Deck 4: Pathophysiology

Question 1

The following medication is prescribed for a patient: Erythromycin 500 mg bid x 7 days. The pharmacist has only the
250 mg dose in stock. How many 250 mg capsules will the pharmacist dispense to the patient?

A) Seven
B) Fourteen
C) Twenty-one
D) Twenty-eight

Answer 1

Twenty-eight

Question 2

Which of the following type of bacteria are spore-forming rods that are nonmotile and noncapsulate?

A) Streptococcus pneumoniae
B) Clostridium perfringens
C) Staphylococcus aureus
D) Streptococcus pyogenes
E) Corynebacterium diphtheriae

Answer 2

Clostridium perfringens

Question 3

Prostate cancer is diagnosed in a fifty-eight-year-old man by biopsy. The tissue specimen is sent to a second
Laboratory for tests, and the results confirm the initial diagnosis. After receiving these results, the patient decides to
Seek the opinion of another physician. Which of the following defense mechanisms is the patient exhibiting?

A) Projection
B) Sublimation
C) Denial
D) Rationalization
E) Repression

Answer 3

Denial

Question 4

Which of the following instruments is used to examine the vagina?

A) Laparoscope
B) Otoscope
C) Speculum
D) Cystoscope

Question 5

Which of the following indicates a positive result of a tuberculin test?

A) Papules
B) Pustules
C) Infection
D) Infraction
E) Induration

Question 6

The soleus muscle is located in which portion of the body?

A) Forearm
B) Neck
C) Abdomen
D) Buttocks
E) Leg

Question 7

Vitamin A deficiency may cause

A) night blindness.
B) Wernicke-Korsakoff syndrome.
C) hemorrhage.
D) pernicious anemia.

Question 8

Which of the following conducts nerve impulses toward the spinal cord and brain?

A) Microglia
B) Oligodendrites
C) Afferent neurons
D) Astrocytes
E) Efferent neurons

Question 9

In which letter style are all lines flush left except for the dateline, complimentary closing, and signature?

A) Full block
B) Modified block
C) Simplified
D) Center block

Question 10

Which of the following is an infection caused by the human papillomavirus?

A) Chancroid
B) Varicocele
C) Hydrocele
D) Genital warts
E) Buboe

Question 11

What should you do if the physician gets a call from another physician?

A) Offer to answer any questions he or she might have.
B) Tell him or her to call back after hours.
C) Unless the physician is available to take the call, tell him or her to write a letter to the physician and to mark it Personal.
D) Transfer the call to the nurse on duty before transferring it to the physician.
E) Transfer the call to the physician if you can.

Question 12

Which of the following is an inherited autosomal-recessive disorder of the exocrine glands?

A) Histoplasmosis
B) Cystic fibrosis
C) Emphysema
D) Atelectasis
E) Bronchiectasis

Question 13

In pregnancy testing, which of the following substances may be found in the patient's urine?

A) Fluorescent treponemal antibody
B) Human chorionic gonadotropin
C) Follicle stimulating hormone
D) Luteinizing hormone
E) Thyroid stimulating hormone

Question 14

A nine-year-old girl is picked up at the medical office by her father. Her parents are divorced, and her mother has legal custody. The father would like to see the girl's medical records. Can he see the medical records?

A) No, not without the mother's written consent
B) Yes, if the girl gives him permission
C) Yes, because he is the girl's father
D) Yes, at the medical assistant's discretion

Question 15

A patient's medical fees come to a total of $90 from a participating provider. What can you bill the patient if the EOB lists the following itemization? Charges: $90, Not Eligible for Payment: $12, Allowed Charge: $78, Applied to Deductible: $30, Copayment: $10, Amount Due from Carrier: $38.

A) $42
B) $40
C) $38
D) $30
E) $10

Question 16

Which of the following techniques may prevent the extreme skin irritation and occasional discoloration caused by iron preparations?

A) Z-track method injection
B) Deep IM injection
C) IV injection
D) Intradermal injection

Question 17

The amount of money due from the subscriber to cover a portion of a bill is known as a(n)

A) explanation of benefits.
B) utilization review.
C) exclusion.
D) copayment.

Question 18

Which of the following checks can be accepted without risk?

A) A third-party check
B) A check drawn on an out-of-town bank
C) A check postdated five days
D) A check predated twenty days

Question 19

Which of the following terms means the displacement of bones at a joint?

A) Sprain
B) Strain
C) Dislocation
D) Fracture
E) Inflammation

Question 20

On January 1, the petty cash account balance was $150. On January 18, the balance of the petty cash account is $85. How much should the petty cash vouchers total on January 18?

A) $35
B) $65
C) $75
D) $95

Question 21

An authorization to an insurance company to make payment directly to the physician is called

A) third-party payer.
B) acceptance of assignment.
C) explanation of benefits.
D) assignment of benefits.
E) coordination of benefits.

Question 22

Which of the following is part of the patient's bill of rights?

A) the patient has a right to refuse treatment to the extent permitted by law.
B) the patient has a right to know if treatment is experimental.
C) the patient has a right to expect reasonable continuity of care.
D) the patient has a right to know if treatment is experimental AND the patient has a right to expect reasonable continuity of care.
E) All of these

Question 23

Fasting specimens are preferred for which of the following tests?

A) Creatinine
B) Hemoglobin
C) Globulin
D) Albumin
E) Glucose

Question 24

Which of the following envelope sizes is the most commonly used in the medical office?

A) Number 10
B) Number 7
C) Number 6 3/4
D) Number 5
E) Both Number 10 and Number 6 3/4

Question 25

Who owns medical records?

A) The patient
B) The physician
C) The courts
D) The legal guardian

Question 26

The plural of nucleus is

A) nuclei.
B) nucleuses.
C) nuclea.
D) nucleae.
E) nucleus.

Question 27

Which of the following checks is available in foreign currency?

A) Money order
B) Certified check
C) Traveler's check
D) Voucher check
E) Cashier's check

Question 28

Mary Jones is a patient at your medical office. The physician has asked you to explain an upcoming procedure to Mary, but Mary cannot see very well. What should you do?

A) Use large-print materials and sit close to the patient, speaking clearly.
B) Make sure that there is sufficient lighting in the room.
C) Talk directly and honestly.
D) Make sure that there is sufficient lighting in the room AND talk directly and honestly.
E) All of these

Question 29

Which of the following determinants can measure the effectiveness of the billing system?

A) Collection summary
B) Collection calls
C) Collection letters
D) Collection assistance
E) Collection ratio

Question 30

What type of software is often used for accounting procedures?

A) Word processing
B) Mathematical
C) Spreadsheet
D) Graphical

Question 31

Serological tests are performed on samples collected in evacuation tubes with which stopper color?

A) Blue
B) Red
C) Yellow
D) Lavender

Question 32

A time when signs and symptoms stop is known as

A) remission.
B) prognosis.
C) prophylaxis.
D) malaise.
E) atresia.

Question 33

Major depression and bipolar disorders are most characteristic of which of the following?

A) Dissociative disorder
B) Impulse-control disorder
C) Mood disorder
D) Personality disorder

Question 34

Which of the following is included in the SOAP approach to documentation?

A) Applicable financial information
B) Opinion of the medical assistant
C) Problem
D) System of conditions
E) Plan of action

Question 35

In which of the following conditions may HCG levels be higher?

A) First trimester of pregnancy
B) Ectopic (tubal) pregnancy
C) Hydatidiform mole
D) Breast cancer
E) All of these

Question 36

What is the term for a group of people who are authorized by law to act as a single person?

A) Association
B) Group practice
C) Corporation
D) Partnership
E) Sole proprietorship

Question 37

Which of the following is not a type of file cabinet in the typical medical office?

A) Movable
B) Horizontal
C) Lateral
D) Vertical

Question 38

Which of the following words is misspelled?

A) Cirrhosis
B) Pneumonia
C) Defibrilator
D) Vaccine
E) Pleurisy

Question 39

What did the new ICD-10-PCS replace in relation to the ICD-9-CM coding system?

A) CPT codes
B) The third volume of the ICD-9-CM
C) Principal diagnoses
D) The first volume of the ICD-9-CM

Question 40

The plural form of "stoma" is

A) stomae.
B) stomata.
C) stomatoma.
D) stomeata.

Question 41

Which of the following organs is located in the right upper quadrant of the abdomen?

A) Stomach
B) Spleen
C) Appendix
D) Esophagus
E) Gallbladder

Question 42

The unauthorized disclosure of client information is called

A) invasion of privacy.
B) battery.
C) breach of contract.
D) unethical protocol.

Question 43

A five-year-old boy has a bone deformity of the thigh. The pediatrician should order an X-ray of the patient's

A) tibia.
B) humerus.
C) femur.
D) fibula.
E) patella.

Question 44

How can you communicate to a patient that his or her main idea was understood?

A) By allowing the patient to reflect
B) By restating what the patient has said
C) By being assertive and establishing rapport
D) By folding your arms across your chest
E) By shaking your head

Question 45

Which of the following sphygmomanometers used to measure blood pressure is being phased out of usage?

A) Electronic
B) Aneroid
C) Mercury
D) Digital

Question 46

Guidelines that dictate the day-to-day workings of an office are called

A) procedures.
B) planning.
C) outlines.
D) policies.
E) protocols.

Question 47

Carol Jones is a patient with Medicare at your medical office. She has come in for treatment for which the usual fee is $175; however, the MFS allows only $140 for such a service. Carol's copayment is 10% of any treatment. How much do you bill Carol?

A) $17.50
B) $14
C) $49
D) $3.50
E) $35

Question 48

Emergency pharmaceutical supplies should include which of the following basic drugs?

A) Tylenol
B) Antitussives
C) Vaseline
D) Epinephrine

Question 49

Which of the following steps should you take when you receive new supplies?

A) Inventory all supplies
B) Send back old supplies to the supplier
C) Throw out all old supplies
D) Place them in the front of the supply area
E) Place them in the back of the supply area

Question 50

Which type of CPT code is used for procedures that are usually carried out in addition to another procedure?

A) HCPCS
B) E code
C) Level III code
D) Add-on code
E) Level II code

Question 51

A dispensing record must be kept on file for two years for which of the following scheduled drugs?

A) I
B) II
C) III
D) IV
E) V

Question 52

When dealing with a child, you should

A) work directly with the child, without always communicating through the parents.
B) always communicate directly with the parents.
C) explain procedures in simple terms and allow the child to examine instruments.
D) work directly with the child, without always communicating through the parents AND explain procedures in simple terms,
Allowing the child to examine instruments.

Question 53

Which of the following substances in urine may indicate hyperglycemia?

A) Bilirubin
B) Protein
C) Urea
D) Glucose

Question 54

The most appropriate initial response to an incoming telephone call is

A) "Hi, this is Melinda."
B) "Doctor's office."
C) "Dr Brown's office, Melinda speaking."
D) "This is 226-5555."
E) "Can I help you?"

Question 55

Organisms that cause disease are called

A) fulminate.
B) pathogens.
C) acute.
D) chronic.

Question 56

Blaming one's problems on others is a form of

A) discrimination.
B) rationalization.
C) projection.
D) repression.

Question 57

When dealing with an angry patient, you must

A) return to your work.
B) stop the patient from talking.
C) break off communication.
D) remain calm.
E) return to your work and remain calm.

Question 58

On an envelope, the return address for the sender should always be placed in the

A) upper left corner,
B) middle on the left side.
C) lower right corner.
D) lower left corner.
E) center of the envelope.

Question 59

Which of the following is a scheduling method in which patients sign in and are seen on a first-come, first-served basis?

A) Wave
B) Advance
C) Cluster
D) Open hours

Question 60

Which of the following hormones prepares the uterus for pregnancy?

A) Estrogens
B) Human chorionic gonadotropin
C) Progesterone
D) Androgen

Question 61

As a good team worker, a medical assistant should

A) not gossip.
B) be ready to compromise.
C) not adopt or perpetuate negative attitudes.
D) not gossip and be ready to compromise.
E) All of these.

Question 62

Which device is used to transfer information from one computer to another by means of telephone lines and servers?

A) Modem
B) Scanner
C) Mouse
D) Monitor
E) Windows

Question 63

Surgical treatment of an undescended testicle is known as

A) orchiopexy.
B) orchioscopy
C) orchiostomy.
D) orchiotomy.

Question 64

Which of the following terms describes any type of storage that prevents loss of files due to hard-disk failure?

A) Backup
B) Cache
C) Batch
D) Reboot
E) None of these

Question 65

A patient's failure to follow the physician's instructions may result in

A) the transfer of the patient to the care of another physician.
B) a civil case between the physician and the patient.
C) capitation for managed care.
D) nonmaleficence against the physician.
E) a premature termination of contract.

Question 66

After opening the mail, a medical assistant should

A) date-stamp the letter.
B) check for enclosures.
C) annotate mail if necessary by highlighting key information and making notes in the margins.
D) organize the mail so that the most important letters are on top.
E) All of these.

Question 67

Uremia may result due to failure of which of the following organs?

A) Brain
B) Spleen
C) Pancreas
D) Kidneys
E) Lungs

Question 68

Alpha-fetoprotein testing from amniotic fluid is used for early diagnosis of which of the following?

A) Fetal neural tube defects
B) Fetal alcoholism
C) Anencephaly
D) Fetal drug addiction
E) Both fetal neural tube defects and anencephaly

Question 69

When writing a memo, you should

A) not use salutations or complimentary closings.
B) use letterhead.
C) always use the modified-block letter style.
D) always indent paragraphs.

Question 70

Which of the following forms is used to verify that an employee is a U.S. citizen?

A) Form W-2
B) Form W-4
C) Form I-9
D) Form CMS-1500

Question 71

The combining form for the brain is

A) cerebr/o.
B) encephal/o.
C) myel/o.
D) poli/o.
E) blephar/o.

Question 72

The abbreviation for reschedule is

A) res
B) RESC
C) RS
D) Rsch
E) Re

Question 73

What body functions does the hypothalamus control?

A) Body temperature
B) Water balance
C) Sleep
D) All of these

Question 74

A letter to the insurance company should be signed by

A) the physician.
B) the medical assistant.
C) both the physician and the medical assistant working on the claim.
D) the medical insurance specialist or the nurse.
E) the office manager or the lead physician.

Question 75

Which of the following structures of the eye contains the photoreceptors (rods and cones)?

A) Choroid
B) Sclera
C) Vitreous humor
D) Retina
E) Tunic

Question 76

According to Elizabeth Kübler-Ross, dying patients go through all of the following stages except

A) denial.
B) refusing treatment.
C) depression.
D) guilt and bargaining.
E) anger.

Question 77

Which of the following forceps have sharp points that are useful in removing foreign objects?

A) Dressing
B) Towel
C) Splinter
D) Hemostatic

Question 78

The three colors that are distinguished by the cones in the retina include all of the following except

A) green.
B) red.
C) gray.
D) blue.

Question 79

Steps toward having a positive attitude include all of the following except

A) smiling.
B) accepting tips from patients.
C) using positive statements.
D) saying something pleasant.
E) being constructive and refraining from complaining.

Question 80

Which of the following is an example of vital supplies?

A) Rubber bands
B) Prescription pads
C) A large, well-equipped laboratory
D) Staples
E) Laboratory reagents