Certified Medical Assistant Practice Exam

25 July 2022
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Reduction in cardiac output is known as
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cardiogenic shock. Hypotension is the pressure of the blood against the arteries and veins.
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Bioterrorism is specifically monitored by the
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CDC. The Drug Enforcement Administration monitors controlled substances.
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A control sample is best described as a(n) sample with a known value. This is the best description. In a controlled experiment, an experimental sample is compared against a control sample, which is practically identical to
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the experimental sample except for the one aspect whose effect is being tested (the independent variable). The controlled sample is known.
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EDTA is an anticoagulant used in collection tubes with which color top?
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lavender A lavendertop tube contains EDTA and is used for CBC, WBC differential, and platelet counts.
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The normal range for total cholesterol in adults is
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less than 200. These are the normal ranges for hemoglobin (hgb).
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An ASO blood test is used to detect
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Group A streptococci. A blood urea nitrogen (BUN) test is used to detect kidney function.
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The primary condition for which the patient is receiving care or treatment is the diagnosis. The primary condition for which the patient is receiving care or treatment is the diagnosis. Typically, a person with abnormal symptoms will consult a doctor, who will then obtain a history of the patient's illness and examine him or her for signs of
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disease. The doctor will determine likely diagnoses. In many cases, he or she will conduct more testing to confirm or clarify the diagnosis before providing treatment.
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Which of the following is NOT a term for the description of the illness given by the patient?
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prognosis This is related to the reason(s) a patient gives for seeking medical care.
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When establishing scheduling guidelines, which of the following should be considered first?
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physician preferences The physician's preference is considered first in scheduling.
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According to the rules of sourceoriented record keeping, forms, notes, and memos should be kept in which order?
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. reverse chronological Chronological order is the reverse of how the chart should be arranged.
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Checking a letter for errors prior to sending it is known as
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proofreading. The medical assistant must proofread any document for errors prior to sending it.
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Which of the following displays information that is currently active?
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monitor A monitor displays current data.
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A small portable device used for backing up data is known as a
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flash drive. A flash drive, also known as a thumb drive, is a small device used for backing up data.
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Computer peripherals include the following EXCEPT the
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keyboard. A bar code reader is used in some offices to identify patient files.
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The pointer that appears on the computer screen to indicate where the next letter or character will appear is known as the
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cursor. The cursor displays where the next letter or character will appear on the screen.
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A form that is a request for supplies is called a(n)
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request form. A request form is used to obtain supplies.
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The person responsible for paying the bill is known as the
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guarantor. The payee is the person who is paid by the guarantor.
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Payment for rent is known as
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overhead. Accounts receivable are monies owed to the practice.
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A patient who is unable to pay his or her medical bills may file for which type of bankruptcy?
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Chapter 7 All nonexempt patient assets are sold and the proceeds distributed to creditors.
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Which term means an addition to an insurance policy?
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rider Coinsurance involves sharing of risk between the insurer and the insured
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A drug that increases urine production is called a(n)
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diuretic. A diuretic increases urine production.
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An inventory of controlled drugs must be done every
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two years. Three months is not the recommended time frame for controlleddrug inventory.
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When asking about the patient's social history, a medical assistant should ask about
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herbal medicines used. risky sexual behavior. family history. all of the above Recreational drug and alcohol use is important to the social history.
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Which medication would be most effective for a patient with a cough?
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an antitussive An antitussive is a medication that suppresses the body's urge to cough.
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Which classification of drug is used to reduce cholesterol?
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hypolipidemic hypolipidemic is a drug that lowers cholesterol.
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The proper angle of insertion of a needle for an intradermal injection is
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15°. The proper angle of insertion for an intradermal injection is 15°.
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An order has been written for a patient to receive 120 mg of a medication that comes in 30 mg tablets. How many tablets should be given for the proper dosage?
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four The patient should be given four tablets to equal the prescribed dosage of 120 mg.
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A medication that has been prepared with an oil base is a(n)
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ointment. A suspension contains solids and liquids that will not stay combined.
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A patch that is impregnated with medication is a form of
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transdermal medication. transdermal patch is worn on the skin to administer the medication.
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When a patient is experiencing nausea and vomiting, what is the preferred route of medication administration?
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rectal Intravenous medication is used for nausea and vomiting; however, this is not the preferred route of administration.
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A physician orders 300 mg of a medication. The medication is available in 150 mg tablets. How many tablets should be taken?
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two Two tablets would equal 300 mg of the medication.
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The correctgauge needle for a Mantoux test is
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27. A 25gauge needle is too large for an intradermal injection.
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wound in which the skin is still intact is called a(n)
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contusion. An abrasion, also known as a scrape, is an open wound.
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Anaphylactic shock may occur after
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an allergic reaction. The allergic reaction may be caused by a medication, an insect bite, or an inhaled toxin. This is a medical emergency.
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Abdominal thrusts are used in which of the following situations? choking The Heimlich maneuver, which involves abdominal thrusts, is used
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on a person who is choking. Modern choking protocols involve several stages, including encouraging the victim to cough, back slaps, CPR, finger sweeping, and direct vision removal.
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Chest pain may be caused by all of the following conditions EXCEPT
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nausea. Gallbladder pain can cause chest pain, which is often mistaken for a heart attack.
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A seconddegree burn should be treated by
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immersing the area in clean, cold water. answer. A seconddegree burn should be immersed in clean, cold water for pain relief. If the burns are bad, cold water should not be used as it might alter the patient's temperature.
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A medical assistant should treat hypoglycemia by
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administering glucose. Orange juice cannot be given if the patient is unconscious or uncooperative.
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Which of the following is the correct treatment for a snake bite?
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Immobilize the area of the bite. The area should be moved as little as possible to delay absorption of the venom.
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Which of the following terms refers to a decision by a judge or jury?
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verdict A verdict is a decision made by a jury on matters or questions submitted to the jury by a judge.
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The ability of a witness to convince a judge or jury to believe him or her is called
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credibility. The burden of proof lies on the defendant, who must prove his or her innocence or lack of culpability.
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Which of the following ensures preventive maintenance for office equipment?
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service agreement A service agreement ensures that the service provider will provide the preventive maintenance needed to maintain the equipment.
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Which of the following is required to operate a fax machine?
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telephone line A telephone line is required to operate a fax machine.
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How should the office pay bills that need to be mailed?
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company check A company check is the preferred and safest manner in which to pay bills
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When the patient identifies himor herself on the phone, the medical assistant should immediately
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write down the patient's name. The medical assistant should write down the patient's name first, not ask the reason for the call.
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Which of the following is the best way to respond to an angry caller? Express regret, but do not admit to the mistake or error just to appease the patient
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The best way to respond is to listen to the caller and express regret that he or she is upset. However, do not admit a mistake or error unless you personally made one, in which case you can take ownership of your mistake and apologize to the caller
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Which of the following communication forms allows only oneway transmission?
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pager A fax may be used as a twoway communication device.
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Which term describes the maximum amount an insurance carrier will pay for services?
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allowed charge Coverage is a service covered by the plan.
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Terminated employees' health records must be kept
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for various time periods depending on the state. HIPAA regulates the amount of time the employee records must be maintained.
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Which of the following is the most secure way to send a letter?
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registered mail Insured letters are not guaranteed security.
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It is important to build in extra appointment time for which type of patient?
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new A chronically ill patient should not take more time than a new patient.
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Which of the following types of mail is deliverable seven days a week?
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express mail Express mail is available seven days a week, including holidays.
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Which of the following U.S. Postal Service abbreviations is Massachusetts?
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MA MA is the abbreviation for Massachusetts.
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The proper abbreviation for "court," as recognized by the U.S. Postal Service, is
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CT. CRT is not a USPS recognized abbreviation.
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TRICARE is the healthcare insurance provider for all of the following EXCEPT
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family members eligible for FEHB. If a family member of an eligible TRICARE participant is independently eligible for a Federal Employee Health Benefit (FEHB) program, he or she is not eligible to enroll in TRICARE.
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Permission given by the insurance company prior to a certain procedure is known as preauthorization. Preauthorization is the approval of or concurrence with the treatment plan proposed by a participating medical professional before the procedure.
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Under some insurance plans, preauthorization by the carrier is required before certain services can be provided.
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The list of medications covered by a policy is known as
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the formulary. Capitation is the fixed perperson amount that will be paid to the physician by a provider.
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Payment for workers' compensation is made by the
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employer. Workers' compensation insurance is paid for by the employer.
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The presence of noncontained blood or other potentially infectious material in a medical environment is called
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contamination. Occupational exposure is contact with blood or other bodily fluids as a result of normal duties at work.
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The main bloodborne hazard for healthcare workers is
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hepatitis B. HIV is not the main bloodborne hazard for healthcare workers; a single needlestick has only a 0.3% chance of causing an infection.
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Vendor accounts that the practice has not yet paid are called
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accounts payable. Accounts payable are accounts that the practice owes.
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Basic bankrelated activities utilized by a medical practice include all of the following EXCEPT
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collection services. Depositing funds in the bank is an activity the medical practice
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The summary of account activity is called
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the caption. Accounts are in balance when the patient ledgers equal the accounts receivable
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A check written on the payer's own check and verified by the bank is known as a
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certified check. A certified check is guaranteed by the bank, and funds are debited from the payer's account as soon as the check is written. A certified check cannot bounce.
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check written by an unknown party to a payee who releases the check to the medical office for payment is called a(n)
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thirdparty check. A thirdparty check is a check written by an unknown party to a payee. The payee endorses the check to the medical office, which then becomes the holder in due course.
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Checks should be deposited promptly for all of the following reasons EXCEPT
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bank reconciliation. he check writer may issue a stoppayment order on the check, rendering the check useless.
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The standard payment period is
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30 days. Patients are expected to pay within 30 days.
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The collection ratio
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measures the effectiveness of the billing system. Payment collection is based on the collection ratio and accounts receivable ratio.
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Accounts payable includes
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taxes. Interest on savings accounts is accounts receivable.
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Social Security is also known as
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FICA. FICA is the Federal Insurance Contribution Act, which governs Social Security.
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Workers' compensation premiums paid to the state are based on what?
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number of hours worked by all covered employees Premiums are based on covered employees only.
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The price list for charges for services provided by the medical practice is called
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the fee schedule. Prevailing charges are the most frequently charged fees in an area by specialty physicians.
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The person named as the principal in an insurance contract is called the
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subscriber. The beneficiary is the person named in the insurance policy to receive benefits.
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Which term is used when certification earned in one state is accepted in another state?
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reciprocity Reciprocity occurs when certification earned in one state is accepted by other states.
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periWhich of the following prefixes means outside?
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ecto Perimeans around.
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All of the following words are misspelled EXCEPT
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osseous. Cranial is the correct spelling.
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Movement away from the midline of the body is called
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abduction. Abduction means to move away from the midline of the body.
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Which plane divides the body into upper and lower halves?
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transverse The coronal plane divides the body into front and back planes. It is also known as the frontal plane.
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The dorsal cavity contains
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the brain and spinal cord. . The dorsal cavity contains the brain, spinal cord, and spinal fluid.
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Freud described the id as
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the unconscious. The superego is governed by one's own moral code.
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Creating a completely sterile environment without the presence of any microorganisms is known as
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surgical asepsis. Surgical asepsis, also known as sterile technique, refers to a sterile environment without the presence of any microorganisms.
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When the patient is lying face up with feet flat and knees bent, he or she is in which position?
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dorsal recumbent The dorsal recumbent position is used for examination of the abdomen, vagina, or rectum, as well as to test reflexes.
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In the process of wound healing, the phase in which new tissue forms is called
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the proliferation phase. Maturation is the last phase of wound healing during which scar tissue forms.
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The gradual return of normal body temperature after a fever is called
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lysis. Afebrile is a body temperature within normal limits.
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Which of the following thermometers is considered the most accurate in measuring body temperature?
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temporal Although oral is the most convenient method, it is no longer the most accurate method.
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The study of the actions of drugs on living tissues is
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pharmacodynamics. Pharmacokinetics is the study of what the body does to drugs, whereas pharmacodynamics is the study of the effects of drugs on the body.
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The process by which drugs are broken down is best described as
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metabolism. A drug reaction is usually an untoward reaction to a medication.
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The general term for an undesirable and potentially harmful drug effect is
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an adverse effect. An adverse effect is an undesirable and potentially harmful drug effect. It can also be caused by interventions such as chemotherapy or surgery.
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A condition in which a drug should NOT be administered is called a
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contraindication. A contraindication is a condition in which a drug should not be administered due to increased risks of using that drug.
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Transdermal drug delivery occurs when
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a drug is absorbed continuously through the skin. Transdermal drug delivery (TDD) involves continuous absorption and is usually administered via a patch on unbroken skin
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If a medication is prescribed as PRN, it means
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to give a medication only when needed. PRN means to give medication only when needed. It stands for pro re nata.
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All of the following are commonly used sites for an intramuscular injection EXCEPT the
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trapezius. The trapezius is located on the upper back and is not an ideal location for giving an intramuscular injection.
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The surge of blood pushed into the ventricles as a result of atrial contraction is known as
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an atrial kick. The atrial kick, or boosterpump effect, is the surge of blood entering the ventricles from the atria.
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A shift in the baseline from the center position in an EKG is known as
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a wandering baseline. Flutter fibrillation is the combination of fibrillation and fluttering on an EKG tracing.
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A radiologic test that examines the spinal cord is called a(n)
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myelogram. t. An MRI is used to diagnose abnormalities of the soft tissues.
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A dosimeter is a device that measures
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radiation exposure. A dosimeter measures xray exposure, not medication dosages.
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The implantation of radioactive sources into a localized tumor is known as
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brachytherapy. Radiation therapy is the use of radiation to treat diseases.
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Paralysis of the lower extremities is called
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paraplegia. Paraplegia is the paralysis of the lower extremities, and is usually the result of spinal cord injury or a congenital condition such as spina bifida.
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The branch of medicine that specializes in rehabilitation is called
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physiatry. Physical therapy is prescribed by a physician. It is not a branch of medicine.
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Hypothermia in an adult is recognized by a rectal temperature below
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95°. answer. A rectal temperature of 95° indicates hypothermia, a condition in which the temperature drops below that which is required for normal metabolism and bodily functions.
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The receptionist is an employee who works
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in the front desk area, greeting and logging in patients. The receptionist works in the front desk or reception area of the office, greeting and logging in patients.
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The most important job of the receptionist is
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making a good first impression The receptionist's most important job is making a good first impression.
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An important component of the receptionist's job is opening the office. The receptionist should arrive at the office
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ten to fifteen minutes before office hours begin. Arriving ten to fifteen minutes before office hours begin is usually adequate.
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All facilities have a dress code for employees that includes
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an identification badge. Neat, clean, comfortable shoes should be a normal component of professional dress but are not part of the dress code.
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Mail is classified according to all of the following EXCEPT
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surface area. Type of mail includes first class, priority, bound printed matter, media matter, express, and international.
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Mail content is initially the responsibility of the
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mailer. The United States Postal Service is not responsible for mail content.
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The slowest type of mail service is
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parcel post. Parcel post—used for small and large packages, thick envelopes, and tubes containing gifts and merchandise—can take anywhere from two to eight days for delivery.
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When arranging mail for the physician to open, how should you place it on the physician's desk?
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stacked neatly with the least important mail on the bottom and the most important mail on the top For any mail that the physician requests to open personally, the most important mail should be placed on top for the physician to see and open first.
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Business letters typically contain all of the following EXCEPT
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an enclosure. Business letters do not always contain enclosures.
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The body of the business letter begins how many lines below the salutation?
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two lines
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The complimentary closing line is placed
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two lines below the last line of the body of the letter. The complimentary closing line is placed two lines below the body
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Which of the following is an appropriate complimentary closing to a business letter?
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Sincerely "Yours truly" is very informal and is considered too personal for a formal closing.
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The identification line consists of
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the author's and typist's initials. The typed name of the writer or sender is located in the signature block.
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The felt side of the letterhead is located on
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the side of the letter where the watermark is readable. The watermark cannot be felt on the letterhead.
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Telephone calls are classified as all of the following EXCEPT
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on hold. On hold is not a classification that is used to describe phone calls.
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What is the name for the largest type of computer used mainly by sizeable organizations for functions like bulk data processing and financial transaction processing?
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mainframe The mainframe is the type of computer used in larger companies and institutions.
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An example of an input device is a
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keyboard. A keyboard usually inputs textual information, although it may have other functions as well.
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A CDROM is a(n)
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storage device. An input device enters data into the computer.
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To prevent a breach of security into the office database, all office personnel should
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be assigned a password. All personnel who have access to computers in the office should be assigned a password.
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The first step in computer maintenance is to
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keep the area free from liquids. Liquids will ruin computer components.
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Scanners are devices that
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convert hardcopy data into a format that can be recognized by the computer. Scanners convert hardcopy data into a format that is recognized by the computer.
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What is the name of a handheld device used in the medical office for data collection or retrieval?
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personal digital assistant A handheld device used in the medical office for data entry and retrieval is called a personal digital assistant or PDA.
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The printer that has the highest resolution (print quality) is a(n)
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laser. An inkjet printer is less expensive than a laser printer and is mostly used in people's homes.
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A piece of equipment that protects the computer's fragile circuits from damage is called a
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surge protector. A surge protector will protect the computer from an electrical power surge.
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A series of computers linked together to allow information to be shared between them is called
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a network. . A network is a series of computers linked together to share information.
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Confidential health information stored on office computers is governed by legislation known as
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HIPAA. HIPAA, the Health Insurance Portability and Accountability Act, provides protection for confidential health information.
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To keep current, how often should a certified medical assistant attend classes on ICD9 and CPT coding?
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A certified medical assistant should attend an ICD9 coding workshop and a CPT coding conference every year Coding information changes on an annual basis. The medical assistant should attend an ICD9 coding workshop and a CPT coding conference annually.
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In the CPT coding system, how many digits are assigned to the primary code
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five r. Five digits arranged into six sections are assigned to the primary code.
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V codes cover all of the following EXCEPT
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accidental poisoning. Newborn babies are covered under a V code (V29).
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Which symbol(s) used in ICD9 coding indicate(s) a new entry?
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a bullet point A bullet point indicates a new entry.
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In the ICD9 appendices, which appendix is used for coding adverse drug reactions?
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Appendix C Appendix D is the Classification for Industrial Accidents.
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E codes are used to classify
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environmental or external causes of injury. Chronic diseases are covered under V codes.
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Which diagnostic coding system is used to code morbidity
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ICD9 The ICD9 diagnostic coding system is used to code morbidity. The ICD9 was published in 1977. At that time, the system could be used for both morbidity as well as mortality. However, on January 1, 1999, the ICD10 was adopted for reporting mortality.
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Which of the following sections of the CPT codebook refers to surgery?
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1004069990 Codes 9920199499 refer to evaluation and management.
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Which is the most important factor in coding?
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accuracy Procedures that are not coded accurately will cause a delay in payment.
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HCPCS level II codes are used for which of the following?
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items not listed in the CPT4 HCPCS level II codes are used for items not listed in the CPT4, such as supplies.
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The etiology of a condition is
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the causes or origin of the disorder. The word "etiology" is the science that deals with the causes or origin of the disease or disorder.
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Fraud is defined as
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an act of deception used to take advantage of another person or entity. Fraud is a deceptive act used to take advantage of another person or entity, usually for personal gain, although sometimes to harm another party.
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Recording financial transactions is called
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posting. Posting is the process of copying transactions from one record to another record.
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The pegboard system
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doesn't require a computer The pegboard system is no longer the most efficient form of bookkeeping.
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The defense mechanism where an unconscious motive that causes anxiety is converted into its opposite is called
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reaction formation. . Regression is a method to cope with stress in which an earlier development phase is sought.
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The latency period of Freud's psychosexual model of development occurs
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from ages 5 and 6 through adolescence. The latency period is very specific. It initiates between ages five and six and continues through adolescence.
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A disorder in which one is preoccupied with one's health is called
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hypochondriasis. A phobia is an intense irrational fear of an object or a situation.
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The primary source of energy for the body is
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carbohydrates. Carbohydrates and fats are the main sources of energy for the body.
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All of the following are watersoluble vitamins EXCEPT
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vitamin D. Vitamin B is a watersoluble vitamin responsible for normal functioning of the brain and nervous system, as well as blood formation.
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A dumping syndrome diet is suggested for patients who
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have had gastric bypass surgery. . Patients who have Wilson's disease are placed on a restricted copper diet.
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Excessive amounts of fluoride in drinking water may cause
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discoloration of the teeth. Excessive amounts of fluoride may cause discoloration of the teeth. The effects range from barely perceptible white specks to severe brown to brownish gray stains.
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A restrictedfat diet is prescribed for patients who have
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diseases of the pancreas. Patients who are morbidly obese are put on a lowcalorie diet.
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The sense of smell is known as
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olfaction. Olfaction is the sense of smell.
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All of the following transport forms are passive EXCEPT
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exocytosis. This is a form of passive transport.
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Which of the following is NOT part of the cell theory?
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Cells are all made of protons. Cells are made of atoms, which contain protons, neutrons, and electrons. This, however, is not part of the cell theory.
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The abdomen is divided into how many regions? nine The abdomen is divided into nine regions. In the midline, the most superior region is the epigastric region. This region is flanked by the left and right hypochondriac regions. The navel lies in the center of the umbilical region. The umbilical
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region is flanked by the left and right lumbar regions. The most inferior midline abdominal region is the hypogastric region. This region is flanked by the left and right iliac regions.
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A person is considered a universal blood donor if his or her blood type is
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type O. People with blood type O are considered universal blood donors. Type O blood can be donated to a person with any blood type.
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The axial skeleton consists of the
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skull and spine. The skull and spine are components of the axial skeleton.
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The bone located in the anterior neck is called the
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hyoid. The cervical vertebra is located in the posterior neck behind the skull.
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The only vein in the body that carries oxygenated blood from the lungs is the
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pulmonary vein. The pulmonary artery is the only artery that carries deoxygenated blood.
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The cranial nerve that innervates the tongue is called the
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glossopharyngeal nerve. The glossopharyngeal nerve innervates the tongue
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Cerebrospinal fluid is made in the
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ventricles. The medulla oblongata is located on the lower part of the brain stem and deals with autonomic functions.
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The gellike substance that helps maintain the structure in the eye is called
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vitreous. The sclera is the white part of the eyeball.
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Which element is needed for normal thyroid function?
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iodine Potassium is needed for muscle contraction and action potential propagation.
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The hepatitis B virus can survive in a dried state for how long?
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one week The hepatitis B virus can survive in a dried state for up to one week.
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Which of the following color codes for hazardous materials applies to flammability?
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red Red indicates a flammable hazard.
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All of the following body fluids are infectious EXCEPT for
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sweat. This is a potentially infectious body fluid.
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Handling blood and urine as if they are infectious is known as
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universal precautions. answer. Universal precautions apply to blood, blood products, urine, semen, vaginal secretions, and other body fluids, excluding sweat
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Which of the following terms describes a cleaning product that reduces or eliminates infectious organisms?
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disinfectant An antiseptic is a cleaning product used on human tissues. Some antiseptics are germicides.
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Instruments used in an open procedure should be
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sterilized. This is the correct answer. Instruments must be sterilized after use in an open procedure.
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The patient is placed in which position during a vaginal examination?
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lithotomy The lithotomy position is used for vaginal exams. The patient is laid on the back with knees bent, positioned above the hips, and spread apart.
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When a patient is lying flat on his or her back, he or she is said to be in what position?
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supine The supine position is face forward, palms forward, feet forward, and lying on the back.
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A surgical procedure that allows a patient to walk in and walk out of the facility the same day is called
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ambulatory surgery. Ambulatory surgery is the correct answer choice.
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A tonometer is used to diagnose
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glaucoma. Nasal polyps can be diagnosed with a nasal speculum.
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Which of the following sutures is the largest in diameter?
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size 0 Size 2-0 is a little smaller than a size 0 suture.
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A small clamp used for grasping a vessel to stop bleeding is called
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a hemostat. Thumb forceps pick up or hold tissue.
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You should wear gloves
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if the patient has nonintact skin and there may be contact with body fluids.
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Which of the following terms means "normal breathing"?
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eupnea Eupnea is normal breathing, as is observed under resting conditions.
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Where is the pedal pulse found?
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the foot The popliteal pulse is found behind the knee.
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Which of the following is used to amplify sounds?
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stethoscope stethoscope is used to amplify sounds. It is often used to listen to heart sounds, intestines, and blood flow in arteries and veins.
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Which of the following is NOT a vital sign?
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weight Heart rate is another name for pulse rate, which is a vital sign.
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Determining the circumference of an infant's head is known as
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mensuration. To mensurate means to measure something, such as the circumference of an infant's head.
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Drugs that have a high abuse potential and no known medical use are classified as schedule
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I. Schedule I drugs have no known medical usage and have a high abuse potential. Examples include heroin, LSD, marijuana, and methaqualone.
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The name of a drug that uses the anatomical or molecular formula is called the
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chemical name. The chemical name is the formula or the chemical composition of a drug.