Douglas College Office Administration Practice Final Exam PDF

Name..…………………………………… Date ……………………………………… _______________________________________________________ DOUGLAS COLLEGE OFFICE ADMINISTRATION DEPARTMENT OADM COURSE No. OADM 1325 CLINICAL OFFICE P...

Name..…………………………………… Date ……………………………………… _______________________________________________________ DOUGLAS COLLEGE OFFICE ADMINISTRATION DEPARTMENT OADM COURSE No. OADM 1325 CLINICAL OFFICE PROCEDURES PRACTICE FINAL EXAM 45 minutes Note: This practice exam is a sampling of similar questions and format of the final exam. The final exam is longer. Multiple choice /14 True and false /5 Short answer /27 Infection cycle /10 Total /56 Please use ink to complete this exam 1|Page  Please note that incorrect spelling will be penalized at one mark per error Part 1 – Multiple Choice. Select the best answer and write the letter of your choice in the blank. /15 1. What is the purpose of a laboratory report? A. to indicate the patient diagnosis B. to relay the results of laboratory tests to the physician C. to order laboratory tests on a patient D. to indicate the patient prognosis ANS: __A__ 2. The purpose of patient preparation for a laboratory test is to: A. reduce patient discomfort during specimen collection B. provide a specimen that yields accurate test results C. ensure the test results fall within the normal range D. ensure that the patient receives the proper treatment ANS: __B__ 3. A small sample taken from the body to represent the nature of the whole is known as a: A. laboratory test B. culture C. specimen D. biopsy ANS: __D__ 4. Why is it important to handle and store a specimen properly? A. to reduce the time needed to test the specimen B. to maintain the in vitro qualities of the specimen C. to ensure valid results from quality control methods D. to maintain the in vivo qualities of the specimen ANS: __C__ 5. The external opening of the urethra is known as the: A. urinary meatus B. urinary sphincter C. renal meatus 2|Page D. external os ANS: _____ 6. What is the term for the functional unit of the kidney? A. glomerulus B. ureter C. renal pelvis D. nephron ANS: __D__ 7. Polyuria may be caused by: A. the excessive intake of fluids B. the consumption of caffeine C. diabetes mellitus D. taking a diuretic E. all of the above ANS: __E__ 8. In order to obtain a clean-catch midstream urine specimen, the patient must void a small amount into the toilet before collecting the specimen to: A. initiate the urine flow B. ensure the collection of an adequate amount of urine C. prevent irritation of the urethra D. flush microorganisms out of the distal urethra ANS: __D___ 9. If a urine specimen is a light straw color, this means that: A. white blood cells are present in the urine specimen B. the urine specimen does not contain very many dissolved substances C. the pH of the urine specimen is slightly acidic D. bacteria are present in the urine specimen ANS: __B__ 10. What odor will a urine specimen have that has been allowed to stand at room temperature for a long period of time? A. ammonia B. slightly aromatic C. fruity D. foul-smelling ANS: __A__ 3|Page  11. How should urine reagent strips be stored? A. in a cool area B. in a dark container C. in a dry area D. with the cap tightly closed E. all of the above ANS: __E__ 12. The function of hemoglobin is to: A. defend the body against infection B. transport oxygen in the body C. assist in blood clotting D. transport electrolytes in the body ANS: __B__ 13. A low hemoglobin reading occurs with: A. polycythemia B. anemia C. hepatitis D. emphysema ANS: __B__ 14. Cholesterol is transported in the blood as a complex molecule known as a: A. fat-soluble steroid B. glycogen complex C. lipid D. lipoprotein ANS: __D___ Part 2 - True and false /5 1. __T__ A routine test is performed to assist in early detection of disease. 2. __T___ When an imbalance exists in the body it is referred to as hemostasis. 3. __F__ Lab tests are most frequently ordered to assist in diagnosing pathological conditions. 4. __F__ The external opening of the urethra is known as the external os. 4|Page  5. __T__ Glucose is normally present in urine. Part 3 – Short answer questions /27 1. What must the MOA do if a lab report comes in with abnormal results? The MOA must report the abnormal lab results to the physician that has ordered to do the lab test. 2. List three purposes of laboratory testing. (3) Three purposes of laboratory testing are to evaluate the patient’s progress in regulating their treatment if needed, prevention or reduction of the severity of the disease, and lastly, to comply with provincial laws. 3. What does the PSA blood test measure? The PSA blood test measures the amount of prostate-specific antigen (PSA) in a blood sample. 4. What is the purpose of the lab requisition? The purpose of the Lab Requisition is to source document for the lab. 5. List four factors that could affect the result of certain lab tests. (4) Four factors that could affect the result of certain lab tests are what the patient has eaten, exercised, the medications taken, and lastly the timing of the test being done e.g morning/afternoon. 6. Why are fasting tests performed first thing in the morning? Fasting tests are performed first thing in the morning because you can fast overnight, when usually not having to eat anything which then ensures the sample collected are at their lowest & most accurate results. 7. List three easily obtained specimens. (3) Three easily obtained specimens are blood, urine and CSF (Cerebrospinal Fluid). 8. Why is the sex of the patient required on a lab requisition? The sex of the patient is required on a lab requisition because it ensures the correct patient and that they receive the correct results and samples in which then are properly processed. 9. Who is responsible for advising the patient of any preparation they need for lab tests? For advising the patient of any preparation they need for lab tests, the physician is responsible. 10. Why is it so important that patients follow the preparation required? It is important that the patients follow the preparation required to ensure that there are no errors and that they are avoided for any procedure. 11. How do we know if the lab result is abnormal? 5|Page  To know if a lab result is abnormal, 12. Why does the following information have to be on the lab requisition? (3) Patient’s age and gender: To ensure the correct patient is given the correct care. Source of the specimen: To identify what specimen is being collected. Medication the patient is taking: To acknowledge what medications the patient is taking in order to ensure accurate results. 13. What is the function of the urinary system? The function of the urinary system is to cleanse out all the bad bacteria through disposal of urine. 14. What is the majority of urine composed of? The majority of urine is composed of water. In addition though, the rest of urine is composed of urea, Creatinine, Uric acid, Chloride, Sodium, Potassium, Sulfate, Ammonium, Phosphate and the last few of Pigments, hormones, metabolites, lastly, amino acids. 15. List three symptoms of prostate cancer. (3) Three symptoms of prostate cancer are pain/burning during urination, blood in urine/semen, urination issues e.g. difficulty starting/stopping urination 16. What could a very foul smell to the urine indicate? A very foul smell of the urine can indicate that the patient may have a Urinary Tract Infection (UTI), may be dehydrated, medications and supplements may change the smell of the urine, lastly, many foods can cause different smell of urine. Part 4. Infection cycle. /10 Label each step of the infection cycle and then explain what happens in each step below. 6|Page  1. Infectious agent – microorganism that causes disease 5. Portal of Entry – 2. Reservoir – Source of microorganism enters new infection where host – through the mouth, microorganism lives cuts, eyes 4. Mode of 3. Portal of Exit – Transmission – Microorganism leaves microorganism spreads reservoir – through – through droplets, mouth, cuts , or stool. contact 1. Infection Agent – microorganism that causes disease 2. Reservoir – Source of infection – where microorganism lives 3. Portal of Exit – Microorganism leaves reservoir – through mouth, cuts or stool 4. Mode of Transmission - microorganism spreads – droplets, contact 5. Portal of Entry – microorganism enters new host – enter mouth, cuts, eyes 7|Page