Comprehensive Medical, Pharmacology, ECG, Infection Control, Law, and Phlebotomy Quizlet

Which hormone is made in the pancreas and released into the bloodstream as glucose rises?

Insulin

What is the brand name for docusate sodium?

Colace

How much Tylenol should be administered to a child with an axillary temperature of 39.2 degrees C if the prescribed dose is 240 mg and the concentration is 160 mg/5 mL?

7.5 mL

How often should Metoprolol (Lopressor) 40mg be taken for hypertension?

Twice per day

How much Amoxicillin should be administered for a first dose of 150 mg if the available amount is 500 mg in 5 mL?

1.5 mL

How many capsules of Ampicillin 500 mg should be dispensed for a prescription of bid for 10 days?

20 capsules

What is the correct action when administering medication sublingually?

Placing the medication under the tongue

What is the correct instruction for taking medication by the buccal route?

Dissolve the medication between the cheek and gum

At what angle should a needle be positioned for a self subcutaneous injection?

90 degrees

What is the appropriate injection site for intradermal allergy testing?

Forearm

Which muscle is the appropriate site for an injection in a child less than 1 year of age?

Vastus lateralis

What is the correct site for administering a HepB vaccine to an infant?

Vastus lateralis

What angle should a subcutaneous insulin injection be given?

45 degrees

What is the parenteral method of administering medications?

Includes intradermal, subcutaneous, intramuscular, and intravenous routes

Which medication is administered by the IM route to treat strep throat?

Penicillin (Bicilin-L-A)

What should the medical assistant ask first if a patient's wife reports dizziness after applying a transdermal nitroglycerin patch?

Are you wearing gloves when applying the patch?

What is the purpose of The Joint Commission's 'Do Not Use' abbreviation list?

To reduce the number of medication errors caused by incorrect use of medical terminology

How should the medical assistant explain the prescription of amoxicillin 250mg 1 tab p.o. q.i.d. to the patient?

Take one pill by mouth four times a day

What is the abbreviation for milliliter?

mL

What does the abbreviation 'susp' mean in medical terminology?

Suspension, a mixture of small medication particles into a liquid form

What is the abbreviation for tablet?

Tab

What is the abbreviation for injection?

inj.

What does the abbreviation 'AU' mean?

Both ears

What does the abbreviation 'OU' mean?

Both eyes

What does the abbreviation 'gtt' mean?

Drops

How should medication taken twice daily be documented?

bid

What do the abbreviations o.d., o.s., and o.u. refer to?

Eye

What does the abbreviation 'hs' mean?

At bedtime

What does the abbreviation 'Rx' mean?

Prescription

How should a medication administered through a nasogastric feeding tube be documented?

pg

What term indicates that a blood sample clumped, requiring a redraw?

Hemolysis

What should the medical assistant verify immediately prior to giving any medication?

Right dose, right route, right time, right patient, right medication

Which reference allows the medical assistant to identify a medication by looking at a pill?

PDR (Physicians' Desk Reference)

What classification does albuterol belong to?

Bronchodilator

Which bloodborne disease has an immunization available for prevention?

Hepatitis B

What are the five rights of medication administration?

Right patient, right medication, right dose

What are the six rights of medication administration?

Right patient, right medication, right dose, right route, right time, right tolerance.

What is Reye's syndrome?

A serious condition that can occur in children and teenagers who take aspirin during viral infections, leading to liver and brain damage.

What side effect is likely from taking too much metoprolol?

Hypotension (low blood pressure).

What product can cause a drug-herb interaction?

St. John's wort.

What condition can ototoxic medications cause?

Tinnitus (ringing in the ears).

What are reliable sources for medication information?

Physician's Desk Reference, Dosage handbook, Pharmaceutical package inserts.

Which immunization should be avoided for patients on prednisone?

MMR (Measles, Mumps, and Rubella).

What is a placebo?

An inactive substance that does not contain actual medication and has no therapeutic effect.

What infections do DTaP and Tdap vaccines protect against?

Pertussis (whooping cough).

What is the most likely source of Hepatitis A infection?

A hamburger from a local fast food restaurant.

Which immunization contains an inactivated pathogen?

IPV (Inactivated Polio Vaccine).

What is equivalent to 5 mL in household measurements?

1 teaspoon (1 tsp).

What type of medication treats a nonproductive cough?

Antitussive.

What condition is alprazolam (Xanax) prescribed for?

Anxiety.

What type of medication inhibits blood clotting?

Anticoagulants.

What medication is prescribed for gastric reflux?

Omeprazole (Prilosec).

What medication lowers cholesterol?

Atorvastatin calcium (Lipitor).

What is commonly prescribed for major depressive disorder?

Duloxetine (Cymbalta).

What do vasodilators do?

Open blood vessels, reducing cardiac demand.

What medication relieves pain and reduces fever?

Ibuprofen.

What is the primary use of nitroglycerin?

To treat angina pectoris.

What type of medication causes pupil dilation?

Mydriatic agents.

What does hydrocortisone reduce?

Inflammation.

What allergy contraindicates sulfamethoxazole and trimethoprim?

Sulfa allergy.

What medication is given during acute chest pain?

Nitroglycerin (Nitrostat).

What medication is used for status asthmaticus?

Albuterol sulfate (Proventil HFA).

Which patient is likely to respond more strongly to medications?

77-year-old male with benign prostatic hyperplasia.

What medication is prescribed for persistent nausea and vomiting?

Ondansetron (Zofran).

What do antibiotics do?

Kill microorganisms.

What medication is used for CHF with pitting edema?

Diuretic.

What nutritional recommendation is likely for cystitis?

Increased clear fluids.

What should a medical assistant do when calling in a prescription?

Wait for the pharmacist to repeat back prescription information before ending the call.

What instructions should be given for a fentanyl transdermal patch?

Apply on intact skin, avoiding areas with excess body hair; rotate sites to prevent skin irritation; write the date and time of application on the patch.

What needle gauge is commonly used to draw up medications?

18G.

What position should the needle tip be in during an immunization?

Bevel up.

What should be documented after a second dose of HBV immunization?

The date and time of the administration.

What is the Z-track method?

A technique used for administering injectable medications to prevent leakage by pulling the skin taut during injection.

What angle should be used when administering an injectable medication using the Z-track method?

90-degree angle maintaining traction on the skin.

What is the correct action when administering eye drops?

Place each drop individually in the inner canthus of the eye.

How are nitroglycerin tablets administered to treat Angina?

Sublingually (under the tongue).

What is the generic name for Coumadin?

Warfarin.

What is the generic name for Motrin?

Ibuprofen.

What type of medication is typically given for a temperature of 101.4F?

Antipyretic.

What is the abbreviation for electroencephalogram?

EEG.

Which diagnostic procedure uses ultrasound to display an image of the heart?

Echocardiogram.

What is the first action after validating an ECG order?

Explain the procedure to the patient.

What should be done prior to exercise stress testing?

Inform the patient of expectations during the testing.

What should be done when performing an ECG on an obese patient with wandering baseline?

Ensure good skin preparation and that the examination table is not touching the wall.

How can a medical assistant help a patient with Parkinson's during an ECG?

Have the patient put the arm under buttocks to minimize movement, ensuring proper electrode placement and clear signaling.

Where should the V4 electrode be placed?

Left midclavicular line, 5th intercostal space.

What actions should be taken when placing electrodes for a 24-hour Holter monitor?

Avoid scars and incisions, and ensure electrodes are secured properly.

What is the normal duration of a QRS complex on an ECG?

0.04-0.12 seconds.

What should be done if wandering baselines are noticed in precordial leads?

Re-evaluate chest leads.

What indicates a normal sinus rhythm?

A PR interval of 0.14 seconds, QRS complex of 0.10 seconds, QT interval of 0.40 seconds, and HR of 78.

What should a medical assistant do after recording an abnormal ECG rhythm?

Monitor the patient for deterioration of symptoms.

What does the P wave of an ECG indicate?

Atrial contraction.

Which rhythm should prompt immediate notification to the provider?

Ventricular fibrillation.

Which ECG lead records the electrical activity of the inferior surface of the left ventricle?

Lead II.

What indicates a need for better understanding of standard precautions?

The patient should wear a gown, gloves, and mask to maintain contact-droplet isolation.

What is a noncommunicable skin disorder?

A skin condition that cannot be transmitted from one person to another.

What is alopecia?

A medical condition characterized by hair loss.

What is impetigo?

A highly contagious bacterial skin infection that causes red sores, often around the nose and mouth.

What is scabies?

A contagious skin condition caused by a mite that burrows into the skin, leading to intense itching and a rash.

What is poison ivy?

A plant that causes an allergic skin reaction upon contact, characterized by itching, redness, and blisters.