medca review

If there is a large "C" listed beside a drug's name in the Physicians Desk Reference this indicates

Controlled substance

What route of administration of medication does the term parenteral commonly refer to?

Injection

Which of the following is a brand of antihistamine?

Zyrtec

A Patient informs a medical assistant that they are taking Pepcid. What is the generic name of that drug?

Famotidine

Which of the following is the correct formula for dosage calculations?

Want over have x quantity

What is the preferred method to check for possible drug interactions?

Checking PDR (Physicians Drug Reference)

A Patient is taking sertraline and wants something to help her sleep. Which of the drugs listed would have to be discussed with a doctor due to interactions?

Trazadone: Major interaction- anxiety

Patients prone to blood clots are MOST likely to be prescribed:

Anticoagulants: blood clots

what are drugs that treat and relieve symptoms in a disease process

Therapeutic: treat illness

A patient suspected of having respiratory disorders should be placed in isolation in the medical office

Active TB: placed in isolation??????

What chemical agent is used to clean countertops to decrease the number of disease-causing organisms

Disinfectant: used to clean countertops

A medical assistant is helping a doctor do minor surgery. In what order should the PPE be donned?

Gowns, shoes, mask and respirator

The CDC recommends that which of the following be worn when the medical asst comes in contact with any bodily substances, blood, feces, urine, non-intact skin and mucus membranes

Clean Disposable gloves

When should a medical asst activate the safety feature on a butterfly needle

Once the needle is removed

Which of the following is a proper way to clean up a small blood spill that has dried on a countertop:

Scrape it into a biohazard bag and wash the surface with soap and water

Which of the following is the most effective way to prevent the spread of disease?

Handwashing

Which of the following skin disorders is non-communicable

Alopecia

What protective equipment should be worn when handling a patient on contact isolation for C. diff?

Gloves and gown

Which of the following diseases does not require you to use PPE when caring for the patient? (The other choices are all bacterial or viral)

Sickle Cell is a genetic trait, cant be passed to other people

What is the correct order to put on PPE in a hospital setting

Gown, mask, face shield, gloves

A patient comes to a medical office complaining of severe chest pain and falls. What is the most appropriate 1st response?

Begin administering oxygen to the patient

When answering the phone, a medical asst is handling calls on four lines. Which caller should be handled 1st?

Look at the scenarios and decide which one is life-threatening and which one can wait- A patient who is having trouble breathing

Where should a medical asst place a BP cuff on a child 6 months or younger?

arm

What is the normal limits for an adult BP?

systolic pressure of less than 120 and a diastolic pressure of less than 80

What instrument is used to measure blood pressure

Sphygmomanometer

When should patients' allergies and medications be updated?

At every visit

A medical asst noticed she made an error in the patient's chart, how should she fix the error?

Draw a line through the mistake and initial it

Which of the positions is used to examine the patients upper body with cardiovascular or respiratory disease such as CHF or Asthma

Fowler's

During a routine physical examination, in which position should a patient be placed for a comprehensive assessment?

Supine Position

A patient came to a doctor's office for her annual pelvic exam and Pap Smear. In which position is the patient assisted?

Lithotomy position

When transferring a patient from a wheelchair to an exam table, the medical asst should

Maintain a wide, stable base with feet

What is the name of the eye exam chart

Snellen Chart.

What does the doctor need when performing a suture procedure?

• Suture tray lidocaine and gloves

• Suture tray, normal saline and gloves

Instruments used to hold back tissue and organs are:

retractors

Which is the best way to assess a patient's pain level

Numeric pain scale

A patient comes into the office with complaints of low back pain. The med asst reviewed his pain level. He is unable to bend and is getting nauseous.

7-8 very severe pain

What supplies are needed to perform ear irrigation?

Syringe, saline, basin and otoscope

A patient is diagnosed with hypokalemia should increase the intake of:

Potassium

Which of these levels is such that the medical asst should promptly notify the provider? I gave you the normal levels down below

• Normal glucose 70-100

• Normal heart rate 60-100 bpm

• Normal respiration is 12-16 breaths per min

• Normal BP less than 120/80

In between patients, it is important to do what?

Sanitize the room

What is the MOST effective procedure for hand washing?

Cleaning between your fingers

Cleanliness and accessibility are important in exam rooms because?

They are compliant with sanitization protocols and improve patient comfort

For how long should respiration be counted by a medical asst?

60 seconds

When taking a patients pulse, the MOST used artery is the?

Radial artery

A patient has arrived at the clinic with shortness of breath and wheezing. What devices should the medical assistant use to measure the oxygen saturation and the ease of symptoms

Pulse oximeter and oxygen mask

What should the medical asst do 1st when applying sterile adhesive closure strips to the wound?

Stretch the strip across the edge of the wound incision and secure on the other side in the same manner

A heart rate less than 60 is said to be

Bradycardia

A patient comes in for a routine checkup and reports having SOB (shortness of breath) and chest pain. what screening and tests would be anticipated?

EKG and vital signs

A Patient presents with TB. What are the 2 precautions a medical asst should use for protecting the medical staff and patients?

N95 respirator and negative pressure isolation room

What form of PPE is considered MOST appropriate when interacting with a coughing patient?

N95 mask and face shield

What is used to identify a patient when ordering a lab requisition form?

First name, last name, and date of birth

Who is responsible for providing the patient ID for a patient who is 17 years old

Patient's parent or guardian

What do you do if you are about to draw blood and the information on the order form does not match the patient's wristband?

Ask the patient's nurse if it is the correct patient

What two identifiers must be confirmed before drawing blood on a patient

Date of birth and last name, first name

When fasting is involved in preparation for a specimen collection, fasting means

No food or fluids

What is the name of the method used to inject medication into a large muscle?

Intramuscular- into the muscle

What color tubes refer to a CBC and an A1C?

Purple/lavendar

What is the correct order to prepare a patient for blood collection?

Select bandages, apply a tourniquet, locate the vein, cleanse the area with an alcohol pad and do a venipuncture

What color tube comes 1st in the order to draw?

Blue

Which color tube should be the last one drawn?

Gray

What color tube contains an anticoagulant?

Lavender stopper

How many times should an EDTA anticoagulant tube be inverted immediately after being drawn?

8-10 times

What is the medical term for a severe and life-threatening allergic reaction?

Anaphylaxis

When performing a finger puncture, which finger should not be used?

Little Finger or pinky finger

You are drawing blood on a patient when they show signs of syncope (passing out) . What is the 1st thing you should do?

Quickly release the tourniquet, remove the needle and discard it

A patient has a lot of tattoos and scars but needs to have blood drawn. After palpating for a vein you have no choice but to draw in an area with a tattoo. Where should you insert the needle?

In the area of the tattoo that does not contain dye

What combinations of medical and surgical aseptic techniques are used for throat culture specimen collection?

Tongue depressors and sterile cotton swaps

Which of the following should be completed and included with the specimen collection or sent with the patient to the lab?

Requisition form

What supplies do you need for a capillary puncture(hemoglobin) using the fingerstick method

Lancet, test strip, cotton, bandage

An electrocardiogram can determine or detect which of the following?

Arrhythmia

When possible an EKG should be performed with the patient in what position?

Semi Fowlers

All of the following are proper steps to ensure a patient is ready for EKG EXEPT

Remove all the patients clothes

The blood vessels that supply the myocardial tissues with oxygen and nourishment are the

Coronary arteries

When collecting blood for the hemoglobin, what should the medical asst do immediately after pricking the finger

Wipe the 1st drop of blood away

What is the purpose of the clean catch urine collection?

To detect urinary tract infections

A female patient is complaining of abdominal pain, back pain, and frequent urination. What test will the doctor order?

Urinalysis

How many antiseptic wipes should be given to a female patient to perform a clean catch midstream urine specimen collection?

3

Which device should you use to evaluate the patient's ability to ventilate during a maximum forced exhalation?

Spirometer

What does a testing equipment quality control log ensure?

Calibration in accordance with manufacturer guidelines

A medical asst should report which of the following to comply with legally required disclosures?

A Patient refusing treatment for any reason

A medical asst is hired at an internal medicine practice. What is not part of the medical asst scope of practice(job duties)

Inserting Urine Catheters

A patient asks you about their friend's medical history. If you provide information, what are you violating?

HIPAA

What is the statement by the American Hospital Association that guarantees patients rights?

Patients Bill of Rights

Which form of regulation protects a patient's personal information?

HIPPA

Which of these scenarios directly violates HIPAA(Health Insurance Portability and Accountability Act)?

A medical asst looking at a friend's chart

Medical Offices must implement a basic training program on the privacy and security of PHI for which employees

All employees

How must the medical office inform patients about their protected health (PHI) will be used in the medical office?

In person

You have the right to raise a workplace safety concern and report a work-related injury under…

OSHA regulations

When should exposure incidents be reported to the employer?

Immediately

For exposure to which of the following pathogens is a bloodborne pathogen report NOT required?

Hepatitis A

Your skin is punctured with a contaminated needle. The 1st thing you should do is…….

Wash the wound

How should you appropriately flag and show respect for preferences in gender identification?

Respectfully inquire about the patient's gender identification preferences and document them accordingly in the medical records

Which type of scheduling allows walk-in appointments

Open Booking

Which of the following applications allows medical asst to schedule appointments while maintaining patient privacy

EMR software

Which document serves as the BASE for the patient's medical record?

A patient's medical history form

Using the SOAP charting format, the following line should go AFTER which line in the chart? "Throat appears red and white spots present on tonsils"

Line 4 Pt states has been sick with fever x 3d