study guide for CCMA Questions And
Answers Verified 100% Correct
The site most commonly used for taking a pulse is: - ANSWER -The radial artery
(found in the wrist on the same side as the thumb).
When taking a pulse at the radial artery it is felt with the: - ANSWER -First two
or three fingers (never with the thumb) and usually taken for 30 seconds multiplied
by two to get the rate per minute.
(Taking a pulse at the radial artery) If the rate is unusually fast or slow then: -
ANSWER -Count it for 60 seconds
The _____ _____ is a more accurate measurement of the heart rate and it is taken
over the apex of the heart by auscultation using the stethoscope. - ANSWER -
Apical Pulse
Taking an apical pulse is used for patients with: - ANSWER -Irregular heart rate
and for infants and small children.
Respiratory Characteristics - ANSWER -Rate, Rhythm, and Depth
Respiratory Rate - ANSWER -Is the number of respirations per minute.
Normal Adult Range of Respiratory Rate - ANSWER -12 to 20 per minute
What counts as one respirations: - ANSWER -One inspiration (inhale) and One
Expiration (exhale).
How is a Respiratory Rate calculated: - ANSWER -Count respirations for 30
seconds then multiplied by two or count for a full minute.
,Define Apnea - ANSWER -This is a temporary complete absence of breathing
which may by result of a reduction in the stimuli to the respiratory centers of the
brain.
Define Tachypnea - ANSWER -This is a respiration rate of greater than 40/min. It
is transient in the newborn and maybe caused by the hysteria in the adult.
Define Bradypnea - ANSWER -Decrease in numbers of respirations. This occurs
during sleep. It may also be due to certain diseases.
Define Respiratory Rhythm - ANSWER -Refers to the pattern of breathing. It can
vary with age: infants have an irregular rhythm while adults have regular.
Define Cheyne-Stokes - ANSWER -This is a regular pattern of irregular breathing
rate.
Define Orthopnea - ANSWER -This is difficulty or inability to breath unless in an
upright position.
Define Respiratory Depth - ANSWER -Refers to the amount of air that is inspired
and expired during each respiration.
Define Hypoventilation - ANSWER -State in which reduced amount of air enters
the lungs resulting in decreased oxygen level and increased carbon dioxide level in
blood. It can be due to breathing that is too shallow, or too slow, or to diminished
lung function.
Define Hyperpnea - ANSWER -Abnormal increase in the depth and rate of
breathing.
Define Hyperventilation - ANSWER -State in which there is an increased amount
of air entering the lungs.
, Define Blood Pressure - ANSWER -This is the measurement of the amount of
force exerted by the blood on the peripheral arterial walls and is expressed in
millimeters (mm) of mercury (Hg).
Blood Pressure Abbreviation - ANSWER -BP
BP consist of two components: - ANSWER -The Highest (systole) and lowest
(diastole) amount of pressure exerted during the cardiac cycle.
Common errors in blood pressure measurements: - ANSWER --Improper Cuff
Size
-The arm is not at heart level
-Cuff is not completely deflated before use
-Deflation of the cuff is faster than 2-3mmHG per second
-The cuff is re-inflated during the procedure without allowing the arm to rest for 1-
2 minutes between reading
-Improper cuff placement
-Defective Equipment
Define Anthropometric Measurements - ANSWER -Refers to comparative
measurements of the body.
What age groups use Length, Height, Weight, Weight-for-Length, and Head
Circumference - Anthropometric Measurements: - ANSWER -Are used to assess
growth and development in infants, children, and adolescents.
What age groups use Height, Weight, Body Mass Index (BMI), waist-to-hip ratio,
and % of body fat - Anthropometric Measurements: - ANSWER -Are the
measurements used for adults.
The 4 principles of a physical examinations: - ANSWER -Inspection, Palpation,
Percussion, Auscultation
, Define Inspection - ANSWER -Which provided an enormous amount of
information. The observer uses observation to detect significant physical features
or objective data.
Inspection focuses on certain aspects of the patient: - ANSWER -General
Appearance, State of Nutrition, Body Habitus, Symmetry, Posture and Gait
Define Palpation - ANSWER -The examiner uses the sense of touch to determine
the characteristics of an organ system.
Define Percussion - ANSWER -This involves tapping or striking the body,
usually with the fingers or a small hammer to determine the position, size and
density of the underlying organ or tissue.
Define Auscultation - ANSWER -This involves listening to sounds produced by
internal organs. It is usually done to evaluated the heart, lungs, and the abdomen.
The Medical Assistant's Role In the Physical Examination: - ANSWER --Room
Preparation
-Patient Preparation
-Assisting the Physician
Horizontal Recumbent Position - ANSWER -Is used for most physical
examinations. The patient lies on his/her back with legs extended. Arms may be
above the head, alongside the body or folded on the chest.
Dorsal Recumbent Position - ANSWER -Is when the patient is on his/her back
with knees flexed and soles of feet flat on the bed. The MA will need to fold a
sheet once across the chest and fold a second sheet crosswise over the thighs and
legs so that genital area is easily exposed.
Fowler's Position - ANSWER -Is used to promote drainage or to ease breathing. A
sitting or semi-sitting position where the back of the examination table is elevated
to either 45 degrees (45 degrees (Semi-Fowler's) or 90 degrees (High-Fowler's).