CCMA NHA Study Guide 2024: Key Terms & Definitions

what angle should you insert the needle when performing ROUTINE venipuncture

15degree

what angle should you insert the needle when performing intramuscular injection

90degree

what angle should you insert the needle when performing subcutaneous

45 degree - 15degrees for insulin

Which of the following requires the lot number of a vaccine to be documented in the patients medical record?

National Childhood Vaccine injury Act of 1988

Who has the right to release patient information?

The patient

What is a STI that is a viral infection?

Herpes Simplex

What kind of infection is trichomoniasis and pubic lice (pediculosis)

parasitic infection

What kind of infection is gonorrhea?

bacterial infection

What EKG artifact is caused by a patient movement or a poorly attached electrode and results in a gradual shift of the tracing away from the center of the paper?

wandering baseline

EKG artifact caused by electrical disconnection or detached electrodes

interrupted baseline

EKG artifact caused by electrical interference

AC interference - see SPIKES

Bradycardia

tachycardia

what can contribute to erroneous pulse rate

movement

What sets security and privacy goals by extending the rues laid down by the pre-existing HIPAA law to more and different kinds of businesses, and by adding tougher reporting and enforcement provisions?

Health information technology for Economic and Clinical Health Act (HITECH)

What is the appropriate action when removing staples from a wound?

Gently place the jaw of the staple remover under the staple

Which of the following requires prior authorization?

a. Urinalysis

b. Endoscopy

C. Pulmonary Function Test (PFT) (blowing into tube with the little ball)

d. EKG

Endoscopy

incidental disclosure

name on sign up sheet, this reason why sign in sheets are now sticky to remove each sign in.

Which of the following resources provides holistic (whole) care for patients?

A. Home health care

b. skilled nursing facility (24 hour care)

c. assisted living facility (retired patients)

d. patient-centered medical home (PCMH)

Patient-centered medical care (PCMH)

which of the following supplies should an MA place in the sterile field for a cyst removal?

A. Dressing and/or bandage

B. Syringe and needle - everything else can be placed on the counter

C. Specimen container

D. Splint

Which of the following is an example of providing education on communicable disease prevention?

A. Providing an instructional video based on the patiends treatment plan

B. Providing an adolescent patient educational material about tobacco use

C. Explain how and when to perform a self breast exam

D. Providing a patient with information about colon screenings.

B. Providing an adolescent patient educational material about tobacco use.

Which of the following does a patient sign acknowledging that the services may not meet Medicare's medical necessity requirements?

A. Advance Beneficiary Notice (ABN)

B. Release of information

C. Advance directives

D. Medical records release

Advance Beneficiary Notice (ABN)

Which of the following should the superbill (encounter) include?

A. authorization number

B. security code

C. return visit date

D. Diagnosis code

D. Diagnosis code

Which test measures ventilation function in a normal breath?

Spirometry

Medical term that refers to the organ that stores BILE

A. Nephr/o

B. CHOLescyst/o

C. Hepato/o

D. Cyst/o

What is a personal factor that can influence a patients perception of their dx?

a. Social media

b. Age

C. Family

D. Peers

Age

Which stage of the communication cycle involves translating a message based on subjective perceptions or personal factors?

A. receiver decoding the message

B. Sender creating the messages

C. Sender decoding feedback

D. Receiver creating feedback

What is true regarding orthostatic (blood pressure, pulse) vital signs?

Wait 1 min after each position change before obtaining the patients orthostatic vital signs.

What is the order for orthostatic vital signs

Lying, sitting, standing

What sysyems work together to maintain homeostasis?

Endocrine and nervous systems

Which of the following is an example of disease prevention COACHING?

A. Providing instructions about effective hand washing

B. Providing an adolescent patient educational material about tobacco use.

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

D. Providing a patient with information about colon cancer screenings

A. Providing instructions about effective hand washing.

Which vein should be used as a last resort?

A. Cephalic

B. Basilic

C. Medial

D. Supplemental cephalic

Basilic

flat areas of the skin that are different color than the surrounding skin. They have no elevation or depression; example is a freckle

macules

What do you use to wipe away sweat or lotion before placing EKG leads on a patient?

Alcohol

Which of the following medical terms means crushing?

A. -Tripsy

B. -Plasty

C. -itis

D. Anti-

a. -tripsy

The stages of grief

DABDA = Denial, Anger, Bargaining, Depression, Acceptance

What technique involve killing pathogens and rendering them inactive?

Disinfection

Complete process of destroying all microorganisms

Sterilization

Reducing the number

santization

After applying pressure following a venipuncture, How long should you observe the site before applying a bandage?

5-10 seconds

Patient's Bill of Rights

Ensures healthcare professionals uphold and respect a patients choice regarding their medical care

What is the proper time period for the collection of a newborn screening card?

24-48 hours after birth

Which of the following links in the chain of infection describes the site where an infection can be stored?

a. portal of entry

b. susceptible host

c. reservoir

d. portal of exit

c. reservoir

When should you post a credit adjustment to the patient ledger?

A. Before the balance on the Explanation of benefits (EOB) is entered

b. at the same time the payment is posted

c. within 1 week of services performed

d. after the check is returned from the bank

b. at the same time payment is posted

Patients are influenced by cues to action if they are influenced by which of the following?

a. family

b. social media

c. age

d. peers

b. social media

Which of the following tube is used for hematology test

a. serum separator (SST)

b. light green

c. lavender (Young Bodies Really Should Get Large Grains)

d. red

sodium polyanethol sulfanate (SPS)

yellow

Sodium Citrate

blue tubes (anticoagulant)

No additive

Red Top tube (collect samples of body fluids- used for specimen analysism storage and transport

clot activator SST

tiger top/gold (accelerates clotting- blood sugar, cholesterol, uric acid, typhoid, dengue fever, syphilis, and herpes)

Heparin (either sodium or lithium)

green (preserves white blood cells)

EthyleneDiamineTRetraacetic Acid (EDTA)

Lavender tube - inhibts clotting by removing or chelating calcium from the blood

Potassium Oxalate with Sodium Fluoride

Grey tube - prevents breakdown of blood glucose (glycolysis)

Which of the following is true regarding scratch tests for pediatric patients?

a. Several allergies can be identified at one time

b. paitients may immediately leave after the results of the tests are confirmed

c. reactions will ususally occur within 30 min to 1 hr

d. reactions are typically noted as a numerical value from 10-20

a. several allergies can be identified at one time

Which of the following may require a patient to have IV contrast and NPO for 4 to 6 hours?

A. x-ray

b. computed tomography (CT) scan

c. mammogram

d. ultrasound

b. computed tomography (CT) scan

Which department is responsible for blood typing?

A. Hematology

B. Chemistry

C. Microbiology

D. immunohematology

Immunohematology

Fracture that has broken through skin

Compound

Fracture bone unalined

Displaced

Fracture that does not protude the skin

Simple

Multiple fractures

comminuted

what is the correct order for donning PPE

Gown, mask, goggles, gloves

The purpose of an Accountable Care Organization (ACO) is to increase the quality of care for patients who have which insurance?

Medicare

Which of the following has the slowest release into the bloodstream? Buccal, transdermal, intramuscular, or sublingual

Transdermal (patches), topical cream, ointment

Vital Signs are documented in this section of a soap note

Objective

subjective- what patient tells you

objective- what we can measure or see "Senses"

The providers diagnoses are documented in this section of a SOAP note

Assessment

Subjective

objective

Assessment

P

WHAT IS SOAP?

Subjective

objective

Assessment - providers diagnosis

Plan - document prescription

What type of software allows you to sort and combine patient reports?

Database Management -

Which electrode is placed at the fifth intercostal space, left midclavicular line?

V4

Which electrode is placed at the fourth intercostal space on the left side of the sternum?

V2

True or false? The patients medical record belongs to the patient?

False- but patient has the right to the information in his or her medical record

What can cause a wandering baseline on an EKG?

PT movement

What causes somatic tremors

Muscle movement- shivering

A patient has a potassium level of 5mEq/L is this normal or abnormal?

Normal and abnormal ranges for bloodwork

Potassium 3.5-51.mEq/L (millliequavalent per liter)

A patient has a Platelet count of 300/mm3 is this normal or abnormal?

Normal 130-400/mm3

A patient has a sodium result of 300mm3 is this normal or abnormal?

abnormal

Which angle should you insert an IM injection?

90 degree angle

At which angle should you insert Sub-Q injection?

45 degrees: insulin is given at 90 degrees

What is the normal range for hemoglobin levels in females and males?

12 to 16g/dl females 13-18g/dl males

what is the normal range of hematocrit in females?

36%-48%

convert 5'7'' to cm

170; first conver 5'7'' to 67 inches next convert inches to centimeters by multiplying by 2.54

In which postion do you have a patient in for an enema

sims position

in what position would you place a patient whos having trouble breathing/

semi-fowlers

Rapid strep test; urine pregnancy test; fecal occult blood; glucose monitoring

Proper needle size for sub-q injection?

1/2 to5/8inch needle 25 gauge

proper needle size for intradermal injection?

27gauge

What part of the brain is in control of balance, posture and muscle coordination

Cerebellum

What does a modifier do for a diagnosis code (ICD10 code)?

Makes it more specific. The more numbers in a dx code, the more specific

What does a modifier do for a CPT code?

Adds more information abbout the procedure - like any special or unusal circumstances

The process of destroying all forms of microbial life?

Sterilization

In what part of the ICD-10-CM should an assistant begin when looking up a diagnosis code?

Volume II; the Alphabetic index

Which abdominal quadrant is the stomach located in?

Left Upper quadrant

What is the correct angle when administering an insulin injection to an obese patient?

90

where should an MA place the electrode for lead V5?

on the left anterior azillary line, horizontal to V4

What describes dorsal recumbent position?

Lying face up with the legs bent and feet and the table