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76 - 150 questions AMCA

Total questions: 75

Worksheet time: 38mins

Name
Class
Date
1.

76) The invoice for the monthly rent of the building where the medical office is located, is typically handled by which department?

a)

Compliance

b)

Human Resources

c)

Accounts payable

d)

Accounts receivable

2.

77) What drug enhances the effects of another drug?

a)

Narcotic

b)

Antagonist

c)

Trade

d)

Synergistic

3.

78) When using a venterogluteal approach to give an intramuscular injection in the buttock area, what is the muscle the medication goes in?

a)

Gluteus maximus

b)

Gluteus medius

c)

Right upper and outer quadrant

d)

Gluteus minimus

4.

79) A baby's pulse and respirations are:

a)

The same as adults

b)

Not significantly different than an adult

c)

Faster than an adults

d)

Slower than an adults

5.

80) Which of the patient's limbs serves as an electrical ground?

a)

Right arm

b)

Left leg

c)

Left arm

d)

Right leg

6.

81) Another name for chest leads is:

a)

Standard

b)

Precordial

c)

Limb

d)

Augmented

7.

82) When the body has had adequate rest and no food for at least 12 hours, it is said to be in:

a)

Hemostasis

b)

Basal state

c)

Homeostasis

d)

Steady state

8.

83) What organ's main function is to eliminate excess water and waste products from the body?

a)

Liver

b)

Intestines

c)

Gall Bladder

d)

Kidneys

9.

84) A murmur is an abnormal sound that may indicate:

a)

Intestinal obstruction

b)

Valvular heart disease

c)

Stroke

d)

Bronchial asthma

10.

85) How many electrodes are used as part of a 12-Lead EKG?

a)

10

b)

6

c)

12

d)

8

11.

86) The amount of blood pumped by the heart per minute is called:

a)

Ejection fraction

b)

Cardiac output

c)

Contractility

d)

Blood pressure

12.

87) Sinus __________ is a slow dysrhythmia.

a)

Bradycardia

b)

Tachycardia

c)

Rhythm

d)

Dysrhythmia

13.

88) When a person stays in the same position all the time, pressure causes the skin to:

a)

Become firm and dry

b)

Weaken and become necrotic

c)

Become stronger

d)

Stay pink and moist

14.

89) A patient's weight should be listed in the patient's chart to the nearest:

a)

Pound

b)

1/4 pound

c)

Ounce

d)

3/4 pound

15.

90) Which of the following blood pressure readings would be considered Stage 1 Hypertension?

a)

148/96

b)

116/72

c)

126/84

d)

178/104

16.

91) A normal resting heart rate for the average adult is:

a)

15-20 BPM

b)

80-120 BPM

c)

10-15 BPM

d)

60-100 BPM

17.

92) Automaticity refers to:

a)

The ability of the myocardial cell to contract when stimulated by an electrical impulse

b)

The ability to transmit an electrical stimulus from cell to cell throughout the myocardium

c)

The ability to respond to an electrical stimulus

d)

The ability of certain myocardial cells to produce an electrical impulse without the need for outside nerve stimulation

18.

93) Collection devices used in skin punctures are called:

a)

Capillary tubes

b)

Butterfly sets

c)

Blood culture collection systems

d)

25 gauge needles

19.

94) Normal sinus rhythm has a heart rate of ______ beats per minute:

a)

80 to 120

b)

50 to 75

c)

60 to 100

d)

40 to 60

20.

95) What is the function of the large intestine (aka colon)?

a)

Absorb water

b)

Absorb sugar

c)

Absorb fat

d)

Absorb vitamins

21.

96) No anticoagulants are found in which of the following tubes?

a)

Green-topped

b)

Yellow-topped

c)

Lavender-topped

d)

Red-topped

22.

97) Without a clot activator, whole blood typically clots in____ minutes.

a)

60 to 20

b)

1 to 2

c)

30 to 60

d)

5 to 10

23.

98) Thixotropic gel, found in the SST red gray marbled- topped Vacutainer tube:

a)

Is more dense than red blood cells and less dense than white blood cells

b)

Is more dense than red blood cells and less dense than serum

c)

Is less dense than red blood cells but more dense than serum

d)

Has the same density as red blood cells

24.

99) Which of the following procedures is appropriate for preparing blood and other potentially infectious materials for transport?

a)

Freezing the materials before transport

b)

Placing the materials in a leak-proof container during collection

c)

Decontaminating the hazardous waste container

d)

Relabeling containers provided for waste

25.

100) The normal volume of urine produced by an adult in a 24-hour period generally does not exceed:

a)

2000 L

b)

2000 mL

c)

400 mL

d)

750 ml

26.

101) The patient's specimen is lipemic. This is usually an indicator that the patient is:

a)

Smoking

b)

Not fasting

c)

Normal

d)

In basal state

27.

102) Which of the following tests is not a part of complete blood count?

a)

Activated partial thromboplastin time

b)

Differential

c)

Hemoglobin

d)

Hematocrit

28.

103) The boundaries for the approved area in performing heel punctures are:

a)

The line extending from the third toe, dividing the plantar surface into medial and lateral aspects.

b)

The line extending from the third and fourth toe, dividing the plantar surface.

c)

The lateral line extending from the third toe and the medical line extending from the second toe.

d)

The medial line extending from the great toe and lateral line extending from the fourth and fifth digit.

29.

104) What is the best sample for the determination of blood pH and blood gases?

a)

Cerebrospinal fluid

b)

Arterial blood

c)

Venous blood

d)

Capillary blood

30.

105) The ability to identify with someone else's feelings is called:

a)

Respect

b)

Feedback

c)

Sympathy

d)

Empathy

31.

106) How far above the site of draw is the tourniquet placed?

a)

3-4 inches

b)

1-2 inches

c)

5-7 inches

d)

4-6 inches

32.

107) A female patient came into the clinic for follow-up after a right sided mastectomy with some removal of lymphoid tissue. What is the name of the condition that makes blood draw on the right arm not recommended?

a)

Syncope

b)

Lymphostasis

c)

Anemia

d)

Hemoconcentration

33.

108) Which of the following is correct for ending a venipuncture procedure?

a)

Remove the tourniquet, remove the needle, remove the tube, apply pressure

b)

Remove the tourniquet, remove the tube, remove the needle, apply pressure

c)

Remove the needle, remove the tube, remove the tourniquet, apply pressure

d)

Remove the tube, remove the tourniquet, remove the needle, apply pressure

34.

109) Which of the following is known as swimmer's ear?

a)

Otitis externa

b)

Otitis

c)

Otitis media

d)

Otitis interna

35.

110) Which of the following should be used to chill a specimen as it transported?

a)

A small freezer unit

b)

Frozen blocks of ice

c)

Crushed ice

d)

Tepid water

36.

111) The Medical Assistant was sent to the ward to draw blood for coagulation studies, Which of the following is correct about this draw?

a)

The Medical Assistant can use capillary tubes for the blood collection

b)

Draw a red top tube before the light blue tube

c)

Fill a light blue to the top

d)

Before drawing the specimen, make sure the patient has fasted for 12 hours

37.

112) The tube of choice for glucose testing is:

a)

Gray-top tube

b)

Red-top tube

c)

Light-blue top blue

d)

Lavender-top tube

38.

113) The function of the platelet is to:

a)

Cause the blood to clot

b)

Fight infection

c)

Carry oxygen

d)

Carry nutrients

39.

114) The three kinds of blood cells are:

a)

Leukocytes, red blood cells, erythrocytes

b)

Erythrocytes, Platelets, thrombocytes

c)

Leukocytes, white blood cells, platelets

d)

Erythrocytes, thrombocytes, leukocytes

40.

115) The hormone tested for in pregnancy tests is:

a)

TSH

b)

Progesterone

c)

Estrogen

d)

HCG

41.

116) When performing a dermal puncture and the lancet hits the bone, what is the potentially serious fatal bone infection that could occur?

a)

Osteochondritis

b)

Osteomyelitis

c)

Osteomalacia

d)

Osteoporosis

42.

117) You performing a venipuncture procedure on a patient- the needle appears to be inside the vein yet no blood id flowing into the tube. What should you do?

a)

Pull back on the needle

b)

Terminate the procedure

c)

Slightly rotate the needle

d)

Switch the tubes

43.

118) Which of the following Vacutainer tubes is routinely used for hematology testing?

a)

Light blue-topped tubes

b)

Red-topped tubes

c)

Lavender topped tubes

d)

Green-topped tubes

44.

119) If a laboratory test requires serum, which Vacutainer tube is the tube of choice?

a)

Lavender - topped tubes

b)

Black- topped tubes

c)

Yellow - topped tubes

d)

Red - topped tubes

45.

120) Sodium Citrate is the additive in what color tube?

a)

Red

b)

Green

c)

Light-blue

d)

Lavender

46.

121) A fluctuating fever that returns to or below baseline then increases again is:

a)

Intermittent

b)

Remittent

c)

Onset

d)

Continuous

47.

122) Identify the tubes needed to collect a PT,STAT lytes, and BC in the proper order of collection.

a)

Yellow, light-blue, PST

b)

SST, yellow, light-blue

c)

Light-blue, lavender, yellow

d)

Gold, Yellow, light-blue

48.

123) A female patient came into the emergency room with her husband. She was suffering from severe shortness of breath. She appeared to be unable to take in sufficient oxygen. What is the color of the skin and nail beds?

a)

Brownish

b)

Greenish

c)

Reddish

d)

Bluish

49.

124) Which choice is a typical educational for elderly patients to prevent disease?

a)

The location of the patient's public health resources in their community

b)

Health anti-aging skin care techniques and products

c)

Sterile technique used in the medical practice

d)

Annual flu pneumonia vaccination information

50.

125) Asystole:

a)

Is defined as the presence of chaotic cardiac activity

b)

Procedures a complete cessation of cardiac output

c)

Is the most common primary event in cardiac arrest in the adult

d)

Appears as a chaotic line on the ECG monitor

51.

126) A patient came to the clinic for a low-grade fever of one month duration. As part of the laboratory work-up, the physician ordered erythrocyte sedimentation (ESR). What color tube would be used for this test?

a)

Green-top tube

b)

Light-blue top tube

c)

Lavender-top tube

d)

Red-top tube

52.

127) An obese patient was sent to the laboratory for a complete blood count. Which of the following veins is mot likely to be the only that the Phlebotomist can palpate?

a)

Basilic vein

b)

Cephalic vein

c)

Median cubital vein

d)

Sclerosed vein

53.

128) Two employees discussing a patient diagnosis on a hospital elevator with other people present is a violation of:

a)

Patient rights

b)

Patient privacy

c)

Patient confidentiality

d)

Patient insurance

54.

129) A patient has been taking aspirin for arthritis. Which of the following is most likely to be affected by it?

a)

Bleeding time

b)

Glucose time

c)

Blood culture collection

d)

Blood culture results

55.

130) Mr. Matthews called the office to get the test results for his wife, Martha. What should the medical assistant do?

a)

Tell Mr. Matthews that you cannot release the information

b)

Check the medical record to see if Mr. Matthews is really Martha's husband - if so then release the information.

c)

Tell Mr. Matthews the test results

d)

Check the medical record to see if Mr. Matthews is authorized to have this information on Mrs. Matthews HIPAA form. if so, then release the information.

56.

131) If a finger is "excessively" milked during a skin puncture, the result will be:

a)

A decrease in pain for the patient

b)

Increased venous blood flow to the puncture site

c)

An adequate of blood for filling several capillary tubes

d)

Hemolysis and contamination of the specimen with tissue fluids

57.

132) You are the only CMAC the night shift. You receive orders for all of the following tests within minutes of one another. Which test has the greatest collection priority?

a)

STAT CBC in labor and Delivery

b)

STAT electrolytes in the ER

c)

Timed blood cultures in ICU

d)

ASAP electrolytes in CCU

58.

133) The phenylketonuria (PKU) test is used to diagnose deficiency of phenylalanine hydroxylase, the most common clinically encountered inborn error of metabolism. it is performed on:

a)

Blood drawn from a newborn's finger

b)

A newborn's fecal specimen

c)

Blood drawn from a newborn's buttocks

d)

Blood drawn from a newborn's heel

59.

134) Samples appear to have been mislabeled and mixed on two patients. Each outpatient has orders for both blood and urine test, so there were two samples for each. What would be the best course of action?

a)

Recollect all four specimens from the patients

b)

Re-label the urine samples, but redraw the blood

c)

Have the patients come back and identify their specimens

d)

Re-label all the specimens

60.

135) What specimens require protection from light?

a)

Bilirubin

b)

Lactic acid

c)

Blood gases

d)

Cryo fibrinogens

61.

136) Which of the following are also referred to as serum separator tubes (SST)?

a)

Red/Gray-top tubes

b)

Red-top tubes

c)

Light blue-top tubes

d)

Lavender-top tubes

62.

137) Which of the following specimens are best utilized to measure clotting factors?

a)

Serum

b)

Whole blood

c)

Plasma

d)

Sterile blood

63.

138) Which of the following is a standard speed for an EKG machine?

a)

50 mm/second

b)

100 mm/second

c)

10 mm/second

d)

25 mm/second

64.

139) When would a phlebotomist use a multiple-sample needle?

a)

Along family members who all require the same test

b)

In a large out-patient laboratory for all patients requiring the same test

c)

For microcapillary collection

d)

When more than one tube of blood is to be collected

65.

140) A collection tube containing an anti-coagulant must be inverted how many times?

a)

Tubes containing anti-coagulants are not inverted at all

b)

Ten times

c)

Eight times

d)

Shake vigorously for 30 seconds

66.

141) Identify the rhythm that will often produce an irregular rhythm.

a)

Atrial Tachycardia

b)

Sinus Dysrhythmia

c)

Ventricular Tachycardia

d)

Sinus Bradycardia

67.

142) Which limb sensor is the reference or ground electrode?

a)

Right arm

b)

Left arm

c)

Left leg

d)

Right leg

68.

143) One method to calculate heart rate from an EKG strip is to:

a)

Count the small boxes between the R-R interval and divide into 1500

b)

Count the number of small boxes in the R-R intervals and divide by 2

c)

Estimate by counting R peaks in 10 sec strip and multiply by 10

d)

Count the number of QRS complexes in a 3 strip and multiply by 10

69.

144) A 45 year-old man comes in for a stress test. His resting blood pressure is 120/80. During the stress test, his blood pressure dropped to 95/55 and his skin is cold and clammy. What is the best course of action?

a)

Stop for a minute, then resume

b)

Stop the test immediately

c)

Slow the test and then pick the pace back up

d)

Push forward with the test

70.

145) The Q wave, if present, is always:

a)

Positive

b)

Present

c)

Isoelectric

d)

Negative

71.

146)The main purpose of PPE is to:

a)

Help project a professional appearance

b)

Protect street clothes from getting soiled

c)

Provide the employee a barrier against infection

d)

Systolic pressure below 90 and diastolic pressure below 60mmHg

72.

147) Hypotension is defined as:

a)

No measurable Systolic pressure

b)

Systolic pressure above 150 mmHg and diastolic pressure above 90mmHg

c)

Systolic pressure of 129 mmHg and diastolic pressure of 80 mmHg

d)

Systolic pressure below 95 and diastolic pressure below 60mmHg

73.

148) The acronym used to remember the actions to take when using a fire extinguisher is:

a)

ACT

b)

HELP

c)

RACE

d)

PASS

74.

149) Narrowing of the valve between the left atrium and the left ventricle is called:

a)

Mitral stenosis

b)

Aortic stenosis

c)

Pulmonary stenosis

d)

Tricuspid stenosis

75.

150) Which of the following supplies blood to the heart muscle?

a)

Coronary arteries

b)

Brachial arteries

c)

Carotid arteries

d)

Cerebral arteries