Medical Assistant Certification Review

standard universal precautions

is treating all patients as if they are capable of transmitting diseases.

warfarin

a blood thinner.

electrical force

the ECG term vector refers to

antitussive

is a drug used to suppress coughing.

(CBC)

is a blood test done in a lavender tube which has an additive called EDTA.

the fastest pulse rate

infants have

dermis & epidermis

part of the integumentary system.

activate safety device for disposal

in phlebotomy, the next step after withdrawing the needle from the vein

arterial blood

a capillary blood specimen most resembles in composition

20-23 gauge

the needle most frequently used for venipuncture

23 to 25 gauge

the needle most frequently used for butterfly is the

percussion hammer

used to test reflexes.

otoscope

instrument used to test the ears.

opthalmoscope

instrument used to test the eyes.

U wave

in an ECG the wave immediately following the T wave & is present 50-70 % of the individuals

cardiac cycle

one complete heart beat.

regular sinus rhythms

difibrillators are used to convert specific cardiac arrhythmias into

gavage

medical term for tube feeding

fifth vital sign

pain is the

korotkoff sounds

sounds heard while taking the blood pressure

core temperature

rectal temperature provide a reading of the patient's

hospitalized

after a gram mal seizure a patient might typically need to be

hyperglycemic

a patient has fruity or acetone breath odor

the longest appointment

a patient who need a complete physical need to be scheduled for

a durable power of attorney

DO NOT RESUSCITATE in the medical records of a patient.

privacy notice each year

hippa is giving a patient a

an ECG to baseline

patient condition like fever or chills typically would not cause

analgesics

acetaminophen & ibuprofen

patient movement

the most common cause on an ECG of a baseline interruption

tachypnea

respiration rate above normal.

bradypnea

respiration rate below normal.

tachycardia

a heart rate above normal.

bradycardia

heart rate below normal

lithotomy

patient position most commonly used for gynecological examination (pap smear)

good contact between the skin & electrodes

it is important to cleanse a patient's skin before an ECG to assure

regular heart rate

an ECG that demonstartes no variation of R-R interval would indicate

pleura effusion

the escape of fluid into the pleura cavity

heart

SA NODE is the normal, natural pacemaker of the

antihistamines

relieves allergic symptoms.

pulse

depression will cause a decrease in

blepharitis

inflammation of the eyelid.

respiratory system

trachea is part of the

antidote

antidote is any substance that neutralizes the effect of poison

respondeat superior

a legal term that states that the physicians are reliable for the actions of the medical assistant

triage

the process of evaluating & prioritizing urgency of treatment

fiscal year

a 12 month period that begins with the same pre-determine date each year

yellow tube

order of blood drawing according to the CLSI always begins with the

inserting the needle

when performing a venipuncture always allow the alcohol to dry naturally before

insufficient funds

a term used to indicate that the writer of the check did not have enough money to cover the check

physician's signature & DEA#

each prescription for controlled substances requires a

syrups

drugs dissolved in a solution of sugar & water & then flavored

suspensions

drugs that have been mixed but not dissolved

aseptics

techniques that keep areas free of microorganisms

diagnostic tests

tests used to determine what is wrong with a patient

arthrocentesis

the removal of synovial fluid from a joint is called

0.04 seconds

each 1mm (small) box on the ECG strip represents

sterile technique

reaching over the sterile field is one violation of the

uremia

the build up of bodily waste products in the blood

apical pulse

the method of choice for determining the heart rate on infants & young children

purkinje fibers

distribute the electrical impulses to the ventricles of the heart

97.6

normal axillary temperature

98.6

normal oral temperature

37.0

average temperature in celsius is

HMO

insurance offered in exchange for a fixed monthly premium

PPO

insurance offer to the patient's the options of using either network or non-network physicians or hospitals

medicaid

insurance offered for people that have low income

medicare

insurance offered to people 65 & older & to disables

Co-pay

predetermined flat fee that is paid usually before each medical service or visit

precordial leads

chest leads are also called

gastrointestinal tract

barium sulfate is used as a contrast medium for fluroscopic examination of the

wartenberg wheel

used to test nerve reactions (sensitivity) on the skin

fibula

the smallest long bone of the leg

scoliosis

abnormal S shape lateral curvature of the spine

weeks & months at a time

HIV can NOT survive on inanimate objects for

tuberculosis

airborne precautions are used to reduce the transmission of

battery

if a medical assistant performs a patient exam after a patient refuses, the medical assistant can be charged with

sanitization

process of using soap & water scrubbing to remove blood & debris from the medical instruments

knee-chest position

patient places the head & chest on examination table while kneeling with buttocks elevated

sterile techniques

placing sutures in a new location requires the use of

cc

the abbreviation for cubic centimeter

irs

employer identification number is a type of number issued by the

strep throat

throat swab from a culture will confirm a diagnosis of

accounts receivable

money owed to the physician

washing hands

the first line of defense in preventing disease

give 2 breaths & start chest compressions

if an dult patient is not breathing

hematocrit (HCT)

the proportion of blood volume occupied by red blood cells & expressed as a percentage

first degree burn

most common type of burn

abrasion

a wound in which the outer layers of the skin are scraped off

american medical association

ICD-9 code book is a numerical system for identifying procedure developed by the

UTI

test performed for urinalysis with microscopic and culture.

treadmill stress test

a noninvasive cardiac evaluation

hypothyroidism

due to a deficiency of iodine

to fill

to be safe, when drawing blood always remove the tourniquet when the last tube begins

red topped tube

whole blood takes 20 mins to clot in a

median cubital vein

the first choice for venipuncture

nosocomial

type of infection developed after hospital admission

the skin

largest natural barrier to infection

signed consent

before any procedure the physician need from the patient a

sterilization

means that all microorganisms are removed

butterfly needle

for pediatric & geriatric patients the best option to draw blood on the back of the hand or wrist with a

heparin

green tube has anticoagulant called

specific gravity

first voided morning sample has the highest

auscultation

listening to the sounds of the body

specialist's office

wave schedule woks best for

admissions review

under peer review improvement act of 1982, peer review organization is responsible for the review of the appropriateness & necessity of hospitalizing patients also known as

gender

would be least likely to affect temperature

orthostatic hypotension

a temporary fall of the blood pressure when standing quickly

corticosteroids & NSAIDS

a patient with systemic lupus (SLE) might be given

trenderlenberg position

best position for quick recovery

ureters

an imaging test that provides information about obstructions

medication administration

the right doctor is NOT one of the six rights of

empathy

when the medical assistant conveys the feeling that they understands how something makes a patient feel.

skull

a sesamoid fracture will NEVER happen on the

trapezius

shoulder blade

biceps brachii

inner bone of upper arm

abdominal

stomach

clavicle

below shoulder blade

mandible

jawbone

tibia

inner bone of leg

sternum

bone that connects ribs

physiology

the science of the function of cells, tissues, & organs of the body

deltoid

upper arm where IM injections are done

right patient, right route, right time, right technique, right drug, right dose, right date, right documentation

8 rights of administering medication

intramuscular (IM), subcutaneous (SUBQ), intradermal

types of injection

deltoids or gluteus

main site for intramuscular injection on adults

thighs

main site for intramuscular injection on infants & young children

because the sciatic nerve is close & may cause paralysis

never give infants or young children injections in the gluteus

hypodermic with a gauge of 20-23 at a 90 degree angle

the type of syringe used for intramuscular injections

hypodermic with gauge of 25-27 at a 45 degree angle

the type of syringe used for subcutaneous injection

tuberculin with a needle gauge of 27-29 at a 10-15 degree angle

the type of syringe used for intradermal injection

to make sure you did not hit a vessel

the purpose of aspirating during subq

0.1ml

the dosage for adults for tuberculin injection

0.005ml

the dosage for children for tuberculin injection

allergy testing & tuberculosis

two purposes for intradermal injection

calibrated in ml

hypodermic & tuberculin syringes

calibrated in units

insulin syringes

isometric line

a straight line on EKG strip when the EKG is not connected to the patient

stylus

the part of the EKG machine that makes the line

emetic drug

a drug that induces vomiting

account payable

the amount purchased on credit that is used to the creditor

partial disability

ant illness or injury that prevents someone from performing one or more of their regular function

medical etiquette

conducting courtesy & manners

precordial leads

the 6 standard chest leads in EKG

antiseptic drug

a drug that inhibits the growth of microorganisms

cardiac cycle

what happens within a complete heart beat

amniocentesis

allows the physician to perform genetic testing before the baby is born

to determine the effectiveness of sterilization

the purpose of using culture test in sterilization

check book

the physician bank statement is reconciled with a

w4

employees withholding exemption certificate form

apical pulse

pulse located below the chest or breast & is the method of choice for infants & young children

HMO

offers insurance in exchange for a premium

purkinje fibers

the name of the structure in the heart that distributes electrical impulses to the ventricles

scoliosis

an abnormal lateral curvature of the spine

carrier

someone not infected but transporting harmful or pathogenic bacteria

duodenum (1st part) jejunum (middle part) ileum (last part)

small intestine parts

indemnity

benefits in the form of cash payments rather those services

rickets

found in infants due to a lack of vitamin d resulting in softening of bones

exclusions

specific hazards listed in an insurance policy for which the insurance company will not pay

synthetic cast

most commonly used casts on a broken limb becuase they dry and set fast

sterile technique

reaching over a sterile field is a violation of the

measure

the distance between each p wave & r wave

electrical force

the EKG term vector refers to

menopause

when the menstruation cycle stops

menarche

when the mestruation cycle begins

homeostasis

when the internal environment of the body works together

homeostatic drug

the drug used to control bleeding

therapeutic drug

any drug that is ised in the treatmentof a condition to relieve symptoms

cholecystography

an x-ray examination of the gallbladder

physiology

the study of function

expiration date

what assures the potency of a bottle of medication

EDTA

the name of the anitcoagulant found in the lavender tube

expectorant

a drug used to increase mucus secretion from the bronchial tubes of the lungs

aseptic techniques

germ free techniques

adjuster

one who acts for the insurance in a regular claim

coupling agent

the gel used on the area in an ultrasound which has to be applied at room temperature

stomatitis

inflammation of the mucus membrane of the mouth

z track

an injection where the skin is pulled 11/12 away from the injection site

liters per minute

oxygen is ordered as percentage of oxygen concentration & its rate of delivery is written as

vessel or vein (preferrably vein)

angi/o

to open a body orifice

the purpose of the speculum

single red line

the proper procedure for canceling an appointment is to mark through the entry with a

wash hands

the first line of defense in preventing disease is to

CPT

the reference procedure code book using a numerical system

hemostat

an instrument used for clamping blood bessels

ectopic pregnancy

the development of the ovum outside of the uterus

hemocytometer

a chamber that is used for counting white blood cells

needle holder

an instrument that is used to grasp or holds a curved needle while performing a suture

treadmill stress test

an EKG test done under stress condition

transverse plane

an imaginary line dividing the body in top & bottom sections

abduction

a lateral movement away from the body

deductible

a predetermined amount that insured must pay each year before the insurance company will pay

coding

the transfer of words into numbers

hypnotic drug

a drug that induces sleep

invasion of privacy

unauthorized disclosure of information regarding the patient to a third party

holter monitor

a 24 hr recording of the electrical activity of the heart

antipyretic drug

a drug used to control temperature

medical asepsis

means an area or object is clean or free of microorganisms for injection

incision

a clean smooth cut caused by a sharp cutting instrument

assignment of benefits

instructions to an insurance company about whom or wherever to make payments

knee-chest position

the patient is laying on chest & knees while buttocks are in the air

subpoena

a written document commanding you to appear in court

malignancies

cancerous tumors appearing in any part of the body

backup files

duplicate files that are stored in acomputer to protect information

petty cash

a small amount of cash kept in the office

closed fracture

a broken bone without penetration to the skin

coinsurance

a requirement under the health care policy that dictates that the insured will be responsible for a percentage of covered services

federal tax identification #

a number issued by the IRS to medical group for income tax

emetic drug

a drug that induces a person to vomit

grace period

the period of time after the beginning of an insurance for which no benefits are payable

placebo

an inactive substance substituted in place of the actual drug

negligence

the failure to do something reasonable that should be done under ordinary circumstances

orange/red

the color of biohazard label

buccal or sublingual

placing medication betweeen the gums & cheeks or under the tonuge

duration of the appointment

the most important characteristics of an appointment book

auscultation

listening to body sounds with a stethoscope

transdermal patch

a small patch with medication placed on the skin

waiver

an attachment to a policy excluding certain illness that would otherwise be covered

percussion

to tap the body sharply but lightly to gain information about the position

pressure sores

decubitus ulcers, also called bedsores

time limit

the period of time in which a notice of claim must be filled

3rd degree heart block

when the atrium & the ventricles are beating independently

gtt

the abbreviation for drops

diuretic drug

a drug that increases urinary output

triage

the action of sorting according to quality. the purpose is to assign degrees of urgency to wounded or ill patients.

a visual activity of 20/50

the 20 represents the distance between the chart & the patient

third class mail

printed booklets & newsletters that weigh up to 16 ounces are considered

IM

to inject large amounts of medicine you use

pleura effusion

the escape of fluid into pleura cavity

schedule I drugs

drugs that are not accepted for medical use in the USA

defribrillator

the name of the equipment used to convert dysrhythmia into regular rhythm

october 1st to september 30

the tricare fiscal year

gastric ulcers

lesions of the mucus membrane of the stomach

edema

accumulation of fluid in body tissue

peer review

a review by people with similar professional qualification

ampule

a glass container containing medication in either liquid or powder form

hematuria

the presence of blood in urine

check

normal business transaction requiring payment by the physician should be made by

OSHA

the agency that requires the use of sharps container

circular motion

used when cleaning an area for injection because it carries contaminants away from the injection site

aphrodisiac

drugs that increase sexual desire

antipsychotic drugs

drugs that relieves complications of emotional tension

antitoxin

a serum used to lessen the effects of poisons produced by bacteria is an

hemiplegia

paralysis on one side of the body

fiscal year

a 12 month period that begins with the same pre determined dtae each year & is for financial purposes

right side up

the proper placement of an agar plate

paraplegia

paralysis form the waist down

first class mail

any business mail that weighs up to 11 ounces

physician's signature & DEA #

each prescription for controlled substances requires the

limited check

a check that will be unpaid if written over a certain amount

fourth class mail

mail used for bound printed matter, film & sound recording etc

emulsion

kind of liquid preparation with fine droplets of oil & water

syrups

drugs dissolved in a solution of sugar

mixtures (suspensions)

drugs mixed with liquids, but not dissolved

barrel

part of the syringe that holds the medication

point

the sharpened end of the needle

separate file holders

used to keep them separate from other files

thorazine

used to reduce mental tension & anxiety

nitroglycerine

used for treatment of angina pectoris

pre-certification

discovering if a treatmenmt is covered under a patient contract

pre-existing

policies that do not provide benefits for conditions that were treated before the policy as issued

hydrocortisone

an anti inflammatory drug

schedule IV drugs

minor tranquilizers & drugs that have a lesser abuse

official name

the trade or brand name of a drug is its

temperature with freezing point of 32 7 boiling poibt of 212

fahrenheit

atrophy

medical term for a decrease in size or wasting