CMA Quiz Online Class

No Module 10 due Midterm practicum and exam

Module 1: The Medical Assistant, Legal and Ethical Issues

Which of the following is the best example of negligence on behalf of a phlebotomist?

fails to report significant changes in a patient's condition

Which government agency regulates the quality of gloves worn when performing phlebotomy procedures?

FDA

What is the unauthorized release of confidential patient information called?

invasion of privacy

A physician-patient relationship is considered which type of legal relationship?

a contract

To comply with HIPAA, a medical office must always furnish what information to a new patient to be seen treat or treatment?

the provision of privacy practices document

If a physician simply decided to stop providing care for his or her noncompliant patient without following the appropriate legal steps, the patient could file a lawsuit against the physician on what grounds?

abandonment

The privacy rule is in place to protect which of the following?

electronic transfer of information

Two nurses working at Random Community Hospital shop together at Walmart after work.  As they walk around, they talk about their patient, Barbara.  Although she is in the hospital for diabetes treatment, they discuss the fact that her crazy “bug-eyes” mean she probably has an overactive thyroid (Graves’ disease).  They wonder aloud whether to tell Barbara their suspicions. Barbara's rights have been violated.

True

The nurses DID violate Barbara’s rights because they spoke about her IN PUBLIC and used IDENTIFYING INFORMATION (her first name).

Question 9

Two doctors are having lunch together in the Physician Dining Room at Random Community Hospital.  As they eat they talk about the man with the terrible butt abscesses that they recently treated.  They joke about how bad the smell was and about how when they punctured the abscess, the pus hit the nurse right in the face. The doctors have violated the patient's rights?

False

They did NOT violate HIPAA. They were speaking in a PRIVATE area and BOTH physician’s had Bob as a patient. If it had been in public or one doctor had NOT had Bob as a patient, they would have violated HIPAA.

 I can look up information about my spouse or other family members if they tell me I can, but they have not given written permission to the clinic.

False

You may access a spouse’s PHI ONLY if you have your spouse's prior written permission. Otherwise, it is a serious violation. The same policy applies looking up family, friends, or co-workers. You must get their prior permission in writing.

Which legislation is intended to limit health administration costs, provide for patient information privacy, and prevent fraud and abuse?

HIPAA—Health Insurance Portability and Accountability Act

A provider would be required to report to the local health department that a patient had which of the following medical conditions?

syphilis

Who “owns” a patient’s medical record in a private practice?

the provider

OSHA is an agency of which federal department?

Labor

Scope of practice refers to:

performing delegated clinical and administrative duties, working under a physician’s
direct supervision, consistent with your education, training, and experience

If the statute of limitations for a particular tort is two years, it means:

the patient must bring a suit within two years of the injury

Module 2: Professionalism & Communication Skills (In Person)

Which of the following items is the most important for assistive personnel to keep in mind during their daily routine in medical settings?

Confidentiality

As you are taking vitals of an elderly patient, he begins to question you about his medication and possible side effects, what is the best action to take?

Listen and explain that the doctor is the best person to have this discussion with

If you have an appointment scheduled for a patient who speaks English as a second language, which communication technique would be the most effective at the time of their visit to your office?

having an interpreter present

In the exam room, the patient tells you the reason for the office visit. Which of the following terms defines the best response from you that will promote positive communication?

feedback

Which of the following demonstrates positive communication skills?

responding to the patient stated problem by saying "let's discuss it"

Which type of mail requires your signature when delivered to you?

certified

When receiving the postal mail delivery at the office, the clinical medical assistant sorts it. Which type of mail receives top priority?

patient laboratory test results

If the provider of medical services wishes to discontinue care to a non-compliant patient, which U.S. Postal classification should be used to notify the patient?

certified, with return receipt

If you are mailing information that is meant to be "confidential," where should the notation be typed on the envelope?

three lines below the return address

The majority of the population are _____ learners.

visual

What is the most commonly used defense mechanism?

repression

Identify whether the description provided is considered an adaptive coping skill or nonadoptive coping skill.

• “Yes, but . . .” —> nonadoptive

• Change thought —> adaptive

• Over- or under-eating —> nonadoptive

• Journaling —> adaptive

• Planning —> adaptive

• Humor —> adaptive

• Inappropriate boundaries —> nonadoptive

• Hanging onto anger —> nonadoptive

• Isolation —> nonadoptive

• Spirituality —> adaptive

About 5 percent of the population is made up of ____ learners.

kinesthetic

Who typically discusses abnormal results or serious health conditions with patients and their families?

provider

In the context of communication, ____ may be considered as the awareness of one’s own feelings and the feelings of others.

perception

Who typically discusses abnormal results or serious health conditions with patients and their families?

provider

Module 3: Introduction to Medical Terminology, Anatomical Terms

The majority of medical terms have either _____ foundations.

Latin or Greek

The combining form gastr/o means:

stomach

The combining form colp/o means:

vagina

The combining form cyan/o means:

blue

Match the following term with the definition/example provided.

• Often indicates a location, presence or absence, quantity, size, frequency, or position —> prefix

• A word part added to the end of a word to complete that term —> suffix

• Word roots that have a vowel added to the end of it —> combining forms

• Most often describes part of the body and sometimes denotes color —> word root

• Can change a medical term to an adjective as well —> suffix

• Usually indicates a procedure, condition, disorder, or disease —> suffix

• A word part always found at the beginning of a medical term —> prefix

• Most often, the vowel is an o; the other two most common vowels seen in this are a and i —> combining forms

Identify and match the word root with the term or meaning provided.

• Cyan —> blue

• Colon —> colonoscopy

• Oste —> osteoarthritis

• Gastr —> gastrologist

• Leuk —> leukemia

• Neur —> neurological

• Cardi —> cardiomyopathy

• Nephr —> nephrology

• Ur —> urine

• Muscal —> musculoskeletal

The prefix megalo- means:

large

The Prefix Tachy- means:

fast

The Suffix –ectomy means:

Surgical removal

Suffix meaning disease.

–pathy

Suffix meaning discharge.

–rrhea

Suffix meaning opening.

–stomy

What part of the word tachycardia is the prefix?

Tachy-

The combining form nephr/o and ren/o both refer to which body organ.

kidneys

Module 4: Nervous System & Special Senses

Which part of the brain is breathing regulated by?

medulla oblongata

Which fluid is obtained by lumbar puncture?

cerebrospinal

Where does a tympanic thermometer measure temperature?

In the ear

Which of these instruments would a physician use to examine a patient's throat?

laryngeal mirror

A stethoscope is usually used in which method of examination?

Auscultation

Which of the following terms describes the study and science of the ear and its diseases?

otology

Which of the following methods of examination uses some fingers to tap the body lightly or sharply to determine the density, size, and position of underlying organs?

percussion

Terms with the correct combining form:

• Neur/o —> nerve

• Phas/o —> speech

• Blephar/o —> eyelid

• Tympan/o —> eardrum

• Olfact/o —> smell

• Ot/o —> ear

• Audi/o —> sound

The nose has the ____________ organ, which is the sense of smell.

olfactory

A (n) _________ is the minute space between the axon of one neuron and the dendrites of the next neuron across which an impulse must travel

synapse

Term with its definition.

• Fungal infection of the mucous membranes of the mouth and throat —> candidiasis

• Stirrup —> stapes

• Eardrum —> tympanic membrane

• Anvil —> incus

• Auricle —> pinna

• Medical term for a nosebleed —> epistaxis

• Hammer —> malleus

• Hearing loss that results from nerve transmission failure within the inner ear or the auditory nerve —> sensorineural

• Ringing in the ears —> tinnitus

What are the two main divisions of the nervous system?

central and peripheral

What are the two divisions of the autonomic nervous system?

sympathetic and parasympathetic

The primary cause of myopia is associated with the ____ of the eye.

shape

Module 5: Medical Records & Patient Screening

A breach of Confidentiality is considered unethical and illegal and is prohibited by which of the following?

HIPAA

Lab reports should be filed in _____ in a separate section of the patient chart.

chronological order

When you purge a file, you:

Clean it out

What is the form that must be signed by the patient, in order for a physician to send records to another physician called?

Release of Information

According to the patient care partnership, which of the following is a patient right?

to expect continuity of care

You are employed at an OBGYN practice. the physician has confirmed a suspected pregnancy of one of your husband's family relatives. The relative nervously lets you know that no one else knows about this office visit. Which of the following is the most appropriate response?

“be assured in knowing that i don't discuss or share any patient information outside the office”

Medical record copies may be released to anyone of the following EXCEPT whom?

the husband or wife of the patient

Which of the following is FALSE?

the physician patient relationship is legally recognized when the patient arrives at the office for treatment

In order to be considered a new patient, they must not have received services from the physician or from another physician of the same specialty in the same group practice for at least how long?

three years

Preferably, how is a patient's General Medical history obtained?

before admission to the hospital

When using a paper scheduling system, if a patient cancels an appointment at the last minute, you should ____ the original entry.

draw a single line through

How often should the tickler file be checked?

daily

When recording progress notes, the specific chief complaint should be:

written using the patient’s own words

The patient chart belongs to the:

medical practice

Module 6: Infection Control, POL & Diagnostic Testing

What are whorls, as related to capillary puncture?

spiral patterns of fingerprints

What are gauze pads used for?

apply pressure on the venipuncture site following a blood draw

Which of the following is NOT included in the plantar surface?

top of the foot

Term with its definition.

• Microorganism’s power to produce a disease —> virulence

• Parasites that depend completely on their host for survival —> obligate parasites

• Single-celled internal parasites that have a true nucleus and survive on living matter —> protozoa

• Microorganisms that cause disease —> pathogen

• Cohabitation of microorganisms that live in or within an organism to provide a natural immunity against certain infections —> normal flora

• Multicellular parasites that live on the surface of a host and include scabies and lice —> ectoparasites

• Microorganisms that need oxygen to grow —> aerobes

• Microorganisms that grow best in the absence of oxygen —> anaerobes

Needles should be _____ after they have been used.

placed in a puncture-proof container

Term with description.

• Infectious Agent —> Microorganisms, Bacteria, Viruses, Parasites, Rickettsiae

• Reservoir —> People, Equipment, Food, Water, Animals, Insects)

• Portal of Exit —> Secretions, Excretions, Respiratory droplets, Blood/body fluids

• Means of Transmission —> Indirect contact (fomite), Direct contact (exudate), Blood-borne, Airborne

• Portal of Entry —> Nonintact skin, Mucous membranes, Systems: Reproductive, Digestive, Respiratory

• Susceptible Host —> Elderly Frail, Immunosuppressed, Chronic disease, Trauma

The approved area for heel punctures is defined by the medial border extending from the great toe and the lateral border extending from the fourth and fifth toes.

True

What is the associated hematocrit value for a hemoglobin result of 15 g/dl?

45%

If in women, the normal level of hemoglobin is between 11.6 and 16.0 g/dl, which of the following could indicate anemia? 

11.5 g/dl

Fire prevention is very important to everyone’s safety. The acronym PASS when operating a fire extinguisher stands for Pull, Aim, Squeeze, and Sweep.

True

Handwashing for medical asepsis is used to reduce the number of pathogens on the hands and wrists. The average duration is a vigorous 20-second scrub following each patient contact. 

True

Wearing gloves is necessary when cleaning up blood or bodily fluid in the reception area and in the examination or treatment room. 

True

Personal protective equipment (PPE) is protective wear required by OSHA and protects health care employees from coming in contact with blood, body fluids, and other potentially infected material. Know-ing the appropriate PPE to wear due to the potential exposure is critical for safety.

• Gloves —> Generally worn for any direct hand contact exposure.

• Gowns or lab coats —> would be worn to protect against any potential splash and sprays or when dealing with large amounts of infectious materials.

• Safety glasses or face shield —> should be worn to protect against splashes, sprays, and droplets, and masks against airborne transmission.

Module 7: Integumentary System - Administering Injections & Immunizations

The lesions caused by chicken pox are:

vesicles

Herpes zoster is commonly known as:

shingles

Lyme disease is carried by which insect?

tick

If a patient has verrucae, he or she has:

warts

Scabies is caused by the:

itch mite

Eczema is characterized by ____ skin.

scaly

The skin makes up about ___ percent of total body weight.

15

Which of the following is not one of the five important functions of the skin?

ingestion

Term with its definition.

• Slow-growing, locally destructive skin tumor —> basal cell carcinoma

• Infection of the hair follicle with the formation of a pustule —> folliculitis

• Condition commonly known as crabs —> pediculosis pubis

• Neoplasm that develops from the pigment-producing melanocytes —> malignant melanoma

• Scar that developed excess dense tissue as it progressed through the healing process —> keloid

• Invasive tumor with metastatic potential —> squamous cell carcinoma

• Chronic inflammatory condition that is recurrent, with alternating periods of remission or increased severity —> psoriasis

• Inflammation of the skin —> dermatitis

• Condition, found primarily among children, that is spread through shared combs, brushes, clothing, and hats —> pediculosis capitis

• Disorder that usually appears in women and children in which excessive body hair develops in an adult male pattern of growth —> hirsutism

Oil glands are located in or near hair follicles over the entire skin surface, except for the:

palms and soles

Rosacea affects which part of the body?

face

Which of the following is not a common treatment for acne vulgaris?

change in diet

An easy reference to remember the signs of melanoma is the ABCDE rules. Identify the correct ABCDE set of rules.

Asymmetry, Border irregularity, Color, Diameter, and Evolving