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