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CCMA Practice Exam 180 with Comprehensive
Questions and Answers
↑ dosage to 3mg q.i.d. Increase dosage to 3 mg and then pt will quit in 1 day Increase dosage to 4 mg three times a day Increase dosage to 3 mg four times a day Increase dosage to 3 mg every other day ✓Increase dosage to 3 mg four times a day A child is diagnosed with a Greenstick Fracture. Which of the following most accurately describes the broken bone? a. compound fracture of the fibula b. a partial break in a long bone c. fracture of the growth plate of the ulna near the wrist d. Collects fracture of the tibia ✓a partial break in a long bone A web site is a useful tool for providing information about a medical practice to the practice's patients and the general public. T/F ✓True After performing the ear irrigation, the MA should relay the following information to the patient: You may not be able to hear well for a while. You may have a blood-tinged drainage for a few days. You need to lie on your left side. Your ears will feel sensitive for a little while. ✓Your ears will feel sensitive for a little while. After printing a letter to be sent by the medical office, a medical assistant notices that a word is not spelled correctly. What should the medical assistant do? ✓Correct the computer file and reprint the letter.
After what period does an account require additional collection activity? ✓120 days All of the following are characteristics of a low range peak flow meter except Is used by children Correct Answer Is used by adults You Answered Can be purchased OTC Ranges from 0 to 300 ✓Is used by adults All of the following are examples of pulmonary function tests except Diffusion capacity Pulse oximetry Arterial blood gas studies Coronary angiography ✓Coronary angiography All of the following are guidelines for patient preparation for an ECG except Do not apply body lotion or oil on the day of the test Women should not wear tights Wear comfortable clothing Do not consume food or fluids except water for 12 hours before the ECG ✓Do not consume food or fluids except water for 12 hours before the ECG All of the following are high in dietary cholesterol EXCEPT: Egg whites Liver Shellfish Milk ✓Egg whites
left ear ✓both eyes Because a medical assistant works for a primary care physician, what types of patients are seen in his office? Individuals older than 60 All of the above Children Adults ✓All of the above Carrie Engles comes to the office for an employment physical and complains that her right ear has been itching. Dr. Canthus examines her ears and asks Cammie Lindner, CCMA, to perform an irrigation on Carrie's right ear to remove cerumen. All of the following are appropriate steps for performing an ear irrigation except Ensuring that the tip of the syringe seals the opening of the ear canal Expelling air from the syringe Placing Carrie so that her head is tilted toward her right ear Directing the solution toward the roof of the ear canal ✓Ensuring that the tip of the syringe seals the opening of the ear canal Cystic fibrosis is a(n): a. autoimmune disease. b. condition that can be tested by monitoring the chloride levels of the patient's sweat. c. disease that can be cured with medications and intensive therapy. d. All of the above. ✓condition that can be tested by monitoring the chloride levels of the patient's sweat. Data obtained from the patient are recorded in POR progress notes under ✓Subjective data During a routine examination, the physician decides to have an electrocardiogram (ECG) performed on the patient. How should this be coded?
Only if the physician interprets the ECG As a separate procedure As a separate visit In the code for the office visit ✓As a separate procedure Even if a patient's account is being paid by capitation, a billing record is usually kept for that patient. T/F ✓True f/u ✓follow up fungus ✓myc/o How do insurance companies use diagnosis codes? ✓To decide whether the care given corresponds to the patient's disease How does a classification system become a coding system? Names are replaced by numbers and letters. Names are arranged in alphabetic order. Names are shortened to abbreviations. Letters in the names of items are rearranged. ✓Names are replaced by numbers and letters. How is a bandage wrapped? ✓Distal to proximal How many leads are there on a standard electrocardiogram? 7 15 5
Intramuscular injections An amount up to ___ ml can be injected into the gluteal or vastus lateralis muscles in normal size adults 3 1 5 2 ✓ 3 It will probably cost less to bring a lawsuit against a patient in small claims court compared to a lawsuit in a regular court. T/F ✓True Leads 1, 2, and 3 are the ✓Bipolar leads lying on the back, knees bent, feet held apart with stirrups Trendelenburg Fowler's Sims' Lithotomy ✓Lithotomy Malpractice that has been ruled because of a physician's failure to act is a form of: a. Misfeasance b. Malfeasance c. Infeasance d. Nonfeasance ✓Nonfeasance Mary and Tom Weatherly are both covered by a family health insurance plan. Whose plan is the primary plan for their children? ✓Whoever's birthday comes first in the year Non-Verbal Communication is:
a. Not the most utilized form of communication b. Uses facial expression and body language to send messages c. Most often used when sending messages over email or telephone d. An ineffective manner of communication ✓Uses facial expression and body language to send messages Otodynia Incision into the eardrum surgical procedure that breaks up stones pain in the ear. runny nose ✓pain in the ear. Patients with epistaxis: a. should tilt the head forward, not backward. b. should be taken to the emergency room regardless of the severity. c. should be treated with aspirin therapy to reduce the severity. d. All of the above. ✓should tilt the head forward, not backward. Skin nodules, such as nevi: a. may become malignant. b. should be seen by a physician, even if not suspicious. c. are graded using an acronym, "ABCDE." d. All of the above. ✓All of the above. The acronym FAST is used to help responders remember the steps to recognizing which of the following conditions? a. Onset of labor in a pregnant woman b. Stroke c. Heart attack d. Migraine ✓Stroke The amount of medication to be given for a subcutaneous injection should not exceed ✓1 ml The body plane that divides the body into right and left sides is the:
a. Pulse rates are not taken on infants. b. The apical pulse method is used on infants. c. Pulse rates on infants are taken with a sphygmomanometer. d. Pulse rates on infants are taken apically in the third intercostal space. ✓The apical pulse method is used on infants The procedure used to remove the gall bladder is called: a. Cholecystectomy b. Cholelithiasis c. Colectomy d. Cystorrhaphy ✓Cholecystectomy The purpose of a peak flow meter is to Measure how quickly air flows out of the lungs Diagnose asthma Deliver asthma medication to the lungs Prevent an asthma attack ✓Measure how quickly air flows out of the lungs The section of the CPT manual that contains the most codes is the Evaluation and Management section. T/F ✓False The transfer of pathogens on a fine spray of moisture droplets is known as Inoculation Susceptibility Indirect transfer Droplet infection ✓Droplet infection This is the part of the prescription form that indicates the names and quantities of ingredients to be included in the medication. a. Inscription b. Superscription c. Subscription d. Rx ✓Rx To most accurately measure medication, a. Use a syringe that is closest in volume to the amount of medication needed. b. Read oral medication volume that is poured into a small
measuring cup at eye level. c. Double check the order for accuracy. d. All of the above. ✓All of the above. Under Medicare Part B, which of the following goods/services are covered? ✓Medications administered in the medical office What are the three necessary components of communication? a. Sender, Receiver, Feedback b. Sender, Message, Receiver c. Message, Feedback, Clarification d. Sender, Interpretation, Receiver ✓Sender, Message, Receiver What federal law contains restrictions about the way a debt collector can treat a debtor and prohibits harassment and threats against individuals who owe money? ✓Fair Debt Collection Act What insurance plan provides for care for patients who are suffering from end-stage kidney disease? ✓Medicare What is a complete protein? ✓A protein that contains all of the essential amino acids needed by the body What is a narrative report of an opinion about a patient's condition by a practitioner other than the attending physician called? ✓Consultation report What is done if a patient has a positive reaction to a Mantoux test? ✓Further diagnostic procedures are performed. What is the past medical history? The symptom causing the patient the most trouble The hereditary diseases and health of blood relatives The patient's previous diseases, injuries, and operations
What term might be used before there is enough information to make a definitive diagnosis? ✓Medical impressions What type of computer program does the medical assistant usually use to prepare letters? Database. Spreadsheet. Letters are usually prepared on a typewriter, not the computer. Word processing. ✓Word processing. When a diagnosis code in the index of the ICD-10 manual ends in a dash, what should be assumed? ✓The code must be used with a second code for the underlying condition. When a medical assistant witnesses a patient's signature, it means that he or she ✓Verified the patient's identity and watched the patient sign the form When a patient dies, how should the medical office send the final bill? ✓To the patient's address, headed "To the Estate of" and the patient's name When depositing checks in the bank: a. A deposit ticket must be filled out. b. Bills and checks must be listed individually c. A signature is needed to withdraw cash. d. All of the above. ✓All of the above. When is the physician reimbursed directly for his services by the insurance company? Always If the patient has signed an assignment of benefits form Never
If the patient has signed a written consent for treatment ✓If the patient has signed an assignment of benefits form When performing CPR, at what rate should chest compressions be applied? Choose the MOST CORRECT answer a. 115 per minute b. 60 per minute c. As quickly as possible. d. 200 per minute ✓115 per minute When should a comma be used to separate elements in a series? If it is necessary for the understanding of the sentence If there are four, five, or more elements If there are two or more elements If there are three or more elements ✓If there are three or more elements When the medical assistant opens the office, what should he or she do first? ✓Unlock file cabinets, paper medical record files, and medicine cabinets. When the same dose of a drug no longer produces the desired effect, it is said that the patient has developed An idiosyncratic reaction A drug tolerance A drug interaction An allergic reaction ✓A drug tolerance Where would your office obtain additional legal copies of Medicare forms? a. From an agency listed in the Medicare fiscal agencies directory. b. Internal Revenue Service c. Centers for Disease Control d. A local CHAMPUS office ✓From an agency listed in the Medicare fiscal agencies directory.
Drinking coffee in the office laboratory All of the above ✓All of the above Which of the following does a patient with a latent tuberculosis infection NOT exhibit? Is unable to spread TB to others Has a normal chest X-ray Has a negative reaction to a TB test Has no symptoms ✓Has a negative reaction to a TB test Which of the following helps a medical assistant the most to present a professional appearance? Wearing small earrings that do not dangle Wearing stylish white shoes with 2-inch heels Wearing artificial nails with red polish Making sure to wear a hair net or hat at all times ✓Wearing small earrings that do not dangle Which of the following helps to reduce the pain of an IM injection? Allowing the alcohol/antiseptic to dry completely Withdrawing the needle at the same angle as that used for insertion Holding the needle steady after inserting it Inserting the needle quickly into the patient's skin All of the above ✓All of the above Which of the following is a characteristic of soluble fiber? It makes an individual feel full longer Good food sources include oatmeal, applies, broccoli, and legumes All of the above
It helps to lower blood cholesterol ✓All of the above Which of the following is a sequela to streptococcal sore throat? ✓Rheumatic fever Which of the following is a unit of volume? ✓Liter Which of the following is an administrative duty that might be assigned to a medical assistant? ✓Maintaining the office appointment schedule Which of the following is an advantage of using a computerized billing system? ✓Claim messages can be automatically added to bills of overdue accounts. Which of the following is an anthropomorphic measurement? a. Blood pressure b. Temperature c. Pulse Rate d. Weight ✓Temperature Which of the following is an example of an empty calorie food? Cake All of the above Candy Cookies Soft drinks ✓All of the above Which of the following is NOT a guideline for the proper care of a microscope? Clean the lenses of the microscope with gauze or tissue. Store the microscope with the nosepiece rotated to the low-power objective. Clean the enameled surface of the microscope with soap and water.
Body system failure Organ failure Death of cells ✓All of the above Which of the following microscopes has adjustment knobs that allow movement of the slide in a vertical or horizontal position? ✓Mechanical stage microscope Which of the following must be included in a prescription for a controlled drug? ✓Physician's DEA number Which of the following must be included in informed consent? All of the above An explanation of risks involved with the procedure Any alternative treatments or procedures available The purpose of the recommended procedure The prognosis ✓All of the above Which of the following needles has the largest lumen? 25 G 18 G 27 G 20 G ✓18 G Which of the following requires a food label? Packaged foods Fresh fruits Restaurant food Fresh vegetables ✓Packaged foods
Which of the following situations requires the completion of a release of medical information form? When a patient transfers records to a new physician To bill the patient's insurance company To send the patient's records to a consulting physician To determine the patient's eligibility for insurance benefits ✓When a patient transfers records to a new physician Which of the following vital signs can be expected in a child that is afebrile? a. Rectal Temp of 100.9 degrees F. b. Oral Temp of 38 degrees C. c. Axillary Temp of 98.6 degrees F. d. All of the above are incorrect. ✓Axillary Temp of 98.6 degrees Which of the following will increase the owner's equity? a. Drawing b. Revenue c. Expenses d. None of the above. ✓Revenue Which part(s) of a standard letter is/are not used in the simplified letter style? ✓Salutation and complimentary closing Which Stage of Grief is exhibited in the following scenario: A patient has reported that after the loss of his spouse, he has been having difficulty sleeping and has been agitated. He doesn't have the motivation to complete day to day tasks. a. Denial b. Anger c. Depression d. Acceptance ✓Depression Who is responsible for giving the patient written instructions before surgery? The surgeon's office The hospital or day surgery center Written instructions are not necessary
