CCBMA 2015 – Flashcards

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