best utilized to measure clotting factors?
plasma
Which of the following is a standard speed for an EKG machine?
25 mm/second
When would a phlebotomist use a multiple-sample needle?
when more than one tube of blood is to be collected
A collection tube containing an anti-coagulant must be inverted how many times?
eight times
Identify the rhythm that will often produce an irregular rhythm.
Sinus dysrhythmia
Which limb sensor is the reference or ground electrode?
right leg
One method to calculate heart rate from an EKG strip is to:
count small boxes between in the R-R interval and divide by 1500
A 45 year-old man comes in for a stress test. His resting blood pressure is 120/80. During the stress test, his blood pressure dropped to 95/55 and his skin is cold and clammy. What is the best course of action?
stop the test immediately
The Q wave, if present, is always:
negative
The main purpose of PPE is to:
Provide the employee a barrier against infection
The acronym used to remember the actions to take when using a fire extinguisher is:
PASS
Narrowing of the valve between the left atrium and the left ventricle is called:
mitral stenosis
Which of the following supplies blood to the heart muscle?
coronary arteries
The layer of the heart that is responsible for contraction and relaxation is known as the:
Myocardium
A 67 year-old man is diagnosed with Atrial Fibrillation and is treated with Warfarin (Coumadin). What is the characteristic of Atrial Fibrillation?
P waves are absent
A patient has a possible corneal abrasion and needs a referral. Which specialty is a physician that deals with eye injury and disease?
ophthalmologist
A phlebotomist enters a room to draw blood on a patient who is hospitalized with an infected wound. The site of the wound and any of its bandages are considered which link in the chain of infection?
portal of exit
Two premature ventricular complexes (PVCs) in a row are called a/n _______ of PVCs.
couplet
A pounding or racing of the heart, such that the patient is aware of his/her heartbeat is called a/an:
Palpation
Which of the following cannot be handled by the medical assistant?
patient requesting emergency medical advice
Issues relating to medical advances come under the heading of:
bioethics
In a standard 12-lead ECG, the measurement of current that the heart muscle produces between the right arm electrode and left arm electrode is known as
standard limb lead I
A female patient came into the emergency room due to vaginal bleeding. What is the name of the instrument used to hold open the wall of the vagina?
tricuspid
Which of the following is an example of a biohazard?
splashing of blood when a cap is removed
A monitor that a patient wears for 24 hours is called a(n):
Holter
How do you know when you have achieved adequate ventilation for a patient when doing CPR?
rise of the chest
What is the minimum number of electrodes that may be attached to the patient for Holter Monitoring?
5 electrodes
Tachycardia is a pathology that damages mainly the:
heart muscle
The national health insurance plan for Americans age 65 and older is:
medicare
Which of the following requires all employees' workplace hazard training?
hazard communication standard
Which body system has the liver, gallbladder and pancreas as accessory organs?
Digestive
Regulation of the heart rate, speed of electrical conduction and strength of contraction are influenced by the brain via the _______ nervous system.
autonomic
A 67 year-old man comes into the doctor's office for a regular checkup. The doctor orders an Electrocardiography (ECG/EKG) to be done on the patient. There is junctional escape beat noticed by you. What is the origin of this rhythm?
AV node
Which chest lead is placed on the right sterna border in the 4th intercostal space?
V1
The patients chart indicates a urine sample was collected at 1800. This means the sample was collected at:
6 pm
What is the name of the law that protects health care workers who gave aid during the time of an accident?
Good Samaritan Law
The contraction phase of the heartbeat is called:
Systole
The correct lead from the center of heart to the positive pole of the leg is:
AVF
The correct lead from the right arm to the leg is:
II
A blood sample is collected from a patient and the plasma is pink to red in color. Which of the following is the most likely cause?
Hemolysis
Which drug is used as an anticoagulant?
Warfarin
Which is the most common route of administration of nitroglycerin?
Sublingual
Your patient is experiencing chest pain and has a heart rate of 132 beats per minute. You attach the ECG monitor and see a fast, regular rhythm with a round upright P wave that precedes each QRS complex. The QRS complexes are 0.10 seconds in duration. This patient is experiencing:
Sinus Tachycardia
Veterans with service related disabilities are eligible for care under which of the following programs:
CHAMPVA
_____________ is usually sponsored and partially paid by an employer.
Group Health Insurance
Health policies that concern a patient's constitutional right to privacy, informed consent and confidentiality are part of:
Patient's Bill of Rights
Family members, such as spouse or children that are covered under the member's insurance policy are known as ________.
Dependents
A physician, specialist or any person that provides medical care is known as the _______.
Provider
The term _________, refers to the list of charges for each of the provider's services.
fee schedule
A ________ is a set amount that the patient may be required to pay the provider before they can receive benefits.
Co-payment
The insurance carrier is allowed to use any method to determine the amount for a service, also known as the ________.
allowed amount
Which of the following statements is true under the doctrine of respondeat superior?
The physician is responsible for any errors made by the medical staff
One example of a physiologic response to negative stress is:
Upset stomach
Information given by a patient to medical personnel that cannot be disclosed without consent constitutes:
Privileged communication
The method of scheduling in which one patient is scheduled for a specific appointment time is known as:
Single booking
___________________, also known as POMR, is a method of tracking the patient's problems during the time they are receiving medical care.
Problem-oriented medical record charting
Another term for outpatient care is:
Ambulatory care
The best way to handle a "difficult" or "bad" patient is to:
Help the patient to feel in control of the situation
Which of the following is an example of negative kinesics?
frowning
Which of the following skills would not be an appropriate expectation of the competent medical assistant?
Diagnosing common patient symptoms
When analysis of a patient flow is reviewed, what does this help a practice determine?
Realistic time frame for each appointment
The mental and emotional condition, enthusiasm, loyalty, or confidence of an individual or group with regard to function or tasks at hand is called:
Morale
Faithfulness, or allegiance to a cause, ideal, custom, institution or product, is called:
Loyalty
When medical assistants are able to adapt to various situations, they are considered to be:
Flexible
One mental health illness that can hinder patient education is:
Alzheimer's disease
Which of the following is an example of proxemics?
Facial expressions
Which is an example of a recommended preventive procedure?
Childhood immunizations
Which of the following types of filing systems requires a cross reference files?
numeric
Before developing a medication schedule, you should evaluate the patient's:
Daily routine
During assessment, the best source from which to obtain patient information is the:
The medical record
Verbal facial expressions or body language, such as a nod of understanding, are called:
feedback
The way to organize appointment scheduling so that it best supports the success of the practice is to:
Consider the preferences of the physician
The principle advantage of using wave method when designing the scheduling process is that it:
Allows flexibility to accommodate the unpredictable
What does the "inside address" in a typewritten letter need to include?
The name and address of the person receiving the letter
Which of the following would be filled SECOND?
Tom A. Turner
The amount that an insurance company may say is not allowed and not the responsibility of the patient, for a contracted physician, would be identified as this on the patient's account?
an adjustment
Managed care organizations control costs by:
Detecting risk factors early
After a patient interview by the medical assistant, which of the following should not be recorded by the medical assistant?
Examination narrative
The patient complains that it hurts when they swallow. This type of complaint is considered:
subjective
Telephone etiquette involves:
Keeping your statements simple and to the point
The term used to describe sophisticated and highly complex care is:
Tertiary care
This is federal program that provides medical care for the indigent:
medicaid
To indicate that something lies nearer the surface, use the term:
Superficial