Practice Set #1

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Where do cardiac electrical impulses originate in the heart?

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1

Where do cardiac electrical impulses originate in the heart?

sinoatrial node

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2

According to the regulation of controlled substances, which of the following is true of a schedule 1 drug

Have no accepted medical use

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3

A medical assistant is collecting a health history from an older adult patient who exhibits moderate hearing loss. which of the following actions should the assistant take.

Remain within the patients view to allow lip reading

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4

A medical assistant is coding an office visit during which the provider reviewed the systems related to a patients chief complaint but did not discuss the patients family or social history. Which of the following procedure codes should the assistant use for this visit.

Expanded problem-focused history

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5

A medical assistant is preparing a patient who has anemia for an exaamination by the provider. Which of the following manifestations should the assistant expect to find.

Irregular heartbeat

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6

The patients bill of rights protects individuals from which of the following

Denial of care due to patients age

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7

A provider has requested a dissecting instrument on a sterile tray that a medical assistant is preparing. Which of the following instruments should the assistant include on the tray?

Scissors

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8

Whic of the following techniques should a medical assistant use for the routine cleaning of EKG cables.

Disinfection

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9

Which of the following additives should be used when performing a CBC

EDTA

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10

Which of the following dressings should a medical assistant use on a partial-thickness burn?

Non-adherent dressing

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11

An MA is caring for a pt. who has recently recieved a terminal diagnosis and is crying. Which of the following actions should the assistant take?

Allow the patient to cry

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12

Which of the following positions is appropriate for a pelvic examination.

Lithotomy

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13

Which of the following documents indicates how a patients medical records will be used and disclosed by a medical office?

Notice of Privacy Practices (NPP)

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14

An MA is reinforcing instructions with a patient about how to take a buccal tablet. Which of the following instructions should the assistant give the pt.

Place the tablet between your gums and cheek

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15

A medical assistant is cleaning an exam room after assisting a provider with a biopsy. Which of the following actions should the assistant take?

Hold sharps by the blunt end to avoid needlestick injury

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16

An MA is monitoring an infant patient for microcephaly. Which of the following describes the anthropometric measurement that the assistant should perform?

Head circumference

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17

Which of the following actions should a medical assistant take when obtaining the length of an infant during a well-child visit?

Position the infant on his back

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18

Which of the following instructions should a medical assistant give to a patient when administering an enteric-coated tablet

Swallow the tablet whole with a glass of water

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19

A provider examines an older adult pt who is disabled and has a lesion on her arm. An MA should anticipate a refferal for this patient to which of the following ancillary services?

Home health care

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20

An MA in an emergency clinic is admitting several patients. The assistant should recognized that the provider should see which of the following patients first.

An older adult patient who has diabetes and has blood pressure of 80/42 mm Hg

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21

A medical assistant is checking a patient's hearing using the weber test. Which of the following actions should the assistant take?

Ask the patient is he hears the vibration louder in one ear than the other

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22

At work, a medical assistant cared for a neighbor who sustained multiple injuries in the fall. After work, another neighbor asked the assistant what happened to the neighbor who fell. Following the American Association of medical assistance code of ethics, which of the following responses should the assistant make?

I can't share any information about what happens at my job

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23

A medical assistant is reviewing laboratory requisitions. For which of the following pt conditions should the assistant perform a capillary collection rather than a venipuncture?

previous thromboses

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24

when performing the palpatory method for obtaining blood pressure, which of the follwoing indicates the level at which the medical assistant should inflate the cuff?

30 mm Hg above the radial pulse cessation

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25

A medical assistant should insert the needle at which of the following angels during a venipuncture

15° angle

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26

An MA is collecting information from a pt who reports persistent pain in the left upper quadrant. the assistant should note that this area contains which of the following organs?

Stomach

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27

In which of the following positiojns should a medical assistant place a healthy patient in preparation for a rectal examination?

sims'

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28

An MA is preparing a pt who has bilateral below-the-knee amputations for an EKG. Which of the following sites should the assistant select for electrode placement?

Abdomen

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29

An MA is performing a fecal occult blood test using a guaiac card. Which of the following actionsshould the assistant take?

Interpret a blue color as a positive result

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30

An MA is collecting data from a patient who has cold sore on his lips. The assistant should identify that which of the following viruses causes this condition?

Herpes simplex type 1

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31

Which of the following items include on the CMS-1500 claim form should a medical assistant recognize as indicating the medical necessity of a procedure?

Diagnosis code

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32

A medical assistant works at a practice that is part of an Accountable Care Organization (ACO). This designation means that the practices health care team will focus on improving care for patients who have which of the following types of medical coverage?

Medicare

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33

An MA is encouraging a patient to increase her intake of insoluble fiber to help prevent constipation and hemorrhoids. which of the following foods should the assistant recommend as the best source of insoluble fiber?

Pears with skin

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34

An Ma is talking with a pt who reports forgetting whether she has taken her prescribed medication each day. Which of the following responses should the assistant make?

Try putting your medications in a weekly medication dispenser for the upcoming week

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35

To provide culturally competent care, which of the following actions should a medical assistant take first when encountering patients?

Examine personal religious and cultural values and beliefs to identify any biases

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36

An MA is assisting a provider with an abdominal examination. When the provider palpates the major portion of the liver, the assistant should recognize that he is palpating which of the following abdominal quadrants?

right upper

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37

An MA is scheduling a patient for an outpatient procedure. Which of the following actions should the assistant take first?

obtain an oral or written order from the provider for the procedure

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38

When measuring a pt's respiratory rate, which of the following actions should a medical assistant take to ensure an accurate reading?

Count the respirations while the pt thinks his pulse is being obtained

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39

An MA is talking with a patient who is experiencing home displacement following a hurricane. To which of the following resources should the assistant refer the pt for information, support, and links to community services?

American Red Cross

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40

An adolescent is covered by two insurance policies under her divorced parents who have birthdays in May and August and have joint custody. which is the primary policy for the adolescent?

The policy of the parent who has the earliest birth month

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41

An MA is administering an injection and the patient faints. Which of the following actions should the assistant take?

Place the Pt. in a supine position

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42

An MA is caring for an infant who suddenly becomes unresponsive for unknown reasons. Which of the following actions should the assistant take?

Initiate CPR

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43

An MA is reviewing a pts medical history prior to the pts appt. Whcih of the following laboratory results indicates the need to schedule an extension of the current visit

Fasting blood glucose 168 mg/dL

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44

Which of the following terms refers to the range of fees charged by providers who have similar training and experience and practice in the same gographical area?

customary

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45

An MA is administering an intramuscular injection into the gluteus medius of an adult pt. At which of the following angles should the assistant insert the needle.

90° angle

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46

An MA is caring for a pt who is experiencing chills, nausea, and dizziness. The patients face appears pale. The assistant should recognize that the patient is exhibiting manifestations of which of the following medical emergencies?

Syncope

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47

An MA works at an urgent care center that uses open hours scheduling. Which of the following describes this form of schedule?

Pts arrive at their convenience and are seen on first-come, first-served basis

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48

An MA is assiting with the physical exam of a pt who scabies. Besides gloves, which of the following pieces of personal protective equiptment should the assistant wear?

Gown

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49

An Ma is reinforcing teaching about a cardiac event monitor with a patient. which of the following statements by the patient indicates an understanding of the procedure?

I will record any symptoms I experience in the event log

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50

Which of the following items in a medical office are considered adminstrative office supplies

Letterhead, envelopes, and business cards

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51

An MA is preparing a pt who has congestive heart failure for an examination by the provider. Which of the following manifestations should the assistant expect?

Shortnessof breath

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52

An MA is speaking with a pt who recently recieved a termminal diagnosis. The pt states, "I regret not taking better care of myself. Now, i wont be abe to accomplish what i wanted to do with my life." the MA should identify that the pt is in which of the following stages of grief?

Depression

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53

An MA is collecting bld samples to measure a pts cholesterol levels. Whichof the following actions should the assistant take before collecting the Pts blood?

Make sure the pt didnt eat any food for the past 12 hr.

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54

An MA is preparing to file the paper chart chart for Mary St. Thomas. Where should this file be placed when filed along with the charts for Mary Perez, Elizabeth Saint, and John A. Thomas.

After Elizabeth Saint and before John A. Thomas

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55

WHen choosing a diagnosis code, an MA should consider which of the following actions in order to avoid an insurance denial?

Coding to the highest level of specificity

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56

An MA is transcribing a perscription for magnesium sulfate into a pt's medical record. Which of the following should the assistant use to document this medication?

Magnesium Sulfate

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57

When assisting a provider with a punch biopsy of a mole, which of the following tasks should an MA expect to perform?

recieve and prepare tissue specimens for processing

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58

An MA is writing a piece of professional correspondence to a consulting provider. In which of the following ways should the assistant record the date on the letter?

January 1, 2020

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59

Which of the following routes of administration should an MA use when performing a tuberculin skin test?

Intradermal

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60

which of the following actions should the MA take when obtaining the head circumference of an infant?

record the measurement to the nearest 0.6 cm (1/4 in)

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61

If an MA drops an instrument on the floor then puts it back on the sterile tray, and the site of the procedure gets infected, which of the following torts has the assistant committed?

Negligence

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62

An MA recieves a call from a pt requesting a refill for fentanyl patches for chronic pain. Which of the following actions should the assistant take?

refer the pts request to the provider

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63

an MA is applying a transdermal patch for a pt. Which of the following actions should the assistant take?

apply the patch to a hairless area of the pt skin

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64

an MA is preparing a patient for an enema. In which of the following positions should the assistant place the patient for this procedure?

Sims' position

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65

An MA is caring for a pt who is 5'7" tall. Which of the following i the patients height in centimeters?

170 cm

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66

An MA is caring for a patient who has terminal colorectal cancer with a life expectancy of 6 months. the patient states, " I dont know if its time to begin hospice care yet." Which of the following statements should the assistant make?

"Hospice can help manage your pain and comfort during the final months of your life."

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67

An MA is administering heparin subcutaneously to a patient.Which of the following actions should the assistant take

inject the medication slowly

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68

An MA is reviewing a patients recent medical history and notes that she has a healing fracture of the distal femur. Where on the patients body should the assistant expect to find the injury?

just above the knee

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69

Several patients arrive at a clinic at the same time requesting care. An MA should recognize that which of the following patients chief complaints is the priority for the provider to address?

An adult patient who is experiencing dyspnea and congestion

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70

An MA must invert anticoagulant tubes to prevent which of the following?

clotting

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71

AN MA is preparing to administer a liquid, oral medication to a patient. which of the following methods should the assistant use the ensure the correct dose is delivered?

pour the medication to the prescribed dose in the medicine cup ona flat surface

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72

an MA should understand that the chain of custody form is used for which of the following?

ensuring that a specimen is packaged as directed

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73

after a pt leaves an exam room, which of the following actions should an MA take to prepare the exam table for the next pt?

roll up the disposable paper on the table tightly and quickly

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74

An MA should use which of the following solutions to prepare a patients skin prior to drawing blood cultures?

Chlorhexidine

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75

an MA is caring for a child who has varicella zoster virus. The MA should recognize that varicella is transferred through which of he following modes of transmission

Airborne

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76

a pt asks an MA to explain the difference between a liniment and a medicated lotion. Which of the following responses should the assistant make?

"liniments contain a higher portion of oil than medicated lotions."

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77

An MA should identify that which of the following vitamins is fat soluble?

Vitamin A

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78

A patient tells an MA that his providers office is incompetent, as there is no improvement in his condition. Which of the following is an appropriate response for the assistant to make?

"I think that you feel that your treatment is not effective."

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79

An MA observes a hematoma developing at the site of a venous blood draw. The MA should do which of the following?

release the tourniquet and stop the draw

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80

An MA is explaining to a female patient how to collect a clean-catch urine specimen. Which of the following instructions should the assistant include?

With the labia spread, urinate a small amount into thetoilet befroe collecting the sample.

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81

An MA is performing an EKG on a patient. which of the following describes the appropriate placement of the electrodes

tabs downward on the arm

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82

an MA is assisting a provider with the repair of a laceration on a patient's head. the providers prescription for the procedure includes an injection of 10 mL of lidocaine with epinephrine. The assistant should recognize that which of the following is the purpose of epinephrine in the local anesthetic?

to reduce bleeding at the site

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83

when completing documentation in a patients paper medical record, an MA realizes she made an error. Which of the following actions should the assistant take?

draw a line through the error and initial it

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84

a clinic schedules all cardiac patients on Mondays and Wednesdays and all oncology patients on Tuesdays and Thursdays. Which of the following types of scheduling is the clinic using?

Cluster scheduling

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85

which of the following is an MA's role in pulmonary function testing (PFT)?

coach the patient through the test

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86

An MA is cleaning countertops and other surfaces after a surgical procedure in a providers office. Which of the following disinfectants should the assistant use for this purpose?

A 1:10 bleach and water solution

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87

An MA is performing a review of items in a clinics inventory. How should the assistant classify dressings and bandages for inventory purposes?

As clincial supplies

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88

Which of the following tests is granted waived status under clinical laboratory improvement amendments (CLIA)?

Rapid strep test

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89

A medication container states there is 250 mg of medication in each scored tablet. The provider orders 375 mg. How many tablets should the medical assistant give the patient?

1.5

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90

An MA is reviewing laboratory results that confirm a patient has varicella zoster virus. The MA should identify that this micro-organism causes which of the following types of infections?

chickenpox

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91

An MA is collecting vital signs from a 6 y/o child. The MA should recognize that which f the following vital signs is outside of the expected reference range for this patient and should be reported to the provider?

Heart rate 140/min

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92

Which of the following parenteral medication routes should the MA administer for a slow release of medication into the bld stream?

transdermal

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93

An MA is reinforcing teaching with a patient about pulse oximetry. Which of the following statements should the assistant include in the teaching?

"remove your nail polish before the test."

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94

An MA is preparing to assist a provider with suturing a wound. which of the following items should be in the sterile field for this procedure?

Hemostat

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95

which of the following is a step in the process of skin preparation prior to a surgical procedure?

clean the surgical site with antiseptic.

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96

An MA is performing a 12-lead EKG on a pt. which of the following electodes should the assistant place to the left of the sternum at the fourth intercostal space?

V2

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97

which of the following is the largest and uppermost section of the brain?

Cerebrum

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98

a patient reports feeling depressed due to the recent loss of a partner.In which of the five stages of the grief process does depression present itself?

Fourth

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99

An MA is preparing to administer a subcutaneous injection for a patient. Which of the following needle sizes should the MA choose?

1/2-5/8 inch needle, 25 gauge

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100

Which of the following statements made by an MA demonstrates an understanding of required patient identification techniques?

"I will ask the patient to state and spell her full name and provide her date of birth before administering vaccines."

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