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Terms in this set (100)

What is the reason for checking the date and sterilization indicator on an instrument pack prior to opening?
to avoid putting the patient at risk for postoperative infection
Which of the following would you include when preparing a room for laser surgery?
Make sure everyone in the room, including the patient, wears safety goggles.
The proliferation phase of healing is characterized by __________.
the development of new tissue
The instruments in the figure are __________.
scissors
Instruments that are most often used to grasp or hold objects are __________.
forceps
The instruments pictured here are __________.
curettes
Which step helps prevent a latex glove allergy?
Clean areas contaminated with latex-containing dust frequently.
Duties of the sterile scrub assistant include
passing instruments to the practitioner during surgery.
A medical assistant should include which of the following in preparing a patient for cryosurgery?
Inform the patient that the initial sensation of cold will be followed by a burning sensation.
Which of the following would you include in teaching a patient who has had cryosurgery?
Inform the patient that a large, painful, bloody blister may form.
Carrie is a new medical assistant who is assisting for the first time as a floater for a minor surgical procedure. The physician removes tissue from the incision and asks Carrie for the container in which to place the specimen for laboratory examination. Carrie grasps the specimen container and reaches across the tray so the physician can place the specimen in the container. What did Carrie do wrong?
She should not have reached across the tray.
Which of the following defines debridement?
The surgical removal of debris or dead tissue from a wound.
Which surgical instruments are used to close off blood vessels?
hemostats
Which of the following is a duty of the floater in surgery?
Measure the patient's vital signs during surgery and observe for a reaction to the anesthetic.
Which of the following is the correct action for the medical assistant to take when assisting a practitioner during a sterile surgical procedure?
Avoid reaching over the sterile field.
Which of the following are characteristics of epinephrine?
It constricts blood vessels and prolongs the action of the local anesthetic.
On which type of wound would staples be used?
a long, deep wound across the leg
What is the surgical instrument pictured here?
hemostat
The medical assistant accidentally touches the inside of the sterile dressing package with no gloves on. The appropriate step for the medical assistant to take now is to __________.
obtain another unopened sterile dressing
Which is the appropriate way to cleanse an area before surgery?
Clean an area at least 2 inches larger than the surgical site.
Which type of scissors is used to remove dressings?
bandage scissors
Which method uses a needle, probe, or loop heated by electric current to destroy target tissue?
electrocauterization
Which instrument is used to grasp the scalpel blade when loading it on the scalpel handle?
needle holder
Which of the following occurs in the maturation phase of healing?
A continuous layer of skin cells thickens and pushes off the scab, leaving a scar.
Which of the following should you include in preparing a patient for electrocauterization?
.Place a grounding pad somewhere on the patient's body.
Mrs. Casanello had a breast biopsy last Friday. She calls Wednesday afternoon and asks if the results are back yet. The results came in Wednesday morning, and you know that the results were good: there is no malignancy. What should you tell Mrs. Casanello?
Tell Mrs. Casanello that you will check with the doctor and someone will call her as soon as the results have been interpreted.
Which of the following is an advantage of a point-of-care test (POCT)?
The POCT can help to monitor the patient's condition after a diagnosis is made.
Which part of an optical microscope is the platform on which the specimen slide rests?
stage
Certificate of Waiver tests are classified as such if they __________.
pose an insignificant risk to the patient if they are performed or interpreted incorrectly
A quality assurance program __________.
is designed to monitor the quality of patient care a medical laboratory provides
Sammy is a 6-year-old patient who needs to have blood drawn for testing. He is obviously anxious about the procedure, and his mother appears to be just as upset as Sammy is. Which of the following approaches should you take to reassure Sammy and his mother?
Explain the procedure to Sammy and his mother using simple language that they can understand.
Which part of an optical microscope contains a magnifying lens?
objective
Number 12 on this microscope is the __________.
light source
Which of the following communications should be used when preparing a patient for a laboratory test?
Let the patient be your guide in determining how much information to provide.
The optical microscopes used in physicians' office laboratories usually have __________ objectives.
three
Which of the following are chemicals or chemically treated substances used in test procedures?
reagents
Which of the following routine tests are most often performed at the physician's office laboratory (POL)?
chemistry and hematology
As a medical assistant, you may be responsible for processing tests done in the physician's office laboratory (POL), including
All of these choices are correct.
Number 10 on this microscope is the __________, which contains the condenser and iris.
substage
What does QNS on a lab report mean?
The specimen that was sent to perform the test was not large enough.
Which of the following is the function of the focus controls?
They bring the objects being examined into clear view.
A slide calibrated to the exact measurements needed to count blood cells or sperm under a microscope is a __________.
hemocytometer
Which laboratory test uses samples of whole blood to identify problems with the count, size, or shape of blood cells that could indicate disease?
hematologic test
What is the name for the eyepiece of the optical microscope through which an image is viewed?
ocular
Which of the following types of tests may be performed in a physician's office laboratory (POL) or as point-of-care tests (POCT) if a Certificate of Waiver has been granted?
erythrocyte sedimentation rate and urinalysis
When testing specimens that may be contaminated with blood-borne or other pathogens, which of the following would apply?
Avoid working when you have cuts, lesions, or sores on your hands.
Which of the following support and position the specimen and prevent contamination of the microscope by the specimen?
coverslip and slide
Where are the focus controls on a microscope located?
arm
Which of the following is a characteristic of control samples that are run in the POL?
They serve as a check on the accuracy of the test.
The Clinical Laboratory Improvement Amendments of 1988 had an impact on physician's office laboratories in which way?
They caused many doctors to close their laboratories.
The hard protein the body produces that makes visualizing the fungus possible only in a KOH mount is called __________.
keratin
Which of the following is the most common staining procedure, which differentiates bacteria according to the chemical composition of their cell walls?
Gram stain
The microorganisms pictured here are __________.
fungi
Procedures for packaging and labeling a specimen for mail delivery are set by __________.
CDC
Creutzfeldt-Jakob disease (CJD) and bovine spongiform encephalopathy (BSE) are caused by a(n) __________.
prion
Bacteria are most commonly classified according to their __________.
shape
Which of the following is true regarding anaerobes?
They grow best in the absence of oxygen.
A substance that can intensify or deepen the response of a specimen to a stain is called a(n) __________.
mordant
An example of a subcellular microorganism is a __________.
virus
Three-year-old Tyler's parents report that he has had a runny nose and a mild cough for the last several days. They brought him to the clinic because the coughing has become "terrible" during the past 24 hours. While getting the history from the parents, you notice a "whoop" sound as Tyler inhales after a severe coughing spell. Which of the following diseases is the most probable cause of Tyler's cough?
pertussis
Which of the following is included in specimen-collection guidelines?
Obtain the specimen at a time that allows optimal chance of recovery of the microorganism.
The comma-shaped bacteria pictured here are __________.
vibrios
Which of the following is considered the most reliable and timely method of transporting microbiologic specimens?
laboratory pickup
Which of the following are characteristics of eukaryotic cells?
They have a complex cell structure containing a nucleus and specialized organelles in the cytoplasm.
Which of the following is a guideline for the preparation and transportation of a specimen to an outside laboratory for pathologic study?
Maintain the sample in a state as close to its original state as possible.
What is the shape of streptococci bacteria?
chains
The organism pictured here spreads bacteria that causes Lyme disease and is considered a __________.
parasitic insect
Which of the following are examples of diseases caused by viruses?
chickenpox, hepatitis, and influenza
The spiral-shaped bacterium pictured here is classified as a __________.
spirillum
Which of the following is an inflammation of the heart tissue that occurs most frequently in school-age children as a result of an untreated strep throat?
rheumatic fever
A sample of a specimen that is placed in or on a substance that allows microorganisms to grow is a __________.
culture
What is the term for the type of cocci that are in pairs?
Diplococci
Which of the following microorganisms cause diseases that are a leading cause of death in developing countries because of lack of proper sanitation?
protozoans
Which of the following is characteristic of a subcellular microorganism?
noncellular structure in which the nucleic acid is surrounded by a protein coat
Trinity is a 9-year-old patient who has a fever, swollen glands, and a red rash. Upon examination, the physician found the organism shown in the picture. Which of the following diseases might the physician suspect based on this evidence?
Lyme disease
Which control is used to adjust the position of the stylus on the ECG?
centering control
Which of the following measures the patient's response to a constant or increasing workload?
exercise ECG
AC interference can be prevented by __________.
making sure lead wires are not crossed and following the contour of the body
Where does the transmission of electrical impulses in the heart begin?
SA node
Which of the following would be included in the patient's instructions regarding ambulatory monitoring?
Instruct the patient to record all activities, emotions, symptoms, and medications taken.
Which test is utilized to measure the heart's conduction system during exercise, when the demand for oxygen is increased?
stress testing
The impulse that travels through both ventricles is the __________.
S wave
If a lead does not appear on an ECG tracing, what step should be taken before repeating the tracing?
Reconnect the wire.
Electrodes for limb leads should be attached to __________.
fleshy portions of the limbs
Pulmonary function tests are useful in monitoring which condition?
chronic obstructive pulmonary disease
What is the arrhythmia pictured here?
ventricular fibrillation
The instrument that measures and displays the electrical impulses responsible for the cardiac cycle is a(n) __________.
electrocardiograph
The dysrhythmia in which P waves cannot be identified because of rapid multiple electrical signals that fire from areas of the atria other than the SA node is known as __________.
atrial fibrillation
The greatest volume of air that can be expelled when a person performs a rapid, forced expiration is the __________.
forced vital capacity
If the patient has good control of her asthma, her peak flow rate is in the __________,
green zone
Which of the following is a record of the waves of electrical impulses responsible for the cardiac cycle?
electrocardiogram
Electrical impulse sensors used to obtain an electrocardiogram are called __________.
electrodes
Which of the following is used to assess the electrical activity of a patient's heart over a 24-hour period of normal activity?
ambulatory monitoring
How is somatic interference on an ECG tracing prevented?
Remind the patient to lie still and to refrain from talking.
What is the arrhythmia pictured here?
PVCs
After preparing the ECG machine, you explained the procedure to Mrs. Thomas, connected the electrodes, and began the tracing, as shown in the picture. You rechecked the electrodes and they are all placed correctly. None of the wires are loose. However, you notice that Mrs. Thomas's skin smells fragrant, as though she has used a body lotion recently. Which of the following describes the problem, its possible cause, and the correct solution?
Wandering baseline caused by lotion on the skin; re-prep the skin with isopropyl alcohol.
Which of the following is the electrical impulse that initiates a chain reaction resulting in contraction?
depolarization
The time it takes for electrical impulses to travel from the SA node to the AV node is the __________.
P-R interval
Which of the following represents the time between contraction of the ventricles and recovery?
S-T segment
Which of the following dysrhythmias is due to a heartbeat originating in the ventricles that occurs early in the cycle and is followed by a pause before the next cycle?
PVCs
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