A patient with abdominal pain and respiratory difficulties should be placed in what position?
A CMA has duplicate orders for a patient. How should the CMA verify the order?
Call the provider to confirm
Match the requisition with the patients ordering provider
Draw both orders and discard the incorrect specimen
Confirm with the patient
A patient is angry about a large medical bill. The CMA should take which action?
Listen to the patient and try to resolve
Refer to the security officer
Have the patient write the complaint down
Call the police
A provider is caring for a patient who reports right flank pain, pain during urination, and nausea and vomiting. Which of the following conditions should the CMA document?
A patient who is very talkative during and after the blood draw becomes very quiet and stares while the CMA is labeling the specimen. The CMA should:
Lower the patient to the floor
Ask the patient if they feel faint
Finish labeling the specimen
Call the nurse for assistance
A CMA is preparing a patient for a gynecological exam, which of the following positions is appropriate?
When creating a business letter, which of the following steps should the CMA do first?
Organize key points
Compose a rough draft
Check spelling, grammar, and punctuation
Make sure the letter has a beginning, middle and end
A patient reports that she has missed three menstrual cycles, with no other symptoms, which of the following should the CMA use to document the information?
Which component of the word Neuropathy means disease?
Which of the following drugs is prescribed for both local and systemic effects?
A provider has ordered a CMA to administer a subcutaneous injection, but does not indicate the dosage needed. Which of the following actions should the CMA take?
Proceed using a pre-filled syringe
Call the provider to verify the order
Check the patients chart for dosage
Reschedule the patient's injection
A CMA is testing a patient for Ragweed allergens. Which of the following routes should the CMA take?
To assign an ICD-9 code, a CMA must identify the?
Etiology of the diagnosis
Main term in the diagnosis
Diagnosis in the tabular list
Volume 1 abbreviation
A CMA is told to redraw a patient's lipid profile. Which of the following reasons would cause this to occur?
Patient fasting for 12 hours but drank 4oz of water
Serum in the specimen was clear yellow
Specimen was sent to the lab in a gold top tube
Specimen was sent to the lab in a an EDTA (purple) top tube
A CMA is measuring an infant patient from heal to head. In which of the following positions should the CMA place the infant?
A cardiac patient is having a PT/INR done. Which additive would be in the collection tube?
A CMA overhears two coworkers discussing a patients lab results. What type of violation occurred?
A CMA is instructing a patient on how to collect a C&S stool specimen. Which of the following is a correct part of the explanation?
Retrieve 2cm of stool from toilet
Chill the stool in a container
Avoid urinating in the stool collection container
Collect the stool specimen in the morning
A patient was in a motor vehicle crash and is vomiting blood. Which of the following symptoms is this known as?
A CMA is collecting a Rapid Streptococcal test. The CMA should take the specimen from which area of the body?
Which of the following requires documentation of the patient's Informed Consent?
Urine pregnancy test
Proper surgical asepsis technique will result in which of the following?
Reducing the likelihood of transmitting opportunistic infections
Decreasing the number of microorganisms after they leave the body
Decreasing the risk of transfer pathogens by direct or indirect contact
Destroying all microorganisms before they enter the body
A CMA is caring for a patient who has an accumulation of blood in his chest cavity. The CMA should recognize that which of the following terms refers to this condition?
Which of the following must be performed when correcting an error in a medical record?
Use red ink to write the correction
Draw a single line through the error
Use corrective fluid
Have the provider initial the correction
A provider is running 2 hours behind schedule. The CMA should apologize for the delay and do which of the following?
Offer to reschedule the appointment
Proceed with regular schedule and seat patients
Cancel the rest of the appointments for the day
Double book per modified wave schedule
To follow OSHA guidelines and minimize exposure of the spread of organisms, lab specimens should be sent in a labeled:
Brown paper bag
A provider orders a sample for capillary puncture. Which one should be drawn LAST?
To prevent the storage of expired drugs in a cabinet, a CMA should do which of the following?
Divide the drugs according to the month of expiration
Make an inventory in the computer and check every other day according to the policy
Check for expired drugs in the cabinet every day
Create an inventory and check periodically according to the office
Which of the following is commonly used for the take home evaluation of Pulmonary Function?
Peak flow meter
A patient is scheduled for an outpatient procedure. Which of the following forms explains the risks and procedures?
Quality Assurance form
Medical release form
Part of a CMA's job is to inform the patient about which of the following?
Lab result interpretation
Pre-op and Post-op instructions
A CMA is getting ready to perform a test on a patient who is a presumed rape victim. She notices the collection kit has been opened. After documentation that the kit was open, the CMA should:
Verify that all items are in the kit
Proceed with the test
Complete the specimen collection with a sealed kit
Report it to the provider and wait for his orders
Which of the following is the purpose of using an Electrode?
To help reduce friction
To prevent the patient from getting shocked
To ensure the wave forms are amplified
To promote lead attachment
Which of the following is used for routine Venipuncture's in patients who have fragile veins?
Winged infusion set (Butterfly)
Evacuated tube system
A CMA draws a blood sample in a Red top tube for a patient. Which of the following blood components will be obtained as a result of centrifugation?
A patient diagnosed with TB is coming into the clinic for a routine follow up. Which of the following modes of transmission should the CMA be aware of when dealing with this patient?
While setting up a tray for a minor procedure, the CMA notices a coworker reaching across the sterile field. The CMA should:
Report the incident to OSHA
Break down the tray and start over
Report the incident to the provider
Cover the tray with a sterile drape
Anthropometric is used for which of the following?
To assess lung volume
To determine if the patient is Hypertensive
To determine dosage for medications
To complete growth chart
A CMA is caring for a patient whose Blood Pressure drops dangerously low. The CMA should place the patient in what position?
The most common reason for glucose monitoring through point of care testing is to?
Check for sporadic glucose in the urine
Diagnose glucose metabolism problems
Monitor glucose levels
Control glucose induced hot flashes
A provider orders a Urine C&S, which of the following collection techniques should the CMA use?
Clean catch specimen
24 hour urine specimen
Point of Care test regulations require quality control to:
Determine a test is a waived test classification
Ensure accuracy of test results
Enhance instrument productivity
Monitor use of instrumentation
Which of the following terms refers to the complete destruction of all forms of microbial life spores?
A CMA is looking at an EKG with an R-R interval of 20 small boxes. Which of the following is the appropriate heart rate?
A CMA is giving a patient a purified protein derivative injection. What amount of the vaccine should the CMA administer?
A CMA did not wash their hands during a dressing change. A week later the patient called to let the facility know that the wound was red and swollen. What type of infection has most likely occurred?
What type of antiseptic is used for routine Venipuncture?
60% isopropyl alcohol
70% isopropyl alcohol
None if the above
What needle is used for a Sclerosed Vein in the AC of an elderly patient?
Standard 21 gauge
Winged infusion set (Butterfly needle)
Apical pulse is the preferred method for determining heart rate for which of the following?
Which tube PREVENTS HEMOLYSIS?
What is the 3 way ID system?
Name, DOB, SS#
Name, DOB, ID Band
How to label the tube
None of the above
What needle is used for Therapeutic Phlebotomy and Donations?
Where do you obtain a Capillary sample?
3rd and 4th finger
4th and 5th finger
Which of the following is the correct placement for the ground lead on a 3 lead EKG, looking at lead ll?
On a 5 lead EKG for Holter monitoring, the BLACK LEAD is?
The reference electrode on the right manubrium
Located on the right V4/V5 area centered over the rib
The reference electrode on the left manubrium
Located on the left V4/V5 area centered over the rib
A patient goes into Ventricular Fibrillation during an EKG, which of the following should the CMA do first?
Call for help
Apply an AED
Open the airway
Perform a second EKG
When performing an EKG on a LEFT LEG AMPUTEE, where should the CMA PLACE the lower ELECTRODES?
On the right ankle and left stump
On the lower torso
On the midaxillary line
On the upper abdomen
When placing Electrodes for a Holter monitor procedure, which of the following should the CMA consult?
The Facility's Operational Manual
The MSDS sheet
The Manufacturers Guide
The Physicians Desk Reference
Which of the following is the standard speed for an EKG?
25 mm/ Second
20 mm/ Second
75 mm/ Second
50 mm/ Second
Which of the following is the correct position for obtaining a Rectal Temperature?
When completing a Hemoccult exam, a CMA is testing for which of the following?
Imperceptible blood (Hidden)
Bacteria in the blood
Specific Coding instructions for each CPT section are located in which of the following?
When preparing a patient for Holter Monitoring, which of the following statements by the patient indicates an understanding?
I may shower with it on
I should wear tight fitting clothing
I should avoid magnetic fields
I do not need to keep a diary
A CMA must perform a Spirometer Test on a patient who has been diagnosed with COPD, which of the following does this test measure?
Levels of Carbon Dioxide and Oxygen of the blood
Amount if air leaving the lungs and rate it is exhaled
Levels of Carbon Monoxide in the lungs
Amount if Oxygen saturation
Which of the following medications can be absorbed slowly to create constant, time released systemic effect?
When administering CPR, approximately how many compressions should the CMA do in 1 minute?
To perform an EKG on a patient with very large breasts, a CMA should take which of the following actions?
Place the Electrodes on the 5th intercostal space
Have the patient lift the breasts to put the Electrodes under them
Place on top of the breasts
When exposed to a needle stick, what should you do first?
Report the exposure to a supervisor
Wash the exposed area
Receive medical evaluation
Complete an incident report
A CMA witnesses a doctor using unsanitary instruments, which agency should it be reported to?
When does the timing for a Glucose Tolerance test begin?
When the test results are completed
After the patient finishes the Glucose drink
When the fasting sample is drawn
30 minutes after the patient arrives
Which of the following is the appropriate action to take for a CMA when scheduling an INPATIENT ADMISSION?
Advise the patient to obtain their belongings
Call an ambulance
Call the facility to schedule the admission
Tell the patient to obtain his medical records
Disinfectants are used on Blood Pressure Cuffs to destroy which of the following?
Dirt and Sweat
A CMA opens the door to a patients room and enters without knocking, what type of violation is this?
Breach of Confidentiality
Invasion of Privacy
When a CMA is taking a patients Blood Pressure, which of the following Korotkoff sounds represents the Systolic Blood Pressure?
Soft and Muffled
Faint and pulsing
An Unconscious patient is admitted to the E.R. Which of the following Consents would be applicable?
A CMA is prepping a patient with fragile skin for Telemetry Monitoring, which of the following measures should the CMA take?
Apply decreased pressure when abrading the skin
Use more tape
Assess the skin turgor
Which of the following devices requires a High Level Disinfectant?
Sigmoidoscope (Anal Scope)
Which of the following would indicate a Normal Sinus Rhythm?
The PR interval is 0.6 seconds
The P to R ratio is 2:1
The QRS duration is 0.20 seconds
The heart rate is 54/minute
Which is correct about BBP training?
It's available upon request
Training is provided at no cost
Training is required biannually
Training is provided post exposure
A CMA is to locate the code for a documented procedure performed in an office, which of the following forms should the CMA check?
Progress notes (SOAP notes)
A STAT Electrolyte panel was reported to have a critically elevated Sodium level. What pre-analytical error could have occurred?
A Lavender (Purple) top tube was used
A Gray top tube was used
A Gold top tube was used
A Red top tube was used
Which of the following can a CMA do to minimize Somatic Tremors?
Wipe off lotion and sweat
Check loose Electrodes
Cover the patient with a blanket
Unplug surrounding machines
Which of the following is the correct route of administration for a patients injection?
A CMA has found an unconscious patient. Which of the following should the CMA do first?
Activate the EMS
Check for a pulse
Begin chest compressions
Open the airway
Which of the following is beyond the scope of practice of a Medical Assistant?
The duties of a CMA include?
Evaluating Blood Smears
Greeting and instructing patients
Establishing test protocols
A CMA should recognize that the pulse and respiration of a patient should be measured for:
What is the correct procedure for collecting a Capillary specimen?
After the site has been punctured, wipe away first drop, and collect
Massage the site prior to collection
Allow for Capillary refill
Apply a cool pack
What should the CMA do to secure all operations in the HER (Health Electronic Record)?
Send a link to the office managers email
Make a duplicate copy of all files
Save all information in the computer desktop
Back up information in a storage device
A CMA is obtaining a stool sample from a patient. Which of the following action should the CMA take?
Apply one drop of developer
Apply the specimen to the window of the test pack
Check the expiration date of the developing solution
Obtain the sample rectally
A Color Deficiency test is determined by a?
A CMA is communicating with a patient who is hearing impaired and has a caregiver, which of the following modes of communication is correct?
Position himself above the patients eye level
Speak directly to the patients caregiver
Speak louder to the patient for better understanding
Use written communication with the patient
When collecting a stool sample, which is correct?
Avoid urinating in the sample container
Collect in the morning
Collect 2 cm of specimen from the toilet
Chill the specimen
An adolescent patients mother tells the CMA that she wants to talk to the provider about her daughters visit to obtain birth control. Which is the correct response?
Explain the HIPPA guidelines and advise the mother to speak to her daughter
Tell the mother she can talk to the physician
Advise the mother to contact the pharmacy
Tell the mother the daughter is sexually active
A CMA is caring for a patient with chronic asthma. Which of the following medications would be used for this?
A CMA is applying a Telemetry pack for an EKG. Which of the following is correct lead placement?
Anterior Thoracic Region
Which of the following is associated with ST elevation?
Peripheral Vascular Disease
Lab duties include the following?
Which agency enforces safety conditions?
A CMA is performing an EKG on a patient in the fetal position. Which of the following actions should the CMA take 1st?
Reposition the Electrodes of the Augmented leads
Notate the patients position
Increase the voltage
Increase the speed
A patients blood stains the uniform, which of the following should the CMA do first?
Clean the area
Dispose of the uniform
Finish the procedure
Report it to the supervisor
A CMA has orders to collect Blood Cultures, CBC, PTT, and an Iron Panel. He forgets to draw the PTT. What should the phlebotomist do?
Draw a discard tube and redraw the blood cultures
Call another CMA to obtain the sample
Obtain the PTT from the iron panel
Keep the specimens collected and draw the PTT
Quality Control testing of a Glucometer is important why?
Promotes accurate results
Contributes to HIPPA guidelines
Provide patient safety
If a patient is Diaphoretic, the CMA should do which of the following?
Dry the patients chest before applying the Electrodes
Apply the Electrodes to an alternate site
Apply to the lower abdomen
Shave the patients chest
What are the correct instructions regarding a 24 hour Urine?
Obtain a clean Catch Specimen
Store at room temp.
Discard the First Urine specimen prior to collection
Increase fluid intake
A patients vision in his left eye is 20/50. This means?
The patient is legally blind
The patient can see at 20 feet what the normal eye sees at 50 feet
The patient has above average vision
The patient can see at 50 feet what the normal eye can see at 20 feet
Which is the following accurate bleach solution?
What is the minimum amount of blood when collecting blood for cultures on an adult?
What is the correct term for Excessive Urination at Night?
What hormone is detected during pregnancy?
A CMA is instructing a patient to collect a urine specimen for pregnancy. To ensure accurate results, the CMA must instruct the patient to collect:
In a sterile container
First Morning Urine
At least 5 tbsp. of urine
Urine at bedtime
When performing a 12 lead EKG, which is used as the ground lead to help with interference?
When retrieving voice mail messages, what is the most important information?
Social security number
The patient begins to have a seizure, to protect against injury what do you do?
Place an object in the patients mouth
Observe the patient
Restrain the patient
What is the process to find whether a patients insurance will cover a procedure?
When maintaining an exam room, what should the CMA's priority be?
Prepare exam instruments
Disinfect the exam room
Remove biohazard containers
Urine spills on the floor, what should you use to clean it up?
A PR interval measures which of the following?
The end of the P wave to beginning of QRS complex
The beginning of the P wave to the beginning of the QRS complex
The end of the P wave to the end of the QRS wave
The peak of the P wave to the peak of the R wave
What type of specimen should be collected to detect a UTI?
24 Hour Urine
In a clean container
What is Surgical Fixation of the small intestine to the abdominal wall?
Which of the following factors determines whether a child should have his capillary collection by the heel stick or finger stick method?
Most accessible body part
Age and development
When entering a patients room, what should the CMA do first?
ID the patient
Complete medical history
What does an ESR (Estimated Sediment Rate) measure?
Estrogen serum ration
The distance the patients Erythrocytes have settled
When giving vaccinations, how should you ID the patient?
ID patient by medical record
ID patient by full name
ID patient by SS#
Use the ID number
What should be used to Disinfect the workspace ?
How does an infectious agent move from host to which of the following?
Portal of exit
Means of transmission
Once you have anchored a patients vein, what should you do next?
Reapply the tourniquet
Clean the site
Examine the needle
Perform the procedure
Information regarding chemicals should be found?
What is the following Angle for an IM (Intramuscular) injection?
Hemostasis is important after Venipuncture procedure?
Promotes destruction of RBC
What do you need when sending a patient to a specialist?
Method of referral
You should transport an ABG specimen?
Protected from ice
In an SST
What steps should the CMA take when dealing with a Psychiatric Patient?
Only bring the necessary equipment
Bring the patient to a common area
Bring entire tray in
Bring another CMA
In the event of a fire, you should do what first?
Extinguish the fire
Alert emergency personal
Which of the following is a CLIA waived test?
Manual testing for HCG
Which of the following is an appropriate response to a conscious, adult patient experiencing a Hypoglycemic Emergency?
Offer the patient a glass of water
Offer patient orange juice
Offer patient a sandwich
Offer patient a piece of sugar free candy
Laboratory duties for a CMA include performing which of the following?
A health care professional is allowed to report confidential protected health information to outside agencies, if:
A patient is positive for VDRL
The patients family requests information
A patient volunteered for clinical study
In patient suffered injuries in a plane crash
What are used to determine BMI (Body Mass Index)?
Height and age
Weight and gender
Weight and activity level
Height and Weight
What label color is used for Biohazard waste?
The following situation can be reported to an outside facility?
Patient has received an MMR
If the patient received a blood transfusion
The patient has active Tuberculosis (TB)
Which of the following is correct for a Phlebotomy procedure?
Make a fist and pump once
Make a fist and pump twice
Make a fist and pump three times
Make a fist and do not pump
A dead body used for dissection, study and tissue samples is called what?
Pain that is sharp, severe and sudden. Having a sudden onset is?
A group of tissues making a structure with a particular function?
Decreased blood supply?
Low blood pressure
A Prediction of the outcome of a disease?
Branch of science that studies disease?
The understanding of and sensitivity to the feelings if others?
Of long duration, often with slow progression?
Facility providing care for terminally ill, at home or hospice setting?
Mental health facility
The patient bill of rights focuses on including the patient in the decision making process?
When fixing a medical error on a patients medical record, the CMA must do what?
Leave it, do nothing
Use white out and rewrite it
Infirm them you will fix it later
Cross a line through, correct and initial
Body gestures, facial expressions, and eye contact are all firms of what type of communication?
Long term pain affects a persons what?
A common diagnosis for psychological pain is?
Physical pain on the body's surface?
The average Life Span in the United States is ?
What is a Tissue?
A group of tissues making a structure with a particular function.
A group of cells that act together for a particular body function.
What is the maximum waiting period for a Cold Ischemic Cadaver (Refrigerated)?
Time cannot exceed 12 hours after circulation and respiration have ceased.
Time cannot exceed 4 hours after circulation and respiration have ceased.
What is the maximum waiting period for a Warm Ischemic Cadaver (Not Refrigerated) ?
Minimum age for Organ donation?
18 years with written intent.
13 with written intent
21 with written intent
What is an Ophthalmoscope?
Instrument used to examine the eyes
Instrument used to examine the ears
Instrument used to rectal examination
What us an Otoscope?
Instrument used to examine the nose and throat
What is Triage?
A specific area of the ER for extreme cases
Sorting and setting priorities for patient treatment
Medical care received in the emergency room
What is Conduction?
Heat transfer by air
Heat transfer by direct contact through fluids, solids, or other substances
Thermal heat used for a patient with hypothermia
What us Convection?
Heat transfer by air
The use of an autoclave to sterilize instruments
What is Malignant hypertension?
Elevated blood pressure
Below normal blood pressure
Rapidly developing, SEVERE elevation of blood pressure
What is Turgor?
Normal appearance of the skin and it's ability to return to normal after being pinched.
Abnormal appearance of the skin
An abnormal mark on the skins surface
What is Mensuration?
A females monthly menstral cycle
Measurement of height and weight done for medical exam
What method is used to diagnose HIV and AIDS?
ELISA method, using Serologic testing
Any basis blood test would tell you
Medical records, Health evaluation and urine sample
What is the body's Drug Processing order?
Absorption, Distribution, Metabolism, Exertion
Distribution, Absorption, Metabolism, Exertion
Distribution, Metabolism, Exertion, Absorption
What is an Idiosyncratic drug effect?
Effect that cannot be explained or predicted
Adverse reaction to medications
An overdose, allergic reaction, or negative interaction with other drugs
The most commonly used and Medically accurate Drug dosage system is?
Apothecary measurement system
What is the AC when pertaining to Phlebotomy?
Where is the AC (Antecubital Fossa) located?
Medial aspect of the arm
The upper deltoid region
The shallow depression in arm, anterior to & below bend of elbow
How many veins are located in the AC?
What is Angioplasty?
Weakening and dilation of an artery
A type of surgery pertaining to the heart
A Balloon on a Cardiac Catheter inflated to compress plaque against the artery walls
What is an Artifact?
Appearance of electrical activity or waveforms from sources outside the heart
A mass found on the heart, through observation of an xray.
Originating from more than one area of focus
Another name for Isoelectric line is?
What is a Holter Monitor?
A Portable Heart monitor patients can use at home
An electric blood pressure meter
A portable monitor that reads your blood pressure
What is a P Wave?
Contraction of the Atrium
Relaxation of the Ventricle
Contraction of the Ventricle
What is the QRS complex?
Contraction of the Ventricle
Contraction of the Atrium
What is the T Wave?
Relaxation of the Ventricle ( Repolarization)
Normal Sinus Rythm:
Average/ Normal wave form
Waveforms are farther apart and slower
Waveforms are closer together and faster
Bradycardia Sinus Rhythm:
Tachycardia Sinus Rhythm:
Normal P wave measures?
0.12 - 2.0 seconds
2.0 or higher
Normal QRS measurement:
0.12 - 2.0 seconds
Less than 0.12 seconds
T wave has what measurement?
Positive deflection at 60-100 normal BPM (beats per minute)
Only less than 60 BPM
Greater than 100 BPM
Less than 60 BPM ( beats per min.)
Higher than 60 BPM
Higher than 100 BPM
Less than 60 BPM
Atrial Fibrillation ( A-fib) are?
Irregularly spaced patterns in Waveform
Flutter or Sawtooth patterns in Waveform
Fatal arrhythmia with no contractions
Atrial Flutter (A-Flu) is?
Irregularly spaced complexes in the waveform
Flutter or Sawtooth patterns in the waveform
Fatal arrhythmia with no contractions
What is the Pacemaker of the Heart?
Which us considered BACKUP for the HEART?
What is Depolarization?
What is Repolarization?