When drawing blood, always have the patient make a ___________________
fist
When performing an EKG (ECG), the ______lead is placed on the shoulder.
black
When giving a (PPD) purified protein derivative injection or TB test, the CMA should draw up _______of vaccine into the syringe.
0.1 ml
The CMA has many duties. Just a few include performing venipuncture, giving injections, taking vital signs, doing paperwork, but NEVER _____________.
giving medical advice.
A common side effect of a patient taking Coumadin or Warfarin is a __________ (bruise).
hematoma
A ___________infection, also known as a Hospital Acquired Infection or HAI, is an infection whose development is favored by a hospital environment, such as one acquired by a patient during a hospital visit or one developing among hospital staff. Such infe
nosocomial
A _________ (or butterfly) is used for patients with fragile veins.
winged infusion set
_____________ position is most vital for patients whose BP drops rapidly.
Trendelenberg
____________ is a surgical fixation of a segment of the small intestine to the abdominal wall.
Enteropexy
_____________is a condition in which the lens of the eye loses its ability to focus, making it difficult to see objects up close. The CMA should escort this patient and lead them since their vision has been compromised.
Presbyopia
The 10 rights (R')s of medication administration are:
1) RIGHT Patient
2) RIGHT Medication
3) RIGHT Dose
4) RIGHT Time
5) RIGHT Route
6) RIGHT Education
7) RIGHT to Refuse
8) RIGHT Assessment
9) RIGHT Evaluation
10) RIGHT Documentation
When performing CPR, the CMA should do at least __________ compressions per minute. _____ to ________ compressions per second.
100 compressions per minute. 1 to 2 compressions per second.
The __________position is the best position to put a patient in to obtain a rectal temperature.
Sims'
A patient with TB should be in ___________precautions.
airborne
Infectious agents move from the source to the host by means of "_________________
mode of transmission
Please list the 6 elements in the Chain of Infection:
1) Susceptible Host
2) Infectious Agent
3) Reservoir
4) Portal of Exit
5) Mode of Transmission
6) Portal of Entry
__________ (Material Data Safety Sheets) is a vital component of OSHA (Occupational Safety and Health Administration).
MSDS
________pulse is used in determining the heart rate of infants.
Apical
____________________ enforces safety conditions in the medical office.
OSHA (Occupational Safety and Health Administration)
Following a blood draw, the CMA should watch the patient intently if they start to ______or_________.
twitch or shake
_________means the study of causation or origination. The word is most commonly used to refer to why things occur or even the reason behind the way things act.
Etiology
The CMA must make sure that when assisting with an OB/GYN exam that the ________be warmed up by _________over it and then ________properly.
running warm water over it and then lubed properly
A ________is an abnormal growth of tissue projecting from a mucous membrane. If a patient states that he or she has a growth that grew rapidly, the CMA would chart it as a ___________________.
Polyp; Polyp
Laboratory tubes and additives:
Yellow Tube Top
Additive = SPS (Sodium Polyanethal Sulfonate)
Laboratory tubes and additives:
Light Blue
Additive = Buffered Sodium Citrate
Laboratory tubes and additives:
Red
Additive = NONE
Laboratory tubes and additives:
Gold
NONE
Laboratory tubes and additives:
Light Green
Lithium Heparin
Laboratory tubes and additives:
Dark Green
Sodium Heparin
Laboratory tubes and additives:
Purple/Lavender
EDTA (Ethylenediaminetetracetic Acid)
Laboratory tubes and additives:
Gray
Potassium Oxalate
___________ or hCG is a hormone produced during pregnancy that is made by the developing placenta after conception. Levels of hCG may be measured in the blood or urine. Most commonly, this is done as a ____________test, intended to indicate the presence o
Human Chorionic Gonadotropin; Pregnancy test
The ___________________form is also called a "super bill" or "encounter form" and is the ________________claim form used by physicians.
CMS-1500 form; universal claim form
Alcohol swabs should be ordered __________at a physician's office.
monthly
An ___________________injection is given to patients who are being tested for allergies.
intradermal
To routinely clean the examination table, the CMA would use the technique of _______________ to disinfect.
medical asepsis
Hazardous waste should be put in a _________________________bag
red bio-hazard
The special delivery for an arterial blood gas (ABG) is on _____________
ice
You must always report a needle stick to your supervisor _________________
immediately
It can be considered _____________if a CMA enters a patient's room without introducing themselves or acknowledging the patient.
invasion of privacy
The most important thing to tell a patient when collecting a 24 hour urine test is to ______the first urine in the morning. Because the first urine will be ______________
void; more concentrated
Venipuncture Procedures: (please list them in order)
1) ID patient
2) Introduce yourself, explain what you are about to do
3) Wash your hands
4) Put on gloves
5) Apply tourniquet
6) Palpate to find a vein
7) Clean venipuncture site
8) Let the site AIR DRY (Do NOT blow on site, wave hands or dry with gauze)
When measuring an infant from head to toe, the ___________position is the best position to obtain an accurate measurement.
supine
When communicating with a patient who is hearing impaired and has a caregiver, the CMA should speak directly to the _________________
caregiver
The best solution to clean up urine off a floor is a ______ percent bleach solution, by mixing _____ percent bleach to ________percent water
10% bleach solution; 10% bleach to 90% water
A ________________must be obtained per some health insurance policies to determine if a particular procedure will be covered under the patient's health insurance.
pre-authorization
When collecting blood cultures from a patient it is recommended that you collect at least _______mLs of blood.
3-4
What is Informed Consent?
Inform the patient of the possible risk and outcome of a procedure
What is Implied Consent?
Extending an arm for phlebotomy or an unconscious patient who needs treatment in an emergency.
What is Written Consent?
Must be written and signed by the patient or legal guardian. An example would be an HIV test or pregnancy test. All of these situations must be documented.
When collecting a urine sample, place the patient's name and DOB on the specimen _____. Not the _______since the ______can be lost.
bottle; not the lid, since the lid can be lost
If a STAT electrolyte panel was reported to have a critically elevated sodium level, then most likely a ________ (color tube top) was drawn. A STAT chemistry test should be drawn in a ___________(color) top tube.
Gold; green
If a patient has Parkinson's Disease and needs an EKG (ECG) most likely this patient would have ________________show up on his or her EKG (ECG).
somatic tremor
A streptococcal test would always be collected on the _____________
throat
Always ____________the patient.
ID, IDENTIFY
Call for help ___________when a fire is present.
FIRST
Order of draw and Laboratory Dept
1) Yellow - Microbiology
2) Light Blue - Coagulation
3) Red - Chemistry
4) Gold - Chemistry
5) Light Green - Chemistry
6) Dark Green - Chemistry
7) Purple/Lavender - Hematology
8) Gray - Chemistry
ST segment elevation shown on an EKG (ECG) is associated with a ______________
myocardial infarction
A CMA cannot perform a CBC test with a____________
differential
__________________is removal of a kidney
Nephrectomy
If a patient is having an EKG (ECG) and is diaphoretic, the CMA should apply _______________to help facilitate a better connection.
conduction gel
Please list the steps in Capillary Collection (finger sticks)
1) ID patient
2) Introduce yourself and explain what you are about to do.
3) Wash hands
4) Put on gloves
5) Ask patient to rest arm in a downward position for at least 30 seconds
6) Choose either the middle or ring finger
7) Clean with alcohol and allow t
Please list the steps in obtaining a stool sample:
1) Introduce yourself
2) Explain the procedure to the patient
3) Have the patient defecate into a clean, dry bedpan or commode (or a plastic "hat" )
4) Instruct patient NOT to contaminate specimen with urine or toilet tissue
5) Put on gloves
6) Using a to
When doing an EKG (ECG) on a person with large breasts, have the patient _______and place the electrodes ________the breasts.
have the patient LIFT the breasts; place electrodes UNDER the breasts.
if a patient has not been seen by the physician in over a year, the patient should complete a ____________________form.
new patient registration form
The process of ________________gets rid of ALL forms of microbial life and spores.
sterilization
The first step a CMA should take when a patient is found unconscious is to ________immediately (call _____) . If the CMA starts CPR, then precious moments are wasted. Notify ______first and then the CMA can start CPR. Help is on the way.
Notify EMS (call 911); Notify EMS FIRST
A ________________is an apparatus for measuring the volume of air inspired and expired by the lungs. It is a ________ ________ ________for the measurement of respiration flow rates. The _______________records the amount of air and the rate of air that is
spirometer; precision differential pressure transducer; the spirometer
__________________is the medical specialty dealing with disease involving the respiratory tract.
Pulmonology
Any and All communicable diseases such as TB or Aids must be reported to an outside source, i.e. _____________
CDC ( Centers for Disease Control and Prevention)
The ___________________Color Test is an example of a color perception test for red-green color deficiencies. It was named after it's designer, Dr. Shinobu Ishihara, a professor at the University of Tokyo, who first published his tests in 1917.
Ishihara
When a patient is wearing a ____________monitor they should avoid any magnetic fields.
Holter
____________________are used on BP cuffs to destroy dirt and sweat.
Disinfectants
If a CMA has to treat a psychiatric patient, they must always make sure they are ___________________with the patient.
never alone
The International Classification of Diseases ( most commonly known by the abbreviation ICD) is a standard _____________tool for epidemiology, health mngmt, and clinical purposes. It is known as a health care _______________ system that provides codes to c
diagnostic tool; classification system; code
_______________( codes V01-V91) are used to describe encounters with circumstances other than disease or injury.
V codes
___________codes are supplemental codes that capture the external cause of injury or poisoning, the intent, and the place where the event occurred.
E codes
If a patient has abdominal pain and respiratory difficulties, the CMA should place the patient in the _____________position.
Fowler's
A blood pressure (BP) is measured in _________________ or mm.
millimeters of mercury
A BP is written with the _______________pressure on the top and the ________________pressure on the bottom, i.e., 120/80.
systolic; diastolic
You should take vital signs for a full _______
minute
_________________testing is defined as medical testing at or near the site of patient care. The driving notion behind POCT is to bring the test _______________and_______________to the patient.
Point of Care testing (POCT); conveniently and immediately
If the physician is behind and a patient has been waiting past their scheduled app't, the CMA should ____________________
ask the patient if they want to reschedule
A________________should never give test results to a patient.
CMA
__________________is terminology used by national and state/provincial licensing boards for various professions that define the procedures, actions, and processes that are permitted for the licensed or certified individual. The ________________is limited
Scope of practice.; scope of practice
A CMA should never practice outside their ___________________
scope of practice.
_______________quality control test regulation ensures accuracy of results.
Point of care
When doing a urine pregnancy test the __________________urine specimen is the most accurate to use.
first morning urine
Buccal is ___________or______________
oral or mouth
Sublingual is ___________
oral under the tongue
Transdermal is _____________________
absorbed through the skin
Intradermal injections (ID) should be administered at a _______________ degree angle
15 degree angle
Intramuscular injections (IM) should be administered at a ____________degree angle.
90 degree angle
Subcutaneous injections (SC or Sub-Q) should be administered at a _____________degree angle.
45 degree angle
________________patches can give medications in a way that they are absorbed slowly creating a constant time released systemic effect.
Transdermal
A urinary tract infection (UTI) is a bacterial infection that affects part of the urinary tract. When if affects the lower urinary tract it is known as a simple ________________ infection; and when it affects the upper urinary tract it is known as _______
cystitis or bladder infection; polynephritis or kidney infection.
A________________urine specimen is collected for a culture and sensitivity. (C & S)
clean-catch
Body Mass Index (BMI) is a heuristic proxy for human body fat based on an individual's wt and ht. BMI does not actually measure the percentage of body fat. BMI is defined as _________________divided by _______________
Body mass divided by square of his/her height
A ________________is a substance that dilates the bronchi and bronchioles, decreasing resistance in the respiratory airway and increasing airflow to the lungs. This is used commonly by ____________patients.
bronchodilator; asthma
________________sounds are the sounds medical personnel listen for when they are taking blood pressure (BP) using a stethescope. They are named after _______________, a Russian physician.
Korotkoff sounds; Dr. Nikolai Korotkoff
______________ or ________________disease is the spread of a disease from one organ or part to another non-adjacent organ or part.
Metastasis or metastatic disease
_____________is the partial or complete wasting away of a part of the body.
Atrophy
An __________________is a compound or substance that kills or slows down the growth of bacteria.
antibacterial
_________________are antimicrobial substances that are applied to living tissue/skin to reduce the possibility of infection, sepsis, or putrefaction.
Antiseptics
Always check the ___________________of a drug before administering it.
expiration date
The ___________________is an agency of the US Dept of Labor, Congress established the agency under the Occupational Safety and Health Act.
US Occupational Safety and Health Administration (OSHA)
The Occupational Safety and Health Act was signed into law on __________________ by President ________________
December 29, 1970 by President Richard M. Nixon
The mission of OSHA is to ____________________for men and women by setting and enforcing standards and by providing training, outreach, education and assistance.
assure safe and healthful working conditions
_______________________are US Federal regulatory standards that apply to all clinical laboratory testing performed on humans in the US, except clinical trials and basic research.
Clinical Laboratory Improvement Amendments (CLIA) of 1988
A _______________________is another name for a bruise.
hematoma
A ________________or _____________, is the final product of the blood coagulation step in hemostasis. It is achieved via the aggregation of ______________that form a _______________plug, and the activation of the coagulation system (i.e., clotting factors
thrombus or blood clot; platelets, platelet plug; a thrombus
_________________is a group of hereditary genetic disorders that impair the body's ability to control blood clotting or coagulation, which is used to stop bleeding.
Hemophilia
________________is a medical test in which glucose is given and blood samples taken afterward to determine how quickly it is cleared from the blood.
Glucose Tolerance Test (GTT)
_____________________is a language for accurately describing the human body and associated components, conditions, processes, and process in a science-based manner. The prefix can be added in front of the term to modify the word root by giving add'l infor
Medical terminology
What are the steps involved in doing a Glucose Tolerance Test (GTT)?
1) A zero time (baseline) blood sample is drawn.
2) The patient is then given a measured dose of glucose solution to drink within a 5 minute time frame.
3) Blood is drawn at intervals for measurement of glucose (blood sugar), and sometimes insulin levels.
__________________is the absence of a menstrual period in a woman of reproductive age.
Amenorrhea
______________________is a gynecological medical condition of pain during menstruation.
Dysmenorrhea
The term__________________refers to information that is subject to one's own opinion.
subjective
The term ___________________is measurable.
objective
If a patient says it is hot in the room then that is ______________
subjective
If you take the patient's temperature and it is 105 degrees then that would be __________
objective
____________information is gained by questioning the patient or taking if from a form.
subjective
______________________information is gathered usually by watching or observing a patient.
objective
A _______________________would study and practice medicine associated with the skin.
dermatologist
A ____________________would study and practice medicine associated with the nerves.
neurologist
HIPAA stands for ______________________
Health Insurance Portability and Accountability Act
An _________________form is usually personalized by the practice. The ___________________form is often used as a charge slip and often called a super bill. This form would include ______________,________________, ________________and ________________
encounter form; encounter form; common charges, diagnosis, date of service and patient's name.
___________________is considered offensive touching or use of force on a person without his or her consent,
Battery
_______________is intentional or unlawful attempt of bodily injury to another by force.
Assault
Describe and define culture and sensitivity (C&S) testing.
A collection of a urine sample, blood sample, or other body fluid samples are cultured in a medium and analyzed for sensitivity. A culture and sensitivity (C &S ) is a diagnostic lab procedure used to identify the type of bacteria and to determine which a
20 small boxes on an EKG strip would equal the rate of _________________
75
OSHA and BBP training should be provided at______________________to employees
no cost
A _____________________chart is an eye chart used by eye care professionals and others to measure visual acuity.
Snellen chart
Snellen charts are named afer the Dutch ophthalmologist ___________________who developed the chart in 1862
Herman Snellen
Describe how the Snellen Eye Chart is typically used.
In the most familiar acuity test, a Snellen chart is placed at a standard distance, 20 feet in the US. At this distance, the symbols on the line representing "normal" acuity subtend an angle of 5 minutes of arc. This line, designated 20/20, is the smalles
The _______________________test or _________________test is one of several methods that detect the presence of fecal occult blood. Fecal occult blood is blood present in the feces that is not visibly apparent.
stool guaiac or guaiac fecal occult blood test
A heel stick should not be performed on a patient older than ____________year (s) old.
1 year ( One )
A finger stick should never be performed on a patient less than _______________ year (s) old.
1 year (One)
__________________or low blood sugar is an abnormally diminished content of glucose in the blood. The term literally means "low sugar blood.
Hypoglycemia
If a patient is experiencing an episode of hypoglycemia, the CMA can help by giving the patient __________________
Orange juice
________________testing of the glucometer or any testing equipment promotes accurate test results.
Quality Control testing
The erythrocyte sedimentation rate (ESR) also called a sedimentation rate or sed rate, is the rate at which _____________________sediment in a period of one hour. It is a common hematology test, and is a non-specific measure of _____________________. To p
RBCs ; inflammation; Westergren tube
__________________are measures of various physiological statistics, in order to assess the most basic body functions. The act of taking vital signs normally entails recording body temperature, pulse rate, (or heart rate), blood pressure, and respiratory r
Vital signs
Vital signs often vary by _______
age