CCMA Exam #1 Questions with correct answers
What is outside MA scope of practice? - ✔✔Diagnosing, administering narcotics,
interpreting labs, pathogenic ID, performing ABG
Who determines MA scope? - ✔✔State boards
MA certification lasts - ✔✔2 years; recertify by exam or 10 hour course
Reciprocity - ✔✔State recognize other state credentials
Overall model of payment for medical care - ✔✔Fee for service; moving toward
value based more focused on long term outcomes rather than services provided
Types of insurance plans - ✔✔HMO, PPO, medicaid, medicare
HMO vs PPO - ✔✔Both managed care; HMO: referral to specialist required PPO:
no referral needed
Capitation - ✔✔Per-member per-month based on demographics
Occupational vs physical therapy - ✔✔Daily activities/loss of function vs mobility
Ancillary services - ✔✔Other services like urgent care
,Controlled substances act - ✔✔5 schedules, I worst cannot use medically, II
cannot be refilled, V not bad like narcotics, analgesics; 5 refills in 6 months for III
handwritten and IV and V
Prescriptions usually in what system - ✔✔Metric
Two general routes of med admin - ✔✔Enteral or gastrointestinal and parenteral
or injections/anything not oral/swallowing like inhalation
Intradermal - ✔✔10-15 degrees; dermis, anterior forearm; 25-27ga needle 1/4 to
1/2 inch
Subcu - ✔✔45 degrees; adipose, abdominal, upper thigh; no more than 2ml; 23-
25ga needle 5/8 inch
Intramuscular - ✔✔90 degrees; muscle, ventrogluteal; no more than 4 ml; 22-25G
needle 1 to 1.5 inch
Intravenous - ✔✔Vein; outside CCMA scope
Transdermal/topical - ✔✔Absorbed via skin; transdermal systematic, topical is
local
Sublingual - ✔✔Under tongue
,Pharmacokinetics - ✔✔How medication moves through body; includes
absorption, distribution, metabolism by liver, and excretion
Indication vs contraindication - ✔✔Reason for med vs specific situation where
med may be harmful
3 med checks and 5 rights of med admin - ✔✔3: from cabinet, preparing, after
admin; 5: patient, dose, drug, route, time, document
Minerals vs vitamins - ✔✔Inorganic for structure vs organic for cells
Lozenges - ✔✔Delivered orally; powders are topical; foams are vaginal
Planes of body sagittal, transverse, frontal/coronal - ✔✔Left and right; upper and
lower; anterior front and posterior back
Superior and inferior; medial and lateral - ✔✔Upper and lower; towards middle
and towards outside
Body cavities - ✔✔Cranial, spinal, thoracic lungs and heart, abdominal, pelvic
bladder and reproduce
Body quadrants for abdomen - ✔✔RUQ, LUQ, RLQ, LLQ; remember looking at
body is reversed
, Nine regions of abdomen - ✔✔Highest to lowest: hypochondriac, lumbar, iliac
HLI; middle highest to lowest: epigas, umbilical, hypogas EUH
Body systems - ✔✔Integumentary skin; urinary includes kidneys; gastrointestinal
includes liver; endocrine hormones; nervous and endocrine homeostasis
Role of integumentary system - ✔✔Temp regulation and sensation
What describes the skull - ✔✔Flat
Cardiac cycle - ✔✔SA node impulse to AV node to vent septum to purkinje to vent
contract and blood into pulm. artery and aorta
Melanoma vs basal cell carcinoma - ✔✔Basal is waxy bump less dangerous
Diabetes 1 vs 2 - ✔✔1 can't make insulin autoimmune, 2 insulin resistance
adulthood
MRI and ultrasound - ✔✔Magnetic and sound waves, NOT radiation
CDC vs WHO - ✔✔US vs worldwide/pandemics
Cerebrovascular accident - ✔✔CVA, stroke
Edema - ✔✔Swelling
What is outside MA scope of practice? - ✔✔Diagnosing, administering narcotics,
interpreting labs, pathogenic ID, performing ABG
Who determines MA scope? - ✔✔State boards
MA certification lasts - ✔✔2 years; recertify by exam or 10 hour course
Reciprocity - ✔✔State recognize other state credentials
Overall model of payment for medical care - ✔✔Fee for service; moving toward
value based more focused on long term outcomes rather than services provided
Types of insurance plans - ✔✔HMO, PPO, medicaid, medicare
HMO vs PPO - ✔✔Both managed care; HMO: referral to specialist required PPO:
no referral needed
Capitation - ✔✔Per-member per-month based on demographics
Occupational vs physical therapy - ✔✔Daily activities/loss of function vs mobility
Ancillary services - ✔✔Other services like urgent care
,Controlled substances act - ✔✔5 schedules, I worst cannot use medically, II
cannot be refilled, V not bad like narcotics, analgesics; 5 refills in 6 months for III
handwritten and IV and V
Prescriptions usually in what system - ✔✔Metric
Two general routes of med admin - ✔✔Enteral or gastrointestinal and parenteral
or injections/anything not oral/swallowing like inhalation
Intradermal - ✔✔10-15 degrees; dermis, anterior forearm; 25-27ga needle 1/4 to
1/2 inch
Subcu - ✔✔45 degrees; adipose, abdominal, upper thigh; no more than 2ml; 23-
25ga needle 5/8 inch
Intramuscular - ✔✔90 degrees; muscle, ventrogluteal; no more than 4 ml; 22-25G
needle 1 to 1.5 inch
Intravenous - ✔✔Vein; outside CCMA scope
Transdermal/topical - ✔✔Absorbed via skin; transdermal systematic, topical is
local
Sublingual - ✔✔Under tongue
,Pharmacokinetics - ✔✔How medication moves through body; includes
absorption, distribution, metabolism by liver, and excretion
Indication vs contraindication - ✔✔Reason for med vs specific situation where
med may be harmful
3 med checks and 5 rights of med admin - ✔✔3: from cabinet, preparing, after
admin; 5: patient, dose, drug, route, time, document
Minerals vs vitamins - ✔✔Inorganic for structure vs organic for cells
Lozenges - ✔✔Delivered orally; powders are topical; foams are vaginal
Planes of body sagittal, transverse, frontal/coronal - ✔✔Left and right; upper and
lower; anterior front and posterior back
Superior and inferior; medial and lateral - ✔✔Upper and lower; towards middle
and towards outside
Body cavities - ✔✔Cranial, spinal, thoracic lungs and heart, abdominal, pelvic
bladder and reproduce
Body quadrants for abdomen - ✔✔RUQ, LUQ, RLQ, LLQ; remember looking at
body is reversed
, Nine regions of abdomen - ✔✔Highest to lowest: hypochondriac, lumbar, iliac
HLI; middle highest to lowest: epigas, umbilical, hypogas EUH
Body systems - ✔✔Integumentary skin; urinary includes kidneys; gastrointestinal
includes liver; endocrine hormones; nervous and endocrine homeostasis
Role of integumentary system - ✔✔Temp regulation and sensation
What describes the skull - ✔✔Flat
Cardiac cycle - ✔✔SA node impulse to AV node to vent septum to purkinje to vent
contract and blood into pulm. artery and aorta
Melanoma vs basal cell carcinoma - ✔✔Basal is waxy bump less dangerous
Diabetes 1 vs 2 - ✔✔1 can't make insulin autoimmune, 2 insulin resistance
adulthood
MRI and ultrasound - ✔✔Magnetic and sound waves, NOT radiation
CDC vs WHO - ✔✔US vs worldwide/pandemics
Cerebrovascular accident - ✔✔CVA, stroke
Edema - ✔✔Swelling
