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AMCA CMAC EXAM 4 EXAM WITH 100% CORRECT ANSWERS EXAM 1 EXAM QUESTIONS | 100% CORRECT ANSWERS | VERIFIED | LATEST 2025/2026 VERSION
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Which organization developed the guidelines for universal precautions?
Select one:
a. CLIA
b. OSHA
c. CDC
d. EPA
e. FDA - CORRECT ANSWERS c. CDC
According to OSHA, medical personnel must wear PPE (personal protective equipment) when they have contact with:
Select one:
a. sweat
b. blood
c. hair follicles
d. tears
e. skin - CORRECT ANSWERS b. blood
To detect pregnancy, either urine or blood serum is tested for the presence of:
Select one:
a. luteinizing hormone
b. HCG hormone
c. potassium oxalate
d. oxytocin
e. febrile agglutinations - CORRECT ANSWERS b. HCG hormone
A bacteriological culture needs to be performed on a collected urine specimen. Which of the following instructions best describe what your patient should do?
Select one:
a. Collect a 24-hour specimen.
b. Void the entire specimen in a sterile cup.
c. Void a specimen midstream in a sterile cup.
d. Void a specimen midstream in a clean cup.
e. Collect a midday specimen in a sterile cup. - CORRECT ANSWERS c. Void a specimen midstream in a sterile cup
If a urine specimen is collected and then left standing for more than 1 hour, bacteria will grow, and the pH of the urine will soon become:
Select one:
a. slightly acidic
b. both acidic and alkaline
c. alkaline
d. neutral
e. highly acidic - CORRECT ANSWERS c. alkaline
The pH range for normal urine is
Select one:
a. 2.5 to 4.
b. 4.5 to 8.
d. microscopic, reagent, chemical
e. microscopic, analytic, chemical - CORRECT ANSWERS a. microscopic, chemical, physical
To prevent a urine specimen from becoming an unreliable pH sample, the specimen should be:
Select one:
a. exposed to air for slightly more than 1 hour
b. allowed to rise to room temperature after refrigeration and before testing so that any casts may break down to release protein
c. allowed time for the urea to convert to ammonia in order to decrease the pH
d. tested within 1 hour of collection
e. always refrigerated immediately upon collection - CORRECT ANSWERS d. tested within 1 hour of collection
When placing a urine specimen tube into the centrifuge for later creating a wet mount, where should you place an identical tube containing water in that same centrifuge?
Select one:
a. a 2nd tube is not required
b. directly opposite the tube containing the urine specimen
c. to the left of the urine specimen tube
d. right beside the tube containing the specimen
e. at a 90° angle from the urine specimen tube - CORRECT ANSWERS b. directly opposite the tube containing the urine specimen
The principal reason for bracing the hand holding the needle assembly against the patient's arm during phlebotomy is to:
Select one:
a. decrease the patient's discomfort
b. cause the evaluation tubes to fill more quickly
c. prevent excess needle movement
d. ease vein palpation
e. decrease the possibility of hemolysis - CORRECT ANSWERS c. prevent excess needle movement
When a reagent strip is used to test a urine specimen and the result is positive for ketones, this may be an indication of which condition?
Select one:
a. liver damage
b. alkalosis
c. diabetes mellitus
d. hypercalcemia
e. poisoning - CORRECT ANSWERS c. diabetes mellitus
The measure of the degree of acidity or alkalinity of urine is called:
Select one:
a. supernatant
b. microscopic examination
c. specific gravity
d. pH
e. routine urinalysis - CORRECT ANSWERS d. pH
All the steps listed are appropriate when performing a capillary puncture EXCEPT:
Select one:
a. gently rubbing the sides of the finger
b. placing a tourniquet around the finger
d. bilirubin
e. hematocrit - CORRECT ANSWERS a. hemoglobin
All the following are reasons to perform a hemoglobin EXCEPT:
Select one:
a. to detect inflammation
b. to monitor dehydration
c. to monitor the effectiveness of blood transfusions
d. to aid in determining blood loss
e. to detect anemia - CORRECT ANSWERS a. to detect inflammation
All the following demonstrate quality control EXCEPT:
Select one:
a. proper documentation
b. treating every customer properly
c. testing with control samples
d. monitored test methodology
e. calibrating equipment - CORRECT ANSWERS b. treating every customer properly
After you have washed your hands, put on PPE, and assembled the equipment and supplies, what is your next step in obtaining a capillary blood sample?
Select one:
a. Wipe the patient's ring finger with an alcohol wipe.
b. Ask the patient whether they are left handed or right handed.
c. Perform the capillary puncture.
d. Cleanse the puncture site with an alcohol wipe.
e. Identify the patient. - CORRECT ANSWERS e. Identify the patient.
What can you do to lower the risk of bruising after venipuncture?
Select one:
a. Place a bandage on the puncture site.
b. Keep the tourniquet in place for 1 full minute the procedure.
c. Wipe the puncture site with an alcohol wipe.
d. Apply pressure to the puncture site.
e. Apply a heating pad to the puncture site and have the patient bend his or her arm to keep it in place. - CORRECT ANSWERS d. Apply pressure to the puncture site.
While performing a venipuncture, you notice that a hematoma is forming. You should do all the following EXCEPT:
Select one:
a. apply pressure to the site
b. remove the vacuum tube and needle
c. complete the collection of the specimen
d. look for a different site on either arm
e. remove the tourniquet - CORRECT ANSWERS c. complete the collection of the specimen
Which needle gauge will result in less blood cell damage during venipuncture collection?
Select one:
a. 23-gauge
b. 18-gauge
c. 20-gauge
d. 16-gauge
Never leave a tourniquet on the arm for longer than:
Select one:
a. 120 seconds
b. 45 seconds
c. 30 seconds
d. 90 seconds
e. 60 seconds - CORRECT ANSWERS e. 60 seconds
The primary purpose for anchoring a vein in performing a venipuncture is:
Select one:
a. to prevent it from collapsing
b. to prevent any blood specimen leakage into surrounding tissue
c. to keep the patient from moving
d. to keep the patient comfortable
e. to prevent it from rolling - CORRECT ANSWERS e. to prevent it from rolling
What angle should your needle position be in to perform venipuncture?
Select one:
a. 30° angle with the bevel down
b. 15° angle with the bevel up
c. 20° angle with the bevel down
d. 35° angle with the bevel up
e. 15° angle with the bevel down - CORRECT ANSWERS b. 15° angle with the bevel up
All of the following are examples of properly disposed venipuncture equipment and supplies EXCEPT:
Select one:
a. placing used alcohol wipe in wastebasket
b. placing the used needle and holder together into a puncture-proof container
c. placing used gloves in medical waste container
d. placing used gauze and cotton balls in a biohazard container
e. placing the plastic venipuncture needle cover in a biohazard container - CORRECT ANSWERS e. placing the plastic venipuncture needle cover in a biohazard container
EDTA (ethylenediaminetetraacetic acid) is present in which color-topped vacuum tube?
Select one:
a. lavender
b. pink
c. gray
d. yellow
e. light blue - CORRECT ANSWERS a. lavender
Which color-topped vacuum tube is used to collect specimens for tests requiring serum?
Select one:
a. gray
b. red
c. green
d. blue
e. light blue - CORRECT ANSWERS b. red
The usual size of the needle to use when performing a venipuncture is
a. RL
b. aVR
c. LL
d. RA
e. I - CORRECT ANSWERS a. RL
What is the term for the relaxing phase of the cardiac cycle?
Select one:
a. systole
b. bradycardia
c. defibrillation
d. polarization
e. repolarization - CORRECT ANSWERS e. repolarization
Which of the following is an example of an ECG precordial lead?
Select one:
a. V
b. I
c. aVR
d. III
e. aVf - CORRECT ANSWERS a. V
The color top of the evacuation tube most commonly associated with hematology testing is:
Select one:
a. red
b. light blue
c. lavender
d. green
e. red/black (tiger) - CORRECT ANSWERS c. lavender
One complete heartbeat, known as a full cardiac cycle, lasts approximately:
Select one:
a. 0.7 seconds
b. 0.6 seconds
c. 0.28 seconds
d. 0.8 seconds
e. 1.8 seconds - CORRECT ANSWERS d. 0.8 seconds
The graphic representation of ventricular depolarization on an ECG reading is represented by the:
Select one:
a. U wave
b. P-R interval
c. T wave
d. P wave
e. QRS complex - CORRECT ANSWERS e. QRS complex
Each large square (5 small squares in length) on an ECG reading represents ________ seconds.
Select one:
a. 0.25 seconds
b. 0.5 seconds
c. Patient Self-Determination Act
d. Truth in Lending Act
e. Medical Practice Act - CORRECT ANSWERS d. Truth in Lending Act
Which of the following concepts typically define ethics?
Select one:
a. Legal actions to civil wrongs
b. Practical actions to taken
c. Guidelines for occupational professionalism
d. Principles of right and wrong - CORRECT ANSWERS d. Principles of right and wrong
Bioethics is concerned with:
Select one:
a. moral controversy over biomedical technology
b. genetic engineering
c. criminal actions that deal with life and health care
d. in vitro fertilization
e. cloning - CORRECT ANSWERS a. moral controversy over biomedical technology
A medical assistant suspects a young patient is the victim of child abuse; Signs of abuse are also the finding of the examining physician. The medical assistant and the physician should:
Select one:
a. document findings in the medical record and report it to the proper authorities
b. not document these suspicions in the chart because the abuse should 1st be ruled out
c. speak to parent/guardian about their suspicions and document the encounter
d. ask the parent/guardian to give explanations and document the encounter
e. document findings in the medical record and set up a follow-up appointment - CORRECT ANSWERS a. document findings in the medical record and report it to the proper authorities
Medical record copies may be released to any 1 of the following, EXCEPT whom?
Select one:
a. The physician the patient is being referred to
b. The husband or wife of the patient
c. The hospital emergency room, by the physician
d. The attorney representing the patient, if subpoenaed and released by patient
e. The patient, with physician permission - CORRECT ANSWERS b. The husband or wife of the patient
The physician-patient relationship is considered which type of legal relationship?
Select one:
a. a contract
b. a partnership
c. an affiliation
d. an alliance
e. a professional association - CORRECT ANSWERS a. a contract
Which of the following statements is FALSE?
Select one:
a. Quid pro quo translates as something for something (service for payment).
b. The physician-patient relationship is legally recognized when the patient arrives at the office for treatment.
c. Expressed contracts are between 2 parties and may be verbal or written.
d. Consent is a mutual agreement between legally capable parties when an offer is made and accepted.
e. privileged - CORRECT ANSWERS e. privileged
Any breach by medical office staff of patient confidentiality may result in charges of:
Select one:
a. theft
b. malfeasance
c. negligence
d. assault
e. malpractice - CORRECT ANSWERS c. negligence
The legal term for committing an improper act that is legally unjustified and possibly harmful to another is:
Select one:
a. misfeasance
b. nonfeasance
c. res ipsa loquitur
d. dereliction
e. malfeasance - CORRECT ANSWERS e. malfeasance
The courts mandate that the physician uphold the "standard of care" in practice. This means the physician is required to provide care that is:
Select one:
a. the highest degree possible under the circumstances
b. comparable to all given circumstances
c. comparable to reasonable, attentive, diligent physicians of the same education, same specialty, and practicing in the same or similar geographic area
d. equal to national norms
e. comparable to all other physicians of the same specialty anywhere - CORRECT ANSWERS c. comparable to reasonable, attentive, diligent physicians of the same education, same specialty, and practicing in the same or similar geographic area
To prove negligence against a physician, all of the following must be proved EXCEPT the following:
Select one:
a. Delinquency of duty directly resulted in patient injury.
b. Dereliction of duty indirectly caused more than 1 injury to the patient.
c. Duty was owed to the patient.
d. Under involved circumstances, there was no compliance with the duty required.
e. Dereliction of duty directly resulted in patient injury. - CORRECT ANSWERS b. Dereliction of duty indirectly caused more than 1 injury to the patient.
A factor that may influence when the onset period of time for the statute of limitations on a negligent action resulting in an injury begins may be:
Select one:
a. the date of the patient's last treatment
b. when the injury is discovered
c. when the plaintiff files a suit for the injury
d. when the final payment for services is made
e. the date of the plaintiff's 1st postoperative visit - CORRECT ANSWERS b. when the injury is discovered
Slander is defamation through which type of act?
Select one:
a. improper performance of an act
b. res judicata