Medical Assistant State Test Study Guide – Flashcards
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cysto-
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bladder
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what is the term for narrowing?
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stenosis
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Gastrectomy is the term for excision of the
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stomach
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the abbreviation meaning two times a day is?
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bid
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which is the correct spelling? pharengytis, pharengitis, pharyngytis, or pharyngitis
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pharyngitis
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a trained medical assistant is able to - function as a nurse, interpret lab results, administer IV therapy or assist with minor procedures
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assist with minor procedures
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a patients photo was made public without her permission. This is called - invasion of privacy, defamation, fraud, or slander
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invasion of privacy
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patient instruction sheets are used to
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prevent misunderstanding
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the best time to perform a breast exam
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monthly
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communication with patients can be improved by
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providing privacy
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hyper-
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increased
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nephro-
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kidney
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auto-
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self
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osteo-
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bone
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dys-
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painful
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litho-
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stone
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brady-
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slow
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chole-
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gallbladder
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macro-
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large
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gastro-
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stomach
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arthro-
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joint
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tachy-
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fast
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thoraco-
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chest
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hypo-
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decrease
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mammo-
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breast
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veno-
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vein
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hepato-
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liver
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hemo-
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blood
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ophthalmo-
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eye
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trans-
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through/across
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-oma
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tumor
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-algia
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pain
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-ectomy
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surgical removal
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-itis
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inflammation
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-ology
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study
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-emia
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blood condition
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-tomy
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incision
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-osis
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abnormal condition
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-megaly
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enlargement
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-graphy
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xray exam
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-phasia
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speech
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-scopy
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examination
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-gram
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record
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-ptosis
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falling, dropping
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-stasis
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stopping
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-plegia
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paralysis
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-desis
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bind or tie
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-phagia
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swallowing
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-ostomy
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surgical opening
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-pathy
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disease
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hs
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at bedtime
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IM
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intramuscular
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Hx
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history
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q.i.d.
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four times a day
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gtt
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drop
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q.d.
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once daily
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p.c.
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after meals
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OD
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right
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CC
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chief complaint
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CHF
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congestive heart failure
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RLQ
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right lower quadrant
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Dx
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diagnosis
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LMP
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last menstrual period
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I & D
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incision and drainage
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Tx
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treatment
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hct
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hematocrit
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LUQ
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left upper quadrant
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SOB
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shortness of breath
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po
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by mouth
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hypotension
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low blood pressure
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cicatrix
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scar tissue
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nephromegaly
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enlargement of the kidney
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cholelithiasis
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gallbladder stones
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subcutaneous
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beneath the skin
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maxilla
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upper jaw
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goiter
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endocrine system disease
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hematemesis
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vomiting blood
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capillary
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smallest blood vessel
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patella
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kneecap
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neuritis
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inflammation of the nerve
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myocardial infarction
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heart attack
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hematuria
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blood in the urine
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large tongue
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macroglossia
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syncope
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fainting
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cystogram
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xray study of the bladder
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bradycardia
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slow heart beat
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pleura
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membrane covering the lungs
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osteoporosis
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loss of calcium in the bones
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pruritits
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severe itching
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anterior
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situated in front or in the forward part
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distal
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remote, farther from the point of origin
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proximal
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nearest, closer to the point of origin
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peripheral
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situated toward the outer part
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inferior
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situated below or directed downward
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extension
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straightening motion that increases the angle between adjoining bones
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adduction
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movement toward the midline
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superficial
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situated near the surface
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ventral
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pertaining to the belly
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lateral
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away from the midline, pertaining to a side
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dorsal
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pertaining to the back
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medial
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pertaining to the middle
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superior
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situated above or directed upward
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plantar
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referring to the sole of the foot
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flexion
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bending motion that decreases the angle between adjoining bones
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prone
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lying flat on the back
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where are the lungs found?
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thoracic cavity
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supine
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lying flat on the back
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caudal
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toward the tail
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where is the liver found?
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abdominal cavity
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a physician retires without notifying his patients. The physician 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 regulation
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a physician describes a procedure, risks and alternative treatment to a patient. this is called a
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informed consent
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a medical assistant who performs a procedure ordered by the physician 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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narcotic prescriptions are regulated by witch agency?
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drug enforcement administration
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a medical assistant discusses a patient by name at lunch with others in the building. The M.A. could be charged with
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invasion of privacy
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a patient agrees to receive a flu shot. this is an example of
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consent
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a method of mediating disputes between a patient and physician is called
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arbitration
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patient rights include this principle
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confidentiality
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a false statement harmful to another persons character is called
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slander
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a person under legal age who is self supporting and living apart from parents is called a
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emancipated minor
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this document is required in order to provide medical records
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records release
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failure to perform professional care is called
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negligence
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state law requires that physicians always report this condition
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abuse
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billing an insurance company for false charges is considered
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fraud
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the patients medical records belong to the
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physician
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the best method of preventing transmission of disease is
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hand washing
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the artery normally used for taking a pulse reading is
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radial
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an instrument used to examine the ears
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otoscope
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social history includes the
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marital status
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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 holter monitor measures heart
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rhythm
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the nerve most apt to be affected during an injection in the buttock is the
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sciatic
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an injection into fatty tissue lying immediately under the skin is called
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subcutaneous
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the first and most important rule to remember in an emergency is to
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stay calm
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medical assistants are expected to make decisions in medical office emergencies based on their
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medical knowledge
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a surface free of contaminated instruments
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sterile field
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gloves masks and gowns are known as
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person protective equipment
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washing instruments to remove debris
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sanitization
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absence of bacteria
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asepsis
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bacteria that thrive in oxygen
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aerobes
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an organism that produces disease
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pathogen
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molds and yeasts are types of
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fungi
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instruments touched by ungloved hands are
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contaminated
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destruction of all microorgansisms
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sterilization
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how should hinged instuments be when sterilized?
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open
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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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the term for removal of contaminated materials from a wound is
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debridement
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scrubbing the surgical site in a circular motion from the center of the edge is
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surgical prep
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removing fluids or gasses by suction is called
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aspiration
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flushing out a wound or cavity with a solution is called
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irrigation
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a sterile surface containing sterile items is a
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surgical tray
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S/s, s/b and b/b describe surgical
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scissors
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instruments used to clamp off blood vessels are called
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hemostats
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a sterile covering placed over a wound is called a
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dressing
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instruments such as fiberoptic scopes are soaked in chemicals in a procedure called
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cold sterilization
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pulse located at the elbow
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brachial
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pulse located on the knee
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popliteal
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pulse located at the thumb site of the wrist
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radial
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pulse located at the side of the neck
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carotid
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pulse located in the middle of the groin
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femoral
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the highest reading of blood pressure is called
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systolic
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blood pressure measured while patient is lying, sitting or standing
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orthostatic
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an instrument used to test reflexes is
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percussion hammer
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an instrument used to open a body orifice for viewing is
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speculum
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an instrument used to examine the eye is
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ophthalmoscope
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an instrument used to examine the ear is
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otoscope
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an instrument used to examine the rectum and colon is
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sigmoidoscope
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irregular heart rhythm
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arrhythmia
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rapid pulse
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tachycardia
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having no symptoms
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asymptomatic
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slow pulse
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bradycardia
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material status is considered
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social history
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the patients own words determine the
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chief complaint
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family history is considered
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subjective
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the physicians physical examination is considered
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objective
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physical, chemical and microscopic examinations are
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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
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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 first step in preparing a laboratory specimen
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patient identification
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the usual site for capillary testing is
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fingertips
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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 towelette is a
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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 a
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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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improper handling of lab specimens can result in
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contamination
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instrument used to prepare urine or microscopic examination is
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centrifuge
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the standard EKG consist of how many leads?
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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 ensures what kind 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 used 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 the cup is a
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midstream catch
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a physician orders 1500 mcg of vitamin b12. you have 1000 mcg/ml on hand how many milliliters will you give?
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1.50
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a physician orders 10 mg of compazine. you have 5 mg/ml on hand. how many milliletes will you give
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2 ml
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a subcutaneous injection is given at an angle of
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45 to 90
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the most used deep (adult) intramuscular injection site is the
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dorsogluteal
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when administering a subcutaneous injection, the amount of the dose should no exceed
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2cc
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when choosing a needle/syringe unit, you should keep in mind the patients
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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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a physician orders 0.250 mg of lanoxin. you have 0.125 mg tablets on hand. how many tablets will be given?
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2
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what is the preferred site for a tuberculin skin test?
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anterior forearm
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the proper way to express 1/2 cc is
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0.5 cc
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an injection into fatty tissue lying immediately under the skin is called
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subcutaneous
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medication given p.o. is administered
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orally
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an ampule contains how many doses?
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1
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antitussive medications are used to control
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coughing
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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 equipmentused to reestablish normal heart rhythm
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defibrillator / AED
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the first thing a medical assistant should do in an emergency situation is
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assess the situation
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equipment prepared in advance for emergency use is called a
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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 a
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transverse
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a weak 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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an overdose of insulin would cause the patient to go into
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diabetic shock
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nitroglycerin is ordered for chest pain. it will be 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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cool water
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an emergency tray would include
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epinephrine
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to establish an airway, the patient would be places
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on the back
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symptoms of heart attack including pain in the chest
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jaw or arm
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the procedure used for a choking person is
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Heimlich maneuver
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a broken bone wedged into another bone is called an
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impacted fracture
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a patient who is having a seizure should never be
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restrained
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what are the ABC's of emergency care?
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airway, breathing, and circulation
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you should first establish a patients responsiveness by asking
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are you okay
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if the patient is unresponsive the medical assistant must determine if the patient is
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conscious
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the next step would be to activate the
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emergency response system by calling 911
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check the carotid pulse and if present
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continue rescue breathing 10 to 12 breaths per minute
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to open the airway, the patient should be places on the
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back the head tilted and the chin lifted
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PPE supplies for CPR include
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disposable gloves and CPR ventilator mask
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during CPR, fingers are placed at the point where the
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sternum and the ribs join
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adult compression ratio
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30:2 both one and two man hands with two hands
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children compression ratio
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30:2 both one and two man hands with one hand
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infants compression ratio
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15:2 two man hands with 2 fingers
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in CPR the depth of a compression should be for adults
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1 1/2 to 2 inches
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in CPR the depth of a compression should be for children
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1 to 1 1/2 inches
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in CPR the depth of a compression should be for infants
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1/2 to 1 inch
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when preparing envelopes, one should use
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capital letters in block format
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telephone calls should be answered no later than the
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third ring
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a patients fails to keep an appointment. the medical assistant should make a note on the
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patients chart
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a backup tape for a computer is used to
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copy hard drive information
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which name would be filed first in an alphabetic filing system?
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Wilson Babcock
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CPT codes are used to identify a
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medical procedure
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ICD-9 codes are used to identify a
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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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an HMO is an example of what kind of healthcare?
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managed
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a good tool for reminding staff when certain things need to be done is called a
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tickler file
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information may be sent rapidly by using a
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fax machine
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the process 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 is
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voice mail
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cancelled appointments should be noted in the
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patients chart
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a method of maximizing appointment time is
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wave scheduling
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the appointments schedule can be used as a
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legal record
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a useful telephone service for a physician with 2 office
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call forwarding
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on a multi-line telephone, the line in use will be indicated by
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steady light
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to best utilize the appointment schedule, set aside time for
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call backs
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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
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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 the patients chart at hand is necessary when
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scheduling procedures
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"first come first served" method of appointment scheduling
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open hours
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stating names within another patients hearing could be
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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 a
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floppy disk
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important procedure for protecting hard disk information
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backing 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 imput
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keyboard
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word processing allows the user to quickly move or delete blocks of
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text
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a convenient feature used when proofreading a document
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spell check
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large group of files used for information retrieval is
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data base
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all medical office should have a security policy to protect
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patient information
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computerized patient accounts simply monthly statements and
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insurance billing
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computer scheduling allows quick access to
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open appointments
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this list can be easily prepared with computer 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 a 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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no office should download information from the internet without a
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anti-virus program
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a method of controlling access to confidential patient information
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passwords
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progress notes are usually filed 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 inactive 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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medical charts are usually filed in which order
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alphabetical
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each page of the medical record 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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chart notes should be complete
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daily
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each patient is assigned a number in this system
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numerical filing
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a patient must sign this document to obtain past records
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records release form
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which of the following names would be filed first: Pittman, Phillips, Pham, or Phipps
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pham
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which of the following names would be filed last: Larsen, Lamar, Lai, or Larson
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Larson
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which of the following numbers would be filed first: 073291, 036689, 157623, or 064942
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036689
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a fund used for small office purchases is called
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petty cash
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a term for overpayment on an account is a
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credit
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monthly fee for bank account is a
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service charge
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what is an encounter form?
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preprinted statement listing codes for basic office charges
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what is a post?
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entering charges and payments to a patients account
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what is aging schedule?
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list of unpaid accounts by date of service
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what is debit?
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another term for charge
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what are adjustments?
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correction to a patients account
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what is endorsing?
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placing the practice name and account number on the back of the check
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what are accounts payable?
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total of bills owed by the practice
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what are accounts receivable?
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total of all patients accounts
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who can you never accept a payment from?
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a patient who has been turned over to a collection agency
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what is a deductible?
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portion of bill patient is required to pay each year
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what is a write off?
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cancellation of an unpaid debt
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what is a copayment?
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amount patient must pay for each office visit
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what is medicare?
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federal insurance program for elderly persons or persons with permanent disabilities
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what is a crossover?
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term for an insurance claim for a medicare and MediCal patient
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what is workers compensation?
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type of insurance for work related injuries
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what is a paper claim?
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insurance claims which have greater chance for rejection
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what is a modifier?
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addition to a procedure code which indicates special circumstances
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what is medi-gap?
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a policy which supplements medicare coverage
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what is tricare/CHAMPUS?
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insurance coverage for military dependents
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what is CMS-1500?
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the universal claim form
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an insurance claim with incomplete information will be
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rejected
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what is capitation?
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monthly fee a provider is paid for each covered patient
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what is explanation of benefits?
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insurance company statement of how a claim is settled
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what is fraud?
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billing services the physician did not perform
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a procedure code followed by the modifier -99 indicates
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multiple modifiers
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what are electronic claims?
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insurance claims which shorten the payment cycle
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what is a clean claim?
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term for an insurance form that has been filled out correctly
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when should a patients addresses and billing information be updated?
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each visit
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insurance claims require a patient to sign what 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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What is HIPAA
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federal law protecting privacy of health insurance information
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what are HCPCS codes
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medicare supplement to the CPT procedure codes