CCBMA 2015

Narcotic prescriptions are regulated by which agency
Drug enforcement administration
Carcinoma
Cancerous tumor
A medical assistant discusses a a patient by name at lunch with others in the building the MA could be charged with
Invasion of privacy
Cardialgia
Heart pain
A method mediating disputes between a patient in a physician is called
Arbitration
Phlebitis
Inflammation of the vein
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Patient rights include this principle
Confidentiality
Pathology
Study of disease
A false statement harmful to another person’s character is called
Slander
Subcutaneous tissue
Beneath the skin
A person under legal age who is self-supporting and living apart from parents is called
Emancipated minor
Removal of the stomach
Gastrectomy
This document is required in order to provide medical records
Record release
Hyperopia
Farsightedness
Failure to perform professional care is called
Negligence
Elevated temperature
Hyperpyrexia
State log requires that physicians always report this condition
Abuse
CHF
Congestive heart failure
Billing and insurance company for false charges is considered
Fraud
Neuritis
Inflammation of the nerve
Carefully documented the patient’s care will help prevent professional
Liability
Informed consent must be given by the patient before they
are given anesthesia for a minor surgery
The patient’s medical record belongs to the
Physician
ac
Before meals
Written instructions are the best way to be sure patient understand directions
True
Stat
Immediately
One way to be sure a patient understands instructions would be to have the patient repeat them
True
Pertaining to the back
dorsal
In communications responding maybe verbal and nonverbal
True
Proximal
Nearest to point of origin
Patients should be informed of the office payment policy only after several visits
False
Largest bone in the body
Femur
Many offices use this visual aids to inform patients about their medical care
True
Food is absorbed into the body in the
Small intestines
Written prescriptions must be signed by the physician
True
In abnormal condition of the pancreas
Diabetes
Verbal explanation of a procedure do not help the patients remain calm
False
The transfer of gases in the respiratory system takes place in the
Alveoli
A patient on a soft diet should avoid rough foods such as ground meat
True
The aorta is the largest
Artery
A patient could have milk on a clear liquid diet
False
Pacemaker of the heart
S A node
Patients with certain allergies may have a reaction with routine immunizations
True
The main organ of the urinary system is
Kidneys
Postoperative wound care instructions may include dressing changes
True
Endometriosis is an abnormal condition of the female
Reproductive system
Physically impaired patients may require an attendant when seen in the office
True
Three tiny bones in the middle of the year are called the
Ossicles
Guide dogs are allowed to accompany their blind person to a physician office
True
HCPCS are codes developed to identify
Services supplies not in CPT – 4
The USDA food guide is often used when explaining healthy eating habits
True
Necessary traits for the medical assistants include
Empathy
The best fluid to ingest during and after physical exertion is water
True
Body language is an example of
Nonverbal communication
The cycle the chain of infection explains how
Pathogens transmit disease from person to person
In California the medical assistant may administer which of the following procedures
Intramuscular injections
The sheets that contain information about chemicals, lists hazards, precaution and manufacture information are called
MSDS files
By law in California all medical assistance shall receive training in
Infection control
Personal protective equipment includes
Gowns, face shields, gloves
When one state accepted another State’s license for a Dr., it is
Reciprocity
A tympanic thermometer is an electric thermometer that is used for temperatures taken
In the ear
The two main types of law or
Civil and criminal
Visual acuity measures a person’s site at specific distance
Snellen chart
When the physician has explained a procedure, the risks and whether there are alternatives to the patient, this is called
Informed consent
Three instruments used in basic physical exams are
Reflex hammer, tuning fork, stethoscope
Arbitration is
Mediating a dispute
The term menstruation refers to
Body measurements
Misfeasance, malfeasance And malpractice are form of
Negligence
Patient education is important because it
Helps patients understand situations/need for changes
Physicians in California required by law to report
Abuse
The ROS (review of systems) is part of the medical history and is generally take him by the
Physician
A housekeeper is a job classification which has
Occupational exposure
When interviewing a patient to obtain their medical history the first step would be to ensure
Privacy in a separate room
Under Cal-OSHA and exposure control plan must include
Recordkeeping of occupational injuries
In the Lithhotomy position The patient would be draped with a
Diagonal drape
Reportable diseases and conditions include
Gonorrhea
A percussion hammer is used to check for
Reflex action
The medical record can be released when
There was a sign release
The test that is used to assess a patient’s lung function is
Spirometer
Under the controlled substance act schedule II drugs
I written on special RX blanks
Electro cardiography is used as a diagnostic tool to detect
Heart dysfunction
When instructing a specific procedure to a patient it is most important that the medical assistant
Show the patient what to do
When laboratory procedures are performed in a medical office they must be a strict
CLIA/OSHA standards
When giving the patient instructions for a 24 hour urine collection he should
Provide a collection container with written orders
The urine specimen that is most concentrated is the
First morning
Follow-up instructions for wound care would include
How to recognize complications
The most common site for capillary puncture in adult is the
Middle finger
Special diets may be needed for patients with
Emphysema
Records for dispensing/administration of controlled drugs must be kept for a minimum of
Two years
Hemoccult instruction would include
Correct dietary modifications
The label on a drug must be read how many times before administrated
Three
When a patient has a hearing impairment you should
Face the patient directly when speaking
In advantage of using parental administration of medication is
Faster rate of absorption
Patient from a different culture may need
Translated procedure
A 25 gauge needle with 3/8 length is used for a
Intradermal injection
Patient sign in sheet used in a medical practice should only contain
Patients first name as a sign in
The basic ABCs for resuscitation are
Airway, breathing, circulation
A medical practice may call patients by first name as long as they
Have permission to call them by first name
A severe allergic reaction caused by hypersensitivity to a substance is called
Anaphylactic shock
Patients of a medical practice must have acknowledgment of their privacy in
Written signature and initials on notice
cc
Chief complaint
pc
After meals
CHF
Congestive heart failure
hs
At bedtime
Hx
History
RLQ
Right lower quadrant
IM
Intermuscular
q.i.d.
Four Times a day
LMP
Last menstrual period
gtt
Drop
I&D
Incision and drainage
OD
Right Eye
hct
hematocit
Dx
diagnosis
Tx
Treatment
LUQ
Left upper quadrant
STAT
Immediately
po
By mouth
SOB
Shortness of breath
Low blood pressure
Hypotension
Scar tissue
Cicatrix
Enlargement of the kidney
Nephromegaly
Gallstones
choleithiasis
Beaneath the skin
Subcutaneous
Upper jaw
Maxilla
Endocrine System disease
Goiter
Vomiting blood
Hematemesis
Smallest blood vessel
Capillary
Kneecap
Patella
Inflammation of the nerve
Neuritis
Heart attack
Myocardial infraction
Blood in the urine
Hematuria
Large tongue
Macroglossia
Fainting
Syncope
X-ray study of the bladder
Cystogram
Slow heartbeat
Bradycardia
Membrane covering the lungs
Pleura
Loss of calcium in the bones
Osteoporosis
Severe itching
Pruritis
Situated in front or in the forward part
Anterior
Remote farther from the point of origin
Distal
Nearest closer to the point of origin
Proximal
Situated toward the outer part
Peripheral
Situated below are directed downward
Interior
Straightening motion that increases the angle between adjoining bones
Extension
Movement toward the midline
adduction
Situated near the surface
Superficial
Pertaining to the belly
Ventral
Away from the midline pertaining to the side
Lateral
Pertaining to the back
Dorsal
Pertaining to the middle
Medial
Situated above are directed upward
Superior
Referring to the soul of the foot
Plantar
Bending motion that decreases the angle between adjoining bones
Flexion
Laying facedown and flat
Prone
The lungs are found in the _____cavity
Thoracic
Laying flat on the back
Supine
Toward the tail
Caudal
The liver is found in the____cavity
Abdominal
When two people communicate both persons will alternate roles as sender and receiver as a speak responses and clarification
True
Shaking your head in a negative way can’t jeopardize your communication with the patient
True
A medical assistant may need to enter a patient’s personal space to deliver care to a patient
True
Explanation do not help ease patients Anxiety about what will happen
False
The use of touch can be therapeutic for some patients
True
Being touched by a stranger can be an uncomfortable or even a negative experience
True
Many patients perceive touch in a medical setting as a prelude to something unpleasant such as injections
True
You do not need to give your full attention to the patient to actively listen
False
Occasionally a patient’s verbal message may seem to conflict with the nonverbal message
True
A medical assistant will typically be responsible for gathering initial patient information
True
A patient’s interview does not include a review of past or current medical history
False
Paraphrasing means to restate using your own words what you have heard
True
Reflecting means repeating back what you have heard
True
Miscommunication can happen because the message may have been unclear or inappropriate to the situation
True
The way a patient perceives situations is not influenced by their culture and social our religious background
False
A physician may instruct a medical assistant to give medications by injection
True
A medical assistance are permitted to start intervenous therapy
False
Medical assistance may assist with minor surgery
True
If the physician is present on the site in medical assistant may apply bandages
True
A medical assistant may administer a narcotic injection
True
California law allows a medical assistant to draw blood in the clinical setting if they have complete a proper training
True
If directed a medical assistant me insert urinary catheter
False
Medical assistant are allowed to Interpret laboratory results
False
Ear lavage may be performed by a medical assistant if the physician is on site
True
Vital signs may be taken by a medical assistant
True
Medical assistance may remove orthopedic cast
True
Injecting college in our Botox is within the medical assistance scope of practice
False
Medical assistance are allowed to inject anesthetics
False
Medication may be given orally by medical assistants
True
A medical assistant is permitted to use a laser
False
Medical assistance may call themselves the office nurse
False
recommending a course of treatment for a patient is within the scope of practice
False
If directed a medical assistant can apply and orthopedics splint
False
A medical assistant can remove superficial sutures
True
Medical assistance may perform fingerstick’s
True
A physician retires without notifying his patients the physician and could be charged with
Abandonment
The disposal of medical infectious waste is controlled by
Cal OSHA regulations
a physician describe the procedure risk and alternative treatment to a patient this is called
Informed consent
A medical assistant who performs a procedure ordered by the physican employer is protected under what principle
Respondeat superior
A medical assistant can be required to appear in court with this document
Subpoena
When responding to an office emergency
Remain calm and follow office protocol
cysto
bladder
The patient agrees to receive a flu shot this is an
Consent
The use of in a AED is for patients who are
Cardiac arrest
Stenosis
Narrowing
The best method of preventing transmission of disease is
Handwashing
excision of the stomach
Gastrectomy
The artery normally used for taking a pulse reading is the
Radial
The abbreviation for two times a day
b.i.d
An instrument used to examine the ears
Otoscope
Correct spelling
Pharyngitis
Social history includes
Marital status
Communication with patients can be improved by
Providing privacy
Which of the following occurs as a urine specimen remains on the counter for a long time
Bacteria multiply
A trained medical assistant is able to
Assist with minor surgery
A Holter monitor measures heart
Rhythm
A patient’s photo was made public without her permission this is called
Invasion of privacy
The nerve most apt to be affected during an injection in the buttocks is the
Sciatic
Patient instruction sheet are used to
Prevent misunderstanding
an injection into fatty tissue lining immediately under the skin is called
Subcutaneous
The best time to perform a breast exam
Monthly
The first and most important role to remember in an emergency is
Stay calm
hyper-
Increased
Medical assistance are expected to make decisions in medical office emergencies based on their
Medical knowledge
nephro-
Kidney
A surface free of contaminated instruments
Sterile field
auto-
Self
Gloves, mask and gowns are known as
Personal protective equipment
osteo-
Bone
Washing instruments to remove debris
Sanitization
dys-
Painful
Absence of bacteria
Asepsis
litho-
Stone
An organism that produces disease
Pathogen
brady-
Slow
Molds and yeast or types of
Fungi
chole-
Gallbladder
Instruments touched by ungloved hands are
Contaminated
macro-
Large
Destruction of all micro organisms
Sterilization
Gastro
Stomach
Hinged instrument should be__ when sterilized
Open
Artho
Joint
A sterile pack containing scissors, thumb forceps and gauze squares is called a
Suture removal pack
tacky-
Fast
The term for removal of contaminated materials from a wound is
Debridement
thoraco-
Chest
Scrubbing the surgical site in a circular motion from the center to the edge
Surgical prep
Hypo
Decreased
Removing fluid or gas is by suction is called
Aspiration
Mammo
Breast
Flushing out a wound or cavity with the solution is called
Irrigation
veno-
Vein
A sterile surface contain sterile items
Surgical tray
hepato-
Liver
S/s, s/b and b/b describe surgical
Scissors
hemo-
Blood
Instruments used to clamp off blood vessels are called
Hemostats
ophthalmo-
Eye
It’s Sterile covering placed over a wound is called a
Dressing
trans-
Through / across
Instruments such as fiber optic scopes are soaked in chemicals in a procedure called
Cold sterilization
-oma
Tumor
Pulse located at the Elbow
Brachial
-algia
Pain
Pulse located at the knee
Popliteal
-ectomy
Surgical opening
Pulse located at the thumb side of the wrist
Radial
-itis
Inflammation
Pulse Located at the side of the neck
Carotid
-ology
Study
Pulse located in the middle of the groin
femoral
-emia
Blood Condition
The highest reading a blood pressure is called
Systolic
-tomy
Incision
Blood pressure measured while patient is lying, sitting and standing
Orthostatic
-osis
Abnormal condition
An instrument used to test reflexes
Percussion hammer
-megaly
Enlargement
An instrument used to open a bloody orifices for viewing
Speculum
-graphy
X-ray exam
An instrument used to examine the eye
Ophthalmoscope
-phasia
speech
In instrument used to examine the ear
Otoscope
-scopy
Examination
In instrument used to examine the rectum and colon
Sigmoidoscope
-gram
Record
Irregular heart rhythm
Arrhythmia
-ptosis
Falling /drooping
Rapid pulse
Tachycardia
-plagia
Paralysis
Having no symptoms
Asymptomatic
-desis
Bind/Tie
Slow pulse
Bradycardia
-phagia
Swallowing
Marital status is considered
Social history
-ostomy
Surgical opening
The patient’s own words determine the
Chief complaint
-pathy
Disease
Family history is considered
Subjective
qd
Once daily
Important procedures for protecting hard disk information
Back up
The term used for starting the computer
Boot
Flashing line showing where data can be entered
Cursor
The most common device for data input
Keyboard
Wordprocessing allows the user to quickly move or delete blocks of
Text
A convenient feature use one proofreading a document
Spellcheck
Large group of files use for information retrieval
Database
A medical office should have a security policy to protect
Patient information
Computerized patient accounts simplifying monthly statements and
Insurance billing
This list can be easily prepared with computerize scheduling
Daily appointments
A computer field contains a piece of
Information
Software program that quickly calculates numbers
Spreadsheet
Rearrangement of information in the database is called
Sorting
Setting margins and tabs for a letter is called
Formatting
Progress notes are usually filled in what order
chronological
The medical record belongs to the
physician
The document stating patient agrees to a procedure
Consent
A method which speeds the filing process
Color coding
The term for removing an active records from the files
Purging
Chart notations require the date
Information and initials
Material which should never be used to correct medical records
White out
Person who can legally sign a release of medical records
Patient or guardian
A system of organizing information in a medical record
SOAP
Patient chart are usually filed in which order
Alphabetical
Each page of medical records should include
Patients name and date
Information in the medical record is
Private and confidential
Records for patients currently receiving treatment are in the
Active files
Records for minor patients are usually kept until
The patient is 21
Chart notes should be completed
Daily
E HR system automatically assign a patient
MRN
A patient must find this document to obtain past records
Record release form
The fund for small office purchase
Petty cash
A term for overpayment on an account
Credit
Monthly fee for bank accounts
Service charge
Pre-printed statements listing codes for basic office charges
Encounter form
Entering charges and payments to a patient’s account
Posting
List of unpaid accounts by date of service
Aging analysis
Another term for charge
Debt
Correction to a patient’s account
Adjustments
Placing the practice name and account number on the back of the check
Endorsing
Total of bills owed by the practice
Accounts Payable
Total of all patients accounts
Accounts Receivable
Never accept payment from a patient who has been turned over to a
Collection agency
Portion of the bill patient is required to pay each year
Deductible
Cancellation of an Unpaid debt
Wright off
Amount patient must pay for each visit
Copayment
Federal insurance program for elderly person or person with permanent disability
Medicare
Term for an insurance claim for Medicare and Medi-Cal patient
Crossover
Type of insurance for work-related injuries
Worker’s Compensation
Insurance claims which have a greater chance for rejection
Paper claims
Addition to a procedure code which indicates special circumstances
Modifier
A policy which supplements Medicare coverage
Medigap
Insurance coverage for military dependents
Tricare/CHAMPUS
Universal claim form is called
1500
Insurance claim without incomplete information will be
Rejected
Monthly fee a provider is paid for each patient
Capitation
Insurance company statement of how a claim is settled
Explanation of benefits
Billing for services the physician did not perform
Fraud
A procedure code followed by the modifier-99 indicates
Multiple modifiers
Electronic claims can be processed through a
Clearinghouse
Term for an insurance firm that has been filled out correctly
clean claim
Patient addresses and billing information should be updated
At Each visit
Insurance claims require the patient to sign _____to release information
Authorization
An assignment of benefits form allows the insurance company to
Pay the provider
Federal law protecting privacy of health insurance information
HIPAA
Antitussive of medication are used to control
Coughing
Most ample contain how many doses
One
Medication given p.o. is administered
orally
In injection into fatty tissue lane immediately under the skin is called
subcutaneous
The proper way to express 1/2 cc is
0.5cc
What is The preferred site for a tuberculin skin test
anterior forearm
It’s up to subcutaneous injection is given at an angle of
45 to 90 degrees
The most used deep adult intramuscular injection site is
Dorsal gluteal
When administering a subcutaneous injection the amount of the dose should not exceed
2cc
When choosing a needle syringe unit you should keep in mind the patent
Age and size
The gauge of a needle is determined by the diameter of its
Lumen
Drugs and DM ER coded using
HCPCS
The physicians physical examination is considered
objective
Physical, chemical and microscope examination
Urinalysis
A chemical substance that prevents clotting of blood in a blood specimen
Heparin
A Vacutainer that contains no anticoagulant has a stopper colored by
Red
Material that presents a risk of possible infection
Biological hazard
The usual site for capillary testing
Fingertip
Urine specimen obtained by the patient simply urinating in a cup is called
Random catch
Patient is instructed to cleanse the urethra with an antiseptic toilet
Clean catch
Legal method of documenting lab testing process security
Chain of custody
A sterile swab would be used for
Wound culture
The intensity of color in a urine specimen indicates
Concentration
Instruments used to prepare your for microscopic examination
Centrifuge
Improper handling of lab specimens can result in
Contamination
The standard EKG consist of _____ leads
12
Simple laboratory test with a high degree of accuracy
Waived test
Quality control in the laboratory answers as the _____ of results
Accuracy
Stool specimens are tested for
Occult blood
A machine use for testing Lung capacity
Spirometer
Tuberculosis can be diagnosed from a
Sputum specimen
Patient begins urinating in the toilet and catches the remainder in a cup
Mid stream catch
All procedures during a medical emergency must be
Documented
The first technique to use to control bleeding is
Direct pressure
Poorly reacting pupils might indicate a severe
Head injury
A piece of emergency equipment used to return proper heart rhythm
Defibrillator/AED
The first thing a medical assistant should do an emergency situation
Assess the situation
Equipment prepared in advance for emergency use is called
Crash cart
A basic CPR is to clear the
Airway
The lack of a pulse is one way to identify
Cardiac arrest
A straight fracture across the bone shaft is called
Transverse
A week and rapid pulse is a sign of
Shock
A severe involuntary contraction of muscles is called a
Seizure
In overdose of insulin would cause the patient to go into
Diabetic shock
Nitroglycerin if ordered for chest pain. It will be in administered
Under the tongue
Formation of blisters following a burn can be treated with
Coldwater
In emergency Tray would include
Epinephrine
To establish an airway, the patient would be placed
On the back
Symptoms of heart attack include pain in the chest
Jaw our arm
The procedure use for a choking person
Abdominal thrust
A broken bone wedged into another bone is called a_____ fracture
Impacted
A patient who is having a seizure should never be
Restrained
For messages sources in the medical office are
Answering service, voicemail, email, fax machine
The reception area should have
Comfortable and durable furniture
A patient should be room at arrival if they have the following
Influenza
When taking a telephone message, you should have a list of
Questions concerning a patient’s condition
One setting up a daily matrix for appointment scheduling, leave daily time slots open for
Acutely ill patients
Three ways to remind patients of their appointments are
Appointment cards, mail cards, telephone
In a modified block letter format, each paragraph is
Indented five spaces
Registered mail is used when you are sending
A priority mail package that is valuable
Email is now used to
Send work related messages
Computers are used in the medical office for
Insurance, filing, inpatient billing
Proper medical record entries are necessary as they are used for
Legal documentation
Terminal digit filing uses groups of numbers read
From right to left
The day sheet is a
Daily record of charges and payments
Examples of accounts payable would be
Rent, utilities, payroll
A cashiers check is a special check sold to a customer by
Financial institutions
Federal regulations require that a sign be posted in the office to inform patients of
Their right as a patient
One of the most common ways of collecting overdue accounts is
Phoning a patient to let them know if payment is due
The list of charges for a medical practice is called a
Fee schedule
Common methods for determining insurance payments are
Capitation, UCR, RVS
When a patient has dual insurance plans working together to determine payment that is called
Coordination of benefits
A group of physicians who had a contract to provide services to subscribers of a plan for a set fee or part of a
PPO
Medicare claims are processed by regional insurance companies called
Fiscal intermediaries
The form that the patient signs to give the physician permission to disclose health information and insurance carrier is called
Release of information
When using I CD – 9 coding, E – codes provide a supplemental classification for
Circumstances/conditions as cause of injury/adverse effects
In additional code composed of a hyphen plus two digit is called a
Modifier
When preparing envelopes, one should use
Capital letters in block form at
Telephone calls should be answered no later then
Third ring
A patient fails to keep an appointment. The medical assistant should make a note on the
Patient’s chart
A computer back up is used to
Copy hard drive information
CPT codes are used to identify
Medical procedure
ICD codes are used to identify
Medical diagnosis
Patient insurance cards should be reviewed
At each visit
In HMO is an example of ____ healthcare
Managed
A good tool for reminding staff uncertain things need to be done is called
Tickler file
Information maybe sent rapidly by using a
Fax machine
The purpose of arranging a series of printed pages is called
Collating
The most important part of preparing correspondence
Proofreading
A daily log should be kept of all
Incoming telephone calls
Incoming mail should be sorted and
Date stamped
The preferred way to send valuable items by mail
Registered mail
Termination of care letters should be sent by
Certified mail return receipt
System for leaving messages which can be retrieved later
Voicemail
Canceled appointment should be noted in the
Patient’s chart
A method of maximizing appointment time
Wave scheduling
The appointment schedule can be used as a
Legal record
A useful telephone service for a physician with two offices
Call forwarding
On a multi line telephone, the line is usewill be indicated by
Steady light
To best utilize the appointment schedule, set aside time for
Call Backs
an important way to make the patient feel comfortable
Warm greeting
Missed appointments can be reduced by
Calls to confirm appointments
Patients should be notified of any
Unusual delays
Having access to the patient’s chart is necessary when
Scheduling procedures
First come first serve method. of appointment scheduling
Open hours
Stating names within another patient’s hearing could be a
Breach of confidentiality
The physical equipment of a computer is called
Hardware
Computer hardware with permanent memory
Hard disk
A portable memory storage device is called
USB drive
Computer scheduling allows quick access to
Open appointments
No office should download information from the Internet without a
Antivirus program
A method of controlling access to confidential patient information
Password