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CCMA missed questions Part 2
Terms in this set (93)
A medical assistant is preparing to collect a pt's temperature via the tympanic membrane. In which of the following locations should the assistant place the thermometer?
-On the forehead
-In the ear
-under the tongue
-under the arm
In the ear
A medical assistant should complete documentation in a pt's medical record at which of the following times?
-Immediately following a procedure
-prior to a procedure
-during a procedure
-after completing all procedures for the day
immediately following a procedure
Which of the following terms should a MA use to tell a provider that a pt is having discomfort and difficulty breathing.
A MA is reviewing a providers instructions as the pt is preparing to leave the office. The provider recommends that the pt purchase an over the counter antitussive, but the patient tells the assistant that she does not know what an antitussive is. Which of the following responses should the assistant make?
-"its a medication that reduces nasal membrane swelling."
-"Its a medication that helps with coughing up mucus."
-"its a medication that relives allergy symptoms."
-"its a medication that suppresses the cough reflex."
"Its a medication that suppresses the cough reflex."
Which of the following stages of the cardiac cycle on an EKG strip represents ventricular depolarization?
- T wave
- ST segment
- QRS complex
- P wave
A medical assistant is is checking a pts hearing using the Rinne test. Which of the following actions should the assistant take?
-Position the vibrating tunning fork on the top of the patients head.
-Invert the vibrating tuning fork and place it 5cm (2in) in front of the ear canal.
-Ask the pt to raise his hand when he no longer hears any sound
-Place headphones over the pts ears and adjust for comfort
Ask the pt to raise his hand when he no longer hears any sound
A medical assistant is examining the skin on a pts forearm where the pt reports developing a rash. The assistant notes multiple solid elevations that are less than 0.5 cm (0.2 in) in diameter. Which of the following terms should he use to document his observations in the medical record?
A pt is entitled to which of the following medical records?
- detailed psychotherapy notes
-list of mediations with diagnosis
-original chest x- ray
-information complied for legal proceeding
List of medications with diagnosis
A ma is preparing to preform a capillary collection from a older pt who has poor circulation in his hand. Which of the following techniques should the assistant use to increase circulation at the collection site?
- hold the pts hand above his heart
- squeeze the pts finger
-Warm the pts hand
Apply a tourniquet
Warm the pts hand
A MA is witnessing a pt sign a consent form. Which of the following is the responsibility of the assistant acting as a witness?
- ensure the pt understands the procedure
-validate the pts signature
- evaluate if the pt is competent
-recomend alternative treatments to the pt
validate the pts signature
Which of the following terms describes the body's internal adaption and change to keep body functions in balance?
A MA in a acute medical facility is checking in a pt who has a deep laceration. The pt tells the assistant that he cannot receive a blood transfusion due to his religious beliefs. Which of the following actions should the MA take?
-Document the statement in the pts chart
-Obtain a specimen for blood type crossing and match
-Inform the pt that a blood transfusion is mandatory
-Have the pt sign a Against medical Advice form
document the statement in the pts chart
A MA is adding information to a pts computerized problem oriented medical record (POMR) . Into which of the following sections of the POMR should the assistant enter the pts health history and laboratory results?
-diagnostic and treatment plan
A medical assistant is reviewing the laboratory results of a pt who has Epstein- Barr virus. The assistant should identify that this micro- organism can cause which of the following conditions?
A MA is caring for a pt who has a BMI of 23. The pt should be categorized as which of the following
A medical assistant is preparing a CMS- 1500 insurance claim form for a pt who was treated for a burn injury. Which of the following pieces of the information is required on the form.
-Physical address where the injury occurred
-pts health saving account number
- current procedural terminology code
- pts medical record number
current procedural terminology code
A provider request a MA to initiate a referral for a pt to a mental health facility. Which of the following pieces of information is required for the assistant to include in the initaill refferal?
A medical assistant discovers an unidentifiable liquid on the floor. Which of the following materials should the assistant use to remove and dispose of the liquid
-A clean- up kit
- a mop and bleach
- floor cleaning solution
- a surgical towel double bagged in trash bag
a clean up kit
A provider asks a medical assistant to administer oxygen to a pt who is experiencing respiratory distress. Which of the following actions should the MA take then administering oxygen to the pt?
-Open the cylinder on the tank two clockwise turns
- set the flow meter to 8L / min
- Insert the tips of the cannula into the pts nostrils
- instruct the pt to open a window when smoking
insert the tip of the cannula into the pts nostrils
The primary code in the CPT coding system consists of how many digits
- four digits
- seven digits
Which of the following information should a medical asistant enter into an appointment scheduling calendar when scheduling a pt for a skin rash
-diagnosis code for dermatitis
- daytime phone number
- date of birth
- patients identification number
daytime phone number
A ma is assisting a pt who experienced a chemical burn. which of the following steps should the assistant take
- apply ice
-remove any chemical covered clothes
-cleanse the burn with hydrogen peroxide
- apply an adhesive bandage to the burn
remove any chemical covered clothes
A MA is preparing sterilization for hemostats before an invasive procedure. which of the following techniques should the assistant use
A provider ask a MA to reinforce teaching with a pt about her new diagnosis. which of the following actions should the assistant take
- outline the educational materials quickly with the pt
- instruct the pt to ask questions at the end of the teaching
- include personal opinion along with the teaching
- document pts response to the teaching
Document the pts response to the teaching
A medical assistant is reviewing discharge information with a pt who is postoperative following cryosurgery to the cervix. Which of the following statements should the assistant include.
-" You can resume sexual activity 3 days after your procedure"
- "It is normal for pain to last up to 1 week of your procedure"
- " your menstrual cycle will cease for 3 to 4 months"
-" You may experience watery discharge for up to 1 week after your procedure."
You may experience watery discharge for up to 1 week after your procedure
Which of the following organs is located in the right upper quadrant of the abdomen
A provider is preforming a rectal exam. which of the following supplies should a MA have available during the examination
- tuning fork
A MA should recognize which of the following blood pressure readings as indicative of an adult whose blood pressure level is classified elevated
- 115/ 75 mm Hg
- 128/ 78 mm Hg
- 100/ 65 mm Hg
- 140 / 90 mm Hg
128/ 78 mm Hg
The parent of a child who has pin worms is asking a medical Assistant for more information about his child condition. the assistant should begin by explaining that pinworms are which of the following types of micro-organisms
When assisting a provider with a examination and papanicolaou (pap) test, a medical assistant should identify that which of the following instruments is necessary
- Adson forceps
During a routine venipuncture, the patient becomes pale and diaphoretic. What condition is most likely to occur in this patient?
A medical assistant needs to remove all living micro-organism from a contaminated towel clamp. Which of the following methods should the assistant use to cleanse this instrument
A provider orders the MA to prepare a tablespoon of mediation for a pt. How many milliliters of medication should the assistant draw up
- 15 mL
- 5 mL
- 30 mL
- 2.5 mL
A medical assistant is asked to assist a provider with an orthopedic examination. Which of the following instruments should the assistant prepare for the exam
A ma receives a call from a parent of a child who ingested a household cleaner. which of the following actions should the assistant take
- tell the parent to call back after obtaining the Childs vital signs
-instruct the parent to administer syrup of ipecac
-direct the parent to manually induce vomiting
- contact the local poison control
contact the local poison control
When preforming diagnosis coding how many characters are used to provide the highest level of specificity with an ICD- 10- CM code?
- four characters
- five characters
- seven characters
Which of the following types of appointment system allows flexibility to allow for the most consistent pt flow
- double booking
- cluster booking
- wave scheduling
- stream scheduling
A medical assistant is reporting a pt fall that occurred in the front lobby of the clinic. What is the purpose of the assistant preparing an incident report
- to remove liability from the clinic
- to avoid future reoccurrences
-to document patient responsibility for the fall
- to create documentation for the pts medical record
to avoid future reoccurrences
A MA is making a new sign- in sheet for the pts who have appointments that day. Which of the following information should the sign in sheet include?
- Insurance policy number
- pts date of birth
- reason for the visit
A medical assistant is administering cough syrup to a pt. Which of the following actions should the assistant take.
- shake the bottle vigorously
- keep the label side of the bottle on the bottom when pouring
- view the medication cup at eye level when pouring
- Match the mark for the medication dosage to the upper edge of the meniscus.
view the medication cup at eye level when pouring
A MA is preparing a pt for a physical exam when he notices that the pts eyes are moving back and fourth in a consistant, involuntary manner. Which of the following terms should the assistant use when documenting this finding in the pts medical record.
A medical assistant has a blood pressure cuff inflated and partially opens the valve to deflate as he listens with a stethoscope. When should he read the diastolic pressure.
-When the sound disappears
-When repetative sounds begin
-When the sounds change from strong to muffled
- When the sounds change from swishing to sharp
When the sound disappears
An MA is drawing five blood collection tubes. When should the assistant release the tourniquet
- After the needle is removed
-after a flash of blood is seeing the hub of the first tub
- Within 1 min of application
- between 2 to 3 min after application
within 1 min of application
A medical assistant should follow the chain of custody guidelines for which of the following types of laboratory results.
- digoxin levels
- blood cultures
- parentage testing
Which of the following positions should a MA place an 18 month old pt when administering ear drops to the right ear.
- right ear facing down with the earlobe pulled down and back
-right ear facing up with the pinna pulled up and back
- right ear facing up with the earlobe pulled down and back
- right ear facing down with the pinna pulled up and back
right ear facing up with the earlobe pulled down and back
A MA is collecting data from a pt who is experiencing heatstroke. Which of the following manifestations should the assistant expect to find.
- Hot skin
A MA is reviewing the medical history of a pt who regularly comes into contact with coal and wood dust. The assistant should recognize that this pt is at an increased risk for developing which of the following disorders
- obstructive sleep apnea
-carcinoma of the larynx
A MA is reinforcing teaching with a pt about the self administration of insulin injections. Which of the following pt statements indicates an understanding of the teaching
-" I will roll the bottle between my hands before drawing the medication"
- " I will blow on the site to make sure the alcohol dries"
- " I will consistently uses the same site for my injections"
-" I will hold the needle at a 15 degree angle for the injection
I will role the bottle between my hands before drawing the medications
A MA is administering eye ointment to a pt. Which of the following actions should the assistant take.
- Hold the ointment tube parallel to and above the pts eye
-apply a thin ribbon of ointment along the conjunctival sac
-Apply the ointment from the outer canthus to the inner canthus
- Have the pt keep her eye open after the application
Apply a thin ribbon of ointment along the conjunctival sac
Which of the following should a medical assistant identify as the purpose of a category II code in procedural coding
-indicates special circumstances
-works as a temporary code
- tracks provider performance measures
-Identifies preventive measures
tracks provider performance measures
When preforming a first aid procedure to control bleeding of a wound, which of the following actions should a medical assistant take?
-Apply layers of sterile gauze
- Suture the wound
- Flush the wound with sterile water
Apply layers of sterile gauze
A medical assistant is reviewing the progress notes of a pts record that uses the SOAP format. Which of the following would the MA find in the assessment section.
A MA is preparing a pt for a procedure to have a mole excised. Which of the following actions should the assistant take.
- Administer the anesthetic to the pt
-don sterile gloves and gown
- cleanse the site with surgical soap and an antiseptic
-Open a sterile pack and lay instrument on the counter
Cleanse the site with surgical soap and an antiseptic
A MA is talking with an older pt who sustained a foot fracture in a fall. She reports managing most tasks at home well but has difficulty navigating with her crutches an is currently homebound. To which of the following resources should the assistant refer the pt.
-legal aid society
-Meals on wheels
- American Red Cross
meals on wheels
A MA is monitoring a pt during a stress test. The pt becomes increasingly short of breath and tachycardic. Abnormalities appear in his EKG rhythm. Which of the following actions should the assistant take first.
-Discontinue the test
-instruct the pt to take slow, deep breaths
-Ask the pt if he is experiencing chest pain
-Obtain the pts vital signs
Discontinue the test
Which of the following is a CLIA- waived laboratory test?
-Papanicolaou (pap) test
- blood typing and crossmatching
-fecal leukocyte test
-Human chorionic gonadotropin (HCG) test
Human chorionic gonadotropin (HCG) test
A MA is preparing 1 g/ Kg of activated charcoal for a pt who weighs 176 lbs. How many grams of charcoal should the assistant prepare
- 76 g
A MA is preparing the room for a pts general physical exam. The assistant should recognize that which of the following instruments should be available to the provider for the examination.
A MA is composing a business correspondence using the simplified letter styling. Which of the following feature should the assistant use
- A complimentary closing
-A subject Line in all capital letter
- indented paragraphs in the body of the letter
-Center aligned dateline and salutations
A subject line in all capital letter
A MA is preparing a pt for a physical examination and is helping the pt into the dorsal recumbent position. The assistant should identify that this position is described by which of the following
-Lying face down, with legs supported by the table
- lying face up, with legs bent and feet flat on the table
-sitting upright, with the table at a 90 angle
-Sitting semi upright, with the table at a 45 angle
lying face up, with legs bent and feet flat on the table
A provider prescribes oxycodone for a pt after abdominal surgery. Which of the following describes this type of medication?
- Is a schedules I controlled substance, and has low potential for abuse
-Is a schedule V controlled substance, and has a high potential for abuse
-IS a schedule IV controlled substance, and has low potential for abuse
-Is a schedule II controlled substance and has a high potential for abuse
Is a schedule II controlled substance and has a high potential for abuse
A MA is caring for a pt who has come in contact with concrete debris. Upon inspection of the eye, the assistant sees debris on the surface of the sclera. Which of the following actions should the assistant take.
- use a clean, dry piece of gauze to sweep the debris out of the eye
-position a bulb syringe on the lid of the eye during the extraction
-irrigate the eye starting at the inner canthus and flowing to the outer canthus
- irrigate the eye by flushing it with cold tap water
irrigate the eye starting at the inner canthus and flowing to the outer canthus
When assigning a CPT code, which of the following is the purpose of a modifier?
-indicates the complexity of the medial history that led to the procedure
-indicates the amount of time the provider has spent on the procedure
-Provides the clinical setting in which the procedure was preformed
- Provides additional information or circumstances for a procedure
Provides additional information or circumstances for a procedure
A MA is preforming a spirometry testing for a pt who has shortness of breath. Which of the following results of the spirometry test indicates a successful maneuver.
- A slow and progressive start
-A fast and steady flow with no variability
-An exhalation of 3 seconds
-light coughing during the test
A fast and steady flow with no variability
Which of the following methods is used to notify the provider of the denial of a claim by an insurance carrier
-coordination of benefits
- eligibility for insurance
- CMS- 1500 claim form
A pt arrives at the clinic with a tick bite on his leg. The provider asks a MA to help remove the tick. Which of the following actions should the assistant do
-grasp the tick at a point furthest from the skin
-Squeeze the body of the tick firmly to remove it
-Use tweezers to pull the tick away from the skin slowly
-Discard the tick in the trash can
Use tweezers to pull the tick away from the skin slowly
A MA is reinforcing teaching with a pt about lifestyle modifications to help regulate his hypertension. Which of the following statements by the pt indicates an understanding of the teaching
-"I'll cut back on my salt intake to 4 grams per day."
-" I"ll watch my potassium intake and keep it low."
- "I'll restrict my exercise regimen to only 2 days per week."
- "I only smoke a half pack each day, so ill just cut it out completely."
"I only smoke a half pack each day, so ill just cut it out completely."
Which of the following actions should a MA take when preforming aseptic hand washing
-use hot water to wash and rinse hands
-Lather in a circular motion with fingertips pointed up
- open the paper towel dispenser to collect paper towels
- turn off the faucet with a paper towel
turn off the faucet with a paper towel
A pharmacist calls the clinic to confirm an e-prescription request to fill a pts medication order. Which of the following actions should the assistant take
-verbally authorize the prescription after confirming the order with another MA
-authorize the prescription to last until the pts next appointment
-Verify the order with the provider prior to confirming the prescription
- contact the pt for verification of the prescription
Verify the order with the provider prior to confirming the prescription
A MA is observing a pt after administering an antibiotic injection. The pt develops an itchy rash with pinkish, raised lesions, Which of the following terms should the assistant use when documenting this finding in the pts medical record
A MA is obtaining information from a pts medical history and physical examination. The pt reports intermittent episodes of ringing in his ear. Which of the following terms should the assistant use when documenting this finding in the pts medical record.
A MA is administering an intradermal injection for allergy testing. Which of the following actions should the assistant take
-Locate the area two to three finger widths below the antecubital space
-Pinch the skin between the thumb and forefinger
-insert the needle with the bevel pointed down
-inject the solution rapidly with the needle positioned at a 30 angle to the skin
Locate the area two to three finger widths below the antecubital space
A MA is preparing to use a glucometer to measure a pts blood glucose. which of the following actions should the MA take
-obtain the blood sample after inserting the test strip into the glucometer
- touch the testing pad on the test strip to make sure the surface is smooth
- Apply the first drop that appears after the puncture to the test strip
- smear the blood on the test pad
obtain the blood sample after inserting the test strip into the glucometer
Which of the following techniques should a MA use when bandaging a wound
- wrap from distal to proximal
-bandage fingers and toes to prevent further injury
-extend the wound dressing 3 to 5 inches beyond the bandage
-moisten and apply ointment before bandaging
wrap from distal to proximal
A MA is preparing a pt who has intermittent peripheral cyanosis for an examination by the provider. The assistant should understand that healthy perfusion of the hands and feet depends on adequate interaction between which of the following two body systems
-muscular and digestive
-integumentary and lymphatic
- endocrine and skeletal
-circulatory and respiratory
circulatory and respiratory
When speaking with a patient who has moderate hearing loss and reads lips, which of the following actions should a medical assistant take to aid in communication with the patient?
-use hand gestures
use hand gestures
A MA is reviewing a list of medications a pt reports currently taking. The assistant should recognize that which of the following medications in available in a sublingual form
A MA is educating an older pt on wound care. Which of the following should the assistant do to ensure pt understanding
-speak louder to the pt
-stand beside the pt
- have additional medical staff present to explain information
-Have pt repeat the information
Have pt repeat the information
A MA has a pt who has psoriasis . When inspecting the pts skin lesions, the assistant should expect to observe which of the following
- gray, crusty
- silvery, scaly
A MA is checking a Pt out of the clinic. Which of the following documents should the assistant locate information about provider referrals or follow up appointment request for the pt
- encounter forms
- CMS 1500 claim form
- OSHA form 301
- informed consent
Which of the following body systems should be evaluated for a diagnosis of pyloric stenosis
A MA is preparing to sanitize contaminated equipment. Which of the following pieces of equipment can a MA sanitize and reuse without needing to disinfect or sterilize it
- suture removal instruments
A pt in an urgent care facility reports that she vomited and saw blood in the vomit. Which of the following terms should the MA us to document the pts report
Which of the following tasks is within the scope of practice for a MA in a clinical setting
-Administering IV medications
-Removing sutures from a healed laceration
-interpreting a 12-lead EKG tracing
-identifying whether a skin lesion is malignant
Removing sutures from a healed laceration
When unloading an autoclave machine, a medical assistant notices spots on the instruments. The assistant should recognize that this is the result of which of the following?
-mineral deposits from tap water
-improper cleaning of the chamber
-clogged chamber drain
-exposure to hard chemicals
mineral deposits from tap water
A pulse oximeter can register artificially low oxygen saturation measurement for a pt who has which of the following conditions
-carbon monoxide poisoning
A ma is providing instructions on how to take an extended release medication PO (by mouth). Which of the following statements made by the pt indicated a need for further teaching
-" I Can crush or chew the pill if it is so hard for me to swallow."
- " I should drink plenty of water when taking the extended release pill"
-" extended release pills provide a consistent amount of medication for my body to use over a period of time"
-" I should take my pill at the same time each day."
I Can crush or chew the pill if it is so hard for me to swallow."
When informed consent is required for a procedure, which of the following steps should occur prior to the patient signing the form?
-The MA should explain the procedure to the pt
-the MA should describe the risks of the procedure to the pt
- The provider should review alternative procedures with the pt
- The provider should review the pts insurance coverage for the procedure
The provider should review alternative procedures with the pt
A MA has requested a preauthorization for a pts referral to a specialist. Which of the following is a reason for the claim submitted by the specialist to be denied
-The approved lists are listed in the authorization comments section
-The pt previously summited and received a self referral
-The specialty providers national provider identifier (NPI) is not included in the authorization
- The service is provided after the expiration date
The service is provided after the expiration date
which of the following instructions should a medical assistant provide to a pt regarding transdermal patch use and care
-" only sponge baths are allowed while wearing the patch"
-" make sure to rotate patch placement to avoid skin irritation"
- " Keep all used patches for inspection at your next appointment"
-" apply each new patch at a different time during the day"
make sure to rotate patch placement to avoid skin irritation"
A medical assistant is preforming hand hygiene using an alcohol- based hand rub. The assistant should recognize that which of the following information about alcohol based hand rubs is correct.
- Allergic contact dermatitis is common with the use of alcohol based hand rub
-Alcohol based hand rub should be generously applied to visibly soiled hands
- Alcohol based hand rub should be applied to one hand and then rubbed between both hands
- Alcohol based hand rubs for clinical use should have an alcohol content of 45% to 50%
Alcohol based hand rub should be applied to one hand and then rubbed between both hands
Which of the following medical record documentation templates is organized by the entity the supplied the data
A medical assistant is assisting with the examination of an older pt who has a curvature of the thoracic spine. Which of the following terms should the assistant use when documenting this finding in the pts medical record
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