AMCA CERTIFICATION TEST - MEDICAL ASSISTING STUDY GUIDE - SET A with Complete Solutions

AMCA CERTIFICATION TEST - MEDICAL ASSISTING STUDY GUIDE - SET A with Complete Solutions (2023) 1) Which of the following is considered a parasitic infection? A. Lyme disease B. Rabies C. Ringworm D. Malaria - ANSWER-D. Malaria 2) Aspirin and acetaminophen are examples of: A. Analgesics and antipyretics B. Antitussives and decongestants C. Antihistamines and antiemetics D. Antidotes and antibiotics - ANSWER-A. Analgesics and antipyretics 3) Demerol 75 mg, IM every 4 hours, as needed for severe pain, is what type of medication order? A. Single B. PRN C. Stat D. Routine - ANSWER-B. PRN 4) This unit in the hospital is run by physicians and experts in the field of musculoskeletal disorders of bones, joints, ligaments and tendons, identify this department. A. Rheumatology B. Obstetrics C. Ophthalmology D. Oncology - ANSWER-A. Rheumatology 5) MSDS information includes: A. Table of chemical elements B. Product manufacturing conditions C. General and emergency information D. Information on competitor products - ANSWER-C. General and emergency information 6) The physician prescribes a buccal medication. The medical assistant should instruct the patient to: A. Place the medication between the lower teeth and cheek B. Chew the medication and swallow it C. Place the medication under the tongue D. Dissolve the medication in water and drink it - ANSWER-A. Place the medication between the lower teeth and cheek 7) Which of the following is the best specimen to test for levels of iron in the blood? A. The one collected in a tube that contains sodium citrate B. The one collected in a microcuvette C. The one collected in the tube that contains EDTA D. The one collected in a tube with no additive - ANSWER-C. The one collected in the tube that contains EDTA 8) All pathogens are: A. Microorganisms that live in soil B. Microbes that can cause disease C. Communicable microorganisms D. Normal bacteria found on skin - ANSWER-B. Microbes that can cause disease 9) Every prescription for a controlled substance requires the physicians signature and a number? A. FDA B. DEA C.EPA D.CDC - ANSWER-B. DEA 10) When using a No. 10 envelope, where should the address be placed? A. 10 lines down from the top and 4 inches from the left edge of the envelope B. 14 lines down from the top and 2 inches from the left edge of the envelope C. 10 lines down from the top and 2 inches from the left edge of the envelope D. 14 lines down from the top and 4 inches from the left edge of the envelope - ANSWER-C. 10 lines down from the top and 2 inches from the left of the edge of the envelope 11) What drug prevents the action of another drug or chemical? A. Trade B. Narcotic C. Synergist D. Antagonist - ANSWER-D. Antagonist 12) Co-insurance is calculated based on a: A. A capitation rate B. Percentage of charge C. A fixed charge for each visit D. Number of policy holders in the plan - ANSWER-B. Percentage of charge 13) Muscles that act on the knee joint exhibit two actions: A. Adduction and lateral rotation B. Medical rotation and extension C. Adduction and Abduction D. Flexion and extension - ANSWER-D. Flexion and extension 14) A structure that is composed of two or more tissue types is called a/an: A. System B. Organism C. Organ D. Cell - ANSWER-C. Organ 15) Cellular respiration is a function of the: A. Cell membrane B. Mitochondria C. Golgi apparatus D. Nucleus - ANSWER-B. Mitochondria 16) Somatic tremor is the result of: A. Muscle movement B. Loose sensors C. Unequal amounts of electrolytes D. Improper standardization of the instrument - ANSWER-A. Muscle movement 17) The smallest structural unit of the nervous system is the: A. Spinal cord B. Neurofibrils C. Neuron D. Supine - ANSWER-C. Neuron 18) A patient came into the doctor's office with chest pain and shortness of breath. which position is the best to help him breathe better? A. Lithotomy B. Prone C. Fowler's D. Supine - ANSWER-C. Fowler's 19) The primary function of the nervous system is: A. To protect deep organs B. To cleanse the blood of pathogens C. To detect changes in the internal and external environment and respond appropriately D. To provide body support and levers for muscle action - ANSWER-C. To detect changes in the internal and external environment and respond appropriately 20) Mr. Smith is suffering from an enlargement of the bones in the entire skull as well as in the hands and feet, in addition to thickening of the skin. Which of the following conditions is Mr. Smith suffering from? A. Addison's B. Cushing's C. Acromegaly D. Cretinism - ANSWER-C. Acromegaly 21) The functional unit of the kidney is the: A. Nephron B. Ureter C. Urethra D. Bladder - ANSWER-A. Nephron 22) Which of the following types of gloves can be decontaminated and reused if they show no signs of deterioration after use? A. Disposable B. Utility C. Sterile D. Examination - ANSWER-B. Utility 23) After obtaining an ECG tracing, a Medical Assistant would be expected to? A. Check the patient with a pulse oximeter to verify accuracy of the ECG tracing B. Evaluate the patient's medication list for cardiac altering drugs C. Instruct the patient on the tracing results and cardiac prognosis D. Observe the tracing for quality and decide if another tracing may be required - ANSWER-D. Observe the tracing for quality and decide if another tracing may be required 24) There are two types of civil actions healthcare providers for injuries resulting from health care, The first one is lack of informed consent and the second one is: A. Violation of standard of care B. Trial and Post trial C. Violation of confidentiality D. Violation of continued care plan - ANSWER-A. Violation of standard care 25) Dr. Jones and Dr. Brown decide to share a practice. Together, they share patients, expenses, profits and assets. Which type of medical practice is this? A. Group practice B. Clinic C. Partnership D. Sole proprietorship - ANSWER-A. Group practice 26)What is the appropriate test used for heparin therapy? A. POCT B. APPT C. H&H D. SST - ANSWER-B. APPT 27) A provider withdraws from the care of a patient without reasonable notice of discharge is considered: A. Abandonment B. Malpractice C. Negligence D. Slander - ANSWER-A. Abandonment 28) Which agency regulates the Controlled Substances Act? A. IRS B. DEA C. SWAT D. OSHA - ANSWER-B. DEA 29) Defamation through spoken statements is known as: A. Libel B. Sympathy C. Empathy D. Slander - ANSWER-D. Slander 30) Insulin syringes are calibrated in: A. Milliliters B. Units C. Cubic centimeters D. Minims - ANSWER-B. Units 31) Which of the following is not true regarding HIPPA laws? A. Patients can make informed choices regarding how their personal health information is used B. Few boundaries are set on the use and release of health records C. Patients have more control over their medical records D. Violators are held accountable if patient privacy rights are compromised - ANSWERB. Few boundaries are set on the use and release of health records 32) To determine our ventricular pulse, the EKG technician would: A. Calculate the ST repolarization segments B. Calculate the spacing between the P waves C. Calculate the spacing between the ventricular repolarization T waves D. Calculate the spacing between the QRS complexes - ANSWER-D. Calculate the spacing between the QRS complex 33) PHI stands for: A. Protected health information B. Private health instructions C. Private health information D. Protected health instructions - ANSWER-A. Protected health information 34) Which situation would a Medical Assistant's signature be required? A. After the chief complaint is documented B. After the patient gives a medical history account C. On an informed consent document D. When a patient gives implied consent - ANSWER-C. On an informed consent document 35) The Privacy Rule gives patients the right to: A. Access their medical record B. Access their ex-spouses record C. Sue the doctor D. Refuse treatment - ANSWER-A. Access their medical record 36) A patient has an oral temperature of 100.8 F. The medical term for this is: A. Pyrexia B. Pyuria C. Hyperpyrexia D. Purulent - ANSWER-A. Pyrexia 37) A routine hand wash procedure uses plain soap to remove soil and transient bacteria. A. Scrub brushes B. Antimicrobial soap C. Gel- based creams after the routine hand wash D. Medicated towels for drying clean hands. - ANSWER-B. antimicrobial soap 38) Which of the following precautions require special air handling and ventilation? A. Contact precautions B. Standard precautions C. Airborne precautions D. Droplet precautions - ANSWER-C. Airborne precautions 39) Which of the following is correct regarding contact transmissions> A. It involves the transfer of pathogens by food and water. B. It involves contaminated instruments, needles, or contaminated hands that are not washed. C. It involves transmission of pathogens that remain suspended in air for a long period of time. D. It refers to the transfer of pathogens by mosquitoes, flies, and rats - ANSWER-B. It involves contaminated instruments, needles, or contaminated hands that are not washed 40) Important information a patient should know about immunizations would be that: A. They are not necessary if quality infection is maintained B. They are prophylactics against deadly diseases C. They are known to cause autism D. They can unintentionally give the recipient a disease - ANSWER-B. They are prophylactics against deadly diseases 41) What is the process used to wash and remove blood and tissue from medical instruments called? A. Asepsis B. Sanitization C. Disinfection D. Sterilization - ANSWER-B. Sanitation 42) A patient weights 83.92 kg. How many pounds does he weigh? A. 185 lb. B. 210 lb. C. 200 lb. D. 195 lb. - ANSWER-A. 185 lb 43) While taking a patient's medical history for active tuberculosis, what type of PPE is required? A. Goggles B. Lab coat C. Gloves D. Mask - ANSWER-D. Mask 44) Most exposures to HIV in healthcare settings are the result of: A. Contact with AIDS patients B. Splashes during surgery C. Accidental needle sticks D. Tainted blood transfusions - ANSWER-C. Accidental needle sticks 45) The four symptoms of inflammation are erythema, edema, pain, and: A. Irritation B. Vomiting C. Heat D. Headache - ANSWER-C. Heat 46) A tympanic temperature means the body temperature is measured: A. Under the armpit B. Under the tongue C. At the eardrum D. In the rectum - ANSWER-C. At the eardrum 47) A pulse site used to measure blood pressure is: A. Brachial B. Popliteal C. Radial D. Temporal - ANSWER-A. Brachial 48) What is the correct way to calculate pulse pressure? A. The number found when subtracting the diastolic from the systolic B. The sum of the diastolic and the systolic C. The pulse taken at the carotid location D. The pulse taken at the apical location - ANSWER-A. The number found when subtracting the diastolic from the systolic 49) The patient has been given a prescription that says the medication should be taken "bid". This medication should be taken: A. Before bed time B. Once a day C. Before meals D. Twice a day - ANSWER-D. Twice a day 50) Which of the following procedures can be performed by a medical assistant? A. Intramuscular injection B. Start fluids through a catheter C. Insert peripheral catheter D. Intravenous injection - ANSWER-A. Intramuscular injection 51) Post- prandial means: A. Before a meal B. Before bed time C. Fasting D. After a meal - ANSWER-D. After a meal 52) A round, raised skin lesion with itching that is a positive sign of reaction to allergic testing is a: A. Wheal B. Nodule C. Papule D. Vesicle - ANSWER-C. Papule 53) You are to draw the blood of a patient. After reviewing the lab order, you realize that you need to draw a CBC w/diff (complete blood count with differential) on your patient. knowing that this test is drawn in a lavender top-tube, which lab department would this go to for processing? A. Microbiology B. Hematology C. Coagulation D. Chemistry - ANSWER-B. Hematology 54) The patient information sheet contains: A. The past medical history of the patient B. The patient's past family history C. The patient's chief complaint D. patients personal and insurance information - ANSWER-D. Patients personal and insurance information 55) Which of the following drug administration routes is the most appropriate for a patient who has nausea and vomiting? A. Nasal B. Buccal C. Sublingual D. Rectal - ANSWER-D. rectal 56) The medical assistant is to collect a Prothrombine time (PT) test, a complete Blood Count (CBC), and a fasting Blood Sugar (FBS). What is the correct order of draw? A. Grey ( FBS), Lavender (PT), Red (CBC) B. Light-blue (PT), Lavender (CBC), Grey (FBS) C. Lavender (FBS), Red (CBC), Green (PT) D. Grey (FBS), Lavender (CBC), Light-blue (PT) - ANSWER-B. Light-blue (PT), Lavender (CBC), Grey (FBS) 57) The information of blood cells is defined as: A. Hematopoiesis B. Erythropoietin C. Mean corpuscular volume D. Hemoglobinopathy - ANSWER-A. Hematopoiesis 58) The primary purpose of wearing gloves during phlebotomy procedures is to protect the: A. Venipuncture site from contamination by the phlebotomist's hands B. Specimen from contamination by the phlebotomist C. Patient from contamination by the phlebotomist D. Phlebotomist from exposure to the patient's blood - ANSWER-D. Phlebotomist from exposure to the patients blood 59) While Mr. Dillon's hematocrit is spinning in the centrifuge, you perform an automated hemoglobin test on a sample of his blood and record the value as 15g/dL. You do a quick mental calculation and expect that the hematocrit value will be approximately: A. 5g/dL B. 45% C. 5% D. 45g/dL - ANSWER-C. 45% 60) What is the best location to check the pulse of an adult who is unconscious and not breathing? A. At the carotid artery of the neck B. On the chest, directly over the heart C. At the radial artery of the wrist D. At the brachial artery of the arm - ANSWER-A. Carotid artery 61) The act of listening for sounds made by internal organs to aid in the diagnosis of certain disorders is called: A. Menstruation B. Percussion C. Auscultation D. Palpation - ANSWER-C. Auscultation 62) When a blood pressure cuff is deflated, the first tapping sound is the pressure. A. Pulse B. Systolic C. Mean arterial D. Diastolic - ANSWER-B. Systolic 63) The body organ targeted by HBV is the: A. Brain B. Liver C. Heart D. Lungs - ANSWER-B. Liver 64) A female patient came into the office for her scheduled routine physical. You are measuring the patient's vital signs. Which part of the brain is responsible for the temperature regulation? A. Hypothalamus B. Thalamus C. Medulla oblongata D. Pons - ANSWER-A. Hypothalamus 65) What position should the patient be placed in when performing an ECG? A. Dorsal recumbent B. Supine C. Trendelenburg D. Prone - ANSWER-B. Supine 66) Which mode of infection transmission occurs from touching contaminated linens? A. Droplet contact B. Direct contact C. Vehicle contact D. Indirect contact - ANSWER-D. Indirect contact 67) Which of the following is the most common means of transmitting pathogens? A. Ingesting food B. Blood transfusions C. Coughing D. Touching - ANSWER-D. Touching 68) When a patient fails to show for their appointment, the event must be: A. Erased from the schedule B. Written on a no-show log C. Monetarily charged to the patient D. Documented in the patient's chart - ANSWER-D. Documented in the patients chart 69) Notifiable infection must be reported to: A. The patient's physician B. Your supervisor C. World Health Organization D. Center for Disease Control - ANSWER-D. Center for disease control 70) A quantitative test is one that: A. Tests for the presence and amount of substance in sample B. Tests for presence of substance only C. Does not require a trained technician D. Tests for all substances found in the sample - ANSWER-A. tests for the presence and amount of a substance in sample 71) The interval between exposure to infection and the appearance of the first symptom is called: A. Incubation period B. Active period C. Means of transmission period D. Incineration period - ANSWER-A. Incubation period 72) Complete destruction of all forms of microbial life. A. Sterilization B. Germicide C. Sanitization D. Disinfection - ANSWER-A. Sterilization 73) A patient is having a seizure. Which of the following is the most appropriate step for the medical assistant to take to protect the patient? A. Raise the patient's feet B. Call for help C. Loosen clothing around the patient's neck D. Administer small amounts of liquid - ANSWER-C. Loosen clothing around the patients neck 74) Most specialists are paid by MCOs using which of the following methods? A. Fee-for-service B. Coinsurance C. Copayment D. Capitation - ANSWER-A. Fee-for-service 75) Which of the following is classified as abnormally rapid, deep or labored breathing? A. Hypertension B. Tachypnea C. Hyperpnea D. Hyperpyrexia - ANSWER-B. Tachypnea 76) The invoice for the monthly rent of the building where the medical office is located, is typically handled by which department? A. Compliance B. Human Resources C. Accounts payable D. Accounts receivable - ANSWER-C. Accounts payable 77) What drug enhances the effects of another drug? A. Narcotic B. Antagonist C. Trade D. Synergistic - ANSWER-D. Synergistic 78) When using a venterogluteal approach to give an intramuscular injection in the buttock area, what is the muscle the medication goes in? A. Gluteus maximus B. Gluteus medius C. Right upper and outer quadrant D. Gluteus minimus - ANSWER-B. Gluteus medius 79) A baby's pulse and respirations are: A. The same as adults B. Not significantly different than an adult C. Faster than an adults D. Slower than an adults - ANSWER-C. Faster than an adults 80) Which of the patient's limbs serves as an electrical ground? A. Right arm B. Left leg C. Left arm D. Right leg - ANSWER-D. Right leg 81) Another name for chest leads is: A. Standard B. Precordial C. Limb D. Augmented - ANSWER-B. Precordial 82) When the body has had adequate rest and no food for at least 12 hours, it is said to be in: A. Hemostasis B. Basal state C. Homeostasis D. Steady state - ANSWER-B. Basal state 83) What organ's main function is to eliminate excess water and waste products from the body? A. Liver B. Intestines C. Gall Bladder D. Kidneys - ANSWER-D. Kidneys 84) A murmur is an abnormal sound that may indicate: A. Intestinal obstruction B. Valvular heart disease C. Stroke D. Bronchial asthma - ANSWER-B. Valvular heart disease 85) How many electrodes are used as part of a 12-Lead EKG? A. 10 B. 6 C. 12 D. 8 - ANSWER-A. 10 86) The amount of blood pumped by the heart per minute is called: A. Ejection fraction B. Cardiac output C. Contractility D. Blood pressure - ANSWER-B. Cardiac output 87) Sinus is a slow dysrhythmia. A. Bradycardia B. Tachycardia C. Rhythm D. Dysrhythmia - ANSWER-A. Bradycardia 88) When a person stays in the same position all the time, pressure causes the skin to: A. Become firm and dry B. Weaken and become necrotic C. Become stronger D. Stay pink and moist - ANSWER-B. Weaken and become necrotic 89) A patient's weight should be listed in the patient's chart to the nearest: A. Pound B. 1/2 pound C. Ounce D. 3/4 pound - ANSWER-1/4 pound 90) Which of the following blood pressure readings would be considered Stage 1 Hypertension? A. 148/96 B. 116/72 C. 126/84 D. 178/104 - ANSWER-A. 148/96 91) A normal resting heart rate for the average adult is: A. 15-20 BPM B. 80-120 BPM C. 10-15 BPM D. 60-100 BPM - ANSWER-D. 60-100 92) Automaticity refers to: A. The ability of the myocardial cell to contract when stimulated by an electrical impulse B. The ability to transmit an electrical stimulus from cell to cell throughout the myocardium C. The ability to respond to an electrical stimulus D. The ability of certain myocardial cells to produce an electrical impulse without the need for outside nerve stimulation - ANSWER-D. The ability of certain myocardial cells to produce an electrical impulse without the need for outside nerve stimulation 93) Collection devices used in skin punctures are called: A. Capillary tubes B. Butterfly sets C. Blood culture collection systems D. 25 gauge needles - ANSWER-A. Capillary tubes 94) Normal sinus rhythm has a heart rate of beats per minute: A. 80 to 120 B. 50 to 75 C. 60 to 100 D. 40 to 60 - ANSWER-C. 60-100 95) What is the function of the large intestine (aka colon)? A. Absorb water B. Absorb sugar C. Absorb fat D. Absorb vitamins - ANSWER-A. Absorb water 96) No anticoagulants are found in which of the following tubes? A. Green-topped B. Yellow-topped C. Lavender-topped D. Red-topped - ANSWER-D. Red-topped 97) Without a clot activator, whole blood typically clots in minutes. A. 60 to 20 B. 1 to 2 C. 30 to 60 D. 5 to 10 - ANSWER-C. 30-60 98) Thixotropic gel, found in the SST red gray marbled- topped Vacutainer tube: A. Is more dense than red blood cells and less dense than white blood cells B. Is more dense than red blood cells and less dense than serum C. Is less dense than red blood cells but more dense than serum D. Has the same density as red blood cells - ANSWER-C. is less dense than red blood cells but more dense than serum 99) Which of the following procedures is appropriate for preparing blood and other potentially infectious materials for transport? A. Freezing the materials before transport B. Placing the materials in a leak-proof container during collection C. Decontaminating the hazardous waste container D. Relabeling containers provided for waste - ANSWER-B. Placing the materials in a leak-proof container during collection 100) The normal volume of urine produced by an adult in a 24-hour period generally does not exceed: A. 2000 L B. 2000 mL C. 400 mL D. 750 ml - ANSWER-B. 2000 mL 101) The patient's specimen is lipemic. This is usually an indicator that the patient is: A. Smoking B. Not fasting C. Normal D. In basal state - ANSWER-B. Not fasting 102) Which of the following tests is not a part of complete blood count? A. Activated partial thromboplastin time B. Differential C. Hemoglobin D. Hematocrit - ANSWER-A. Activated partial thromboplastin time 103) The boundaries for the approved area in performing heel punctures are: A. The line extending from the third toe, dividing the plantar surface into medial and lateral aspects. B. The line extending from the third and fourth toe, dividing the plantar surface. C. The lateral line extending from the third toe and the medical line extending from the second toe. D. The medial line extending from the great toe and lateral line extending from the fourth and fifth digit. - ANSWER-D. the medical line extending from the great toe and lateral line extending from the fourth and fifth toe 104) What is the best sample for the determination of blood pH and blood gases? A. Cerebrospinal fluid B. Arterial blood C. Venous blood D. Capillary blood - ANSWER-B. Atrial blood 105) The ability to identify with someone else's feelings is called: A. Respect B. Feedback C. Sympathy D. Empathy - ANSWER-D. Empathy 106) How far above the site of draw is the tourniquet placed? A. 3-4 inches B. 1-2 inches C. 5-7 inches D. 4-6 inches - ANSWER-A. 3-4 inches 107) A female patient came into the clinic for follow-up after a right sided mastectomy with some removal of lymphoid tissue. What is the name of the condition that makes blood draw on the right arm not recommended? A. Syncope B. Lymphostasis C. Anemia D. Hemoconcentration - ANSWER-B. Lymphostasis 108) Which of the following is correct for ending a venipuncture procedure? A. Remove the tourniquet, remove the needle, remove the tube, apply pressure B. Remove the tourniquet, remove the tube, remove the needle, apply pressure C. Remove the needle, remove the tube, remove the tourniquet, apply pressure D. Remove the tube, remove the tourniquet, remove the needle, apply pressure - ANSWER-B. remove the tourniquet, remove the tube, remove the needle, apply pressure 109) Which of the following is known as swimmer's ear? A. Otitis externa B. Otitis C. Otitis media D. Otitis interna - ANSWER-A. Otitis externa 110) Which of the following should be used to chill a specimen as it transported? A. A small freezer unit B. Frozen blocks of ice C. Crushed ice D. Tepid water - ANSWER-C. Crushed ice 111) The Medical Assistant was sent to the ward to draw blood for coagulation studies, Which of the following is correct about this draw? A. The Medical Assistant can use capillary tubes for the blood collection B. Draw a red top tube before the light blue tube C. Fill a light blue to the top D. Before drawing the specimen, make sure the patient has fasted for 12 hours - ANSWER-D. before drawing the specimen, make sure the patient has fasted for 12 hours 112) The tube of choice for glucose testing is: A. Gray-top tube B. Red-top tube C. Light-blue top blue D. Lavender-top tube - ANSWER-A. Grey-top tube 113) The function of the platelet is to: A. Cause the blood to clot B. Fight infection C. Carry oxygen D. Carry nutrients - ANSWER-A. Cause the blood to clot 114) The three kinds of blood cells are: A. Leukocytes, red blood cells, erythrocytes B. Erythrocytes, Platelets, thrombocytes C. Leukocytes, white blood cells, platelets D. Erythrocytes, thrombocytes, leukocytes - ANSWER-D. Erythrocytes, thrombocytes, leukocytes 115) The hormone tested for in pregnancy tests is: A. TSH B. Progesterone C. Estrogen D. HCG - ANSWER-D. HCG 116) When performing a dermal puncture and the lancet hits the bone, what is the potentially serious fatal bone infection that could occur? A. Osteochondritis B. Osteomyelitis C. Osteomalacia D. Osteoporosis - ANSWER-B. Osteomyelitis 117) You performing a venipuncture procedure on a patient- the needle appears to be inside the vein yet no blood id flowing into the tube. What should you do? A. Pull back on the needle B. Terminate the procedure C. Slightly rotate the needle D. Switch the tubes - ANSWER-D. Switch the tubes 118) Which of the following Vacutainer tubes is routinely used for hematology testing? A. Light blue-topped tubes B. Red-topped tubes C. Lavender topped tubes D. Green-topped tubes - ANSWER-C. Lavender-topped tubes 119) If a laboratory test requires serum, which Vacutainer tube is the tube of choice? A. Lavender - topped tubes B. Black- topped tubes C. Yellow - topped tubes D. Red - topped tubes - ANSWER-D. Red-topped tubes 120) Sodium Citrate is the additive in what color tube? A. Red B. Green C. Light-blue D. Lavender - ANSWER-C. Light blue 121) A fluctuating fever that returns to or below baseline then increases again is: A. Intermittent B. Remittent C. Onset D. Continuous - ANSWER-A. Intermittent 122) Identify the tubes needed to collect a PT,STAT lytes, and BC in the proper order of collection. A. Yellow, light-blue, PST B. SST, yellow, light-blue C. Light-blue, lavender, yellow D. Gold, Yellow, light-blue - ANSWER-A. Yellow, Light-blue, PST 123) A female patient came into the emergency room with her husband. She was suffering from severe shortness of breath. She appeared to be unable to take in sufficient oxygen. What is the color of the skin and nail beds? A. Brownish B. Greenish C. Reddish D. Bluish - ANSWER-D. Bluish 124) Which choice is a typical educational for elderly patients to prevent disease? A. The location of the patient's public health resources in their community B. Health anti-aging skin care techniques and products C. Sterile technique used in the medical practice D. Annual flu pneumonia vaccination information - ANSWER-D. Annual flu pneumonia vaccination and information 125) Asystole: A. Is defined as the presence of chaotic cardiac activity B. Produces a complete cessation of cardiac output C. Is the most common primary event in cardiac arrest in the adult D. Appears as a chaotic line on the ECG monitor - ANSWER-B. Produces a complete cessation of cardiac output 126) A patient came to the clinic for a low-grade fever of one month duration. As part of the laboratory work-up, the physician ordered erythrocyte sedimentation (ESR). What color tube would be used for this test? A. Green-top tube B. Light-blue top tube C. Lavender-top tube D. Red-top tube - ANSWER-C. Lavender-top tube 127) An obese patient was sent to the laboratory for a complete blood count. Which of the following veins is mot likely to be the only that the Phlebotomist can palpate? A. Basilic vein B. Cephalic vein C. Median cubital vein D. Sclerosed vein - ANSWER-B. cephalic vein 128) Two employees discussing a patient diagnosis on a hospital elevator with other people present is a violation of: A. Patient rights B. Patient privacy C. Patient confidentiality D. Patient insurance - ANSWER-C. Patient confidentiality 129) A patient has been taking aspirin for arthritis. Which of the following is most likely to be affected by it? A. Bleeding time B. Glucose time C. Blood culture collection D. Blood culture results - ANSWER-A. Bleeding time 130) Mr. Matthews called the office to get the test results for his wife, Martha. What should the medical assistant do? A. Tell Mr. Matthews that you cannot release the information B. Check the medical record to see if Mr. Matthews is really Martha's husband - if so then release the information. C. Tell Mr. Matthews the test results D. Check the medical record to see if Mr. Matthews is authorized to have this information on Mrs. Matthews HIPAA form. if so, then release the information. - ANSWER-D. Check the medical recored to see if Mr. Matthews is authorized to have this information on Mrs. Matthews HIPAA form. If so, then release the information 131) If a finger is "excessively" milked during a skin puncture, the result will be: A. A decrease in pain for the patient B. Increased venous blood flow to the puncture site C. An adequate of blood for filling several capillary tubes D. Hemolysis and contamination of the specimen with tissue fluids - ANSWER-D. Hemolysis and contamination of the specimen with tissue fluids 132) You are the only CMAC the night shift. You receive orders for all of the following tests within minutes of one another. Which test has the greatest collection priority? A. STAT CBC in labor and Delivery B. STAT electrolytes in the ER C. Timed blood cultures in ICU D. ASAP electrolytes in CCU - ANSWER-B. STAT electrolytes in the ER 133) The phenylketonuria (PKU) test is used to diagnose deficiency of phenylalanine hydroxylase, the most common clinically encountered inborn error of metabolism. it is performed on: A. Blood drawn from a newborn's finger B. A newborn's fecal specimen C. Blood drawn from a newborn's buttocks D. Blood drawn from a newborn's heel - ANSWER-D. blood drawn from a newborns heel 134) Samples appear to have been mislabeled and mixed on two patients. Each outpatient has orders for both blood and urine test, so there were two samples for each. What would be the best course of action? A. Recollect all four specimens from the patients B. Re-label the urine samples, but redraw the blood C. Have the patients come back and identify their specimens D. Re-label all the specimens - ANSWER-A. Recollect all four samples from the patients 135) What specimens require protection from light? A. Bilirubin B. Lactic acid C. Blood gases D. Cryo fibrinogens - ANSWER-A. Bilirubin 136) Which of the following are also referred to as serum separator tubes (SST)? A. Red/Gray-top tubes B. Red-top tubes C. Light blue-top tubes D. Lavender-top tubes - ANSWER-A. Red/Grey-top tubes 137) Which of the following specimens are best utilized to measure clotting factors? A. Serum B. Whole blood C. Plasma D. Sterile blood - ANSWER-C. Plasma 138) Which of the following is a standard speed for an EKG machine? A. 50 mm/second B. 100 mm/second C. 10 mm/second D. 25 mm/second - ANSWER-D. 25 mm/second 139) When would a phlebotomist use a multiple-sample needle? A. Along family members who all require the same test B. In a large out-patient laboratory for all patients requiring the same test C. For microcapillary collection D. When more than one tube of blood is to be collected - ANSWER-D. When more than one tube of blood is to be collected 140) A collection tube containing an anti-coagulant must be inverted how many times? A. Tubes containing anti-coagulants are not inverted at all B. Ten times C. Eight times D. Shake vigorously for 30 seconds - ANSWER-C. Eight times 141) Identify the rhythm that will often produce an irregular rhythm. A. Atrial Tachycardia B. Sinus Dysrhythmia C. Ventricular Tachycardia D. Sinus Bradycardia - ANSWER-B. Sinus dysrhythmia 142) Which limb sensor is the reference or ground electrode? A. Right arm B. Left arm C. Left leg D. Right leg - ANSWER-D. Right leg 143) One method to calculate heart rate from an EKG strip is to: A. Count the small boxes between the R-R interval and divide by 1500 B. Count the number of small boxes in the R-R intervals and divide by 2 C. Estimate by counting R peaks in 10 sec strip and multiply by 10 D. Count the number of QRS complexes in a 3 strip and multiply by 10 - ANSWER-A. Count small boxes between the R-R interval and divide by 1500 144) A 45 year-old man comes in for a stress test. His resting blood pressure is 120/80. During the stress test, his blood pressure dropped to 95/55 and his skin is cold and clammy. What is the best course of action? A. Stop for a minute, then resume B. Stop the test immediately C. Slow the test and then pick the pace back up D. Push forward with the test - ANSWER-B. Stop the test immediately 145) The Q wave, if present, is always: A. Positive B. Present C. Isoelectric D. Negative - ANSWER-D. Negative 146)The main purpose of PPE is to: A. Help project a professional appearance B. Protect street clothes from getting soiled C. Provide the employee a barrier against infection D. Systolic pressure below 90 and diastolic pressure below 60mmHg - ANSWER-C. Provide the employee a barrier against infection 147) Hypotension is defined as: A. No measurable Systolic pressure B. Systolic pressure above 150 mmHg and diastolic pressure above 90mmHg C. Systolic pressure of 129 mmHg and diastolic pressure of 80 mmHg D. Systolic pressure below 90 and diastolic pressure below 60mmHg - ANSWER-D. Systolic pressure below 90 and diastolic pressure below 60 mmHg 148) The acronym used to remember the actions to take when using a fire extinguisher is: A. ACT B. HELP C. RACE D. PASS - ANSWER-D. PASS 149) Narrowing of the valve between the left atrium and the left ventricle is called: A. Mitral stenosis B. Aortic stenosis C. Pulmonary stenosis D. Tricuspid stenosis - ANSWER-A. Mitral stenosis 150) Which of the following supplies blood to the heart muscle? A. Coronary arteries B. Brachial arteries C. Carotid arteries D. Cerebral arteries - ANSWER-A. Coronary arteries 151) The layer of the heart that is responsible for contraction and relaxation is known as the: A. Pericardium B. Myocardium C. Endocardium D. Epicardium - ANSWER-B. Myocardium 152) A 67 year-old man is diagnosed with Atrial Fibrillation and is treated with Warfarin (Coumadin). What is the characteristic of Atrial Fibrillation? A. Saw tooth-shaped waves B. P waves are absent C. P waves with uniform shape D. P waves of multiple shapes - ANSWER-B. P waves are absent 153) A patient has a possible corneal abrasion and needs a referral. Which specialty is a physician that deals with eye injury and disease? A. Opthalmologist B. Oncologist C. Optician D. Optometrist - ANSWER-A. Ophthalmologist 154) A phlebotomist enters a room to draw blood on a patient who is hospitalized with an infected wound. The site of the wound and any of its bandages are considered which link in the chain of infection? A. Portal of exit B. Susceptible host C. Infectious agent D. Mode of transmission - ANSWER-A. Portal of exit 155) Two premature ventricular complexes (PVCs) in a row are called a/n of PVCs. A. Deuce B. Couplet C. Bigeminy D. Double - ANSWER-B. Couplet 156) A pounding or racing of the heart, such that the patient is aware of his/her heartbeat is called a/an: A. Palpitation B. Ectopic beat C. Hemoptysis D. Arrhythmia - ANSWER-A. Palpitation 157) Which of the following cannot be handled by the medical assistant? A. Patient requesting emergency medical advice B. New patient and return appointments C. Directions to the facility D. Whether or not a physician is in a certain health plan - ANSWER-A. Patient requesting emergency medical advice 158) Issues relating to medical advances come under the heading of: A. Malfeasance B. Religious freedom C. Bioethics D. Ethics - ANSWER-C. Bioethics 159) A female patient came into the emergency room due to vaginal bleeding. What is the name of the instrument used to hold open the wall of the vagina? A. Retractor B. Speculum C. Hemostat D. Forceps - ANSWER-B. Speculum 160) A monitor that a patient wears for 24 hours is called a(n): A. Halter B. 12-lead C. Holter D. Echocardiogram - ANSWER-C. Holter 161) In a standard 12-lead ECG, the measurement of current that the heart muscle produces between the right arm electrode and left arm electrode is known as the: A. Standard limb lead lll B. Augmented leas aV C. Standard limb lead ll D. Standard limb lead l - ANSWER-D. Standard limb lead I 162) What is the name of the heart valve that separates the right atrium and right ventricle/ A. Aortic valve B. Tricuspid valve C. Pulmonic valve D. Mitral valve - ANSWER-B. Tricuspid 163) Which of the following is an example of a biohazard? A. Spilling a chemical on a countertop B. Splashing of blood when a cap is removed C. Touching electrical equipment with wet hands D. The potential for a fire to start - ANSWER-B. Splashing of blood when a cap is removed 164) How do you know when you have achieved adequate ventilation for a patient when doing CPR? A. Air escapes the nose B. Air enters the stomach C. Rise of the chest D. You hear a popping sound - ANSWER-C. Rise of the chest 165) What is the minimum number of electrodes that may be attached to the patient for Holter Monitoring? A. 12 electrodes B. 2 electrodes C. 5 electrodes D. 10 electrodes - ANSWER-C. 5 electrodes 166) Tachycardia is a pathology that damages mainly the: A. Heart muscle B. Brain C. Blood vessels D. Body organs - ANSWER-A. Heart muscle 167) The national health insurance plan for Americans age 65 and older is: A. CHAMPVA B. Medicaid C. TRICARE D. Medicare - ANSWER-D. Medicare 168)Which of the following requires all employees' workplace hazard training? A. Standard precautions B. Bloodborne pathogen C. Emergency action plans D. Hazard communication standard - ANSWER-D. Hazard communication standard 169) Which body system has the liver, gallbladder and pancreas as accessory organs? A. Digestive B. Endocrine C. Integumentary D. Lymphatic - ANSWER-A. Digestive 170) Regulation of the heart rate, speed of electrical conduction and strength of contraction are influenced by the brain via the nervous system. A. Autonomic B. Somatic C. Core D. Voluntary - ANSWER-A. autonomic 171) A 67 year-old man comes into the doctor's office for a regular checkup. The doctor orders an Electrocardiography (ECG/EKG) to be done on the patient. There is junctional escape beat noticed by you. What is the origin of this rhythm? A. AV - node B. Bundle Branches C. Ventricle D. Sinus node - ANSWER-A. AV node 172) Which chest lead is placed on the right sterna border in the 4th intercostal space? A. V3 B. V1 C. V2 D. V4 - ANSWER-B. V1 173) The patients chart indicates a urine sample was collected at 1800. This means the sample was collected at: A. 8 am B. 8 pm C. 6 am D. 6 pm - ANSWER-D. 6 pm 174) What is the name of the law that protects health care workers who gave aid during the time of an accident? A. Good Samaritan Law B. Megan's Law C. Right to know Law D. HIPAA - ANSWER-A. Good Samaritan Law 175) The contraction phase of the heartbeat is called: A. Systole B. Diastole C. Tachycardia D. Pacemaker - ANSWER-A. Systole 176) The correct lead from the center of heart to the positive pole of the leg is: A. AVF B. AVR C. lll D. ll - ANSWER-A. AVF 177) The correct lead from the right arm to the leg is: A. AVR B. AVF C. lll D. ll - ANSWER-D. II 178) A blood sample is collected from a patient and the plasma is pink to red in color. Which of the following is the most likely cause? A. Polycythemia B. Hemolysis C. Lipema D. Agglutination - ANSWER-B. Hemolysis 179) Which drug is used as an anticoagulant? A. Fluoxetine (Prozac) B. Warfarin (Coumadin) C. Digoxin (Lanoxin) D. Triazolam (Halcion) - ANSWER-B. Warfarin (Coumadin) 180) Which is the most common route of administration of nitroglycerin? A. Intravenous B. Intradermal C. Suppository D. Sublingual - ANSWER-D. Sublingual 181) Your patient is experiencing chest pain and has a heart rate of 132 beats per minute. You attach the ECG monitor and see a fast, regular rhythm with a round upright P wave that precedes each QRS complex. The QRS complexes are 0.10 seconds in duration. This patient is experiencing: A. Junctional escape rhythm B. Sinus tachycardia C. Complete AV heart block D. Idioventricualr rhythm - ANSWER-B. Sinus tachycardia 182) Veterans with service related disabilities are eligible for care under which of the following programs: A. TRICARE B. VETSERVE C. CHAMPVA D. CHAMPAID - ANSWER183) is usually sponsored and partially paid by an employer. A. TRICARE B. Private insurance C. Worker's Aide D. Group Health Insurance - ANSWER- 184) Health policies that concern a patient's constitutional right to privacy, informed consent and confidentiality are part of: A. Medical statutes B. Patient's Bill of Rights C. Consent laws D. Disclosure laws - ANSWER185) Family members, such as spouse or children that are covered under the member's insurance policy are known as . A. Members B. Beneficiaries C. Dependents D. Subscribers - ANSWER-C. Dependents 186) A physician, specialist or any person that provides medical care is known as the . A. Provider B. Policyholder C. Subscriber D. Dependent - ANSWER-A. Provider 187) The term , refers to the list of charges for each of the provider's services. A. Fee schedule B. Coinsurance C. Copayment D. Cost sheet - ANSWER188) A is a set amount that the patient may be required to pay the provider before they can receive benefits. A. Coinsurance B. Deductible C. Copayment D. Fee Schedule - ANSWER-C. Copayment 189) The insurance carrier is allowed to use any method to determine the amount for a service, also known as the . A. Fee schedule B. Deductible C. Allowed amount D. Insurance Premium - ANSWER190) Which of the following statements is true under the doctrine of respondeat superior? A. The physician is responsible for any errors made by the medical staff. B. The person who has been employed for the longest period of time is responsible for any errors made by them medical staff. C. The medical administrative assistant is responsible for any errors made by the medical staff. D. The medical administrative assistant is superior to other members of the medical staff. - ANSWER191) One example of a physiologic response to negative stress is: A. Headache B. High energy C. Sleep deprivation D. Upset stomach - ANSWER192) Information given by a patient to medical personnel that cannot be disclosed without consent constitutes: A. Duty of care B. Negligence C. Judgment D. Privileged communication - ANSWER-D. Privileged communication 193) The method of scheduling in which one patient is scheduled for a specific appointment time is known as: A. Single booking B. Standard scheduling C. Cluster scheduling D. Fixed appointment scheduling - ANSWER-A. Single booking patient's problems during the time they are receiving medical care. A. Problem-oriented model records B. Problems on medical records C. Problem-oriented medical record charting D. Prognosis on medical record charting - ANSWER195) Another term for outpatient care is: A. Rehabilitation care B. Non ambulatory care C. Ambulatory care D. Nursing home care - ANSWER-C. Ambulatory care 196) The best way to handle a "difficult" or "bad" patient is to: A. Threaten to report the patient to his or her doctor B. Speak firmly to maintain charge of the situation C. Help the patient to feel in control of the situation D. Leave the room without collecting the specimen - ANSWER-C. Help the patient to feel in control of the situation 194) , also known as POMR, is a method of tracking the 197) Which of the following is an example of negative kinesics? A. Smiling B. Eye Contact C. Frowning D. Good grooming - ANSWER-C. Frowning 198) Which of the following skills would not be an appropriate expectation of the competent medical assistant? A. Giving instructions to patients about self-care after treatments B. Diagnosing common patient symptoms C. Performing insurance coding and billing D. Using the computer to perform a variety of office functions - ANSWER-B. Diagnosing common patient symptoms 199) When analysis of a patient flow is reviewed, what does this help a practice determine? A. The day of the week that most patients come in B. The number of times per year a patient visits the medical office C. The amount of time the provider sees patients per week D. The realistic time frame for each appointment - ANSWER200) The mental and emotional condition, enthusiasm, loyalty, or confidence of an individual or group with regard to function or tasks at hand is called: A. Morale B. Insubordination C. Initiative D. Tenacity - ANSWER-A. Morale 201) Faithfulness, or allegiance to a cause, ideal, custom, institution or product, is called: A. Loyalty B. Dependability C. Courtesy D. Flexibility - ANSWER-A. Loyalty 202) When medical assistants are able to adapt to various situations, they are considered to be: A. Courteous B. Flexible C. Dependable D. Loyal - ANSWER-B. Flexible 203) One mental health illness that can hinder patient education is: A. Chicken pox B. High blood pressure C. Alzheimer's disease D. Depression - ANSWER-C. Alzheimer's disease 204) Which of the following is an example of proxemics? A. Eye contact B. Facial expression C. Personal contact D. Personal hygiene - ANSWER-B. Facial expressions 205) Which is an example of a recommended preventive procedure? A. Eating the recommended daily allowances B. Teeth whitening C. Childhood immunizations D. Daily exercise - ANSWER-C. Childhood immunizations 206) Which of the following types of filing systems requires a cross reference files? A. Alphabetic B. Subject C. Geographic D. Numeric - ANSWER-D. Numeric 207) Before developing a medication schedule, you should evaluate the patient's: A. Bathroom habits B. Medical record C. Daily routine D. Side effects - ANSWER-C. Daily routine 208) During assessment, the best source from which to obtain patient information is the: A. The medical record B. Physician's notes C. A family member D. The physician - ANSWER-A. The medical record 209) Verbal facial expressions or body language, such as a nod of understanding, are called: A. External noise B. Internal noise C. Channels D. Feedback - ANSWER-D. Feedback 210) The way to organize appointment scheduling so that it best supports the success of the practice is to: A. Include a lot of time physician's administrative activities B. Allow frequent breaks C. Consider the preferences of the physician D. Schedule as many patients as possible throughout the entire day - ANSWER-C. Consider the preferences of the physician 211) The principle advantage of using wave method when designing the scheduling process is that it: A. Provides more breaks for staff B. Allows flexibility to accommodate the unpredictable C. Gives priority to established patients D. Enables the physician to see more patients each day. - ANSWER-B. Allows flexibility to accommodate the unpredictable 212) What does the "inside address" in a typewritten letter need to include? A. The salutation B. The body of the letter C. The name and address of the person sending the letter D. The name and address of the person receiving the letter - ANSWER-D. The name and address of the person receiving the letter 213) Which of the following would be filled SECOND? A. Tommie Turner B. Thomas Turner C. Tom A. Turner D. Tommy Turner - ANSWER-C. Tom A. Turner 214) The amount that an insurance company may say is not allowed and not the responsibility of the patient, for a contracted physician, would be identified as this on the patient's account? A. A payment B. An adjustment C. A charge D. A deductible - ANSWER215) Managed care organizations control costs by: A. Limiting patient enrollment B. Detecting risk factors early C. Discouraging patient visits D. Eliminating case managers - ANSWER216) After a patient interview by the medical assistant, which of the following should not be recorded by the medical assistant? A. Family medical history B. Examination narrative C. Chief complaint D. Medication allergies - ANSWER-B. Examination narrative 217) The patient complains that it hurts when they swallow. This type of complaint is considered: A. Assessment B. Plan C. Objective D. Subjective - ANSWER-D. Subjective 218) Telephone etiquette involves: A. Remaining anonymous to avoid any responsibility B. Leaving a person on hold until you have the answer C. Referring an emotional caller to the administrator D. Keeping your statements simple and to the point - ANSWER-D. Keeping your statements simple and to the point 219) The term used to describe sophisticated and highly complex care is: A. Managed care B. Tertiary care C. Secondary care D. Primary care - ANSWER-B. Tertiary care 220) This is federal program that provides medical care for the indigent: A. PHS B. Medicaid C. Medicare D. HIPAA - ANSWER-B. Medicaid 221) To indicate that something lies nearer the surface, use the term: A. Distal B. Deep C. Superficial D. Proximal - ANSWER-C. Superficial 222) What does this symbol represent? SELECT ONE: A. Chemical Hazard B. Biologic Hazard C. Radioactive Hazard D. Sharps Hazard - ANSWER223) Identify the following rhythm: SELECT ONE A. Atrial Fibrillation B. Ventricular fibrillation C. Junctional tachycardia D. Asystole - ANSWER- 224) Choose the answer that corresponds with letter F. SELECT ONE A. Basilic vein B. Medican Cubital vein C. Radial artery D. Cephalic vein - ANSWER225) Name this part of the EKG. SELECT ONE: A. R to R interval B. ST segment C. PR segment D. QRS Complex - ANSWER226) Choose the answer that corresponds with letter A. SELECT ONE: A. Cephalic vein B. Radial artery C. Ulnar artery D. Brachial artery - ANSWER227) Choose the answer that corresponds with letter B. SELECT ONE: A. Brachial artery B. Cephalic vein C. Ulnar artery D. Radial artery - ANSWER228) Choose the answer that corresponds with number C. SELECT ONE: A. Radial artery B. Brachial artery C. Ulnar artery D. Cephalic vein - ANSWER229) Choose the answer that corresponds with number D. SELECT ONE: A. Ulnar artery B. Radial artery C. Brachial artery D. Cephalic vein - ANSWER230) Choose the answer that corresponds with number E. SELECT ONE: A. Basilic vein B. Radial artery C. Cephalic vein D. Median Cubital vein - ANSWER-