NHA Practice week 15 and 16

A medical assistant is caring for a patient who is 5’7”. What is the height is cm

170cm

1ft= about 30cm

5ft= about 152cm

1in= about 2.5cm

7in= about 17cm

While measuring a patient’s pulse, the medical assistant should recognize that what factor can contribute to an erroneous pulse rate

Movement

Erroneous pulse rate

refers to a reading that is inaccurate or incorrect

A medical assistant is coding an office visit during which the provider reviewed the systems related to a patient’s chief complaint but did not discuss the patient’s family or social history. What procedure code should the assistant use for this visit

Expanded problem-focused history

Expanded problem-focused history

medical history documented for evaluation and management (E/M) service that involves gathering more detailed information to support the physicians assessment and decision-making for the patients condition

Right upper quadrant

liver

A medical assistant is collecting blood samples to measure a patients cholesterol levels. What is an action that the assistant should take before collecting the patients blood

make sure the patient did not eat any food for the past 12 hr

Epinephrine

used medically to cause vasoconstriction or narrowing of blood vessels, which can help control bleeding

Ancillary

staff or technologies that provide support to or are supplementary to the primary care provided by doctors and other healthcare professionals (e.g, pathology),

diabetic blood pressure

130/80

infant heart rate

100-160 bpm when awake

90-160 bpm when asleep

What term refers to the range of fees charged by providers who have similar training and experience and practice in the same geographical area

customary

Problem-focused examination

a limited examination of the affected body area or organ system

left upper quadrant

stomach and spleen

Stages of grief

denial, anger, bargaining, depression, acceptance

When performing the palpatory method for obtaining blood pressure, what indicates the level at which the medical assistant should inflate the cuff

30 mm Hg above the radial pulse cessation

The Bill of Rights protects an individual from

denial of care due to the patients age

A medical assistant should use what solution to prepare a patients skin prior to drawing blood cultures

Chlorhexidine

Chlorhexidine

widely used antibacterial and antiseptic agent, effective against a broad range of bacteria, fungi, and viruses

Enteric-coated tablet

oral medication that has a special coating designed to prevent the drug from dissolving or being released in the stomach so that it may be absorbed in the intestines

a medical assistant is responsible for cleaning the instruments used in minor surgery, what is the first step in this process

Sanitization (soap and water)

fasting blood glucose

less than 100 mg/dL

What should a patient not do during a standard 12-lead EKG

Talk

venipuncture angle

15 degrees

When obtaining the head circumference of an infant

record the measurement to the nearest 0.6 cm (1.4 in)

what manifestation should a MA expect while preparing a patient who has congestive heart failure (CHF) for an examination

shortness of breath

When bandaging a wound a MA should

wrap the wound from distal to proximal

What should a patient not use while wearing a holter monitor

electric blanket

A MA is adding information to a patients computerized problem oriented medical record (POMR). What section should the assistant enter the patients health history and laboratory results

database

when cleaning out debris from a patients eye the MA should

irrigate the eye starting at the inner canthus and flowing to the outer canthus

Which EKG leads are bipolar

Leads I II and III

Psoriasis appears

silvery, scaly

Emphysema

a long term lung condition that causes shortness of breath

supine

lying on back

prone

lying on stomach

pediculosis

infestation of lice

Nystagmus

involuntary rhythmic movement of the eyes sometimes described as dancing eyes

1 tablespoon = __ mL

15 mL

Rinne hearing test

using a vibrating tuning fork to test patients hearing by comparing bone conduction (sound transmitted through the skull) to air conduction (sound transmitted though the ear canal and middle ear)

helps determine if the problem is with the outer or middle ear (conductive) or the inner ear or auditory nerve (sensorineural)

During a Rinne hearing test the MA should ask the patient to

raise his hand when he no longer hears any sound

Hematemesis

very dangerous condition in which a person bleeds internally and vomits as a result

-emasis

vomiting

A MA is administering an intradermal injection for allergy testing which are should they locate

two to three fingers widths below the antecubital space

antecubital space

the triangular space on the anterior (front) side of the elbow

Goniometer

tool that helps track and asses the patients rang of motion

measures the angle degree

When performing first aid procedure to control bleeding of a wound the MA should

apply layers of sterile gauze

When should the code on glucose cuvettes be compared to the code on the glucometer

before the patient is being tested

Papules

small solid raised bump on the skin typically less than 1 cm in diameter

Macules

flat discolored area of skin that is less than a centimeter wide

Vesicles

a small fluid filled sac resembling a blister that can form on the skin or within cells

Pustules

small pus filled bumps on the skin that are often accompanied by redness and inflammation (zits)

preparing a patient for a mole excised

cleanse the site with surgical soap and antiseptic

Extended release medication can be

crushed or chewed if the patient has a hard time swallowing

V5 leads are placed

on the left anterior axillary line horizontal to V4

Helminths

is a parasitic worm (eg pinworm)

Dyspnea

a feeling of difficulty or discomfort when breathing

Eupnea

normal breathing

antiussive

used to suppress coughs

Urticaria

skin rash triggered food, medicine, or other irritants

Erythema

abnormal redness of the skin or mucous membranes caused by hyperemia (increased blood flow) in superficial capillaries

Rhinitis

inflammation of the nasal passage leading to symptoms like stuffy or runny nose sneezing and itching

Right upper quardrant

gallbladder

When a patient experiences heatstroke

hot skin

What actions should the MA take to verify the quality of venipuncture supplies before beginning a blood draw

inspect the integrity of the neddles seal

What information is required when the MA initiate a referral for a patient

diagnosis

A MA assistant has requested a preauthorization for a patients referral to a specialist. What reason would the claim submitted by the specialist be denied

the service is provided after the expiration date

oxycodone

medication used to relieve pain severe enough to require opioid treatment when other pain medicines did not work well enough or cannot be tolerated

this is a schedule II controlled substance and has a high potential for abuse

When informed consent is required for a procedure what step should occur prior to the patient signing the form

the provider should review alternative procedures with the patient

Mammogram

x-ray of the breast to help identify cancer

It is recommended to start screening at the age of 40

Pap test

used to help identify cervical cancer

recommended every 3 years age 21 to 29

or over the age of 30 every 3 to 5 years

Screening for colorectal cancer

recommended starting at the age of 45 and can be done by performing a decal occult blood test (FOBT) to detect blood in the stool or colonoscopy (if FOBT is positive coloscopy will be recommended)

screening for lung cancer

annual screening with low-dose computed tomography (LDCT) recommended age 50 to 80 who have a 20-pack-year smoking history and currently smoke or have quit within the past 15 years

bone density screening

recommended for osteoporosis with bone measurement testing to prevent osteoporotic fractures in postmenopausal patients younger than 65 years at increased risk of osteoporosis, determined by a formal clinical risk assessment tool

blood glucose screening should be done every

3 years for adults, or sooner, depending on medical history

Human immunodeficiency virus (HIV) screening

aged 15 to 65

biopsy

the surgical removal of tissue for later microscopic examination

Endoscopy

procedure that uses an endoscope to view a hollow organ or body cavity, such as the larynx, bladder, colon, sigmoid colon, stomach, abdomen, and some joints

Colposcopy

examination of the vagina and cervix performed using a colposcope

EMR

electronic version of a patients medical history used in a single organization

EHR

electronic version of a patients medical history that contains the EMR and can be incorporated across more than one health care organization (built to share)

Disease health care providers and organizations are required to report to local and state gov agencies who will than report it to the federal government such as the CDC

HIV/AIDS

Tuberculosis

Sexually transmitted infections

communicable and infectious diseases

Subcutaneous

injection administered below the skin layer into the adipose (fat) layer

Intradermal

injection administered into the dermis

Intramuscular

injection administered into the muscle

Intravenous

injection administered directly into the vein

Practice management system (PMS)

allows scheduling appointments, entering and tracking patient demographics, performing billing procedures, submitting insurance claims, processing payments, and other admin duties

Durable medical equipment (DME)

includes medical devices and supplies that can be used repeatedly

DMEPOS

durable medical equipment, prosthetics, orthotics, and supplies

Shock first aid

emergency medical care is critical and 911 should be contacted, then, lay the patient down and elevate the legs and feet slightly (unless this can cause the patient pain or further injury) and try to keep the patient still

continue to monitor the patients pulse regularly until emergency services arrive (if patient stops breathing perform CPR)

Seizure first aid

help patient to the floor if they are sitting or standing (do not try to restrain them). Move objects out of their way and turn then to the side to prevent aspiration or choking

After the patient can be confused, complain of headache, and be exhausted. Allow the patient to rest

Poisoning first aid

Emergency care or 911 is needed if the patient presents as drowsy or unconscious, is having difficulty breathing or has stopped breathing, or is having seizures

while waiting for emergency core, try to remove any poison present on the patient, such as in the mouth, on the skin, or in the eye

Be cautious of aspiration or choking if the patient vomits and continue to monitor the patients vital signs in the case CPR is needed

Advance Beneficiary Notice of Noncoverage (ABN)

The patient must be informed that it may not services may not be covered by third party and has the option to agree to be financially responsible for the payment

The form is presented and signed before the services are provided and assigns the service as the patients responsibility if Medicare denies the service

If not signed prior to service and medicare denies the claim the patient is not responsible for the amount and the provider will not be paid

Reconciliation

is the process of ensuring that the accounts are all balanced and accurate

Accounts receivables (A/R)

aging reports, collections due, adjustments, and write-offs

any amount of money that is anticipated to be paid to the clinic, including medical services billed.

A/R aging report

is used so that old debts an be addressed first

primary nutrients

water

carbohydrates

protein

fat

minerals

vitamins

Water in human body

50% to 80%

Recommended that people drink 2 to 3 L (64 to 96 oz) each day

helps transporting nutrients and oxygen throughout the body, helping remove waste, regulating body temperature, and providing the basic component of blood and other bodily fluids

Essential amino acids

the body cannot produce

Protein

amino acids that plants and animals foods contain

body used to repair and build tissues (they can also be used for energy, but this is considered wasteful)

Nonessential amino acids

body can make from essential amino acids or as proteins break down