Med Assist. Quarterly Exam

What demonstrates professionalism in the medical office?

Respect, maintain confidentiality, be ethical, and have integrity. Dress professionally, good attitude

What qualities are most important for maintaining professionalism as a medical assistant?

Dependable, flexible, accountable, open-minded

A patient is upset because of a long wait time. What is the most professional response?

A. “It’s not my fault, we’re really busy.”

B. “I understand this has been frustrating. I’ll let the provider know you’re waiting.”

C. “You should have come earlier.”

D. Ignore the complaint.

B. “I understand this has been frustrating. I’ll let the provider know you’re waiting.”

Which of the following is an example of maintaining professional boundaries?

A. Accepting a patient’s social media friend request

B. Lending money to a patient

C. Keeping interactions focused on patient care

D. Sharing personal problems with a patient

C. Keeping interactions focused on patient care

What should a medical assistant do if they make an error while documenting in a patient’s chart?

Draw a single line, initial, date, and write err

What health care professionals are legally responsible for the outcomes of a medical assistant's duties and performances?

The provider

Having to do with morals, values, right, and wrong:

ethical

Reading professional journals and reputable health websites, on-the-job educational conferences, and local, state, and national medical assistant conferences are ways for Medical Assistants to earn

CEU

describes the duties and responsibilities delegated to employee based on their education, training and experience

Scope of Practice

is the ability to feel another person’s feeling

Empathy

Active listening involves:

Maintain eye contact, nod appropriately, and restate when appropriate

When speaking with a patient who has limited English proficiency, the medical assistant should:

get an interpreter

Provide negative nonverbal communication examples:

Arm crossed, standing over someone, eye rolling, slumped over, hand clenched

Which communication technique helps verify understanding with a patient?

A. Paraphrasing

B. Assuming they understand

C. Speaking faster

D. Avoiding questions

A. Paraphrasing

A medical assistant is checking in a patient who has hearing loss.  What actions should the medical assistant take?

Look directly at a patient and speak in a normal tone

When performing vital signs, you need to understand you are invading a patient's

personal space

SBAR is used when

giving a report to another co-worker, when there is something wrong with a patient

Where is the best place to interview a patient?

In the exam room or a private room

What should an MA do before touching a patient who is blind?

Speak to them

What are nonverbal communication delivery factors?

Tone, pitch, volume, language, clarity

What is an example of a physical communication barrier?

Hearing, vision, mental

What is an example of a personal communication barrier?

Emotions, attitudes, prejudice, resistance to change, and self-absorption

Define informed consent:

Patient gives written consent after being given and understanding of the risks and benefits

A medical assistant accidentally gives a patient the wrong medication. This is an example of:

A. Negligence

B. Battery

C. Defamation

D. Slander

A. Negligence

What does the abbreviation “HIPAA” stand for?

A. Health Information Privacy and Accountability Act

B. Health Insurance Portability and Accountability Act

C. Health Inspection Policy and Assurance Act

D. Health Integrity Protection and Authorization Act

B. Health Insurance Portability and Accountability Act

A medical assistant tells another staff member that a patient has an STD. This could be considered

Defamation of character

What is an example of “battery” in healthcare?

Touching a patient without permission

When can a patient’s health information be released without written consent?

A. When requested by family members

B. For public health reporting or court orders

C. When a coworker asks for training

D. Never

B. For public health reporting or court orders

An emancipated minor can:

A. Refuse treatment only with a parent present

B. Sign their own medical consent forms

C. Receive treatment only for emergencies

D. Not receive care without court approval

B. Sign their own medical consent forms

You overhear two coworkers discussing a patient’s diagnosis in the elevator. What should you do?

Remind them that patient information must remain confidential and should not be discussed in public places.

A medical assistant posts about a “funny patient encounter” on social media without using a name. Is this acceptable? Why?

 No — even without a name, it can still violate HIPAA if identifiable details are shared

You suspect a child patient may be a victim of abuse. What should you do?

Report to your supervisor

What document gives someone else legal authority to make healthcare decisions for a patient?

Durable power of attorney

Private Health Information (PHI) includes:

Name, DOB, SS #, address, insurance information, medical record #

elsey is a health care worker who must call Mr. Grimm with the results of his blood tests. When Kelsey calls, no one picks up the phone and the answering machine plays. What should Kelsey do?

Leave a message for the patient to call the office back

Which law ensures patient privacy and confidentiality?

HIPPA

What reforms are included in the Patient Protection and Affordable Care Act?

Insurance coverage for preventive services, dependents stay on parents' insurance until age 26, not allowed to decline or charge more for pre-existing conditions, prevents the Physician Sunshine Act, and created an insurance exchange for individuals to purchase insurance

The partner of a patient comes into the office demanding to know what the patient was seen for and why he was charged for the visit. What is the best way for the medical assistant to handle this situation when no Authorization to Release Health Information is on file?

Explain that you can not release the information to them due to confidentiality laws, and the patient did not provide permission to release the information

The physical medical record belongs to the

the provider (doctor or hospital)

What is the threat of touching a patient without permission?

assault

What is the first step in the chain of infection?

pathogen

What is the most effective way to prevent the spread of infection?

handwashing

What is the correct order for removing PPE (personal protective equipment)?

Gloves, gown, mask

What is Universal Precautions?

To treat everyone as they have an infection

What body fluids is not considered potentially infectious under standard precautions?

sweat

What pathogens are spread through contact? Airborne? Droplet?

Contact? MRSA, staph, C-diff

Airborne? TB, measles

Droplet? COVID, influenza, pertussis

When should hand hygiene be performed?

A. Before and after patient contact

B. After glove removal

C. After contact with body fluids

D. All of the above

D. All of the above

What is the minimum amount of time you should wash your hands with soap and water?

20 seconds

What is required for proper handwashing?

Warm water, soap, and friction

Define: sterilization, sanitization, disinfection

Sterilization: destroys all microorganisms

Sanitization: cleans, reduces the microorganisms

Disinfection: destroys most microorganisms but not spores

What is the first step that should be taken after exposure to contaminated waste?

Wash the area for 10 mins

What method uses high-pressure steam to sterilize?

AUTOCLAVE

What type of infection first occurs during a patient's stay at a health-care facility, regardless of whether it is detected during the stay or after?

nosocmial

A medical assistant is at risk to contact _______ when come in contact with body fluids such as blood or vaginal secretions.

bloodborne pathogen (HIV, HBV)

What is the stage of infection where signs and symptoms are most evident and severe?

Acute

A living organism that carries a disease from one infected person to another, such as a mosquito, is what method of transportation?

vectorborne

Which position is most commonly used for a pelvic exam?

lithotomy

A provider uses a stethoscope to listen to heart and lung sounds. This examination technique is called:

auscultation

Which position is typically used for a rectal temperature or rectal exam?

Sim’s

A provider taps on the patient’s body to determine the presence of air or fluid. This method is called:

percussion

During a physical exam, the provider asks you to hand them the otoscope. What part of the exam is being performed?

ear

The medical assistant’s role during the physical exam includes all of the following except:

A. Preparing the exam room and equipment

B. Performing the patient’s full physical assessment

C. Assisting the provider during the exam

D. Ensuring patient comfort and draping

B. Performing the patient’s full physical assessment

After the provider completes the exam, what should the MA do before the next patient arrives?

disinfect and clean the room

includes the patient’s dietary habits, smoking history, and alcohol consumption?

Social Medical History

When a medical assistant is gathering more information about the chief complaint, this is called

history or present illnes

What instrument does the gynecologist use to examine the vaginal wall?

Vaginal speculum

Normal Values for VS

Temp:97.6-99, Pulse:60-100, Resp:12-20, BP:120/80 (98/70-120/80)

The difference between systolic and diastolic pressure is called:

A. Mean arterial pressure
B. Pulse pressure
C. Baseline pressure
D. Korotkoff pressure

B. Pulse pressure

What is orthostatic hypotension?

When the bp drops when changing positions

A patient who just walked up the stairs has a pulse of 132 bpm. What should the MA do before documenting?

recheck

A patient is talking while you measure respirations. The rate appears faster than normal. What should you do?

recheck

Secondary HTN can be caused by

pregnancy (complicated), renal disease

The term apnea means

without breathing

This method used to assess pulses

palpation

Body's core temperature is controlled by

hypothalumus

To take a patient's ____ pulse, the medical assistant locates the inner aspect of the elbow

brachial (antecubital)

Common causes of errors for blood pressure readings:Before BP, instruct patient not to

Consume caffeine

Use tobacco 

Patient should be comfortably seated in a quiet room

Always use proper cuff size

Never take BP over clothing

Interferes with ability to hear Korotkoff sounds

Position patient properly

Define the term apnea.

to stop breathing

When should you not take oral temperatures?

Wearing oxygen, oral surgery, talking, eating/drinking, mental status

The term anterior refers to which of the following?
A. Toward the back
B. Toward the front of the body
C. Away from the midline
D. Lower or below

B. Toward the front of the body

 The elbow is ___ to the shoulder.

distal

The sagittal plane divides the body into

right and left

The term that means toward the midline is

medial

A patient reports pain in the posterior cervical region. Where is the pain located?

Back of neck

The distal end of the femur is located closest to the

ankle

The term superficial means

towards the outer edge of the body (skin)

The stomach is ____ to the diaphragm.

inferior