CMA General Practice 5 — Questions and Answers
Question 1: Which of the following is an example of a Schedule II controlled substance?
- Lorazepam
- Tramadol
- Oxycodone (Correct answer)
- Gabapentin
Correct answer: Oxycodone
Oxycodone is a Schedule II controlled substance with high abuse potential and no refills permitted.
Question 2: A patient is asked to provide a clean-catch midstream urine specimen. Which instruction is correct?
- Collect the first stream of urine
- Clean the area, discard the first stream, then collect midstream (Correct answer)
- Collect urine immediately after a bowel movement
- Use a sterile catheter for collection
Correct answer: Clean the area, discard the first stream, then collect midstream
Clean-catch midstream collection requires cleaning the urethral area, discarding the initial stream, and collecting midstream to reduce contamination.
Question 3: Which of the following is the correct site for an intramuscular injection in an adult?
- Lateral aspect of the forearm
- Deltoid muscle of the upper arm (Correct answer)
- Dorsal gluteal region (upper inner quadrant)
- Antecubital fossa
Correct answer: Deltoid muscle of the upper arm
The deltoid muscle is a common IM injection site for adults for volumes up to 1 mL.
Question 4: A medical assistant notices a coworker accessing a patient chart without a clinical reason. This is a violation of:
- OSHA standards
- HIPAA Privacy Rule (Correct answer)
- CLIA regulations
- The Stark Law
Correct answer: HIPAA Privacy Rule
HIPAA's Privacy Rule restricts access to PHI to those with a legitimate need-to-know (minimum necessary standard).
Question 5: Which pulse site is most commonly used to assess a patient's pulse in routine clinical settings?
- Femoral
- Brachial
- Radial (Correct answer)
- Carotid
Correct answer: Radial
The radial pulse at the wrist is the standard site for routine pulse measurement in clinical settings.
Question 6: When measuring peak expiratory flow rate (PEFR), this test is used to monitor which condition?
- Diabetes mellitus
- Asthma (Correct answer)
- Hypertension
- Anemia
Correct answer: Asthma
Peak flow meters measure how fast air can be exhaled and are used to monitor and manage asthma.
Question 7: A patient presents with diaphoresis, pallor, and altered mental status. The medical assistant should first:
- Offer the patient water
- Check blood glucose level (Correct answer)
- Administer oxygen
- Call for a specialist referral
Correct answer: Check blood glucose level
These signs are classic for hypoglycemia; checking blood glucose guides the correct emergency response.
CMA General Practice 5
Which of the following is an example of a Schedule II controlled substance?