CCMA exam

Fat soluble vitamins

A, D, E and K

Coordination of benefits

when a patient has two different health insurance plans. One plan is the primary plan that pays claim first. The secondary plan pays the remaining costs.

FICA

social security and medicare

what to do when you get a call from a patient

Callers name and phone number when you answer the phone date and time they Called dsecripitoin of what their concerns are and route their message to someone. Don’t leave them on eternal hold. Allow the patient to disconnect first.

ICD-10 code book-

medical dictionary updated every year alphabetical order that is how you find certain disorders and certain problems

Procedural coding

CPT-4 code. The procedures performed also in alphabetical order

Upcoding

when a doctor makes the nurse basically lie and say he did more than he actually did in a procedure to get more money. Picking a code that was higher than was actually done. When you upcode the insurance company will reject it sometimes. 

ICD-10CM

a 5 digit code and a 7 digit code- 7 digit code is for in patient procedures (in the hospital) 5 digit code is on outpatient procedures (clinic setting)

Downcoding

 not being careful, an accident. You don’t get paid enough for what you did

Stage 1 hypertension

anything above 129 systolic 

Stage 2 hypertension

anything above systolic 140 diastolic 

Additive for hemotology

EDTA

sodium cytrate

Coagulation studies

color for blood cultures 

Yellow

Color tube for CBC

Lavendar

Epstein-Barr virus

mononucleosis

Genital herpes or cold sores

herpes simplex 

Rota virus causes

 gastro

PKU test

phenylketonuria capillary heel stick. Circles on a special paper, pe the side and put the blood on the paper. If babies have PKU can’t digest certain proteins, artificial sweeteners. and can cause brain damage. They have to be on a diet that limits Pheylanimine 

Somatic tremor

involuntary muscle movement jagged lines

Wandering baseline

leads are too loose or patient doesn’t stay still

AC interference

cellular or wired device nearby the machine causing it to not work

Interrupted baseline

when the leads are disconnected or wires are frayed

Which test would you complete first (chest x ray, ct scan etc.)

x-ray

Additives to the phlebotomy tubes For PT/INR test

sodium citrate 

Charts for colorblindness

ESHARA chart

A patient has 20/50 vision in the left eye

much worst than regular vision what you see if what an average person would see at 50 person from the poster. what you see at 20 feet someone else seems at 50 feet

How do you put tubes in the centrifuge

needs to be balanced

How many times do you pump your fist for performing venipucture

make a fist and HOLD it 

Lumbar tap

to collect spinal fluid

Function of liver

to metabolize

Crohns disease

hereditary

A patient has an acetone order breath, gulping hard

diabetes

After the sa node where do the electrical pulses process to

AV node 

What instrument grips tissues

 forceps 

A coworker reaches over the sterile field

get rid of everything

Where DNA is stored

nucleus 

Where is energy stored

Mitochondria

ID needle gauges

27 to 28

Normal potassium 

3\.5-5.0

Normal Sodium

135-145

Normal RBC

male 4.7-6.1 female 4.2-5.4

Normal Platelets

130-400

Normal HMG

12-17 g/Ld

Normal WBC

5-10

Varicella

airborne and contact transmission 

Candidiasis

(yeast infection) FUNGAL infection

Cellulitis

bacterial infection

Pediculosis

parasitic infection

Fibromyalgia

rheumatologist 

MSDS material safety data sheet

where you find chemical information about solutions, information on potential hazards, how to work safely with chemical products 

Streptococci

affects the heart

Influenza

affect the lungs 

PASS when using a fire extinguisher

pull aim squeeze sweep

Subjective data

The subjective content area includes personal demographics, along with medical, family, and social history.

Objective

The objective content area includes physical examination findings and test results.

Assesment

The assessment content area includes the provider's diagnosis based on findings from the objective and subjective content areas.

Plan

The plan content area includes the provider's documentation of how the diagnosis will be treated.

Detailed history

A detailed history includes a review of the chief complaint, systems related, and a pertinent family, social, and medical history.

Comprehensive history

 A comprehensive history includes a review of the chief complaint, all systems related and unrelated to the chief complaint, family history, social history, and a detailed medical history.

Problem-focused history

A problem-focused history concentrates on the chief complaint and does not include a review of systems or  a patient's family and social history. 

Expanded problem-focused history

An expanded problem-focused history includes the systems related to the chief complaint but does not include a family or social history.

hematocrit value

expected reference range of 37% to 54%.

fasting blood glucose level 

 70 to 99 mg/dL is considered normal. 100 to 125 mg/dL is considered pre-diabetes, and anything over 126 mg/dL is considered diabetes.

expected heart reference range for a 6-year-old child

70 to 130/min

respiratory rate for 6 year old

18 to 30/min 

largest and uppermost section of the brain

cerebrum

characteristic of the eating disorder anorexia nervosa.

excessive exercise

who do you contact to report a violation regarding PPE

OSHA

durable power of attorney

an authorization made by the patient that allows another person to make medical decision on behalf of the patient if she is unable to make the decisions for herself. This is also known as a health care proxy.

what can alter pulse results

The patient's movement can alter results in the pulse measurement because of possible change in heart rate. If the patient is moving during the pulse measurement, the assistant might receive an erroneous result.

Sub q injection

25-26 huge and .5-1ml and given at a4 degree angle 1/2-5/8 inch

IM injections 

 20-23 gauge amounts range to .5 ml-5ml 1 to 3 inches depending on muscle and patient size

ID injections

27-28 gauge 3/8 of an inch

7 digit code

inpatient procedures 

5 digit code

outpatient procedures

Preparing a patient for cryosurgery following an abnormal pap smear

cryosurgery involves an extremely cold probe to kill bacteria 

Partial thickness burn what type of dressing would you put on there

non adherent dressing

You receive a call from a patient wanting a refill on phentonol for chronic pain

refer to the patients request to the provider. The doctor has to review to do the refill request because the drug is a stronger drug

Preparing a report for a patent has a history of breast cancer. What electronic health record do you use

data management system 

If you take a tympanic temperature

ear

What is the term when the patient is having trouble breathing

dyspnea

what is an antitussives 

surprises the cough reflex 

which of the following stages of the cardiac cycle ventricular depolarization-

QRS

A snellen chart

make sure you are 20 feet away and don’t lean forward

How do you measure an infants head

right above the brow down. Place the zero mark of the measuring tape on the infants forehead

Which of the following terms describe the bodies internal adaptation and change

homeostasis

SOAP

subjective, objective, assessment, plan

Epstein bar virus is responsible for what microorganism

mononucleosis 

Another word for thrush

candidiasis

 chain of custody form

ensures accurate collection, transportation, and processing of a specimen.

difference between liniments and medicated lotions

liniments are made to contain a higher portion of oil than medicated  lotions in order to protect dry and cracked skin.

Active immunity for a baby in breastfeeding

passive immunity

Real name for syphilis

Treponema pallidum

BMI what areas do you use to measure BMI on a patient

chest, ab, and thigh

Where does the electrical impulse of the heart start

sinoatrial node

If a patient has had an above the knee amputation where do you put the lead?

you put it above the amputation sight on that same side Proximal left side and proximal right leg

Notice of privacy practices

details how a patients medical records will be used and distributed by a medical office

advanced beneficiary notices

informs a patient of the services that might not be covered by medicare

Explanation of benefits

sent to a provider from an insurance company to explain what charges were paid or denied