AMT RMA PRACTICE EXAM
An example of a "ball and socket" joint is the
hip
The kidneys are located behind the
peritoneum,
During swallowing, the larynx is covered by the
epiglottis
The protein in epidermal cells that makes the skin relatively waterproof is
keratin
Where is chyme produced?
stomach
Digestion that breaks food into tiny pieces is
mechanical
The hormone responsible for ovulation is
LH
A patient diagnosed with farsightedness has
hyperopia
The mucous membrane that lines the inner surface of the eyelid is called
conjunctiva
Urine is formed in the
nephron
Which of the following constitutes 2%-4% of the WBCs?
Eosinophils
The thin membrane that lines the eyelids and covers the white of the eye is the
conjunctiva
A doughnut-shaped gland that encircles the urethra is the
prostate gland
The urinary bladder is located in the
pelvic cavity
When a muscle contracts, it becomes
shorter & thicker
Where do you find the pulse from the patient’s dorsalis pedis artery?
top of foot
The outer layer of the skin is the
epidermis
In what quadrant is the liver located?
upper right
What organ is located in the lymphatic system?
spleen
A type of bone fracture producing many bone fragments is
a comminuted fracture
Egg cells are produced where?
ovarian follicles
The major function of the circulatory system is
transportation
The largest bone of the body is the
femur
Where do peristaltic waves occur?
esophagus
The cavity within the kidney that collects urine is the
renal pelvis
The function of insulin is to
assist glucose into the cells
The internal folds of the stomach are known as
rugae
The left ventricle of the heart sends blood out through which artery?
aorta
The site of fertilization is usually the
fallopian tube
Muscles are attached to bones by
tendons
The combining form "hist/o" means
tissue
Which of the following is the most common eye condition associated with aging?
presbyopia
The medical term for inflammation of the liver is
hepatits
what is the first portion of the small intestine
duodenum
The prefix "ad" means
to add to
Which term is best described as “destruction by burning”?
electro cauterization
The combining form that means "red" is
erythro
An accumulation of serous fluid in the peritoneal cavity is
ascites
In a patient’s progress note you see that the physician has used the term “necrosis” regarding a lesion. The physician is referring to
dead tissue
The suffix meaning "inflammation" is
itis
The term "myotomy" means incision into
a muscle
Inflammation of the salivary gland is known as:
sialadenitis
Which of the following is the correct spelling of the term meaning inflammation of the tonsils?
tonsillitis
The surgical incision into the abdomen is
laparotomy
The medical term for indigestion is
dyspepsia
“Abnormal widening of the arterial wall that is weak and bulges”, defines the term
aneurysm
A small mass of masticated food ready to be swallowed is
bolus
Which of the following means pertaining to after meals?
postprandial
"Ostomy" is a
suffix.
Low blood pressure is
hypotension
The medical term for a toothache is
dentalgia
Choose the abbreviation that means four times a day.
QID
The abbreviation "QID" means
four times a day
The inflammation of the pancreas is
pancreatitis
What term is best associated with cancer that has spread to other organs of the body?
Metastasis
Which one of the following is a physician having a practice limited to the aging population?
gerontologist
The law requires that which one of the following be reported to the appropriate authorities?
suspected child abuse
The purpose of the Good Samaritan Act is to protect healthcare providers rendering First Aid from
civil and criminal liability
The Controlled Substances Act is a United States law that regulates controlled drugs. The law is administered by the Drug Enforcement Administration. All of the following are responsibilities of medical assistants in the medical setting when dealing with controlled substances,EXCEPT
prescribing controlled drugs
In the absence of the employing physician, a medical assistant determines that a patient needs a prescription drug and dispenses the wrong drug from the physician’s supply the performance of this totally wrongful and unlawful act is known as
malfeasance
Translated as “the thing speaks for itself”, which of the following is evidence showing that negligence by the accused person may be reasonably inferred from the nature of the injury occurring to the plaintiff?
Res ipsa loquitur
A discussion involving the physician providing the patient or the patient’s legal representative with a deeper understanding of the patient’s condition, a full explanation of the plan for treatment, and enough information to decide whether the patient will undergo the treatment or seek an alternative is called what type of consent?
Informed consent
The purpose of HIPAA security standards is to set national standards for safeguarding the confidentiality of
electronic exchange of patient information
Medical Practice Acts are laws enacted to
define what is included in the practice of medicine
Which of the following terms indicates consent in which there is an understanding of the treatment that will be performed, why it should be performed, any alternative methods of treatment, and the risks and benefits of the treatments discussed?
Informed
The physician informs the medical assistant that he or she will no longer treat a patient who refuses to follow his or her medical advice and treatment plan. The procedure that the medical assistant should follow is to
send a letter of formal withdrawal to the patient by certified mail, return receipt requested
Which of the following is an appropriate responsibility for the medical assistant when assisting the physician with a surgical procedure?
Ensuring that there is a signed patient consent form on file
Which of the following is a court order requiring a witness to produce records for a trial?
Subpoena duces tecum
The statute that defines what is included in the practice of medicine, establishes the requirements for licensure, and establishes the grounds for suspension or revocation of a license is called the
Medical Practice Act
An example of a medical assistant illegally practicing medicine is
giving advice on a patient condition.
Under this doctrine, physicians are legally responsible for the acts of their employees when they are acting within the scope of their duties or employment
Respondeat superior
Substitution of another surgeon without the patient’s consent when the patient has already received anesthesia and has no idea that a substitution has been made is called
ghost surgery
Mrs. Jones is diagnosed with a terminal illness. She has given permission for her husband, Mr. Jones, to have access to her medical information. Dr. Smith informs Mr. Jones that his wife is terminally ill. Mr. Jones does not want Dr. Smith to tell her patient that she is terminally ill. The physician would violate which of the following ethical principles if she does not inform her patient of the correct diagnosis?
Veracity
A physician performed plastic surgery on a patient and later published an article about the procedure in a medical journal. A photograph of the surgical site was included. Permission to publish the photograph had not been obtained. This act is an example of
invasion of privacy
Which statement best describes the practice known as “fee splitting”?
It is the unethical practice in which physicians are paid for referring patients.
If a caring family member asks about a patient’s treatment, the medical assistant should
provide only information that has been authorized by the patient
The technique used to let a patient know how you interpreted the message he or she is communicating is called
restating
This type of listening is highly recommended for health care providers and patients in communicating needs. It involves participation in a conversation with another by means of repeating words and phrases or giving approving or disapproving nods.
Active listening
Psychologist Abraham Maslow created the “Hierarchy of Needs”. Maslow believed that our human needs can be categorized into five levels and that the needs of each level must be satisfied before we can move on to the next. Which of the following is the correct order of Maslow’s “Hierarchy of Needs” starting from the bottom to the top?
Physiological needs, Safety and Security, Love and belonging, Esteem and recognition, Self-actualization
Positioning or sitting behind a desk communicates the message of
authority.
When educating your patient, which of the following is not recommended for the prevention of deep vein thrombosis?
avoid compression stockings
With respect to educating patients on the functions of minerals in the body, which combination of mineral to sources is incorrect?
Iron– nuts, whole grains, vegetables, coffee, tea, cocoa, egg yolks
Patient education for minor burn care involves all of the following EXCEPT
Eating a low-calorie, low- protein diet to promote healing
Instructing patients in the collection of a clean-catch, midstream urine specimen is especially important in order to avoid contamination. Which of the following is incorrect in patient education?
On the second motion, cleanse directly across the meatus, back-to-front, using another antiseptic wipe
Patient education for preventing Lyme disease includes all of the following except
Remove a tick by squeezing or crushing the tick with tweezers
Diabetic patient education must be acknowledged and followed by the patient. Which of the following is not recommended for the diabetic patient?
Maintain plasma glucose level between 120 and 200 mg/dL
A "non-duplication of benefits" is also called
coordination of benefits
The policy describing a period of non-coverage for conditions diagnosed prior to the issuance of an insurance benefit plan is called
a pre-existing conditions waiver
Medicare Part B covers
prescription medical equipment
Accepting assignment on a Medicare claim means that the physician is compensated
80% of approved amount
The specific amount specified by an insurance plan that the patient must pay toward the charges for professional services rendered is the
copayment.
Medicare Part B pays physicians on a fee scale consisting of three parts: 1. Physician’s work. 2. Charge-based professional liability expenses. 3. Charge-based overhead. This fee scale is known as
Resource-based Relative Value Scale (RBRVS
Claims for Medicaid patients enrolled in a managed care plan are paid according to what fee schedule?
Capitated
A military medical insurance plan that is administered by the government is
TRICARE
This insurance covers health benefits program for the spouses and dependent children of veterans suffering total, permanent, service-connected disabilities and for surviving spouses and dependent children of veterans who died as a result of service-related disabilities.
CHAMPVA
In 2006, drug and prescription benefits were added allowing Medicare recipients the option of choosing, at a reduced cost, a plan that pays for prescription drugs with just a small co-payment from the patient. Beneficiaries choose the drug plan and pay a monthly premium. This option is
Medicare Part D
A range of usual fees in the same community is the
prevailing fee.
A written authorization by the patient giving the insurance company the right to pay the physician directly for billed services is known as the
assignment of Benefits
A payment method used by many managed care organizations in which a fixed amount of money is reimbursed to the provider for patients enrolled during a specific period of time, no matter what services are received or how many visits are made
Capitation
The routine waiving of co-payments
is against federal guidelines
An organization that contracts with the government to handle and mediate insurance claims from the medical facilities, home health agencies, or providers of medical services or supplies.
Fiscal intermediary
Which one of the following is an insurance claim processing error?
Using "rule out" diagnosis
A letter for statement from the insurance carrier describing what was paid, denied, or reduced in payment. Also contains information about amounts applied to the deductible, the patient’s co-insurance, and the allowed amounts.
. Explanation of benefits (EOB)
A person who holds a health benefit plan is a
. subscriber
Once a delinquent account has been turned over to a collection agency, the physician's office should
refer all inquiries to the collection agency
The petty cash fund may be used
for small incidental items
Which of the following entries are recorded in the adjustment column?
Insurance write-offs
If the total income for one month is $17,500 and the total expenses for the same month are $15,500, the profit and loss statement would show a
net profit of $2,000
The name that follows the words "Pay to the order of" on a check is the
payee.
For deposit only" is an example of what type of endorsement?
. Restrictive
Which one of the following represents the total of all patient outstanding balances owed to the practice?
Accounts receivable
A compilation or average of physician fees over a given period is know as
fee profile.
The process of proving that a bank statement and checkbook balance and are in agreement is known as
reconciliation
The words “for deposit only” specify what type of endorsement?
Restrictive
The cost to a physician for the services of a collection agency is usually
a percentage of each amount collected
Regulation Z of the Truth in Lending Act is enforced by the Federal Trade Commission and is a part of the Consumer Credit Protection Act. When a physician agrees and accepts payment in installments, the physician must provide a disclosure statement about finance charges even if no finance charges are involved. What is the minimum number of installments in this Regulation?
More than four installments
Expenses that will most likely be included in the capital budget for a medical facility are
medical equipment
The person who signs his or her name on the back of a check for the purpose of transferring title to another person is the
endorser
Consider the legal statement in which a person authorizes another person to act as his or her agent. The authority may be limited to the handling of specific procedures. The person to which authorization is granted is known as the
. power of attorney for healthcare
The method used to accommodate appointments for minor emergencies in the physician's office is to
leave unassigned slots in the appointment schedule.
When an order arrives from a supplier, the box should be inventoried. The list of the items included in a shipment is called the
packing slip
It is recommneded that a multipurpose ABC fire extinguisher be readily available and prominently mounted in a visible, convenient place in the medical office. All employees must be trained in the use of the fire extinguisher. The proper way to operate a fire extinguisher is to
pull the pin, aim the hose, squeeze the handle, sweep the nozzle
Which of the following is the correct way to write the first line of an inside address in a letter to Susan Martin, a pediatrician?
Susan Martin, MD
An approach of sensitivity to the individual needs and reactions of patients begins from the initial contact with the medical receptionist to the conclusion of the patient’s treatment. This approach is known as
empathy.
A method of prioritizing patients so that the most urgent receive care first is called
triage
What information would you need in order to properly matrix the appointment book or electronic medical record?
Days and hours the physician performs hospital rounds
Which of the following is the best method of interacting with an angry patient in the reception area?
Invite the patient into a room out of the reception area
When a patient cancels his or her appointment or merely does not show up, the correct course of action is to
call the patient and try to reschedule for another time; document the missed appointment in the patient record and in the appointment book or database
Which of the following dates is written correctly for inclusion in the heading of a business letter?
July 27, 2011
When making travel arrangements for the physician to attend a medical seminar or convention, the medical assistant should provide the physician with details of the entire trip, including dates and times of arrival and departure, flight and hotel confirmation numbers, and other details all in one document. This detailed description is called
an itinerary
The medical assistant develops a matrix or a template prior to creating the physician’s schedule in order to
. block out time slots when the physician is not available to see patients
Which one of the following represents the statistical characteristics of human populations (as in date of birth, address, telephone number, occupation, place of employment) used especially to identify markets
Demographic
When a patient fails to keep an appointment the medical assistant should
document the failed appointment in the patient's chart
Which of the following type of magazines or journals should not be in the reception area
Physician's professional journals
Medical records in this medical office are filed alphabetically. Arrange the following names in alphabetical order to prepare them for filing. Select the sequence of the numbers correctly that alphabetizes the names
(1) Smith, James
(2) Smithson, Jane
(3) Smithy, J.
(4) Smithe, John
(1), (4), (2), (3
Who is the legal owner of the medical record (original hardcopy or electronic medical record)?
The physician or medical facility which initiated and developed the record
To prevent back pain or a workplace injury when working with an object, ergonomically, which of the following ergonomic stance is not recommended?
. Keep feet together
What are the two most important factors in performing an effective hand wash?
Friction and running warm water
What regulatory body is responsible for monitoring the observance of Standard Precautions guidelines
OSHA
While Susan is preparing a blood specimen for laboratory analysis, the container tips over and blood spills on the laboratory table. Which of the following is the most appropriate management of the spill?
Don personal protective equipment such as gloves, use a cleanup kit, sprinkle congealing powder over the spill, scoop up the spill, place contents in bag, wipe area with germicide, place all contaminated materials in biohazard container.
Microorganisms may be transmitted by each of the following EXCEPT
. asepsis
According to Standard Precautions guidelines, personal protective equipment MUST be worn whenever there is contact with
. blood.
When performing skin preparation before a surgical procedure, the antiseptic solution or soap should be applied starting at the incision site and using a motion that is
circular starting from the incision area to the outside edges of the area.
Cold sterilization is achieved through the use of
chemicals.
The autoclave chamber door is slightly opened at the end of the autoclave cycle to
allow the items to dry
Sterilization is the
destruction of all microbial life
Which one of the following processes is required for surgical instruments and equipment that will come into contact with internal body tissues or cavities that are considered sterile?
. Sterilization
The instrument used to view the urinary bladder is
cystscope.
A stainless steel instrument with a handle at one end and two prongs at the other end used to test hearing is a
tuning fork
What instruments have sharp edges and are used to incise skin and tissue?
Cutting and dissecting instruments
What instrument holds open layers of tissue, exposing the areas beneath?
. Retractors
The tympanic thermometer is inserted into the
ear
Instruments used to take blood pressure are the
sphygmomanometer and stethoscope.
What kind of machines do electrocardiograph technicians operate?
EKG
A hemostat is used to
control bleeding.
Which of the following is a surgical instrument with slender jaws used for grasping blood vessels and establishing homeostasis
Hemostat clamp
To obtain the most accurate rate, respirations should be counted for
60 seconds.
A marked drop in blood pressure is found with
. shock
Normal bacteria that are found in the intestinal tract and are the most common cause of lower-tract urinary infections (due to improper hygiene after bowel movements), are
. E. coli
The most common arterial site for obtaining an adult pulse is
. radial.
Which of the following is not associated with Insulin-dependent diabetes mellitus?
Type II
The signs and symptoms of IDDM (insulin-dependent diabetes mellitus) do not include
weight gain
The average pulse for an adult at rest is in the range of
. 60-80 beats per minute
A sudden attack, such as that observed in epilepsy is known as
a seizure
The knee-chest position is used for examination of the
rectum.
You have just a venipuncture on your patient and the patient says she feels like she is going to faint. Into what position do you quickly place your patient in?
Trendelenburg
A patient short of breath should be put into what position on the examination table?
Fowlers
Cheyne Stokes describes a
type of respiration.
What type of pulse is obtained using a stethoscope?
Apical
What blood pressure would be by a hypertensive patient?
140/90
Cardinal signs are also known as
blood pressure, temperature, pulse, respirations
The "Snellen Chart" is used to test
sight
Michelle has an order to administer a TB test to her patient. She knows that the body sites used for an intradermal injection are the
. anterior forearm and the upper back.
Sarah knows that legally, all vaccine providers must give patients, their parents, or their legal representatives, the appropriate Vaccine Information Statement (VIS) whenever a vaccination is administered. The required information that must be recorded on the patient's medical record includes the
edition date of the VIS, the date the VIS is provided (i.e., the date of the visit when the vaccine is administered).
While administering an intramuscular injection, the medical assistant inadvertently aspirates blood into the syringe. Which of the following is the most appropriate next step?
. Withdraw the needle completely and start the procedure over
A drug used to relieve pain is an
. analgesic
Sarah is administering an influenza shot to her patient. She knows that when administering an injection into the deltoid muscle, caution must be taken to avoid the
radial and ulnar nerves
For a medication to be maintained at the proper blood level, it must be given
at the right time.
The physician orders 1 Gram of a medication for injection. On hand is 0.5 Grams per mL. How many mL will be administered?
2.0 mL
Which of the following administration routes will result in the most rapid action of a drug?
Intravenous
Electrosurgery is used for
. aspirating tissues or cells
What is a fenestrated sterile drape?
A drape that is placed over the patient, with the opening over the area where the surgical procedure will be performed.
For minor surgical procedures, acceptable skin cleansing agents include all of the following EXCEPT
acetone
Which of the following is a surgery that is used to treat an abscess?
Incision and drainage
Instruments required by the physician for a basic suture set-up include
needle holder and scissors
Which one of the following is NOT a physical therapy modality
immobilization
Sensitivity testing in Microbiology is performed to
check for antibiotic sensitivity to the bacteria found in the specimen
Which of these statements is true regarding angioplasty
. Angioplasty is used to restore blood flow to ischemic myocardial tissue
Excessive squeezing around a capillary puncture site will cause
dilution of the sample with tissue fluid
Which type of bleeding is easiest to control?
Capillary
Which one of the following tests identifies the organism associated with a urinary tract infection?
Culture and sensitivity
The preanalytical phase of laboratory procedures refers to
the laboratory testing phase in which tests are ordered and specimens are collected and prepared for testing.
Staphylococci are the primary causative pathogen for which one of the following diseases?
Acne/boils
A urine pregnancy test checks for the presence of
HCG.
A normal color of urine is
straw.
The "universal donor" has blood type
O -
Which one of the following is a highly specific host defense mechanism?
. Immune response
Which of the following best represent the major areas of urinalysis?
. physical, chemical, microscopic
In electrocardiography, the electrode used as a ground is
. RL
The basic EKG has how many leads?
12
When preparing a patient for an EKG, leads should be placed
on the intercostal spaces
What typically does not cause an artifact in the tracing of an electrocardiogram?
. Relaxed patient
What should be done if a person exhibits changing levels of consciousness?
Have the patient lie down
What is the first thing you should do if you walk into a room and find a patient collapsed on the floor
Assess the scene before going any further
After putting gloves on, what should be done to assist a bleeding victim?
Apply direct pressure to the site
When using a fire extinguisher, what does the acronym PASS mean?
Pull, aim, squeeze, and sweep
What is the proper treatment for syncope?
. Place the patient in a supine position with the legs elevated
A second degree burn would appear as
red, edematous, wet, shiny or blistered.
Fire extinguishers must be inspected and recharged, if necessary,
once a year.
The first step in controlling bleeding is
direct pressure