RMA Practice Exam Guide

RMA Practice Exam Body activities such as breathing, circulation, and heartbeat are regulated by the B. Autonomic nervous system Which gas is brought into the body, and which is eliminated by the respiratory system? D. Oxygen, carbon dioxide The muscular tissue of the heart is called the C. Myocardium Blood enters the right atrium of the heart from the B. Vena cava The disorder characterized by degeneration of the myelin sheath is A. Multiple sclerosis The functional, microscopic filtration unit of the kidney is the B. Nephron The testes produce D. Both A and B. A - Sperm; B - Testosterone The amount of circulating blood in the body of an average adult is about D. 6 liters The main function of white blood cells is to B. Defend the body against invading bacteria and viruses The process that stops bleeding is called B. Hemostasis The spinal cavity contains the C. Spinal cord Air is brought into the lungs by way of the C. Trachea The longest and strongest bone of the skeleton is the A. Femur The dome-shaped muscle that separates the thoracic cavity from the abdominal cavity is the C. Diaphragm Which of the following organs serves as a reservoir for blood? D. Spleen The skin performs all of the following functions EXCEPT A. Nitrogen-containing waste excretion The vocal cards are located in the B. Larynx Otitis media is an inflammatory condition of the A. Ear Insulin is produced in the C. Pancreas If a patient is diagnosed with enteritis, which part of the digestive tract is inflamed? D. Intestines Which portion of the external ear is shaped to catch sound waves? B. Pinna The peripheral nervous system is made up of B. Peripheral nerves Another name for the eardrum is the D. Tympanic membrane Legally, a physician D. None of the above (A - May not refuse to accept a patient if he or she chooses; B - May refuse to provide follow-up care after treatment; C - Must provide a medical history to the patient's insurance company if the insurance company so requests In order to release medical information to another source B. The patient must sign a release form In order for a contract to be enforceable, the contract must include D. All of the above (A - An offer; B - A consideration; C - An acceptance The medical record of a patient who is a minor should be kept D. Until the patient reaches the age of majority, plus the number of years for the statue of limitations in the particular state The medical record is owned by D. The physician/clinic Establishing and maintaining policies and procedures that protect the medical office and staff from lawsuits is called B. Risk management Statute of limitations refers to C. The time period allowed for beginning a lawsuit for malpractice It is important for patients to understand their responsibility in relation to their medical record. The patient needs to understand all of the following EXCEPT B. The medical terminology used in the record Which of the following best demonstrates confidentiality of the patient record? C. Records should not be left on desks or counters where patients may see them For office surgery, a consent form must be signed A. Before the patient has been administered any medication 1/7 RMA Practice Exam Mabel, who is terminally ill, is adamant that no "heroic" measures be taken should she become incompetent, This request would be detailed in Mabel's A. Living will In most states, a physician is required to report D. Both A and C (A - Death; C - Specific infectious, communicable, or contagious diseases) Informed consent is established when the patient B. Is told by the physician of any risks, hazards, or possible complication with the treatment in terms that the patient fully understands A medical assistant is considered to be a professional. This means that a medical assistant has D. All of the above (A - A number of rights; B - A number of responsibilities; C - The proper education and training The patient is a mentally challenged adult. The adult who acC. Tell the accompanying adult that he or she must remain in the companied the patient has some errands to do. How should the office with the patient medical office staff handle this situation? The opposite of anterior is A. Posterior The prefix HYPER- means A. Above Joint pain may be charted as D. Arthrodynia Otoplasty is a surgical procedure performed on the D. Ear The clinical term for farsightedness is B. Hyperopia Inflammation of the brain is B. Encephalitis An enlargement of the heart is termed D. Cardiomegaly The combining form XANTHO- indicates the color D. Yellow The suffix -EMIA refers to B. Blood The plural of "appendix" is B. Appendices After an initial period of denial, terminally ill Janet moved to the second phase of the grieving process, which is C. Anger Understanding the feelings that a patient has in both an intellectual and an emotional way is called B. Empathy A patient has been diagnosed with high blood pressure. The medical assistant should instruct her to restrict her intake of B. Sodium Teaching modalities planned for a patient who has just been diagnosed with diabetes should include all of the following EXCEPT B. Relying on only one teaching method There are three important areas of learning. They are B. Cognitive, affective, and psychomotor Patient teaching is very important to the prognosis for the patient. Any teaching should therefore be B. Documented as part of the patient medical record A patient is diagnosed with a very elevated blood pressure. Which of the following will make it most difficult for her to learn about dietary modifications? B. She doesn't know how to read food labels Factors that could interfere with the effectiveness of the communication process include D. All of the above (A - Anxiety; B - Cultural differences; C Language barriers In communicating with patients, the medical assistant can make sure that the patient has correctly received a message by B. Asking the patient to repeat the message The word GRAVIDA refers to A. Pregnancy When the medical assistant does not understand what the patient C. "I'm sorry, I did not understand what you just said. Could you has said, which of the following would be appropriate to clarify the please repeat it?" communication?` The medical term for high blood pressure is A, Hypertension The combining form that indicates BLACK is C. Melan/o A minor offense that usually results in only a fine is a(n) C. Infraction A keloid is E. An abnormal scar formation C. 8 months 2/7 RMA Practice Exam The infant is able to equate sound with action, smiles at self in mirror, and has increased interest in exploration at The plural form of IRIS is C. Irides Licensure D. All of the above (A - Is a mandatory credential to practice medicine; B - Can be revoked or suspended; C - Is the strongest form of administrative regulation) CPT codes are updated annually. In an updated book, a darkened triangle in front of the code indicates that C. The description has been changed or modified The codes that cover the service-oriented rather the procedure-oriented services are in the numerical range of A. 99201 to 99499 Claims may be rejected or underpaid if the CPT code B. Is not backed up with documentation from the patient record The fixed amount of money that an insured patient is required to pay each time he or she receives treatment is called the B. Co-payment Julie Ann's father is serving in the Marine Corps. Her medical care is covered by C. TRICARE When the office accepts payments directly from the insurance company, it is called A. Assignment of benefits The insurance plan for the indigent is B. Medicaid Margo and Rob both work and participate in the health insurance plans offered by their separate employers. When Margo and Rob use their insurance, they are regulated by a term known as C. Coordination of benefits Under the HMO concept, there is only a C. Co-payment Patients who are injured at work and covered under workers' compensation should B. Have separate medical and financial records The insurance plan that provides for care for patients who are suffering from end-stage kidney disease is D. Medicare For each patient, the charges and payments should be recorded on an individualized B. Ledger card Superbills D. All of the above (A - Can be used as charge slips; B - May be ordered to fit the specific practice; C - List services provided and codes) The petty cash account should be D. All of the above (A - Accounted for in a journal; B - Used for small items only; C - Used for small amounts of money) Usually medical offices utilize a system for billing known as D. Cycle billing An account requires collection activity if it has an outstanding balance after C. 90 days When writing to the patient who has a delinquent account, the office cannot threaten to send a account to collection A. Unless the practice is prepared to follow through The medical assistant often is required to make appointments for the patient with a specialist or surgeon. This type of appointment is called A. A referral POMR stands for B. Problem-oriented medical record The methodology of scheduling patients with similar problems or conditions on certain days is called B. Clustering If an unscheduled patient should show up at the office with an apparent emergency condition, that patient is C. Seen by a physician immediately, ahead of patients who may be waiting Which condition may not require a same-day appointment? C. Cold with runny nose A 2-year-old girl was found by her mother sitting in a corner of the kitchen sucking on an ant trap. The mother called the office and was instructed by the medical assistant to A. Remain on the telephone while the office called the poison control center A. Cordially 3/7 RMA Practice Exam Which of the following is not a correct complimentary closing for a letter from the medical office? The postage class most used in the medical office is B. First class mail After the mail is opened, it should be C. Stamped with a date stamp Which letter type is the most time-efficient because it does not use excessive tab indents for the address, complimentary close, or signature? A. Full block The most common method of filing is C. Alphabetical Which of the following names would be filed first? D. De La Mare, Winston In the alphabetical filing system, each name is broken down into A. Indexing units If a color-coding system is used in the medical office,the color code should be C. Known by everyone in the office The purpose of the medical record is to C. Serve as a legal record documenting the planning and care that the patient received The documents in source-oriented medical records are A. Grouped by the kind of services that were provided When supplies that have been newly ordered arrive in the office, B. Checked against the packing slip to make sure that everything they should be that has been ordered has arrived The device that allows the computer operator to manipulate the cursor without using the arrow keys is the A. Mouse The programs that allow the computer operator to perform various tasks are D. Applications software In the medical office, sharps are usually A. Used once and then discarded in a hard plastic container Three diseases that are transmitted only by direct contact with blood or body fluids are D. Hepatitis B, hepatitis C, and HIV Originally, ICD coding was used E. All of the above (A - To track disease processes; B - In medical research; C - To evaluate hospital service utilization; D - To classify the cause of death) A letter that weighs 11 ounces should be sent by A. First class mail Using the alphabetical system of filing, "The Harris Office Supply Company" would be filed under B. H When sorting the mail for the physician, the medical assistant should arrange the mail B. In order of importance Which of the following would require a CPT code? E. All of the above (A - Mastectomy; B - Appendectomy; C Hysterectomy; D - Rhinoplasty) The type of computer printer that produces the sharpest image is the C. Laser Manual scheduling of appointments utilizes A. Spiral-bound appointment books The letter style in which the first line of each new paragraph is idented five spaces is C. Semiblock For coding a diagnosis, the first place to go is C. Volume II of the ICD-9-CM The procedure that protects against the loss of computer data is known as C. Backing up The correct format for the salutation to a physician named David Roberts is D. Dear David Roberts, MD Which of the following types of scheduling allows for the most efficient use of staff, materials, and facilities? E. Grouping What piece of mail should be placed on top when sorting the physician's mail? C. Envelope marked Personal Open punctuation is characterized by B. Absence of punctuation after the salutation and a comma after the complimentary close 4/7 RMA Practice Exam The federal insurance program that provides for the medically indigent is D. Medicaid The process of transferring an amount from the day sheet to the ledger is C. Posting A numerical filing system requires the use of B. An alphabetical cross-reference The file folder label for Jennie Holmes-Mathis should be D. Holmes-Mathis, Jennie Third-party participation in an office indicates the relationships among the C. Physician, patient, and insurance company A claim may be rejected by an insurance company because of the E. All of the above (A - Complete diagnosis; B - Policy number; C omission of - Patient birth date; D - Itemization of charges) How much postage is required for a first-class letter that weighs 3 oz if the first ounce costs $0.34 and each additional ounce is $0.25? D. $0.84 When the word CONFIDENTIAL is to be typed on the envelope, it should be placed D. Below the return address The most formal of complimentary closings is A. Very truly yours Which of the following is NOT needed when making an appointment? D. Insurance information This type of call allows more than one person in more than one place to talk simultaneousely B. Conference call This procedure protects against the loss of data C. Backing up A tickler file is E. Future events arranged in chronological order All of the following would require a Current Procedural Terminology (CPT) code except A. Diarrhea Which of the following characteristics of a receptionist might make an impression on a patient? E. All of the above (A - Appearance; B - Professionalism; C Manners; D - Attitude) A direction to consider additional codes is C. See also The purpose of infection control systems is to C. Prevent the spread of disease Visual examination of the internal surfaces of the vagina and cervix is done with an instrument called a D. Colposcope When taking a film in the PA projection, the x-ray beam passes through the patient D. From back to front In the x-ray machine, the substance that prevents x-rays from traveling out from the source in all directions is E. Lead When a cast that has been present for a long period of time is removed, there may be a significant amount of D. Atrophy Blood specimens obtained during venipuncture are usually obtained from B. The antecubital space When the health care provider wants comprehensive testing done on one body system, this group of tests is ordered as a(n) B. Panel/profile In documenting immunizations in addition to the usual information, which includes date, site of injection, side effects, and who administered the immunization? B. Vaccine manufacturer and lot number Which of the following blood pressure readings would be considered hypertension in the normal adult? E. 160/100 mm Hg The doctor has ordered 250 mg of ampicillin. The ampicillin you have on hand is 100 mg per mL. You would administer C. 2.5 mL The finest suture material is marked D. 000 The term that means that an instrument has been washed but not treated further is B. Sanitized 5/7 RMA Practice Exam A disk of compressed medication is a B. Tablet Personal protective equipment (PPE) includes all of the following EXCEPT B. Uniforms Evacuated tubes with no additives are used when the test to be performed involves A. Serum The medical assistant has been instructed to give the patient an injection of vitamin B12. This action is called B. Administering medication The technique that is used whenever a patient's skin is broken or a patient's body cavity is entered is called B. Surgical asepsis D. All of the above (A - Use of an autoclave; B - Steam in the The process of achieving sterilization includes which of the followautoclave that has been heated to 250 degrees F; C - Pressure in ing? the autoclave that has reached 15 pounds of pressure) Which of the following is not acceptable for wrapping items for the autoclave D. Aluminum foil The proper cleaning of an area with soap and water is called B. Sanitization Items that enter parts of the body lined with mucous membranes need to be D. Disinfected Cleaning an area or soaking instruments with chemicals is called D. Disinfecting A forceps is an instrument used for B. Grasping Tissue and dressing forceps usually have C. A handle that can be grasped with the thumb and forefinger The device used to measure the oxygen saturation of the blood is D. Oximeter The popliteal pulse is found D. At the back of the knee The medical assistant who is responsible for obtaining the patient's vital signs should C. Document them in the patient's chart as soon as they are taken The normal adult has a respiratory rate of B. 14-20 breaths per minute Which of the following heart rates would be considered tachycardia B. 100 A patient who weighs 45 kg also weighs how many pounds? B. 99 A patient who is 72 inches tall is A. 6 feet A patient's statement "I feel like someone is pounding nails into my head" would be documented in the SOAP format under A. S The first round of pediatric immunizations is usually completed by the time the child is C. 15 months old What position is used for better access to the rectal area and lower back? B. Sims' Before a pelvic examination, the patient from whom a Pap smear will be taken should be instructed to B. Not douche The chart to test visual acuity is the D. Snellen chart Which of the following would be considered a subjective finding? D. Dizziness Which of the following would be considered an objective finding? A. Redness In which section of the patient's medical history would you document that the patient had recently lost 20 pounds without being on a diet? B. Present illness Measurements recorded at the patient's first visit are the measurements against which all subsequent measurements are compared. These initial measurements are known as the B. Baseline values Which of the following examination methods is used in listening with a stethoscope?` D. Auscultation A patient lying on his or her back for the abdominal examination is the what position? A. Supine 6/7 RMA Practice Exam When the patient lies on his or her back with the knees bent and feet on the end of the examination table, the patient is in what position? D. Dorsal recumbent A normal and healthy infant should, at the end of 1 year, have B. Tripled in weight and and grown 10-12 inches in length In what position is the patient placed for the visual examination of the internal surfaces of the vagina and cervix? D. Lithotomy All female patients should be taught to do a breast examination. D. Monthly, 1 week after the woman's menstrual period has begun Ideally, this should be done The goal of anticoagulation medication therapy is to A. Make the length of time it takes blood to clot longer than normal An injection that is administered in the deltoid muscle is the D. Hep B An intradermal injection is administered to cause a raised area in order to elicit a local reaction. This raised area is called a(n) B. Wheal Needle gauge refers to the B. Diameter of the lumen Solid medications that can be dividedd are D. Scored tablets Which of the following choices lists the stages of pharmacokinetics in correct order? D. Absorption, distribution, action, metabolism, excretion A situation in which two drugs work to enhance each other is called B. Synergism The name that is always capitalized and usually identified with the symbol for being patented is the C. Brand name The appropriate needle size for administering a subcutaneous injection to an average adult weighing 150 pounds would be D. 25 gauge, 5/8 inch Oxycodone is a medication listed under B. Schedule II Hypersensitivity to a drug may cause all of the following EXCEPT D. Absorption of the drug A chemical substance that has the potential for addiction and abuse is regulated by the D. Controlled Substances Act of 1970 The effect of a drug that acts on the area where it is administered is B. Local A common classification system that identifies the effect for which the drug is given is the C. Desired action Items that have been placed on the sterile field may be touched with D. Sterile gloves Amy has been prescribed a diuretic because of fluid retention. She has been instructed by the medical assistant to D. Eat foods high in potassium Agglutination tests look for the presence of a(n) C. Antibody The usual capillary site for a blood draw is the C. Middle or ring finger of the nondominant hand The main veins used for venipuncture are the B. Cephalic, basilic, and median 7/7