NCCT EXAM PRACTICE QUESTIONS

Title 1 of the Americans with Disabilities Act (ADA) mandates that individuals with disabilities are:

A) to be provided access to public services

B) to be given opportunities for public housing

C) not be discriminated against in obtaining employment

D) to be provided means of telecommunication

Answer is C

#2 Answer is D

Which of the following health care issues is NOT covered under the Health Insurance Portability and Accountability Act (HIPPA) ?

A) Increasing the probability of health insurance

B) Addressing health care fraud and abuse

C) standardizing the electronic transmission of health data

D) Outlining payment of Medicare and Medicaid

#3 Answer is A

Which of the following constitutes a breach of contract by a health care provider ?

A) Discontinuing treatment because of the patient did not pay in a timely manner

B) Discontinuing treatment because it is no longer needed

C) Being formally discharged by the patient

D) Withdrawing from the case due to patient noncompliance or an inability to serve the patient

#4 Answer is C

Under the doctrine of respondeat superior, who can potentially be held legally responsible for an act of negligence by a medical assistant ?

A) The medical assistant only

B) The employee/provider only

C) Both the medical assistant and the employer/provider

D) The patient

#5 Answer is B

Touching a patient in a manner to which they have not consented is considered a tort of

A) invasion of privacy

B) battery

C) libel

D) slander

#6 Answer is D

All of the following minors ( under age 18) are considered emancipated EXCEPT a minor who is

A) a member of the armed forces

B) financially responsible and no longer under parental car

C) married

D) being tested for a sexually transmitted disease

#7 Answer is A

Unless public safety is involved, what is required in all cases to release patient medical records after a subpoena is issued ?

A) the patients written consent

B) a court order

C) a deposition

D) an interrogatory

#9 Answer is B

What normal patient right is suspended upon discovery of child abuse ?

A) privacy

B) confidentiality

C) documentation

D) standard of care

#10 Answer is C

A POLST dorm is a type of

A) document declaring durable power of attorney for health care

B) document releasing a provider from liability under Good Samaritan laws

C) living will or advance directive

D) PSDA

#11 Answer is C

Generally, medical assistants are permitted to do certain clinical procedures only under the supervision of an employer/provider because they are NOT

A) certifies

B) registered

C) licenses

D) certified, registered, or licensed

#12 Answer is B

Which of the following best describes ethics ?

A) individual choices relating to conduct

B) personal values governing an individuals perceptions of right and wrong

C) laws defining acceptable behavior

D) creeds to live by

#13 Answer is A

Bioethics is defined as

A) any ethical matter that pertains to life and/or health care

B) issues regarding abortion and the use of fetal tissue

C) dealings with individuals who have committed sexual abuse or exploitation

D) dealings with individuals who have committed physical or emotional abuse

#14 Answer is D

Which of the following principles for a medical assistant is NOT set forth by the American Association of Medical Assistants (AAMA) Code of Ethics ?

A) respect for the confidentiality of patient information

B) performance of service while respecting all patients

C) continuous professional improvement

D) specific ways of dealing with certain situations

#15 Answer is A

At present, what is the main difference between reposting child abuse and reporting elder or intimate partner abuse ?

A) child abuse must be reported to authorities in all 50 stares while other types of abuse do not always need to be reported

B) sexual abuse is the main offense related to child abuse

C) physical abuse is more predominant in elder an intimate partner

D) child abuse is more likely to involve a reportable criminal act

#16 Answer is C

A provider is dealing with a patient with HIV or AIDS. Which of the following statements regarding the providers legal or ethical requirements is NOT TRUE ?

A) the provider cannot withhold treatment to the HIV positive patient

B) the provider should protect the patients confidentiality

C) the provider can ethically deny treatment

D) the patients intimate partner should be notified by the patient, the provider, or authorities

#17 Answer is B

What is the time frame during which an abortion can be legally performed in all stares ?

A)there is no universal time frame for all states

B) abortion can be performed during the first trimester

C) abortion can be performed during the first trimester only in cases of rape

D) abortion can be performed during the first and second trimesters

#18Answer is A

Therapeutic communication interjects what element into communication ?

A) empathy

B) advice

C) recommendations

D) knowledge of the process of communication

#19 Answer is C

Active listening requires

A) being alert and interested

B) being attuned only to what the other is saying

C) being attuned to what the other person is saying and what they are communicating nonverbally

D) being able to respond quickly with a corrective action

#20 Answer is D

In order for verbal communication between two people to be effective, the senders message must be

A) complete

B) clear and concise

C) cohesive

D) all of the above

#21 Answer is B

In the United Stares, what do most people consider a comfortable personal space for dealing on a personal ( not intimate) level with another individual?

A) in contact to 1-1/2 feet

B) between 1-1/2 and 4 feet

C) between 4 and 12 feet

D) between 12 and 15 feet

#22 Answer is C

The use of a defense mechanism in which a person unconsciously ascribes their own undesirable acts or impulses to someone else is known as

A) sublimation

B) repression

C) projection

D) compensation

#23 Answer is A

According to maslows hierarchy of needs, what is the first level of need that people must satisfy before all others ?.

A) physiological and survival needs

B) necessities for safety and security

C) needs related to loving and belonging

D) conditions promoting prestige and esteem

#24 Answer is C

A cultural broker is someone who

A) physiological and survival needs

B) necessities for safety and security

C) needs related to loving belonging

D) conditions promoting prestige and esteem

#25 Answer is B

When interviewing a patient, which of the following types of question prompts only a yes or no response ?

A) indirect statement

B) closed question

C) open ended question

D) active question

#26 Answer is A

Which of the following does NOT initially occur when a person is exposed to an acute stressor ?

A) triggering of the parasympathetic nervous system

B) activation of the "flight or fight" response

C) releasing of adrenaline and other hormones into the bloodstream

D) increased respiration rate

#27 Answer is D

In order, what are the four stages of job burnout ?

A) value, ambiguity, overload, conflict

B) value, reality, dissatisfaction, detachment

C) honeymoon, Dissatisfaction, reality, a sad state

D) honeymoon, reality, dissatisfaction, a sad state

#28 Answer is C

Which of the following activities does NOT relieve stress ?

A) goal setting

B) meditation

C) gladly accepting all assigned work

D) taking time off for lunch or a break

#29 Answer is D

The symptoms lethargy and weight loss can be associated with which of the following conditions ?

A) AIDS

B) cancer

C) end stage renal disease

D) all of the above

#30 Answer is B

According to Dr. kubler-ross, what are the most likely stages of grief experienced by a patient with a life threatening illness, in order ?

A) denial, bargaining, anger, depression, acceptance

B) denial, anger, bargaining, depression, acceptance

C) acceptance of reality, experience of pain, adjustment, development of a new reality

D) denial followed by any number of stages leading to acceptance in the end

#31 Answer is C

Which of the following management styles offers rewards to subordinates in terms of teamwork, recognition by other workers, and self- actualization ?

A) authoritarian management

B) micromanagement

C) participatory management

D) management by walking around

#32 Answer is B

In an officer manager is using a teamwork approach, what is the first step in getting the team

started ?

A) brainstorming with the team

B) developing a work statement with the team

C) looking at benchmarks from other institutions

D) developing a time frame and standards for goal achievement

#33 Answer is C

As an office manager, when is the best time to carry out a salary review for employees ?

A) at the same time as their performance evaluation

B) When the employee asks for a salary review

C) at the beginning of each year

D) when the office experiences changes in funding

#34 Answer is A

A medical assistant who functions as a Human Resources manager is responsible for developing and updating which of the following documents ?

A) office policy manual

B) office procedure manual

C) HIPAA manual

D) safety data sheets

#35 Answer is D

Which of the following actions during an initial employment interview is discouraged ?

A) providing a time frame for decisions on hiring or additional interviews

B) using predetermined questions during the interview

C) providing a quiet and private environment for the interview

D) offering the applicant the job at that time

#36 Answer is B

The standard rate of overtime pay for administrative or clinical medical assistant is generally

A) twice the regular hourly rate for each hour over 40 in a week

B) at least one and one half times the regular hourly rate for each hour over 40 in a week

C) not applicable because most medical assistant are considered exempt employees

D) only applicable in terms of increasing benefits outside pay

#37 Answer is A

Medical assistants and other individuals who handle finances in the medical office should

A) be bonded

B) purchase professional liability insurance

C) be registered

D) be licensed

#38 Answer is B

When must a medical assistant functioning as an office manager pay federal and state taxes related to employee wages ?

A) monthly

B) quarterly

C) at the end of the year

D) upon filing of a- form

#39 Answer is D

What types of nutrients can be converted into energy ?

A) carbohydrates

B) fats

C) proteins

D) all of the above

#40 Answer is C

Unhealthy trans unsaturated fatty acids are found in

A) olive and canola oils

B) linoleum acid

C) stick margarine

D) unhydrogenated oils

#41 Answer is B

Which of the following statements is NOT true regarding a persons basal metabolic rate (BMR) ?

A) It is the level of energy needed when the body is resting

B) it is higher in people who have a larger percentage of body fat

C) it is elevated in children during growth spurts

D) it is increase when a woman is pregnant

#42 Answer is B

According to the new food pyramid issued by the U.S. Department of Agriculture, what is the recommended daily intake of vegetables ?

A) 2 cups

B) 2-1/2 cups

C) 3 cups

D) 6 ounces

#43 Answer is C

What are the main inorganic nutrients that act as antioxidants ?

A) Vitamin K and folic acid

B) Vitamin D and the minerals calcium and phosphorus

C) Vitamins A, C, and E, and the mineral selenium

D) several B-complex vitamins and the minerals phosphorus, magnesium, and sulfur

#44 Answer is A

What type of diabetes mellitus requires the individual to take insulin regularly throughout life ?

A) Type 1 only

B) Type @ only

C) Types 1 and 2

D) Gestational

#45 Answer is B

What is the cardiovascular disease in which arteries narrow due to inner deposition of cholesterol and fat ?

A) Hypertension

B) Atherosclerosis

C) Arteriosclerosis

D) Myocardial infarction

#46 Answer is A

Cancerous cells that are derived from epiithelial cells are know as

A) carcinomas

B) sarcomas

C) lymphomas

D) germ cell tumors

#47 Answer is C

Which of the following characteristics does NOT distinguish a virus from oher types of microorganisms ?

A) A virus can only reproduce within another type of living cell

B) Viruses are pathogenic

C) Viruses produce spores

D) Viruses cannot be observed directly under light microscope

#48 Answer is B

An organism that serves as a carrier of a disease to another organism such as a human is known as a

A) fomite

B) vector

C) bloodborne carrier

D) exudate

#49 Answer is C

Which of the following currently available vaccines are contraindicated in pregnant women, immunocompromised patients, and those with active AIDS ?

A) Measles, mumps, rubella (MMR)

B) MMR and influenza

C) MMR, varicella, and zoster

D) Hepatitis A and B

#50 Answer is A

Pathogenic microorganisms, cancer cells, and transplanted tissues are initially recognized as foreign by

A) macrophages and helper T cells

B) B cells

C) memory and killer T cells

D) immunoglobulins

#51 Answer is B

The biggest concern regarding the infectious diseases methicillin resistant Staphylococcus aureus (MRSA) and tuberculosis is that

A) identification of the infectious agent is difficult

B) they are highly drug resistant, limiting antibiotic treatment options

C) they are viral and cannot be cured

D) It becomes a chronic infection

#52 Answer is D

Which of the following is NOT a characteristic of Hepatitis A infection ?

A) it is spread via the oral fecal route

B) it can be prevented by an available vaccine

C) patients usually develop jaundice, dark urine, and flu-like symptoms

D) it becomes a chronic infection

#54 Answer is A

Which of the following is the neurotransmitter released at the neuromuscular junction between axons of moter neurons and the motor end plate ?

A) acetylcholine

B) GABA

C) Serotonin

D) dopamine

#55 Answer is D

A streptococcal infection might be linked to all of the following circulatory disorders, EXCEPT

A) rheumatic fever

B) mitral valve stenosis

C) congestive heart failure

D) varicose veins

#56 Answer is B

Which of the following types of anemia can be controlled by injecting the patient with vitamin B12 ?

A) iron deficiency anemia

B) pernicious anemia

C) sickle cell anemia

D) Hodgkin disease

#57 Answer is B

What layer of the skin contains blood vessels, nerve endings,, and glands ?

A) epidermis

B) dermis

C) hypodermis

D) intergumentary

#58 Answer is C

Which of the following is a contagious skin disorder characterized by pustules and caused by staphylococi and/ or streptococci ?

A) dermatitis

B) dermatophytosis

C) impetigo

D) psoriasis

#59 Answer is D

Which of the following statements is NOT true regarding herpes zoster infection ?

A) it is caused by the same virus associated with varicella or chicken pox in children

B) it usually presents as a linear area of a skin rash

C) a later symptom can be post herpetic neuralgia

D) Since it is caused by a virus, there is no available vaccine

#60 Answer is A

The purpose of immunotherapy for allergies is to use extracts of allergens to

A) induce production of blocking 1gG class antibodies toward the allergens

B) induce production of IgE class antibodies toward the allergens

C) generally build up the immune system

D) use immunomodulation to suppress the immune system

#61 Answer is C

Which of the following urinary tract disorders should be suspected if a patient has chills, fever, abrupt back pain, and tenderness in the suprapublic region ?

A) cystitis

B) glomerulonephritis

C) pyelonephritis

D) renal calculi

#62 Answer is D

Which of the following functions is NOT performed by the kidneys ?

A) regulation of water and acid-base balance

B) filtration of the blood to remove waste

C) regulation of blood pressure

D) collection and storage prior to urinary excretion

#63 Answer is B

Gastroesophageal reflux disease (GERD) is caused by

A) lesions in the mucous membranes in the stomach or duodenum

B) return of stomach acid due to leakage of the valve leading to the stomach

C) inflammation of diverticula

D) inflammation of the ileum

#64 Answer is C

Which of the following statements about the pancreas is FALSE ?

A) it functions as both an endocrine and an exocrine gland

B) it is involved in the secretion of insulin

C) It can develop stones, causing pain

D) it can become inflamed, which can be life-threatening

#65 Answer is A

In order, the large intestine is comprised of the

A) cecum, colon, and rectum

B) duodenum, jejunum, and ileum

C) ascending, transverse, descending, and sigmoid colons

D) liver, gall bladder, and pancreas

#66 Answer is C

What is the chief cause of blindness in the United States ?

A) retinal detachment

B) glaucoma

C) diabetic retinopathy

D) presbyopia

#67 Answer is B

The gel occupying space between the lends and retina of the eye is called the

A) fovea centralis

B) vitreous body

C) sclera

D) aqueous humor

#68 Answer is B

In patients with myopia, light rays entering the eye focus

A) on several areas of the retina

B) in front of the retina

C) beyond the retina

D) on the retina

#69 Answer is A

When a person moves their head, their equilibrium is usually maintained by

A) the vestibular system in the inner ear

B) the tympanic cavity in the middle ear

C) the auricle

D) the cochlea

#70 Answer is C

Hearing loss due to hardening of the stapes of the middle ear is known as

A) tinnitus

B) otitis media

C) otosclerosis

D) meniere disease

#71 Answer is D

Which of the following is NOT a possible cause of epistaxis ?

A) allergic rhinitis

B) blunt force

C) hypertension

D) childbirth

#72 Answer is D

In the respiratory system, gas exchange between oxygen breathed in and carbon dioxide to be removed takes place in the

A) pharynx

B) trachea

C) bronchi

D) alveoli

#73 Answer is C

The main characteristics that distinguishes asthma from forms of chronic obstructive pulmonary disease (COPD) is that asthma

A) does not cause dyspnea

B) is characterized by a permanent narrowing of the airways

C) can usually be reversed either spontaneously or through use of agents such as bronchodilators

D) is caused by a loss of elasticity of the alveoli

#74 Answer is D

Which of the following can cause pneumonia ?

A) bacteria

B) fungi

C) viruses

D) all of the above

#75 Answer is D

Which of the following is a spinal defects in which there is a sideways curvature of the spiney ?

A) lordosis

B) kyphosis

C) paget disease of bone

D) scoliosis

#76 Answer is B

A fracture in which of the bone is broken into a number of fragments is described as

A) greenstick

B) comminuted

C) oblique

D) transverse

#77 Answer is B

The main type of arthritis or join inflammation that is considered a systemic autoimmune disease is

A) osteoarthiritis

B) rheumatoid arthritis

C) gout

D) psoriatic arthritis

#78 Answer is D

Which of the following is NOT true of the endochondral ossification ?

A) it is responsible for the growth in length of long bones

B) the cell types involved are bone cells, their progenitors, and cartilage

C) it begins during embryonic development and continues until the late teens and early twenties

D) it is direct deposition of bone into the mesenchyme

#79 Answer is C

The largest leg bone that connects the kneecap to the foot is the

A) patella

B) femur

C) tibia

D) fibula

#80 Answer is B

The human vertebral column normally consists of

A) 24-articulating vertebrae and the spinal cord

B) 24 articulating vertebrae and nine fused vertebrate

C) the vertebral body and the vertebral arch

D) clearly separated regions

#81 Answer is A

The cervical region of the spinal cord controls certain movement in the

A) neck, diaphragm, shoulder, arm, wrist, and hand

B) trunk and abdomen

C) abdomen, thigh , leg, and toes

D) leg, foot, and toes

#82 Answer is D

Viral infections have been associated with which of the following neurologic disorders?

A) meningitis only

B) tic douloureux

C) reye syndrome only

D) meningitis and reye syndrome

#83 Answer is B

Which of the following is NOT characteristic of cerebrovascular accident (CVA) ?

A) a loss of blood to the brain, depriving it of oxygen

B) direct impairment of cranial nerves

C) symptoms like loss of consciousness and paralysis

D) caused by hemorrhage or blockage of blood vessel

#84 Answer is C

Which of the following portions of the brain is primarily responsible for maintaining homeostasis ?

A) cerebellum

B) cerebral cortex

C) hypothalamus

D) pons

#85 Answer is D

Which of the following can cause paralysis ?

A) spinal cord injury

B) stroke

C) poliomyelitis

D) all of my above

#86 Answer is C

When a patient is covered by more than one insurance policy, the total amount paid is limited by policy language regarding

A) preauthorization

B) assignment of benefits

C) coordination of benefits

D) the deductible

#87 Answer is A

What is capitation ?

A) a payment system in which the health care provider is paid a fixed fee per patient

B) a payment system in which the health care provider is paid a specific free for a particular service

C) payment for the full free for health care services by the patient

D) payment for health care services by the government through medicare

#88 Answer is B

The managed care organization model, in which a network of providers and hospitals sign agreements to provide patient services at a discount to the insurance company nonexclusivlely, is a

A) Point-of-service (POS) plan

B) preferred provider organization (PPO)

C) exclusive provider organization (EPO)

D) integrated delivery system (IDS)

#89 Answer is B

What health care services are covered under medicare, part B ?

A) hospital stays, home health care, and hospice care

B) outpatient expenses

C) prescription drug coverage

D) all of the above

#90 Answer is C

The resource-based relative value scale (RBRVS) is used to

A) coordinate with medigap policies

B) determine whether a medicare payment is PAR or non-PAR

C) calculate medicare payments

D) determine practice overhead

#91 Answer is D

Which of the following individuals can receive medical care medical care under the medicaid program ?

A) those receiving Aid to Families with Dependent Children

B) those who cannot work because of physical difficulties

C) pregnant women earning less than poverty-level wages

D) all of the above

#92 Answer is B

Which of the following is the medical insurance program that covers active duty soldiers ?

A) CHAMPVA

B) TRICARE Prime

C) TRICARE Extra

D) TRICARE Standard

#93 Answer is B

Workers compensation insurance covers which of the following expenses for a person injured on the job ?

A) all medical expenses

B) all medical expenses plus lost wages

C) all medical expenses plus lost wages, and an automatic settlement for pain, suffering , and other punitive damages

D) Some medical expenses and lost wages, as determined by state laws

#94 Answer is B

If a usual, customary, and reasonable (UCR) fee structure is used for billing, an insurance carrier that pays fees that are considered customary will pay the provider

A) the top fee in the customary will pay the provider

B) the full fee as long as it falls within the customary fee range

C) the RBRVS-calculated fee

D) an adjustment

#95 Answer is C

When is patient health information that is transmitted via telephone call or fax subject to the security rule under the Health Insurance Portability and Accountability Act (HIPAA) regarding electronic transmission ?

A) always

B) never

C) when that information was derived from electronically stored information

D) when the patient has signed a privacy agreement

#96 Answer is B

The relative value units (RVU's) issued for a particular service fee under medicare are computed using which of the following factors ?

A) the providers rate for the service, practice expenses, and malpractice expenses

B) all of the factors listed in response A plus adjustors like the geographic practice cost index and the Budget Neutrality Adjuster

C) standard national codes

D) sliding fees within an acceptable range

#97 Answer is B

According to the Current Procedural Terminology (CPT) system, what is the procedure to change a code for billing a medical procedure to reflect that the service lasted longer than described ?

A) enter the code twice

B) add a plus sign (+) before the code

C) use an unlisted code and add a report

D) use a category 3 code

# 98 Answer is c

Under the Current Procedural Terminology (CPT) system of coding, what type of modifier should be added to a code to indicate a slight difference in the description (for example, using a surgical team instead of one surgeon)?

A) indicate both the described code and 09999

B) Put a -99 after the described code

C) use a code beginning with 099 and ending with the two-digit modifier

D) add the modifier 09966

# 99 Answer is C

Which medical insurance coding system should be used when billing medicare or medicaid ?

A) International Classification of Disease, 9th Revision, Clinical Modification (ICD-9-CM)

B) current procedural terminology (CPT)

C) Healthcare Common Procedure Coding System (HCPCS)

D) V codes

#100 Answer is A

Which of the following is the general format for describing a diagnosis due to disease under the International Classification of Disease, 9th Revision, Clinical Modificatoin (ICD-9-CM-) system ?

A) three-digit-coding for the diagnosis, followed by a decimal point, and then a one- or two-digit modifier

B) anE followed by a three-digit code, then a decimal point, and then a one-or two-digit modifier

#101 Answer is B

Which of the following is the standard claim form to be completed for situations such as inpatient admissions, emergency department services, and walk-in facilities ?

A) CMS-1500 (08-05)

B) Uniform Bill 04 (UB-04)

C) Authorization for release of medical information

D) encounter form

#102 Answer is c

When can medicare patients be held responsible for paying out of pocket expenses in addition to what is paid by the government ?

A) Never

B) if they sign a written waiver

C) if they sign an advanced beneficiary notification ( ABN)

D) in any situation that is beyond the scope of medicare