Post-Test

Set a timer for 55 minutes

An agent that prevents the growth, development, or proliferation of malignant cells is an:

\
A. Antitussive

B. Antineoplastic

C. Anticoagulant

D. Antidepressant

Antineoplastic

Which of the following is most likely to reduce the patient satisfaction with a medical practice?

\
A. Explaining the risks and benefits of a procedure

B. Discussing fees

C. Overbooking

D. Taking notes while interviewing the patient

Overbooking

If a patient refuses to consent to treatment, the medical assistant should:

\
A. Schedule the patient for another appointment

B. Force treatment on the patient

C. Force the patient to consent

D. Delay treatment and inform or consult with the physician

Delay treatment and inform or consult with the physician

Which of the following telephone calls should be given immediately to the physician?

\
A. Another physician

B. An angry patient

C. A patient’s family member

D. An insurance company

Another physician

Blood that is low in oxygen exits the heart through the:

\
A. Aorta

B. Pulmonary artery

C. Pulmonary vein

D. Inferior vena cava

Pulmonary artery

Which of the following is a segment of the large intestine?

\
A. Pylorus

B. Cecum

C. Duodenum

D. Jejunum

Cecum

Personality differences are due to:

\
A. Experience

B. Heredity

C. Environment

D. All of the above

All of the above

The combining form for uterus is:

\
A. Vagin/o

B. Hyster/o

C. Salping/o

D. Oophor/o

Hyster/o

Professionalism may best be displayed by:

\
A. Displaying emotions

B. Staying calm when dealing with angry patients

C. Showing no consideration for other members of the team

D. Referring all problems to the physician

Staying calm when dealing with angry patients

Legally, a physician:

\
A. May refuse to provide follow-up care after initial treatment

B. Must provide a diagnosis to a patient’s employer if requested

C. Must provide a medical history to the patient’s insurance company if the insurance company requests it

D. May refuse to accept a patient if he or she chooses

May refuse to accept a patient if he or she chooses

These tiny projections on the surface of the small intestines increase the surface area and allow for greater absorption of nutrients.

\
A. Rugae

B. Villi

C. Diverticula

D. Omenta

Villi

The alpha cells in the pancreas are responsible for the production of:

\
A. Insulin

B. Glucagon

C. Hydrochloric acid

D. Pepcid

Glucagon

Release of a patient’s medical records without proper authorization might result in charges of:

\
A. Abandonment

B. Invasion of privacy

C. Defamation of character

D. Negligence

Invasion of privacy

*Res ipsa loquitur* is best illustrated by which of the following?

\
A. A physician accidentally amputated the wrong finger from a patient

B. A physician diagnoses lung cancer, but the patient continues to smoke

C. A physician prescribes the wrong medication for a patient

D. A physician terminates care of a patient but does notify him or her in writing

A physician accidentally amputates the wrong finger from a patient

Which of the following is an example of an open-ended question?

\
A. “Have you been staying on your diet?”

B. “Did you have a nice trip?”

C. “Are you single or married?”

D. “Can you tell me more about that?”

“Can you tell me more about that?”

A failure of bone marrow to produce red blood cells results in which type of anemia?

\
A. Aplastic

B. Hemolytic

C. Pernicious

D. Microcytic

Aplastic

According to Maslow’s hierarchy of needs, which of the following is the primary motivation for human behavior?

\
A. Survival

B. Safety

C. Love

D. Self-actualization

Survival

The bone located in the posterior of the skull is the:

\
A. Frontal

B. Ethmoid

C. Temporal

D. Occipital

Occipital

Spermatozoa are produced in the:

\
A. Epididymis

B. Seminiferous tubules

C. Prostate gland

D. Vas deferens

Seminiferous tubules

Which of the following is the most efficient way of communicating with a patient who does not speak English?

\
A. Speaking slowly and loudly

B. Encouraging nonverbal communication

C. Maintaining eye contact with the patient

D. Putting messages in writing

Encouraging nonverbal communication

A mucous membrane:

\
A. Lines closed cavities of the body

B. Covers the lungs

C. Lines the abdominal cavity

D. Lines body cavities that open to the outside of the body

Lines body cavities that open to the outside of the body

Which of the following punctuation marks is used to indicate the exact words of the patient?

\
A. Semicolon

B. Comma

C. Quotation marks

D. Colon

Quotation marks

Tingling in the hands, numbness in the arm, and frequent episodes of blurred vision are characteristic of:

\
A. Epilepsy

B. Tourette’s syndrome

C. Lou Gehrig’s disease

D. Transient ischemic attack

Transient ischemic attack

A patient whose husband recently died comes into the office because of malaise. She is unkempt and weepy. She tells the medical assistant that she wishes she were dead. Which of the following would be the most sensitive response to this patient?

\
A. “Please tell me more about those feelings.”

B. “Why is that?”

C. “You need to talk to the doctor about this.”

D. “That’s natural to feel that way after the death of a spouse.”

“Please tell me more about those feelings.”

Ischemia is:

\
A. An irregular heartbeat

B. Dilation of the aorta

C. Lack of blood flow to the tissue

D. Infection of the myocardium

Lack of blood flow to the tissue

The best method for transmitting confidential information from one medical practice to another is by:

\
A. Fax

B. E-mail

C. Cellular telephone

D. Answering machine

Fax

“Have you had this problem in the past?” is an example of which of the following types of questions?

\
A. Leading

B. Open-ended

C. Closed-ended

D. Nonleading

Closed-ended

Which of the following agencies regulates licensure for physicians?

\
A. Local hospital boards

B. Federal government

C. Medical colleges

D. State government

State government

A 75-year-old woman with emphysema continues to smoke and to miss appointments against the orders of her physician. What is the most appropriate next step?

\
A. Notify the patient that her medical care is being terminated

B. Instruct the family how to change her behavior

C. Accept her behavior and adjust her treatment

D. Refer her to a psychiatrist

Notify the patient that her medical care is being terminated

Which of the following would be the most appropriate first step when dealing with a patient who is distraught and angry?

\
A. Escort the patient to a private area

B. Ask the patient to calm down

C. Inform the patient that the physician will see him or her shortly

D. Ask the patient to have a seat in the waiting room

Ask the patient to calm down

In which of the following situations can a patient’s medical record be released without a signed authorization?

\
A. The patient’s attorney makes a request

B. The patient is human immunodeficiency virus (HIV) positive

C. An insurance company makes a request

D. Another physician makes a request

The patient is human immunodeficiency virus (HIV) positive

Which of the following documents applies to donation of anatomic gifts?

\
A. Advance directive

B. Uniform Anatomical Gift Act

C. Living will

D. Durable power of attorney

Uniform Anatomical Gift Act

An elderly patient wishes to move into a facility where she can remain autonomous. To which of the following might the medical assistant refer this patient?

\
A. An assisted living community

B. A retirement complex with individual apartments

C. An extended care facility

D. A rehabilitation hospital

A retirement complex with individual apartments

How often must employee payroll taxes be reported to the Internal Revenue Service?

\
A. Weekly

B. Monthly

C. Annually

D. Quarterly

Quarterly

Which of the following is the most appropriate first step in correcting a misspelled word in a patient’s medical record?

\
A. Apply a thin covering of correction fluid over the error

B. Circle the misspelled word in red

C. Draw a single line through the misspelled word

D. Completely erase the misspelled word

Draw a single lime through the misspelled word

Which of the following allows data that are saved on a compact disk to be read but not altered?

\
A. Clipboard

B. Save As

C. Write-protect

D. Read-only memory

Write-protect

“Radial pulses are present bilaterally.” When entering this information in the medical record, under which of the following headlines should it be entered?

\
A. Reflexes

B. Head and neck

C. Extremities

D. Axilla

Extremities

An illness that existed before an insurance policy is written is known as a(n):

\
A. Special risk

B. Exclusion

C. Preexisting condition

D. Prior authorization required

Preexisting condition

A spreadsheet would be commonly used for which of the following?

\
A. Word processing

B. Appointment scheduling

C. Electronic mailings

D. Accounting

Accounting

Which of the following taxes are paid entirely by the employer?

\
A. Social security

B. Health insurance

C. Federal income tax

D. Unemployment tax

Unemployment tax

When selecting the E&M code for CPT coding, which of the following elements is required for all levels of the history?

\
A. Chief complaint

B. Family history

C. Social history

D. Review of systems

Chief complaint

Which is not an indexing rule?

\
A. Unit 1 is the surname

B. A hyphen is disregarded

C. Initials come after complete names

D. Apostrophes are disregarded

Initials come after complete names

Which of the following is the purpose of records management?

\
A. Storage

B. Arranging

C. Classifying

D. All of the above

All of the above

The correct way to indicate an enclosure notation is:

\
A. encl:

B. Enclosure

C. enclosure

D. enc

Enclosure

Which of the following circumstances would waive the need for a written release of medical records?

\
A. A subpoena

B. Attorney request

C. Hospital request

D. Insurance company request

A subpoena

According to CPT, E&M codes begin with which of the following two digits?

\
A. 93

B. 95

C. 97

D. 99

99

Which of the following is considered to be capital equipment?

\
A. Coffee maker

B. Laboratory coats

C. Photocopier

D. Trash cans

Photocopier

The scheduling system based on scheduling similar appointments or procedures is called:

\
A. Wave

B. Modified wave

C. Grouping

D. Double-booking

Grouping

The record of the proceedings of a meeting is the:

\
A. Agenda

B. *Robert’s Rule of Order*

C. Itinerary

D. Minutes

Minutes

Which of the following forms indicates an employee’s withholding allowance?

\
A. 1099

B. W-2

C. W-3

D. W-4

W-4

In the double-entry accounting system, an asset would be:

\
A. The amount owed to a creditor

B. Properties owned by the business

C. Money owed to the practice by patients

D. The amount by which liabilities exceed the equity

Properties owned by the business

Which of the following telephone calls from a patient should not be charted?

\
A. A request for a change in appointment time

B. A request for a prescription renewal

C. A request for a referral to a specialist

D. Patient report that symptoms have disappeared

A request for a change in appointment time

When creating an office policy manual, it should begin with:

\
A. The dress code

B. The hierarchy chart

C. Office hours

D. The mission statement

The mission statement

Which of the following is an example of an indirect filing system?

\
A. Alphabetic

B. Chronologic

C. Numerical

D. Subject

Numerical

The amount of federal tax withheld is based on the employee’s exemptions, pay period, and:

\
A. State income tax

B. Employee’s marital status

C. Benefits offered by the employer

D. Disability of the employee

Employee’s marital status

A patient has had a left thyroid lobectomy performed. In preparing the insurance claim form, coding for which of the following body systems should be selected?

\
A. Sensory

B. Integumentary

C. Endocrine

D. Nervous

Endocrine

A tickler file is:

\
A. A guide for processing insurance claims

B. A list of procedures for equipment maintenance

C. A type of color-coding

D. Future events arranged in chronologic order

Future events arranged in chronologic order

When is the most appropriate time to discuss payment arrangements with a new patient?

\
A. When the patient calls to make an appointment

B. When the insurance form is processed

C. Whe statements are sent out

D. At the time of the first visit

When the patient calls to make an appointment

Which of the following may be used to replace a medical record that has temporarily been removed from the filing cabinet?

\
A. 3 x 5 card

B. An OUTguide

C. A yellow Post-it note

D. An empty file folder

An OUTguide

When the word “Confidential” is to be typed on the envelope, it should be placed:

\
A. In the lower right corner

B. In the lower left corner

C. Below the return address

D. Both B and C

Below the return address

The date must be changed daily on which of the following?

\
A. Computer

B. Transcriber

C. Fax machine

D. Postage meter

Postage meter

The file folder label for Jennie Holmes-Mathis should be:

\
A. Jennie, Holmes-Mathis

B. Mathis, Jenne-Holmes

C. Holmes-Mathis, Jennie

D. Mathis, Jennie (nee Holmes)

Holmes-Mathis, Jennie

What is the monthly net income for a medical practice whose expenses are $8500, revenue is $14,130, total assets are $263,000, and liabilities are $53,000?

\
A. $5630

B. $22,630

C. $39,000

D. $210,000

$5630

Which of the following devices has the ability to digitize and convert images into an electronic format?

\
A. A keyboard

B. A monitor

C. A printer

D. A scanner

A scanner

Which needle length and gauge would the medical assistant choose to administer an intramuscular injection?

\
A. 1 inch, 25 gauge

B. 1 1/2 inch, 22 gauge

C. 1 inch, 18 gauge

D. 1/2 inch, 22 gauge

1 1/2 inch, 22 gauge

Warfarin (Coumadin) and heparin are classified as:

\
A. Anticoagulants

B. Diuretics

C. Vasoconstrictors

D. Vasodilators

Anticoagulants

To set up for an examination of a patient with vaginitis, all of the following would be used *except:*

\
A. Vaginal speculum

B. Microscope slide

C. Potassium hydroxide (KOH)

D. Cytologic fixative

Cytologic fixative

When performing an electrocardiogram, which of the following chest leads would be placed on the fifth intercostal space at the midclavicular line?

\
A. V1

B. V2

C. V3

D. V4

V4

During a Snellen visual acuity test, the patient should be stand how many feet from the chart?

\
A. 5

B. 10

C. 15

D. 20

20

Which of the following terms refers to the total amount of air that is exhaled from dully inflated lungs?

\
A. Forced vital capacity

B. Forced expiratory flow

C. Forced expiratory volume in 1 second

D. Tidal volume

Forced vital capacity

Which of the following methods is used to listen to heart, lung, and bowel sounds?

\
A. Manipulation

B. Auscultation

C. Mensuration

D. Percussion

Auscultation

A sphygmomanometer is used to perform which of the following procedures?

\
A. Assess hearing

B. Examine the rectum

C. Evaluate the vision

D. Measure blood pressure

Measure blood pressure

Which of the following results on a urinalysis is abnormal?

\
A. Color: yellow

B. pH: 5.2

C. Specific gravity: 1.005

D. Leukocytes: ++

Leukocytes: ++

Which of the following additives should be used when drawing a specimen for a differential smear?

\
A. EDTA

B. Heparin

C. Potassium oxalate

D. Sodium citrate

EDTA

The drug order “2 gtt AU q4h prn” is translated as:

\
A. Two drops in both ears every 4 hours as needed

B. Two drops in both eyes every 4 hours as desired

C. Two drops in both ears four times a day

D. Two days in the left eye every 4 hours if needed

Two drops in both ears every 4 hours as needed

Which of the following is the most effective method to clean a drop of blood from a countertop?

\
A. Iodine and sterile gauze

B. 1:10 bleach solution

C. Alcohol and sterile cotton ball

D. Surgical soap and water

1:10 bleach solution

The first group of leads to be recorded on an electrocardiogram consists of:

\
A. Leads I, II, and III

B. aVR, aVL, and aVF

C. Leads V1 through V3

D. Leads V1 through V6

Leads I, II, and III

A patient in the medical office has a nosebleed. What would be the most appropriate first action to be taken by the medical assistant?

\
A. Apply ice to the patient’s nose

B. Call 911

C. Tell the patient to lie down

D. Tilt the patient’s head forward

Tilt the patient’s head forward

The correct injection technique used to place a tuberculin (Mantoux) skin test is:

\
A. Intradermal

B. Intramuscular

C. Intavenous

D. Transdermal

Intradermal

The abbreviation for both eyes is:

\
A. OS

B. OD

C. OU

D. BE

OU

On a Gram stain, gram-negative bacteria appear:

\
A. Blue

B. Pink or red

C. Green

D. Purple

Pink or red

Which of the following substances in urine may indicate liver dysfunction?

\
A. Albumin

B. Glucose

C. Ketones

D. Urobilinogen

Urobilinogen

This term is used to describe a variation in the size of erythrocytes.

\
A. Antisocytosis

B. Pokilocytosis

C. Polychronic

D. Leukocytes

Antisocytosis

Which of the following instructions should be given to a patient who needs to collect stool specimens for occult blood screening?

\
A. Eat a high-carbohydrate diet for 48 hours before collection

B. Fats for 12 hours before the collection

C. Do not eat red meat for 48 hours before the collection

D. Do not eat fats for 12 hours before the collection

Do not eat red meat for 48 hours before the collection

Controlled substances that are considered to be illegal and of no medical use are classified as:

\
A. Schedule I

B. Schedule II

C. Schedule III

D. Schedule IV

Schedule I

Albuterol (Proventil) is classified as a(n):

\
A. Antiinflammatory

B. Antihistamine

C. Antihypertensive

D. Bronchodilator

Bronchodilator

Which of the following injuries is classified as a closed wound?

\
A. Puncture

B. Laceration

C. Ecchymosis

D. Avulsion

Ecchymosis

During manual audiometry, the patient should be positioned:

\
A. Facing away from the examiner

B. Behind the examiner

C. Facing the examiner

D. Next to the examiner

Facing away from the examiner

Sanitization:

\
A. Destroys all pathogenic microorganisms

B. Destroys most pathogenic organisms

C. Reduces the number of contaminants to a safe level

D. Replaces defective instruments with new instruments

Reduces the number of contaminants to a safe level

The physician orders an intramuscular injection of meperidine (Demerol) 50 mg for pain relief. On hand is a 30 -mL, multiple-dose vial of Demerol that contains 50 mg/mL. The medical assistant would administer:

\
A. 0.5 mL

B. 1.0 mL

C. 1.5 mL

D. 2.0 mL

1\.0 mL

A hemoglobin value of 10 g/dL is approximately equivalent to a hematocrit of:

\
A. 10%

B. 20%

C. 30%

D. 40%

30%

This type of microorganism appears as grapelike clusters when stained and viewed microscopically.

\
A. Bacili

B. Cocci

C. Staphylococci

D. Streptococci

Staphylococci

To cauterize a small lesion on the oral mucosa, the physician might use an applicator with:

\
A. Silver nitrate

B. Alcohol

C. Formalin

D. Betadine

Silver nitrate

Which of the following laboratory values might indicate cardiac muscle injury?

\
A. Alanine aminotransferase (ALT)

B. Blood urea nitrogen (BUN)

C. Creatine kinase (CK)

D. Bilirubin

Alanine aminotransferase (ALT)

1 cc is equivalent to:

\
A. 1 mL

B. 5 m:

C. 10 mL

D. 20 mL

1 mL

A cholecystogram is used to view the:

\
A. Urinary bladder

B. Liver

C. Gallbladder

D. Kidneys

Gallbladder

When assisting with a sigmoidoscopy, which of the following would be most appropriate to wear?

\
A. Laboratory coat and goggles

B. Nosterile gloves and goggles

C. Nosterile gloves, laboratory coat, and goggles

D. Nosterile gloves, laboratory coat, and mouth barrier

Nonsterile gloves, laboratory coat, and goggles

A postprandial blood glucose level is measured after:

\
A. Drinking water

B. Exercising

C. Fasting

D. Eating

Eating

The purpose of pouring off a small amount of a sterile solution from a container with a single cap is to:

\
A. Rinse contaminants from the lip of the bottle

B. Avoid staining the label of the bottle

C. Generate an even flow so the solution does not splash

D. Expel air bubbles from the solution

Rinse contaminants from the lip of the bottle

A type of drug that increases urinary output is a(n):

\
A. Emetic

B. Diuretic

C. Miotic

D. Cathartic

Diuretic