109 Questions
What is the purpose of using a pulse oximeter on a patient's finger?
To measure peripheral blood oxygen saturation level
Which of the following factors could potentially alter or prevent accurate pulse oximeter readings?
Dark nail polish color
What range is considered normal for peripheral blood oxygen saturation level?
95-100%
Where else on the body can a pulse oximeter be placed if the finger is not suitable?
Toes and earlobes
Which procedure in an office visit is likely to involve obtaining a patient's pulse oximetry reading?
Initial rooming of a patient before pulmonary function test
What information does a pulse oximeter provide in addition to peripheral blood oxygen saturation level?
Patient's pulse rate
What is albuterol primarily used for?
Treating bronchial obstructions
How is albuterol typically administered for treatment?
Through an inhaler or nebulizer
What is the purpose of using a nebulizer in administering albuterol?
To create vapor for inhalation from liquid albuterol
Why should patients be checked on regularly during albuterol treatment via nebulizer?
To monitor for any adverse effects
After albuterol treatment, what may a provider wish to repeat to assess its effectiveness?
Pulse oximetry or pulmonary function testing
What is the responsibility of a Medical Assistant in terms of documentation related to spirometry results?
Scanning and importing spirometry results into the patient's chart
How many acceptable and reproducible maneuvers must be obtained during spirometry testing?
3 acceptable and 2 reproducible
What determines if a maneuver is acceptable or reproducible during spirometry testing?
The spirometer
What is the maximum number of maneuvers that should be performed in a single spirometry test session?
8
Why is coaching and encouraging the patient important during spirometry testing?
To ensure accurate results
Which component of spirometry results is directly affected by the medical assistant's ability to communicate directions to the patient?
All of the above
What is the purpose of connecting exhaling instructions to familiar activities for pediatric patients during spirometry testing?
To encourage cooperation
Which axis on a spirometry graph represents the flow of air?
Vertical axis
What does the FEV1 value measure in a spirometry test?
The amount of air forcefully exhaled in the first second
Which factors are used to determine reference values for interpreting spirometry results?
Age, sex, height, and ethnicity
What can help a medical assistant navigate administering spirometry tests with compassion and empathy?
Understanding that the test can be difficult for patients
What is a recommended alternative phrase for 'pulse oximetry'?
Oxygen level check
How many acceptable and reproducible maneuvers are required for a quality test?
3
Which grade will a session not exceed after only one maneuver?
C
What is advised in the text when a patient doubts their physical ability to continue testing?
Respect the patient's wishes and let the ordering physician address further testing needs
'Good job! Go again.' is an example of feedback provided by the testing device that should be:
Translated into a more sensitive message for the patient
What is the purpose of offering the patient some water after testing?
To show appreciation for participating
'Breath out harder...' from a spirometer's instructions should be translated to encourage:
'Blow out as much air as you can in the first second'
'Deeper breath...' from a spirometer's instructions should be translated to encourage which action?
'Puff up your chest and breathe all the way in'
'We’ll do a number of tests' is preferred over giving an expectation of a specific number of tests because:
It provides flexibility and avoids setting unrealistic expectations
What communication approach is recommended for Medical Assistants during testing?
Warm, enthusiastic, compassionate, and encouraging
What is the purpose of pulmonary function testing (PFTs)?
To screen for, diagnose, monitor, and determine treatment for lung conditions
What is the main purpose of the Peak Flows pulmonary function test?
To measure the patient's peak expiratory flow rate
What is the key difference between the Peak Flows and Spirometry pulmonary function tests?
Peak Flows measures peak expiratory flow rate, while Spirometry measures forced vital capacity
What is the purpose of having the patient perform the Peak Flows test multiple times?
To compare the results before and after a bronchodilation treatment
What is the key instruction given to the patient during the Spirometry test?
Breathe in as much air as possible, then blast out the air as hard and fast as possible
Why is the Medical Assistant's communication important during the Spirometry test?
Both a and b
What should the Medical Assistant do before giving instructions to the patient for the Spirometry test?
All of the above
What is the purpose of the nose clip used during the Spirometry test?
To prevent air leakage through the nose
What is the purpose of the spirette used during the Spirometry test?
To provide a mouthpiece for the patient to breathe through
A nebulizer is a small device which can turn albuterol, a liquid medication, into ______
vapor
The provider may wish to repeat pulse oximetry or pulmonary function testing to determine if treatment helped improve ______ ability
breathing
The Medical Assistant must ensure a copy of spirometry results is scanned and imported into the patient’s ______, if not done automatically
chart
Spirograms may be printed on paper or electronically sent to the corresponding patient’s ______
chart
Most EMR software will have unique workflows on how to document spirometry results, procedure administration, and ______
charges
It is the Medical Assistant’s responsibility to ensure complete documentation, including patient’s full name, date of birth, and the MA’s name and ______ on each document’s page
credential
Many patients will come to an office visit with ______ as a primary symptom.
shortness of breath
The pulse oximeter will need to be placed on an area of the body where the infrared light can ______ the skin to accurately read the percentage of red blood cells which are carrying oxygen molecules.
penetrate
A normal peripheral blood oxygen saturation level ______ from 95-100%.
ranges
Pulse oximeter devices also read a patient's ______, but may not determine presence of pulse irregularities.
pulse
The ______ can potentially alter or prevent accurate pulse oximeter readings.
color of dark nail polish, false nails, or cold hands (causing poor circulation)
Toes and ______ are alternative sites to consider for pulse oximetry.
earlobes
Avoid using medical language that can be difficult to understand. Try replacing words and phrases like: 'pulse oximetry' with 'checking ______ level'
oxygen
Use phrases like 'we'll do a number of tests', rather than give an expectation of any ______ number.
specific
After only one maneuver, the session grade will not be above a C, because the device requires a minimum of 3 acceptable, 2 ______ maneuvers in order to be considered a quality test.
reproducible
As maneuvers continue, the ______ grade should increase.
letter
A Medical Assistant focused on positive patient communication should never read what the machine says and convey this ______ - a more sensitive translation is necessary.
verbatim
'Okay, great job! This time, try to blow out as much air as you possibly can in the first second, get it out as ______ as you can, and then continue to blow until the test is complete.'
fast
After several maneuvers, it is not uncommon for a patient to doubt their physical ability to continue testing, and to ______ this.
verbalize
After testing is complete, give positive ______ to the patient.
feedback
Let the patient know that you will promptly present their results to the ______, and they will be in shortly to discuss those results.
physician
The ordering provider will look at the spirogram results, including FVC and ______ results.
FEV1
Often times, it will provide direction on how to obtain a more accurate test, which the Medical ______ then relays to the patient.
Assistant
Acceptability of each maneuver is determined by the ______.
spirometer
Letting them hold equipment, or practice holding the ______ (even using as a pretend musical instrument) can create levity and encourage cooperation.
spirette
The FVC test measures patient scores against reference values of healthy individuals with normal lung function based on age, sex, height, and ______.
ethnicity
The FEV1, along with a ratio between the FEV1/FVC, are values ______ use to interpret results.
physicians
For many patients, breathing out vigorously enough to produce acceptable maneuvers, and repeating this multiple times over a short period, can be utterly ______ and even painful.
exhausting
Preparing them for what to expect will help in their experience, and giving clear ______ will produce higher quality maneuvers, resulting in less maneuvers needed to obtain results.
directions
You can check for understanding by having them repeat back a ______ of your instructions.
summary
Introduce yourself with a friendly greeting and a ______, explain what you are there to do, ask the patient if they've done this test before, what questions do you have?, etc.
smile
Understanding this can help you navigate administering these tests with ______ and empathy.
compassion
Peak Flows is the term for a very basic pulmonary function test which measures a patient's peak ______ flow rate.
expiratory
The Peak Flows tests peak ______ flow rate, which is just the max inhale, then max, quick exhale.
expiratory
The spirometry test will be performed for ______ testing in Lab.
competency
The ______ will signal the completion of this maneuver (test), and will automatically assess its quality.
unit
The Medical Assistant should ______ the device before giving complex instructions to complete FVC maneuvers.
prepare
The patient should be instructed to complete three crucial steps for each ______: breath in as much air as possible, place teeth around the spirette, and blast out air as hard and fast as possible.
maneuver
After exhalation for the first FVC spirometry test, the ______ will signal the completion of this maneuver.
unit
The ______ of the test results is directly affected by the Medical Assistant's communication before and during the procedure.
accuracy
Prepare the ______ before giving complex instructions to complete FVC maneuvers.
device
Match the following medical terms with their simplified versions:
pulse oximetry = checking oxygen level spirometry = breathing test spirette = tube maneuver = test
Match the following spirometer instructions with their warm translations:
'Breath out harder...' = 'Okay, great job! This time, try to blow out as much air as you possibly can in the first second, get it out as fast as you can, and then continue to blow until the test is complete.' 'Deeper breath...' = 'You’re doing well! For this next test, if it’s at all possible, I’d like you to try to take an even deeper breath in before blowing it all out. Puff up your chest and breathe all the way in, and when you think you can’t hold any more air, just take one last quick breath in, and then start blowing. Can you try this?'
Match the following feedback from the testing device with their appropriate communication approach:
'Good job! Go again.' = Encourage the patient to repeat the test 'Blow out faster...' = Provide warm and constructive feedback
Match the following spirometry graph components with their descriptions:
X-axis = Represents the flow of air Y-axis = Represents another parameter in the graph
Match the following spirometry session grades with their corresponding explanations:
A = Grade that should increase as maneuvers continue C = Grade not exceeding after only one maneuver
Match the following pulmonary function tests with their descriptions:
Peak Flows = Measures a patient's peak expiratory flow rate Spirometry = Tests for the maximum amount of air a patient can expel from their lungs
Match the following instructions with the correct test:
Breath in as much air as possible, place teeth around the spirette, blast out air as hard and fast as possible = Spirometry Breathe in as much air into lungs as possible, bring mouthpiece to lips with a tight seal, blow out air as fast and hard as possible = Peak Flows
Match the following devices with their respective pulmonary function tests:
Peak flow meter = Used in Peak Flows test Spirometer = Used in Spirometry test
Match the following outcomes with the correct procedure:
Measures peak expiratory flow rate = Peak Flows Tests lung expelling capacity = Spirometry
Match the following terms with their associated maneuver instructions:
Breath in as much air as you possibly can, place your teeth around the grooves of the spirette, blast out air as hard and fast as you can = Spirometry Breathe in as much air into lungs as possible, bring mouthpiece to lips with a tight seal, blow out air as fast and hard as possible = Peak Flows
Match the following terms with their correct definitions:
Acceptable maneuver = Determined by the spirometer as a valid test result Reproducible maneuver = Two maneuvers similar enough to be repeated for increased test reliability Peak Flows test = Measures a patient's peak flow rate during quick exhale FEV1/FVC ratio = Values used by physicians to interpret spirometry results
Match the following actions with their purpose during spirometry testing:
Coaching the patient = Guiding them through maneuvers for accurate results Connecting exhalation to familiar activities = Helping patients understand and perform the test better Introducing yourself with a friendly greeting = Creating a positive and empathetic testing environment Giving clear instructions on blowing out air forcefully = Ensuring accurate and reliable FEV1 values
Match the following statements with their correct descriptions:
Pediatric lung function testing = Routinely used to aid in diagnosing asthma in patients aged 0-17 years Spirogram graph = Represents air flow over time during FVC testing Patient-centered care = Administering tests with compassion, empathy, and clear communication Pulse oximeter placement = Needs to be on an area where infrared light can penetrate skin for accurate readings
Match the following components of spirometry interpretation with their significance:
FEV1 measurement = Amount of air expelled forcefully in the first second of FVC test Reference values comparison = Measuring patient scores against healthy individuals based on demographics Communication with patient = Directly affecting quality of spirometry results through clear instructions Completing acceptable maneuvers = Achieving a valid and reliable testing session
Match the following tips for administering spirometry tests with their purposes:
Offering water after testing = Helps patients recover from potentially exhausting testing sessions Using levity during instruction = Creates a positive and cooperative testing environment Checking for patient understanding = Ensures patients can follow instructions correctly Describing procedure before instructing = Prepares patients for what to expect during the test
Match the following abbreviations with their meanings:
SOB = Shortness of Breath COPD = Chronic Obstructive Pulmonary Disease FEV1 = Forced Expiratory Volume 1 FVC = Forced Vital Capacity
Match the following terms with their descriptions:
Nebulizer = A small device turning liquid medication into vapor for inhalation Spirometry = A test measuring lung function by assessing how much air is inhaled and exhaled Albuterol = A bronchodilator used to treat obstruction in the lungs Pulse Oximeter = A device measuring oxygen saturation levels in the blood
Match the following actions with their importance during spirometry testing:
Coaching and Encouraging = Helping patient produce acceptable maneuvers Clear Instructions = Producing higher quality maneuvers with less repetitions Checking on Patient = Ensuring no adverse effects during and after treatment Repeating Tests = Assessing effectiveness of treatment on breathing ability
Match the following terms with their related procedures:
EMR Software = Documenting spirometry results, procedure administration, and charges Peak Flows Test = Measuring peak flow rate by inhaling then quickly exhaling Flow Volume Loop = Graphical representation of lung function over time Spirogram = Visual representation of lung volumes and capacities
Match the following statements with their correct actions:
Giving Clear Expectations = Preparing patient for what to expect during testing Complete Documentation = Ensuring patient's full name, date of birth, and MA's name on each document page Placing Pulse Oximeter Properly = Accurately reading red blood cell oxygen saturation levels Translating Instructions = Encouraging patient to blow out air as hard and fast as possible
Match the following feedback phrases with their purposes:
'Good job! Go again.' = Encouraging patient to perform multiple Peak Flows tests 'Okay, great job! This time...' = Encouraging patient to exhale forcefully during spirometry testing 'We’ll do a number of tests' = Avoiding setting specific expectations on the number of tests 'Deeper breath...' = Translating spirometer instructions to encourage specific actions
Match the following terms with their correct definitions:
SOB = Shortness of breath Pulse Oximetry = Obtaining a patient's peripheral blood oxygen saturation level Spirometry = Procedure involving breathing in as much air as possible and then exhaling as hard and fast as possible FEV1 = Forced expiratory volume in one second
Match the following actions with their purpose during pulmonary function testing:
Using a nose clip = Ensuring only air exhaled through the mouth is measured Placing pulse oximeter on finger = Measuring peripheral blood oxygen saturation level Instructing patient to blast out air = Ensuring maximal exhalation for accurate results Using a spirette = Guiding patient on how to breathe in and out during spirometry
Match the following statements with the correct procedures during spirometry testing:
Breathing in as much air as possible = First crucial step for each spirometry maneuver Placing teeth around the spirette = Second crucial step for each spirometry maneuver Blasting out air as hard and fast as possible = Third crucial step for each spirometry maneuver Using dark nail polish color = May alter or prevent accurate pulse oximeter readings
Match the following components with their role in interpreting spirometry results:
FEV1/FVC ratio = Value used to interpret spirometry results Pulse oximeter readings = Provide peripheral blood oxygen saturation level Spirette usage = Guides patient on how to perform correct breathing maneuvers Dark nail polish color = Can alter or prevent accurate pulse oximeter readings
Match the following phrases with their purposes during pulmonary function testing:
'We'll do a number of tests' = Avoid setting specific expectations on the number of tests 'Deeper breath...' = Encourages taking a deeper breath during spirometry testing 'Good job! Go again.' = Example of feedback provided by testing device during spirometry 'Okay, great job! This time, try to blow out as much air as you possibly can...' = Encourages maximal exhalation during spirometry
Match the following alternative sites with their purpose for pulse oximetry readings:
Toes = Alternative site to consider if finger is not suitable Earlobes = Alternative site to consider if finger is not suitable Forehead = Alternative site to consider if finger is not suitable Knee = Alternative site to consider if finger is not suitable
Explore the key concepts related to pulmonary testing and treatments, focusing on patients presenting with shortness of breath as a primary symptom. Learn about procedures medical assistants perform to assist healthcare providers in caring for these patients, including pulse oximetry.
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