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Questions and Answers
What should you inform the MD about?
What should you inform the MD about?
the situation
What should the MA do when there is no dose listed on the MD order for a subcutaneous allergy injection?
What should the MA do when there is no dose listed on the MD order for a subcutaneous allergy injection?
- Give the exact dose of medication to patient that he received at the last visit
- Give the standard dose of allergy medications
- Ask the nurse the correct dose of medication
- Call the provider and verify the order (correct)
If a patient reports that a mole has doubled in size over a month, how should the MA refer to this?
If a patient reports that a mole has doubled in size over a month, how should the MA refer to this?
- Atrophy
- Acrochordon
- Polyp
- Metastasis (correct)
A patient that has not experienced a menstrual cycle in 3 months has what condition?
A patient that has not experienced a menstrual cycle in 3 months has what condition?
What position should a patient with shortness of breath and abdominal pain be placed in?
What position should a patient with shortness of breath and abdominal pain be placed in?
Where should EKG electrodes be placed on a patient who has had a left leg amputation?
Where should EKG electrodes be placed on a patient who has had a left leg amputation?
If a patient presents with an increased amount of serious fluid and gas in the pericardium, which physician should they see?
If a patient presents with an increased amount of serious fluid and gas in the pericardium, which physician should they see?
What are the phlebotomy duties of a MA?
What are the phlebotomy duties of a MA?
When obtaining the patient's heart rate using the R-R ratio, the MA knows that the heart rate would be _____ if there are 20 small boxes?
When obtaining the patient's heart rate using the R-R ratio, the MA knows that the heart rate would be _____ if there are 20 small boxes?
When using the R-R ratio to obtain a patient's heart rate, the MA knows that if there are 37 small boxes, the heart rate is?
When using the R-R ratio to obtain a patient's heart rate, the MA knows that if there are 37 small boxes, the heart rate is?
1 kg = how many pounds?
1 kg = how many pounds?
1 pound = how many kg?
1 pound = how many kg?
1 tablespoon = how many ml & teaspoons?
1 tablespoon = how many ml & teaspoons?
3 teaspoons = how many ml?
3 teaspoons = how many ml?
5 ml = how many teaspoons?
5 ml = how many teaspoons?
An 8 year old child that presents with ST segment elevation on the EKG tracing may require?
An 8 year old child that presents with ST segment elevation on the EKG tracing may require?
The biohazard containers should be what color?
The biohazard containers should be what color?
These containers are intended to provide communication to workers regarding chemicals used in their office.
These containers are intended to provide communication to workers regarding chemicals used in their office.
The AV node has a firing rate of?
The AV node has a firing rate of?
The AV node is located on the floor of the ____?
The AV node is located on the floor of the ____?
The best way to obtain the heart rate of a patient while reading an EKG is?
The best way to obtain the heart rate of a patient while reading an EKG is?
Blood cultures are primarily used to check for the presence of what?
Blood cultures are primarily used to check for the presence of what?
Blood drawing tube order?
Blood drawing tube order?
Blood pressure that indicates a hypertensive crisis?
Blood pressure that indicates a hypertensive crisis?
The blue top blood collection tube contains?
The blue top blood collection tube contains?
The BMI of 31 is considered?
The BMI of 31 is considered?
What is CLIA waived test?
What is CLIA waived test?
A collection of blood in the space between the chest wall and the lung (the pleural cavity)?
A collection of blood in the space between the chest wall and the lung (the pleural cavity)?
Common side effect of the drug metoprolol?
Common side effect of the drug metoprolol?
The compression rate for CPR is?
The compression rate for CPR is?
The correct way to obtain a patient's BMI is to obtain their?
The correct way to obtain a patient's BMI is to obtain their?
The destruction of all pathogenic microorganisms?
The destruction of all pathogenic microorganisms?
During a visit to the dermatology office, a patient reports that a mole is growing very rapidly. The MA refers to this as?
During a visit to the dermatology office, a patient reports that a mole is growing very rapidly. The MA refers to this as?
Each small square on the EKG paper represents a time interval of ____ seconds?
Each small square on the EKG paper represents a time interval of ____ seconds?
EDTA can be found in a?
EDTA can be found in a?
Medical term that means excessive urination during the night?
Medical term that means excessive urination during the night?
The first impulse that is recorded on the graph paper and represents atrial depolarization?
The first impulse that is recorded on the graph paper and represents atrial depolarization?
The first step that the MA should take when passing medications?
The first step that the MA should take when passing medications?
The first thing an MA should do when she realizes the patient is in ventricular fibrillation is?
The first thing an MA should do when she realizes the patient is in ventricular fibrillation is?
The ground lead on a 3 lead EKG should be placed on the ___?
The ground lead on a 3 lead EKG should be placed on the ___?
Hemoglobin for a female?
Hemoglobin for a female?
How should a MA collect a urine sample when a urine C&S has been ordered?
How should a MA collect a urine sample when a urine C&S has been ordered?
If a patient becomes upset, refuses all medical care and leaves the office, the MA knows to?
If a patient becomes upset, refuses all medical care and leaves the office, the MA knows to?
If a patient has a distance vision of 20/50, it means?
If a patient has a distance vision of 20/50, it means?
If a patient has missed 3 periods it is referred to as?
If a patient has missed 3 periods it is referred to as?
If a patient is a victim of domestic violence and does not speak English, what should the MA do to ensure that the patient understands the instructions?
If a patient is a victim of domestic violence and does not speak English, what should the MA do to ensure that the patient understands the instructions?
If a patient is having somatic tremors while obtaining an EKG, the MA should?
If a patient is having somatic tremors while obtaining an EKG, the MA should?
If the MA is performing an EKG on a patient in the fetal position, she knows to?
If the MA is performing an EKG on a patient in the fetal position, she knows to?
If the MA notices a PVC on a standard EKG, the concern would be?
If the MA notices a PVC on a standard EKG, the concern would be?
If the MA notices that a sterile field has been contaminated she knows that she should?
If the MA notices that a sterile field has been contaminated she knows that she should?
If the MA should splash blood in her eyes, she knows that the eyes should be flushed with warm water for?
If the MA should splash blood in her eyes, she knows that the eyes should be flushed with warm water for?
If the provider is 1 hour behind schedule, the MA should?
If the provider is 1 hour behind schedule, the MA should?
In the word neuropathy, what part of the word indicates the disease?
In the word neuropathy, what part of the word indicates the disease?
Infant screening cards test?
Infant screening cards test?
Informed consent must be obtained when the MA:
Informed consent must be obtained when the MA:
An intramuscular injection is given at a?
An intramuscular injection is given at a?
Ishihara?
Ishihara?
True or False: It is the provider's responsibility to explain all of the pre-op and post-op care to the patient.
True or False: It is the provider's responsibility to explain all of the pre-op and post-op care to the patient.
The J point on an EKG occurs at the end of the ____ complex and the start of the ST segment?
The J point on an EKG occurs at the end of the ____ complex and the start of the ST segment?
Lab value that should be reported immediately?
Lab value that should be reported immediately?
Lowest temperature recorded on a patient is @ what time?
Lowest temperature recorded on a patient is @ what time?
The MA finds an unconscious patient. The first thing that should be done is?
The MA finds an unconscious patient. The first thing that should be done is?
The MA has attempted to draw blood on a patient with small, fragile veins and has missed twice. The next step is to?
The MA has attempted to draw blood on a patient with small, fragile veins and has missed twice. The next step is to?
The MA has received a duplicate order for blood testing on a patient. The next step should be to?
The MA has received a duplicate order for blood testing on a patient. The next step should be to?
The MA knows that she was instructed to re-draw a lipid profile because the blood was sent to the lab in a ______ tube?
The MA knows that she was instructed to re-draw a lipid profile because the blood was sent to the lab in a ______ tube?
The MA knows that the spirometer test measures?
The MA knows that the spirometer test measures?
The MA knows that when administering an intradermal injection, the syringe should be held?
The MA knows that when administering an intradermal injection, the syringe should be held?
The MA knows that when drawing an A1C blood test that the sample should be placed in what color tube?
The MA knows that when drawing an A1C blood test that the sample should be placed in what color tube?
The MA knows that when giving purified protein derivative, the dose of medication given is?
The MA knows that when giving purified protein derivative, the dose of medication given is?
The MA knows that when instructing a patient to collect a urine sample for a pregnancy test that the urine should be collected?
The MA knows that when instructing a patient to collect a urine sample for a pregnancy test that the urine should be collected?
The MA knows that when measuring an infant from head to heel that the infant should be in the ____ position?
The MA knows that when measuring an infant from head to heel that the infant should be in the ____ position?
The MA knows that when placing the Holter monitor on a patient that the black lead is placed?
The MA knows that when placing the Holter monitor on a patient that the black lead is placed?
The MA knows to place a patient in this position before a pelvic exam?
The MA knows to place a patient in this position before a pelvic exam?
The MA knows to place a patient with shortness of breath and abdominal pain in this position?
The MA knows to place a patient with shortness of breath and abdominal pain in this position?
The MA knows to place the chart in this position for a patient with severe hypotension?
The MA knows to place the chart in this position for a patient with severe hypotension?
The MA needs to measure an infant from the head to heels. Name the position that the infant should be in to obtain this goal?
The MA needs to measure an infant from the head to heels. Name the position that the infant should be in to obtain this goal?
The MA notices that the provider is using unsanitary instruments. She should report her findings to:
The MA notices that the provider is using unsanitary instruments. She should report her findings to:
The MA notices while performing an EKG that there is a significant elevation in the ST segment. The MA is aware that the patient may be experiencing?
The MA notices while performing an EKG that there is a significant elevation in the ST segment. The MA is aware that the patient may be experiencing?
The MA should do this first when confronted with a fire?
The MA should do this first when confronted with a fire?
A medication that is delivered in an injection means the patient received the medication:
A medication that is delivered in an injection means the patient received the medication:
A method for screening patients for defects in distinguishing color vision acuity?
A method for screening patients for defects in distinguishing color vision acuity?
The method that will kill both microorganisms and spores?
The method that will kill both microorganisms and spores?
The mother of a 16 year old female wants to speak with the provider regarding why he prescribed birth control pills to her daughter. The MA should?
The mother of a 16 year old female wants to speak with the provider regarding why he prescribed birth control pills to her daughter. The MA should?
Name the artery that is used to obtain a manual blood pressure?
Name the artery that is used to obtain a manual blood pressure?
Near vision acuity is held how far away from the patient?
Near vision acuity is held how far away from the patient?
Normal adult temperature is?
Normal adult temperature is?
A normal potassium level for an adult patient?
A normal potassium level for an adult patient?
The normal sodium level for an adult patient?
The normal sodium level for an adult patient?
Order of vital signs obtained after a patient has smoked a cigarette?
Order of vital signs obtained after a patient has smoked a cigarette?
OSHA requirements state that all blood/body fluids specimens be sent in what type of container?
OSHA requirements state that all blood/body fluids specimens be sent in what type of container?
OSHA training is provided ___
OSHA training is provided ___
The P wave indicates?
The P wave indicates?
The P wave represents depolarization of the?
The P wave represents depolarization of the?
Palpatory method to obtain blood pressure, MA inflates cuff to?
Palpatory method to obtain blood pressure, MA inflates cuff to?
A patient complaining of dizziness and light headed might be placed in this position:
A patient complaining of dizziness and light headed might be placed in this position:
A patient is angry and complaining about their bill. The MA knows to?
A patient is angry and complaining about their bill. The MA knows to?
A patient is complaining of right side flank pain, pain with urination and nausea/vomiting. The MA should consider that the patient is suffering from a?
A patient is complaining of right side flank pain, pain with urination and nausea/vomiting. The MA should consider that the patient is suffering from a?
A patient presents in the office and is very upset about his bill. The MA should:
A patient presents in the office and is very upset about his bill. The MA should:
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Study Notes
Cardiac and Vital Signs
- R-R ratio: 20 small boxes = 75 BPM; 37 small boxes = 40 BPM
- AV node firing rate: 40-60 BPM, located in right atrium
- Heart rate calculation: count small boxes between R waves, then divide by 1500
- Blood pressure > 190 systolic indicates hypertensive crisis
- First impulse on EKG (P wave) signifies atrial depolarization
- CPR compression rate: 100 per minute
Blood Collection and Testing
- Blood culture tests primarily for bacteria presence
- Laboratory tube order mnemonic: Sally brings really good grease leaves gravy (Sterile, Blue, Red, Gold, Green, Lavender, Gray)
- Blue top tube contains citrate; EDTA found in purple top tube
- A1C blood test requires a purple/lavender tube
- Clean catch method preferred for urine C&S tests
Patient Assessment and Communication
- Blood pressure measured using the brachial artery
- Near vision acuity assessed at 15 inches away from the patient
- For distance vision of 20/50, patient sees at 20 feet what others see at 50 feet
- Patients with shortness of breath should be seated in Fowler’s position
- Chart details if a patient leaves against medical advice
Medical Terminology and Conditions
- Nocturia: excessive urination at night; amenorrhea: missed periods; nephrolithiasis: kidney stones
- Somatic tremors during EKG can be minimized by covering the patient with a blanket
- Hemothorax: collection of blood in pleural space
- Metastasis is indicated by rapid mole growth
Handling Emergencies and Safety
- In case of unconscious patient, check for pulse first
- Fire procedure: crawl to the exit
- Protocol if contaminated sterile field: break it down and start over
- Flush eyes with water for 20 minutes if blood splashes occur
Medication Administration
- Informed consent is required before administering vaccinations
- Intramuscular injections are given at a 90-degree angle
Regulatory Compliance and Workplace Safety
- OSHA mandates that blood/body fluid specimens be sent in biohazard containers
- OSHA training provided without cost to employers; frequency based on need
Pediatric and Special Considerations
- For infant measurements, position the infant in supine
- Monitor positioning for patients with special needs, like limb amputations
Miscellaneous Facts
- Normal adult temperature range: 36.4 - 36.7 C
- Normal potassium and sodium levels: 3.5-5 meq and 135-145 meq respectively
- EKG significant ST segment elevation may indicate myocardial infarction
- Report severe lab values immediately, such as blood glucose of 500 mg/dL
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