NHA: CERTIFIED CLINICAL MEDICAL ASSISTANT PRACTICE EXAM 20

What is an abnormally large erythrocyte called?

a. Microcyte

b. Schistocyte

c. Macrocyte

d. Megalocyte

Macrocyte

Which of the following means "of the mouth" or "of the opening?"

a. Stomato-

b. Gingiva-

c. Glosso-

d. Lapro-

Stomato-

What color is the AHA label for the left leg?

a. Red

b. White

c. Black

d. Green

Red

Which tool is used with the nasopharyngeal swab to make collection easier?

a. Suction catheter

b. Bulb suction

c. Nasal speculum

d. None of the above

Nasal speculum

What is an example of a sterile barrier?

a. Surgical instruments

b. Autoclave

c. Soap

d. Gloves

Gloves

OSHA enforces what?

a. Child daycare safety regulations

b. School safety regulations

c. Workplace safety regulations

d. Mandatory health check-ups

Workplace safety regulations

The nose can be a portal of entry for microorganisms. Of what body system is the nose?

a. Respiratory

b. Gastrointestinal

c. Integumentary

d. Vascular

Respiratory

What are the most abundant epithelial cells in gastric secretion?

a. Acid

b. Mucus

c. Proteases

d. Hormones

Mucus

All of the following can be used for sterilization EXCEPT:

a. Disinfectant sprays

b. Dry heat

c. Chemicals

d. Steam heat

Disinfectant sprays

There are four main sources of drugs. What are they?

a. Plant, mineral, animal, and synthetic

b. Sodium, potassium, magnesium, and iron

c. Vitamin, human, manufactured, and vegetable

d. Syrups, elixirs, suspensions, and solutions

Plant, mineral, animal, and synthetic

A hematocrit reading of 45% means that:

a. 45% of the total blood volume consists of WBCs and RBCs

b. 55% of the total blood volume consists of RBCs

c. 55% of the total blood volume is plasma

d. 45% is red blood cells and 55% is plasma, WBCs, and platelets

45% is red blood cells and 55% is plasma, WBCs, and platelets

With regard to diagnostic and surgical procedures, what does -stomy mean?

a. New opening

b. Instrument used to cut

c. Process of cutting, incision into

d. Surgical crushing

New opening

When scheduling patients, it is important for the Medical Assistant to remember all of the following EXCEPT:

a. Obtain the patient's full name and telephone number

b. Note the reason for the visit, using standard abbreviations

c. Begin with the first appointment available that has the time required for the specific visit

d. Make sure that the patient does not have conflicts with any other patients coming in that day

Make sure that the patient does not have conflicts with any other patients coming in that day

Which finger should not be used in a finger stick?

a. Third

b. Fifth

c. Fourth

d. Second

Fifth

Which of the following is not considered a formal closing to a letter?

a. Sincerely

b. Yours truly

c. Regards

d. Warm regards

Warm regards

Which of the following massage therapy approaches involves the deep stroking or rubbing of the deeper tissues?

a. Stroking

b. Compression

c. Percussion

d. Friction

Friction

How is the category percentage calculated?

a. Category percentage = Age category total - total accounts receivable / 100

b. Category percentage = Age category total / total accounts receivable x 100

c. Category percentage = Age category total + total accounts receivable x 100

d. Category percentage = Age category total x total accounts receivable x 100

Category percentage = Age category total / total accounts receivable x 100

Which of the following drugs is unsafe for pregnant women?

a. Lisinopril

b. Benadryl

c. Immodium

d. Emetrex

Lisinopril

All of the following are reasons to assess weight in the medical office EXCEPT:

a. To assess fluid retention

b. To assess growth and development

c. To assess for a risk factor for skin cancer

d. To assess for obesity or malnourishment

To assess for a risk factor for skin cancer

What helps find the V1 position on the ECG?

a. Thorax

b. FCV

c. Thoracic vertebrae

d. Angle of Louis

Angle of Louis

Which of the following describes a lysis fever?

a. Gradual return of elevated temperature to normal

b. Sudden return of elevated temperature to normal

c. It is elevated and returning to normal

d. Elevated fluctuations not returning to normal

Gradual return of elevated temperature to normal

All of the following are principles to remember in any minor surgery EXCEPT:

a. The sterile field, all sterile items, and your sterile gloved hands must be kept above the level of the armpit

b. The outside of sterile gloves must not be touched with bare hands

c. Avoid spilling anything wet on the sterile field

d. Keep sterile items separated from nonsterile items

The sterile field, all sterile items, and your sterile gloved hands must be kept above the level of the armpit

Urine or serum pregnancy tests are utilized to detect the presence of which of the following?

a. The antidiuretic hormone or ADH

b. The human chorionic gonadotropic hormone or hCG

c. The human growth hormone or hGH

d. The heterophile antibody

The human chorionic gonadotropic hormone or hCG

What secretes fluid in a joint?

a. Articular capsule

b. Synovial membrane

c. Articular cartilage

d. Articular disc

Synovial membrane

What is the medical term used for "crossed eyes?"

a. Strabismus

b. Nystagmus

c. Cataracts

d. Astigmatism

Strabismus

There is a concern for tuberculosis with a patient. The Medical Assistant knows that she should wear a mask because it is transmitted by:

a. The oral fecal route

b. Airborne transmission

c. Person-to-person contact

d. Vector

Airborne transmission

The Medical Assistant knows that drug metabolism is:

a. How the medication works in the body

b. Refers to the transportation of the medication throughout the body once it is absorbed

c. How the medication is converted for excretion from the body

d. Refers to the removal of medication from the body

How the medication is converted for excretion from the body

When a discount or refund is applied to an account, this is referred to as:

a. An adjustment

b. A charge

c. A receivable

d. A withholding

An adjustment

What is the medical term for tightly drawn or tense?

a. Tetany

b. Striated

c. Taut

d. Supernatant

Taut

Which test involves the use of a tuning fork in which a normal reading would be if the patient can hear the sound made in both ears equally well with the tuning fork placed center of the head against the skull:

a. The Weber test

b. The Rinne test

c. The audiogram test

d. The tympanogram test

The Weber test

Of the following, which blood specimen is from a tube with an anticoagulant and has been centrifuged?

a. Serum

b. Whole blood

c. Plasma

d. Clotted blood

Plasma

What tube contains the silicone serum separator and is for tests requiring blood serum?

a. Red top

b. Pink top

c. Red/gray top

d. Green top

Red/gray top

The inner ear has man structures. Which of the following is one of them?

a. Pinna

b. Cochlea

c. Incus

d. Stapes

Cochlea

How is urine collected from an infant?

a. From a diaper

b. Like an adult

c. In a bedpan

d. From a sterile bag

From a sterile bag

The lipid profile is an important blood test. Which of the following is FALSE concerning this test?

a. Total cholesterol a high density lipoprotein determinations are not significantly affected by food consumption prior to obtaining the blood test

b. Patients are not required to fast for a total lipid profile

c. The lipid profile includes total cholesterol, triglycerides, high density lipoprotein, and low-density lipoprotein

d. The triglycerides and low-density lipoprotein are significantly affected by food consumption prior to obtaining the blood test

Patients are not required to fast for a total lipid profile

Syphilis initially attacks which of the following body systems?

a. Nervous

b. Blood and immune

c. Genitourinary

d. Gastrointestinal

Genitourinary

What are the bones of the wrist?

a. Carpals

b. Metacarpals

c. Phalanges

d. Distal

Carpals

What term means "above?" An example is the nose in relation to the chin:

a. Inferior

b. Ventral

c. Dorsal

d. Superior

Superior

Employees, physicians, and clergy are usually given what type of allowance?

a. Uncollectible accounts allowance

b. Charity allowance

c. Contractual allowance

d. Courtesy allowance

Courtesy allowance

When the physician documents patient exam findings, which of the following would go under the "Objective" findings section?

a. "... the patient complains of a sore throat..."

b. "... the pharyngeal area is reddened and edematous..."

c. "... strep pharyngitis..."

d. "... antibiotics and saltwater gargles..."

"... the pharyngeal area is reddened and edematous..."

Which of the following is NOT accurate concerning needle length?

a. Needle length is based on the area where the medication is to be delivered and the size of the patient

b. The range of needle length is 3/8 inch to about 3 inches

c. Needle gauges range from size 14 (small) to 28 (large)

d. The needle gauge for an intramuscular injection with oil based or thick medication would be 20 to 23

Needle gauges range from size 14 (small) to 28 (large)

This term is used to define serum or plasma that's a brownish yellow in color because of hyperbilirubinemia:

a. Lipemia

b. Icterus

c. Antipyretic

d. Hemolysis

Icterus

What is NOT necessary before placing electrodes for an ECG?

a. Remove hair

b. Clean area

c. Interpret the results

d. Dry the skin

Interpret the results

This procedure used liquid nitrogen and is effective to treat venereal warts:

a. Endoscopic surgery

b. Cryosurgery

c. Electrosurgery

d. Minor surgery with a scalpel

Cryosurgery

What is meant by the "Rh factor" in blood?

a. It is used to help the blood clot

b. It is an enzyme that breaks down wastes

c. It is an antigen that affects a person's blood type

d. It is a component that transports oxygen

It is an antigen that affects a person's blood type

Of the following, which is the correct abbreviation for the measurement, milliliter?

a. Mg

b. ml

c. mEq

d. m/min

ml

Autoclaved items can be considered sterile if the package is intact for:

a. 7 days

b. 28 days

c. 90 days

d. 1 year

28 days

What is upper respiratory tract?

a. Trachea, bronchi, and lungs

b. Trachea, larynx, and pharynx

c. Nose, larynx, pharynx

d. Larynx, nose, lungs

Nose, larynx, pharynx

All of the following are part of the Lipid Profile EXCEPT:

a. HDL

b. BDL

c. LDL

d. Total Cholesterol

BDL

What is the first stage of the AIDS infection cycle?

a. Acute HIV Infection

b. Asymptomatic Period

c. Symptomatic Period

d. AIDS

Acute HIV Infection

The medical assistant is holding a syringe that is calibrated in 3 cc. She MOST likely holding what type?

a. Hypodermic

b. Tuberculin

c. Insulin

d. Tubex

Hypodermic

The heart is the body's pump, and it is composed of three layers and an outer covering. Which of the following is NOT one of these layers?

a. Endocardium

b. Atriocardium

c. Myocardium

d. Epicardium

Atriocardium

Within the Integrated Delivery System, which of the following can offer joint medical services to its subscribers?

a. Hospitals, clinics, physician groups and surgical centers

b. Hospitals only

c. Hospitals and clinics only

d. Physician groups and surgical centers only

Hospitals, clinics, physician groups and surgical centers

The intercalated disc is only in cells of which muscle?

a. Skeletal

b. Connective

c. Smooth

d. Cardiac

Cardiac

This type of bandage is commonly used in first aid and made up of Muslim. What is it?

a. Roller

b. Elastic

c. Triangular

d. Tube gauze

Triangular

Which of the following is NOT a correct and accurate equivalent?

a. 1 kilogram (kg) is 1.1 pounds (lb.)

b. 1 milliliter (mL) is 15 drops (gtt)

c. 1 teaspoon (tsp) is 5 milliliters (mL)

d. 1 gram (Gm) is 1000 milligrams (mg)

1 kilogram (kg) is 1.1 pounds (lb.)

Where would the Medical Assistant attach the ECG grounding lead?

a. To the right arm

b. To the left arm

c. To the right leg

d. To the left leg

To the right leg

Which information should medical assistants withhold from a receiver of the phone call is not the patient?

a. Name of office

b. Name of assistant

c. Reason for call

d. Callback number

Reason for call

You are working for an Allergist, and she requests that you obtain a nasal smear on a patient. What is being tests when the physician orders a nasal smear?

a. The lymphocyte count

b. The eosinophil count

c. The antibody count

d. The antigen count

The eosinophil count

What is meant by the suffix "megaly?"

a. Malformed

b. Enlarged

c. Darkened in color

d. Congenital

Enlarged

Which of the following is NOT associated with aseptic hand washing?

a. Remove jewelry before washing hands

b. Scrub hands at least 2 mi8nutes

c. Use cold water to wash hands

d. Use liquid soap

Use cold water to wash hands

What type of wound is made by a sharp-pointed object that pierces the skin layers?

a. Laceration

b. Abrasion

c. Contusion

d. Puncture

Puncture

How many items of information are recommended to take an accurate phone message?

a. Three

b. Two

c. Five

d. Seven

Seven

What happens if there is a delay in testing the urine sample?

a. Nothing

b. Outside bacteria contaminates it

c. Treatment is delayed

d. Some organisms die and others multiply

Some organisms die and others multiply

This represents an 8-bit unit:

a. Bit

b. Kilobyte

c. Byte

d. Megabyte

Byte

Of the following, which would MOST likely be considered a "mild" allergic reaction to a medication?

a. Cyanosis

b. Edema

c. Rash

d. Dyspnea

Rash

1.What is a bill sent to the insurance carrier for payment of a professional service?

a. An invoice

b. A claim

c. A capitation

A premium

A claim

Which coding system has a point value assigned to the service performed based on the time, knowledge, and skill required of the provider?

a. DRG

b. MS-DRG

c. RVS

d. MS-RVS

RVS

Owner's equity and the act of "drawing" is defined as what?

a. "Inflow of assets through sale through product or service sales"

b. "Outflow of assets to generate funds"

c. "Withdrawing assets for personal use"

d. "Lack of assets"

"Withdrawing assets for personal use"

The physician tells you to auscultate for a full minute. What is he wanting you to do?

a. Listen with your stethoscope

b. Gently tap the back chest region

c. Feel the area

d. None of the above

Listen with your stethoscope

A medical assistant in Colorado must call a patient in California at non, PST. What time will it be in Colorado when the medical assistant makes the call?

a. 11:00 AM

b. 1:00 PM

c. 2:00 PM

d. Noon

1:00 PM

Of the following, which is the average pulse rate for a child 1 to 7 years old?

a. 60 to 100 / min

b. 80 to 120 / min

c. 50 to 100 / min

d. 30 to 40 / min

80 to 120 / min

What does the suffix "stomy" refer to?

a. The removal of

b. The replacement of

c. To create an opening

d. A protrusion

To create an opening

Which of the following is the modifier for a repeat procedure by another physician?

a. 63

b. 99

c. 77

d. 62

77

Which of the following terms describes a removal or excision?

a. Excavation

b. Ennveration

c. Ablation

d. Aspiration

Ablation

You are assisting with a procedure on a patient and hear the physician discussing that the patient has Parkinson's disease. The Medical Assistant knows that his condition is:

a. A chronic and progressive neurological disease

b. An acute and self-limiting neurological disease

c. A disease that involves inflammation of the brain

d. A condition of the unilateral facial muscle paralysis

A chronic and progressive neurological disease

Which of the following represents the correct sequence of blood flow through the body?

a. Vein to venule to capillary

b. Artery to arteriole to capillary

c. Artery to arteriole to vein

d. Capillary to arteriole to vein

Artery to arteriole to capillary

Which of the following illnesses causes tender points from increased nerve signals?

a. Crohns disease

b. Fibromyalgia

c. Graves disease

d. Extensor retinacula

Fibromyalgia

At which step of the filing process should a paper be cross-referenced?

a. Indexing

b. Coding

c. Inspecting

d. Storing

Indexing

What is the term for abnormally fast heartbeat?

a. Bradycardia

b. Cardiomyopathy

c. Tachycardia

d. Angina

Tachycardia

When does the CMS inspect CLIA waived laboratories?

a. After a complaint

b. Every year

c. Every 2 years

d. Every 3 years

After a complaint

What is not a term for a urine specimen?

a. Clean-catch

b. Midstream

c. Clean bag

d. Urine culture

Clean bag

Of the following, what bacterium causes tetanus?

a. Mycobacterium leprae

b. Clostridium tetani

c. Clostridium perfringens

d. Clostridium botulinum

Clostridium tetani

An electrocardiogram on a male patient with a twelve lead ECG involves information recorded from:

a. 12 electrodes, 10 views of the heart

b. 12 electrodes, 12 views of the heart

c. 10 electrodes, 12 views of the heart

d. 3 electrodes, 2 views of the heart

10 electrodes, 12 views of the heart

How long should medical hand-washing last?

a. 2 to 3 minutes

b. 1 to 3 minutes

c. 1 to 2 minutes

d. 2 to 4 minutes

1 to 2 minutes

What type of medication administration involves the use of substitute chemical agents that are normally found in the body, such as hormones?

a. Restoration

b. Replacement

c. Diagnosis

d. Treatment

Replacement

What happens when the plasma part of the blood filters into the tissues?

a. Hemoconcentration

b. Polyuria

c. Ketosis

d. Glycosuria

Hemoconcentration

All of the following require a DEA registry number in order to be prescribed EXCEPT:

a. Schedule I

b. Schedule II

c. Schedule III

d. Schedule IV

Schedule I

Of the following forceps, which is designed to grasp suture needles?

a. Hemostat

b. Needle holders

c. Splinter

d. Thumb

Needle holders

If the provider or physician will be examining a male patient with complaints of difficulty urinating and / or dark tarry stools, what should the Medical Assistant assemble?

a. Latex gloves, water-soluble lubricant, hemoccult

b. Latex gloves, catheter, and stool cup

c. Latex gloves, petroleum jelly, catheter

d. Latex gloves, stool cup, petroleum jelly

Latex gloves, water-soluble lubricant, hemoccult

What is meant by the abbreviation ABG?

a. Abnormal blood gases

b. Anemic blood globulins

c. Alcohol blood gases

d. Arterial blood gas

Arterial blood gas

Which of the following is spelled correctly?

a. Radioallergsorbent test

b. Apger scale

c. Emesis

d. Auscultation

Emesis

Which of the following is the term used to describe an abnormally small erythrocyte?

a. Microcyte

b. Schistocyte

c. Macrocyte

d. Megalocyte

Microcyte

The physician orders a "C & S" on a urine specimen. The Medical Assistant knows that all of the following are true statements regarding this test EXCEPT:

a. This test will assist the doctor to determine what organism is resistant to penicillin

b. C & S stands for "culture and sensitivity"

c. For optimal growth, the specimen is placed in an incubator set to a specific temperature and humidity

d. C & S testing is utilized to isolate the bacterium's sensitivity to antibiotics

This test will assist the doctor to determine what organism is resistant to penicillin

You are assisting in a health department and work in the clinic. You hear the nurse practitioner discussing a client with a disease that affects both males and females and is passed during intercourse. Which sexually transmitted disease is a viral infection that results in painful lesions?

a. Chlamydia

b. Gonorrhea

c. Genital herpes

d. Syphilis

Genital herpes

A patient with hyperthyroidism is most likely treated by which of the following medical specialists?

a. Hematologist

b. Neurologist

c. Endocrinologist

d. Oncologist

Endocrinologist

Which defines the "lumen" of a needle?

a. "Length of the needle; inserted into the body"

b. "Sharpened end of the shaft"

c. "Inside opening of the shaft"

d. "The part of the needle that connects to the syringe"

"Inside opening of the shaft"

Which of the following is true of Schedule V drugs?

a. Drugs require a prescription and have a moderate potential for dependency and abuse

b. Drugs may be purchased over the counter and have a low potential for dependency/abuse

c. There is no acceptable medical use of these drugs

d. Drugs can be used for medical purposes but have a high potential for dependency and abuse

Drugs may be purchased over the counter and have a low potential for dependency/abuse

A good computer password consists of numbers and letters and has a minimum of how many characters?

a. 5-8

b. 6-9

c. 8-15

d. 10-20

8-15

What type of blood pressure device measures blood pressure with a numeric gauge and a stethoscope?

a. A mercury sphygmomanometer

b. An aneroid sphygmomanometer

c. An electronic sphygmomanometer

d. An audiometer

An aneroid sphygmomanometer