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Medical midterm exam LWH

Total questions: 120

Worksheet time: 2hrs 0mins

Name
Class
Date
1.

Which of these disorders occurs when the colon absorbs too much water from the feces, making them dry and hard and difficult to eliminate

a)

Ulcer

b)

Constipation

c)

Inflammatory Bowel Disease(IBD)

d)

Eating disorder

2.

In which condition does the skin have a yellow color

a)

Jaundice

b)

Cyanosis

c)

Erythema

d)

Albino

3.

How are STDs passed on to others

a)

Sexual contact

b)

Exchange of body fluids

c)

All of the above

4.

What is the sum of all chemical reactions within a cell

a)

Mitosis

b)

Meiosis

c)

Anatomy

d)

Metabolism

5.

Which of these items help from clots

a)

Red blood cells

b)

Platelets

c)

White blood cells

d)

Marrow

6.

What is formed when cells of the same type join to perform a common task

a)

Tissue

b)

Organ

c)

System

7.

In which condition does the skin have a bluish color

a)

Albino

b)

Jaundice

c)

Erythema

d)

Cyanosis

8.

What are the "chemical messengers" that coordinate and direct specific activities of the body

a)

Neurons

b)

Hormones

c)

Ducts

d)

Muscles

9.

What is another name for high blood pressure

a)

Hypertension

b)

Leukemia

c)

Congestive Heart Failure

d)

Anemia

10.

What is atrophy

a)

An increase in the number of cells

b)

A decrease in size of cells

c)

Cells changing in shape or organization

d)

All of the above

11.

Which of these items fights disease and infection

a)

Red blood cells

b)

Platelets

c)

White blood cells

d)

Marrow

12.

A joint is

a)

A structure that separates two or more adjacent elements of the skeletal system

b)

Fibrous bands of connective tissue

c)

The most common type of joint in the body

d)

Dense connective tissues consisting mainly of collagen

13.

What are the tiny structures in the kidneys where the blood is actually filtered and urine is formed

a)

Nephrons

b)

Ureters

c)

Urinary meatus

14.

What is the term for an infection of the middle ear caused by a bacteria or virus

a)

Cataract

b)

Respiratory infection

c)

Otitis media

d)

Conjunctivitis

15.

What is the name of the upper arm bone

a)

Ulna

b)

Clavicle

c)

Humerus

d)

Radius

16.

What term refers to keeping a state of balance in the body

a)

Atrophy

b)

Homeostasis

c)

Metabolism

d)

Neoplasia

17.

Which of these conditions refers to painful urination

a)

Nocturia

b)

Dysuria

c)

Oliguria

d)

Anuria

18.

Which term refers to a group of disorders in which one or more joints are inflamed

a)

Fracture

b)

Dislocation

c)

Sprain

d)

Arthritis

19.

What is the body's ability to resist invaders and the diseases they cause?

a)

Homeostasis

b)

Neoplasia

c)

Immunity

d)

Metastasis

20.

What is another name for a nerve call

a)

Axon

b)

Neuron

c)

Synapse

d)

Dendrite

21.

Where are insulin and glucagon produced

a)

Pituitary gland

b)

Pancreas

c)

Stomach

d)

Brain

22.

Which disease occurs when there is an abnormal increase in the number of white blood cells, which results in fewer red blood cells carrying oxygen to body tissues

a)

Leukemia

b)

Hypertension

c)

Congestive Heart Failure

d)

Anemia

23.

What is metastasis

a)

When tumors are removed through surgery

b)

When cancer treatments result in toxic side effects

c)

When malignant tumors spread to other parts of the body

d)

All of the above

24.

What attaches muscles to bone

a)

Tendon

b)

Ligament

c)

Fascia

d)

All of the above

25.

Wht is the purpose of antibodies

a)

To remove old red blood cells

b)

To fight infection

c)

To create lymph

d)

To pump lymph through the vessels

26.

Which of these disorders is the inability to conceive or produce a child

a)

Acquired Immune Deficiency Syndrome (AIDS)

b)

infertility

c)

Chlamydia

d)

Herpes 2

27.

How many chambers are in the heart

a)

One

b)

Two

c)

Three

d)

Four

28.

What is the large flat muscle that separates the thoracic cavity from the abdominal cavity

a)

Inferior lobe

b)

Diaphragm

c)

Intercostal muscles

29.

Which of the following may be considered an exception to the requirement for informed consent

a)

the patient is a non-English speaker

b)

The person is both blind and hearing impaired

c)

Performing CPR on an unconscious patient

d)

An invasive procedure not requiring hospitalization

30.

Intentionally touching another person without permission is called what

a)

Negligence

b)

Assault

c)

Battery

d)

Slander

31.

How should a documentation error be corrected

a)

Erase the error and initial the change

b)

Use correction fluid and initial the change

c)

Black out the error, add the correct information, and initial the change

d)

Draw a line through the error, add the correct information, initial, and date

32.

Vivian is a nurse at a children's hospital. A 10-year-old boy confides in Vivian that he has been abused by his parents, but he begs her not to tell anyone. What should Vivian do?

a)

She should discuss the situation with another nurse

b)

She should respect the boy's privacy and keep the secret

c)

She should report the abuse to the proper authorities

33.

Speaking false words about people with the intention of damaging their reputation is considered which of the following

a)

Libel

b)

Slander

c)

Malpractice

d)

Battery

34.

What is the purpose of the Centers for Disease Control and Prevention

a)

Protect people from infectious, occupational, environmental, and terrorist threats

b)

Credential physicians in the care of infectious disease

c)

Find funding for scientific research

d)

Develop products that are sold directly to health care facilities and governments

35.

Which of the following defines an ehtical dilemma

a)

When a code of ehtics is broken

b)

A conflict of laws governing a person or property

c)

A conflict of moral beliefs

d)

When civil rights have been violate

36.

What is a list of written statements describing proper conduct for a group of people

a)

Personal ethics

b)

Bill of rights

c)

Code of ethics

37.

Brenda is a patient at a retirement community who is suffering from dementia. One day, she began hitting several patients in the cafeteria. Several health care workers forcibly restrained Brenda until she calmed down. Is this a case of assault and battery

a)

Yes

b)

No

38.

Which of the following is included in informed consent

a)

An explanation of the test and permission from the patient

b)

A diagnosis and documented need for a procedure

c)

A referral from a physician, a written contract; and a fee for services

d)

A patient showing up for an appointment

39.

What is professional negligence called

a)

Defamation of character

b)

Malpractice

c)

Invasion of privacy

d)

Assault and battery

40.

Liability can be defined as which of the following

a)

A moral desire to do the right thing

b)

An ethical responsibility to cause no harm

c)

Legal responsibility for causing harm

d)

The ability to sue the party responsible for causing harm

41.

Which of the following should be done when copying confidential information

a)

Remain by the copier and make sure to coollect the original item

b)

Ask someone who isn't busy to gather the copied items

c)

Throw away extra copies immediately

d)

Create a central area to store unclaimed copies

42.

A nursing team is short-staffed and extremely busy. An RN asks a nursing assistant to give a patient his afternoon medication. Who is liable

a)

The nursing assistant and the RN

b)

The patient and the nursing assistant

c)

The nursing assistant, the RN, and the employer

d)

The RN and the employer

43.

Regina is a nurse at a commuity hospital. She is assigned a young pregnant patient. Allyson, who is being treated for injuries received in a car accident. Allyson tells Regina that she and her boyfriend have decided to have an abortion. Regina believes that abortion is unethical. How should Regina respond to Allyson

a)

She should ask Allyson how she would feel if her own mother has considered abortion

b)

She should give Allyson information on organizations that can support her in keeping her baby

c)

She should care for Allyson as she would any other patient and be respectful

d)

She should try ot change Allyson's mind by kindly telling her that abortions are wrong

44.

Which of the following is a type of advance directive

a)

Privileged communication

b)

Client rights

c)

Living will

d)

Grievance

45.

A patient has requested a copy of his medical record in writing. As the office assistant, what should you do

a)

Call the patient to get his authorization

b)

Make copoies of everything in the record within the next 90 days

c)

Read through the medical record before you make a copy that same day

d)

Make copies of everything but psychotherapy notes within 30 days

46.

Which one of the following overrides the others

a)

Organ donor card

b)

Durable power of attorney

c)

Living will

d)

Physician's orders

47.

What is a case in which a person is harmed because of another peron's action or failure to act called

a)

Tort

b)

Law

c)

Legislation

d)

Advance directive

48.

Which of the following is a requirement of the Patient Self-Determination Act

a)

Providers must give patients information on their rights and advance directives

b)

Patients are entitled to make a grievance

c)

Patients must give complete and truthful information to their providers

d)

Providers must not discriminate based on race, color, religion, sex, nationality, disabilities, age, or socio-economic status

49.

Worker compensation laws do which of the following

a)

Ensure that employees will be taken care of when they retire

b)

Set safety standards for all workplaces

c)

Require employers to pay employees a fair wage for the hours and work completed

d)

Require employers to insure employees in case they are injured at work

50.

What does the prefix peri- refer to

a)

Backward

b)

Disease

c)

False

d)

Surrounding

51.

Which of these suffixes indicates a surgical removal

a)

-emia

b)

-ectomy

c)

-gram

d)

-genic

52.

What does the suffix -cyte refer to

a)

Surgical puncture

b)

Cell

c)

Oxygen

d)

Enzyme

53.

Which of these cavities contains the eye structure

a)

Oral

b)

Orbital

c)

Cranial

d)

Nasal

54.

Which of these suffixes indicates a blood condition

a)

-ia

b)

-emia

c)

-pathy

d)

-centesis

55.

What does the word root hyster refer to

a)

Uterus

b)

Ovaries

c)

Thymus

d)

Thyroid

56.

What does the prefix super- refer to

a)

Excellent

b)

Over or above

c)

Absence of

d)

Against

57.

What does the abbreviation p.c. refer to

a)

By mouth

b)

Before meals

c)

With a meal

d)

After meals

58.

What does the abbreviation IM refer to

a)

Intergumentary

b)

Intramyelic

c)

Intramuscular

d)

Immunity

59.

Which of these word roots indicates joint

a)

Pil

b)

Capil

c)

Chondr

d)

Arthr

60.

Which of these directional terms refers to bosy parts toward the point of attachment

a)

Dorsal

b)

Ventral

c)

Proximal

d)

Distal

61.

Which of these cavities contians the brain

a)

Abdominal

b)

Thoracic

c)

Pelvic

d)

Cranial

e)

Spinal

62.

What does the word root neur refer to

a)

Nose

b)

Nerve

c)

Ear

d)

Mouth

63.

What does the suffix -ase refer to

a)

Cell

b)

Enlargement

c)

Visual examination

d)

Enzyme

64.

Which of these suffixes indicates hardening

a)

-opia

b)

-sclerosis

c)

-scopy

d)

-clast

65.

What does the suffix -sepsis refer to

a)

Rupture

b)

Visual examination

c)

Cutting

d)

Infection

66.

What does the abbreviation Dx refer to

a)

Diagnosis

b)

Discontinue

c)

Do not take by mouth

d)

Department

67.

Which of these word roots indicates bone

a)

Chondr

b)

Arthr

c)

Oste

d)

Ligament

68.

Which of these planes is horizontal and divides the body into a top half and bottom half

a)

Midsagittal

b)

Transverse

c)

Frontal

69.

Which of these abbreviations indicates four times a day

a)

q.i.d.

b)

q.s.

c)

q.f.d.

d)

q.h.

70.

Which of these suffixes indicates one who studies or practices

a)

-centesis

b)

-ologist

c)

-scopy

d)

-osis

71.

Which of these body cavities is a long, continuous cavity located on the back of the body

a)

Dorsal

b)

Ventral

c)

Pelvic

d)

Abdominal

72.

What does the word root encephal refer to

a)

Nerve

b)

Mouth

c)

Spinal cord

d)

Brain

73.

Which of these word roots indicates ear

a)

Or

b)

Oss

c)

Ocul

d)

Ot

74.

Which of these abbreviations indicates immediately

a)

ad lib

b)

I/O

c)

inj.

d)

stat

75.

What is a communication barrier

a)

Something that helps communication

b)

Something that interferes with communication

c)

Something that provides a clear message

d)

Something that creates communication diversity

76.

What is approaching another person with a feeling of esteem or regard

a)

Honesty

b)

Dependability

c)

Flexibility

d)

Respect

77.

Which of the following is the best description of how health care workers should dress

a)

Extreme clothing styles and bright colors

b)

Clean, well-fitting clothes that are appropriate for specific jobs

c)

Any type of clothing that is comfortable

d)

Dress clothes and high-heeled shoes

78.

Natalie is a medical secretary and must complete a large amount of filing this afternoon. At 1:00 PM, the office receptionist gets sick and goes home. The manager asks Natalie to fill in at the front desk for the rest of the afternoon. What trait does Natalie demonstrate by adjusting her schedule

a)

Responsibility

b)

Enthusiasm

c)

Honesty

d)

Flexibility

79.

What is the name of the form that patients must sign to give permission to the medical facility to disclose health information

a)

Disclosure form

b)

Confidential Communications form

c)

Amendment Request form

d)

Notice of Privacy Polciy form

e)

Release of Information form

80.

According to the Security Rule in HIPAA, which of the following is an example of a technical safeguard

a)

Passwords should be updated frequently

b)

Computers should have anti-virus software

c)

Electronically transmitted information should be encrypted

d)

All of the above

81.

What is the term used to describe any individually identifiable health information about a patient

a)

Personal Patient Data (PPD)

b)

Private Medical Records (PMR)

c)

Protected Health Information (PHI)

d)

Confidential Personal Information (CPI)

82.

Which of the following terms means releasing, transferring, or providng access to protected health Information

a)

Authorization

b)

Disclosure

c)

Privacy

d)

Confidentiality

83.

What is the connection among all areas and levels of health care workers called

a)

Independence

b)

Interdependence

c)

Dependence

84.

Which of the following should be true about written communication

a)

It should be clear and accurate

b)

It should have logical organization

c)

It should be free of grammar and spelling mistakes

d)

It should use appropriate vocabulary

e)

All of the above

85.

According to the Privacy Rule, which item must be included in a record of disclosures of protected health information

a)

Date of disclosure

b)

Name of the person or entity to whom information was disclosed

c)

Description of disclosure

d)

Reason for disclosure

e)

All of the above

86.

Patients have a right to obtain a copy of their medical records. Which item is legally allowed to be kept from the patient

a)

Psychotherpay notes

b)

Surgeries

c)

Medication record

d)

Health history

87.

Which term refers to everyday language that a patient can understand

a)

Legal terms

b)

Say terms

c)

Lay terms

d)

All of the above

88.

What is the process of evaluating a situation and prioritizing treatment called

a)

Triage

b)

Roadblock

c)

Railroad

d)

Screen

89.

Which of the following telephone greetings is acceptable for a medical office

a)

"Hello, how may I help you?"

b)

"Good morning, Dr. Grabin's office"

c)

"Dr. Grabin's office, Samantha speaking, how may I help you?"

d)

All of the above

90.

Which technology uses a recorded messagw with a series of directions for callers to press buttons to reach the correct party

a)

Call Forwarding

b)

Answering Service

c)

Paging System

d)

Automatic Routing Unit (ARU)

91.

Why is it so important to keep a record of telephone messages

a)

To inform the patient's insurance carrier

b)

One copy is for the physician, and the other is for a nurse

c)

Messages are considered to be legal documentation

d)

The second copy isn't used, but message books come with two-part forms

92.

A patient calls with a serious condition that is not an emergency, but requires an urgent appointment. What is the most appropriate response for the assistant

a)

Contact the physician immediately and ask what to do

b)

Schedule the appointment as early as possible

c)

Transfer the call to a nurse

d)

Take a message to be returned when convenient

93.

How should you handle the caller when transferring a call

a)

Tell the caller that you are a new employee and you don't know how to transfer the call

b)

Just transfer the call

c)

Ask the caller's permission to place the call on hold and make a transfer

d)

Give them a direct number and transfer the call

94.

Which of these types of telephone calls warrants immediately notifying the physician

a)

Emergency calls

b)

Routine Patient Calls

c)

Non-Medical Business Calls

d)

Personal Calls

e)

All of the above

95.

What is the main purpose of using inflection

a)

To make the sound of the voice clearer

b)

To emphasize important points in a conversation

c)

To communicate only with special populations, such as those with diminshed hearing

d)

All of the above

96.

What is the maximum amount of time a caller should be left on hold before the assistant checks back with the caller

a)

10-20 seconds

b)

30-40 seconds

c)

1-2 minutes

d)

3-5 minutes

97.

Why must the assistant always be aware of who is nearby when on the telephone

a)

To keep unauthorized parties from overhearing confidential information

b)

To keep track of which patients have been in the waiting room the longest

c)

To keep the call as short as possible to attend to others' needs

d)

To keep from interrupting other staff members

98.

Which message is the most acceptable for an assistant to leave when returning a patient's call

a)

"Mrs. Brian, this is Trudy at SureCare. We've received your questions for Dr. Andrew. If you call us 555-6543, so we can arrange a time for you to get an answer"

b)

"Mrs. Brian, this is Trudy at SureCare. I understand you have some questions about your blood pressure medication. If you call out office at 555-6543, I can schedule a time for you to speak with Dr. Andrew"

c)

"Mrs. Brian, this is Trudy at SureCare. Call us at 555-6543, so we can arrange a time for you to get an answer to your blood pressure medication questions"

d)

"Mrs. Brian, this is Trudy at SureCare. Please call our office at 555-6543, at your earliest convenience so I can schedule a time for your questions to be answered"

99.

Another physician calls with an important question and asks to be put through to the office physician immediately. But the office physician is in the middle of a patient exam. What is the most appropriate response for the assistant

a)

Contact the office physician immediately and ask what to do

b)

Take a message to be returned when convenient

c)

Take a message to be returned as soon as possible

d)

Try to answer the caller's question on own

100.

What should an assistant do with an incoming piece of mail with the notation PRIVATE

a)

Open the piece of mail

b)

Discard the piece of mail

c)

Forward the piece of mail to the person to whom it is addressed

101.

How often must assistants check for e-mails and faxes

a)

Once a day

b)

Once a week

c)

Several times a day

d)

Whenever they remember to

102.

When is Priority Mail delivered

a)

1 to 3 business days

b)

2 to 3 business days

c)

5 to 10 business days

103.

Certified Mail provides proof that a mail item has been mailed and received

a)

True

b)

False

104.

What type of information is protected by the HIPAA Privacy Rule

a)

Patients' financial records

b)

Patients' medical records

c)

All of the above

105.

How much does First Class Mail weigh

a)

1 to 3 ounces

b)

13 ounces or less

c)

13 ounces or more

d)

1 to 3 pounds

106.

What is the fee for Insured Mail based on

a)

The destination of the item

b)

The weight if the item

c)

The real value of the item

107.

What is the correct order for the writing process

a)

Prewriting, drafting, and publishing

b)

Prewriting, drafting, revising, editing, and publishing

c)

Drafting, revising, editing, and publishing

d)

Prewriting and drafting

e)

Drafting, revising, editing, prewriting, and publishing

108.

How should mail be routed

a)

According to whom it is addressed

b)

According to from whom it is sent

109.

What is the first step in transcription

a)

A physician transcribes dictated information into a permanent and readable written coomunication

b)

A physician dictates, or speaks, information

c)

An assistant transcribes dictated information into a permanent and readable written communication

d)

An assistant dictates, or speaks, information

110.

Which is more expensive

a)

Priority Mail Express

b)

Priority Mail

111.

What is annotating

a)

Creating a letter for another person

b)

Preparing a letter for another person

c)

All of the above

112.

What style of business letter has all of the lines beginning at the left margin

a)

Modified block

b)

Semi-block

c)

Block

113.

In a business letter, what does the special notation Enc. mean

a)

Encore

b)

Enclosure

c)

Copy to

d)

Encrypt

e)

Encode

114.

What service provides proof that a mail item has been mailed and received

a)

Restricted Delivery

b)

Registered Mail

c)

Insured Mail

d)

Certified Mail

e)

Return Receipt

115.

Which of these items is used to communicate with people outside of a medical practice

a)

Business letters

b)

Memos

c)

All of the above

116.

What is the correct order for processing incoming mail

a)

 Sorting the mail, opening the mail, and routing the mail

b)

 Opening the mail, sorting the mail, and routing the mail

c)

 Routing the mail, opening the mail, and sorting the mail

d)

 Routing the mail, sorting the mail, and opening the mail

e)

 Opening the mail, routing the mail, and sorting the mail

117.

What ensures that a mail item is delivered only to the person to whom the item is addressed or to someone authorized to receive the item for that person

a)

 Registered Mail

b)

Certified Mail

c)

 Return Receipt

d)

 Insured Mail

e)

 Restricted Delivery

118.

What is a permanent written communication that results from transforming oral information or a written draft

a)

 An annotation

b)

 A fax

c)

 A transcription

d)

 A business letter

e)

 A memo

119.

A few errors in grammar, punctuation, capitalization, and spelling are acceptable when creating a written communication in a medical office

a)

True

b)

False

120.

What type(s) of mail may assistants be instructed to handle

a)

 Hospital reports

b)

 Personal mail

c)

 Referral requests

d)

 Requests for copies of medical records

e)

 All of the above