Which of the following is the most common means of transmission of Hepatitis A? A. sexual contact B. contact with contaminated needles C. contact with fecal contaminated food/water D. forceful coughing Correct response: contact with fecal contaminated food/water A 6-month-old child is at the clinic for their well-child visit and routine vaccines. Which of the following is the preferred site for an intramuscular injection on this patient? A. deltoid B. ventrogluteal C. dorsogluteal D. vastus lateralis Correct response: vastus lateralis Disinfecting an ECG machine and lead wire surfaces with antimicrobial wipes after each patient use is an example of which of the following? A. biohazard precautions B. sterile technique C. surgical asepsis D. medical asepsis Correct response: medical asepsis physician believes a patient might have problems with her spleen. Where would the doctor palpate to feel for the spleen? A. right side of the patient's abdomen beneath the diaphragm B. middle of the patient's abdomen beneath the diaphragm C. left lower portion of the patient's abdomen D. left side of the patient's abdomen beneath the diaphragm Correct response: left side of the patient's abdomen beneath the diaphragm The endocrinologist requested the patient to return to the outpatient clinic the next day for a glucose tolerance test. Which of the following preparations should the medical assistant instruct the patient to do the night before the test? A. NPO after midnight. B. Ingest 10 ounces of oral glucose solution. C. Refrain from tobacco use for 24 hours. D. Drink at least 32 ounces of water. Correct response: NPO after midnight. patient who has Chronic Obstructive Pulmonary Disease is evaluated in the medical office for hypertension. What is the importance of identifying the reason for today's visit related to billing? A. to determine the primary diagnosis B. to ensure a secondary diagnosis is not listed on the claim form C. to assign a two-digit modifier D. to assign a V code Correct response: to determine the primary diagnosis presents to the pre-op clinic for a lithotripsy (ESWL) procedure. Which of the following actions should the medical assistant take prior to witnessing the consent form to ensure it is legally binding? A. Verify the patient has not had anything to eat or drink for eight hours prior to the procedure. B. Obtain a copy of the patient's insurance card. C. Confirm there is someone in the waiting room available to drive the patient home. D. Confirm the surgeon has explained all risks and benefits of the procedure. . Correct response: Confirm the surgeon has explained all risks and benefits of the procedure. An older adult patient arrives to have blood drawn. While assessing the arms for venipuncture, the medical assistant notices scar tissue in the anticubital areas and is unable to palpate a vein. Which of the following is an appropriate alternative course of action? A. Draw blood from the hand using an evacuated tube system. B. Draw blood from the hand using a winged infusion set. C. Use a larger gauge needle to penetrate through the scar tissue. D. Perform a capillary puncture on the lateral thumb. correct response: Draw blood from the hand using a winged infusion set. A patient is discharged from the hospital with a diagnosis of HIV and MRSA and comes to the office for a follow-up appointment. What is the best method the medical assistant could use to clean the nasal speculum, forceps, and hemostat used in the exam? A. chemical sterilization B. disinfect with 70% isopropyl alcohol C. disinfect with sodium hypochlorite (1:10) D. steam sterilization Correct response: steam sterilization Which of the following needle gauges is most commonly used for venipuncture? A. 24-25 B. 21-23 C. 18-20 D. 16-17 Correct response: 21-23 A parent calls the pediatrician's office very upset because her child is vomiting and has a temperature of 103.3 F. The medical assistant should A. schedule a same day work-in appointment. B. place the parent on hold and transfer the call to the physician. C. instruct the parent to take the child to the emergency room immediately