AMCA Certfication Test Flashcards


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1

Which of the following is considered a parasitic infection?

Malaria

2

Aspirin and acetaminophen are examples of

Analgesics and antipyretics

3

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

4

MSDS information includes

General and emergency information

5

The physician prescribes a buccal medication. The medical assistant should instruct the patient to:

Place the medication between the lower teeth and cheek

6

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

7

All pathogens are:

Microbes that can cause disease

8

Every prescription for a controlled substance requires the physicians signature and a ____________ number?

DEA

9

Co-insurance is calculated based on a:

Percentage of charge

10

Muscles that act on the knee joint exhibit two actions:

Flexion and extension

11

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

12

A structure that is composed of two or more tissue types is called a/an:

organ

13

What drug prevents the action of another drug or chemical?

Antagonist

14

Cellular respiration is a function of the:

Mitochondria

15

Somatic tremor is the result of:

Muscle movement

16

The smallest structural unit of the nervous system is the:

neuron

17

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

18

The primary function of the nervous system is:

To detect changes in the internal and external environment and respond appropriately

19

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

20

The functional unit of the kidney is the:

Nephron

21

Which of the following types of gloves can be decontaminated and reused if they show no signs of deterioration after use?

Utility

22

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

23

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

24

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

25

What is the appropriate test used for heparin therapy?

APPT

26

A provider withdraws from the care of a patient without reasonable notice of discharge is considered:

Abandonment

27

Which agency regulates the Controlled Substances Act?

DEA

28

Defamation through spoken statements is known as:

Slander

29

Insulin syringes are calibrated in:

units

30

Which of the following is not true regarding HIPPA laws?

Few boundaries are set on the use and release of health records

31

To determine our ventricular pulse, the EKG technician would:

Calculate the spacing between the QRS complex

32

PHI stands for:

Protected Health Information

33

Which situation would a Medical Assistant's signature be required?

On an informed consent document

34

The Privacy Rule gives patients the right to:

Access their medical record

35

A patient has an oral temperature of 100.8 F. The medical term for this is:

pyrexia

36

A routine hand wash procedure uses plain soap to remove soil and transient bacteria.

antimicrobial soap

37

Which of the following precautions require special air handling and ventilation?

Airborne precautions

38

Which of the following is correct regarding contact transmissions

It involves contaminated instruments, needles, or contaminated hands that are not washed

39

Important information a patient should know about immunizations would be that:

They are prophylactics against deadly diseases

40

What is the process used to wash and remove blood and tissue from medical instruments called?

Sanitation

41

A patient weights 83.92 kg. How many pounds does he weigh?

185

42

While taking a patient's medical history for active tuberculosis, what type of PPE is required?

mask

43

Most exposures to HIV in healthcare settings are the result of:

accidental needle sticks

44

The four symptoms of inflammation are erythema, edema, pain, and:

heat

45

A tympanic temperature means the body temperature is measured:

at the eardrum

46

pulse site used to measure blood pressure is:

brachial

47

What is the correct way to calculate pulse pressure?

the number found when subtracting the diastolic from the systolic

48

The patient has been given a prescription that says the medication should be taken "bid". This medication should be taken?

twice a day

49

Which of the following procedures can be performed by a medical assistant?

intramuscular injection

50

Post- prandial means:

after a meal

51

A round, raised skin lesion with itching that is a positive sign of reaction to allergic testing is a:

papule

52

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

53

Which of the following drug administration routes is the most appropriate for a patient who has nausea and vomiting?

rectal

54

The patient information sheet contains:

patients personal and insurance information

55

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

56

The information of blood cells is defined as:

hematopoiesis

57

The primary purpose of wearing gloves during phlebotomy procedures is to protect the:

phlebotomist from exposure to the patients blood

58

What is the best location to check the pulse of an adult who is unconscious and not breathing?

carotid artery

59

The act of listening for sounds made by internal organs to aid in the diagnosis of certain disorders is called:

auscultation

60

When a blood pressure cuff is deflated, the first tapping sound is the _____ pressure

systolic

61

The body organ targeted by HBV is the:

liver

62

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

63

What position should the patient be placed in when performing an ECG?

supine

64

Which mode of infection transmission occurs from touching contaminated linens?

indirect contact

65

Which of the following is the most common means of transmitting pathogens?

touching

66

When a patient fails to show for their appointment, the event must be:

documented in the patients chart

67

Notifiable infection must be reported to:

center for disease control

68

A quantitative test is one that:

tests for the presence and amount of a substance in sample

69

The interval between exposure to infection and the appearance of the first symptom is called:

incubation period

70

Complete destruction of all forms of microbial life.

Sterilization

71

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

72

Most specialists are paid by MCOs using which of the following methods?

fee-for-service

73

Which of the following is classified as abnormally rapid, deep or labored breathing?

tachypnea

74

The invoice for the monthly rent of the building where the medical office is located, is typically handled by which department?

accounts payable

75

What drug enhances the effects of another drug?

synergistic

76

When using a venterogluteal approach to give an intramuscular injection in the buttock area, what is the muscle the medication goes in?

Gluteus medius

77

A baby's pulse and respirations are:

faster than an adults

78

Which of the patient's limbs serves as an electrical ground?

right leg

79

Another name for chest leads is:

Precordial

80

When the body has had adequate rest and no food for at least 12 hours, it is said to be in:

Basal state

81

What organ's main function is to eliminate excess water and waste products from the body?

kidneys

82

A murmur is an abnormal sound that may indicate:

Valvular heart disease

83

How many electrodes are used as part of a 12-Lead EKG?

10

84

The amount of blood pumped by the heart per minute is called:

cardiac output

85

Sinus __________ is a slow dysrhythmia.

bradycardia

86

When a person stays in the same position all the time, pressure causes the skin to:

weaken and become necrotic

87

A patient's weight should be listed in the patient's chart to the nearest:

1/4 pound

88

Automaticity refers to:

The ability of certain myocardial cells to produce an electrical impulse without the need for outside nerve stimulation

89

Collection devices used in skin punctures are called:

Capillary tubes

90

What is the function of the large intestine (aka colon)?

Absorb water

91

No anticoagulants are found in which of the following tubes?

red-topped

92

Without a clot activator, whole blood typically clots in____ minutes.

30- 60

93

Thixotropic gel, found in the SST red gray marbled- topped Vacutainer tube

is less dense than red blood cells but more dense than serum

94

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

95

The normal volume of urine produced by an adult in a 24-hour period generally does not exceed:

2000 mL

96

The patient's specimen is lipemic. This is usually an indicator that the patient is:

Not Fasting

97

Which of the following tests is not a part of complete blood count?

Activated partial thromboplastin time

98

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

99

What is the best sample for the determination of blood pH and blood gases?

Atrial blood

100

The ability to identify with someone else's feelings is called:

empathy

101

How far above the site of draw is the tourniquet placed?

3-4 inches

102

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

103

Which of the following is correct for ending a venipuncture procedure?

remove the tourniquet, remove the tube, remove the needle, apply pressure

104

Which of the following is known as swimmer's ear?

otitits externa

105

Which of the following should be used to chill a specimen as it transported?

crushed ice

106

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

107

The tube of choice for glucose testing is:

grey-top tube

108

The function of the platelet is to:

Cause the blood to clot

109

The three kinds of blood cells are:

Erythrocytes, thrombocytes, leukocytes

110

The hormone tested for in pregnancy tests is:

HCG

111

When performing a dermal puncture and the lancet hits the bone, what is the potentially serious fatal bone infection that could occur?

osteomyelitis

112

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

113

Which of the following Vacutainer tubes is routinely used for hematology testing?

Lavender-topped tubes

114

If a laboratory test requires serum, which Vacutainer tube is the tube of choice?

Red-topped tubes

115

Sodium Citrate is the additive in what color tube?

light blue

116

A fluctuating fever that returns to or below baseline then increases again is:

Intermittent

117

Identify the tubes needed to collect a PT, STAT lytes, and BC in the proper order of collection.

yellow, light-blue, PST

118

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

119

Which choice is a typical educational for elderly patients to prevent disease?

annual flu pneumonia vaccination and information

120

Asystole:

produce a complete cessation of cardiac output

121

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

122

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

123

Two employees discussing a patient diagnosis on a hospital elevator with other people present is a violation of:

Patient confidentiality

124

A patient has been taking aspirin for arthritis. Which of the following is most likely to be affected by it?

Bleeding time

125

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

126

If a finger is "excessively" milked during a skin puncture, the result will be:

Hemolysis and contamination of the specimen with tissue fluids

127

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

128

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

129

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

130

What specimens require protection from light?

bilirubin

131

Which of the following are also referred to as serum separator tubes (SST)?

Red/Grey-top tubes

132

Which of the following specimens are best utilized to measure clotting factors?

plasma

133

Which of the following is a standard speed for an EKG machine?

25 mm/second

134

When would a phlebotomist use a multiple-sample needle?

when more than one tube of blood is to be collected

135

A collection tube containing an anti-coagulant must be inverted how many times?

eight times

136

Identify the rhythm that will often produce an irregular rhythm.

Sinus dysrhythmia

137

Which limb sensor is the reference or ground electrode?

right leg

138

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

139

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

140

The Q wave, if present, is always:

negative

141

The main purpose of PPE is to:

Provide the employee a barrier against infection

142

The acronym used to remember the actions to take when using a fire extinguisher is:

PASS

143

Narrowing of the valve between the left atrium and the left ventricle is called:

mitral stenosis

144

Which of the following supplies blood to the heart muscle?

coronary arteries

145

The layer of the heart that is responsible for contraction and relaxation is known as the:

Myocardium

146

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

147

A patient has a possible corneal abrasion and needs a referral. Which specialty is a physician that deals with eye injury and disease?

ophthalmologist

148

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

149

Two premature ventricular complexes (PVCs) in a row are called a/n _______ of PVCs.

couplet

150

A pounding or racing of the heart, such that the patient is aware of his/her heartbeat is called a/an:

Palpation

151

Which of the following cannot be handled by the medical assistant?

patient requesting emergency medical advice

152

Issues relating to medical advances come under the heading of:

bioethics

153

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

154

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

155

Which of the following is an example of a biohazard?

splashing of blood when a cap is removed

156

A monitor that a patient wears for 24 hours is called a(n):

Holter

157

How do you know when you have achieved adequate ventilation for a patient when doing CPR?

rise of the chest

158

What is the minimum number of electrodes that may be attached to the patient for Holter Monitoring?

5 electrodes

159

Tachycardia is a pathology that damages mainly the:

heart muscle

160

The national health insurance plan for Americans age 65 and older is:

medicare

161

Which of the following requires all employees' workplace hazard training?

hazard communication standard

162

Which body system has the liver, gallbladder and pancreas as accessory organs?

Digestive

163

Regulation of the heart rate, speed of electrical conduction and strength of contraction are influenced by the brain via the _______ nervous system.

autonomic

164

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

165

Which chest lead is placed on the right sterna border in the 4th intercostal space?

V1

166

The patients chart indicates a urine sample was collected at 1800. This means the sample was collected at:

6 pm

167

What is the name of the law that protects health care workers who gave aid during the time of an accident?

Good Samaritan Law

168

The contraction phase of the heartbeat is called:

Systole

169

The correct lead from the center of heart to the positive pole of the leg is:

AVF

170

The correct lead from the right arm to the leg is:

II

171

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

172

Which drug is used as an anticoagulant?

Warfarin

173

Which is the most common route of administration of nitroglycerin?

Sublingual

174

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

175

Veterans with service related disabilities are eligible for care under which of the following programs:

CHAMPVA

176

_____________ is usually sponsored and partially paid by an employer.

Group Health Insurance

177

Health policies that concern a patient's constitutional right to privacy, informed consent and confidentiality are part of:

Patient's Bill of Rights

178

Family members, such as spouse or children that are covered under the member's insurance policy are known as ________.

Dependents

179

A physician, specialist or any person that provides medical care is known as the _______.

Provider

180

The term _________, refers to the list of charges for each of the provider's services.

fee schedule

181

A ________ is a set amount that the patient may be required to pay the provider before they can receive benefits.

Co-payment

182

The insurance carrier is allowed to use any method to determine the amount for a service, also known as the ________.

allowed amount

183

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

184

One example of a physiologic response to negative stress is:

Upset stomach

185

Information given by a patient to medical personnel that cannot be disclosed without consent constitutes:

Privileged communication

186

The method of scheduling in which one patient is scheduled for a specific appointment time is known as:

Single booking

187

___________________, 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

188

Another term for outpatient care is:

Ambulatory care

189

The best way to handle a "difficult" or "bad" patient is to:

Help the patient to feel in control of the situation

190

Which of the following is an example of negative kinesics?

frowning

191

Which of the following skills would not be an appropriate expectation of the competent medical assistant?

Diagnosing common patient symptoms

192

When analysis of a patient flow is reviewed, what does this help a practice determine?

Realistic time frame for each appointment

193

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

194

Faithfulness, or allegiance to a cause, ideal, custom, institution or product, is called:

Loyalty

195

When medical assistants are able to adapt to various situations, they are considered to be:

Flexible

196

One mental health illness that can hinder patient education is:

Alzheimer's disease

197

Which of the following is an example of proxemics?

Facial expressions

198

Which is an example of a recommended preventive procedure?

Childhood immunizations

199

Which of the following types of filing systems requires a cross reference files?

numeric

200

Before developing a medication schedule, you should evaluate the patient's:

Daily routine

201

During assessment, the best source from which to obtain patient information is the:

The medical record

202

Verbal facial expressions or body language, such as a nod of understanding, are called:

feedback

203

The way to organize appointment scheduling so that it best supports the success of the practice is to:

Consider the preferences of the physician

204

The principle advantage of using wave method when designing the scheduling process is that it:

Allows flexibility to accommodate the unpredictable

205

What does the "inside address" in a typewritten letter need to include?

The name and address of the person receiving the letter

206

Which of the following would be filled SECOND?

Tom A. Turner

207

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

208

Managed care organizations control costs by:

Detecting risk factors early

209

After a patient interview by the medical assistant, which of the following should not be recorded by the medical assistant?

Examination narrative

210

The patient complains that it hurts when they swallow. This type of complaint is considered:

subjective

211

Telephone etiquette involves:

Keeping your statements simple and to the point

212

The term used to describe sophisticated and highly complex care is:

Tertiary care

213

This is federal program that provides medical care for the indigent:

medicaid

214

To indicate that something lies nearer the surface, use the term:

Superficial