Administrative & Clinical-2

1. Waived tests that approved by the FDA for use in the home include?
Answer: blood glucose, urine pregnancy

2. Quality-control methods used in testing include?
Answer: calibrating all equipment with control samples, checking expiration dates for reagents,maintaining and documenting maintenance of equipment

3. When a whole blood is centrifuged, plasma is?
Answer: at the top

4. Lab requisition for must contain?
Answer: physician’s signature, patient’s name and DOB
test ordered

5. Standing order
Answer: a test that is routinely performed before the patient’s visit
signed and placed in the patient’s chart

6. When cleaning the site _____% isopropyl alcohol should be used
Answer: 70%

7. Demographic information for a patient must be on?
Answer: Lab requisition Form

8. Newborns with PKU lack ______for breaking down specific proteins
Answer: Enzymes

9. Problems tht can occur when collecting a blood specimen include?
Answer: failure to obtain blood, hematoma, syncope

10. It is important to have knowledge of prior to performing a venipuncture?
Answer: The type of specimen required by the testing facility
The color tube to be used
How much specimen is needed

Administrative & Clinical-1

1. Americans with Disabilities Act has _____ sections
Answer: 5

2. Recording an incident report will be?
Answer: record on the facts and have the report reviewed by the physician

3. Who developed standard precautions and universal precautions?
Answer: OSHA

4. Performing a skin puncture, avoid bone injury and must not more than _______ mm deep in a child.
Answer: 2

5. Glucometer is an instrument to measures blood?
Answer: Sugar

6. Pathogen is a?
Answer: disease-causing organism

7. Decontamination is?
Answer: the removal of pathogens from an object

8. Failure of a facility to comply with OSHA regulations could result?
Answer: fines of up to $7,000 per violation & fines of up to $70,000 for a repeat violation

9. CDC stands for?
Centers for Disease Control

10. CLIA certificate of waiver is issued to a lab that conducts
Answer: only waived testing

Q & A # 7

1. Intravenous route is used primarily?
Answer: replenish blood products, administer medications, replenish fluids

2. When taking a medical history it is important to?
Answer: record any alternative medicines or treatments

3. The antibody for rheumatoid arthritis is detected in the________
Answer: blood

4. ELISA bacterial test is to determine?
Answer: acute respiratory illness

5. Sensitivity is define as?
Answer: affinity that antibodies have for specific antigens

6. ELISA define as?
Answer: enzyme-linked immunosorbent assay

7. Reagent from one test kit may?
Answer: may only used with another test kit that has the same lot number

8. When a test kit is opened, the date it was opened should be written on?
Answer: the outside of the package

9. Commone bacterial serology test include?
Answer: syphilis

10. Viral infections tested with CLIA waived tests include?
Answer: varicella zoster

Q & A #6

1. Cardiac glycosides _____ and ______ the heart.
Answer: slow and strengthen

2. Sublingual medication is administered?
Answer: medication under the tongue

3. Drug administered through________ have a faster onset of action than those administered via _______.
Answer: GI tract ; parenteral route

4. Subcutaneous injection administered at?
Answer: 45%

5. The circulation of the absorbed drug throughout the body?
Answer: distribution

6. Removal of the inactivated products of medication performed primarily by the kidney is?
Answer: excretion

7. Drug that treat and relieve symptoms in a disease process are called?
Answer: therapeutic

8. The Drug Enforcement Agency (DEA) is a branch of the U.S. Department of?
Answer: Justice

9. Sympathetic nervous system’s response is termed?
Answer: cholinergic

10. Parasympathetic nervous system’s response is termed?
Answer: anticholinergic

Q & A #5

1. Official pharmaceutical name for a drug based on its chemical composition is?
Answer: Chemical name

2. Pharmaceutical name for a medicine often a shortened chemical name and used by all of the manufacturers that produce the medication?
Answer: Generic name

3. Liquid forms of medication includes?
Answer: elixirs and suspensions are few examples

4. Oral medications take ______ minutes to be absorbed and distributed within the body.
Answer: 10 to 30 minutes

5. Needle sizes vary according to the ______ and ______ to be injected.
Answer: Type and Depth of tissue

6. Always practice the _______right for administrating and the _______label checkpoints when preparing medications.
Answer: 6 & 3

7. Allergy tests and Mantoux tests are administered?
Answer: Intradermal

8. Sites for intramuscular injections?
Answer: dorsal aspect of the gluteus, vastus lateralis of the thigh, deltiod

9. Which types of drug replace or control hormonal reaction?
Answer: Endocrine drugs

10. Which drug is used to treat shock?
Answer: Vasoconstrictor

Medical Abbreviations – Part 1

1. GI – gastrointestinal

2. BX – biopsy

3. ACLS – advance cardiac life support

4. WNL – within normal limits

5. NKDA – no known drug allergies

6. PC – after eating

7.LMP – last menstrual period

8. PTT – partial thromboplastin time

9. UA – urinalysis

10. TSH – thyroid stimulating hormone

Q & A #4

1. Colors could indicate urinary disorder?
Answer: yellow-brown or yellow-green, red or reddish brown, orange-red
(Note: Normal color of urine is Yellow)

2. When catheter is removed the pt. should expect?
Answer: No discomport

3. Urinalysis test strips should be stored?
Answer: At room temperature, tightly sealed

4. First morning urine specimen iis often used for?
Answer: Pregnancy test

5. Urinary System includes?
Answer: Kidneys,Ureters,Bladder (KUB)

6. Example of electrolytes include?
Answer: Hydrogen, Sodium, Potassium

7. Characteristic odor of urine in DM?
Answer: sweet and fruity

8. Dialysis is a?
Answer: treatment for kidney disease and temporary treatment while a donor is located

9. Outer layer of kidney?
Answer: Cortex

10. Substances typically excreted in urine?
Answer: electrolytes, sugars, amino acids, vitamins, hormones, and nitrogenous waste

Q & A #3

1. When lifting box, you should?
Answer: Lift with your legs

2. Tube used for obtaining blood for blood cultures?
Answer: Yellow

3. Tube used for hematology testing?
Answer: Lavender

4. Arterial blood gases are obtained to provide information with what condition?
Answer: Respiratory

5. Vein that is the first choice in performing venipuncture?
Answer: Median Cubital

6. Personal protective equipment(PPE) must be available?
Answer: to all employees at no cost to the employee

7. Heelstick is typically on the medial and ________ surfaces of the heel?
Answer: Plantar

8. Medical assistants must always be alert to the safety of?
Answer: patients, themselves, and the office

9. Disposed items should not be?
Answer: Reused

10. Specific Gravity is a measurement of urine compared to an equal volume of?
Answer: Water

Q & A #2

1. What are PDR (Physicians Desk Reference) consist of?
Answer: Classification of Drug, Generic Name, Recommended Uses

2. A random voided specimen is adequate for?
Answer: Routine Screening

3. Markedly increased in urine and clinically significance in uncontrolled diabetes mellitus(DM)?
Answer: Ketones

4. Sites generally used on adult and child is?
Answer: Middle Finger

5. Potentially infectious(regulated) materials?
Answer: Vaginal secretions or semen, Blood, Pathology specimens

6. Incident reports are used to document?
Answer: Any unsual event that occurs. (State the facts)

7. Face Shield protects?
Answer: Sprays and Splashes

8. Gloves protect?
Answer: hands during patient contact

9. Mask protects?
Answer: Airborne Transmissions

10. Most important is reducing the risk of exposure?
Answer: Washing hands frequently

Q & A # 1

1. It is safe to leave tourniquet on a pt?
Answer: 1 minute

2. Which of the following is an example of PPE?
a. biohazard bags b. incubator c. gloves
Answer: C

3. Bloodborne Pathogens Standard are enforced by?
Answer: OSHA

4. Proper angle for IM injections?
Answer : 90 degrees

5. The safest lancets for performing capillary punctures is?
Answer: Sealed

6. Newborn with PKU lack enzymes for breaking down specific?
Answer: proteins

7. The leading cause of UTI is
Answer: Escherichia coli or E-coli

8. The three processes of urine formation are?
Answer: Filtration, Reabsorption, Secretion

9. Phlebotomy can only be performed by?
Answer: Phlebotomist, Laboratory Technicians, Nurses

10.When recording incident you should?
Answer: record only the facts and have the report reviewed by the physician

Routes of Drug Administration

1. Oral (swallowing)

2. Sublingual ( under the tongue )

3. Transdermal ( patches)

4. Parenteral ( intradermal, subcutaneousm intramascular, intravenous, buccal, inhalation, irrigation, instillation, rectal, topical)

Parts of the Prescription

1. Only a physician can sign Schedule I, II, III and IV drugs (Highest strength is Schedule I )
2. Patient’s name and address, and the prescription date3. Superscription: the symbol (Rx) which means (take)
4. Inscription : (main part of the prescription) “drug name, form, and strength”
5. Subscription : directions to the pharmacist for the amount of drug to be dispensed
6. Signature : patient instructions (Sig:) to be placed on label
7. Refill information : (“REPETATUR 0 1 2 3 PRN”) refill instructions for the physician to circle
8. Physician’s signature and “Dispense as written” or “Substitute Generic Medication”

Uses of Medication,The Controlled Substances/Schedule Drugs & Dosage

1. Therapeutic Effect – desired effect of a drug.

2. Side Effect – adverse reactions to medications

3. Toxic Effect – overdose, allergic reaction, interactions with other drugs

4. Idiosyncratic Effect– cannot be explained or predicted

5. Contraindications – reasons against prescribing or administering a drug

***Controlled substances are also called schedule drugs – They include drugs with potential abuse such as narcotics, depressants, stimulants or hallucinogenics.

***All schedule drugs must be accounted for at all times.

***Those drugs administered to patients must be recorded in a log with the date, time, patient name, dosage, and amount dispensed.

***Formulas are used to calculate adult abd pediatric drug dosages.

Dosage Calculations:

Available strength (Ordered strength) = Available amount ( Amount to give)

Note: The Controlled Substances or Schedule Drugs is enforced by the DEA.

The body processes drugs by:

1. Absorption – in stomach and small intestine

2. Distribution– bloodstream

3. Metabolism– liver

4. Excretion – urine and feces

Role in Administering and Dispensing Medication

Medical Assistant must understand:
1. DEA ( Drug Enforcement Agency) legal guidelines
2. Read medication orders or prescriptions
3. How to administer medications under physicians’ orders

As a Medical Assistant you must:
1. Know and recognize side effects
2. Instruct patients about their medication
3. Search credible resources for additional informations

Note: Always refer to the latest Medical Assistant scope of practice to avoid errors.

Write Prescriptions for the following drugs:

Example 1: Neurontin 300mg tablet PO 3 times daily.

Write as: Rx Neurontin 300mg tabs PO

                          90 (ninety)

                          Sig. take 1 tab tid

Example 2: Cipro 500mg tablet PO 2 times for 10 days.

Write as: Rx Cipro 500mg tabs PO

                           20 (twenty)

                           Sig. take 1 tab bid for 10 days