CCMA midterm
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170 Terms
What is a Patient-Centered Medical Home (PCMH)
A coordinated, patient-centered model of care delivery.
Who leads a PCMH?
A primary care provider.
What type of team does a PCMH use?
An interdisciplinary healthcare team.
What does a PCMH focus on?
Coordinated and accessible care.
What does a PCMH promote?
Communication among the healthcare team.
How can patient portals improve communication?
They improve patient-provider communication.
How can patient portals improve access?
They provide access to health information.
How can patient portals increase patient involvement?
They help patients participate in their care.
What are the key benefits of patient portals?
Access, communication, and transpare
What is a referral?
Sending a patient to the appropriate specialist for their problem.
Who should a patient see if they need help improving range of motion?
A physical therapist.
What are administrative medical assistant duties?
Scheduling, records, insurance, copayments, and patient information.
What does scheduling appointments involve?
Setting up patient appointments.
What does maintaining records involve?
Keeping patient records organized and updated.
What does collecting copayments involve
Money, scheduling, records, and insurance.
What medication is commonly used to treat seasonal allergies?
Antihistamines
What are controlled substances classified into?
Schedules based on abuse/dependence potential and medical use.
What does Schedule II mean?
It has accepted medical use but high abuse potential.
What should you know about controlled-substance schedules?
Know the differences between the schedules.
What should you verify when checking a medication?
Medication name, prescriber, and intended purpose.
What should an MA do if a patient brings an unknown pill?
Ask the patient to bring it to the clinic for verification
Should an MA guess what an unknown medication is?
No, never guess.
When should medication allergies be verified or updated?
During patient visits and medication-related communications.
Why are medication allergies important?
They are important for patient safety.
What can electronic prescribing improve?
Accuracy and communication with pharmacies.
How can electronic prescribing improve medication safety?
It reduces the risk of prescription tampering.
When can controlled substances be prescribed electronically?
When applicable pharmacy and prescribing-system requirements are met.
What is a warning sign of anorexia nervosa?
Excessive exercising.
What are other concerning behaviors associated with anorexia nervosa?
Restrictive eating and excessive concern about weight or body image.
What is a common sign of depression?
Feelings of hopelessness.
What do questions about depression often focus on?
Mood, hopelessness, loss of interest, and changes in functioning.
What does MI stand for?
Myocardial infarction.
What does myocardial infarction mean?
Heart attack.
Why does the Joint Commission have a “Do Not Use” abbreviation list?
To prevent medication errors and improve patient safety
What should you think about when you see “Do Not Use” abbreviations?
Patient safety and preventing medication errors.
What does dermat/o mean?
Skin
What is dermatology?
The study and treatment of the skin.
What is anatomical position?
The standard position used to describe the body.
In anatomical position, where is the head compared with the chest?
Superior to the chest.
in anatomical position feet are ____
to the head
Inferior
What are the bones of the thigh?
Femur.
What are the bones of the lower leg?
Tibia and fibula.
What are the bones of the ankle?
Tarsals
What are the bones of the foot?
Metatarsals
What are the bones of the toes?
Phalanges
What is homeostasis?
Maintaining a stable internal environment.
What does homeostasis regulate?
Temperature, blood glucose, fluid balance, and pH.
What is an easy way to remember homeostasis?
Steady state.
What is an endemic disease?
A disease consistently present in a particular area or community.
What is an epidemic?
A greater-than-expected occurrence of a disease.
What is a pandemic?
A disease that spreads widely across countries or continents.
What is the difference between endemic, epidemic, and pandemic?
Endemic = consistently present. Epidemic = greater-than-expected. Pandemic = widespread.
What should an MA do if a patient reports a loose handrail?
Thank the patient and immediately notify the appropriate supervisor.
What should an MA do with an environmental hazard?
Do not ignore it; report it immediately.
What should an MA do if a patient is at risk for falling?
Stay with the patient and provide appropriate assistance.
When should a patient not be left unattended?
When there is a known safety concern.
What should an MA do if a patient using a cane collapses or is at risk of falling?
Stay with the patient until appropriate healthcare personnel arrive.
What can put a patient at risk for falling?
Weakness, balance problems, or needing a cane or walker.
What is included in a patient’s social history?
Smoking, alcohol use, recreational drug use, and lifestyle factors.
Where does smoking history belong?
Social history.
What is the chief complaint?
The patient’s main reason for seeking care.
How should the chief complaint ideally be documented?
Using the patient’s own words.
What is an example of a chief complaint?
“It burns when I urinate.”
What is demographic information?
Patient information such as name, address, phone number, DOB, and insurance.
What demographic information should be verified at each visit?
Address.
What should be used to identify a patient before a procedure or medication?
Two patient identifiers.
What are examples of patient identifiers?
Patient’s name and date of birth.
Can a room number be used as a patient identifier?
No.
What should be verified before administering a vaccine?
The patient’s identity using two identifiers
What two identifiers can be used before giving a vaccine?
Name and date of birth
What should you think when a question says “identify the patient”?
Use two identifiers.
What blood pressure category is 136/84 mm Hg?
Stage 1 hypertension.
What should you consider when classifying blood pressure?
The systolic OR diastolic value.
What temperature method is expected for a 3-year-old?
Tympanic temperature.
How should vital signs be evaluated?
Compare them with the expected range for the patient’s age.
What vital sign is elevated in a 67-year-old with a heart rate of 106 bpm?
Heart rate.
What scale should a patient with balance problems use
A scale with built-in handrails.
What should come first when weighing a patient with balance problems?
Safety
What safety supply should be available in each exam room?
A biohazard waste container
What does spirometry evaluate?
Lung function
What does pulmonary function mean?
How well the lungs are working.
Which specialty evaluates pulmonary function?
Pulmonology
What does “pulmo” refer to?
Lungs
What is telehealth?
Healthcare provided remotely using technology.
When may telehealth not be appropriate?
When the provider needs to physically examine or touch an area.
Would a suspicious mole requiring physical inspection be appropriate for telehealth only?
No, an in-person visit may be needed.
What should an MA do if a patient needs help getting onto an exam table?
Provide assistance and do not leave the patient unattended.
What should an MA do if they need to leave the room to get supplies?
Have a companion, another MA, or staff member stay with the patient.
What is more important when assisting a patient?
Patient safety over convenience.
What should you check on all vaccine vials?
Expiration dates.
What are important factors in vaccine storage?
Temperature, expiration dates, storage, and inventory.
What should be avoided with vaccines?
Using compromised or improperly stored vaccines.
What is anaphylaxis?
A potentially life-threatening allergic reaction.
What are signs of anaphylaxis?
Difficulty breathing, swelling, wheezing, and hypotension.
What should an MA do if a patient has anaphylaxis?
Notify the provider immediately.
What should you do for a major or fourth-degree burn?
Call 911.
What are signs of an obstructed airway?
Grabbing the throat and being unable to breathe or speak effectively.
What does an AED stand for?
Automated External Defibrillator.
When is an AED used?
During cardiac arrest.
What is the adult CPR ratio?
30 compressions to 2 breaths (30:2).