CMA Exam 3

1. Gloves, gowns, and face shields or masks, are examples of

Asepsis.

Personal protective equipment.

Engineering controls.

Sterilization.

Decontamination.

2. Biohazardous waste must be collected in impermeable polyethylene bags that are which color?

Black

Blue

Green

Red

Yellow

3. A drug that is given sublingually is

Injected into the deltoid muscle.

Placed under the tongue.

Administered buccally.

Injected into the muscle.

Injected under the intradermal layer of theskin.

4. Which of the following is the documentation that is gathered regarding a patient's address and insurance information?

Chief complaint

Demographics

Family history

Medical history

Medications

5. A positive result on a human chorionic gonadotropin (HCG) test in a 23-year-old woman most likely indicates which of the following conditions?

Anemia

Appendicitis

Diabetes mellitus

Hepatitis

Pregnancy

6. All of the following are common causes of breathing emergencies EXCEPT

Choking.

Obstruction.

Strains.

Asthma.

Allergic reaction.

7. To control bleeding or hemorrhaging, the medical assistant should initially

Apply heat over the wound.

Apply ice over the wound.

Apply direct pressure.

Apply a tourniquet above the injury.

Immobilize the body part.

8. Which of the following is an example of a standard precaution for infection control?

Disinfecting the examination table after eachpatient

Emptying the garbage can weekly

Recapping used needles with the two-handmethod

Wearing heavy gloves to remove instrumentsfrom the autoclave

Wearing two sets of gloves when cleaningsurgical instruments

9. The medical assistant is to obtain the history of a patient who is suspected to have active tuberculosis. For protection, which of the following articles is essential for the medical assistant to wear before entering the room?

Gloves

Goggles

Gown

Mask

Laboratory coat

10. Which of the following food types is the best protein source?

Meats

Raw vegetables

Citrus

Oils

Butter

11. Which of the following is the best source of calcium and vitamin D?

Meats and nuts

Raw vegetables

Citrus fruits

Dairy products

Oils

12. When a patient has taken a drug for an extended period of time, the desired effect may lessen or will not occur at all. This is called

Toxic effect.

Idiosyncratic effect.

Tolerance.

Vasoconstrictor.

Potentiation.

13. A drug from which of the following classes is used for a heart condition?

Antacids

Antiarrhythmic

Anesthetics

Antibiotics

Analgesics

14. Shock is caused by

A tear in a ligament.

A lack of blood flow and oxygen to body tissues.

A heart attack.

A stroke.

Epistaxis.

15. Which of the following procedures measures the amount of air moving into and out of the lungs?

Bronchoscopy

Intubation

Spirometry

Thoracentesis

Nebulizer

16. The food guide pyramid suggests that patients plan a balanced diet by doing all of the following EXCEPT

Eating more fruits.

Eating nuts.

Eating more carbohydrates.

Eating whole grain foods.

Eating more vegetables.

17. Which of the following is an instrument used to inspect the inner structures of the eye?

Audiometer

Ophthalmoscope

Otoscope

Stethoscope

Tympanometer

18. The dorsalis pedis pulse is detected in which of the following areas of the body?

Back of the knee

Inner aspect of the elbow

Neck

Thumb side of the wrist

Top of the foot

19. Which of the following is the first line of defense in the practice of medical asepsis?

Cleaning the examination table

Sanitizing the patient’s skin

Sterilizing instruments

Washing hands

Wearing gloves

20. What is a seizure?

A type of myocardial infarction

A syncope

An involuntary muscle contraction/relaxation

A hemorrhage

An abrasion

21. Which of the following types of infection has a quick onset and a short duration, similar to the common cold?

Chronic infection

Acute infection

Latent infection

Purulent infection

Congenital infection

22. Which of the following terms describes complete destruction of all microorganisms?

Antiseptic

Aseptic

Disinfection

Sanitization

Sterilization

23. Which of the following parts of a microscope holds the slide?

Condenser

Diaphragm

Eyepiece

Objective

Stage

24. Substances that prevent or inhibit the growth of a fungus are known as

Antiseptics.

Disinfectants.

Germicides.

Fungicides.

Analgesics.

25. The usual sequence of the general physical examination involves moving

From the head toward the feet.

From the center of the body.

From the area where there is a complaint.

From the trunk outward to the limb.

From the feet toward the head.

26. A physician prescribes amoxicillin 500 mg capsules po qid for 10 days. How many capsules should be dispensed?

10

20

30

40

50

27. Which of the following is the name for the blood pressure value when the heart is contracting?

Mean arterial pressure

Systolic pressure

Diastolic pressure

Pulse pressure

High heart tension

28. Which of the following agencies is responsible for enforcing the Controlled Substance Act?

American Medical Association

Drug Enforcement Administration

Food and Drug Administration

Federal Trade Commission

Physician’s Desk Reference

29. Which of the following refers to a combination of activities designed to ensure reliable and valid test results?

Infection control

Safety education

Quality control

Standard precautions

Sensitivity training

30. Which of the following is an effective disinfectant used in the medical office to destroy blood-borne pathogens?

Alcohol

Bleach

Chlorhexidine gluconate

Formaldehyde

Phenol

31. In which of the following parts of the patient interview should the medical assistant ask the patient about drug allergies?

Chief complaint

Family history

Past medical history

Present illness

Social history

32. An AED is used to treat which of the following?

CVA

Diabetic coma

Seizures

Heart arrhythmias

Stroke

33. A patient who has orthostatic hypotension should be helped from the supine position to the sitting position to prevent which of the following?

Defecation

Incontinence

Syncope

Pyrexia

Colic

34. Which of the following organisms causes yeast infection?

Aspergillus

Candida

Escherichia

Staphylococcus

Streptococcus

35. A VIS is

A form to request a DEA number.

A form used to document vaccinations.

A form that explains the safety and efficacyof the vaccine and adverse reactions causedby the vaccine.

A form that tells the patient the immunizationschedule.

A form used to request controlled substancesfrom the pharmacy.

36. Which of the following terms means "all of the factors required for infectious disease to spread"?

Chain of infection

Droplet transmission

Infection control

Inflammatory response

Nosocomal infection

37. Which burn destroys the epidermis and dermis, including the nerve endings?

Third-degree

First-degree

Second-degree

Minor

Acid burn

38. A strain is a

Fracture.

Ligament injury.

Broken blood vessel.

Muscle injury.

Cartilage injury.

39. The recommended amount of water to ingest daily is

Two eight-ounce glasses.

Eight eight-ounce glasses.

Six eight-ounce glasses.

Four eight-ounce glasses.

Ten eight-ounce glasses.

40. A patient with chronic obstructive pulmonary disease has difficulty breathing. What term indicates this condition?

Bradypnea

Tachypnea

Eupnea

Apnea

Dyspnea

41. Spore test monitoring in an autoclave is used to determine

Whether an autoclave has an air leak.

Whether the instruments were cleaned properlybefore sterilization.

Whether the instruments were wrappedproperly.

Whether the autoclave is sterilizing instrumentsproperly.

The sterility of the autoclave itself.

42. Which of the following positions is more comfortable for a patient who has dyspnea?

Dorsal recumbent

Lithotomy

Trendelenburg

Semi-Fowler

Supine

43. Where is the most common intramuscular injection site for infants less than seven months old?

Deltoid

Gluteus maximus

Vastus lateralis

Epidermis

Dorsogluteal

44. Which of the following serum levels can be measured to assess a patient's kidney function?

Amylase

Blood urea nitrogen

Cholesterol

Glucose

Hemoglobin

45. Measurement of which of the following is the most effective method to monitor a patient who takes warfarin (Coumadin)?

Bleeding time

Clotting time

Partial thromboplastin time (PTT)

Prothrombin time (PT)

Lipid profile

46. An infant with a rectal temperature of 103.6° F would have an oral temperature of

100.6° F.

105.6° F.

101.6° F.

102.6° F.

98.6° F.

47. Which of the following would allow the medical assistant to document a firm, moveable abdominal mass?

Auscultation

Mensuration

Palpation

Manipulation

Observation

48. Which type of pathogen survives in the absence of oxygen?

Spores

Aerobes

Anaerobes

Vectors

Fomites

49. If a mass is felt in a patient's neck, the finding is classified as which of the following?

Constitutional

Diagnostic

Functional

Objective

Subjective

50. The Mantoux test is used to determine the presence of which of the following?

Mononucleosis

Pregnancy

Strep throat

Blood in stool

Tuberculosis

51. A stethoscope is required for a patient reporting which chief complaint?

Constipation and abdominal pain

Numbness and tingling in his or her righthand and fingers

Rheumatoid arthritis

A skin lesion that has increased in size in thelast two months

A sore throat

52. Which of the following body parts is considered the lower limit of a sterile surgical field?

Ankles

Knees

Shoulders

Waist

Neck

53. Which of the following describes a drug that is not protected by a trademark but is registered by the Food and Drug Administration?

Controlled

Generic

Research

Over-the-counter

Trademark

54. A newborn's pulse is most accurately measured at which of the following sites?

Behind the knee

Inside the forearm

Over the apex of the heart

Side of the neck

Side of the wrist

55. When using an autoclave, which of the following is the minimum temperature necessary to sterilize medical instruments?

120° F (48.9° C)

180° F (82.2° C)

225° F (107.2° C)

250° F (121.1° C)

280° F (137.7° C)

56. Which of the following should be assessed first when rendering first aid?

Pulse

Capillary action

Pain or injury to limbs

Emotional state

Airway

57. Insulin shock causes

Hyperkalemia.

Severe hypoglycemia.

Severe hyperglycemia.

Hypokalemia.

Syncope.

58. According to the rule of nines, the amount of body surface represented by the head and neck is

1%

4.5%.

9%.

18%.

36%.

59. How often should medical assistants check the expiration dates on supplies stored in examination rooms?

Daily

Weekly

Monthly

Annually

Bimonthly

60. To ensure proper ambulation, a walker should be level with the patient's

Elbows.

Hips.

Waist.

Wrists.

Axillary.

61. What is the subscription part of a prescription?

Directions for the patient

Refill information

Directions for the pharmacist

Information that is included on the medicationlabel

The DEA number

62. Which of the following is an example of a fatsoluble vitamin?

Vitamin B

Vitamin C

Vitamin B6

Vitamin E

Vitamin B12

63. After delivering a shock with the AED, the medical assistant should

Check the patient’s pulse.

Immediately resume chest compressionscycled with rescue breathing.

Give 30 chest compressions and deliveranother shock.

Turn off the AED.

Deliver a series of abdominal thrusts.

64. Which of the following are liquid at room temperature and may help reduce blood cholesterol?

Saturated fats

Lipids

Unsaturated fats

Fatty acids

Amino acids

65. Which of the following medications should be included on a crash cart?

Fluocinonide (Lidex)

Furosemide (Lasix)

Pantoprazole (Protonix)

Pravastatin (Pravachol)

Promazine (Prozine)

66. High-protein diets are often used

Before surgery.

When an infection is present.

With hypothermia.

With hyperthermia.

To treat hypertension, or high blood pressure.

67. Which of the following is a drug used to lessen or prevent the effects of a disease?

Curative

Prophylactic

Replacement

Therapeutic

Supplemental

68. Which of the following is one of the agencies that regulates the disposal of infectious waste outside the workplace?

Association for Professionals in InfectionControl

Centers for Disease Control and Prevention

Environmental Protection Agency

Exposure Control Plan

Department of Health and Human Services

69. The medical assistant is protected from liability during an emergency situation for all of the following reasons EXCEPT

Reasonable care is given to the patient.

The patient agrees to treatment.

The medical assistant does not go beyond hisor her skill level.

He or she stays with the injured person untilsomeone who has the same or more skilltakes over.

Acts in good faith.

70. The physician orders the medical assistant to draw a blood sample for a hematology test and a chemistry test. What is the correct order of draw?

Lavender, then gold-topped tubes

Green, then lavender-topped tubes

Gold, then lavender-topped tubes

Light blue, then gold-topped tube

Yellow, then gold-topped tubes

71. The medical assistant is caring for a child with a painful, blistered burn on the arm from a hot liquid. The medical assistant should

Cool it with cold water as quickly as possibleand continue cooling until the pain isrelieved.

Quickly pop each blister, then apply coldwater until the pain is relieved.

Apply triple antibiotic ointment to the burnand cover it with an adhesive bandage.

Apply ice directly to the burn and keep itthere until the pain is relieved.

Apply direct pressure with an absorbent pad.

72. According to basic cardiac life support procedures, which of the following describes appropriate rescue breathing for an adult patient?

One breath every three seconds

One breath every five seconds

Two breaths every three seconds

Two breaths every five seconds

One breath every two seconds