NHA Practice Exam Missed Topics

CLIA-Waived Testing + examples

test that can be done with no risk of harm to the patient if done incorrectly (rapid strep, urine dipstick, blood glucose)

How far apart should allergy pricks be placed?

About 1 ½ - 2 inches

How many calories per gram in fats

9 cal/g

how many calories per gram in carbohydrates?

4cal/g

How many calories per gram in protein?

4cal/g

Colposcopy

examination of cervix and vagina using colposcope (patient in lithotomy)

EMR

specific to 1 organization

EHR

shared across organizations

Communicable diseases examples

HIV/AIDS, TB, sexually transmitted diseases (reported to state/local government)

ACO (Accountable Care Organizations)

collaborative group of doctors, hospitals, and healthcare providers that coordinate patient care for Medicare

Durable Medical Equipment (DME)

able to be used repeatedly for at least 3 years (wheelchair, cane, crutches)

How should you wrap a limb dressing?

from distal to proximal

What site do you use for toddler venipuncture?

dorsal hand veins

How far apart should patients in the waiting room be?

at least 6 feet

Current procedural terminology (CPT) codes

medical services, procedures performed

Healthcare common procedure coding system (HCPCS) codes

supplies or procedures not in CPT coding system, transportation

What is an appropriate diagnosis in outpatient clinic?

A confirmed definitive diagnosis

American Red Cross

prevents/relieves human suffering, provides disaster relief, blood donations, supports military families

Medicare Parts

A - hospitalization

B - Outpatient (doctor visits) durable medical equipment

C - Medicare advantage (bundles other parts)

D - Prescription drugs

When can a referral claim be denied?

it wasn’t submitted before a specialist visit, out of network, referral form expired because specialist visit happened after allowed end date of approval, typos

What are nonessential nutrients?

Vitamin D and cholesterol

What temperature must a urine sample test be?

90-100 degrees

Non-essential vitamins

D, A, B3

At what age should mammograms start?

40 or 45

At what age do bone density scans start?

65 and then for every two years

Class I obesity

30-34.9

Class II obesity

35-39.9

Class III obesity

40 and above

Required temperature of autoclave

250-270 degrees

How many layers of autoclave paper must be used?

At least 2 layers

Normal amplitude of ECG

10mm or 1mv

Z-track method

Pull skin before IM injection and release it after to create a zig-zag that seals medication deep in the tissue (prevents leakage into subcutaneous tissue)

What does urine specific gravity measure?

concentration, the higher the gravity the higher the concentration (high concentration = dehydration)

What should biomedical waste containers be labeled with?

Chemical name

Who can release information to a new provider?

Only the patient, must sign a release form

Example of bacterial and viral infection

bacterial - gonorrhea; viral - herpes simplex

Interrupted baseline

caused by a detached electrode and results in the tracing moving into the margins of the paper

Health Information Technology for Economic and Clinical Health Act (HITECH)

set security and privacy goals by extending HIPPA laws and adding tougher reporting and enforcement provisions

Advance Beneficiary Notice (ABN)

Form notifying the patient of services that may not be covered by Medicare

Release of information

form signed by patient to provide authorization for the practice to discuss confidential information with a third-party payer

High-resolution computerized tomography (HRCT) Scan

Evaluates pulmonary fibrosis

CT Scan of pulmonary arteries

evaluates pulmonary embolus

Papules

solid elevations less than 0.5 cm in diameter

Macules

flat areas of skin different in color than surrounding skin

Vesticles

small fluid-filled blisters

Pustules

pus-filled blisters

Personal Factors

gender, age, employment, race

Social factors

family, personality, peers

Cues to Action

social media, advice from other health care professionals

Epstein-Barr Virus

causes mononucleosis

Anger stage of grief often asks:

"why me?”

Depression stage of grief

patients have regret, wishing they took better care of themselves

What must be disinfected after each use?

Nasal specula

What must be sanitized after each use?

Otoscope, ophthalmoscopes, stethoscopes, pen lights, tuning forks

What type of consent does a venipuncture require?

verbal

When should lung cancer screenings begin?

for those who meet specific criteria and are 55-80 years old

When should colonoscopies be done?

every three years between the ages of 45-75

When should prostate cancer screenings begin?

For men 50 and older

What are ancillary diagnostic services?

pathology, radiology

How should table paper be disposed of?

It should be rolled up tightly and quickly to prevent shaking free contaminants

When should adjustments to patient ledgers be posted?

at the same time a payment is posted (debit adjustments are made after check is returned from bank)

Parenteral

injections

What is immunohematology responsible for?

blood typing

Hemolyzed

red blood cells in the sample break open

Folic Acid

used by pregnant patients to prevent spina bifida in fetus

Vitamin D

promotes bone health

Fiber

treats constipation

-tripsy

crushing

What should be used to obtain a blood sample from an infant?

capillary puncture

Comminuted fracture

multiple bone fragments

Who can enter hospital orders

must be done by provider

How long is a site observed for after venipuncture?

5-10 seconds after releasing pressure

Why is epinephrine included with anesthetics?

its a vasoconstrictor and reduces bleeding

How soon must newborn screening be collected?

within 24-48 hours after birth

vitamin B1 deficiency

heart failure and nervous disorders

vitamin B6 deficiency

cracks around mouth, rash, depression

Vitamin B12 deficiency

pernicious anemia, confusion

Vitamin B3 deficiency

digestive issues

When is body temperature at its lowest vs. its highest?

Lowest - morning, highest - late afternoon

Nitroglycerin

vasodilator used to treat angina or chest pain, available in sublingual tablet or spray

Who regulates laboratory testing?

Centers for Medicare and Medicaid Services (CMS)

Human Chorionic Gonadotropin (hCG)

Hormone made during pregnancy, hCG test is a pregnancy test

If a patient provides an unsatisfactory progress report over the phone, what do you do?

Notify provider immediately, document the call after

When taking a rectal temperature from an infant how deep should the probe be inserted?

½ inch (1 inch for adults)

Which direction should EKG tabs be placed on the chest, arms, and legs

downward on chest and arms, upwards on legs

When should cervical cancer screenings start?

Female patients age 21-29 for every three years

How to remove sutures

Grasp the knot and lift it away from the skin, slid scissors under suture, cut the suture at the skin level

Eupnea

normal breathing

Pneumothorax

collapsed lung

Mole removal MA duties

cleaning site with surgical soap and antiseptic before donning sterile gloves

What is caused by contact with inhaled coal and wood dust?

Emphysema

What results from inhaling asbestos?

Mesothelioma

What is linked with alcohol and tobacco consumption?

Carcinoma of the larynx

Fire Extinguisher Class A

Contains water

Fire Extinguisher Class B

Contains carbon dioxide, used on flammable lquids

Fire Extinguisher Class C

Contains a dry chemical used for electrical fires

Fire Extinguisher Class D

Used on combustible metals

Direct Exchange (Health Information Exchange)

details providers’ ability to send and receive information securely using electronic means

Query-Based Exchange (Health Information Exchange)

providers’ ability to find or request information from other healthcare providers

Consumer-Mediated Exchange (Health Information Exchange)

patients control the use of their health information