NHA CCMA 2025 Practice Questions and
Answers
1. Where do cardiac electrical impulses originate in the heart?
a) Atrioventricular node
b) Bundle of His
c) Purkinje fibers
d) Sinoatrial node ✅
Answer: d) Sinoatrial node
Rationale: Impulses are initiated in the sinoatrial (SA) node and then conducted to the atrioventricular
(AV) node. The AV node is stimulated after atrial contraction. The Bundle of His and Purkinje fibers
transmit impulses within the ventricles but do not initiate them.
2. A medical assistant is disposing of the syringe and needle after a seasonal influenza vaccine.
Which action should be taken?
a) Recap the needle before disposal
b) Break off the needle and dispose
c) Drop the syringe, needle first, into the sharps container ✅
d) Replace the sharps container once it is half full
Answer: c) Drop the syringe, needle first, into the sharps container
Rationale: Recapping or breaking needles increases risk of needlestick injuries. Sharps containers
should be replaced when two-thirds full, not half full.
3. A medical assistant examines a rash with multiple solid elevations <0.5 cm on the forearm.
What term describes this observation?
a) Papules ✅
b) Macules
c) Vesicles
d) Pustules
, .:
Answer: a) Papules
Rationale: Papules are small, solid elevations. Macules are flat, vesicles are fluid-filled, and pustules
contain pus.
4. During a Pap smear, a false-negative test occurs when abnormal cells are not detected. Which
of the following can cause this?
a) Too many cells left on the sampling device
b) Too many cells piled on the slide
c) Epithelial cells hidden by blood/mucus
d) All of the above ✅
Answer: d) All of the above
Rationale: False-negatives can result from sampling errors, overlapping cells, or obscured cells.
5. The ___ focuses on the male and female urinary systems and male reproductive system.
a) OB/GYN
b) Urologist ✅
Answer: b) Urologist
Rationale: Urologists perform surgeries such as vasectomies and hernia repairs. OB/GYN focuses on
female reproductive care.
6. During the ___ exam, the provider checks external genitalia, cervix, vaginal wall, internal
reproductive organs, and rectum.
a) Pelvic ✅
b) Uterus
Answer: a) Pelvic exam
Rationale: The pelvic exam is comprehensive for female reproductive health.
7. Inspection during a pelvic exam is done with a ___ to expand the vaginal opening.
a) Speculum ✅
b) Broom
, .:
Answer: a) Speculum
Rationale: A speculum allows visualization of the vagina and cervix. A cytobrush or broom is used for
Pap smears.
8. ___ involves the study of pregnancy, labor, delivery, and postpartum.
a) Urologist
b) Obstetrics ✅
Answer: b) Obstetrics
Rationale: Obstetrics (OB) focuses on pregnancy and postpartum care.
9. Obstetrics (OB) is often combined with ___ (GYN), which is care of the female reproductive
system.
a) Gynecology ✅
b) Cardiology
Answer: a) Gynecology
Rationale: OB/GYN combines pregnancy care with reproductive system health.
10. The ___ test is the microscopic examination of skin, nail, or hair for fungus.
a) CBC
b) KOH ✅
Answer: b) KOH (Potassium Hydroxide)
Rationale: KOH prep identifies fungal infections by dissolving keratin in the sample.
11. b: ___ is a serious condition that can occur during pregnancy. Signs of this
condition include increased blood pressure (hypertension), unusual weight gain
because of edema, and protein in the urine. a) Anorexia
b) Preeclampsia
12. EIA: The abbreviation for Enzyme ImmunoAssay testing is?
13. hCG: The abbreviation for human chorionic gonadotropin is? Peak's at about 8
weeks.
, .:
14. b: A ___ is a healthcare professional who uses a microscope to examine cells for
changes that might indicate the presence of cancer. a) obstetrician
b) cytotechnologist
15. b: ___ is used to measure urinary bladder capacity and pressure. A catheter is
passed through the urethra into the bladder. Then the physician fills the bladder with
carbon dioxide gas. The test results are examined to diagnose bladder function
disorders. a) urology
b) Cystometry
16. a: In ___, the physician examines the walls of the bladder and urethra by visualization
and inspection. A viewing instrument called a cystoscope is used for this procedure. The
cystoscope is inserted into the bladder through the