WorksheetsFinal Exam – MED 229
Total questions: 80
Worksheet time: 40mins
Which suture size is the smallest?
4
3-0
2
10-0
5-0
When preparing the patient's skin for surgery, after applying the antiseptic what is the next step?
Swab only the surgical site with the antiseptic
Pat the antiseptic dry
Cover the area with a sterile, fenestrated drape, from front to back
Reach over the area to position the patient correctly for the procedure
Trim the hair from around the surgical site
The most commonly used antiseptic for minor surgery is ____.
Betadine
Xylocaine
epinephrine
hydrogen peroxide
isopropyl alcohol
A medical assistant should include which of the following in preparing a patient for cryosurgery?
Place a grounding pad somewhere on the patient's body
Ask the patient to put on safety goggles
Inform the patient that the initial sensation of cold, will be followed by a burning sensation
Position the patient for the administration of a general anesthetic
Assist with the administration of a local anesthetic
Which of the following should you include in preparing a patient for electrocauterization?
Tell the patient that more than one freezing cycle may be necessary
Ask the patient to wear safety goggles during the procedure
Place a grounding pad somewhere on the patient's body
Tell the patient that a sterile dressing will be applied after the procedure
Reassure the patient that some pain, swelling, and redness is normal
Which of the following would you include when preparing a room for laser surgery?
Open the blinds and shades to let the light in
Uncover any shiny or reflective surfaces
Make sure everyone in the room, including the patient, wears safety goggles
Place cotton-tipped applicators and liquid nitrogen within the physician's reach
Place paper items such as wrappers from instruments near the laser
The instruments in the figure are ____.
forceps
hemostats
dilators
scissors
retractors
Which surgical instruments are used to close off blood vessels?
Retractors
Hemostats
Scissors
Curettes
Forceps
The instruments pictured here are ____.
dilators
scalpels
curettes
forceps
retractors
A slender, pointed surgical instrument used to enlarge a body opening, such as a tear duct, is a ____.
hemostat
forceps
retractor
probe
dilator
What are the instruments pictured here?
Scalpels
Curettes
Dilators
Retractors
Probes
What are these surgical instruments?
Retractors
Probes
Dilators
Scalpels
Forceps
Which type of scissors is used to remove dressings?
Tissue scissors
Suture scissors
Bandage scissors
Clippers
Scalpel
What are the instruments pictured here? Identify the instrument type shown in the image labeled Adson, Cushing, and Semken.
Dilators
Forceps
Hemostats
Retractors
Probes
Carrie is a new medical assistant who is assisting for the first time as a floater for a minor surgical procedure. The physician removes tissue from the incision and asks Carrie for the container in which to place the specimen for laboratory examination. Carrie grasps the specimen container and reaches across the tray so the physician can place the specimen in the container. What did Carrie do wrong?
She should not have touched the sterile specimen container.
She should not have reached across the tray.
She should have asked the sterile scrub assistant to offer the container.
She should have used transfer forceps to grasp the tissue.
She should have placed the specimen container on the tray.
When the medical assistant is responsible for cutting the suture for the practitioner, which length of the suture material should be left above the knot?
1 inch
3/4 inch
1/2 inch
1/4 inch
1/8 inch
Which of the following actions is part of a hearing test for a toddler?
Clap your hands loudly directly in front of the ear
Instruct the parent to whisper in the toddler's ear and evaluate the response
Use a quiet location and have the toddler sit, lie down, or be held by their parent
Ask the parent to go into the next room and say the toddler's name; evaluate the result
Position yourself directly in front of the toddler to perform the test
Charla is a three-year-old whose mother has brought her to the pediatrician’s office because she has had a low-grade fever for three days. The pediatrician has asked the medical assistant to take all of her vital signs, including blood pressure. Charla is scared; she is whimpering and clinging tightly to her mother. Which of the following actions should the medical assistant take?
Tell Charla there is nothing to be afraid of
Ask Charla's mother to tell her not to be afraid
Check Charla's temperature first because it is the most important measurement
Take Charla's blood pressure before getting her other vital signs
Use an oral thermometer to avoid scaring Charla further
Why can viral gastroenteritis be serious in young children?
It can cause extreme fluid loss, resulting in dehydration
The high fever that accompanies it may cause brain damage
It permanently weakens the child's immune system
Antibiotics are not effective against it
It lasts for more than two weeks
Which of the following can help relieve discomfort due to infectious conjunctivitis?
Applying an ice cube to the eye
Using a medicated shampoo
Applying a topical antifungal medication
Applying warm compresses to the eye
Using an eye ointment to relieve itching
Which of the following is not a warning sign of potential violence?
Gang membership
Withdrawal from friends and activities
Frequent physical fighting
Feeling constantly disrespected
Decrease in risk-taking behavior
Which of the following is considered a warning sign for suicide?
Frequent physical fighting
Increase in risk-taking behavior
Anger directed at oneself
Gang membership
Trouble controlling anger
Ginny is an 8-year-old whose mother brought her to the office because "there must be something wrong with her; she is always complaining that she hurts somewhere." You notice bruises on Ginny's legs, and what appears to be a burn mark on the back of her left hand. Ginny sits quietly on the exam table while you take the history and her vital signs. You suspect that Ginny may be abused. What should you do?
Explain to Ginny's mother that children should not be struck
Ask Ginny if anyone has been hitting her
Ask Ginny's mother if anyone has been abusing her daughter
Inform your supervising licensed practitioner
Tell Ginny's mother to take her to a school counselor
Peter is a 4-year-old who is in the office for a well-child exam. While you are taking his history, Peter’s mother says he has been urinating much more often lately. The notes also state that Peter’s older sister is diabetic. Which of the following questions would be important to ask next?
"Is Peter having trouble with toilet training?"
"Does Peter seem to be excessively thirsty?"
"Does Peter have trouble urinating?"
"Does Peter have pain when he urinates?"
"Has Peter been wetting the bed lately?"
Reya is a 2 1/2-year-old whose parents have brought her to the office because she has been cranky and apparently does not feel well. When asked where it hurts, she points to her throat. The physician has asked you to obtain a specimen for a rapid strep test, but Reya refuses to open her mouth. Which of the following is the best way to open Reya's mouth to obtain the specimen?
Tickle the child until she opens her mouth to laugh
Grasp her lower jaw firmly and pull downward
Ask Reya's mother to tell her to open her mouth
Squeeze Reya's nostrils shut until she opens her mouth to breathe
Inform the physician that you were unable to get the specimen
Which of the following statements about suicide is true?
Suicide is the leading cause of death for people aged 10 to 18.
Males are more likely to attempt suicide than females.
Females are more likely to be successful in their first suicide attempt.
Changes in habit, including carelessness or sloppiness, are suicide warning signs.
Exposure to violence in movies and video games may convince a person to commit suicide.
Which of the following is not a known risk factor for child abuse or neglect?
Single parenthood
Inadequate knowledge of normal developmental expectations
Financial problems
Mother older than 18 years
Lack of family support
Which of the following is a sign of aging in the nervous system?
Increased blood flow to the brain
Shortened attention span
Enlargement of the substantia nigra in the brain
Increase in acetylcholine
Improved thought processing
Medical specialists who specialize in the care of elderly people are _____.
geriatricians
neurologists
oncologists
orthopedists
pediatricians
By the year 2030, medical assistants will be spending at least percent of their time caring for older patients.
5
10
25
35
50
Another term for degenerative joint disease is.
kyphosis
osteoporosis
osteoarthritis
lordosis
lentigos
For which of the following conditions is hormone replacement therapy commonly used?
Hypertension
Arthritis
Hyperlipidemia
Incontinence
Osteoporosis
A condition in which cholesterol and triglyceride levels are above normal is.
hypertension
hyperlipidemia
hypotension
coronary artery disease
osteoporosis
Which of the following conditions may cause increased thirst, increased urination, and fatigue?
Alzheimer's disease
Congestive heart failure
Diabetes mellitus type II
Hyperlipidemia
Osteoporosis
Which of the following is not a common treatment for hypertension?
Angioplasty
Medication to reduce blood pressure
Reducing fat and sodium in the diet
Losing weight
Increasing exercise
Which condition is caused by high cholesterol levels that can lead to the accumulation of fatty deposits along the inner walls of arteries?
Hypertension
Atherosclerosis
Osteoporosis
Diabetes
Osteoarthritis
Mr. Turner has come to the medical office because he has been having pain in his lower abdomen. During the patient interview, which of the following questions would be most appropriate to find out more details about the pain Mr. Turner is having?
"Is the pain there all the time?"
"Is the pain confined to the lower right quadrant, or does it radiate laterally?"
"Does the pain seem sharp or dull?"
"Does the pain occur mostly after you eat?"
"How would you describe the pain you are having?"
Which of the following is a possible result of loss of adipose tissue and decreased circulation in an elderly patient?
Reduced perspiration
Heat intolerance
Cold intolerance
Atherosclerosis
Joint stiffness
Which of the following statements is not true regarding elder abuse?
Elders can be abused physically, sexually, or psychologically.
Elder abuse is difficult to detect.
Bruises from falls and other accidents can be mistaken for abuse.
Most elder abuse victims are older men with chronic disabilities.
Some elders choose to neglect or abuse themselves.
The neonate may demonstrate what is known as the "startle" reflex or in a reaction that appears to be in response to falling.
Startle reflex
Maro reflex
Flailing arms reflex
Moro reflex
By 4 months, the infant may roll from and play with a rattle placed in the hand.
Back to the stomach
Stomach to back
Side to side
Front to back
At what age can an infant (1 month to 1 year) sit alone and crawl on hands & knees and say, "mama" and "dada."
5 months old
6 months old
9 months old
10 months old
The developmental stage of this pediatric age group has a vocabulary that progresses from about 900 words to 2,000 words.
Preschoolers (3–5)
Toddlers (1–3)
Elementary (6–10)
Middle School (11–13)
This particular age group values friendships, may have angry outbursts and form their own personal set of values.
6–10 year olds
11–13 year olds
14–16 year olds
14–19 year olds
Daytime bedwetting is called.
Diurnal enuresis
Nocturnal enuresis
Enuresis
Motts Syndrome
Another name for head lice is.
Psoriasis
Ringworm
Pediculosis
Impetigo
One who specializes in the detection and treatment of tumors and cancerous growths is called a.
Neurologist
Gastroenterologist
Cardiologist
Oncologist
The most common disease of hyperthyroidism is called.
Myxedema
Graves
Cretinism
Hyperlipidemia
A disease caused by misfiring of nerve groups in the brain resulting in seizures is called.
Meningitis
Epilepsy
Encephalitis
Alzheimer's
The abnormally excessive curvature of the spine also known as "hunchback" is called.
Lordosis
Kyphosis
Scoliosis
Hunchbackdosis
Which of the following is a sign or symptom of bulimia?
Excessive use of laxatives or diuretics
Self-starvation
Weight gain
Drastic reduction in food consumption
Which of the following is NOT a symptom of anorexia?
Extreme need for control
Purging
Denial of being hungry
Absence of menstrual periods in women
Duties of the sterile scrub assistant include:
keeping a record of when surgery began and when it was completed.
measuring vital signs regularly throughout surgery.
observing the patient for a reaction to the anesthetic
passing instruments to the doctor during surgery.
When is the first dose of the vaccine for hepatitis B given?
Age 2 years
Age 5 years
Age 16 years
The day after birth
Which mineral works with vitamin E to aid metabolism, growth, and fertility?
Calcium
Zinc
Selenium
Fluoride
A deficiency in which mineral causes a goiter?
Iron
Iodine
Magnesium
Phosphorus
Which neurological disease causes weakness or paralysis on one side of the face?
Parkinson's disease
Bell's palsy
Meningitis
Neuritis
Which type of allergy test, also called a subcutaneous test, introduces dilute solutions of allergens into the skin of the inner forearm or upper back with a fine-gauge needle?
Scratch test
Intradermal test
Patch test
Radioallergosorbent test
Which of the following is a benign skin tumor that results from a viral skin infection?
Psoriasis
Verruca
Mole
Eczema
Which of the following is a birth-related disorder that is the most frequent crippling disease in children?
Cerebral palsy
Attention deficit hyperactivity disorder
Herpes simplex
Down syndrome
Which of the following is not a warning sign of potential violence?
Decrease in risk-taking behavior
Feeling constantly disrespected
Frequent physical fighting
Withdrawal from friends and activities
For which of the following conditions is hormone replacement therapy commonly used?
Osteoporosis
Hypertension
Arthritis
Hyperlipidemia
Which of the following is the most essential nutrient for building and repairing cells and tissue?
Minerals
Vitamins
Protein
Carbohydrates
Which type of fracture is pictured here?
Comminuted fracture
Greenstick fracture
Dislocation
Open fracture
Which are organic substances that are essential for normal body growth and maintenance and resistant to infections?
Vitamins
Minerals
Triglycerides
Carbohydrates
To prepare a patient on how to treat a mild allergic reaction to food, which over-the-counter medication would be recommended?
Hydrocortisone
Epinephrine
Benadryl
Tylenol
Which of the following is the treatment for jaundice in a newborn?
Administer passive range-of-motion exercises
Keep the infant well hydrated with breast milk or formula
Place the infant on a special high-protein diet
Inject hormones to stimulate the liver
What type of wound is this?
Puncture
Abrasion
Incision
Laceration
In which cancer does the patient experience jaundice?
Endometrial cancer
Cancer of the liver
Cancer of the prostate
Breast Cancer
Which of the following is a duty of the floater in surgery?
Measure the pt's vital signs during surgery & observe anesthesia reaction
Swab fluids from the incision or wound
Pass instruments to the doctor during surgery
Retract the edges of the wound during surgery to assist the doctor
Which of the following is the definition of a calorie?
The amount of energy needed to raise the temperature of 1 gram of water by 1 degree Celsius
The amount of energy needed to raise temperature of 1 milligram of water by 1 degree Celsius
The amount of energy needed to raise the temperature of 1 kilogram of water by 1 degree Celsius
The amount of energy needed to raise temperature of 1 microgram of water by 1 degree Celsius
Which of the following helps treat and prevent constipation, hemorrhoids, diverticular disease, and Irritable Bowel Syndrome?
Fiber
Minerals
Vitamins
Protein
Against which of the following diseases are elderly patients encouraged to receive vaccination?
Measles
Alzheimer's disease
Influenza
Shingles
The universal sign of choking is a(n) ____
unconscious patient
hands pressed to the chest
anxious patient saying, "I'm choking."
hand up to the throat and a fearful look
Which of the following results from insufficient blood volume in the circulatory system?
Septic shock
HypervolemicsShock
Hypovolemic shock
Anaphylactic shock
Which is the appropriate way to cleanse an area before surgery?
Place a sterile towel around the surgical site
Cleanse the surgical site with alcohol
Clean an area at least 2 inches larger than the surgical site
Begin at the outer edges of the surgical site and work inward
Symptoms of hyperglycemia include ____.
rapid pulse, shallow RR, hunger, profuse sweating & pale, cool skin
dry mouth, intense thirst, muscle weakness, and blurred vision
dizziness, headache, rapid pulse, and pallor
fever, chills, headache, neck stiffness, and vomiting
A condition in which cholesterol and triglyceride levels are above normal is ____.
Hypercholesterol
Hyperlipidemia
coronary artery disease
hypertension
A strain is ____.
an injury characterized by partial tearing of a ligament that supports a joint
a muscle injury that results from overexertion
a break in the bone
the complete severing of a ligament
Which of the following is characteristic of carbon monoxide poisoning?
People usually know they are being poisoned.
It is a major cause of inhalation poisoning in the home.
It is caused by a yellowish gas that smells like sulfur.
There are never any symptoms.
