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Vital signs Temperature, Pulse, Respira3on, BP What balances Body temp? Hypothalamus Another name for eardrum Tympanic Membrane Fluctua3ng fever that returns to baseline but then rises again IntermiDent Normal pulse rate 60 - 100 BPM Where apex of heart is located 5th intercostal space What is BP cuff inflated to? 30 - 40 mmhg above the palpatory systolic pressure and released to drop 2- 3 mmhg per second Hg in BP measurement stands for this Mercury Branch responsible for the iden3fica3on of various hazards present in the workplace and the crea3on of rules and regula3ons to minimize exposure OSHA This is required by Chemical Safety Regula3ons Label all chemicals with MSDS
CCMA PRACTICE TEST EXAM
2024/2025 QUESTIONS AND
CORRECT ANSWERS
Most surgical instruments are sterilized by this Steam steriliza3on/Autoclave Droplets can travel how far? Less than 3 feet Standard running speed of the EKG reading 25mm/sec Who invented the EKG? Einthoven Pt having mild chest pain might be prescribed this Nitroglycerin Liquid por3on of blood is called Plasma Thromobocytes assist in Clo_ng Government based health insurance for people over 65 and others with certain disabili3es Medicare CPR Ra3o 30 Compressions : 2 Breaths Medical Asepsis The destruc3on of pathogenic microorganisms AFTER they leave the body through Standard Precau3ons and Transmission Based Precau3ons Standard Precau3ons and Transmission-based Precau3ons are control measures aimed at preven3ng the spread of disease at what point in the Chain of Infec3on Portal of Exit
E codes The sounds an MA listens for during a BP Korotkoff sounds CMS-1500 Form is aka Superbill Post-prandial Aber a meal Complica3on from repeated venipuncture of the same vein Phlebi3s Bacteria, viruses, fungus or parasites belong to which type of hazard Biologic Isola3on precau3ons are condensed into 3 categories: Airborne, Droplet and Contact Unit of measure on a standard Rx Micrograms/mcg Amount of blood pumped by the heart per minute is called Cardiac Output Q wave is always Nega3ve First electrical impulse recorded on EKG P wave Movement away from the baseline on an EKG is called Wave form
Several wave forms on an EKG are called Complex A wave form and a segment on an EKG Interval A line between waveforms on an EKG Segment Specific coding instruc3ons for each CPT sec3on are located here Guidelines Required when general prac33oner sends pt to a specialist Method of referral The shallow wave that follows the T wave represents Late ventricular repolariza3on Rhythm indicated by absence of/or inverted P waves Junc3onal Inferior wall MI is shown in what leads II, III, AVF Leads 1 and AVL show broken recording, you should Check Leb Arm Three lead EKG monitor I, II, III Why increase the speed of the EKG Increase speed widens wave forms Placement of leads V1-V6 is important to diagnose Leb ventricular Why place V3 on right side of chest on an infant To prevent crowding of the leads Dextrocardia
Atrio ventricular valves Tricuspid and mitral The last valve to touch de-oxygenated blood is the Pulmonary valve All 4 valves are Unidirec3onal The right side of the heart has what type of blood De-oxygenated blood The heart is fed by these Coronary arteries The L anterior descending artery is also known as The Widow maker The pathway from the SA node to the AV node is the Internodal pathway
Intrinsic rate for the SA node is 60 - 100 bpms Eintoven's Triangle does what? Shows basic EKG reading Calcula3ng the atrial rate would be The p-p big box method The PR interval is measured from The beginning of the P wave to the beginning of QRS complex This makes a rhythm a "sinus rhythm" A P wave In hospital cardiac monitoring Telemetry On a telemetry monitor what color lead is on the right shoulder White lead The artery used for blood pressure is Brachial
Refer to coding supplies like crutches HCPCS Most important is to have this before scheduling a procedure A doctor's order To properly iden3fy a pt, an MA must Ask pt to state his/her name At what angle is the needle held for venipuncture 35 degrees Fecal specimen collec3on is used to detect what disease? Colorectal cancer Which type of urine collec3on is required for culture and sensi3vity tes3ng Clean-catch midstream Hypotension Lower than 90/ A murmur is an abnormal sound that may indicate this Structural heart disease CDC Center for Disease Control and Preven3on Collec3on tubes with an3-coagulant must be inverted Eight 3mes Deoxygenated blood enters the right atrium via The superior and inferior vena cavae If the finger is excessively milked during a skin puncture Hemolysis and contamina3on of the specimen with 3ssue fluids will occur Type of specimen collected in a clean catch Midstream Hemolyzed blood appears to be
Pinkish plasma Devices used to collect blood from a skin puncture Capillary tubes Life span of a red blood cell 120 days/4 months Standards of right and wrong Code of Ethics Advance Direc3ve Will of pt regarding his/her own treatment Everyone coming into room must wear gown and gloves is what type of precau3on Contact Precau3ons Destruc3on of red blood cells Hemolysis Most common complica3on from phlebotomy Hematoma An unconscious uniden3fied man is admiDed, how do you iden3fy the pt 3 part iden3fica3on system that uses a temporary arm band and labels for specimens I & O Input and Output (Urine) Boundaries approved for heel punctures Medial line from great toe and lateral line extending from fourth and fibh toe
Lead II When a person stays in the same posi3on all the 3me, pressure causes the skin to Weaken and become necro3c Pt is seen for a 3 hour glucose tolerance test. Fas3ng blood sugar was drawn at 7am, but she finished her glucose at 8am. Next blood draw will be at 8:30am Blood cultures rou3nely require filling ... Of an aerobic and anaerobic boDle The descending aorta is a vessel in which _______ circula3on carries oxygenated blood to the rest of the body Systemic Chain of custody is specimen handling for legal proceedings which begins with pt iden3fica3on and con3nues un3l Tes3ng is completed and results are reported Repeated venipuncture from the same vein can cause Phlebi3s Quality Control Ensures that Procedural steps are followed and yield consistent results Blood cultures are performed to diagnose Infec3ous microorganisms/Bacteria Reposi3oning the pt is done every 2 hrs
Proper posi3oning can promote Good circula3on If unsure of a BP reading, deflate the cuff and Retake aber 2 minutes Process of blood forming outside the vessel is called Petechiae Strep throat is caused by Streptococcus, Group A Purpose of fecal occult blood test is to help determine Presence of GI bleeding not seen with naked eye/ Blood in stool Which tube must always be completely filled Lt blue Tricuspid valve is located Between the right atrium and the right ventricle JCAHO requires all healthcare ins3tu3ons to post Evacua3on routes and detailed plans to follow Process of listening to sounds from pts body with stethescope Ausculta3on When can you refuse to perform a task
Layer of heart responsible for contrac3on and relaxa3on Myocardium In this type of blood vessel you will find oxygenated and deoxygenated blood Capillaries Blood leaves the right ventricle and passes through this valve as it enters the blood vessel Pulmonic Semilunar Ability of cardiac cells to SHORTEN in response to an electrical s3mulus Contrac3lity Droplet precau3ons are required for those infected with Microorganisms transmiDed on moist par3cles T wave is the deflec3on produced by Ventricular repolariza3on Correct order of chain of infec3on Agent/Portal of Exit/Mode of Transmission/Portal of entry/Suscep3ble host Blood flows from the heart to the lungs via Pulmonary arteries This ensures a check of the internal calibra3on of the EKG machine Standardiza3on buDon (1mv buDon)
Normal standardiza3on mark on EKG should measure 10 mm PR interval is measured from Beginning of P wave to beginning of QRS complex SOMR Source Oriented Medical Record Biologic Hazard Symbol Term used to describe ability of cardiac pacemaker cells to spontaneously generate their own electrical impulses within the heart without external s3mulaton Automa3city This part of the conduc3on system of the heart is located at the superior por3on of the interventricular septum and has the ability to func3on as a pacemaker with an intrinsic firing rate of 40-60 bpm Bundle of His Represents the amount of 3me it takes for the electrical impulse to travel from the AV node to the bundle of His and Perkinje Fibers. PR interval How to figure out target heart rate for a pt
AV node Leb arm is posi3ve and the right arm is nega3ve Lead I Leb arm is posi3ve and the other limbs are nega3ve Avl The Clinical Lab Improvement Act of 1988 follows guidelines and standards set by the CDC Samples collected from a pt in a nursing home are sent where Reference lab Policies adopted by some hospitals that in-corporate the pa3ent's cons3tu3onal rights to privacy, confiden3ality and informed consent are referred to as Pa3ent's Bill of Rights OSHA regula3on requires that all health care personnel at risk for exposure to __________ receive vaccina3on Hepa33s B The quality of the test result depends on Time elapsed between collec3on of the specimen and analyzing the specimen The purpose of quality control is to Ensure the proper laboratory procedures are being followed Tubes containing addi3ves should be inverted 5 - 10 3mes Sterile tube addi3ve SPS or ACD Red Top tube contains No addi3ve
What tube would a phlebotomist collect an erythrocyte sedimenta3on rate? Lavender top tube Blood dona3on given by a pa3ent for use during his or her surgical procedure Autologous dona3on A heparinized needle and syringe are necessary in the collec3on of ABG A hemoguard is A plas3c top that fits over the stopper and is used to reduce aerosol and splaDering of blood Cold Agglu3nin test must be maintained at what temp 37 degrees C (Body temperature) Chilling a specimen will Maintain the specimen stablity during transport NHA phlebotomy Take tourniquet off DURING last tube Order of draw for capillary Lavendar, with addi3ve, without addi3ves Anemia means Low hemoglobin CLIA Wave procedures All "Let's Play" procedures Quality Control Establishes standard for pa3ent care Bilirubin test is ______ sensi3ve Light sensi3ve Potassium Oxalate will hold sugar for 24 hours
