struggling ccma

MA response to depression

avoid forcing convo, quiet support, community resources, support group, dietitian

cytoplasm made of

nutrients, salt, and waste

pancreas

prdouce digestive enzymes to regulate blood sugar levels

ovaries

support and regulate period and pregnancies

arthrogram

visualize joints with x-ray after injecting radiopaque dye into patient

vesicle

small, raised blister with clear fluid inside or under dermis

ulceration

tissue loss in epi and derm

rosacea symptoms

inflammation, pustule, visible vasodilation, redness ,flushed face

after procedure dermabrasion

face and eye guard protection from aerosol or splatter

meningitis ss

headache, flu, stiff neck, seizures, neck pain, ovmit, irritability

contusion ss

headache, nv, vision disturbance and sensitive to light

lumbar puncture

measure CSF pressure to detect ICP, infection, bleeding, and inflamed CNS

risk of gestational diabetes

deliver infants >10 pounds, obesity, predisposition, previous unexplained stillbirth or congenital abnormalties, smoking

what does eustachian tube connect

nasopharynx and opens into middle ear cavity

other causes of hearing loss

impacted cerumen, trauma to tympanic membrane

uncontrollable risk factors of otitis media

disease, premature birth, family history, seasonal allergies

excessive cerumen

fullness, ear pain, tinnitus, hearing loss

conjunctivities cause

irritation, allergy, bacterial infection

cause of cataract

injruy to eye, exposure to extreme heat or radiation, inherited, aging

how to use snellen chart as MA

• sanitize - identify, explain, position - complete test until max 2 letter errors in row - disinfect, sanitize, document

what does lymphatic system include

special tissues and organs to filter lymph and remove waste/harmful substances/pathogens

physical barriers

integumentary system -> openings include mucous membrane to trap pathogens

humoral immunity steps

• host binds with antigen -> antigen is engulfed and digested -> presented to neighboring t cells to become sensitized - t cell sends out signal to b-cell to produce and activate antibodies -> replicate and clone - differentiation -> b cells change into plasma cells to produce antibodies or memory cells specific to antigen

cell-mediated immunity

t cells mount a direct attack against antigen at site - macrophage engulfs infected cell - presents T cell that has receptors for specific antigen - divides into clones

where to get blood sample for CBC

venous, arterial, capillary blood using cuvette

patient history and physical exam ss autoimmune disease (name 4)

weight loss, low fever, fatigue, pain/swollen joints, skin changes

ss type 1 diabetes

weight loss, fatigue, hyperglycemia, polyuria, polydipsia

ss acute HIV infection

flu, fever, fatigue, joint and muscle pain, swollen lymph nodes, diarrhea

opportunistic infection

• frequently encounter infections the body cannot fight yet - affect host with weakened immune system and repsonse

ss AIDS (name 7)

fever/chills, fatigue, swollen lymph glands, >15% weight loss, flu, arthralgia, myalgia, rash, night sweats, malaise

prognosis HIV/AIDS (5)

new condom, disclose HIV with sexual partner, new needle, male circumcision, PrEP

ss lymphoma for both

weight loss, fatigue, fever, chills, night sweats

ss multiple myeloma (name 6)

bone pain, anemia, loss of kidney function, thirst, nauasea, loss of appetite, weight loss, constipation, fatigue, frequent infections, leg muscle weakness or numbness, confusion

examples of hypertension caused by

pregnancy, heart, kidney, endocrine diseases

what does mitral valve prolapse lead to

mitral valve regurgigation -> ventricular hypertrophy and cardiomegaly

ss peripheral arterial disease (name 4)

leg numbness or weakness, persistently cold extremities, leg pain when walking, sore feet or legs w/o heal, hair loss on extremities

when to use ACE inhibitors

hypertension and co-morbid conditions such as CAD, heart or kidney failure

implantable cardioverter-defibrillator

battery device implanted in chest and attaches to heart using thin wires

doppler studies

use transducer to identify vein occlusion and velocity of blood flow in blood vessels

duplex doppler scan

produce 2d image of artery to evaluate stenosis or artery occlusion

why is contrast medium injected into cardiac catheterization

visualize heart chambers, valves, coronary arteries using fluoroscopy

non-surgical therapeutic approaches for varicose veins

aerobic exercise and limit heavy lifting

risk factors obstructive sleep apnea (name 4)

obesity, enlarged adenoids or tonsils, history, alcohol consumption, sedative use

early symptoms of lung cancer

chronic productive cough, SOB, tightness in chest

ventilation ccma

CO2-O2 exchange provides oxygen rich blood to heart into body

ss constipation (name 3)

inability to defecate or bowel movement, cramp, pressure in rectal area, watery diarrhea

how to treat binge eating (name 4-5)

psychotherapy, antidepressants, meds, meassage, therapeutic touch, mind-body therapies to reduce anxiety

physical symptoms of mental health disorders (name 5)

tachycardia, SOB, cold clammy hands, GI upset, sleep disturbance, muscular tension

medical release form

allows the release of medical info for other purposes

component of meaningful use

use EHR in meaningful manner and electronic exchange of health info

filtrate

excess fluid and electrolytes from blood -> glomerulus -> bowman's capsule -> nephrons tubules

reabsorption

move fluid and substances from filtrate -> PCT and DCT 0> body

treat dysuria

oral antibiotics and analgesics

ss pyelonophritis

fever, chills, nv, flank pain

dialysis

filter blood by removing waste and excess water

cause of nocturnal enuresis (name 4)

uncontrolled bladder, neurologic deficit, diabetes mellitus, UTI, sleep apnea, stress

hemoglobinuria cause (name 3-4)

transfusion, malaria, drugs, snake bites, severe burns

retrograde pyelography

inject dye through cytoscope into bladder, ureters, and kidney

why use first-morning specimen (name 3)

nitrite and protein determination, bacterial culture, pregnancy test, microscopic exam

24 hour urine specimen use

quantitative chemial analysis, hormone levels and creatine clearance rates

when to use nonsterile containers

random, first morning, 24 hour, 2 hour

why use nonsterile

most routine UA testing, pregnancy testing, abnormal analytes tests

proper handling of urine samples to prevent adulteration

• take photo ID of individual - indirect methods of observation - check temp w/in 4 minutes receiving specimen - pour specimen into specimen bottle and seal with tamper evident label - transport

how to send urine sample

plastic biohazard zip bag

casts

protein accumulation and precipitation in kidney -> urine

MA ethics

examine own values, beliefs, and actions prior to interacting with patients

when is it considered that physician participates in execution

• leads to death, assist or help another individual that causes death, set motion of execution

what does problem list include

diagnosis, physiologic finding, symptom, abnormal test result

example of planning POMR

lab and diagnostic test, therapy, med and surgery, patient ed

planning POMR format

heading that identifiees number of problem based on problem list

progress notes POMR

record info about service and patinet during appointment

what does SOMR allow

compare lab and diagnostic test results, assessment,s and treatments

social history (5)

hobbies, drinking, smoking, drug, marital

headset advantages

• multi-task - ergonomics - reduce neck strain

telephone screening procedue

1. identify facility and name 2. ask caller's name 3. clarify if they are the patient, name and DOB if not 4. reason 5. can you handle call or route to someone else 6. do caller's needs and then repeat for clarrification

how to do follow up call

"- write phone #, area and country code - place call and identify yourself - provide info - answer any questions or record questions that patient asks for the provider - document info"

patient tracking system benefit

efficient, increase patient satisfaction, confidentiality

laser

use toner, laser, electrical charges as medium on paper

video cards

faciliate computer to send graphics to output devices

operating system

software manages application software and hardware

how can MA ensure network security and HIPAA regulations

1. keep computer screens faced out of patient view 2. when leaving, lock screen 3. keep printers and fax away from patient areas 4. passwords to access EHR 5. use computer monitor shield

what does EHR include

history and physical exam report, lab and diagnostic test

organ procurement

donor gives viable organs and tissues that can be transplanted into receiver

enclosure ntoation

"# of docs or attachment"

examlpes of what adulteration test strips detect (name 4)

creatine, nitrate, pH, specific gravity, glutaraldehydre, oxidants

steps to maintain equipment inventory

1. collect supplies and inventory form 2. receive info and fill form 3. review for erros and complete changes

computer supply inventory

combine lists or checklists to help MA count supplies and determine what needs to be reordered

steps to receiving equipment and supplies

• inspect packing slip to ensure all items are received - check if any items are separate delivery - clip and place form - discard box

equipment operation manual

provide info on cleaning, routine maintenance, service schedules, troubleshooting

miscellaneous tasks for maintenance (name 3)

arrange chairs, replace magazines, clean toys, ensure fire safety equipment in working order

activities performed under routine maintenance of medical office

clean cabinets and drawers, turning alarm system off and on, replace batteries in equipment

cytobrush

cervical cells and spatula for cervical sample

what does smoking increase risk of

otitis media, heart problem,s upper respiratory infection, sudden infant death syndrome

physiatrist

provide care to patients with physical disabilities, musculskeletal disorders, those suffering from injury or trauma

secondary niterconnected hospital care

larger city and district hospitals provide care from PCP and specialist

reasonable fee

meet criteria for usual and customary fees or fees that are justifiable in special circumstances

surgical benefits lcoation

hospital, physician office, outpatient surgery center

exampleo f disability protection

paid sick leave, short term and long term disability benefits

how to verify patient insurance card

"phone or fax #, website"

what are some services where you need preauthorization

specialists, hospitalization, diagnostic tests, PT, OT, ST