PCT exam 2

What is the most important step in achieving medical asepsis?

Washing hands

Which of the following solutions will help prevent the transmission of hepatitis?

Household bleach

How often should quality control tests be done for procedures performed in the office?

Daily

Which org. developed the guidelines for universal precautions?

CDC

According to OSHA, medical personnel must wear PPE, when coming into contact with which bodily substance?

Blood

A biological culture needs to be performed on a collected urine specimen. What should the patient do?

Void a specimen midstream in a sterile cup

If urine sample is collected and the left standing for 1 hour+, bacteria will grow, the pH will end up becoming more?

Alkaline

Normal pH range for urine?

4.5 - 8.0

Patient drinks 10 8oz-glasses a day, what color will their urine most likely be?

Straw

Urine needs to be collected in which type of container for culture bacteria?

Sterile

A routine analysis of urine is made up which of the following sets of examinations?

Microscopic, chemical and physical

To prevent a urine specimen from becoming unreliable pH sample, how should it be handled?

Tested within one hour of collection

When placing a sample in the centrifuge, where should the identical tube?

Directly opposite from the sample

What is the principle reason for bracing the hand holding the needle assembly against the patients arm during phlebotomy?

Preventing excessive needle movement

When using a reagent strip is used to test a urine specimen and the result is positive for ketones, this may indicate what condition?

Diabetes mellitus

What is the measure of the degree of acidity/alkaline of the urine called?

pH

What is wrong when performing a capillary puncture?

Placing a tourniquet around the finger

When would a capillary blood sample be diluted by tissue fluid?

If the finger is excessively squeezed

Most common micropuncture site on an adult?

Ring finger

To transport oxygen and carbon dioxide to and from its body’s cells, what do erythrocytes?

Hemoglobin

What is not a reason to perform a hemoglobin?

To detect inflammation

What does not demonstrate quality control?

Treating every customer properly

After hand washing, applying PPE and gathered supplies, what is the next step when collecting a blood sample?

Identifying the patient

What can you do to reduce bruising after a venipuncture?

Apply pressure to the puncture site

When performing a venipuncture, you notice a hematoma forming, what should you not do?

Complete the collection of the sample

Which needle gauge will result in less blood cell damage during venipuncture collection?

16 gauge

Vacuum tubes used in venipuncture have different colored tops to show the different _______ that will be inside.

additives

A setup for venipuncture should always include extra?

Vacuum Tubes

It is acceptable for a blood clot to form in what colored top?

Red

Maximum amount of time a tourniquet can be left on a patients arm?

60 seconds

What is the primary purpose for anchoring a vein while performing a venipuncture?

To prevent it from rolling

What angle should your needle position be to perform a venipuncture?

15 degree angle, bevel up

What is an example of improperly disposed venipuncture supplies?

Placing a plastic venipuncture needle cover in biohazard container

EDTA is present in which color vacuum tube?

Lavender

Which color vacuum tube is used to collect specimens for tests requiring serum?

Red

What is the usual size of a needle used to perform a venipuncture?

1 ½ inch , 21 gauge

What is the purpose of the plastic collection tube holder?

To aid insertion and withdrawal of blood vacuum tubes

Which color top vacuum tube indicates that the blood sample will be used for cultures?

Yellow

What is the term for the relaxing phase of the cardiac cycle?

Repolarization

What color vacuum tube is most commonly associated with hematology testing?

Lavender

One complete heartbeat, know as a full cardiac cycle, lasts how long?

0.8 seconds

The legislative act that gives the requirement for the written payment plan which is know as?

Truth in Lending Act

What is the concept of that defines ethics?

Principles of Right and wrong

Whats the main concern of bioethics?

moral controversy over biomedical technology

What should the PCT do if they suspect signs of abuse?

Document the findings in the medical records and set up a follow-up appointment

Medical copies cannot be released to?

The husband or wife of the patient

The physician - patient relationship is considered which type of legal relationship?

A contract

True or False? The physician - patient relationship is legally recognized when the patient arrives at the office for treatment.

False

The responsibility of the actions of the PCT first falls on whom?

Employer / Physician

what is the legal term used for the confidential information exchanged in a physician and patient relationship?

privileged

any breach by medical office staff of patient confidentiality may result in charges of which of the following offenses?

Negligence

what is the legal term for committing an improper act that is legally unjustified and possibly harmful to another?

malfeasance

to prove negligence against a physician, which of the following does not need to be proven?

Dereliction of duty indirectly caused more than one injury to the patient

The courts mandate that the physician upholds the “standard of care” in practice. This means the physician is required to provide care that is best to defined as which of the following descriptions?

comparable to reasonable, attentive, diligent physicians of the same education, same specialty, and practicing in the same or similar geographical area

which of the following may be a factor that may influence when the onset period of time for the statue of limitation on a negligent action, resulting in injury begins?

When the injury is discovered

slander is defamation through which type of act?

Spoken statements that damage a person’s reputation

any breach of federal or state narcotic laws are considered to be what type of offense?

Criminal acts

what is a situation that would present civil rather than a criminal liability for the physician?

A surgeon performs knee replacement on the wrong knee

what is false statement about ethics?

Ethics comprised of formal actions of legislative body

A medical offices policy regarding the length of time for retaining patient files should be based on which of the following laws?

Statue of limitations

what is the principal purpose of a living will?

To let caregivers know the patients wants to in regards of life-saving measures

to comply with HIPAA a medical office must always furnish what information to a new patient to be seen for treatment?

The provision of privacy practices document

verbally divulging information about a patient to someone else not directly involved in the patient’s care is an example of which improper conduct?

Invasion of Privacy

what is one of the reasons that led to the states “medical practice acts “?

The need to determine the methods and requirements of a physician licensure

The occurrence of malpractice lawsuits is directly related to which factor?

The level of trust in the physician -patient relationship

which concept refers to the principles of conduct that are required by legislative enactments?

laws

when a patient formally gives a loved one, a durable power of attorney for all healthcare matters at what point does this legal document become active?

When the patient can no longer make competent medical decisions

A patient’s unreasonable conduct resulted in injury to himself, and he has filed a claim of medical malpractice against his physician. If the court decides the patient to be fully or partially at fault what is the term used for this finding?

Contributory negligence

what is the term for an employee who is considered to be acting on the doctors behalf while performing professional tasks?

Respondeat superior

A physician simply decides to stop providing care for his or her noncompliant patient without the following legal steps, the patient could file a lawsuit against the physician on the ground of which offense?

Abandonment

The Americans with disability act guarantees, which of the following rights for the physically impaired?

Ease in physical access to the workplace

which form of medical practice may have a personal property attached in case of business failure, and earns all the profit when the business succeeds?

sole proprietorship

what is a libel?

Statements written or pictures about another person that are intended to be cruel and damaging to a person’s reputation

True or false? Civil law includes torts, Implied contracts and medical malpractice?

true

what is the privacy rule in place to protect?

Electronic transfer of information

how could a medical provider avoid patient abandonment?

Giving a formal notice of withdraw from the established patient

if a patient were to sue a physician for dereliction of duty, what would the patient have to prove about the physician?

They did not conform to the acceptable standard of care

what does the term “privileged communication” refer to?

Confidentiality

professional negligence in medicine must be proven by presented evidence of which of the four following elements?

The four Ds. Duty to the patient, dereliction of duty, Direct cause, damages

what is the term that means “injury to another person as a result of failure to act when duty is indicated”?

nonfeasance

A breach of confidentiality is considered unethical and illegal, and prohibited by which of the following?

HIPAA

The US Postal Service prefers, which format?

TOLLAND CT 06084, All caps, no commas or periods, states abbreviated

when questioned about a patient’s appointment at your office by the patient’s aunt, the PCT most appropriate response would be the following?

Tell her it is your duty to protect the privacy of your office’s patients and hope she understands

in order to have the best therapeutic communication, which of the following actions should the patient care technician take?

accept each patient’s particular attributes

which of the following actions is a roadblock to therapeutic communication?

Giving advice

What is the term for initiating and responding in a calm professional manner when communicating with others?

Diplomacy

if you are mailing something that needs to be “confidential” where should the notation be typed on the envelope?

Three lines below the return address

when typing a physician’s name what is the correct format?

Jeffery L. Daigle, MD

if you have an appointment scheduled for a patient who speaks English as a second language, which communication technique would be most effective at the time of their visit to your office?

Having an interpreter present

which of the following demonstrates positive communication skills?

Responding to the patient’s stated problem by saying “let’s discuss it”

which of the following is the foundation for developing good listening skills?

Paraphrasing

you are employed at an OB/GYN practice. The physician has confirmed a suspected pregnancy of one of your husband’s family members. The relative nervously tells you that no one can know about this visit. What is the most appropriate response?

“Be assured in knowing that I don’t discuss or share any patient information outside the office “

in the examination room, the patient tells you the reason for the office visit. Which of the following terms defines the best response from you that will promote positive communication?

Feedback

which of the following terms is not one of the five C’s Or components of communication?

Consistent

when telephoning patients to confirm their appointment for the next day, a patient states that here she is canceling the appointment what should you not do?

Leave a phone message for the physician, so here she can call them later

what should a PET do before applying an ice bag?

Place the bag in a cover

Which type of contact infection transmission involves the transfer of infective microbe to the mucus membranes of a susceptible individual by means of cough or sneeze?

Droplet

which of the following best describes “cold applications”?

Reduce pain prevent swelling, and decrease circulation