CMA (AAMA) EXAM (Multiple Choice) 200 Questions Solved 2023 Rated 100%

CMA (AAMA) EXAM (Multiple Choice) 200 Questions Solved 2023 Rated 100% Which of the following is a physician who specializes in disorders of the eye and performs surgical procedures as necessary? A. Otolaryngologist B. Ophthalmologist C. Optician D. Optometrist *ANS* Ophthalmologist Which of the following is the nerve that stimulates the diaphragm? A. Accessory B. Sciatic C. Vagus D. Phrenic E. Trochlear *ANS* Phrenic . Which of the following is objective information relating to a patient's health? A. Absence of patellar reflex B. Patient is feeling depressed C. Ongoing pain in right lower quadrant D. Dizziness with a headache *ANS* Absence of patellar reflex 4. Which of the following is a laboratory test commonly performed on a specimen from a patient taking furosemide (Lasix)? A. Potassium level B. Thyroid-stimulating hormone assay C. Hemoglobin analysis D. White blood count *ANS* Potassium level Which of the following describes "adduction"? A. Movement of a body part toward the body's midline B. Circular motion of a limb C. Movement of a bone around its central axis This action would describe rotation. D. Decreasing the angle between bones This action would be referred to as flexion. *ANS* Movement of a body part toward the body's midline Which of the following positions requires the patient to lie on the left side with the left arm behind the body, the right leg flexed sharply upward, and the left knee slightly flexed? A. Trendelenburg B. Prone C. Fowler D. Lithotomy E. Sims *ANS* Sims Lisinopril (Zestril) and furosemide (Lasix) are used in the treatment of which of the following conditions? A. Epilepsy B. Parkinson's disease C. Gout D. Hypertension *ANS* Hypertension The medical assistant is asked to administer one oral dose of Azithromycin to a child. The dose to be administered is 10 milligrams per kilogram. The child's weight is 44 pounds. The Azithromycin suspension vial available is labeled 500 milligrams per 5 milliliters. What amount of the antibiotic suspension should you prepare for the child? A. 2 ml B. 3 ml C. 1.5 ml D. 1 ml *ANS* 2 ml What is the total magnification of a specimen using a microscope with ocular lenses of 10X and a low power objective lens of 10X? A. 10X B. 100X C. 40X D. 5X *ANS* 100X The usual restrictions on release of medical information without the patient's authorization are suspended if which of the following situations exist? A. Information is stored in a computer. B. A patient is suspected of committing a crime. C. A patient is a public figure. D. The patient is incompetent and has a legal guardian. *ANS* The patient is incompetent and has a legal guardian. Which of the following is the most appropriate initial step when rooming a patient who comes to the office with a recent laceration of the finger that is still bleeding? A. Notify the physician to come immediately B. Apply direct pressure to the patient's wound C. Apply a tourniquet D. Elevate the patients arm above the head *ANS* Apply direct pressure to the patient's wound 12. The medical assistant takes vital signs on a male patient age 25 and records a Body Mass Index (BMI) of 34 into the EMR. The patient is most at risk for which of the following conditions? A. Osteomyelitis B. Sleep Apnea C. Pulmonary Hypertension D. Kyphoscoliosis *ANS* Sleep Apnea Which of the following steps should be taken for a patient who faints and slumps to the floor? A. Place the patient in the sitting position B. Roll the patient onto his right side C. Keep the patient's head and shoulder flat and raise the legs D. Place a pillow under the patient's head and shoulders, keeping the feet and legs flat *ANS* Keep the patient's head and shoulder flat and raise the legs Which of the following is the proper cleansing technique with the alcohol pad when preparing the skin for an injection? A. Move the wipe vertically going from left to right across the injection site, starting - approximately one inch from the injection site B. Wipe in an "S" movement across the injection site C. Wipe in a circular motion beginning at the injection site and moving outward D. Wipe horizontally beginning three inches above the injection site and ending three inches below the site *ANS* Wipe in a circular motion beginning at the injection site and moving outward Which of the following conditions would most likely result in unequal pupils? A. Diabetic coma B. Drug overdose C. Cardiac arrest D. Cerebrovascular accident *ANS* Cerebrovascular accident The blood pressure that the medical assistant has just taken is significantly higher than the readings taken on the same patient during past examinations. Which of the following is the first step the medical assistant should take to ensure the validity of the reading? A. Tell the patient to relax and retake the pressure immediately B. Ask another medical assistant to take the patient's blood pressure. C. Take the other vital signs and recheck the blood pressure after a few minutes. D. Ask the patient if he has had a recent blood pressure test and what the reading was. *ANS* Take the other vital signs and recheck the blood pressure after a few minutes. Which of the following situations can promote slow wound healing primarily by causing constriction of small blood vessels? A. Smoking B. Diabetes mellitus C. Bacterial infection D. Poor nutrition *ANS* Smoking Which of the following methods of examination would be used to determine a patient's chest size increase from 36 to 42 inches during inspiration? A. Palpation B. Auscultation C. Percussion D. Mensuration *ANS* Mensuration Which of the following laboratory test results should be brought to the immediate attention of the physician? A. Fasting total cholesterol 200 mg/dl B. White blood cell count of 9,900/microliter C. Hemoglobin 14 g/dl D. Fasting glucose 40 mg/dl *ANS* Fasting glucose 40 mg/dl Which of the following instructions is most important for a patient who has just had an arm cast applied? A. Sprinkle powder in the cast if itching is present. Powder should not be applied inside of cast. B. Trim the cast if any sharp edges are present. This should only be done with the permission of the physician. C. Rest the arm at waist level. D. Observe the fingers for changes in color/temperature. *ANS* Observe the fingers for changes in color/temperature. Which of the following is a measurement of the percentage of erythrocytes in a volume of whole blood? A. Erythrocyte sedimentation rate B. Blood cell differential C. Red blood cell morphology D. Hematocrit *ANS* Hematocrit Which of the following best describes a condition resulting in a sudden discharge of electrical activity in the brain? A. Alzheimer's disease B. Herpes zoster C. Bell's palsy E. Epilepsy *ANS* Epilepsy Which of the following conditions is consistent with a bacteriuria and pyuria in a clean-catch urine specimen? A. A kidney stone B. A urinary tract infection C. Renal cell carcinoma D. Renal tubular degradation *ANS* A urinary tract infection Which of the following would describe the correct term when an insurance claim is submitted with an invalid procedure code? A. Denied B. Paid C. Rejected D. Appealed *ANS* Rejected Which of the following is an electrolyte that has an important influence on the muscle activity of the heart? A. Amylase B. Phosphorus C. Potassium D. Chloride *ANS* Potassium The physician orders 75 mg of medication to be given intramuscularly. The medication is available in 50mg/mL vials. Which of the following is the correct dose to be administered? A. 1.75 mL B. 1.5 mL C. 0.5 mL D. 0.75 mL *ANS* 1.5mL Which of the following is a test that measures the concentration of dissolved substances in urine? A. Protein B. Turbidity C. Urobilinogen D. Specific gravity *ANS* Specific gravity Which of the following best describes information gained as a result of the physician-patient relationship? A. Respondeat superior B. Informed consent C. Professional liability D. Confidential communication *ANS* Confidential communication Which of the following substances would be the best choice for soaking a bandage that is adhered to a wound? A. Betadine solution B. Acetone C. Alcohol D. Normal saline *ANS* Normal saline Which of the following is the most appropriate initial action by the medical assistant when answering a telephone call from a patient who is angry about treatment received in the office? A. Respond to the patient by using defensive language. B. Immediately transfer the patient's call to the office manager. C. Listen as the patient explains the problem. D. Ask the physician to speak to the patient. *ANS* Listen as the patient explains the problem An Advance Beneficiary Notice is required in which of the following cases? A. A Medicaid-eligible patient who is pregnant but does not yet have coverage B. The patient is Medicare-eligible, but has not yet received his Medicare card C. A retired Air Force veteran who needs a referral to a surgeon's office D. A Medicare patient has a procedure or test that may not be covered by Medicare *ANS* Medicare patient has a procedure or test that may not be covered by Medicare When recording an electrocardiogram, the international standardization for amplitude is 1 millivolt (mv) and is equal to how many millimeters (mm)? A. 5 B. 20 C. 10 D. 25 *ANS* 10 Of the following methods to administer medications, which would have the fastest delivery to the blood stream? A. Z track B. Sublingual C. Intramuscular D. Oral *ANS* Sublingual The criteria of establishing "duty owed, dereliction of duty, direct cause, and damages" are used in reference to which of the following situations? A. Revoking a medical license B. Proving negligence C. Terminating a physician-patient contractual relationship D. Providing emergency treatment to a comatose patient *ANS* Proving negligence An age analysis of accounts receivable is a valuable process in which of the following? A. A medical record system B. A study of referral patterns C. An appointment control system D. Financial management *ANS* Financial management Which of the follow is a suffix for "hardening"? A. -ectasis B. -megaly C. -itis D. -sclerosis *ANS* -sclerosis Which of the following is a laboratory test for kidney function? A. Creatinine B. HDL (high density lipoprotein) C. FBS (fasting blood sugar) D. ALT (alanine aminotransferase) *ANS* Creatinine Which of the following muscles is most appropriate for the administration of a 2.5 mL intramuscular injection in an adult? A. Deltoid B. Latissimus dorsi C. Dorsogluteal D. Vastus lateralis *ANS* Dorsogluteal Which of the following best describes the care of instruments when performing chemical disinfection? A. Place the chemical solution and instruments in an open container. B. Rinse instruments in hot water containing bleach prior to chemical disinfection. C. Dry instruments prior to placing in the chemical solution. D. Line the container with sterile gauze before adding instruments in the solution *ANS* Dry instruments prior to placing in the chemical solution. Which of the following describes proper technique in handling sterile items? A. When pouring sterile solutions, the neck of the bottle should rest on the rim of the container you are pouring into. B. When taking a lid off a sterile jar, the lid should be set face down on the counter. C. When opening sterile packs with four flaps, the first flap should be opened away from your body. D. When opening sterile packs that are folded with four flaps, open directly over the sterile field. *ANS* When opening sterile packs with four flaps, the first flap should be opened away from your body. Which of the following is the term for an abnormal increase of red blood cells in urine? A. Hematuria B. Oliguria C. Pyuria D. Anuria *ANS* Hematuria The term "hypophysis" refers to which of the following? A. Pituitary gland B. Hypothalamus C. Adrenal medulla D. Thyroid gland *ANS* Pituitary gland Which of the following types of examinations would be performed to hear a heart murmur? A. Inspection B. Percussion C. Mensuration D. Auscultation *ANS* Auscultation Which of the following is the meaning of the prefix "ab"? A. Away from B. Within C. Outside D. Before or forward *ANS* Away from Which of the following terms refers to a disease process that has no defined course and is of unknown origin? A. Biologic B. Diastolic C. Etiologic D. Idiopathic *ANS* Idiopathic The medical assistant is preparing an 18-year-old male of average size for a routine physical. Which of the following results will most likely require further follow-up by the physician? A. Resting O2 saturation of 98% B. Temperature 36.9 C (98.4 F) C. Blood pressure 140/92 mm Hg D. Hemoglobin 14.4 g/dl *ANS* Blood pressure 140/92 mm Hg The medical assistant collects a patient's urine specimen to be sent out for culture. It is very important to have the following on the label: Patient name and date of birth; provider name and the initials of who collected the specimen. What additional information is needed for proper labeling? A. Patient phone number B. Length of time specimen was refrigerated. C. Total volume collected D. Date and time collected *ANS* Date and time collected Which of the following surgical procedures is performed as a method to prevent conception? A. Conization B. Tubal ligation C. Dilatation and curettage D. Episiotomy *ANS* Tubal ligation Which of the following is an appropriate action for improving cross-cultural communication with patients? A. Holding strong opinions and judgements regarding how people should dress in an appropriate manner. B. Using medical terms along with pictures or diagrams from a current medical text book to assist communication. C. Being aware that hand gestures may convey different meanings. D. Creating a fast-paced atmosphere so that the patient can complete the visit quickly. *ANS* Being aware that hand gestures may convey different meanings. Which of the following arteries is most often used for assessing the pulse on a conscious patient? A. Dorsalis pedis B. Femoral C. Brachial D. Radial *ANS* Radial Which of the following is another term for "adipose"? A. Skin B. Lymph C. Fat D. Tendon *ANS* Fat Which of the following terms is used to describe a medical assistant who supports standards of ethical care and speaks up for patient rights? A. Advocate B. Defendant C. Arbitrator D. Plaintiff *ANS* Advocate A popliteal area keloid describes which of the following conditions? A. Mass on the shoulder B. Polyp on the lower back C. Scar tissue on the back of the knee D. Wart on the plantar surface of the foot *ANS* Scar tissue on the back of the knee Of the following terms, which is a plane that divides the anterior portion of the body from the posterior portion? A. Sagittal B. Median C. Frontal or coronal D. Transverse *ANS* C. Frontal or coronal Which of the following indicates the appropriate time to send the initial report for a workers' compensation case? A. After establishment of the diagnosis B. Upon request of the insurance carrier C. Immediately after the first visit D. At the time the patient is discharged *ANS* Immediately after the first visit Of the following, which would be used to check visual acuity in the medical office? A. Ophthalmoscope B. Opthalmometer C. Ergometer D. Snellen chart *ANS* Snellen chart Which of the following structure/organs is normally located in the right upper quadrant of the abdomen? A. Cecum B. Spleen C. Appendix D. Gallbladder *ANS* Gallbladder A woman whose mother recently died of breast cancer is discovered to have a breast tumor and does not return for her follow-up appointment. Which of the following defense mechanisms is most likely contributing to the patient's actions? A. Rationalization B. Displacement B. Displacement D. Denial *ANS* Denial Which of the following demonstrates voluntary muscle actions? A. Peristalsis B. Heart beat C. Flexion D. Breathing *ANS* Flexion Which of the following is the most important reason a written consent is required prior to using e-mail to communicate with a patient? A. So the office can receive confirmation of receipt of the e-mail. B. The office must be sure to have a current e-mail address. C. E-mail is not considered a secure form of communication. D. The patient may not have a computer. *ANS* E-mail is not considered a secure form of communication. Which of the following examinations is performed to assess knee reflex? A. Palpation B. Auscultation C. Percussion D. Inspection *ANS* Percussion Which of the following statements describes the purpose for cancer screening tests? A. To detect a cancer before symptoms appear. B. To confirm the physician's suspicion of a cancer being present based on history and/or physical exam. C. To assess a cancer's likelihood to respond favorably to treatment. D. To provide assurance to the patient that there is no cancer present. *ANS* To detect a cancer before symptoms appear. A 66-year-old patient was treated in the urgent care center for a fractured wrist. The patient said, "I was moving a cabinet for my boss when it fell over and hit my wrist." The office billed Medicare and received reimbursement of $550. Which of the following would apply in this situation? A. The office should have billed the employer's workers' compensation payer for the visit. B. The office should bill the employer's workers' compensation for only the Medicare coinsurance and deductible due after receiving payment from Medicare. C. The office is guilty of both fraud and abuse according to HIPAA because of accepting the $550 payment. D. The office was appropriately reimbursed $550 by Medicare for the urgent care visit. *ANS* The office should have billed the employer's workers' compensation payer for the visit. Checks received on account should be stamped for endorsement at which of the following times? A. When they are submitted to the bank B. At the time they are entered in the deposit book C. After they are posted to the account D. Immediately *ANS* Immediately Which of the following foods should be eliminated from the diet of a patient on a sodium restricted diet? A. Pasteurized, processed cheese B. Green leafy vegetables C. Fried chicken D. Fresh fruits *ANS* Pasteurized, processed cheese Which of the following is the neurotransmitter necessary for the transmission of the electrical impulse from a nerve to a muscle? A. Acetylcholine B. Calcium C. Epinephrine D. Sodium *ANS* Acetylcholine A patient with cyanosis, cool clammy skin, hypotension, altered consciousness, rapid pulse and rapid breathing would be exhibiting signs of which of the following conditions? A. Obstructed airway B. Stroke C. Hypothermia D. Shock *ANS* Shock Which of the following drugs is commonly used for the management of a patient with Type-2 Diabetes Mellitus? A. Simvastatin B. Azithromycin C. Metformin D. Omeprazole *ANS* Metformin Exophthalmos is a sign of which of the following conditions? A. Cholelithiasis B. Emphysema C. Pancreatitis D. Hyperthyroidism *ANS* Hyperthyroidism A physician informs the medical assistant that the practice will no longer treat a patient who refuses to be compliant with the prescribed medical advice or treatment plan. Of the following, which is the next step in this process? A. Schedule the patient with a partner the next time an appointment is requested. B. Send a letter of formal withdrawal to the patient by certified mail. C. Send the medical record to the patient by registered mail D. Telephone the patient and explain the situation. *ANS* Send a letter of formal withdrawal to the patient by certified mail. The process of tapping the body to detect signs of disease is known as which of the following? A. Mensuration B. Percussion C. Inspection D. Palpation *ANS* Percussion Which of the following factors must exist to constitute a lawful emergency pertaining to consent? A. The patient reports being involved in a bicycle accident and appears to have a fractured femur. B. An adult patient has sustained significant blood loss postoperatively and refuses a blood transfusion C. The patient is intoxicated and is threatening suicide D. The patient is a minor who has a broken arm and is admitting to recent use of illegal street drugs. *ANS* The patient is intoxicated and is threatening suicide Which of the following terms describes the telescoping of the intestine into itself? A. Deglutition B. Obstipation C. Volvulus D. Intussusception *ANS* Intussusception Which of the following is the most appropriate reference source for locating a code for chronic bronchitis for the purpose of scheduling a chest x-ray? A. International Classification of Diseases, Clinical Modification (ICD-CM) B. Current Procedural Terminology (CPT) C. Relative Value Scale (RVS) D. Diagnosis Related Groups (DRGs) *ANS* International Classification of Diseases, Clinical Modification (ICD-CM) Which of the following medical specialties includes the study of the diseases and treatment of the male reproductive system? A. Rheumatology B. Oncology C. Proctology D. Urology *ANS* Urology Which of the following parts of Medicare covers the cost of hospital care? A. Part A B. Part C C. Part B D. Part D *ANS* Part A Which of the following terms refers to the movement of the arm when a patient brings the wrist up to the same shoulder? A. Extension B. Pronation C. Rotation D. Flexion *ANS* Flexion Which of the following best describes subjective information in the medical case history? A. Kidney biopsy report B. Findings on physical examination C. Abnormal results on CT scan report D. Patient's family history *ANS* Patient's family history A mother calls regarding her teenage son who has had a chemistry experiment blow up in his face. Which of the following should the mother be instructed to do prior to transporting her son for medical care? A. Rinse his face and eyes with water for at least 15 minutes B. Place a sterile wet compress over his eyes and face C. Do nothing until the chemical has been identified by the poison control center D. Rinse his face and eyes with a salt solution to neutralize the chemicals *ANS* Rinse his face and eyes with water for at least 15 minutes Which of the following is subjective information on a medical record? A. Social history of smoking one pack a day B. Blood pressure of 120/74 mmHg C. Atrial fibrillation D. Cholesterol level of 155 mg/dL *ANS* Social history of smoking one pack a day A 66-year-old patient was treated in the urgent care center for a fractured wrist. The patient said, "I was moving a cabinet for my boss when it fell over and hit my wrist." The office billed Medicare and received reimbursement of $550. Which of the following would apply in this situation? A. The office should have billed the employer's workers' compensation payer for the visit. B. The office should bill the employer's workers' compensation for only the Medicare coinsurance and deductible due after receiving payment from Medicare. C. The office is guilty of both fraud and abuse according to HIPAA because of accepting the $550 payment. *ANS* The office should have billed the employer's workers' compensation payer for the visit. . The process of tapping the body to detect signs of disease is known as which of the following? A. Mensuration B. Percussion C. Inspection D. Palpation *ANS* Percussion Which of the following substances would be used for cauterizing small oral lesions? A. Formalin B. Zephiran chloride C. Tincture of benzoin D. Silver nitrate *ANS* Silver nitrate Which of the following describes a surgical procedure that connects the common bile duct with the middle portion of the small intestines? A. Choledochoenterostomy B. Choledochostomy C. Choledochoduodenostomy D. Choledochojejunostomy *ANS* Choledochojejunostomy Which of the following is a laboratory test that can be used to measure the inflammatory response in the body? A. Alkaline phosphatase (ALP) B. Human chorionic gonadotropin (HCG) C. Hematocrit (HCT) D. C-reactive protein (CRP) *ANS* C-reactive protein (CRP) The price for a kit of 10 pregnancy tests is $35. If ordered in quantities of three kits or more, the price of 10 pregnancy tests is $30. What is the unit cost per test if 40 tests are ordered? A. $3.50 B. $10.00 C. $30.00 D. $3.00 *ANS* $3.00 According to Current Procedural Terminology (CPT) coding rules, a new patient is one who has not received professional services from the physician or a qualified health care professional in the practice of the exact same specialty and subspecialty for a MINIMUM of how many years? A. 1 year B. 2 years C. 3 years D. 5 years *ANS* 3 years Which of the following is a diagnostic procedure in which there is internal visualization of the urinary bladder? A. Pyelography B. Cystography C. Nephrostomy D. Cystoscopy *ANS* Cystoscopy Which of the following is contained in the reference book Current Procedural Terminology (CPT)? A. Codes for reporting physician services B. Codes for diagnoses C. Governmental regulations for laboratory procedures D. Drug administration regulations for physicians' offices *ANS* Codes for reporting physician services Which of the following medical specialists is most likely to manage a patient with basal cell carcinoma? A. Dermatologist B. Endocrinologist C. Gastroenterologist D. Neurologist *ANS* Dermatologist Which of the following is the correct milliliters of gamma globulin that would be prepared for a 190 pound patient who is to be given 0.02mL of gamma globulin per pound of body weight? A. 0.95mL B. 3.8mL C. 0.38mL D. 0.038mL *ANS* 3.8mL Which of the following is the principal reason for scrubbing instruments with soap and water prior to autoclaving? A. Keep the sterilizer clean B. Remove coagulated proteins C. Prevent lime deposits D. Prevent corrosion *ANS* Remove coagulated proteins Which of the following hormones is secreted by the adrenal cortex? A. Somatrophin B. Aldosterone C. Insulin D. Oxytocin *ANS* Aldosterone Which of the following individuals can receive invasive medical treatment without a signed consent form? A. An unconscious patient whose life is in danger B. A patient aged 65 years or over C. An adult patient needing general anesthesia D. An emancipated minor *ANS* An unconscious patient whose life is in danger When are co-payments due from patients with managed-care plans typically collected? A. At the time services are rendered B. Before the patient comes in for an office visit C. At the time a patient is sent a statement D. Co-payments are not typically collected from patients with managed-care plans *ANS* At the time services are rendered Which of the following procedures involves the removal of a part of the small intestine? A. Duodenectomy B. Colectomy C. Gastrectomy D. Appendectomy *ANS* Duodenectomy Which of the following medical documents will the health care provider use to record the care plan of the patient? A. Operative Report B. Consultation C. Health History D. Progress Note *ANS* Progress Note Which of the following describes the method that completely destroys microorganisms? A. Sanitization B. Fumigation C. Boiling D. Sterilization *ANS* Sterilization Which of the following best describes a function of the epiglottis? A. Promotes salivary excretion from salivary glands B. Prevents regurgitated foods and liquids from entering the pharynx C. Opens the aperture of the larynx during the act of swallowing D. Prevents food from entering the larynx during the act of swallowing *ANS* Prevents food from entering the larynx during the act of swallowing Which of the following is the cranial nerve primarily involved in blindness? A. Oculomotor B. Abducent C. Trochlear D. Optic *ANS* Optic Which of the following is a physician who specializes in the treatment of patients with carpal tunnel syndrome? A. Orthopedist B. Ophthalmologist C. Nephrologist D. Neurologist *ANS* Orthopedist Which of the following information is found on the patient registration form? A. Laboratory results from another physician B. Social and occupational history C. Patient allergies D. Name of the person to contact in an emergency *ANS* Name of the person to contact in an emergency Which of the following terms and definitions are correctly matched? A. Uremia - red blood cells in the urine B. Leukocytosis - increase in the number of white blood cells C. Rhinitis - inflammation of the kidney D. Hematuria - urinary constituents in the blood *ANS* Leukocytosis - increase in the number of white blood cells Which of the following should be the first action of the medical assistant if a patient sitting on the examination table complains of feeling faint? A. Place a pillow behind the patient's back B. Have the patient move to a comfortable chair with a straight back for support C. Administer oxygen D. Assist the patient to a supine position *ANS* Assist the patient to a supine position Coding for the removal of a pituitary tumor is located under which of the following body system descriptions of the Current Procedural Terminology (CPT) book? A. Endocrine B. Nervous C. Urinary D. Musculoskeletal *ANS* Endocrine Upon accepting a patient for treatment, the physician has a duty to do which of the following? A. Provide services similar to that of other physicians with the same level of training who provide the same service. B. Possess the highest degree of skill possible. C. Guarantee a successful result if an operation is performed. D. Restore the patient to the same condition as before treatment began. *ANS* Provide services similar to that of other physicians with the same level of training who provide the same service. Bills are never submitted to a patient who is being treated while under which of the following insurance plans? A. TriCare B. Medicare part A C. Medicare part B D. Worker's Compensation *ANS* Worker's Compensation Which of the following instruments is used to ligate a small blood v A. Mosquito hemostat B. Curved scissors C. Allis tissue forceps D. Kelly hemostat *ANS* Mosquito hemostat Which of the following characteristics would enable a medical assistant to effectively communicate with patients? A. Discrimination B. Stereotyping C. Biases D. Impartiality *ANS* Impartiality Which of the following types of leukocytes is known to increase in allergic reactions? A. Monocytes B. Neutrophils C. T-lymphocytes D. Eosinophils *ANS* Eosinophils According to OSHA regulations, which of the following would be an example of an engineering control? A. Hand washing B. Not recapping contaminated needles C. Not eating or drinking in areas where blood and body fluids are present D. Biohazard sharps container *ANS* Biohazard sharps container In which of the following situations might a physician be held liable under the Doctrine of respondeat superior? A. The physician writes a prescription, but the pharmacist compounds it incorrectly. B. The hospital housekeeping staff did not clean up a spill and a patient fell as a result. C. The medical assistant helps a patient take her home medications while the patient is at the office. The patient is given 2 (two) 500 mg. tablets of Metformin instead of 1 (one) 500 mg. D. An intern observing a physician in the operating room discusses the surgery and patient outside of the hospital with friends. *ANS* The medical assistant helps a patient take her home medications while the patient is at the office. The patient is given 2 (two) 500 mg. tablets of Metformin instead of 1 (one) 500 mg. Food is passes from the mouth to the esophagus through which of the following structures? A. Pharynx B. Trachea C. Salivary glands D. Epiglottis *ANS* Pharynx Which of the following is an insurance program funded by both federal and state governments that provides for health care services based on income guidelines? A. Health Maintenance Organization B. TriCare C. Medicaid D. Medicare *ANS* Medicaid Which of the following anatomical terms are in direct opposition to each other? A. Lateral and distal B. Ventral and dorsal C. Superior and cephalic D. Medial and proximal *ANS* Ventral and dorsal These terms are in opposition—ante Which of the following is a characteristic being demonstrated by a medical assistant who is able to imagine taking the place of the patient and is therefore better able to understand the patient's behavior? A. Integrity B. Sympathy C. Empathy D. Patient advocacy *ANS* Empathy Which of the following liquids would be used for steam autoclaving? A. Distilled water B. Sterile water C. Tap water D. Tap water with baking soda *ANS* Distilled water Which of the following blood tests is performed to monitor a patient's response to Coumadin therapy and to aid in adjusting Coumadin dosage? A. International Normalized Ratio (INR) B. C-reactive protein C. Fasting blood glucose D. Hemoglobin A1c *ANS* International Normalized Ratio (INR) The medical assistant is asked to counsel the family of an 8-year-old with strep throat on the modes of transmission to minimize the spread of infection. A. Have the patient gargle with an antiseptic mouthwash to kill the strep bacteria in the throat. B. Wash all the bedding and linens used by the patient each day. C. Avoid sharing personal items such as eating utensils with the patient D. Wear gloves when in the same room as the patient. *ANS* Avoid sharing personal items such as eating utensils with the patient Which of the following medications is a controlled substance? A. Trazodone HCI (Desyrel) B. Atenolol (Tenormin) C. Furosemide (Lasix) D. Hydrocodone with APAP *ANS* Hydrocodone with APAP Which of the following types of examinations would be used to determine the presence of a breast lump? A. Inspection B. Mensuration C. Palpation D. Auscultation *ANS* Palpation Which of the following positions would be appropriate for a patient with severe emphysema who is waiting to be examined by the physician? A. Trendelenburg B. Knee-chest C. Supine D. Fowler *ANS* Fowler The following patients are in the reception room when the physician arrives. Which patient should be seen first? A. A 16 year old with menorrhagia over the past 2 days B. A 10-year-old child with diarrhea over the past 24 hours C. An afebrile 60 year old with a cough and sore throat of 48 hours duration D. A 16 -year- old football player who was injured and has slurred speech and confusion *ANS* A 16 -year- old football player who was injured and has slurred speech and confusion The following codes were submitted to a private insurance company for reimbursement for an established patient with insulin dependent diabetes mellitus who was seen in the office. The patient had a blood test to check his glycosylated hemoglobin. (A1c) level and a detailed history and physical examination (level 4 Evaluation and Management service) for circulatory problems. Diagnosis Code: D51.0(pernicious anemia) CPT 99214 level 4 established patient EM service CPT 83036 glycosylated(A1c) hemoglobin This insurance claim would most likely be denied due to which of the following reasons? A. Lack of appropriate HCPCS code B. Unbundling of charges C. Lack of demonstrating medical necessity D. Upcoding *ANS* Lack of demonstrating medical necessity Which of the following is performed to obtain fluid from a joint? A. Paracentesis B. Tympanocentesis C. Pneumonocentesis D. Arthrocentesis *ANS* Arthrocentesis Which of the following is a therapy commonly prescribed for a patient who has been diagnosed with emphysema? A. Anticoagulation Therapy B. Intravenous (IV) Therapy C. Vitamin B12 injection therapy D. Oxygen therapy *ANS* Oxygen therapy Which of the following body structures is examined during a cystoscopy? A. Uterus B. Bladder C. Rectum D. Kidney *ANS* Bladder The timing of an autoclave load should begin when the proper pressure is reached and which of the following is achieved? A. The autoclave door is hot to the touch B. Steam begins to flow from the exhaust valve C. The preheat period has begun D. The desired temperature is reached *ANS* The desired temperature is reached Which of the following color-coded evacuated tubes should be used when collecting blood if a serum specimen is required? A. Red B. Lavender C. Green D. Light blue *ANS* Red After examining a competent adult patient who was bitten by a wild animal, the physician advises the patient to have a series of rabies injections. The patient refuses to undergo the injections and leaves the office. Which of the following actions should be taken by the practice? A. Send a certified letter to the patient outlining the consequences. B. Notify the physician's malpractice insurance carrier. C. Notify the police. D. Send a certified letter to the patient's family with a copy to the patient. *ANS* Send a certified letter to the patient outlining the consequences. Which of the following urine tests requires special cleansing of the external genitalia during collection? A. Random urine B. First morning urine C. Midstream urine D. 24 hour urine *ANS* Midstream urine For purposes of collections control, how often should the medical assistant verify the patient's demographic data? A. Once a year B. On each visit C. When the patient's account statement is returned as undeliverable D. When the patient's account is delinquent *ANS* On each visit A patient was seen in the office to discuss a newly diagnosed heart condition. Later in the day, the same patient calls the office with additional questions for the physician. Which of the following would be the most appropriate response by the medical assistant? A. Obtain all necessary information and tell the patient you will inform the physician. B. Give enough information so that the patient may conduct a web-based search of medical sites on the condition. C. Offer to send a copy of all laboratory reports. D. Schedule an appointment for the patient to come in right away to visit with the physician. *ANS* Obtain all necessary information and tell the patient you will inform the physician. Which of the following routes of drug administration will permit the most rapid pharmacologic effect? A. Intravenous B. Sublingual C. Subcutaneous D. Intramuscular *ANS* Intravenous Which of the following is a part of the physical examination that best describes a test of the reflexes? A. Listening to bowel sounds through the abdomen wall B. Stimulating the outer margin of the sole of the foot C. Swallowing while the physician feels the thyroid gland D. Tapping the posterior chest wall *ANS* Stimulating the outer margin of the sole of the foot Which of the following would be decreased when a patient mails a check to the clinic to pay for services previously rendered? A. Balance sheet B. Disbursement account C. Accounts payable D. Accounts receivable *ANS* Accounts receivable Which of the following terms describes an abnormal lateral curvature of a patient's spine? A. Kyphosis B. Lordosis C. Scoliosis D. Ankylosis *ANS* Scoliosis Which of the following situations would legally require an agent to consent to medical treatment on behalf of the patient? A. A 92-year-old mentally competent man B. A 16-year old pregnant self-supporting female C. A 25-year-old woman needing chemotherapy D. A 21-year-old man in a coma *ANS* A 21-year-old man in a coma Which of the following is a written document that names a person as a proxy responsible for making medical decisions on behalf of a patient who is unable to do so for himself/herself? A. Do not resuscitate order B. Patient Bill of Rights C. Organ donor card D. Durable power of attorney for health care *ANS* Durable power of attorney for health care Which of the following is the serous membrane that lines the abdomen and covers the viscera? A. Pleura B. Meninges C. Pericardium D. Peritoneum *ANS* Peritoneum Which of the following is a medication used in the treatment of Type II diabetes? A. Metformin (Glucophage) B. Furosemide (Lasix) C. Cimetidine (Tagamet) D. Zocor (Simvastatin) *ANS* Metformin (Glucophage) Which of the following is the best course of action for the medical assistant to take when responding to a call from a patient who had an intramuscular injection earlier in the day and who now reports weakness in that arm? A. Explain to the patient that this is a normal reaction and if the weakness does not improve in a few days, call back. B. Make an appointment for the patient and inform the physician of the problem. C. Tell the patient to keep a heating pad on the arm and take two aspirin. D. Obtain as much information as possible, explaining to the patient that the doctor will be advised and the call returned. *ANS* Obtain as much information as possible, explaining to the patient that the doctor will be advised and the call returned. Which of the following is a common side effect of some diuretics? A. Hypoglycemia B. Hypokalemia C. Hyperchloremia D. Hypouricemia *ANS* Hypokalemia Which of the following substances may result in black stools when taken in therapeutic doses? A. Iron B. Vitamin C C. Calcium D. Vitamin D *ANS* Iron Which of the following can only be detected in urine by microscopic examination? A. Bilirubin B. Glucose C. Protein D. Casts *ANS* Casts Which of the following is a description for the term "alopecia"? A. Loss of epidermis B. Absence of hair C. Abnormal hairiness D. Depigmentation of the skin *ANS* Absence of hair Which of the following is the vein that returns the blood to the heart from parts of the body below the diaphragm? A. Axillary vein B. Subclavian vein C. Superior vena cava D. Inferior vena cava *ANS* Inferior vena cava Which of the following situations requires both action and documentation by the physician? A. The patient telephones asking that a schedule II prescription for pain medication be refilled and the request is granted. B. A referral to a center for visual disturbances is scheduled for the patient C. An appointment for pulmonary function testing is made for a patient at a local hospital. D. The patient telephones to report to the medical assistant that the medication prescribed has been taken and he is feeling much better. *ANS* The patient telephones asking that a schedule II prescription for pain medication be refilled and the request is granted. Which of the following is a procedure performed by opening the colon to the abdominal surface? A. Gastropexy B. Cholecystectomy C. Colostomy D. Gastrostomy *ANS* Colostomy Which of the following is a vasodilator most commonly used to ease the pain of angina? A. Coumadin B. Digitalis C. Nitroglycerin D. Codeine *ANS* Nitroglycerin A patient needing cataract surgery could be referred appropriately to which of the following health care providers? A. Ophthalmologist B. Oncologist C. Otorhinolaryngologist D. Optometrist *ANS* Ophthalmologist Which of the following findings is most likely in a patient with herpes labialis? A. Canker lesions B. Fever blisters C. Acne vulgaris D. Decubitus ulcers *ANS* Fever blisters When filing an insurance claim for an appendectomy, which of the following is the most appropriate reference source for locating the surgical code? A. Relative Value Scale (RVS) B. Current Procedural Terminology (CPT) C. International Classification of Diseases, Clinical Modification (ICD-CM) D. Health Care Financing Administration Common Procedural Coding System (HCPCS) *ANS* Current Procedural Terminology (CPT) A patient comes to the family practice physician's office for a routine physical examination. By requesting an examination, the patient has consented to which of the following procedures? A. Drawing a specimen for blood gasses B. Taking a biopsy of a localized skin nodule C. Determining blood pressure in the lower legs by Doppler D. Testing knee jerk reflexes *ANS* Testing knee jerk reflexes Which of the following is a primary function of oxytocin? A. Promotes the growth of breast tissue B. Enhances nutrient absorption through the placenta to the fetus C. Decreases the production of breast milk D. Causes uterine contractions *ANS* Causes uterine contractions Toprol XL (metoprolol) is known to cause which of the following conditions? A. Hypertension B. Bradycardia C. Chloasma D. Hypokalemia *ANS* Bradycardia Which of the following is most likely to be included in the subjective portion of a SOAP chart note? A. Dizziness for three days B. Pulse 60 bpm C. Retinal detachment D. Diazepam (Valium) 5 mg *ANS* Dizziness for three days Warfarin (Coumadin) is categorized as which of the following types of medications? A. Antipyretic B. Anticoagulant C. Antipruritic D. Antiviral *ANS* Anticoagulant Which of the following suffixes refers to eating? A. -ptosis B. -algia C. -phasia D. -phagia *ANS* -phagia Which of the following is the meaning of the combining form "salping / o"? A. Salivary gland B. Urinary bladder C. Fallopian tube D. Pyloric sphincter *ANS* Fallopian tube A 66-year-old Medicare patient comes in with a back injury. When describing the injury, he states that it happened at his part-time job while helping a customer load a new washing machine. A health care claim for the patient should be submitted to which of the following entities: A. Medicaid B. Workers compensation C. Social Security Disability Office D. Medicare *ANS* Workers compensation Which of the following pairs of words are synonymous? A. Cephalgia and stroke B. Micturition and urination C. Dysphagia and difficult breathing D. Coryza and heart *ANS* Micturition and urination For an examination and inspection of the spine, which of the following positions best describes how the medical assistant will place the patient on the examination table? A. Prone B. Knee-chest C. Dorsal recumbent D. Lithotomy *ANS* Prone Which of the following is the time frame in which a Mantoux (PPD) TB test should be read? A. 2 to 6 hours B. 7 to 12 hours C. 13 to 24 hours D. 48 to 72 hours *ANS* 48 to 72 hours Which of the following would help a patient to relax his abdominal musculature for an abdominal examination? A. Cross the patient's legs at the ankles B. Flex the patient's knees C. Position the patient on his side D. Place a pillow under the patient's lower back *ANS* Flex the patient's knees Which of the following substances is produced by the beta cells in the islets of Langerhans of the pancreas? A. Pepsin B. Bile C. Amylase D. Insulin *ANS* Insulin Which of the following suffixes means "incision into"? A. -stomy B. -ectomy C. -plasty D. -tomy *ANS* -tomy Which of the following is a suffix referring to pain? A. -dynia B. -malacia C. -orexia D. -acusis *ANS* -dynia Which of the following incoming telephone calls is most likely to require the physician's immediate attention? A. Call from a pharmacist regarding a question about a new prescription B. Call from a patient to ask for a prescription refill C. Call placed by another physician D. Call from a patient to request laboratory test results *ANS* Call placed by another physician Which of the following is known as the pacemaker of the heart? A. Sinoatrial node B. Purkinje fibers C. Bundle of His D. Atrioventricular node *ANS* Sinoatrial node Which of the following would be administered to relieve mild insulin shock in a conscious patient? A. An antihistamine B. Epinephrine C. Insulin D. An oral hypoglycemic *ANS* Orange juice According to the guidelines established by the Centers for Disease Control and Prevention (CDC), which of the following is the most appropriate agent for disinfecting the counter in the hematology laboratory? A. 70% Alcohol B. Hot, soapy water C. 10% Bleach solution D. 0.9% Normal saline *ANS* 10% Bleach solution Which of the following describes a billing system where statements are mailed at a certain time during the month based on alphabetic breakdown of accounts receivable? A. Superbill B. Reconciliation C. Cycle D. Age analysis *ANS* cycle Which of the following is the process of observing a patient to detect signs of disease? A. Inspection B. Palpation C. Auscultation D. Percussion *ANS* inspection Which of the following techniques would be appropriate for a medical assistant when conducting a patient interview with a 9-year-old cooperative child? A. Finish the child's sentences when needed. B. Address all questions to the parent. C. Allow the child to answer each question in his own words. D. Use some medical terms as appropriate. *ANS* Allow the child to answer each question in his own words Which of the following describes a state statute that sets the requirements for licensure of physicians? A. Health Insurance Portability and Accountability Act (HIPAA) B. Patients' Bill of Rights C. National Health Planning & Resource Development Act D. Medical Practice Act *ANS* Medical Practice Act An operation to correct pyloric stenosis would be performed on which of the following systems? A. Musculoskeletal B. Urinary C. Digestive D. Cardiovascular *ANS* Digestive Patients are most likely to remember instructions when the medical assistant uses which of the following educational methods? A. Instructions are discussed at length face to face. B. Detailed instructions are repeated several times on a video. C. The most important information is saved for last. D. The instructions are written. *ANS* The instructions are written Which of the following actions should be taken by the medical assistant when a patient calls the office wanting to make payment arrangements after his account has been turned over to a collection agency? A. Advise the patient that you can accept payments, but they must be made in cash B. Set up a payment schedule over the phone C. Refer the patient to the collection agency D. Tell the patient to come to the office to fill out a Truth in Lending Form *ANS* Refer the patient to the collection agency A keratoplasty is an operation on which of the following body parts? A. Epidermis B. Hypophysis C. Patella D. Cornea *ANS* Cornea Which of the following elements found during a microscopic urine examination contains a nucleus? A. Red blood cell B. Bacteria C. Cast D. White blood cell *ANS* White blood cell Which of the following types of white blood cells would most likely be increased above the normal level in a patient with an acute bacterial infection? A. Neutrophil B. Eosinophil C. Lymphocyte D. Basophil *ANS* Neutrophil Which of the following types of shock is the result of an antigen-antibody reaction? A. Hypovolemic B. Cardiogenic C. Anaphylactic D. Neurogenic *ANS* Anaphylactic Which of the following is the first information the medical assistant should request to help determine the urgency of scheduling a patient who telephones requesting a same-day appointment? A. Date of last visit and previous history of the stated problem B. Whether anything makes the problem better or worse C. Name, address, telephone number and age D. Nature, onset, duration, and intensity of the problem *ANS* Nature, onset, duration, and intensity of the problem Which of the following is a function of the olfactory nerve? A. Hearing B. Smelling C. Tasting D. Vision *ANS* Smelling A physician who has a contract with a company to treat employees for injuries sustained on the job is legally bound to treat which of the following individuals? A. Any employee who chooses to be treated by that physician B. An employee, previously treated for an on-the-job injury, for a routine illness. C. All employees of the company D. Employees injured on the job when referred by the company *ANS* Employees injured on the job when referred by the company Which of the following serum levels is most likely to be increased in a patient with liver disease? A. Calcium B. Acid Phosphatase C. Uric Acid D. Alanine Aminotransferase *ANS* Alanine Aminotransferase Which of the following is a suture material that is absorbable? A. Nylon B. Catgut C. Dacron D. Silk *ANS* Catgut Which of the following may occur in children who are treated with aspirin for a viral infection? A. Infectious mononucleosis B. Reye's syndrome C. Toxic shock syndrome D. Muscular dystrophy *ANS* Reye's syndrome A medical assistant makes an error while under the physician's direction. Under which of the following doctrines will the court determine that the physician is liable for the medical assistant's negligence? A. Res ipsa loquitur B. Contributory negligence C. Respondeat superior D. Res judicata *ANS* Respondeat superior Which gauge needle is most commonly used for a subcutaneous injection? A. 22 B. 21 C. 20 D. 25 *ANS* 25 Which of the following is most appropriate to protect the privacy of the patient when sending a fax that includes personal information about a patient? A. Include a cover page with a confidentiality statement. B. Use a unique number to identify the patient. C. Omit the subject on the cover page D. Send the patient's information between two blank pages. *ANS* Include a cover page with a confidentiality statement. The process of listening to the sounds produced within the body is known as which of the following? A. Inspection B. Percussion C. Auscultation D. Mensuration *ANS* Auscultation State laws vary regarding responsibilities of the physician in reporting conditions. However, all states require the reporting of which of the following? A. Metastatic neoplasms B. Congenital metabolic disorders C. Spina bifida D. Deaths due to violence *ANS* Deaths due to violence Laboratory results indicating an increase in the creatinine and blood urea nitrogen (BUN) levels are consistent with damage to which of the following body systems? A. Respiratory B. Urinary C. Cardiovascular D. Integumentary *ANS* Urinary Which of the following is a suffix that denotes destruction? A. -lysis B. -pexy C. -ectomy D.-orrhaphy *ANS* A. -lysis To confirm a fracture of the distal forearm, the physician would view an x-ray study of which of the following body parts? A. Radius and ulna B. Calcaneus and malleolus C. Femur and patella D. Tibia and fibula *ANS* A. Radius and ulna Termination of the physician-patient relationship can take place appropriately when which of the following actions occur? A. The last office note is documented to return for further treatment as needed. B. At a scheduled appointment, the physician refuses to examine the patient or give further care to the patient due to noncompliance by the patient. C. The patient sends a letter to the physician refusing any further care and the physician sends a written response accepting, while offering referrals and medical records to the patient. D. The patient's medical record is flagged as inactive. *ANS* The patient sends a letter to the physician refusing any further care and the physician sends a written response accepting, while offering referrals and medical records to the patient. The medical assistant obtains vitals for the 48- year-old male patient she has just roomed. His vitals are: Blood Pressure 114/72, Pulse: 90, Temperature 97.2 F (36.2 C), Respirations 14 and a Pulse Oximetry of 89 %.The medical assistant recognizes that this patient is demonstrating signs of which of the following? A. Tachypnea B. Hypertension C. Hypoxemia D. Bradycardia *ANS* Hypoxemia Of the following groups, which would typically have the highest blood pressure readings? A. Obese male teenager B. 45-year-old male runner C. 6-year-old child D. Elderly obese woman *ANS* Elderly obese woman Which of the following suffixes has the same meaning as " - algia"? A. -dynia B. -tropia C. -pathy D. -esis *ANS* -dynia