Medical Procedures and Patient Care Quiz

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Questions and Answers

Primary code in CPT consists of how many digits?

5

What is the correct order of draw?

  • Gray, Green, Lavender
  • Lavender, Green, Gray
  • Green, Lavender, Gray (correct)
  • Lavender, Gray, Green

What additive is used for a CBC?

EDTA

What scheduling method allows patients to arrive at their convenience?

<p>Open Hours Scheduling</p> Signup and view all the answers

If the test result shows hemoglobin at 7g/dL, what is the first thing you should do?

<p>Notify the provider</p> Signup and view all the answers

When performing the palpatory method for measuring blood pressure, how should the CMA inflate the cuff?

<p>30 mm above radial pulse cessation</p> Signup and view all the answers

How many pounds is 40kg?

<p>88</p> Signup and view all the answers

What indicates a patient's understanding when administering insulin injections?

<p>If they say to inject the insulin when it is at room temperature</p> Signup and view all the answers

What is a CLIA-waived lab test?

<p>HCG test</p> Signup and view all the answers

What results are affected when povidone iodine is used to clean the site for dermal puncture?

<p>Potassium</p> Signup and view all the answers

What technique should an MA perform on a hemostat prior to autoclaving?

<p>Sanitization</p> Signup and view all the answers

What is the proper way to bandage a wound?

<p>Wrap from distal to proximal</p> Signup and view all the answers

What is the first step to take when drawing a forensic sample?

<p>Have receiving lab sign chain of custody form</p> Signup and view all the answers

If a patient is crying, what should you do?

<p>Allow patient to cry</p> Signup and view all the answers

On a 12 lead EKG, where is lead V4 placed?

<p>5th intercostal space at midclavicular line</p> Signup and view all the answers

What position is best to perform a rectal exam?

<p>Sims Position</p> Signup and view all the answers

What should be done with an ammonia specimen?

<p>Place specimen in ice-water slurry</p> Signup and view all the answers

In a 12 lead EKG, where is the 4th precordial electrode (V4) located?

<p>5th intercostal space, midclavicular line</p> Signup and view all the answers

What route is used for slow release of medication into the bloodstream?

<p>Transdermal</p> Signup and view all the answers

In an infant screening test, what should you draw first?

<p>O2 levels</p> Signup and view all the answers

How do you take enteric coated tablets?

<p>Swallow whole with a glass of water</p> Signup and view all the answers

What is the most accurate method for taking temperature?

<p>Rectal</p> Signup and view all the answers

What is the first step to verify the safety of venipuncture supplies?

<p>Inspect integrity of needle's seal</p> Signup and view all the answers

How many centimeters is 5'7"?

<p>170cm</p> Signup and view all the answers

How do you pick the primary insurance policy?

<p>Parent with the earliest birth month</p> Signup and view all the answers

What is measured to determine trough levels for therapeutic medications?

<p>Time next dose is due</p> Signup and view all the answers

If a CCMA notices a clergy member with a patient when they need to draw blood, what should they do?

<p>Return after drawing other patients</p> Signup and view all the answers

If a patient loses consciousness and EKG shows ventricular fibrillation, what should you do?

<p>Call for help and begin CPR</p> Signup and view all the answers

How many milliliters are in 1 tablespoon of medication?

<p>15mL</p> Signup and view all the answers

What is the sterilization method for hemostats?

<p>Autoclave</p> Signup and view all the answers

Why do you invert anticoagulant tubes?

<p>To prevent clotting</p> Signup and view all the answers

What should you do if you see a hematoma developing at the site of a venous blood draw?

<p>Release tourniquet and stop draw</p> Signup and view all the answers

What is an abnormal lab result for potassium?

<p>3 mEq/L</p> Signup and view all the answers

What do modifiers indicate?

<p>Alteration in service performed</p> Signup and view all the answers

What is the first step in scheduling a patient for an outpatient procedure?

<p>Obtain oral or written order from provider</p> Signup and view all the answers

What do category III codes do?

<p>Assign a temporary code</p> Signup and view all the answers

What does ventricular depolarization refer to?

<p>R wave</p> Signup and view all the answers

What lab tests are elevated during a heart attack?

<p>Troponin</p> Signup and view all the answers

What should the patient record in the Holter monitor diary?

<p>Running</p> Signup and view all the answers

How many pounds is 72kg?

<p>158.4 lbs</p> Signup and view all the answers

When taking blood pressure, when do you start reading the diastolic pressure?

<p>When sound disappears</p> Signup and view all the answers

When instructing a patient on Holter monitors, what indicates the need for further instruction?

<p>If the lead comes loose, I will reattach them myself</p> Signup and view all the answers

Flashcards

CPT Code

The first 5 digits of a code used for identifying medical procedures and services.

Venipuncture

The process of drawing blood from a vein.

Order of Draw

The order in which blood tubes are filled during a blood draw.

Blood Tube Additive

A chemical added to blood tubes to prevent clotting.

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HCG Test

A test used to detect pregnancy by measuring the level of hCG hormone in the blood.

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Systolic Blood Pressure

The pressure at which the first sound of blood flow is heard.

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Diastolic Blood Pressure

The pressure at which the sound of blood flow disappears.

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Radial Pulse Cessation

The pressure at which the radial pulse disappears.

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Sims Position

A medical position where the patient lies on their left side with their right leg drawn up towards the chest.

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Wound Bandaging

The process of wrapping a bandage around a wound.

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Enteric-Coated Tablet

A medication that is coated to resist dissolving in the stomach until it reaches the intestines.

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Transdermal Route

A medication administration route where the medication is absorbed through the skin over time.

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Trough Level

The time at which the lowest concentration of a medication is present in the bloodstream.

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Rectal Temperature

The most accurate method for taking body temperature.

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Holter Monitor

A medical device that records heart electrical activity over a period of time.

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V4 Lead Placement

The point on the chest where the V4 lead of an EKG is placed.

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R Wave

The wave on an EKG that represents ventricular depolarization.

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Troponin

A protein released into the bloodstream during a heart attack.

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Primary Insurance Policy

The primary insurance policy for a family is determined by the parent whose birth month comes first in the year.

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Chain of Custody Form

A document that tracks the movement of a sample from the time it's collected to the time it's analyzed.

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Interfering Substance

A substance that can interfere with laboratory test results.

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Abnormal Potassium Level

An abnormal potassium lab result is indicated by a level below 3 mEq/L.

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CLIA-Waived Lab Test

A type of laboratory test that is simple and safe enough for most patients to perform at home.

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Hematoma

A condition that occurs when blood leaks out of a vein into surrounding tissue.

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Slow-Release Medication

A medication that is designed to be released slowly into the bloodstream over a period of time.

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Allowing Emotional Expression

The process of allowing a patient to express their emotions freely.

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Ventricular Fibrillation

A medical emergency that requires immediate CPR and emergency medical attention.

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Povidone Iodine

A chemical used to disinfect the skin before venipuncture.

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Ice-Water Slurry

A solution used to preserve ammonia specimens.

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Palpitation

A rapid and forceful heartbeat that feels like a fluttering or pounding in the chest.

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Study Notes

CPT Coding

  • Primary code in CPT consists of 5 digits.

Phlebotomy and Blood Draw

  • Correct order of draw: Green, Lavender, Gray.
  • CBC additive is EDTA.
  • When drawing a forensic sample, obtain a chain of custody form signed by the receiving lab.
  • If a hematoma develops during a venous blood draw, release the tourniquet and stop the draw.

Blood Pressure Measurement

  • Inflate the blood pressure cuff 30 mm above the point where the radial pulse ceases.
  • Diastolic pressure should be recorded when the sound disappears.

Laboratory Testing

  • HCG test is classified as a CLIA-waived lab test.
  • Povidone iodine can affect potassium levels when used for dermal puncture.
  • Abnormal potassium lab result is indicated by a level of 3 mEq/L.

Patient Care and Safety

  • In case of a patient crying, allow them to express their emotions.
  • If a patient loses consciousness and the EKG shows ventricular fibrillation, call for help and start CPR.

Medical Procedures

  • For a rectal exam, the best position is the Sims Position.
  • An ammonia specimen needs to be placed in an ice-water slurry for proper handling.
  • Bandage a wound by wrapping it from distal to proximal.

Medication Administration

  • Enteric-coated tablets should be swallowed whole with a glass of water.
  • Slow release of medication into the bloodstream occurs via the transdermal route.

Measurements and Conversions

  • 40 kg converts to 88 pounds (40 x 2.2 = 88).
  • 5'7" is equivalent to 170 cm.
  • 72 kg converts to 158.4 pounds (72 x 2.2 = 158.4).
  • 1 tablespoon of medication equals 15 mL.

Scheduling and Insurance

  • The primary insurance policy is determined by the parent with the earliest birth month.

Monitoring and Equipment

  • Trough levels for therapeutic medications are measured at the time the next dose is due.
  • The most accurate method for taking body temperature is rectal.

EKG Insights

  • Lead V4 is placed at the 5th intercostal space at the midclavicular line.
  • R wave indicates ventricular depolarization.
  • Troponin levels are elevated during a heart attack.

Patient Instructions

  • When using a Holter monitor, patients should record physical activities in the diary. Indicate a need for further instruction if a patient states they will reattach loose leads themselves, as this should be done by medical staff.

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