CCMA Practice exam #1

cardiac electrical impluses originate in:

impulses are initiated in the sinoatrial node and are then conducted to the atrioventricular node

Schedule 1 drug

has no accepted medical use

when collecting health history from the elderly with moderate hearing:

remain with the patient’s view allows for lip reading and facial expressions association with verbal communication

Coding a office visit during which the provider reviewed the systems related to the patient’s family or social history is considered:

an expanded problem focused history, in which includes the systems related to the chief complaint but does not include a family or social history

a patient who has anemia shows the manifestations of :

irregular heartbeat, fatigue, dizziness, and pale skin

the patients Bill of Rights protects patients from:

being denied fair treatment or participation in research studies due to criteria such as age

Scissors are considered:

cutting and dissecting instruments

Disinfection is the proper technique to use when:

cleaning EKG cables and effective on surfaces that come in contact with microorganisms

EDTA is the proper additive for:

Hematology studies and when performing a Complete Blood Count (CBC)

An assistant should use a non-adherent dressing on:

a partial thickness burn, this allows the wound to be exposed to air and heal

Allow patient to cry after receiving bad news because:

it permits them to express their emotions

The lithomy position is appropriate for:

pelvic examination(s)

A Notice of Privacy Practices details:

how a patients medical records will be used and disclosed by a medical office

Buccaneers tablets should be administered:

between gums and cheeks

An assistant is cleaning an examination room after assisting with a biopsy. Which actions should be taken?

the assistant should hold sharps by the blunt end to avoid a needle stick injury

Microcephalic refers to:

and abnormally small head

An assistant should measure a infant’s height by:

placing an infant on its back with the paper cover on an examination table, then draw a line on paper at infants head and a line at the heel of the extended legs

Enteric-coated tablets shouldn’t be:

crushed, chewed, or dissolved because they need to arrive in small intestines whole

what action should the assistant take when an older adult patient who is disabled and has a lesion on a arm is admitted:

the assistant should anticipate a referral to Home health care Organizations because they provide assistance with medications, wound care, and other services that need to be provided in their residence. Most appropriate to provide daily wound care.

In a Emergency clinic there are patients who are bleeding, have fractured limbs and a older patient who has diabetes and low blood pressure, who should go first?

the older patient who has diabetes and low blood pressure

when performing the Weber test the assistant should ask patient if:

they hear a vibration louder in one ear than the other

in following the America Association of Medical Assistants (AAMA) Code of ethics:

the response “ I can’t share any information about what happens at my job.” follows this code by maintaining patient confidentiality especially when a neighbor is involved

A medical assistant is reviewing laboratory requisition. for when there is previous thromboses the assistant should consider:

a capillary puncture when the amount of blood is minimal and a patient has a history of thromboses

when performing a palpatory method for obtaining blood pressure the method requires:

the assistant to inflate the cuff 30mm Hg above the cessations of the radial pulse

a medical assistant should insert then needle at a 15 degree when performing a:

venipuncture

a patient reports persistent pain in the left upper quadrant. the assistant should recognize what organ is located in this quadrant:

the stomach is located in the left upper quadrant of the abdomen

the sims position is appropriate for:

a rectal examination

when a medical assistant is preparing a patient who has bilateral below-the-knee amputations of an EKG the assistant should place the electrodes on the:

abdomen of thighs of a person

an assistant is performing a feral occult blood test using a guaiac card, they should interpret:

a blue color as positive result indicating that there is blood in the patient’s stool

a medical assistant is collecting data from a patient who has cold sores on his lips, the assistant should ask themselves, what virus causes cold sores?

the herpes simplex virus type 1

the assistant should recognize that a diagnosis code indicates the medical necessity for the:

performance of a procedure or provided treatment. without a diagnosis the provider will not receive reimbursement for the procedure.

an assistant works at a practice that is part of an Accountable Care Organization (ACO), this designation means:

the practice’s health care team will focus on improving care for patients who have Medicare since ACOs have a strong relationship with patient centered medical homes as a mandated by the centers for Medicare and Medicaid services.

an assistant should recommend what source of insolvable fiber to prevent consumption and hemerroids?

pears with skin, medium pear with skin contains 4 grams of insoluble fiber per serving.

an assistant is responsible for providing encouragement and guidance for patients:

discussing medication compliance. suggesting the use of a tool designated for maintaining medication compliance is within the assistant’s scope of practice

the first step the assistant should take when providing culturally competent care to:

understand his own individual beliefs and value system

The right upper quadrant contains the major portion of what organ?

the liver and also is the quadrant that contains the gallbladder

The assistant must first obtain an oral or written order from the provider for:

scheduling a patient for an outpatient procedure

when measuring a patient’s respiratory rate:

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

A medical assistance should refer a patient who is experiencing home displacement following a hurricane to the:

American Red Cross

an adolescent is covered by two insurance policies under divorced parents of joint custody, whose insurance policy does the assistant use for the patient?

The primary policy falls to the parent who has the earliest birth month (The birthday rule) According to the third-party payer guidelines

an assistant is administering an injection and the patient faints, the assistant should:

place the patient in a supine position to allow the patient’s legs to be raised above the level of his heart.

if an infant suddenly becomes unresponsive, the assistant should immediately:

initiate cardiopulmonary resuscitation for 2 minutes prior to activating emergency response measures

if a patient has a fasting blood glucose of 168 mg/dL the assistant should notify the provider and schedule an extension of the patient’s visit because:

the pateint’s fasting blood glucose is above the expected reference range of 70 to 130 mg/dL

a customary term or fee is:

a range of fees charged by providers whom have similar training and experience and practice in the same geographical area

a 90 degree angle is used primarily for:

intramuscular injections in adult patients such as in the gluteus medius

During a routine venipuncture the patient becomes pale and diaphoretic, what condition is most likely to occur in this patient?

a sudden loss of blood flow to the brain. the patient can experience chills, nausea, dizziness, and numbness in the extremities and pale appearance.

open hours scheduling is described by:

patients arriving at their convenience and are seen on a first come first serve basis.

and assistant should wear gloves and a gown when assisting with:

the physical examination of a patient who has scabies

during cardiac event monitoring the patient should:

update the event log with an irregular symptoms he experiences