NHA CCMA exam Mega Review

What is benzoin tincture used for?

Clean the skin before applying an adhesive dressing

What is an example of health coaching?

Meeting the patient's needs is the primary reason the assistant should refer the patient to community resources. This action demonstrates health coaching.

What are the four primary uses for the medical records?

a legal document, a record of treatment actions, a form of communication between healthcare professionals, and a research tool.

What kind of mail is the highest priority?

Certified mail

What is an organizational chart?

The visual representation of an company's structure

What is tidal wave scheduling?

Open hours, like in an urgent care

What does a widened QRS complex indicate?

Premature ventricular contraction (PVC)

What is the correct color tube for a sedimentation rate?

Lavender (EDTA prevents coagulation)

When are phlebotomy tubes labeled?

Before the patient is discharged

How many drops of developer on FOBT card?

2

What is the specific gravity urine range?

1.001-1.03

What is the urine pH range?

4.5-8.0

How long is swab left in a strep test?

one minute

What is the specific gravity urine range?

1.001-1.03

How many minutes after collection is an FOBT card developed?

3-5 minutes

How long after placing drops should results be read?

one minute

What is ultrasonic sterilization used for?

Delicate instruments

A provider has instructed a medical assistant to prepare a wound for suturing. When performing basic wound care, which of the following steps should the medical assistant take to ensure proper cleansing of the wound area?

Wipe the center of the wound with an antiseptic swab moving from the center to the edges

What position should a patient be placed in to examine the dorsal cavity?

Prone

How often is a tDap booster given?

Every 5-10 years

What does a low-fiber, high fat diet put a patient at high risk of?

colorectal cancer

What does the golgi apparatus synthesize?

carbs/glycoproteins

What does the endoplasmic reticulum synthesize?

lipids. also acts as structure for transport

What does sleep apnea increase the chances of?

CVA

How is registration tested in the MMSE?

Repeating words back?

How is orientation tested in the MMSE?

Asking time, date, and place

How is attention and calculation tested in the MMSE?

Counting/spelling backwards

How is language tested in the MMSE?

Three-step commands, such as copying a design

What does Haemophilus influenzae cause?

bacterial meningitis

What is compensation?

making up for weakness in one area by succeeding in another area

What is the hallmark system of moderate-severe anxiety?

Icreased pulse and respiratory rate

What's an important part of patient education in a high-protein diet?

must also contain carbs or else the body will break down proteins for energy

Is cholesterol required on food labels?

Yes

Is sodium required on food labels?

Yes

What foods are high in vitamin D?

Fish, fortified dairy, egg, butter

Is potassium required on food labels?

Yes

Is polyunsaturated fat required on food labels?

No

What kind of fat is required to be on food labels?

Trans, Sat, Total

What is loperamide?

Anti-diarrheal

What is half life?

The time is takes your body to process and eliminate half of the dosage

What is clonazepam?

anticonvulsant, benzodiazepine

What is alprazolam?

Xanax

Bulimia vs Anorexia

Bulimia involves maintaining a normal body weight. Both can have bingeing and purging. Anorexics do not have normal period and have ritualistic behaviors. Bulimia has dental changes from vomiting and use laxatives. Anorexic patients often report not feeling hungry but have protruding bones.

What aspect of a nutrition label helps to not underestimate nutrient amount in something?

Serving size

What nutrient helps with absorbing fat soluble vitamins

Oils

What nutrient helps with regulating muscle activity and heart activity?

electrolytes and minerals

What nutrient helps with body heat?

Protein-rich foods

How does water affect temperature?

Helps regulate body temperature

What is not a required fact on nutrition labels?

Sugar alcohol

What's a good source of vitamin A?

Yellow and orange foods

What vitamin helps with blood coagulation?

Calcium and Vitamin K

Minimum recommended daily water intake

2L

What color are gram positive/gram negative bacteria?

Purple/pink

What is a tonometer used for?

intraocular pressure

What fingers should be used in capillary puncture?

Third or fourth digit

What direction is a lancet used?

Perpendicular to fingertip grooves

How many digits in primary CPT code?

Five

What is a hiatal hernia?

It is when a portion of the stomach herniates through the diaphragm, into the thorax.

What is an incisional hernia?

tissue protudes at a surgical site

What is an inguinal hernia?

part of the bowel protrudes out of the inguinal canal

What should be done when weighing an infant?

Place a towel on the scale to keep them warm and remove their diaper

What color wire is the ground wire in an EKG?

Green

What is a fluctuating fever that doesn't return to normal?

Remittent fever

-dynia

Pain

What is a fee schedule?

A list of specified fees a physician charges for services

What is a rheumatic fever?

- joint pain 10-14 days after sore throat

What is a preventative medicine doctor?

Mental illness, physical illness, and disability through patient education and analyzing patient health needs

Which step in instrument preparation after use in a procedure is the sanitization step?

Scrubbing under water (reduce number of microorganisms)

What are category I, II, and III codes used for?

Procedure, performance tracking, emerging procedures

What is hydrogen peroxide used for?

Clean wound infections

What is isopropyl alcohol used for?

Phlebotomy procedures other than blood cultures

What is chlorhexidine used for?

Blood culture phlebotomy

A medical assistant is performing spirometer testing for a patient who has shortness of breath. Which of the following results of the spirometer test indicates a successful maneuver?

A fast and steady flow with no variability

When informed consent is required for a procedure, which of the following steps should occur before the patient signs the form?

The provider should review alternative procedures with the patient.

A provider places an open sharps container in the linen hamper by mistake. What actions should the medical assistant take?

Dispose of the linen hamper's contents as a biohazard.

A patient arrives at a clinic with a bill for x-rays that were required due to an injury at the patient's place of employment. The patient has private insurance and should recognize that which of the following parties is responsible for payment of this bill?

Paid in full by workers' compensation. Any remaining balance should be written off by the clinic.

How long should intercourse stop before a Pap test?

24 hours

How long should a patient avoid douching before a Pap test?

2-3 days

Can patients use an over the counter vaginal cream prior to a Pap test?

No

Do patients need to stop taking oral birth control before a Pap smear?

No

Does the palpatory method of obtaining blood pressure use the radial or brachial artery?

Raidal

A patient reports getting a bill that includes services she did not receive. Which of the following actions should a medical assistant take to reconcile these charges?

Review that day's encounter forms to determine if another patient received the services.

An MA has a request to collect a routine CBC from a health 10-month-old infant. Which of the following is the most appropriate collection site?

Left heel. Cubital veins can cause unnecessary trauma up to the age of 2.

What EKG artifact is caused by a disconnected electrode and results in the training going into the margins of the paper?

Interrupted baseline.

How do you cleanse an IM immunization site?

Back and forth motion

How do you calculate a heart rate from an EKG tracing?

Divide 1500 by the number of small boxes between two R waves. The mean rate is used to calculate an irregular rhythm

What is the expected range for sodium levels?

135-145 mEg/L

What is the expected range for RBC?

4.2 to 6.1 mm^3

What is the expected range of platelets?

130-400/mm^3

What is the expected range for potassium?

3.5-5 mEq/L

A medical assistant receives a denial of payment for a patient's cholecystectomy. The reason stated is "no covered service" If this procedure was deemed emergent by the provider, which of the following actions should the assistant take?

Instruct the patient to contact the insurer about the denial of payment. The asistant serves as an advocate on behalf of the patient in terms of tx and care. In an instance of denial of payment due to a non covered service, it is the responsibility of the patient to contact the insurer to discuss any existing disputes regarding payment.

What is a modifier used for?

Provide further clarification when used in conjunction with a category I code

What is a category III code?

Used as a temp code for emerging procedures or services that have not yet been added to the CPT manual

What is a category II code used for?

Track provider performance measures, such as preventative care for cancer disorders and substance use tx plans.

What are Z codes?

Identifies preventative tx or measures in the ICD-10-CM system.

When should the code on glucose curettes be compared to the code on the glucometer?

Every time the glucometer is used before a patient is tested.

A medical assistant is reviewing a Medicare claim denial. The assistant determines that there are charges that exceed the usual, customary, and reasonable fees. What action should the assistant take?

Adjust the patient's account to reflect no unpaid charges and write off the balance. According to Medicare guidelines, the fee schedule must follow the usual, customary, and reasonable requirements for repayment. The charges on the patient's account should be written off.

A medical assistant is faxing a prescription to a patient's pharmacy. Which of the following actions should the MA take?

Call the pharmacy to confirm receipt of the faxed prescription. The provider should verify and sign the prescription before it is faxed and the confirmation of transmission. Message should be filed. All faxes require a cover page.

At what time of day is a patient's body temp the lowest?

Morning, peaks in late afternoon.

How is varicella zoster transmitted?

Airborne and contact