question

When drawing blood, always have the patient make a ___________________

answer

fist

question

When performing an EKG (ECG), the ______lead is placed on the shoulder.

answer

black

question

When giving a (PPD) purified protein derivative injection or TB test, the CMA should draw up _______of vaccine into the syringe.

answer

0.1 ml

question

The CMA has many duties. Just a few include performing venipuncture, giving injections, taking vital signs, doing paperwork, but NEVER _____________.

answer

giving medical advice.

question

A common side effect of a patient taking Coumadin or Warfarin is a __________ (bruise).

answer

hematoma

question

A ___________infection, also known as a Hospital Acquired Infection or HAI, is an infection whose development is favored by a hospital environment, such as one acquired by a patient during a hospital visit or one developing among hospital staff. Such infections include fungal and bacterial infections and are aggravated by the reduced resistance of individual patients.

answer

nosocomial

question

A _________ (or butterfly) is used for patients with fragile veins.

answer

winged infusion set

question

_____________ position is most vital for patients whose BP drops rapidly.

answer

Trendelenberg

question

____________ is a surgical fixation of a segment of the small intestine to the abdominal wall.

answer

Enteropexy

question

_____________is a condition in which the lens of the eye loses its ability to focus, making it difficult to see objects up close. The CMA should escort this patient and lead them since their vision has been compromised.

answer

Presbyopia

question

The 10 rights (R')s of medication administration are:

answer

1) RIGHT Patient 2) RIGHT Medication 3) RIGHT Dose 4) RIGHT Time 5) RIGHT Route 6) RIGHT Education 7) RIGHT to Refuse 8) RIGHT Assessment 9) RIGHT Evaluation 10) RIGHT Documentation

question

When performing CPR, the CMA should do at least __________ compressions per minute. _____ to ________ compressions per second.

answer

100 compressions per minute. 1 to 2 compressions per second.

question

The __________position is the best position to put a patient in to obtain a rectal temperature.

answer

Sims'

question

A patient with TB should be in ___________precautions.

answer

airborne

question

Infectious agents move from the source to the host by means of "_________________"

answer

mode of transmission

question

Please list the 6 elements in the Chain of Infection:

answer

1) Susceptible Host 2) Infectious Agent 3) Reservoir 4) Portal of Exit 5) Mode of Transmission 6) Portal of Entry

question

__________ (Material Data Safety Sheets) is a vital component of OSHA (Occupational Safety and Health Administration).

answer

MSDS

question

________pulse is used in determining the heart rate of infants.

answer

Apical

question

____________________ enforces safety conditions in the medical office.

answer

OSHA (Occupational Safety and Health Administration)

question

Following a blood draw, the CMA should watch the patient intently if they start to ______or_________.

answer

twitch or shake

question

_________means the study of causation or origination. The word is most commonly used to refer to why things occur or even the reason behind the way things act.

answer

Etiology

question

The CMA must make sure that when assisting with an OB/GYN exam that the ________be warmed up by _________over it and then ________properly.

answer

running warm water over it and then lubed properly

question

A ________is an abnormal growth of tissue projecting from a mucous membrane. If a patient states that he or she has a growth that grew rapidly, the CMA would chart it as a ___________________.

answer

Polyp; Polyp

question

Laboratory tubes and additives: Yellow Tube Top

answer

Additive = SPS (Sodium Polyanethal Sulfonate)

question

Laboratory tubes and additives: Light Blue

answer

Additive = Buffered Sodium Citrate

question

Laboratory tubes and additives: Red

answer

Additive = NONE

question

Laboratory tubes and additives: Gold

answer

NONE

question

Laboratory tubes and additives: Light Green

answer

Lithium Heparin

question

Laboratory tubes and additives: Dark Green

answer

Sodium Heparin

question

Laboratory tubes and additives: Purple/Lavender

answer

EDTA (Ethylenediaminetetracetic Acid)

question

Laboratory tubes and additives: Gray

answer

Potassium Oxalate

question

___________ or hCG is a hormone produced during pregnancy that is made by the developing placenta after conception. Levels of hCG may be measured in the blood or urine. Most commonly, this is done as a ____________test, intended to indicate the presence or absence of an implanted embryo.

answer

Human Chorionic Gonadotropin; Pregnancy test

question

The ___________________form is also called a "super bill" or "encounter form" and is the ________________claim form used by physicians.

answer

CMS-1500 form; universal claim form

question

Alcohol swabs should be ordered __________at a physician's office.

answer

monthly

question

An ___________________injection is given to patients who are being tested for allergies.

answer

intradermal

question

To routinely clean the examination table, the CMA would use the technique of _______________ to disinfect.

answer

medical asepsis

question

Hazardous waste should be put in a _________________________bag

answer

red bio-hazard

question

The special delivery for an arterial blood gas (ABG) is on _____________

answer

ice

question

You must always report a needle stick to your supervisor _________________

answer

immediately

question

It can be considered _____________if a CMA enters a patient's room without introducing themselves or acknowledging the patient.

answer

invasion of privacy

question

The most important thing to tell a patient when collecting a 24 hour urine test is to ______the first urine in the morning. Because the first urine will be ______________

answer

void; more concentrated

question

Venipuncture Procedures: (please list them in order)

answer

1) ID patient 2) Introduce yourself, explain what you are about to do 3) Wash your hands 4) Put on gloves 5) Apply tourniquet 6) Palpate to find a vein 7) Clean venipuncture site 8) Let the site AIR DRY (Do NOT blow on site, wave hands or dry with gauze) 9) Anchor vein 10) Insert needle and perform draw 11) Half-way through procedure, remove tourniquet 12) Remove tube from Vacutainer 13) Remove needle and discard immediately into a sharps container. 14) Immediately apply pressure with gauze 15) Label tube (always while still at patient's side) 16) Throw away supplies 17) Wash hands 18) Thank patient 19) Promptly deliver specimen(s) to laboratory

question

When measuring an infant from head to toe, the ___________position is the best position to obtain an accurate measurement.

answer

supine

question

When communicating with a patient who is hearing impaired and has a caregiver, the CMA should speak directly to the _________________

answer

caregiver

question

The best solution to clean up urine off a floor is a ______ percent bleach solution, by mixing _____ percent bleach to ________percent water

answer

10% bleach solution; 10% bleach to 90% water

question

A ________________must be obtained per some health insurance policies to determine if a particular procedure will be covered under the patient's health insurance.

answer

pre-authorization

question

When collecting blood cultures from a patient it is recommended that you collect at least _______mLs of blood.

answer

3-4

question

What is Informed Consent?

answer

Inform the patient of the possible risk and outcome of a procedure

question

What is Implied Consent?

answer

Extending an arm for phlebotomy or an unconscious patient who needs treatment in an emergency.

question

What is Written Consent?

answer

Must be written and signed by the patient or legal guardian. An example would be an HIV test or pregnancy test. All of these situations must be documented.

question

When collecting a urine sample, place the patient's name and DOB on the specimen _____. Not the _______since the ______can be lost.

answer

bottle; not the lid, since the lid can be lost

question

If a STAT electrolyte panel was reported to have a critically elevated sodium level, then most likely a ________ (color tube top) was drawn. A STAT chemistry test should be drawn in a ___________(color) top tube.

answer

Gold; green

question

If a patient has Parkinson's Disease and needs an EKG (ECG) most likely this patient would have ________________show up on his or her EKG (ECG).

answer

somatic tremor

question

A streptococcal test would always be collected on the _____________

answer

throat

question

Always ____________the patient.

answer

ID, IDENTIFY

question

Call for help ___________when a fire is present.

answer

FIRST

question

Order of draw and Laboratory Dept

answer

1) Yellow - Microbiology 2) Light Blue - Coagulation 3) Red - Chemistry 4) Gold - Chemistry 5) Light Green - Chemistry 6) Dark Green - Chemistry 7) Purple/Lavender - Hematology 8) Gray - Chemistry

question

ST segment elevation shown on an EKG (ECG) is associated with a ______________

answer

myocardial infarction

question

A CMA cannot perform a CBC test with a____________

answer

differential

question

__________________is removal of a kidney

answer

Nephrectomy

question

If a patient is having an EKG (ECG) and is diaphoretic, the CMA should apply _______________to help facilitate a better connection.

answer

conduction gel

question

Please list the steps in Capillary Collection (finger sticks)

answer

1) ID patient 2) Introduce yourself and explain what you are about to do. 3) Wash hands 4) Put on gloves 5) Ask patient to rest arm in a downward position for at least 30 seconds 6) Choose either the middle or ring finger 7) Clean with alcohol and allow to air dry 8) Using a sterile lancet, puncture the skin 9) Wipe off the first drop of blood with gauze 10) Collect blood specimen 11) DO NOT excessively milk the finger 12) Gently apply pressure with gauze 13) Apply bandage 14) Throw away supplies 15) Take off gloves 16) Thank patient

question

Please list the steps in obtaining a stool sample:

answer

1) Introduce yourself 2) Explain the procedure to the patient 3) Have the patient defecate into a clean, dry bedpan or commode (or a plastic "hat" ) 4) Instruct patient NOT to contaminate specimen with urine or toilet tissue 5) Put on gloves 6) Using a tongue blade, transfer the most representative stool specimen to the container, and cap the container. If the patient passes visible blood, mucus, or pus with the stool, include this with the specimen. 7) Wrap the tongue blade in a paper towel and discard it 8) Label specimen 9) Remove and discard gloves and wash hands thoroughly 10) Thank patient

question

When doing an EKG (ECG) on a person with large breasts, have the patient _______and place the electrodes ________the breasts.

answer

have the patient LIFT the breasts; place electrodes UNDER the breasts.

question

if a patient has not been seen by the physician in over a year, the patient should complete a ____________________form.

answer

new patient registration form

question

The process of ________________gets rid of ALL forms of microbial life and spores.

answer

sterilization

question

The first step a CMA should take when a patient is found unconscious is to ________immediately (call _____) . If the CMA starts CPR, then precious moments are wasted. Notify ______first and then the CMA can start CPR. Help is on the way.

answer

Notify EMS (call 911); Notify EMS FIRST

question

A ________________is an apparatus for measuring the volume of air inspired and expired by the lungs. It is a ________ ________ ________for the measurement of respiration flow rates. The _______________records the amount of air and the rate of air that is breathed in and out over a specified period.

answer

spirometer; precision differential pressure transducer; the spirometer

question

__________________is the medical specialty dealing with disease involving the respiratory tract.

answer

Pulmonology

question

Any and All communicable diseases such as TB or Aids must be reported to an outside source, i.e. _____________

answer

CDC ( Centers for Disease Control and Prevention)

question

The ___________________Color Test is an example of a color perception test for red-green color deficiencies. It was named after it's designer, Dr. Shinobu Ishihara, a professor at the University of Tokyo, who first published his tests in 1917.

answer

Ishihara

question

When a patient is wearing a ____________monitor they should avoid any magnetic fields.

answer

Holter

question

____________________are used on BP cuffs to destroy dirt and sweat.

answer

Disinfectants

question

If a CMA has to treat a psychiatric patient, they must always make sure they are ___________________with the patient.

answer

never alone

question

The International Classification of Diseases ( most commonly known by the abbreviation ICD) is a standard _____________tool for epidemiology, health mngmt, and clinical purposes. It is known as a health care _______________ system that provides codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances and external causes of injury or disease. Under this system, every health condition can be assigned to a unique category and given a ___________, up to 6 characters long. Such categories can include a set of similar diseases.

answer

diagnostic tool; classification system; code

question

_______________( codes V01-V91) are used to describe encounters with circumstances other than disease or injury.

answer

V codes

question

___________codes are supplemental codes that capture the external cause of injury or poisoning, the intent, and the place where the event occurred.

answer

E codes

question

If a patient has abdominal pain and respiratory difficulties, the CMA should place the patient in the _____________position.

answer

Fowler's

question

A blood pressure (BP) is measured in _________________ or mm.

answer

millimeters of mercury

question

A BP is written with the _______________pressure on the top and the ________________pressure on the bottom, i.e., 120/80.

answer

systolic; diastolic

question

You should take vital signs for a full _______

answer

minute

question

_________________testing is defined as medical testing at or near the site of patient care. The driving notion behind POCT is to bring the test _______________and_______________to the patient.

answer

Point of Care testing (POCT); conveniently and immediately

question

If the physician is behind and a patient has been waiting past their scheduled app't, the CMA should ____________________

answer

ask the patient if they want to reschedule

question

A________________should never give test results to a patient.

answer

CMA

question

__________________is terminology used by national and state/provincial licensing boards for various professions that define the procedures, actions, and processes that are permitted for the licensed or certified individual. The ________________is limited to that which the law allows for specific education and experience, and specific demonstrated competency.

answer

Scope of practice.; scope of practice

question

A CMA should never practice outside their ___________________

answer

"scope of practice."

question

_______________quality control test regulation ensures accuracy of results.

answer

Point of care

question

When doing a urine pregnancy test the __________________urine specimen is the most accurate to use.

answer

first morning urine

question

Buccal is ___________or______________

answer

oral or mouth

question

Sublingual is ___________

answer

oral under the tongue

question

Transdermal is _____________________

answer

absorbed through the skin

question

Intradermal injections (ID) should be administered at a _______________ degree angle

answer

15 degree angle

question

Intramuscular injections (IM) should be administered at a ____________degree angle.

answer

90 degree angle

question

Subcutaneous injections (SC or Sub-Q) should be administered at a _____________degree angle.

answer

45 degree angle

question

________________patches can give medications in a way that they are absorbed slowly creating a constant time released systemic effect.

answer

Transdermal

question

A urinary tract infection (UTI) is a bacterial infection that affects part of the urinary tract. When if affects the lower urinary tract it is known as a simple ________________ infection; and when it affects the upper urinary tract it is known as _____________( a kidney infection.)

answer

cystitis or bladder infection; polynephritis or kidney infection.

question

A________________urine specimen is collected for a culture and sensitivity. (C & S)

answer

clean-catch

question

Body Mass Index (BMI) is a heuristic proxy for human body fat based on an individual's wt and ht. BMI does not actually measure the percentage of body fat. BMI is defined as _________________divided by _______________

answer

Body mass divided by square of his/her height

question

A ________________is a substance that dilates the bronchi and bronchioles, decreasing resistance in the respiratory airway and increasing airflow to the lungs. This is used commonly by ____________patients.

answer

bronchodilator; asthma

question

________________sounds are the sounds medical personnel listen for when they are taking blood pressure (BP) using a stethescope. They are named after _______________, a Russian physician.

answer

Korotkoff sounds; Dr. Nikolai Korotkoff

question

______________ or ________________disease is the spread of a disease from one organ or part to another non-adjacent organ or part.

answer

Metastasis or metastatic disease

question

_____________is the partial or complete wasting away of a part of the body.

answer

Atrophy

question

An __________________is a compound or substance that kills or slows down the growth of bacteria.

answer

antibacterial

question

_________________are antimicrobial substances that are applied to living tissue/skin to reduce the possibility of infection, sepsis, or putrefaction.

answer

Antiseptics

question

Always check the ___________________of a drug before administering it.

answer

expiration date

question

The ___________________is an agency of the US Dept of Labor, Congress established the agency under the Occupational Safety and Health Act.

answer

US Occupational Safety and Health Administration (OSHA)

question

The Occupational Safety and Health Act was signed into law on __________________ by President ________________

answer

December 29, 1970 by President Richard M. Nixon

question

The mission of OSHA is to ____________________for men and women by setting and enforcing standards and by providing training, outreach, education and assistance.

answer

assure safe and healthful working conditions

question

_______________________are US Federal regulatory standards that apply to all clinical laboratory testing performed on humans in the US, except clinical trials and basic research.

answer

Clinical Laboratory Improvement Amendments (CLIA) of 1988

question

A _______________________is another name for a bruise.

answer

hematoma

question

A ________________or _____________, is the final product of the blood coagulation step in hemostasis. It is achieved via the aggregation of ______________that form a _______________plug, and the activation of the coagulation system (i.e., clotting factors). A ______________is normal in cases of injury, but pathologic in instances of thrombosis.

answer

thrombus or blood clot; platelets, platelet plug; a thrombus

question

_________________is a group of hereditary genetic disorders that impair the body's ability to control blood clotting or coagulation, which is used to stop bleeding.

answer

Hemophilia

question

________________is a medical test in which glucose is given and blood samples taken afterward to determine how quickly it is cleared from the blood.

answer

Glucose Tolerance Test (GTT)

question

_____________________is a language for accurately describing the human body and associated components, conditions, processes, and process in a science-based manner. The prefix can be added in front of the term to modify the word root by giving add'l information about the location of an organ, the number of parts, or time involved. Suffixes are attached to the end of a word root to add meaning, such as condition, disease process, or procedure. So, when a term is developed, some logical process is applied. The word root is developed to include a vowel sound following the term to add a smoothing action to the sound of the word when applying a suffix. The result is the formation of a new term with a vowel attached (word root + vowel) called a combining form.

answer

Medical terminology

question

What are the steps involved in doing a Glucose Tolerance Test (GTT)?

answer

1) A zero time (baseline) blood sample is drawn. 2) The patient is then given a measured dose of glucose solution to drink within a 5 minute time frame. 3) Blood is drawn at intervals for measurement of glucose (blood sugar), and sometimes insulin levels. The intervals and number of samples vary according to the purpose of the test. For simple diabetes screening, the MOST IMPORTANT SAMPLE is the 2 hour sample, and the 0 and 2 hour samples may be the only ones collected. Note: Sometimes other laboratories continue to collect blood for up to 3 hours depending on the requesting physicican .

question

__________________is the absence of a menstrual period in a woman of reproductive age.

answer

Amenorrhea

question

______________________is a gynecological medical condition of pain during menstruation.

answer

Dysmenorrhea

question

The term__________________refers to information that is subject to one's own opinion.

answer

subjective

question

The term ___________________is measurable.

answer

objective

question

If a patient says it is hot in the room then that is ______________

answer

subjective

question

If you take the patient's temperature and it is 105 degrees then that would be __________

answer

objective

question

____________information is gained by questioning the patient or taking if from a form.

answer

subjective

question

______________________information is gathered usually by watching or observing a patient.

answer

objective

question

A _______________________would study and practice medicine associated with the skin.

answer

dermatologist

question

A ____________________would study and practice medicine associated with the nerves.

answer

neurologist

question

HIPAA stands for ______________________

answer

Health Insurance Portability and Accountability Act

question

An _________________form is usually personalized by the practice. The ___________________form is often used as a charge slip and often called a super bill. This form would include ______________,________________, ________________and ________________

answer

encounter form; encounter form; common charges, diagnosis, date of service and patient's name.

question

___________________is considered offensive touching or use of force on a person without his or her consent,

answer

Battery

question

_______________is intentional or unlawful attempt of bodily injury to another by force.

answer

Assault

question

Describe and define culture and sensitivity (C&S) testing.

answer

A collection of a urine sample, blood sample, or other body fluid samples are cultured in a medium and analyzed for sensitivity. A culture and sensitivity (C &S ) is a diagnostic lab procedure used to identify the type of bacteria and to determine which antibiotics can successfully fight an infection. A culture and sensitivity (C & S) is primarily used to find bacteria. the absence of bacteria does not mean there is no infection, since it could be a virus that will not grow in a specific culture medium.

question

20 small boxes on an EKG strip would equal the rate of _________________

answer

75

question

OSHA and BBP training should be provided at______________________to employees

answer

no cost

question

A _____________________chart is an eye chart used by eye care professionals and others to measure visual acuity.

answer

Snellen chart

question

Snellen charts are named afer the Dutch ophthalmologist ___________________who developed the chart in 1862

answer

Herman Snellen

question

Describe how the Snellen Eye Chart is typically used.

answer

In the most familiar acuity test, a Snellen chart is placed at a standard distance, 20 feet in the US. At this distance, the symbols on the line representing "normal" acuity subtend an angle of 5 minutes of arc. This line, designated 20/20, is the smallest line that a person with normal acuity can read at a distance of 20 feet.

question

The _______________________test or _________________test is one of several methods that detect the presence of fecal occult blood. Fecal occult blood is blood present in the feces that is not visibly apparent.

answer

stool guaiac or guaiac fecal occult blood test

question

A heel stick should not be performed on a patient older than ____________year (s) old.

answer

1 year ( One )

question

A finger stick should never be performed on a patient less than _______________ year (s) old.

answer

1 year (One)

question

__________________or low blood sugar is an abnormally diminished content of glucose in the blood. The term literally means "low sugar blood."

answer

Hypoglycemia

question

If a patient is experiencing an episode of hypoglycemia, the CMA can help by giving the patient __________________

answer

Orange juice

question

________________testing of the glucometer or any testing equipment promotes accurate test results.

answer

Quality Control testing

question

The erythrocyte sedimentation rate (ESR) also called a sedimentation rate or sed rate, is the rate at which _____________________sediment in a period of one hour. It is a common hematology test, and is a non-specific measure of _____________________. To perform the test, the anticoagulated blood is placed in an upright tube, known as a ________________tube, and the rate at which the RBCs fall is measured and reported in mm/h.

answer

RBCs ; inflammation; Westergren tube

question

__________________are measures of various physiological statistics, in order to assess the most basic body functions. The act of taking vital signs normally entails recording body temperature, pulse rate, (or heart rate), blood pressure, and respiratory rate.

answer

Vital signs

question

Vital signs often vary by _______

answer

age

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