One of the medical assistant’s responsibilities when preparing a room for a patient’s physical examination is to gather the instruments and supplies needed. What are the instruments required for a routine physical examination?
The examination method used to assess the patient’s manner of walking is?
Inspection
Which is the best method of moving a heavy object?
Bend at the knees; keep the weight close to the body. Bend the knee while keeping the back straight when lowering an item at the completion of a lift.
What is the quickest and easiest method for checking skin turgor?
Skin turgor is checked by pinching the skin on the posterior surfaceof the hands.
Clubbing of the fingertips is associated with which of the following health problems?
Is associated withsome congenital heart or lung disease.
How does the physician typically begin the examination of body parts and systems?
Physician examinations typically begins with the head and face and moves down to the feet
Patient confidentiality practice supported by HIPAA regulations?(what should not be discussed in thewaiting room, how should the chart be placed on the exam roomdoor, should you discuss patientresults when another patient is standing close by? Should you havea sign in sheet where the next patient can see all the patient’s names?)
NO
What are the two important factors in performing an effective hand wash?
Running water and friction
What is the correct procedure to use when sanitizing an instrument?
Standard precaution
What steps have to be taken to disinfect and instrument using a solution?
Step 1 put on utility
gloves step 2 face shield or goggles and mask 3separate sharp instruments from
others 4,rinse tools under cold running water 5 open hinged instruments and
scrub all grooves with disposable brush, 6rinse well with hot water, 7 towel
dry instruments then through away towel and brush in biohazard container, 8
remove gloves and wash hands, 9 put on disposable gloves and disinfect utility
gloves, 10 though away towel and gloves and put away instruments.
Is shingles classified as a latent disease?
Yes, it can appear later
What are the goals of frequent hand washing?
Protect from cross- contamination from one to another
A patient with a functional disorder has symptoms but no clinical evidence of disease True or False?
true
What abnormalities in the cardiovascular system are discoveredduring an ROS?
Hypertension and leg cramps deformity of the chest.
During a physical examination the patient reports problems with speechand balance. These signsindicate a problem with which system?
Neurologic
Sally Tipoke, age 17, is scheduled for her first Pap smear today.She appears anxious and scared.How should the medical assistant respond?
You look worried about the exam can i answered any questions
Helen Conrad, age 54, was recently diagnosed with epilepsy. She isvery upset about the news. How should the medical assistant respond?
Listen attentively while the patient talks about her fears
Does shivering cause an increase in body temperature because ofthe energy being released?
Yes but can then drop to below normal temperature
How long should the pulse be counted for the most accurate results?
Pulse should becounted fro 1 min. 15 to 30 sec after the ma has become a pro
How can you help patients feel comfortable about having theirweight measured in the office?.
The scale should be place in an area of privacy from the staffand other patients
Recording systolic and diastolic blood pressure
Systolic is a higher number then the diastolic number systolic when u first hear the heart beat and diastolic when u last hear a heart beat.
Which pulse is auscultated with a stethoscope?
Heart and lungs..Apical
What is the name of the pulse found behind the knee?
Popliteal
What situations would cause the pulse to increase?
Stress and anxiety
Is the aural temperature is an accurate, safe, and efficientmethod of taking the temperature of olderchildren and adults?
yes
How do aural and axillary temperatures compare with oral temperatures?
An oral temperature is lower than a rectal or ear (tympanic)
temperature.
• An ear (tympanic) temperature is higher than an oral
temperature.
An armpit (axillary) temperature is usually lower than an oral
temperature.
The systolic BP is heardduring which Korotkoff phase?
Phase iv
The diastolic BP is heard during which Korotkoff phase?
Phase v
Mrs. Anderson’s BP reading is 132/74 mm Hg. Her pulse pressurewould be?pulse pressure would be 58 mmHg
(132 - 74 = 58)
The instrument used to measure the blood pressure is the:
Sphygmomanometer
Your patient is having difficulty breathing. The medical term forthis is?
Dyspnea
An infant’s pulse typically is taken by which method?
Apical
What is the ratio of respirations to pulse beats in a resting adult?
12-20/50-60
Your patient has been diagnosed with uncontrolled hypertension. How
would you expect his pulse to feel?
Thready
What are the contraindications to the use of the tympanicthermometer is?
bilateral impacted cerumen
Stertorous breathing often is described as sounding similar to?
Rales heavy snorting sound or gasping
The instrument that measures the volume of inspired and expiredair is called a (n)?
Pulse oxymeter
While taking vital signs on Mrs. Anderson, you note a difference between her radial and apical pulses.This problem is known as the?
Pulse deficit
Sammy Feaver, age 6, weighs 21.4 kg. His mother asks you how muchthat is in pounds. YourResponse is
21.4 x 2.2=47.08. lbs
Which medications would be administered as an antipyretic?
Aspirin acetaminophen ibuprofen
Your office uses thermometers that record temperatures in Celsius,but the mother of a young childdoesn’t understand what 38.6° Celsius means. Convert thetemperature into Fahrenheit for her.
°C x 9/5 + 32 = °F ……101.48 f
The physician performs manipulation during the physical examinationto gain information about the?
range of motion of a joint
Which examination position is used in emergencies for patients with severe hypotension or who are in shock?
trendelenburg's
Which examination position is used for rectal or sigmoid examinations?
knee-chest
Which position is most appropriate when the physician needs to check heart and lung sounds?
fowlers position
After a proctoscopic examination, the patient should be helped tothe upright position slowly toPrevent?
syncope
Which position requires the patient to lie flat on his or her back?
Horizontal recumbent
Which examination position can be used for a rectal examination?
Knee-chest
Which antiseptic(s) are the most effective for a surgical handscrub or patient skin preparation for surgery?
Hibiclens & povidone-iodine.
Which anesthetic agents is injected into subcutaneous tissue, resultingin temporary cessation offeeling at the site of the injection?
Nesacaine
How should instruments be handled after the surgery is complete?
Place heavier instruments at the bottom of a collection basin
The jaws of this instrument are shorter and look stronger than hemostat jaws.
needle holders
Generally, what is the shelf-life of a sterilized pack? (no plastic dust sheet)
28 days
What do you call the invasion of body tissue by pathogens, which proliferate and damage tissues?
Infection
Property by which a substance can pass or soak through.
Permeability
The process used to wash and remove blood and tissue from medicalinstruments is called?
sanitization
While a blood specimen is being prepared for laboratory analysis,the container tips over, and bloodspills on the laboratory table. Which of the following is the most appropriate management of the spill?
Cover the spill with paper towels, pour 10% bleach solution onthe towels, wait 15 minutes, wipe up the spill while wearing gloves, anddiscard the paper towels in an infectious waste container.
How would the medical assistant prepare blood and culture specimensmaterials for transport?
Placing the blood in a leak-proof container during collection
What happens during cell-mediated immunity?
Attack the source of infection at cellular level t-cells destroypathoges
What happens during humoral immunity?
Creates specific antibodies to combat antigens is theresponsibilities of the body b’s cells
What is the best way to obtain specific information about apatient when taking the medical history?
ASK DIRECT QUESTIONS THATCAN BE ANSWERED BRIEFLY
During the physical examination, the patient reports a continualache in the right elbow. This information is called a
(n):SYMPTOM
Which medical record system has a standard format that makes iteasy to read and audit?
PROBLEM-ORIENTED
Why would you take a patient’s vital signs at both the beginningand end of the office visit? physical examination?
BECAUSE THE PATIENT WAS ANXIOUS ON FIRST ARRIVAL AT THE OFFICE
What part of the medical chart contains the patient data such asname, age, address DOB etc
Database?
Which of the following sections of the medical record includes the physical examination findings?
ROS
Which of the following involves repeating or paraphrasing thepatient’s comments; restatement,clarification or reflection
