CCMA Practice Exam 180

Which of the following situations requires the completion of a release of medical information form?

When a patient transfers records to a new physician

To bill the patient's insurance company

To send the patient's records to a consulting physician

To determine the patient's eligibility for insurance benefits

When a patient transfers records to a new physician

When the same dose of a drug no longer produces the desired effect, it is said that the patient has developed

An idiosyncratic reaction

A drug tolerance

A drug interaction

An allergic reaction

A drug tolerance

Which of the following letters would most likely be signed by the medical assistant?

Order for office supplies

Letter dictated by the physician to a patient

Letter to another physician about a consultation

Medical reports to an insurance company

Order for office supplies

Which of the following is NOT included in the medical history?

Accidents and injuries

Occupation

Immunizations

Medications

Operations

Occupation

Assuming that an elderly patient will have a difficult time understanding the directions for how to take medication is an example of:

a. Prejudice b. Stereotyping c. Encoding d. Rationalization

Stereotyping

When is the physician reimbursed directly for his services by the insurance company?

Always

If the patient has signed an assignment of benefits form

Never

If the patient has signed a written consent for treatment

If the patient has signed an assignment of benefits form

Why is it important for a medical assistant to be aware of guidelines for medical necessity?

To link procedure codes to correct diagnosis codes

To determine what diagnostic tests should be ordered for patients

To use a variety of codes instead of overusing certain codes

To be sure that codes reflect a high enough level of service

To link procedure codes to correct diagnosis codes

When should a comma be used to separate elements in a series?

If it is necessary for the understanding of the sentence

If there are four, five, or more elements

If there are two or more elements

If there are three or more elements

If there are three or more elements

What should the medical assistant verify for accuracy at each visit for an established patient?

The patient's address and telephone number

The patient's Social Security number

The patient's clinic number

The patient's marital status

The patient's address and telephone number

Which of the following could result in the medical assistant becoming infected with a pathogen?

Having an open sore on the hand

Licking a label for a specimen container

Eating while testing a microbiologic specimen

Drinking coffee in the office laboratory

All of the above

All of the above

Which of the following are asthma triggers?

Tobacco smoke

Vigorous physical exercise

Animal dander

All of the above

House dust

All of the above

Otodynia

Incision into the eardrum

surgical procedure that breaks up stones

pain in the ear.

runny nose

pain in the ear.

au:

left eye

both eyes

right ear

both ears

right eye

left ear

both eyes

Which of the following vital signs can be expected in a child that is afebrile?

a. Rectal Temp of 100.9 degrees F. b. Oral Temp of 38 degrees C. c. Axillary Temp of 98.6 degrees F. d. All of the above are incorrect.

Axillary Temp of 98.6 degrees

Which of the following is NOT a guideline for the proper care of a microscope?

Clean the lenses of the microscope with gauze or tissue.

Store the microscope with the nosepiece rotated to the low-power objective.

Clean the enameled surface of the microscope with soap and water.

Carry the microscope with two hands.

Clean the lenses of the microscope with gauze or tissue.

Assets are:

a. Securities b. Machinery c. Merchandise d. All of the above.

All of the above.

The CPT Coding Book:

a. provides a 5 digit code for all procedures or services that may be performed on a patient. b. provides numeric codes that allows for easier communication with insurance providers. c. is divided into six sections. d. All of the above.

is divided into six sections.

Which of the following needles has the largest lumen?

25 G

18 G

27 G

20 G

18 G

The purpose of a peak flow meter is to

Measure how quickly air flows out of the lungs

Diagnose asthma

Deliver asthma medication to the lungs

Prevent an asthma attack

Measure how quickly air flows out of the lungs

What type of computer program does the medical assistant usually use to prepare letters?

Database.

Spreadsheet.

Letters are usually prepared on a typewriter, not the computer.

Word processing.

Word processing.

Which of the following must be included in informed consent?

All of the above

An explanation of risks involved with the procedure

Any alternative treatments or procedures available

The purpose of the recommended procedure

The prognosis

All of the above

What is the past medical history?

The symptom causing the patient the most trouble

The hereditary diseases and health of blood relatives

The patient's previous diseases, injuries, and operations

Information about the patient's lifestyle

The patient's previous diseases, injuries, and operations

How does a classification system become a coding system?

Names are replaced by numbers and letters.

Names are arranged in alphabetic order.

Names are shortened to abbreviations.

Letters in the names of items are rearranged.

Names are replaced by numbers and letters.

Even if a patient's account is being paid by capitation, a billing record is usually kept for that patient.

T/F

True

With reverse chronological order, the most recent document is

Filed by subject title

Placed in front of the other documents

Placed in back of the other documents

Filed alphabetically

Placed in front of the other documents

The medical term, "diaphoresis," means:

a. Profuse vomiting b. Profuse sweating c. Gasping for air d. None of the above.

Profuse sweating

lying on the back, knees bent, feet held apart with stirrups

Trendelenburg

Fowler's

Sims'

Lithotomy

Lithotomy

How many leads are there on a standard electrocardiogram?

7

15

5

12

12

This is the part of the prescription form that indicates the names and quantities of ingredients to be included in the medication.

a. Inscription b. Superscription c. Subscription d. Rx

Rx

In the ICD-10 code M84.50xA, what is the function of the "x"?

It indicates whether it the visit is the initial visit, or a subsequent visit.

It determines the number of sites of involvement for the condition.

It makes the code more specific by indicating right or left.

It is a placeholder for information that is not specified.

It is a placeholder for information that is not specified.

In a source-oriented record, a radiology report is filed under which of the following chart dividers?

Hospital

Progress Notes

Lab/X-ray

History and Physical

Lab/X-ray

Who is responsible for giving the patient written instructions before surgery?

The surgeon's office

The hospital or day surgery center

Written instructions are not necessary

The primary care physician's office

The surgeon's office

What system schedules three or four patients every half hour, who are seen in the order they arrive?

Wave

Stream

Clustering

Modified wave

Wave

Who proposed the Hierarchy of Needs?

a. Maslow b. Freud c. Erikson d. Skinner

Maslow

Non-Verbal Communication is:

a. Not the most utilized form of communication b. Uses facial expression and body language to send messages c. Most often used when sending messages over email or telephone d. An ineffective manner of communication

Uses facial expression and body language to send messages

↑ dosage to 3mg q.i.d.

Increase dosage to 3 mg and then pt will quit in 1 day

Increase dosage to 4 mg three times a day

Increase dosage to 3 mg four times a day

Increase dosage to 3 mg every other day

Increase dosage to 3 mg four times a day

Which of the following helps a medical assistant the most to present a professional appearance?

Wearing small earrings that do not dangle

Wearing stylish white shoes with 2-inch heels

Wearing artificial nails with red polish

Making sure to wear a hair net or hat at all times

Wearing small earrings that do not dangle

Which of the following requires a food label?

Packaged foods

Fresh fruits

Restaurant food

Fresh vegetables

Packaged foods

Malpractice that has been ruled because of a physician's failure to act is a form of:

a. Misfeasance b. Malfeasance c. Infeasance d. Nonfeasance

Nonfeasance

Intramuscular injections

An amount up to ___ ml can be injected into the gluteal or vastus lateralis muscles in normal size adults

3

1

5

2

3

All of the following are high in dietary cholesterol EXCEPT:

Egg whites

Liver

Shellfish

Milk

Egg whites

The most commonly abused drug in children under 18 is:

a. Alcohol b. Marijuana c. Crack d. Cocaine

Alcohol

Which of the following may occur when the body cannot maintain an adequate oxygen level?

All of the above

Death

Body system failure

Organ failure

Death of cells

All of the above

Which of the following helps to reduce the pain of an IM injection?

Allowing the alcohol/antiseptic to dry completely

Withdrawing the needle at the same angle as that used for insertion

Holding the needle steady after inserting it

Inserting the needle quickly into the patient's skin

All of the above

All of the above

The transfer of pathogens on a fine spray of moisture droplets is known as

Inoculation

Susceptibility

Indirect transfer

Droplet infection

Droplet infection

Which of the following is a characteristic of soluble fiber?

It makes an individual feel full longer

Good food sources include oatmeal, applies, broccoli, and legumes

All of the above

It helps to lower blood cholesterol

All of the above

Which of the following is an example of an empty calorie food?

Cake

All of the above

Candy

Cookies

Soft drinks

All of the above

Carrie Engles comes to the office for an employment physical and complains that her right ear has been itching. Dr. Canthus examines her ears and asks Cammie Lindner, CCMA, to perform an irrigation on Carrie's right ear to remove cerumen. All of the following are appropriate steps for performing an ear irrigation except

Ensuring that the tip of the syringe seals the opening of the ear canal

Expelling air from the syringe

Placing Carrie so that her head is tilted toward her right ear

Directing the solution toward the roof of the ear canal

Ensuring that the tip of the syringe seals the opening of the ear canal

During a routine examination, the physician decides to have an electrocardiogram (ECG) performed on the patient. How should this be coded?

Only if the physician interprets the ECG

As a separate procedure

As a separate visit

In the code for the office visit

As a separate procedure

After performing the ear irrigation, the MA should relay the following information to the patient:

You may not be able to hear well for a while.

You may have a blood-tinged drainage for a few days.

You need to lie on your left side.

Your ears will feel sensitive for a little while.

Your ears will feel sensitive for a little while.

All of the following are guidelines for patient preparation for an ECG except

Do not apply body lotion or oil on the day of the test

Women should not wear tights

Wear comfortable clothing

Do not consume food or fluids except water for 12 hours before the ECG

Do not consume food or fluids except water for 12 hours before the ECG

To most accurately measure medication,

a. Use a syringe that is closest in volume to the amount of medication needed. b. Read oral medication volume that is poured into a small measuring cup at eye level. c. Double check the order for accuracy. d. All of the above.

All of the above.

All of the following are examples of pulmonary function tests except

Diffusion capacity

Pulse oximetry

Arterial blood gas studies

Coronary angiography

Coronary angiography

All of the following are characteristics of a low range peak flow meter except

Is used by children

Is used by adults

You Answered Can be purchased OTC

Ranges from 0 to 300

Is used by adults

Which of the following is a sequela to streptococcal sore throat?

Rheumatic fever

What is done if a patient has a positive reaction to a Mantoux test?

Further diagnostic procedures are performed.

Which of the following cases is most likely to be tried in a small claims court?

Failure to pay two months' rent before moving out of an apartment

f/u

follow up

What occurs in the body when more calories are used for energy by the body than are consumed?

Calorie deficit

Which of the following must be included in a prescription for a controlled drug?

Physician's DEA number

Which Stage of Grief is exhibited in the following scenario: A patient has reported that after the loss of his spouse, he has been having difficulty sleeping and has been agitated. He doesn't have the motivation to complete day to day tasks.

a. Denial b. Anger c. Depression d. Acceptance

Depression

How often should the medical office purchase new code books or computer code sets?

Annually

Why was diagnostic coding originally developed?

To track disease processes

To evaluate hospital service utilization

To collect data for medical research

To classify the cause of disease

All of the above

All of the above

After printing a letter to be sent by the medical office, a medical assistant notices that a word is not spelled correctly. What should the medical assistant do?

Correct the computer file and reprint the letter.

A web site is a useful tool for providing information about a medical practice to the practice's patients and the general public. T/F

True

Because a medical assistant works for a primary care physician, what types of patients are seen in his office?

Individuals older than 60

All of the above

Children

Adults

All of the above

Which part(s) of a standard letter is/are not used in the simplified letter style?

Salutation and complimentary closing

What should the medical assistant know about each type of insurance accepted by the medical office?

The specific procedures covered by type of insurance

The procedure for taking a pulse rate on an infant differs from an adult how?

a. Pulse rates are not taken on infants. b. The apical pulse method is used on infants. c. Pulse rates on infants are taken with a sphygmomanometer. d. Pulse rates on infants are taken apically in the third intercostal space.

The apical pulse method is used on infants

The mitral valve is synonymous with the term:

a. Left ventricle b. Right atrium c. Bicuspid valve d. Tricuspid valve

Bicuspid valve

How do insurance companies use diagnosis codes?

To decide whether the care given corresponds to the patient's disease

Mary and Tom Weatherly are both covered by a family health insurance plan. Whose plan is the primary plan for their children?

Whoever's birthday comes first in the year

After what period does an account require additional collection activity?

120 days

The health history is taken

Before the physician performs the physical examination

When depositing checks in the bank:

a. A deposit ticket must be filled out. b. Bills and checks must be listed individually c. A signature is needed to withdraw cash. d. All of the above.

All of the above.

Which of the following is a unit of volume?

Liter

How is a bandage wrapped?

Distal to proximal

Where would your office obtain additional legal copies of Medicare forms?

a. From an agency listed in the Medicare fiscal agencies directory. b. Internal Revenue Service c. Centers for Disease Control d. A local CHAMPUS office

From an agency listed in the Medicare fiscal agencies directory.

Which condition is the lowest priority and could wait until an available appointment in 1 or 2 days?

Cold with runny nose

What federal law contains restrictions about the way a debt collector can treat a debtor and prohibits harassment and threats against individuals who owe money?

Fair Debt Collection Act

When performing CPR, at what rate should chest compressions be applied? Choose the MOST CORRECT answer

a. 115 per minute b. 60 per minute c. As quickly as possible. d. 200 per minute

115 per minute

What is the usual treatment for an anaphylactic reaction?

Epinephrine injection

An expansion of the chief complaint is known as the

Present illness

Which of the following will increase the owner's equity?

a. Drawing b. Revenue c. Expenses d. None of the above.

Revenue

The medical assistant must look up CPT codes for most office visits and office procedures in the CPT manual before entering patient charges into the computer. T/F

False

What is the term for a food that has vitamins and minerals added to it to replace those lost during processing of that food?

Enriched food

Which of the following conditions can result from a deficiency of vitamin C?

Easy bruising

Poor wound healing

Bleeding gums

Muscle cramps

All of the above

All of the above

Which of the following microscopes has adjustment knobs that allow movement of the slide in a vertical or horizontal position?

Mechanical stage microscope

The section of the CPT manual that contains the most codes is the Evaluation and Management section. T/F

False

fungus

myc/o

All of the following provide kilocalories for the body EXCEPT:

Dietary fiber

Fat

Protein

Carbohydrates

Dietary fiber

Leads 1, 2, and 3 are the

Bipolar leads

What are the three necessary components of communication?

a. Sender, Receiver, Feedback b. Sender, Message, Receiver c. Message, Feedback, Clarification d. Sender, Interpretation, Receiver

Sender, Message, Receiver

Which of the following is an administrative duty that might be assigned to a medical assistant ?

Maintaining the office appointment schedule

The maximal reaction to a skin-prick test occurs between

15 and 20 minutes

Which of the following activities is the medical assistant likely to perform just as patients start arriving?

Print appointment schedules for each physician.

The amount of medication to be given for a subcutaneous injection should not exceed

1 ml

If a patient will be admitted to the hospital, admitting orders must be telephoned or faxed from the attending physician's office before the patient is admitted. T/F

True

Which of the following does a patient with a latent tuberculosis infection NOT exhibit?

Is unable to spread TB to others

Has a normal chest X-ray

Has a negative reaction to a TB test

Has no symptoms

Has a negative reaction to a TB test

The procedure used to remove the gall bladder is called:

a. Cholecystectomy b. Cholelithiasis c. Colectomy d. Cystorrhaphy

Cholecystectomy