CCMA Pharmacology and Injections 4

Question 1

A patient is prescribed metformin for type 2 diabetes. Which of the following is a key counseling point the medical assistant should reinforce?

Accepted Answer

Avoid alcohol and report any signs of muscle pain or weakness

Answer

Metformin combined with alcohol increases the risk of lactic acidosis, and patients should report muscle pain as an early warning sign.

Question 2

When drawing up two different insulins into one syringe, what is the correct order?

Accepted Answer

Draw clear (regular) first, then cloudy (NPH)

Answer

Clear (short-acting) insulin is drawn first to prevent contamination of the clear vial with the cloudy suspension.

Question 3

A patient receives a subcutaneous injection of 0.5 mL. Which site is LEAST appropriate for this route?

Accepted Answer

Dorsogluteal muscle

Answer

The dorsogluteal site is an intramuscular, not a subcutaneous, injection site and should be avoided due to proximity to the sciatic nerve.

Question 4

Which drug classification includes medications like loratadine and cetirizine used for allergic rhinitis?

Accepted Answer

Second-generation antihistamines

Answer

Loratadine and cetirizine are second-generation antihistamines that cause less sedation than first-generation agents.

Question 5

A Schedule II controlled substance requires which of the following?

Accepted Answer

A written or electronic prescription with no refills

Answer

Schedule II substances have high abuse potential and require a written or electronic prescription with no refills allowed.

CCMA - Certified Clinical Medical Assistant Practice Test