CCMA Review 2020: Medical Procedures, Standards, and Patient Care

What should a patient do before a scheduled pulmonary function test?

Refrain from using bronchodilators.

What should a medical assistant use when sending out reminders for yearly appointments?

A tickler file.

What should a medical assistant do if quality control testing on urine dipstick tests fails?

Verify the reagent solution expiration date.

What criteria are used to determine BMI?

Height and weight.

What method should a medical assistant use when weighing a patient with balance issues?

Have the patient sit in a chair on the scale.

What instruction should a medical assistant give regarding a Holter monitor with an event marker?

"Press the marker when symptoms begin."

Which resource should a medical assistant consult for accreditation standards?

The Joint Commission.

What action should a medical assistant take when performing ear irrigation?

Ensure the solution is warm prior to use.

What route should be used for an insulin injection?

Subcutaneous.

What supplies should a medical assistant prepare for a physical exam of a patient with a sore throat?

Otoscope.

What type of passive-aggressive behavior is demonstrated by pretending to be busy?

Avoidance.

What should a medical assistant check prior to obtaining an EKG tracing?

Check paper level.

What is the current universal claim form for outpatient medical billing?

CMS-1500.

What should a medical assistant do after obtaining an elevated blood pressure reading from an upset patient?

Recheck the blood pressure after a few minutes.

What factor should a medical assistant consider when performing a capillary collection on a child?

Child's age.

What information should be documented after administering an influenza vaccination?

Expiration date and lot number.

What response indicates a patient is in the basal state prior to a procedure?

"I have not eaten anything for 12 hours."

What statement should a medical assistant provide to ensure HIPAA compliance?

Confidentiality statement.

What action should a medical assistant take when removing sutures?

Perform a sterile hand scrub.

What should a medical assistant obtain for a patient with a managed care plan requiring surgery?

Prior authorization.

How should osteomalacia be identified?

The softening of the bone due to vitamin D deficiency.

Escherichia coli is classified as what type of bacteria?

Gram-negative bacillus.

How should a medical assistant handle a partner demanding patient information without authorization?

Advise him that privacy regulations prevent releasing patient information.

Which tube should be drawn second when collecting blood cultures, CBC, PIT, and an iron panel?

Light Blue.

What item is required to properly process instruments in an autoclave?

Sterilization indicators.

What term describes a micro-organism's ability to grow in the absence of oxygen?

Anaerobic.

What manifestation is associated with infectious mononucleosis?

Extreme fatigue.

Where should a medical assistant obtain a patient's temperature using a temporal artery thermometer?

Forehead.

Which allied health professional should be referred for a patient with an increased hemoglobin A1c level?

Endocrinologist

What is a sign of possible substance abuse during a patient interview?

Erratic thought pattern

What is the term for giving a patient adequate information about a procedure?

Informed consent

What legal tort involves deception to deprive another person of their rights?

Fraud

How do you make 100 mL of a 10% bleach solution?

Combine 10 mL bleach with 90 mL distilled water

What form should be used for a referral to a cardiologist for a patient with a PPO insurance plan?

Referral

Which chart is used to test for color vision?

Ishihara chart

What position should a patient be in for ear irrigation?

Pull the pinna up and back

What classification describes medications used to lower body temperature?

Antipyretics

In which position is a patient lying on their left side with their left leg slightly bent?

Sims position

What scheduling style involves seeing patients in the order they arrive?

Double booking

What is an appropriate action for a medical assistant when complying with standard precautions?

Using disposable gloves while obtaining vitals

Which clinical situation requires a medical assistant to apply sterile gloves?

Assisting in suturing

What should a medical assistant include when teaching about medication administration in the ear?

The medication should be warmed in the hands prior to administration

What does an authorization number confirm?

Prior authorization for services

What condition is smoking a risk factor for?

Atherosclerosis

What is a cause for specimen rejection for a routine urinalysis?

Urine specimen container is missing a preservative

What guidelines apply to sending orders for Schedule II prescriptions?

Orders can either be written or an e-prescription

What should a medical assistant do when performing a capillary puncture on a 10-month-old patient?

Have the parent hold the child during the procedure

What action should be taken for a patient who consistently shows up late to appointments?

Schedule the patient for the last appointment of the day

What is the correct action during handwashing?

Use liquid soap and friction

What is the first upward wave seen after the P wave on an EKG tracing?

R wave

Which patient has an apical pulse rate outside of the expected reference range?

A 6-week-old infant who has a heart rate of 80/min

Which supplement is recommended for patients with osteoporosis?

Vitamin D

What technique should be used to support the joint when applying a bandage to an ankle?

Figure 8

What should a medical assistant do before a cast application?

Observe the condition of the skin

What is the weight of a 50 lb child in kg?

22.7 kg

What method is used to observe for deformities and rashes on a patient's body?

Inspection

Which method of taking a patient's temperature poses a risk of exposure to bloodborne pathogens?

Rectal

Where is the correct placement of the tape for measuring an infant's head circumference?

At a level slightly above the eyebrows

What should a medical assistant do after obtaining a urine drug screen for a patient following a work-related accident?

Confirm the patient's identity and seal the lid in the presence of the patient.

What is the correct action for a medical assistant transferring a patient from a wheelchair to an examination table?

Bend at the knees when lifting the patient.

What should a medical assistant do when acting as a sterile scrub assistant?

Maintain a 1-inch border around the sterile field.

What is the proper technique for performing a capillary puncture?

Puncture parallel to the fingerprint.

Which tasks require the use of gloves for a medical assistant?

Administering a nebulizer treatment and removing a cyst.

What is the route of transmission for syphilis?

Sexual contact.

To which organization should a medical assistant refer a parent inquiring about mandatory immunizations?

Centers for Disease Control.

What is the next step in the cycle of infection after an infectious agent has infected a new host?

Means of exit.

What does proper aseptic technique include?

Using an alcohol-based rub in place of handwashing.

What should a medical assistant do when preparing a site for electrode placement for Holter monitoring?

Cleanse the site with chlorhexidine.

What distance from the edges of the sterile field should a medical assistant consider contaminated?

1 inch.

How can a medical assistant convey a friendly attitude during phone calls?

Enunciate carefully.

What should a medical assistant do first upon entering the laboratory where a patient is seated?

Identify the patient.

How should a medical assistant document the administration of ear medication?

1500 ii gtt left ear.

How should a medical assistant record a patient's report of a throbbing headache?

Chief complaint.

What should a medical assistant do after verifying a provider's prescription for eye irrigation?

Check the expiration date of the solution.

What is an effect of hemostasis?

It promotes coagulation.

What should a medical assistant do when assisting a provider for a Papanicolaou test?

Place the patient in the lithotomy position.

What should a medical assistant do if the electrodes' adhesives appear ineffective?

Attach the leads with cloth tape.

What equipment should a medical assistant place in the room for a patient reporting ear pain?

Otoscope.

Which plane divides the body into superior and inferior portions?

Transverse.

When does the timing for a glucose tolerance test begin?

When the patient finishes drinking the glucose solution.

What solution should a medical assistant use for surgical skin preparation?

Povidone iodine.

What examination technique involves tapping a patient's body to elicit sounds?

Percussion.

What action maintains the sterile field of a tray for a minor procedure?

Opens the package away from the body.

What document should a medical assistant provide to a patient who wishes to donate organs?

Living will.

Which part of the diagnostic statement should a medical assistant use when searching for codes?

Main term.

To whom should a medical assistant provide negative pregnancy test results for a 15-year-old patient?

The patient.

Which site is appropriate for an intramuscular injection in an infant?

Vastus lateralis

To which resource should a medical assistant refer a patient for additional statistical information following CABG surgery?

American Heart Association

What form should a medical assistant give to a patient when Medicare might not cover services?

Advance beneficiary notice (ABN)

What item is necessary for a postoperative suture removal procedure?

Sterile thumb dressing forceps

What should a medical assistant do in preparation for obtaining a weight measurement from a patient?

Ensure the scale is balanced.

What factor increases the risk for developing Crohn's disease?

Family history

What action should a medical assistant take when communicating with an older adult patient?

Observe the patient's nonverbal cues indicating understanding.

Contact dermatitis can result as a reaction to which substance?

Latex gloves

What should a medical assistant do when communicating with a patient who speaks a different language?

Use explanatory gestures.

What does an ESR test measure?

The distance RBCs have dropped.

What part of a medical assistant's job involves informing the patient?

Treatment options

Which document should a medical assistant check to confirm when a patient should return to the clinic?

Encounter form

What is a reason to perform an eye irrigation?

To relieve inflammation and discomfort

What should a medical assistant do first if a patient's blood stains their uniform?

Report it to the supervisor