CCMA PRACTICE TEST

Vital signs

Temperature, Pulse, Respiration, BP

What balances Body temp?

Hypothalamus

Another name for eardrum

Tympanic Membrane

Fluctuating fever that returns to baseline but then rises again

Intermittent

Normal pulse rate

60-100 BPM

Where apex of heart is located

5th intercostal space

What is BP cuff inflated to?

30-40 mmHg above the palpatory systolic pressure and released to drop 2-3 mmHg per second

Hg in BP measurement stands for this

Mercury

Branch responsible for the identification of various hazards present in the workplace and the creation of rules and regulations to minimize exposure

OSHA

This is required by Chemical Safety Regulations

Label all chemicals with MSDS

Most surgical instruments are sterilized by this

Steam sterilization/Autoclave

Droplets can travel how far?

Less than 3 feet

Standard running speed of the EKG reading

25mm/sec

Who invented the EKG?

Einthoven

Pt having mild chest pain might be prescribed this

Nitroglycerin

Liquid portion of blood is called

Plasma

Thromobocytes assist in

Clotting

Government based health insurance for people over 65 and others with certain disabilities

Medicare

CPR Ratio

30 Compressions : 2 Breaths

Medical Asepsis

The destruction of pathogenic microorganisms AFTER they leave the body through Standard Precautions and Transmission Based Precautions

Standard Precautions and Transmission-based Precautions are control measures aimed at preventing the spread of disease at what point in the Chain of Infection

Portal of Exit

Organization that issued the guidelines known as Standard and Universal Precautions

CDC

Because of the nature of airborne precautions this is needed to prevent transmission

Ventilation

Where you would find the spelling for a medication?

Physician Desk Reference

Where is V2 lead located

4th intercostal space, left sternal border

Where is V5 lead located

5th intercostal space, anterior axillary line

Poor tracings due to sweat or lotion would lead to this on an EKG

Wandering baseline

Most critical step in pt testing

Identifying the pt

Which urinalysis would you use to test for bacteria?

Clean Catch Specimen

Codes used to describe encounters with circumstances other than disease or injury

ICD-9

Supplemental codes that capture the external cause of injury or poisoning, the intent and the place it occured

E codes

The sounds an MA listens for during a BP

Korotkoff sounds

CMS-1500 Form is aka

Superbill

Post-prandial

After a meal

Complication from repeated venipuncture of the same vein

Phlebitis

Bacteria, viruses, fungus or parasites belong to which type of hazard

Biologic

Isolation precautions are condensed into 3 categories:

Airborne, Droplet and Contact

Unit of measure on a standard Rx

Micrograms/mcg

Amount of blood pumped by the heart per minute is called

Cardiac Output

Q wave is always

Negative

First electrical impulse recorded on EKG

P wave

Movement away from the baseline on an EKG is called

Wave form

Several wave forms on an EKG are called

Complex

A wave form and a segment on an EKG

Interval

A line between waveforms on an EKG

Segment

Specific coding instructions for each CPT section are located here

Guidelines

Required when general practitioner sends pt to a specialist

Method of referral

The shallow wave that follows the T wave represents

Late ventricular repolarization

Rhythm indicated by absence of/or inverted P waves

Junctional

Inferior wall MI is shown in what leads

II, III, AVF

Leads 1 and AVL show broken recording, you should

Check Left Arm

Three lead EKG monitor

I, II, III

Why increase the speed of the EKG

Increase speed widens wave forms

Placement of leads V1-V6 is important to diagnose

Left ventricular

Why place V3 on right side of chest on an infant

To prevent crowding of the leads

Dextrocardia

When heart is on opposite side of the body

Lead combo for Lateral wall acute MI

Leads I, AVL, V5 & V6

ST Segment Elevation indicates

Cardiac injury in progress

Which leads allow viewing pt's anterior wall of Left Ventricular

V3 & V4

EKG line representing zero electrical activity

Isoelectric line

Patient with a 2 degree heart block would show this

Progressively prolonged PR intervals until the QRS complex dropped

What is the heart rate with 5 big boxes and 3 little boxes

54

Sequencing

300, 150, 100, 75, 60, 50

The epicardium forms a protective sac around the heart known as the

Pericardium

Atrio ventricular valves

Tricuspid and mitral

The last valve to touch de-oxygenated blood is the

Pulmonary valve

All 4 valves are

Unidirectional

The right side of the heart has what type of blood

De-oxygenated blood

The heart is fed by these

Coronary arteries

The L anterior descending artery is also known as

The Widow maker

The pathway from the SA node to the AV node is the

Internodal pathway

Intrinsic rate for the SA node is

60-100 BPMs

Eintoven's Triangle does what?

shows basic EKG reading

Calculating the atrial rate would be

The p-p big box method

The PR interval is measured from

The beginning of the P wave to the beginning of QRS complex

This makes a rhythm a "sinus rhythm"

a P wave

In hospital cardiac monitoring

Telemetry

On a telemetry monitor what color lead is on the right shoulder

White lead

The artery used for blood pressure is

Brachial

The area of the eye you start irrigation in

Inner canthus

Pulmonary function tests use this

Spirometer

Heart muscle disease

Cardiomyopathy

With wave scheduling, which patient would be priority

Patient who arrives first

Refers to coding procedures

CPT

Refers to preventative coding like a flu shot

V codes

Refers to coding diagnoses

ICD 9

Refer to coding supplies like crutches

HCPCS

Most important is to have this before scheduling a procedure

A doctor's order

To properly identify a pt, an MA must

Ask pt to state his/her name

At what angle is the needle held for venipuncture

35 degrees

Fecal specimen collection is used to detect what disease?

Colorectal cancer

Which type of urine collection is required for culture and sensitivity testing

Clean-catch midstream

Hypotension

Lower than 90/60

A murmur is an abnormal sound that may indicate this

Structural heart disease

CDC

Center for Disease Control and Prevention

Collection tubes with anti-coagulant must be inverted

Eight times

Deoxygenated blood enters the right atrium via

The superior and inferior vena cavae

If the finger is excessively milked during a skin puncture

Hemolysis and contamination of the specimen with tissue fluids will occur

Type of specimen collected in a clean catch

Midstream

Hemolyzed blood appears to be

Pinkish plasma