last exam

Which of the following preventative screenings are matched correctly with the age at which they should initially be completed?

a. PSA test, 50

b. Mammography, 50

c. Papanicolaou, 18

d. Colonoscopy, 45

Colonoscopy at 45 years old

When assisting a provider with a punch biopsy of a mole, which of the following tasks should a medical assistant anticipate?

a. Receive and prepare tissue specimens for processing

b. Swab fluids from the biopsy site

c. Retract the edges of the biopsy site

d. Place sutures at the incision site

a. Receive and prepare tissue specimens for processing

A medical assistant is preparing to perform an EKG on a 3-year-old patient. Which of the following is an appropriate action for the assistant to take before the procedure?

a. Restrain the child

b. Tell the child the procedure will not hurt

c. ask the parent to hold the child during the procedure

d. require the parents to leave the room

b. Tell the child the procedure will not hurt

When discharging a patient from a minor surgery, which of the following findings should a medical assistant instruct the patient to recognize as an expected part of the recovery process?

A. Temperature reading at 38C

B. Slight discomfort at surgery site

C. Continuous bleeding from wound

D. Red streaks near wound

B. Slight discomfort at surgery site

A medical assistant is adminestering ear drops to an adult patient. Which of the following actions should the assistant take?

a. Hold the dropper at least 2.5 cm (1 in) above the ear canal

b. have the patient lie supine on the examination table

c. pull the pinna down and back before instilling the drops

d. warm the medication bottle before instilling the drops

d. warm the medication bottle before instilling the drops

A medical assistant is preparing to use a glucometer to measure a patients blood glucose level. Which of the following ations should the assistant take?

a. obtain the blood sample after inserting the test stip into the glucometer

b. touch the testing pad on test strip to make sure the surface is smooth

c. apply the first drop of blood that appears after the puncture to the test strip

d. smear the blood on the test pad

a. obtain the blood sample after inserting the test stip into the glucometer

which of the following is a medical assistants priority action when handling a call from a patient who is upset about a prescription refill?

a. get the caller off the phone to avoid further negative interaction

b. place the caller on hold and get the doctor

c. stay calm and talk to the client in an empathetic tone

d. defend the actions and let the patient know why theses actions were taken

c. stay calm and talk to the client in an empathetic tone

A medical assistant s performing a capillary puncture. Which of the following steps should the assistant take to promote blood flow?

a. keep the patient’s hand above their heart

b. milk the patients finger

c. keep the patients hand below heart level

d. have the patient run cool water on their fingers

c. keep the patients hand below heart level

A medical assistant is collecting 24hr urine specimen. Which of the following should the assistant document during a 24 hr urine specimen collection?

a. pH level

b. Ketones

c. Temperature

d. volume

b. Ketones

Which of the following should the medical assistant obtain from an insurance company prior to performing an outpatient surgery?

a. remittance advice

b. referral

c. preauthorization

d. explanation of benefits

c. preauthorization

When a medical assistant is communicating with a patient who is upset, which of the following mechanism indicates the assistant is receptive and listening?

a. staring at the patient

b. rubbing the patients back

c. smiling at the patient

d. maintaining an open posture toward the patient

d. maintaining an open posture toward the patient

A medical assistant is communicating with a patient’s best friend, who is making decisions regarding the medical care of the patient, who is comatose. In which of the following capacities is the patient’s friend acting?

a. durable power of attorney

b. advance medical directive

c. legal guardian

d. financial power of attorney

a. durable power of attorney

Which of the following methods is the best way to measure the amount of body fat on a patient?

a. BMI

b. Body mechanics

c. Basal metabolic rate

d. vital signs

a BMI

When assisting a provider with a medical emergency, the medical assistant should recognize which of the following types of shock involves an excessive loss of blood or other body fluids?

a. cardiogenic shock

b. neurogenic shock

c. anaphylactic shock

d. hypovolemic shock

d. hypovolemic shock

A medical assistant is reviewing treatment options with a patient who has Grave’s disease. Which of the following treatments should the assistant expect the patient to receive?

a. corticosteroid therapy

b. dietary supplementation

c. radiation to the thyroid gland

d. growth hormone supplementation

c. radiation to the thyroid gland

A medical assistant is drawing five blood collection tubes. When should the assistant release the tourniquet?

a. after removing the needle

b. after a flash of blood is visible in the hub of the first tube

c. within 1 min of application

d. between 2-3 mins after application

c. within 1 min of application

which of the following instructions should a medical assistant provide to a patient regarding transdermal patch use and care?

a. only sponge baths are allowed while wearing the patch

b. make sure to rotate the patch’s placement to avoid skin irritation

c. keep all used patches for inspection at your next appointment

d. apply each new patch at a different time during the day

b. make sure to rotate the patch’s placement to avoid skin irritation

which of the following individual diversity factors may result in a patient’s bias toward receiving medical treatment?

a. religion

b. language

c. age

d. gender

a. religion

Which of the following should occur after exposure to chemicals in the eyes?

a. flush for 1 min

b. flush for 15 min

c. flush for 3 min

d. flush for 5 min

b. flush for 15 min

A provider is trying to rule out coronary artery disease and wants to examine the patient’s blood flow direction and speed. Which of the following cardiology diagnostic procedures should the medical assistant schedule?

a. transthoracic echocardiogram

b. transesophageal echocardiogram

c. doppler ultrasound

d. cardiac catherization

c. doppler ultrasound

In Erikson’s Stages of Psychosocial Development, which of the following stages is associated with an adolescent needing privacy and providing some independence?

a. identity vs role confusion

b. trust vs mistrust

c. intimacy vs isolation

d. initiative vs guilt

a. identity vs role confusion

When coaching a patient, which of the following is an example of disease prevention?

a. Providing hands-on instruction about how to check a blood glucose level at home

b. Providing instructions about effective hand washing

c. Providing a patient with information about annual diabetic eye exams

d. Providing an instructional video based on the patient home health care and follow up appointments

b. Providing instructions about effective hand washing

According to the CDC, which of the following is the minimum length of time recommended for using a medical aseptic handwashing after using the restroom, before and after eating, or after seeing patients?

a. Washing for at least 60 sec

b. Washing for at least 30 sec

c. Washing for at least 45 sec

d. Washing for at least 20 sec

d. Washing for at least 20 sec

Which of the following patient-centered medical home (PCMH) functions requires communication among patients, families, and all members of the care team?

a. coordinated care

b. Patient safety

c. Inventory control system

d. medical billing process

a. coordinated care

A patient weighs 78 kg. Which of the following represents the patient’s weight converted into pounds?

a. 149.6 lbs

b. 171.6 lbs

c. 191.6 lbs

d. 179.6 lbs

b. 171.6 lbs

Which of the following health care plans will provide medical care for indigent patients who meet specific eligibility requirements?

a. CHAMPVA

b. Tricare

c. Medicaid

d. Workers’ compensation

c. Medicaid

A medical assistant is preparing a patient for an examination of their back and hip. The assistant should place the patient into which of the following positions?

a. lithotomy position

b. prone position

c. supine position

d. fowlers position

b. prone position

A medical assistant is caring for a child who has varicella zoster virus. The assistant should recognize that varicella is spread through which of the following modes of transmission?

a. airborne

b. bloodborne

c. vector-borne

d. foodborne

a. airborne

A medical assistant is performing a venipuncture procedure. According to the order of draw, which of the following tubes should the assistant draw after the lavender tube?

a. Gray

b. Green

c. Red

d. Light blue

a. Gray

When managing safe handling and storage of vaccines, which of the following actions should a medical assistant take?

a. Store commonly accessed vaccines in the door shelves

b. Place a thermometer in both the refrigerator and the freezer

c. Update the health department’s vaccine management policies on an annual basis

d. Store food and drinks in the vaccine refrigerator on a separate shelf

b. Place a thermometer in both the refrigerator and the freezer

A medical assistant is checking a patient in for a sex reassignment preoperative appointment. How should the assistant identify the patient’s gender?

a. identify the patient as gay

b. address the patient as they wish

c. address the patient using their assigned birth sex

d. identify the patient as queer

b. address the patient as they wish

A medical assistant is checking a patient’s hearing using the Rinne test. Which of the following actions should the assistant take?

a. Position the vibrating tuning fork on the top of the patient’s head.

b. Invert the vibrating tuning fork and place it 5 cm in front of the ear canal

c. Ask the patient to raise their hand when they no longer hear any sound

d. Place headphones over the patient’s ears and adjust for comfort

c. Ask the patient to raise their hand when they no longer hear any sound

A medical assistant is reinforcing instructions with a patient about how to take a buccal tablet. Which of the following instructions should the assistant give the patient?

a. swallow the tablet whole

b. place the tablet under your tongue

c. dissolve the tablet in water

d. place the table between your gums and cheek

d. place the table between your gums and cheek

A medical assistant is speaking with a patient who has seasonal allergies. Which of the following health care providers should the assistant identify as being able to make a diagnosis and initiate the necessary treatment?

a. Pharmacist

b. Physician Assistant

c. Respiratory therapist

d. Registered nurse

b. Physician Assistant

Which of the following are considered the two greatest sources of contamination once a sterile field is established?

a. Hands and elbows

b. Hands and hair

c. Elbows and breath

d. Breath and hair

d. Breath and hair

Which of the following is the preferred site when performing venipuncture on children younger than age 2 ?

a. dorsal hand vein

b. cephalic vein

c. basilic

d. medial vein

a. dorsal hand vein

Which of the following therapeutic communication techniques is a clinical medical assistant using when providing feedback and using the phrase, “you feel that…”

a. reflection

b. paraphrasing

c. clarification

d. summarizing

a. reflection

According to the CDC, which of the following information must be on a vaccine inventory log?

a. refrigerator temperature

b. patient’s medical record number

c. date vaccine was ordered

d. manufacturer

d. manufacturer

A patient receives a referral to an oncologist. Which of the following types of the office visit is this considered?

a. established patient

b. inpatient visit

c. consultation-office

d. surgical visit

c. consultation-office

Which of the following is the purpose of monthly financial reconciliation?

a. to ensure the financial records of the medical practice match the information provided on a bank statement

b. to ensure patients are paying the medical practice in a timely manner

c. to ensure all insurance claims are filed in a timely manner

d. to ensure the practice does not get audited by the IRS

a. to ensure the financial records of the medical practice match the information provided on a bank statement

Which of the following is important when a medical assistant is verbally communicating with a patient?

a. the assistant should be clear and concise

b. the assistant should speak loudly

c. the assistant should be passive

d. the assistant should communicate aggresively

a. the assistant should be clear and concise

Which of the following types of allergy testing involves applying an allergen to the skin to help detect delayed allergic reactions?

a. percutaneous testing

b. patch testing

c. intradermal testing

d. radioallergosorbent testng

b. patch testing

Which of the following diseases should a medical assistant recognize as mandatorily reportable to the state?

a. Tuberculosis

b. Influenza

c. Gestational diabetes

d. Respiratory syncytial virus (RSV)

d. Respiratory syncytial virus (RSV)

A medical assistant in an acute care facility is checking in a patient who has a deep laceration. The patient tells the assistant they cannot accept blood transfusions due to their religious beliefs. Which of the following actions should the assistant take?

a. document the statement in the patient’s medical record

b. obtain a specimen for blood type cross and match

c. inform the patient a transfusion is mandatory for their treatment

d. have the patient sign and against medical advise form

a. document the statement in the patient’s medical record

Which of the following is a crucial process used to ensure reliability of test results by detecting and eliminating errors?

a. quality control

b. medical asepsis

c. hand hygiene

d. infection control

a. quality control

A medical assistant is caring for a patient who is terminally ill and has been crying uncontrollably as well as refusing to eat or see their family. The assistant should identify this as which of the following Kubler-Ross stages of grief?

a. Depression

b. Acceptance

c. Denial

d. Anger

a. Depression

The American Society (ACS) recommends female patients who are considered at average risk of breast cancer to start having yearly mammograms at which of the following ages?

a. 44 years old

b. 40 years old

c. 45 years old

d. 55 years old

c. 45 years old

A medical assistant is preparing to draw venous blood samples. OSHA regulations require the assistant to wear which of the following personal protective equipment while performing this procedure?

a. surgical mask

b. gloves

c. eye protection

d. gown

b. gloves

When scheduling a new patient which is the right amount of time to block off?

a. 30 minutes

b. 60 hour

c. 15 minutes

d. 80 minutes

a. 30 minutes

When processing incoming mail, which of the following steps should a medical assistant take if they are unsure how to process one of the items received?

a. Open the mail to see what the contents are and then provide it accordingly

b. Give up the mail to the office manager and ask the manager to determine how to handle them

c. Return the mail to the sender with a note that it cannot be delivered

d. Post the piece of mail on the office bulletin board with a note asking who should receive it

b. Give up the mail to the office manager and ask the manager to determine how to handle them

A medical assistant should identify that which of the following hematocrit values is out of the expected reference range?

a. 44 male w/ hematocrit reading of 46%

b. 46 female w/ hematocrit reading of 32%

c. 28 female w/ hematocrit reading 39%

d. 29 male w/ hematocrit reading 50%

b. 46 female w/ hematocrit reading 32%

• For adult males: 41% to 50%

• For adult females: 36% to 44%

A patient who has an acute illness calls to schedule an appointment. According to best practices, in which of the following time frames should the patient’s appointment be scheduled for?

a. within an hour

b. the same day

c. within the next week

d. the following clinic day

b. the same day

Which of the following should a medical assistant ensure when obtaining prior authorization for a referral?

a. follow guidelines of the patient’s insurance company on how to obtain a referral

b. have the patient contact utilization management for a referral

c. inform the patient that authorization has been approved

d. tell the patient prior authorization is obtained after their visit

a. follow guidelines of the patient’s insurance company on how to obtain a referral

A medical assistant is labeling a blood sample for anemia. Which of the following tests should the assistant label on the requisition form?

a. Erythrocyte sedimentation rate

b. Hemoglobin A1C

c. Borrella burgdorferi antibodies

d. STAT-CRIT hematocrit

d. STAT-CRIT hematocrit

When completing documentation in a patients paper medical record, a medical assistant realizes they made an error. Which of the following actions should the assistant take?

a. Leave the error in the medical record

b. Draw a line through the error and initial it

c. Erase the entry in the medical error

d. Use correction fluid to correct the entry

b. Draw a line through the error and initial it

A patient is upset and states, “The hospital and insurance company are just trying to get money. I eat good and exercise, so I know I don’t have cancer.” The medical assistant should recognize the patient is using which of the following defense mechanisms to cope with their cancer diagnosis?

a. Suppression

b. Rationalization

c. Repression

d. Displacement

b. Rationalization

Which of the following techniques should a medical assistant use for the routine cleaning of EKG cables?

a. Disinfection

b. Sanitization

c. Sterilization

d. Soaking

a. Disinfection

Which of the following preventative screening tests is recommended for a patient who is 45 years old?

a. Electrocardiogram

b. Bone density

c. Lung cancer screening

d. Dilated eye exam

d. Dilated eye exam

electrocardiogram for patients with symptoms, bone density at 65 years old, lung cancer for smokers aged ~50 years old

When preparing for a patient’s scheduled office visit, which of the following components of the medical history should a medical assistant review to identify any surgeries the patient has had?

a. demographic info

b. past medical history

c. chief complaint

d. history of present illness

b. past medical history

A medical assistant is preparing to administer a liquid oral medication to a patient. Which of the following methods should the assistant use to ensure administration of the correct dose?

a. measure the dose at the top of the meniscus in the medicine cup

b. add slightly more than the prescribed dose to account for the medication adhering to the sides of the cup

c. pour the medication into the container’s lid for easy administration

d. pour the medication to the prescribed dose in the medicine cup on a flat surface

d. pour the medication to the prescribed dose in the medicine cup on a flat surface

A medical assistant is scheduling a patient for an outpatient procedure. Which of the following should the assistant take first?

a. obtain prior authorization for the procedure with the patient’s insurance company

b. obtain an oral or written order from the provider for the procedure

c. call the outpatient facility to inquire about available days and times for the procedure

d. contact the patient to find out their availability for the procedure

b. obtain an oral or written order from the provider for the procedure

Which of the following procedures takes into consideration the 3 D’s - depth, diameter, and direction?

a. capillary puncture

b. venipuncture procedure

c. wound care process

d. pulmonary function test

b. venipuncture procedure

A medical assistant is disposing of the syringe and needle used to administer a seasonal influenza vaccine. Which of the following actions should the assistant take?

a. recap the needle before discarding it in the biohazard sharps container

b. use a gauze square to break off the needle and place it in the biohazardous sharps container

c. drop the syringe, needle first, into the biohazardous sharps container

d. replace the biohazardous sharps container once it is half full

c. drop the syringe, needle first, into the biohazardous sharps container

When scheduling a routine Pap test and Human papillomavirus (HPV) test for a 55 year old patient, which of the following guidelines should the medical assistant follow?

a. 6 months to 1 year

b. 1 to 2 years

c. 2 to 3 years

d. 3 to 5 years

d. 3 to 5 years

A medical assistant can provide care coordination and community resources through which of the following roles?

a. patient navigator

b. occupational therapist

c. medical technologist

d. physician assistant

a. patient navigator

A medical assistant should educate a patient on which of the following prior to scheduling a pulmonary function test?

a. the patient should be educated on the importance of taking a sedative prior to the test

b. the patient should be instructed to drink 240 mL of water 1 hr prior to the test

c. the patient should be instructed not to smoke 1 hr prior to the test

d. the patient should be instructed on how to sit for the test

c. the patient should be instructed not to smoke 1 hr prior to the test

A medical assistant is preparing to complete an 837P/CMS-1500 claim form. Which of the following components of the form identifies the practitioner who provided the submitted services?

a. patient’s account number

b. national provider identifier

c. service facility location information

d. employer identification number

b. national provider identifier

A medical assistant is preparing the autoclave for the sterilization process. Which of the following temperatures is recommended to effectively perform sterilization?

a. 66 - 68 C / 150 - 155 F

b. 121 - 123 C / 250 - 255 F

c. 82 - 85 C / 180 - 185 F

d. 138 - 141 C / 280 - 285 F

b. 121 - 123 C / 250 - 255 F

Which of the following statements is true of a schedule III drug?

a. the prescriber can authorize the prescription refills over the phone

b. the prescriber must call in the prescription to the pharmacy

c. the prescriber must submit the written prescription to the pharmacy within 7 days of phoning into the pharmacy

d. the prescription cannot include refills

a. the prescriber can authorize the prescription refills over the phone

Schedule III drugs can be called in, faxed, written, etc.

Option C is specific to emergent oral Schedule II drugs.

Schedule III drugs can include up to 5 refills in 6 months, after it will need a brand new Rx

Which of the following is the term for the allergy test that involves small injections just under the skin?

a. percutaneous test

b. patch test

c. intradermal test

d. radioallergosorbent (RAST) test

c. intradermal test