NHA: CERTIFIED CLINICAL MEDICAL ASSISTANT PRACTICE EXAM 1

Which of the following is the body system through which a microorganism enters if it enters the blood supply?

a. Respiratory

b. Gastrointestinal

c. Integumentary

d. Vascular

Vascular

What legally determines how test results are communicated?

a. Local law

b. HIPAA

c. State law

d. Federal law

HIPAA

A Treponema pallidum antibodies blood test is positive. What condition does this indicate?

a. Obesity

b. Prostate cancer

c. Muscular dystrophies

d. Syphilis

Syphilis

A patient is requesting a copy of his own medical records. What does the office need in order to release the information?

a. A phone call from the patient

b. A written request and a patient signature

c. A request by fax or mail

d. A request in person

A written request and a patient signature

What is an embolism?

a. The sudden blocking of an artery by an embolus or the formation of an embolus

b. An incidence of projectile vomiting

c. A stroke

d. A myocardial infarction

The sudden blocking of an artery by an embolus or the formation of an embolus

What type of puncture do medical assistants not perform?

a. Venipuncture

b. Skin

c. Arterial

d. None of the above

Arterial

If the physician tells you to place the client in the lateral position, you understand that this means:

a. On the back

b. Side lying

c. Standing

d. Sitting

Side lying

Which of the following is the purpose for laboratory testing?

a. To overcome lack of confidence

b. To increase revenue for the laboratory

c. To practice the skills learned in school

d. To assist in the diagnosis of patient's conditions

To assist in the diagnosis of patient's conditions

What determines the fees that insurance companies pay?

a. CPT

b. CLIA

c. ICD

d. AMA

CPT

The Medical Assistant knows that a protein in the blood associated with antibodies is:

a. Globulin

b. Immunoglobulin

c. Antiglobulin

d. None of the above

Globulin

Quality control testing for GC gram stain may be required more often than one a week if who recommends?

a. The state

b. The local regulator

c. The manufacturer

d. The lab director

The manufacturer

Which of the following would be used to abbreviate milliequivalent?

a. mg

b. ml

c. mEq

d. m/min

mEq

letters and postcards under 12 oz are generally mailed using this service:

a. First class

b. Second class

c. Third class

d. Fourth class

First class

What is the amount of money an employee earns before taxes or deductions are taken out?

a. The prior earnings

b. The net income

c. The gross income

d. The total earnings

The gross income

What is the term for a motor neuron and muscle fibers that it controls?

a. Motor unit

b. Motor group

c. Motor nerve

d. Motor function

Motor unit

If a condition is "tardive," what does this tell us?

a. It is fatal

b. It is irreversible

c. It has a slow onset

d. It occurs in the elderly

It has a slow onset

What is used to assign a medical diagnosis?

a. CPT

b. CLIA

c. ICD

d. AMA

ICD

What is the medical term used to mean empty or remove of impurities?

a. Prolapse

b. Purge

c. Pons

d. Permeable

Purge

What is the process for testing multiple machines that perform the same test?

a. Rotate testing according to guidelines

b. Test a different machine each day

c. Test half of the machines each day

d. Test them all according to the guidelines

Test them all according to the guidelines

What medical term means a digit such as a finger or toe?

a. cyan/o

b. ven/o

c. hist/o

d. dactyl/o

dactyl/o

What is the range of volume for blood collection tubes?

a. 2 to 15 mL

b. 10 to 20 mL

c. 15 to 25 mL

d. 2 to 6 mL

2 to 15 mL

All of the following are prefixes with their correct meanings EXCEPT:

a. dis- ( apart, separate)

b. ec- (out)

c. en- (in)

d. psych- (body)

psych- (body)

Typhoid fever is caused by which of the following?

a. Escherichia coli

b. Haemophilus ducreyi

c. Rickettsia rickettsii

d. Salmonella typhi

Salmonella typhi

Which of the following shows an incorrect singular form and plural form?

a. Thorax (thoraxes)

b. Carcinoma (carcinomata)

c. Pelvis (pelvi)

d. Amoeba (amoebas)

Pelvis (pelvi)

The Medical Assistant knows that when counting a patients respirations, you should:

a. Count them for 5 seconds and record that number

b. Patients should be quiet and rested a few minutes before respirations are counted

c. Two rises of the chest equals one respiration

d. Keeping the arm off the abdomen will make it easier to count the respirations

Patients should be quiet and rested a few minutes before respirations are counted

What is an example of a smooth muscle?

a. Triceps

b. Arrector pilli

c. Biceps

d. Pectoralis

Arrector pilli

Overnight delivery of mail to the majority of metropolitan areas is what?

a. Mixed class

b. Special fourth class

c. Express mail

d. Special delivery

Express mail

Of the following, the coding modifier F5 means what?

a. Right fingers (digit 5)

b. Right thumb

c. Left fingers (digit 5)

d. Left thumb

Right thumb

Which of the following blood specimens is from a tube with an anticoagulant that does not need to be centrifuged?

a. Serum

b. Whole blood

c. Plasma

d. Clotted blood

Whole blood

In which test does the examiner strike a tuning fork and then hold the shank or stem against the patient's mastoid bone until the patient no longer hears the sound and then places it about an inch from the opening of the ear to assess sound heard?

a. The Weber test

b. The Rinne Test

c. The audiogram test

d. The tympanogram test

The Rinne Test

Many examination techniques are used by the Medical Assistant and the physician or provider. What technique involves the passive movement of body joints to determine the extent of movement?

a. Manipulation

b. Auscultation

c. Mensuration

d. Percussion

Manipulation

What is the temperature setting and timing for proper autoclaving?

a. 250 F for 30 minutes

b. 150 F for 30 minutes

c. 200 F for 15 minutes

d. 300 F for 10 minutes

250 F for 30 minutes

Which of the following figures represents -centi?

a. 0.001

b. 0.01

c. 0.000001

d. 0.1

0.01

Crisp sounds increase at this phase of BP sound. What is it?

a. Phase 4

b. Phase 1

c. Phase 2

d. Phase 3

Phase 3

What is a contraindication for a 12-lead ECG?

a. Cardiac arrest

b. Chest pain

c. Short breath

d. Resuscitated cardiac arrest

Cardiac arrest

When a clinic is not paid its total charge because it gives a discount to an indigent patient, this is known as what?

a. Uncollectible accounts allowance

b. Charity allowance

c. Contractual allowance

d. Courtesy allowance

Charity allowance

Of the following, which causes tuberculosis?

a. Spirochete

b. Antibiotic

c. Dirty needles

d. Bacillus

Bacillus

To treat major depression, a commonly prescribed medication is:

a. Ativan

b. Zoloft

c. Serax

d. Xanax

Zoloft

What part of electrical activity of the heart that is cardiac polarity and involves recovering cardiac muscle cells and is seen on the electrocardiogram (ECG or EKG)?

a. Depolarization

b. Polarization

c. Repolarization

d. Systole

Repolarization

Microorganisms that enter the body via a break in the skin are doing so through what body system?

a. Respiratory

b. Gastrointestinal

c. Integumentary

d. Vascular

Integumentary

What muscle connects the humerus and ulna?

a. Biceps Brachii

b. Brachialis

c. Adductor Longus

d. Brachioradalis

Brachialis

Which of the following is an accurate statement about plasma?

a. Plasma is clear and colorless cells that contain a nucleus to protect the body from infections

b. Plasma is small clear cells that help with clotting

c. Plasma is cells that transport oxygen from the lungs to the body tissues

d. Plasma is a straw-colored liquid that makes up 55 percent of the total blood volume

Plasma is a straw-colored liquid that makes up 55 percent of the total blood volume

Of the following, which describes how typhoid fever is spread?

a. Person-to-person. Through respiratory tract secretions

b. Fecal oral

c. Oral and genital contact

d. Contact with respiratory droplets

Fecal oral

1. Spirometry is a type of test used in the medical office for:

a. The percentage of oxygen in the blood

b. The evaluate lung capacity

c. To measure the patient's response to tones for evaluation of hearing

d. To measure blood pressure

The evaluate lung capacity

1. An effective method of charting progress notes is using the SOAP approach. What is the subjective data?

a. Provider's exam and diagnostic testing

b. Describes the provider's impression and ultimate diagnosis after reviewing all data

c. Plan of action

d. Patient's view of his signs and symptoms

Patient's view of his signs and symptoms

The Medical Assistant is asked by a patient about the condition BPH. What is that?

a. Benign Prostatic Hyperplasia

b. Benign Phimosis of the Hymen

c. Bronchial Pulmonary Hyperairiation

d. Bell's Palsy Hearing syndrome

Benign Prostatic Hyperplasia

Of the following additives, which accompanies an evacuated tube with a red stopper for tests such as AIDS and blood chemistries:

a. Silicone serum separator

b. Sodium polyanetholesulfonate

c. Sodium citrate (anticoagulant)

d. None

None

What is the medical term that means to shed skin?

a. Debride

b. Ablate

c. Exfonate

d. Desquamate

Desquamate

What lumbar nerve branches are the longest in the human body?

a. Sural

b. Sciatic

c. Ulnar

d. Medial

Sciatic

Of the following, which defines the calculation for pediatric medicine dosage?

a. Child's age divided by and multiplied by the average adult dose

b. Infant's age in months divided by 150 and multiplied by the average adult dose

c. Child's weight in pounds divided by 150 and multiplied by the average adult dose

d. Infant's weight in kilograms multiplied by the average adult dose

Child's weight in pounds divided by 150 and multiplied by the average adult dose

Which of the following is the modifier for discontinued procedures?

a. 32

b. 50

c. 53

d. 23

53

The diastolic reading of one's blood pressure takes place at which phase of blood pressure sound?

a. Phase 2

b. Phase 4

c. Phase 5

d. Phase 1

Phase 5

Which type of specimen MOST likely needs to be stored in an anaerobic environment?

a. Indwelling catheter

b. First void

c. Clean catch

d. Suprapubic aspiration

Suprapubic aspiration

What position would the Medical Assistant put a patient in if she were to need a pelvic exam?

a. Sim's

b. Lithotomy

c. Fowler's

d. Knee-Chest

Lithotomy

Laboratory tests are classed by CLIA-waived tests, Level I tests, and Level II tests. All of the following are Level I tests EXCEPT:

a. Coagulation studies

b. Blood urea nitrogen

c. Urine cultures for colony counts

d. Red and white blood cell counts

Coagulation studies

What is the dispersion around the mean?

a. Standard deviation

b. Mean

c. Trend

d. Shift

Standard deviation

1. What is the fourth phase of blood pressure sound?

a. Crisp sounds that increase in volume

b. Sounds develop into a squeaking quality

c. Sounds become muffled

d. Sounds disappear

Sounds become muffled

Which of these helps reduce anxiety?

a. Anticonvulsant

b. Sedative

c. Tranquilizer

d. Antipyretic

Tranquilizer

What is meant by "coordination of benefits?"

a. The patient pays a specific amount of money for medical services before the insurance pays

b. One insurance plan will work with other insurance plans to determine how much each plan pays

c. Each insurance company will pay an equal amount of the patient's bill

d. There is a deductible required by the patient before payment from the insurance is made

One insurance plan will work with other insurance plans to determine how much each plan pays

Which of the following is NOT a common strategy for preventing exposure to bloodborne pathogens?

a. Engineering controls

b. Integrated software

c. Work practice controls

d. Personal protective equipment

Integrated software

Which is not true concerning attainment of the patient's medical history by the Medical Assistant?

a. Do this task at the front window while the patient is in the lobby and you are behind the desk

b. Keeping the patient out of earshot of others will allow the patient to answer personal questions without stress

c. Most patients will appreciate help filling out this form because of the terminology they may not understand

d. Assistance should always be offered in filling out this form, but not insisted upon

Do this task at the front window while the patient is in the lobby and you are behind the desk

A patient's pulse is taken using the femoral artery. Where is it located?

a. In the groove of the neck between the trachea and sternocleidomastoid

b. On the medial arm at the fold of the elbow

c. In the groin region

d. At the wrist on the thumb side

In the groin region

What type of check is prepared by a bank and signed by one of its officials?

a. Cashier's check

b. Certified check

c. Counter check

d. Limited check

Cashier's check

Evaluating bronchoconstriction requires how many tests at a time?

a. 3

b. 1

c. 4

d. 2

2

Microbiology specimens should be collected:

a. After providing an antimicrobial

b. In the hospital

c. By the physician

d. Before providing an antimicrobial

Before providing an antimicrobial

What Phlebotomy QA component says the laboratory testing request must be legible and include pertinent information?

a. Assay request

b. Patient identification

c. Specimen collection

d. Specimen identification

Assay request

A patient tells you she needs after care instructions from the surgeon you work for. The Medical Assistant knows that this is:

a. Detailed instructions

b. Comfort care instructions

c. Preoperative instructions

d. Postoperative instructions

Postoperative instructions

What instrument for minor surgery has a blunt tip and is used to remove dressings without damage to the skin?

a. Operating scissors

b. Hemostats

c. Bandage scissors

d. Stitch scissors

Bandage scissors

The physician orders Lipitor for a patient. The Medical Assistant knows that the generic name for Lipitor is:

a. Atenolol

b. Atorvastatin calcium

c. Furosemide

d. Copidogrel bisulfate

Atorvastatin calcium

A microcomputer is BEST described as what?

a. Large computer that can handle hundreds of users

b. Medium-sized computer that can handle several users

c. Desktop PC

d. Large, complex computer system that can perform rapid and complex functions

Desktop PC

What type of exercise therapy is defined as when the patient performs the exercise?

a. Active

b. Passive

c. Aided

d. Active resistance

Active

A large muscle that forms the buttocks region is the:

a. Rectus abdominis

b. Vastus lateralis

c. Gluteus maximus

d. Latissimus dorsi

Gluteus maximus

The physician is talking about giving the patient an "analgesic." What is this?

a. A pain medication

b. A procedure to relieve swelling

c. A work release

d. An enema

A pain medication

Which of the following is a reason the physician would perform electrosurgery?

a. Dilate openings in the body

b. Freeze tissue

c. Destroy and coagulate tissue

d. Retract tissue

Destroy and coagulate tissue

What is the acceptable range of fasting blood sugar in glucose testing?

a. 60-80 mg/dL

b. 150-180 mg/dL

c. 200-240 mg/dL

d. 70-100 mg/dL

70-100 mg/dL

The physician you work for is ordering a cholangiogram on a 48-year-old woman. The Medical Assistant knows that the purpose of this test is:

a. To visualize the size of a growth or tumor

b. To view movement of barium through the digestive tract

c. To visualize the bile ducts

d. To assess the location and size of the kidneys

To visualize the bile ducts

What is diuresis?

a. The inability to urinate

b. A kidney infection

c. Artificial filtering of the bloody by a machine

d. Increased formation of urine by the kidney

Increased formation of urine by the kidney

How many decigrams would there be if you convert 10 grams to decigrams using the decimal point method?

a. 1 dg

b. 100 dg

c. 10 dg

d. 1000 dg

100 dg

Which of the following insurance sources was established by Title 18 of the Social Security Act and is available to individuals 65 and older and the disabled?

a. Medicare

b. Medicaid

c. Tricare

d. Worker's Compensation

Medicare

Which of the following accounting elements focuses on the money, machinery/equipment or securities owned or controlled by the company?

a. Assets

b. Liabilities

c. Owner's equity

d. Accounting equation

Assets

What does it mean when the medical assistant questions the "quality" of the patient's pain?

a. Get the patient to reveal what's causing the pain

b. Elicit whether the pain is stabbing, dull, etc.

c. Determine where the pain is located

d. Identify the frequency and duration of the pain

Elicit whether the pain is stabbing, dull, etc.

What body system or part is affected by dysphonia?

a. The ears

b. The tongue

c. The voice

d. The lungs

The voice

The metric prefix mega- is equal to what?

a. One million

b. One thousand

c. One hundred

d. Ten

One million

The FIRST thing the Medical Assistant will do to set up a sterile field for minor surgery in a medical facility is:

a. Wash hands

b. Don sterile gloves

c. Cleanse the surgical site

d. Open sterile package

Wash hands

Periodicals are mailed using which classification?

a. First class

b. Second class

c. Third class

d. Fourth class

Second class

Which of the following is an appropriate measure in the collection of a 24 hour urine specimen?

a. Keep this container to room temperature at all times for accurate results

b. Keep this specimen in the freezer for accurate results

c. Keep this specimen refrigerated for accurate results

d. Keep this specimen in warm water in the sink for accurate results

Keep this specimen refrigerated for accurate results

Part of the Medical Assistant's job is to assess for advanced directives. Advanced directives include:

a. Notarized wills

b. Driver's licenses

c. Medical power of attorney

d. Living memorials

Medical power of attorney

What does the Hypoglossal nerve control?

a. Tongue movement

b. Chewing

c. Smell

d. Eye movement

Tongue movement

What color is the limb lead wire for the right arm?

a. White

b. Red

c. Green

d. Black

White

What are defined as "subjective descriptions of altered health indicators or complaints that cannot be seen or measured?"

a. Vital signs

b. Symptoms

c. Assessments

d. Diagnoses

Symptoms

What is indicated when the control value runs constantly above or below the mean?

a. Trend

b. Gaussian distribution

c. Shift

d. Standard deviation

Shift

What method of injecting medications intramuscularly prevents leakage of the medication out of the muscle?

a. T-track method

b. Z-track method

c. IM injection into the gluteus

d. IM injection into the deltoid

Z-track method

Which of the following is an accurate statement concerning palliative medications?

a. They are used to diagnose a health problem

b. They are used to treat and cure

c. They provide prevention of illness or disease

d. They provide relief from symptoms

They provide relief from symptoms

The process of listening to the body via the use of a stethoscope is what?

a. Auscultation

b. Mensuration

c. Percussion

d. Palpation

Auscultation

What is the method of giving an intravenous infusion where a secondary IV line is coupled to the primary infusion line through an injection part?

a. An extravasation

b. A piggybacked infusion

c. A Z-track infusion

d. A transdermal infusion

A piggybacked infusion

What schedule is morphine, Demerol, oxycodone, and Ritalin?

a. Schedule I

b. Schedule II

c. Schedule III

d. Schedule IV

Schedule II

What type of laboratory analysis identifies and measures chemical components in the blood, urine, spinal fluid, tissue and other body fluids?

a. Histology

b. Immunology

c. Clinical chemistry

d. Hematology

Clinical chemistry

What does the abbreviations SOMR stand for in the medical practice?

a. Secure Office for Medical Records

b. Subjective Objective Medical Record

c. State Office of Medical Records

d. Source-Oriented Medical Record

Source-Oriented Medical Record

What does the suffix "emesis" refer to?

a. Vomiting

b. Discharge

c. The end of an event

d. The beginning of an event

Vomiting

The instrument examines the external ear canal and tympanic membrane. What is it?

a. Tuning fork

b. Ophthalmoscope

c. Percussion hammer

d. Otoscope

Otoscope