Elevated blood pressure

Headache

Abnormal lung sounds

Skin rash

120/80 mm Hg

130/80 mm Hg

140/90 mm Hg

110/80 mm Hg

1. Absorb nutrients

2. 

2. Store bile

3. 

2. Filter toxins from the blood

Produce insulin

1. Cerebrum

2. 

2. Cerebellum

3. 

2. Medulla oblongata

3. 

1. Hippocampus

• To provide instructions about how the patient wants their personal belongings handled after death

• 

• To give instructions for healthcare providers regarding the patient's wishes in case of incapacitation

• 

• To inform family members of the patient's medical conditions

To establish the patient's medical history

• Accept the offer and provide the help

• 

• Politely refuse the offer and report the behavior to a supervisor

1. 

1. Agree to the exchange but inform the supervisor later

2. 
   

2. Ignore the request and avoid the colleague
   

• Accept the gift as a token of appreciation

• Politely decline the gift and explain that accepting gifts could be inappropriate

1. Ask the patient for a more expensive gift to show their gratitude

2. 

Accept the gift and keep it in the office as a memento

• To screen for lung cancer

• To detect signs of cervical cancer

• To measure blood glucose levels

• To check for a urinary tract infection

• "Eat a normal meal the night before and drink plenty of water."

• "Do not eat or drink anything for 8-12 hours before the test."

• "Fast for 24 hours and drink only black coffee before the test."

• "Take your regular medications as usual before the test."

• Collect the sample first thing in the morning

Avoid drinking water for 6 hours before the sample is collected

1. Clean the genital area with a sterile wipe and collect a midstream

Collect the first-morning urine sample without any special instructions

Basic metabolic panel (BMP)

Liver function tests (LFTs)

Complete blood count (CBC)

Thyroid simulating hormone (TSH) test

Guess the answer to avoid embarrassment

Direct the patient to a healthcare provider or supervisor for an accurate answer

Ignore the question and continue the appointment

Tell the patient that you’ll check and get back to them later, and then forget about it

Discuss the coworker’s performance with other colleagues

Offer to help the coworker with their tasks to ease their workload

Report the coworker to a supervisor immediately

Avoid the situation and focus on your own tasks

A surgical procedure

An instrument used for viewing

A medication

A condition of the skin

Inflammation of the bones

Softening of the bones

A condition of weakened bones

A bone fracture

Continue the blood draw and proceed with the procedure

Remove the needle, discard it in the sharps container, and prepare a new needle

Ask the patient to wait while you attempt to fix the needle

Discard the blood specimen and repeat the procedure with the same needle

The earlobe

1. 

The heel

1. 

1. The side of the fingertip

2. 

The back of the hand

Collect the entire urine sample over 24 hours in a single container

Discard the first void in the morning and collect all subsequent urine for 24 hours

• 

• Collect urine only during daytime hours

• 

Collect urine at random times throughout the day

Basilic vein

Cephalic vein

Median cubital vein

Femoral vein

1. Place the sensor on the patient's earlobe

2. 

2. Place the sensor on the patient's finger or toe

3. 

2. Attach the sensor to the patient's forehead

3. 

2. Use a stethoscope to measure pulse rate

Pull the patient's ear up and back (for an adult) to straighten the ear canal

1. 

1. Insert the thermometer deeply into the ear canal

2. 

2. Clean the thermometer with alcohol after each use

3. 

Use the thermometer only once and discard it after a single use

• The patient

• 

• The patient's family

1. 

1. The insurance company

2. 

The physician

1. To ensure the procedure is covered under the patient's insurance

2. 

2. To guarantee the patient will receive the treatment without any cost

3. 

2. To determine the exact cost of the procedure

3. 

2. To allow the provider to charge the patient directly

Primary insurance

Secondary insurance

Tertiary insurance

Supplemental insurance

Mid-axillary line at the 5th intercostal space

1. 

1. Left of the sternum at the 2nd intercostal space

2. 

Over the right clavicle

On the patient’s thigh

• Sitting with the arm extended at the side

• Lying flat with the arm extended overhead

• 

•  Sitting with the arm fully extended and supported on a flat surface

Standing with the arm bent at the elbow

• Ensure the patient wears a tight-fitting bra during the test

• 

• Instruct the patient to avoid applying deodorant, powders, or lotions to the chest area

1. 

1. Offer the patient a pain reliever to reduce discomfort

2. 

Ensure the patient fasts before the test

• Use a cotton swab to clean the area before obtaining the sample

• 

• Wipe the first drop of blood away and use the second drop for testing

• 

• Use an alcohol swab to disinfect the site before pricking

Squeeze the site to ensure a larger blood sample

• Share your opinion on your colleague's performance

• 

• Politely decline to comment and suggest discussing the matter privately

• 

• Immediately provide feedback about the colleague's work

• 

•  Ignore the question and walk away

• Only when it is relevant to the treatment of the patient

• 

Only when the patient provides written consent

Whenever requested by a family member

When it is necessary for billing purposes

• Insist that they speak with the medical assistant first

• 

• Allow the patient to speak to the provider privately, while ensuring the provider is aware of the request

1. 

1. Tell the patient they must speak with the medical assistant first

2. 

Leave the room and let the patient and provider speak without any notice

Convince the patient to follow the physician's orders

Document the refusal in the patient's medical record and inform the physician

1. 

1. Ignore the patient's wishes and proceed with the treatment

Ask the patient to sign a release form for the treatment

• Wipe the surface with a dry cloth

• 

• Use a disinfectant solution approved for healthcare settings

Spray the surface with water and allow it to air-dry

Use alcohol-based hand sanitizer on the surface

Dispose of the specimen and inform the patient it is unusable

1. 

1. Secure the specimen and immediately inform the lab supervisor or provider

2. 

1. Ignore the issue as it does not affect testing

Place the specimen in another container to prevent leakage

• Only when performing surgery

• When handling blood, body fluids, or contaminated equipment

• 

• When interacting with a patient who has a respiratory condition

Only when cleaning the medical office

1. They become wet or torn

2. 

2. They are no longer needed

3. 

2. They are accidentally touched by the patient

1. All of the above

Brain

Stomach

Heart

Kidney

Disease

Pain

Inflammation

Surgical repair

Bones

Muscles

Nerves and the nervous system

Blood vessels

Rectal temperature

1. 

1. Axillary temperature (under the arm)

2. 

2. Temporal artery (forehead) temperature

1. All of the above

•  Pulmonary artery

• 

• Pulmonary vein

• 

• Aorta

• Superior vena cava

• 2 hours

• 

• 4 hours

• 

• 8-12 hours

• 24 hours

1. Red, green, lavender, blue

2. 

2. Blue, red, green, lavender

3. 

2. Green, blue, red, lavender

1. Lavender, red, blue, green

1. ½ inch

2. 1 inch

3. 

2. 1½ inches

1. 2 inches

Mild cold symptoms

Pregnancy

•  Previous severe allergic reaction to the vaccine

• History of minor illness such as a cold

Try to restrain the patient to prevent injury

Put an object in the patient's mouth to prevent biting their tongue

• 

•  Move objects away from the patient and protect their head, but avoid restraining them

Leave the patient alone until the seizure stops

1. Low blood sugar

2. 

2. High blood pressure

3. 

1. 

2. High blood sugar

1. Low blood sugar

Pain

Removal

Inflammation

Enlargement

A slow heart rate

1. 

1. A rapid heart rate

2. 

2. Abnormal heart rhythm

High blood pressure

Femoral vein

Jugular vein

Median cubital vein

Radial vein

Begin by urinating into the toilet, then collect the sample

Collect the sample immediately after starting to urinate

Urinate into a sterile container without any prior cleansing

Wipe the swab along the outer part of the patient’s lips

• Use a cotton swab to collect a sample from the back of the throat, avoiding contact with the tongue and cheeks

• 

• Use a sterile needle to aspirate fluid from the throat

• 

• Ask the patient to spit into a sterile cup

• Wipe the swab along the outer part of the patient's lips

In the fatty layer of the skin

1. 

1. Directly into the muscle

2. 

2. Just under the skin, in the dermis

2. Into the vein

1. 16-18 gauge

2. 

2. 21-23 gauge

2. 25-27 gauge

30-32 gauge

1. Ask the patient to take the pill with only water

2. 

2. Offer the pill with a large amount of water and instruct the patient to swallow it completely

• 

• Crush the pill and mix it with food or drink without checking for contraindications

• Have the patient take the pill without any liquid

• Ignore the patient's frustration and continue with your tasks

• 

• Tell the patient to be patient and wait their turn

• 

• Acknowledge the frustration, apologize, and explain the situation if appropriate

Redirect the patient to the receptionist

Attempt to translate using online tools

Ask the patient to write everything down

• 

• Use a professional medical interpreter to ensure clear communication

• Ignore the patient's language barrier and proceed with the visit

• Don gloves

• 

•  Wash hands thoroughly

1. Set up the equipment on a clean surface

Apply an antiseptic to the patient's skin

• Using alcohol-based hand sanitizer only when hands are visibly dirty

• 

•  Wearing gloves and a mask only for blood draws

1. 

1. Performing hand hygiene before and after patient contact

Only wearing gloves during invasive procedures

• Discuss the patient's medical history with other staff in a public area

• Leave medical records in an unlocked drawer when not in use

Place medical records in a secure, locked location when not in use

Allow patients to access their records without supervision

The patient's preferred appointment time

1. 

1. The patient's date of birth

2. 

2. The patient's insurance information

1. The patient's symptoms

Ask the patient for their phone number

• Ask the patient to state their name and date of birth

Verify the patient's identity by checking their wristband only

Rely on the patient's appearance

Diarrhea

Hypoglycemia

Constipation

Increased urination

The patient's medical history

• The correct dosage and route of administration

The expiration date on the packaging

The patient's current vital signs

Antibiotics

Iron supplements

Antihistamines

Analgesics

1. Intravenous (IV)

2. Intramuscular (IM)

3. 

2. Sublingual

3. 

1. Transdermal

• Only after patient contact

• Only before invasive procedures

• 

• Before and after patient contact, after removing gloves, and when hands are visibly soiled

• Only after handling dirty linens or waste

• Place the needle in the regular trash

•  Recap the needle and dispose of it in the sharps container

1. 

1. Dispose of the needle in a biohazard bag

Immediately place the needle in a designated sharps container without recapping

• To remove any visible dirt

• To prevent the transfer of pathogens to other surfaces or individuals

1. To reduce the need for using alcohol-based hand sanitizer

1. To prevent skin irritation from prolonged glove use

To sterilize the equipment completely

1. To minimize the risk of infection by preventing contamination

1. To ensure the patient feels comfortable during the procedure

To eliminate the need for gloves and personal protective equipment (PPE)

• 8-12 breaths per minute

• 12-20 breaths per minute

1. 20-30 breaths per minute

30-40 breaths per minute

Bradycardia

Normal heart rate

Tachycardia

Irregular heartbeat

Ignore the readings and document the result

Report the elevated readings to the supervising physician or healthcare provider

Record the blood pressure and continue with the appointment

Ask the patient to lie down for a few minutes and take the reading again later

Carotid artery

Femoral artery

Brachial artery

Radial artery

Fast

Slow

Painful

Large

Inflammation of the heart muscle

A heart attack

Enlargement of the heart

A valve disorder in the heart

Infection

Inflammation

Pain

Tumor

Use medical jargon to appear knowledgeable

Ask the patient to read the patient information leaflet themselves

Use simple language and encourage the patient to ask questions

Provide the patient with a printed brochure and leave the room

Continue speaking in English and slow down

1. Ask the patient to bring a family member or friend to translate

2. 

2. Use medical terminology and assume the patient will understand

1. Use professional language interpretation services to ensure clear communication

Complete blood count (CBC)

Basic metabolic panel (BMP)

Liver function test (LFT)

Lipid panel

• Provide the patient with a pamphlet and let them read the information themselves

• Use medical jargon to ensure accuracy

• Repeat the information, using simple language, and encourage the patient to ask more questions

Tell the patient to call back if they have more questions

• Ignore the patient and proceed with the appointment

•  Remain calm, listen actively, and attempt to understand the patient's concerns

• Tell the patient to calm down and explain that they are overreacting

• Raise your voice to match the patient's tone and end the conversation quickly

• Speak loudly and slowly to the patient

• Ask a family member to translate the instructions

• Use professional translation or interpretation services to communicate clearly

• Use gestures to communicate what is needed

Above

Below or deficient

Around

Outside

Difficulty swallowing

Painful urination

Difficulty breathing

Nausea and vomiting

• Drink a large amount of fluids right before collection

• Clean the genital area with a sterile wipe and collect the midstream urine

• Collect the urine after the first urination of the day

• Collect the urine into a non-sterile container to prevent contamination

MRI

CT scan

X-ray

Ultrasound

• To detect the presence of Streptococcus bacteria

• To screen for lung cancer

• To measure oxygen levels in the blood

• To evaluate kidney function

•  Fasting blood glucose (FBG)

• Hemoglobin Alc (HbAlc)

• Blood urea nitrogen (BUN)

• Comprehensive metabolic panel (CMP)

Perform CPR immediately

•  Administer an epinephrine injection (if available) and call for emergency assistance

• Ask the patient to lie down and rest

• Place an ice pack on the patient's neck to reduce swelling

• Apply an ice pack to the wound

•  Apply direct pressure to the wound to control bleeding

• Elevate the patient's legs

• Ask the patient to hold the wound closed with their hands

• Rescue, Alarm, Confine, Extinguish

•  Rescue, Alert, Confine, Evacuate

• Rescue, Alarm, Confine, Evacuate

• Rescue, Assess, Confine, Evacuate

• Hold the patient's limbs to prevent injury

• Place a tongue depressor in the patient's mouth

• Move any nearby objects away to prevent injury

• Perform chest compressions

A slow heart rate

A fast heart rate

Irregular heart rhythm

High blood pressure.

Hyper-

Pre-

Post-

Intra-

• Sharing patient information without consent

• Discussing patient details in a public area

• Filing patient records in a secure location

Accessing a patient's medical records without their authorization

• The patient's occupation

•  The patient's primary care physician's name

• The patient's insurance information

The patient's favorite color

• Answer with only the office name

•  Immediately transfer the call without greeting

• Greet the caller, identity the office, and state your name

Pick up the phone and say, "Hello?"

Ignore the patient’s anxiety

• Use technical medical jargon to reassure the patient

• Remain calm, use simple language, and listen to their concerns

• Avoid eye contact to prevent the patient from becoming more anxious

• Speaking slowly and clearly

• Nodding in agreement

Asking open-ended questions

Using a calm tone of voice

Ignore the comment and continue working

• Confront the colleague in front of the patient

•  Report the incident to the supervisor or manager

• Discuss the issue with the patient to ensure they are not offended

Guess and try to do it on their own

•  Ask a colleague to help them

• Consult with the provider or supervisor for guidance

Wait until the procedure becomes easier

• HIPAA

Living will

Durable power of attorney

Advance directive

• The patient must be told only the risks of the procedure

• The patient must be told only the risks of the procedures, including risks, benefits, and alternatives

• The healthcare provider must get verbal consent only

The patient signs a consent form after being told nothing about the procedure

1. Do nothing, as the disclosure was not intentional

1. Immediately report the breach to the supervisor or management

1. Ignore it because the patient is not aware

Discuss the incident with the patient and offer an apology

• Axillary temperature (under the arm)

• Oral temperature (under the tongue)

1. Temporal artery (forehead)

1. Rectal temperature

1. Right of the sternum, 2nd intercostal space

2. Left of the sternum, 4th intercostal space

Mid-axillary line, 5th intercostal space

Over the left scapula

Apply the patch to an area with a lot of hair

Apply it over a bony area for better absorption

1. Ensure the patch is applied to clean, dry skin, avoiding areas of friction

Apply the patch over the patient's clothing

• Ignore the partial payment and assume the insurance has covered the full amount

• Send the bill to the patient for the remaining balance

Contact the insurance company to verity why the bill is incomplete

Write off the unpaid amount as uncollectible

• The physician's medical history

• The amount paid and any amount the patient owes

• The patient's future appointment schedule

A recommendation for the patient's treatment plan

Answering patient calls as soon as they come in

• Prioritizing tasks based on urgency and importance

• Avoiding multitasking at all times

• Procrastinating on non-critical tasks until they become urgent

1. Count the inventory once a year

1. Regularly check stock levels and reorder supplies before they run out

2. Keep only the most expensive supplies in stock

Allow supplies to expire and replace them only when they are completely used

• "How can I help you?"

•  "Who is this and what do you want?"

•  "Thank you for calling [Practice Name], this is [Your Name], how may I assist you?"

• "I'm busy, can I call you back?"

To reduce healthcare costs

To protect patient privacy and confidential health information

To ensure the availability of healthcare services for everyone

To guarantee reimbursement for medical services

• The patient's name

• The patient's insurance details

• The date and time of the appointment

The physician's availability

• Ignore the conversation as it's not their responsibility

• Politely ask the physician to continue the discussion in a private setting

• Join in the conversation to help explain the diagnosis

• Report the conversation to the patient's family members

• A) The patient expresses dissatisfaction with their treatment

• The patient requests to discuss their medical history with a third party

• The medical assistant suspects that the patient is being harmed by abuse

• The patient requests to speak to another physician without the assistant present