NCCT from NCCT website questions (flashcards 2)

Which of the following is the most likely cause of the deposits not agreeing with the credits on the day sheet or the patient ledgers?

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A. Cash is missing

B. Payment is misplaced

C. The bank made an error

D. There are duplicate cards

B. Payment is misplaced

The medical assistant prepares a written prescription for the physician as follows.  What information did the medical assistant leave out?

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A. Quantity to dispense and directions for taking the medication

B. Superscription and EIN

C. Quantity to dispense and EIN

D. Directions for taking the medication and repetatur

A. Quantity to dispense and directions for taking the medication

The pictured rhythm is an example of which of the following?

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A. Premature ventricular contraction

B. Ventricular tachycardia

C. Sinus bradycardia

D. Atrial flutter

A. Premature ventricular contraction

An older adult patient arrives to have blood drawn. While assessing the arms for venipuncture, the medical assistant notices scar tissue in the anticubital areas and is unable to palpate a vein. Which of the following is an appropriate alternative course of action?

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A. Draw blood from the hand using an evacuated tube system.

B. Perform a capillary puncture on the lateral thumb.

C. Use a larger gauge needle to penetrate through the scar tissue.

D. Draw blood from the hand using a winged infusion set.

D. Draw blood from the hand using a winged infusion set.

The medical assistant demonstrates proper handling of sharps containers by doing which of the following?

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A. Empty half full sharps containers into a larger container to maintain cost effectiveness.

B. Discard the sharps container in a biohazard waste container when it is two-thirds full.

C. Inspect the sharps container to ensure that only sharps have been deposited.

D. Seal the sharps container and place in the regular waste container.

B. Discard the sharps container in a biohazard waste container when it is two-thirds full.

Which of the following is the most common means of transmission of Methicillin-Resistant Staphylococcus Aureus (MRSA)?

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A. Inhaling contaminated respiratory droplets of infected persons 

B. Direct contact with the skin of infected persons

C. Direct contact with contaminated feces

D. Direct contact with contaminated blood  

B. Direct contact with the skin of infected persons

Which of the following is the reason for wiping off the first drop of blood from the patient’s finger with gauze when performing a capillary puncture?

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A. The first drop of blood may contain traces of alcohol.

B. The first drop of blood contains too much oxygen.

C. The first drop may be contaminated by the lancet.

D. The first drop of blood contains more platelets and clots faster.

A. The first drop of blood may contain traces of alcohol.

The medical assistant notices that the physician prescribes which of the following drugs to patients complaining of frequent insomnia?

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A. ondansetron (Zofran)

B. zolpidem tartrate (Ambien)

C. amLodipine (Norvasc)

D. ranitidine (Zantac)

B. zolpidem tartrate (Ambien)

If a medical assistant has questions about disposing of outdated hazardous chemicals, where should the medical assistant look to find this information?

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A. NIOSH

B. HIPAA

C. CLIA

D. MSDS

D. MSDS

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\*Aka Material Safety Data Sheet

Which of the following requires the patient’s signature just prior to being seen in the medical office?

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A. EOB

B. CMS-1500

C. DNR

D. consent for treatment

D. consent for treatment

 Which of the following indicates a medical office is compliant with the Americans with Disabilities Act?

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A. Providing hand rails in at least one restroom stall.

B. Providing employees the opportunity to receive the Hepatitis B vaccine.

C. Providing up to 12 weeks of unpaid leave to an employee that has a critically ill child.

D. Providing interpreting services for a non-English speaking patient.

A. Providing hand rails in at least one restroom stall.

Which of the following actions should the medical assistant take first after coming in direct contact with a patient’s blood via needlestick injury?

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A. Obtain the Hep B vaccine if not currently immunized.

B. Inform the patient about the incident.

C. Flush the area with water and thoroughly wash it.

D. Apply pressure at the site to stop bleeding.

C. Flush the area with water and thoroughly wash it.

A medical assistant posts damaging remarks on a social media site about a provider at the clinic where she is employed. She may be legally found guilty of which of the following?

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A. Slander

B. Battery

C. Libel

D. Assault

C. Libel

Which of the following must be written on a patient’s label when handling a specimen tube after it has been obtained?

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A. medical assistant’s initials

B. physician’s name

C. ordered test

D. patient’s gender

A. medical assistant’s initials

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Rationale:  It is important to have a time, date, and initials on a tube label to ensure accuracy. The physician's name, ordered tests, and patient gender should all be on the testing requisition. 

A patient who is insured by an HMO calls the office stating he received a bill of $185. His deductible has already been met and he made the copayment of $10 at the time of service. The HMO paid 80% of the charges. Which of the following parties is responsible for the remaining balance?

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A. a third party payer

B. the physician

C. a PPO

D. the patient

D. the patient

Which of the following is the maximum time the medical assistant should leave a tourniquet secured in place on a patient’s arm when performing a venipuncture?

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A. two minutes

B. one minute

C. 30 seconds

D. three minutes

B. one minute

A medical assistant obtains the tracing shown above on a patient.  Which of the following actions should the medical assistant take?

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A. Remind the patient to remain as still as possible.

B. Ensure precordial lead wires are crossed to balance polarization.

C. Check for incorrect lead placement.

D. Place the patient in Trendelenburg’s position.

A. Remind the patient to remain as still as possible.

A Medicare patient presents to an outpatient hospital facility for a scheduled hysterectomy.  To which Medicare plan should the facility submit the claim?

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A. Medicare Part D

B. Medicare Part B

C. Medicare Part C

D. Medicare Part A

B. Medicare Part B

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*Rationale: This claim should be submitted to Medicare Part B since it is an outpatient medical procedure*

Which of the following rhythms is shown in the strip above?

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A. Premature atrial complex

B. Atrial tachycardia

C. Atrial flutter

D. Atrial fibrillation

D. Atrial fibrillation

Which of the following ECG leads records the electrical activity of the inferior surface of the left ventricle and is closest to the heart? 

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A. aVR

B. aVL

C. Lead II

D. Lead I

C. Lead II

Which of the following techniques is most likely to cause contamination of a urine specimen during collection?

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A. cleansing the urethral meatus from back to front with sterile wipes

B. cleansing around the foreskin in a circular motion prior to collection

C. cleansing the urethral meatus from front to back with sterile wipes

D. retracting uncircumcised foreskin prior to cleansing with sterile wipes 

A. cleansing the urethral meatus from back to front with sterile wipes

Which of the following types of appointment scheduling would be the best method for an office with standard hours, multiple practitioners, and accommodating work-in appointments?

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A. Wave

B. Double booking

C. Open office hours

D. Clustering

A. Wave

A female patient has come in for an ECG following a mastectomy. ECG electrodes should be placed

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A. in the intercostal spaces above the heart to avoid the surgical site.

B. three inches lower than the surgery site in order to avoid disruption of the site.

C. three inches above the surgery site to avoid disruption of the site.

D. as close to the surgery site as possible without touching the site.

D. as close to the surgery site as possible without touching the site.

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Rationale: If a female patient needing an ECG has had a mastectomy, the person performing the ECG should place the electrodes as close to the area they would normally be placed without touching the site of surgery. ==If that person were to place the electrodes three inches above or below the surgery site, the electrodes would be too far away from the correct placement and therefore could give false recordings.==

A CMP is ordered for an older adult patient whose veins continue to collapse despite drinking water.  Which of the following is the best collection method for this patient?

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A. Evacuated tube system

B. Butterfly needle

C. Capillary puncture

D. Needle and syringe

B. Butterfly needle

Which of the following acts involves the termination of a patient from the care of a physician without reasonable, written notice of withdrawal from the case?

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A. Discrimination

B. Abandonment

C. Battery

D. Slander

B. Abandonment

A patient with diabetes has missed all scheduled appointments in the past 18 months.  The physician requests that written notification be sent to the patient to make an appointment immediately.  This letter should be sent

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A. express.

B. priority.

C. standard.

D. certified.

D. certified

Alprazolam (Xanax) would be prescribed to a patient experiencing

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A. anxiety.

B. dementia.

C. IBS.

D. hypertension.

A. anxiety.

The patient presents to the pre-op clinic for a lithotripsy (ESWL) procedure.  Which of the following actions should the medical assistant take prior to witnessing the consent form to ensure it is legally binding?

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A. Confirm the surgeon has explained all risks and benefits of the procedure.

B. Confirm there is someone in the waiting room available to drive the patient home.

C. Verify the patient has not had anything to eat or drink for eight hours prior to the procedure.

D. Obtain a copy of the patient’s insurance card.

A. Confirm the surgeon has explained all risks and benefits of the procedure.

Which of the following statements is true about the SDS?

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A. The SDS contains basic information about specific chemicals.

B. OSHA is responsible for developing the hazard identification system.

C. The SDS is required only in offices with 10 or more employees.

D. SDS must be kept on file for 30 days.

A. The SDS contains basic information about specific chemicals.

Which of the following measures is applicable when treating patients diagnosed with tuberculosis?

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A. Contact Precautions

B. Standard Precautions

C. Universal Precautions

D. Airborne Precautions

D. Airborne Precautions

 A patient is unhappy because the physician refused to prescribe more Percocet. The patient tells other patients the doctor is incompetent and will not provide proper medical care. Which of the following could the patient be charged with if the physician proves the statement is untrue or the patient damaged his reputation?

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A. Slander

B. Libel

C. Negligence

D. Malpractice

A. Slander

The medical assistant should stamp checks with the restrictive endorsement “for deposit only” to prevent

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A. overdraft fees.

B. stop-payment.

C. nonsufficient funds.

D. loss or theft.

D. loss or theft.

An established patient who has Chronic Obstructive Pulmonary Disease is evaluated in the medical office for hypertension.  What is the importance of identifying the reason for today’s visit related to billing?

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A. To assign a two-digit modifier

B. To assign a V code

C. To determine the primary diagnosis

D. To ensure a secondary diagnosis is not listed on the claim form

C. To determine the primary diagnosis

The medical assistant is obtaining an infant’s respiratory rate. The correct procedure for performing this measurement is to count the respiratory rate for

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A. two full minutes while observing the rise and fall of the chest.

B. one full minute while observing the rise and fall of the chest.

C. 15 seconds and multiply by four while observing the rise and fall of the abdomen.

D. one full minute while observing the rise and fall of the abdomen.

D. one full minute while observing the rise and fall of the abdomen.

Which of the following actions should the medical assistant take to ensure proper monitoring of a patient during a stress test?  (Select the three (3) correct answers.)

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A. Instruct the patient to start at a rapid pace.

B. Observe facial expressions, skin color and perspiration.

C. Instruct the patient to report any symptoms.

D. Measure blood pressure and heart rate frequently.

E. Adjust the temperature of the room to the patient’s preference.

B. Observe facial expressions, skin color and perspiration.

C. Instruct the patient to report any symptoms.

D. Measure blood pressure and heart rate frequently.

Failure to act as the law obligates you to act, within the expected standard of care, is known as

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A. abuse.

B. breach of duty.

C. malfeasance.

D. misfeasance.

B. breach of duty.

 A finger stick capillary puncture should be performed at which of the following sites to prevent injury?

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A. Proximal to the skin crease located at the first joint on the fingertip

B. Directly in the center of the fingertip

C. At the most distal end of the fingertip

D. Slightly to the side of the center of the fingertip

D. Slightly to the side of the center of the fingertip

What is the term that refers to the requirements and limits that a healthcare professional must work within?

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A. Duty to act

B. Scope of practice

C. Limited contract

D. Good Samaritan Act

B. Scope of practice

A patient presents to the provider’s office with a complaint of persistent migraines three days after acquiring a head injury on the job. After the provider assesses the patient, the final diagnosis is a concussion. Which of the following actions should the medical assistant take next?

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A. File a claim with the patient’s primary insurance carrier.

B. Obtain payment directly from the patient at the time of service.

C. Bill the patient’s employer directly.

D. Determine if a workman’s compensation claim has been filed.

D. Determine if a workman’s compensation claim has been filed.

When performing a capillary puncture on an infant, the medical assistant understands the lateral heel is the proper site for collection due to which of the following?

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A. The small amount of tissue between the skin and bone in the finger makes an injury to the bone likely.

B. The blood in the fingertip has been found to contain a higher concentration of hemoglobin than the heel.

C. The tissue layers on the finger are more susceptible to permanent nerve damage.

D. The finger produces a slower flow of blood, making it more difficult to obtain a specimen.

A. The small amount of tissue between the skin and bone in the finger makes an injury to the bone likely.

Which of the following resources should the medical assistant use to look up the code for a laceration repair?

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A. International Classification of Disease

B. Physician’s Desk Reference

C. Current Procedural Terminology

D. Healthcare Common Procedural Coding System

C. Current Procedural Terminology

Which type of scheduling works well for specialty and consulting practices because it allows the physician time to prepare for each office visit with the knowledge that the day will begin and end on schedule if patients adhere to their assigned times?

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A. stream scheduling

B. open hours scheduling

C. triage scheduling

D. double booking

A. stream scheduling

Commitment to privacy, continuity of care, advance directives, and the authority to refuse treatment are granted according to which of the following?

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A. The Patient’s Bill of Rights

B. Good Samaritan Law

C. Americans with Disabilities Act

D. Informed Consent

A. The Patient’s Bill of Rights

When inspecting a patient’s arm before performing a venipuncture, the most desirable site appears to be the back of the hand. Which of the following venipuncture methods is most appropriate in this situation?

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A. Evacuated tube

B. Capillary puncture

C. Butterfly needle

D. Needle and syringe

C. Butterfly needle

Which of the following actions by the medical assistant is appropriate when interacting with a patient who is visually impaired?

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A. Limit communication with the patient.

B. Stand behind the patient and gently guide them into the exam room.

C. Explain where things are positioned by referencing a clock image.

D. Take special care to enunciate each word.

C. Explain where things are positioned by referencing a clock image.

The patient was seen in the office for follow up evaluation post CVA.  The doctor noticed significant weakness on the patient’s left side.  Which of the following should the medical assistant expect to perform?

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A. Full weight bearing exercise assistance

B. Active assist range of motion

C. Pulmonary function test

D. Crutch training

B. Active assist range of motion

The order reads cefaclor (Ceclor) 250 mg p.o. stat, then 150 mg q 2 h. How should the medical assistant interpret this medication order?

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A. Give 250 milligrams of cefaclor (Ceclor) orally immediately, and then give 150 milligrams every 2 hours.

B. Give 250 milligrams of cefaclor (Ceclor) post-operatively, and then give 150 milligrams every 2 hours.

C. Give 250 milliliters of cefaclor (Ceclor) post-operatively as needed, and then give 150 milliliters every 2 hours.

D. Give 250 micrograms of cefaclor (Ceclor) orally immediately, and then give 150 micrograms every 2 hours.

A. Give 250 milligrams of cefaclor (Ceclor) orally immediately, and then give 150 milligrams every 2 hours.

The transfer of information such as patient eligibility, payment remittances, claims, claim status, authorizations and referrals are addressed under the HIPAA Administrative Simplification and Compliance Act as electronic

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A. data interchange.

B. clearinghouse.

C. report management.

D. remittance advice.

A. data interchange.

During a routine visit, a petite female patient becomes very distraught while discussing the recent death of her husband.  She suddenly faints. Which of the following actions should the medical assistant take next?

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A. Draw blood for laboratory tests.

B. Activate EMS.

C. Notify the physician.

D. Protect the patient from injury.

D. Protect the patient from injury.

 An adult patient sitting in the waiting area, with a known history of epilepsy, begins having apparent tonic-clonic movement of the arms and legs.  How should the medical assistant respond?

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A. Restrain the patient and hold extremities down.

B. Place a tongue depressor in the patient’s mouth to maintain an open airway.

C. Move the patient to the floor and clear surrounding objects.

D. Provide glucose immediately.

C. Move the patient to the floor and clear surrounding objects.

While performing a Snellen visual acuity test, the patient misses two letters on the 20/70 line with his right eye.  How should the medical assistant document this finding?

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A. Snellen chart OS 20/80

B. Snellen chart OD 20/70-2

C. Snellen chart OS 20/70-2

D. Snellen chart OD 20/80

B. Snellen chart OD 20/70-2

 A parent brings their four-year old in for a well-child exam.  The medical assistant should assign an ICD-CM code beginning with which of the following?

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A. E

B. M

C. V

D. +

C. V

What does the color of an evacuated collection tube represent?

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A. The minimum volume of blood to be obtained.

B. A visual identifier for tests expected to be above or below normal range.

C. The type or absence of an additive.

D. The personal protective equipment required for collection.

C. The type or absence of an additive.

A series of small uniform spikes on the ECG paper most likely represents:

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A. Wandering Baseline

B. Somatic Tremors

C. Interrupted Baseline

D. AC Interference

D. AC Interference

While emptying the autoclave, the medical assistant notices that the wrapped instruments are damp. The medical assistant should

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A. leave the instruments in the autoclave and run the cycle again.

B. remove the instruments and place them on the Mayo stand for surgery.

C. remove the instruments and set them on the counter to dry.

D. leave the instruments in the autoclave with the door slightly open to finish drying.

D. leave the instruments in the autoclave with the door slightly open to finish drying.

Which of the following complications occurs from prolonged lack of muscle use?

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A. Atrophy

B. Tendonitis

C. Cellulitis

D. Hypertrophy

A. Atrophy

When measuring oxygen saturation on a child breathing room air, with normal color, and no signs of respiratory distress, the medical assistant obtains a reading of 79%.  Which of the following actions should the medical assistant take next?

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A. Supplement the child with oxygen per protocol

B. Reposition the finger probe

C. Take a full set of vital signs

D. Notify the physician

B. Reposition the finger probe

The physician orders a PT/PTT.  Which of the following evacuated tubes should the medical assistant select for collecting the specimen

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A. Light green

B. Red

C. Grey

D. Light blue

D. Light blue

A patient has refused to pay for a medical procedure that was performed six months ago. The medical procedure was not listed under the patient’s schedule of benefits, and she is now fully responsible for all costs. Her account has now been turned over to a collection agency. This scenario is most likely an example of failure of the medical office assistant to properly

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A. explain the statute of limitations.

B. code the procedure.

C. explain the non-coverage billing policies.

D. bill the procedure.

C. explain the non-coverage billing policies.

When managing multiple incoming calls, the medical assistant should handle which of the following calls first?

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A. A lawyer with a subpoena asking for patient information.

B. A neurologist seeing a patient on consult.

C. A patient calling to schedule a follow-up visit for uncontrolled pain after hip surgery.

D. A patient calling to cancel today’s appointment for a needle biopsy of a breast mass.

B. A neurologist seeing a patient on consult.

A patient shares with the medical assistant the last time he was in the clinic to have his blood drawn, he “became very dizzy and felt like the room was spinning.”  Which of the following actions should the medical assistant take?

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A. Reassure the patient the procedure will be over before dizziness occurs.

B. Encourage the patient to lie down during the venipuncture.

C. Encourage the patient to sit upright on the exam table during the venipuncture.

D. Ask the patient to lean slightly forward during the venipuncture.

B. Encourage the patient to lie down during the venipuncture.

A patient with the left arm amputated comes in for an ECG. Which of the following is the proper placement for the left arm lead on this patient?

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A. the same as it would be for a patient without a left arm amputated

B. moved to the back side of the left shoulder and in a similar position

C. moved to the back on the side of the left shoulder moving the right lead to match

D. as close to the site as possible but higher on the limb and in a similar position

D. as close to the site as possible but higher on the limb and in a similar position

When collecting a 24-hour urine, a total output of 100 ml for an adult patient is considered

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A. dysuria.

B. oliguria.

C. polyuria.

D. enuresis.

B. oliguria.

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\*aka decreased urine output

The physician orders the following blood work to evaluate a patient for sepsis:  CBC, Blood Culture, and BMP.  When using the evacuated tube method for venipuncture, in which of the following orders should the tubes be drawn?

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A. Red top, blood culture, lavender top

B. Blood culture, red top, lavender top

C. Blood culture, lavender top, gray top

D. Lavender top, red top, blood culture

B. Blood culture, red top, lavender top

A patient called the office complaining his hydromorphone prescription was not honored at the pharmacy.  The patient stated, “The doctor gave me this prescription six weeks ago when I was in the office.”  The prescription was denied because it is a schedule

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A. II drug.

B. IV drug.

C. I drug.

D. III drug.

A. II drug.

The medical assistant is scheduling a patient for a gallbladder study. Which of the following terms should the medical assistant use on the patient test order?

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A. Angiography

B. Cystography

C. Cholecystography

D. Cholangiography

C. Cholecystography

The medical assistant is providing instructions for a patient with pneumonia. The optimal time a sputum specimen should be collected is

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A. at bedtime.

B. after lunch.

C. first thing in the morning.

D. after breakfast.

C. first thing in the morning.

 Which of the following tasks is outside the scope of practice of a medical assistant?

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A. Performing quality control functions on all laboratory equipment

B. Performing patient education related to diabetes

C. Using an ECG to record the electrical rhythm of the heart

D. Dispensing medication, such as Glucola, in collaboration with the physician

A. Performing quality control functions on all laboratory equipment

The medical office assistant is scheduling new patients for an office with three physicians and two nurse practitioners. The office policy is for patients to arrive 30 to 45 minutes prior to their appointment to complete patient history forms. Which of the following is the most efficient scheduling technique for this office?

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A. wave scheduling

B. time-specified scheduling

C. open booking

D. modified wave scheduling

B. time-specified scheduling

What is the importance of encouraging a patient diagnosed with bronchitis to maintain adequate fluid intake?

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A. Prevents fatigue

B. Thin secretions

C. Decreases inflammation

D. Open airways 

B. Thin secretions

Which of the following actions should the medical assistant take when disposing of a needle following a venipuncture?

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A. Place the needle with safety device activated immediately in a sharps container.

B. Recap the needle and place it on the blood collection tray.

C. Recap the needle and place it immediately in a sharps container.

D. Push the needle guard over the needle until it clicks and then place in a biohazard bag.

A. Place the needle with safety device activated immediately in a sharps container.

A patient questions an outstanding balance when insurance coverage is active and the co-pay has been paid. Which of the following is the most likely reason the balance is the patient’s responsibility?

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A. Deductible not met

B. The birthday rule applies

C. Pre-authorization not obtained

D. Premiums due

A. Deductible not met

The medical assistant is assisting a physician with an I & D of a gangrenous abscess. In addition to mask and gloves, the medical assistant must wear which of the following personal protective equipment when performing this procedure?

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A. Hazmat suit

B. Protective eyewear

C. N95 respirator mask

D. Sterile gown

B. Protective eyewear

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Rationale: ==I & D refers to incision and drainage. The staff should be protected from splashes and spurts to prevent transmission of bloodborne pathogens. Proper infection control with personal protective equipment would include masks, gloves, and protective eyewear.== This simple medical office procedure would not require the use of a N95 respirator (the infection risk is not airborne), a hazmat suit (there is no hazardous material risk) or sterile gown (this is not considered a sterile surgical procedure).

The patient is not able to distinguish certain numbers on an Ishihara test. This indicates a problem with which of the following?

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A. Cones

B. Rods

C. Pupils

D. Sclera

A. Cones

The physician ordered Amoxicillin 500 mg p.o. q.i.d. X 10 days. How many tablets should the pharmacy dispense to fill this prescription?

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A. 10

B. 30

C. 20

D. 40

D. 40

While a new patient is in the examination room with a physician who is explaining treatment options to the patient, the medical assistant is contacting the insurance carrier to discuss the patient’s insurance coverage. This scenario is an example of obtaining

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A. verification of benefits and eligibility for the patient.

B. a disclosure of benefits and eligibility for the patient.

C. a statement of probable cause.

D. a preauthorization for the patient.

A. verification of benefits and eligibility for the patient.

The patient receiving an albuterol treatment by nebulizer in the clinic complains of tremors, nausea, blurred vision, and headache.  Which of the following actions should the medical assistant take?

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A. Tell the patient these are common side effects.

B. Decrease the oxygen flow meter to three liters per minute.

C. Report these symptoms to the physician.

D. Place the patient on NPO status.

C. Report these symptoms to the physician.

A medical assistant is hired at a Family Medical Practice. According to OSHA requirements the medical assistant must be offered a vaccine within 10 days of hire, free of charge. The medical assistant knows that this vaccination is to protect him from which of the following?

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A. Haemophilus influenza

B. Tetanus

C. Hepatitis B

D. Varicella

C. Hepatitis B

Which of the following is a requirement for a healthcare facility to be in compliance with OSHA?

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A. Annual inspections conducted by OSHA

B. Current certificate of compliance on file

C. Payment of annual dues

D. Annual employee safety training

D. Annual employee safety training

Which of the following occurs when a singular irritable impulse fires so rapidly it bombards the AV node, causing V shaped or upside down V shaped waves?

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A. ventricular flutter

B. atrial flutter

C. ventricular tachycardia

D. atrial tachycardia

B. atrial flutter

A physician has admitted a Medicare patient to the hospital for shortness of breath.  After reviewing the patient’s medical record, the hospital coder codes the admission as 99223.  On which of the following claim forms should the hospital coder submit this patient’s charges?

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A. spend down

B. UB-04

C. ABN

D. CMS-1500

B. UB-04

The primary care provider hands the medical assistant a referral for a patient to get an MRI.  Which of the following should the medical assistant do first?

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A. Fax pertinent medical records to the facility.

B. Document the precertification number in the patient’s chart.

C. Call the facility and schedule the MRI.

D. Call the insurance company and process an authorization.

D. Call the insurance company and process an authorization.

Which of the following is a CLIA waived test that can be performed by the medical assistant?

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A. Differential

B. Gram stain analysis

C. Chemical urinalysis

D. Crossmatch

C. Chemical urinalysis

Which of the following prevents duplication of payment by more than one insurance carrier?

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A. Preauthorization

B. Coordination of benefits

C. Precertification

D. Fee‑for‑service

B. Coordination of benefits

The physician asks the medical assistant to choose an E/M code indicating 40 minutes were spent on an office visit that actually took less than 15 minutes. This is an example of which of the following?

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A. adding a modifier

B. upcoding

C. unbundling

D. capitation

B. upcoding

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Rationale: This is an example of upcoding, a deliberate upgrading of medical coding to gain benefit. It is illegal to purposely "upcode" an encounter for any reason. The coding system is specific and should be diligently followed. Adding a modifier to codes can further explain circumstances of a particular visit.

Which of the following forms of medication can be administered vaginally?

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A. Creams and buccal

B. Creams and suppositories

C. Transdermal and buccal

D. Transdermal and suppositories

B. Creams and suppositories

A patient comes into the office for an ECG.  The medical assistant notices the patient has a burn that covers the patients’ entire right arm.  Which of the following is the proper lead placement?

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A. Place the V1 - V6 leads on the chest, RL and LL leads on the legs, RA and LA leads on the arms.

B. Place the V1-V6 leads on the chest, RL and LL leads on the legs, RA and LA leads just below the clavicle.

C. Place the V1-V6 leads on the chest, RL and LL leads on the legs, RA and LA leads on the abdomen

D. Place the V1-V6 leads on the chest, RL and LA leads on the lower abdomen, RA and LA leads on the chest

B. Place the V1-V6 leads on the chest, RL and LL leads on the legs, RA and LA leads just below the clavicle.

Which of the following actions is an example of compliance with Quality Control (QC) guidelines for phlebotomy?

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A. Run the daily control checks on urinalysis dipsticks.

B. Ensure reusable supplies in venipuncture trays are recycled. 

C. Ensure supplies in venipuncture trays are no more than one month beyond the expiration date.

D. Run glucose meter controls between each patient sample.

A. Run the daily control checks on urinalysis dipsticks.

A medical assistant is reviewing a patient’s encounter that is documented in the medical record prior to completing a CMS-1500 form. She notices that the physician upcoded the encounter. The medical office assistant has the ethical obligation to

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A. alter the code.

B. change the code.

C. down code the code.

D. debate the code.

D. debate the code.

Which of the following mandates how long patient records must be retained?

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A. federal and/or state laws

B. AMA guidelines

C. HIPAA regulations

D. physician preference

A. federal and/or state laws

The medical assistant adheres to which of the following provisions to ensure the patient with multiple insurance plans is not reimbursed more than once for care received?

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A. explanation of benefits

B. preauthorization

C. coordination of care

D. coordination of benefits

D. coordination of benefits

A patient presents to the urgent care office reporting a burn that occurred a few minutes ago from hot coffee. The left wrist is painful, red, swollen and has blisters.  The medical assistant takes the patient directly to an exam room. Which of the following actions should the medical assistant take next?

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A. Apply an ointment to the area

B. Have the patient put on a gown

C. Apply a sterile dressing to the area

D. Place the wrist under cool running water

D. Place the wrist under cool running water

The rubber sleeve at the end of a venipuncture needle allows for

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A. single tube collections.

B. slower draw of the specimen.

C. faster draw of the specimen.

D. multiple tube collections.

D. multiple tube collections.

Which of the following forms should the medical assistant submit to request insurance reimbursement for a physician’s office visit?

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A. Assignment of Benefits

B. CMS-1500

C. Assumption of Liability

D. Explanation of Benefits

B. CMS-1500

During a routine exam, the physician determines that the patient needs to have an immediate I & D, to be performed in the office. The physician explains the procedure to the patient and asks the medical office assistant to obtain consent and record the proper documentation. Upon completion of this task, the medical office assistant alerts the doctor that the patient is ready for the procedure. This scenario is an example of

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A. expressed consent.

B. verbal consent.

C. implied consent.

D. informed consent.

D. informed consent.

A medical assistant draws a patient that is on anticoagulant therapy. Which of the following actions should the medical assistant take immediately post venipuncture?

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A. Wait for bleeding to stop and  apply gauze and tape

B. Hold  pressure and elevate the patients arm

C. Hold pressure over the site and call the nurse

D. Apply a pressure dressing over the site

C. Hold pressure over the site and call the nurse

Which of the following actions is an example of compliance with Quality Control (QC) guidelines for phlebotomy?

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A. Run the daily control checks on urinalysis dipsticks.

B. Ensure reusable supplies in venipuncture trays are recycled.

C. Run glucose meter controls between each patient sample.

D. Ensure supplies in venipuncture trays are no more than one month beyond the expiration date.

A. Run the daily control checks on urinalysis dipsticks.

Which of the following is necessary before ordering or paying for medical office supplies?

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A. Packing slip

B. Inventory list

C. Purchase order

D. Order number

C. Purchase order

In which of the following medical record categories should the medical office assistant file a patient’s electrocardiogram result?

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A. therapeutic service documents

B. diagnostic procedure documents

C. laboratory documents

D. encounter documents

B. diagnostic procedure documents

The use of smaller electrodes while running an ECG on a four-year-old pediatric patient will require which of the following modifications?

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A. Place the patient in Sim’s position.

B. Decrease the paper speed.

C. Place the patient in a dorsal recumbent position.

D. Increase the paper speed.

D. Increase the paper speed.