Smarter MA CCMA Practice Test #1

What instructions do MAs provider to teach a diabetic patient about proper use of a glucometer?

Apply a large, hanging drop of blood to the center of the test pad

What is the goal of Accountable Care Organization (ACO)?

ACO focuses on improving the quality of care and reducing healthcare costs

How are ACO and PCMH similar and different?

ACO and PCMH focus on improving patient care but ACO wants to do it at a reduced cost

What is negligence?

Failure to exercise the standard care and causes harm

What things must occur for negligence?

4D's: duty, breach of duty, direct causation, damages

What is R in RACE?

RESCUE anyone in danger of the fire

What is RACE?

How to respond to a fire

What is A in RACE?

Pull the nearest fire ALARM and call 911

What is C in RACE?

CONTAIN the fire by closing doors as you evacuate

What is E in rACE?

EXTINGUISH the fire if it is safe to do so

What and where are the age ranges for injections?

0-3: Vastus lateralis (thigh)

>3: deltoid (upper arm)

What is urticaria?

hives

What is suppuration?

pus in an infected area

What test does EDTA due?

CBC

Mnemonic for yellow tubes

yellow SouPS:

yellow = Sodium Polyanethol Sulfonate

Mnemonic for light blue tubes

light blue CITRus Sea

light blue = Sodium CITRate

Mnemonic for red tubes

Red Roses CLOT PLAINLY:

Red = CLOT activator or PLAIN (no additive)

Mnemonic for gold tubes

gold tigers clot SST

SST have Clot activator

Mnemonic for green tubes

Green Heparin Hills

green = sodium heparin

Mnemonic for lavendar

Lavendar = EDTA

Mnemonic for grey tubes

grey OXLATE Fogs

grey = potassium OXALATE or sodium Fluoride

What is source-oriented documentation?

structured by data provider

What is problem-oriented documentation?

structured by patient's problems

What is palliative care?

Based on relieving non-serious symptoms & improving quality of life

What should be used to clean spilled urine?

10% bleach (1 part bleach, 9 part water = 1:10 bleach : water solution)

Using an EKG, how would you estimate the HR?

Divide 1500 by the number of small boxes between two R waves

What causes chickenpox and shingles?

Varicella zoster virus (VZV)

How does VZV spread?

airborne particles of the respiratory system and physical touch

What is the 'allowed amount'?

Allowed amount = maximum amount that insurance company will cover for a specific procedure

What is the 'insurance maximum'?

Insurance maximum = maximum amount of money insurance will pay for benefit(s) for the year

What type of veins use butterfly needles?

Small, fragile, or rolling veins

If a patient is unconscious, the first thing an MA should do is?

Check for pulse (sign of life)

What is diabetes insipidus?

excessive thirst and urination from deficient water balance hormone

What is diabetes mellitus?

high blood sugar from insufficient amounts of insulin

What is a goniometer?

protractor to measure ROM of a joint

What is a tonometer?

measures intraocular pressure of the eye

What is a thrombus?

blood clot within a blood vessel

What is an embolus?

Part of thrombus that breaks off and travels in the blood vessel

What is the mnemonic for order of draw of a capillary puncture?

GASp, ED Over Shares

1. blood gasses

2. EDTA

3. other additive tubes

4. serum

What first Korotkoff sound?

systolic - sharp tapping

What is the second Korotkoff sound?

swish/whoosh as cuff deflates

What is the third Korotkoff sound?

thump

What is the fourth Korotkoff sound?

soft, blowing, muffled sounds that fade

What is the fifth Korotkoff sound?

diastolic blood - silence

What mineral is important in blood coagulation?

calcium

What is another name for stroke?

cerebrovascular accident (CVA)

What are symptoms of stroke?

slurred speech and drooping face

What are symptoms of heart attack?

chest pain, discomfort, SOB

How do liniments and medicated lotions compare?

liniments are more oily and easier to spread over larger areas of skin

Function of medicated lotions

reduce itching and control inflammation

Function of liniments

protect dry or cracked skin

What type of medication is warfarin?

anticoagulant

What hormone is tested in pregnancy tests?

hCG

Why should you put a cap on tubes that are going to be centrigued?

Prevent the spreading of aerosols

What are anthropometric measures?

height, weight, head circumference, BMI

How long should an MA take time to record an axillary temperature reading?

5 to 10 minutes

Where should transdermal patches be applied?

shoulder (avoid areas below the elbows or knees)

What is a TIA?

transient ischemic attack aka a temporary blockage of blood flow to the brain ("mini-stroke")

What is a papule?

small, raised bump

<0.5 cm

What is a bulla?

large, fluid-filled blister

>0.5 cm

What is a cyst?

fluid, or semi fluid bump with no specific size range

What is a macule?

flat, colored spot

<0.5 cm

What is a patch?

big macule (>0.5 cm)

What is a plaque?

large, solid, raised bump

>1-2 cm

What is a vesicle?

small, fluid-filled blister

<0.5 cm

What is a pustule?

small blister filled with pus

no specific size-range

What is a nodule?

large, solid bump

>0.5 cm

What equipment are needed for suturing?

sutures, tissue forceps (grab and hold tissue), hemostat/needle driver, scissors

Where should you be standing when helping a patient out of a wheelchair?

In front of them

What are usual charges?

what providers commonly charge

What are customary charges?

a charge within a range of fees that most other providers in the area charge

What are reasonable charges?

cost that is reasonable if it requires extra time/effort because it is more complex

What are accepted charges?

fee that is accepted by payers and patients as fair

What are expanded problem focused examinations?

examination that focuses on the area/system related to the chief complaint, and other body systems that may be related (ROS). It does not include a family or social history

What are problem focused examinations?

examination that focuses on the specific area/system related to the chief complaint. It does not include ROS

What are detailed focused examinations?

examination that focuses on the area/system related to the chief complaint, and other body systems that may be related (ROS), and family or social history

What are comprehensive examinations?

general examinations of multiple systems (related AND unrelated to chief complaint), includes review of medical and social history

What is malfeasance?

form of negligence

intentionally doing something wrong or illegal

ex: stealing from patients, accepting pharmaceutical company bribes

What is misfeasance?

form of negligence when someone performs a task in an improper or incompetent manner

ex: MA gives wrong medication or dosage

What is misdemeanor?

minor crime

ex: MA steals drugs from clinic

What is malpractice?

professional negligence or incompetence

ex: provider operates on wrong part of the body, or incorrect diagnosis of illness

What are normal HbA1c levels?

<5.7%

What are diabetic HbA1c levels?

>6.5%

What is the Weber test?

tuning fork over the head for both ears

What is the Rinne test?

tuning fork behind the ear to hear when they can't hear it anymore

How is heparin delivered?

parenterally (subQ or IV)

What is the relationship between axillary and oral temperature?

Axillary temp is 1F lower than oral (ex: axillary = 99F if oral is 100F)

If you ask the patient the current date and location, what step in MMSE is this?

orientation

If you ask the patient about 3 unrelated objects and ask them to repeat the objects back, what step in MMSE is this?

registration

If you ask a patient to count backwards from 100 by 7, five times, what step in MMSE is this?

attention and calculation

If you ask a patient to recall the 3 objects previously presented, what step in MMSE is this?

recall

If you ask a patient to point at an object, repeat a sentence, etc, what step in MMSE is this?

language

What does serous fluid look like?

clear and yellow

What are V codes used for?

Visits of a healthy patient w/o illness (ex: oral contraceptive prescription or general wellness check up)

What are E codes used for?

external injury (ex: car accident or injured on job site)

What is the purpose of epinephrine?

Vasoconstrictor, which reduces bleeding at a surgical site

Where should an MA put V1 and V2 for a patient with breast implants?

2nd or 3rd intercostal space

Where should an MA put V1 and V2 for a patient without breast implants?

4th or 5th intercostal space

What is the function wave scheduling?

for flexible patient pattern

What is stream scheduling?

set patient order