NCCT Practice Test 2

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When taking blood from a newborn baby's heel, you should not use a lancet longer than…?

Correct! Wrong!

The recommended longest lancet for taking a blood sample from the heel of a newborn baby is 2.4 mm. Care should be taken not to take the sample from the back of the heel where the distance from the skin surface to the bone can be as little as 2.33 mm. If in doubt, or if the child is premature or underweight, use a smaller lancet.

When taking a patient's pulse, you should be able to report on…?

Correct! Wrong!

Taking a patient's pulse is not simply a matter of counting the beats per minute. You should be able to distinguish between a strong and a weak pulse and to identify any irregularity in the pulse rate (missing beats, sudden acceleration/deceleration etc.).

Which of these is not part of the measurement of vital signs?

Correct! Wrong!

The monitoring of vital signs comprises monitoring temperature, respiration and pulse. However, at the same time as monitoring the vital signs any other abnormal signs should be noted, for example excessive sweating, trembling or incoherence, and reported if necessary.

What are drugs designed to cause vomiting called?

Correct! Wrong!

Drugs that cause vomiting are called emetics. They are often used for patients who have deliberately or accidentally consumed harmful substances, or substances in harmful doses, e.g. alcohol, painkillers. When administering an emetic remember the process of vomiting may leave the patient dehydrated and take steps to prevent this.

When a physician asks you to write up their record consultation, you are acting as a…?

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Medical transcription is often part of a medical assistant's duties. Special care should be taken with accuracy when undertaking transcription and you should seek the physician's guidance on any matters that are unclear or terms that you do not understand.

Used sharps should be disposed of in what?

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Every year some institutions will be caught disposing of contaminated sharps in ordinary trash or non-approved containers. This increases the risk of infection for garbage collectors and the general public; never cut corners if it's your responsibility to dispose of sharps, always insist on an FDA approved container.

Computer screens should always be positioned so that…?

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Always make sure that only you or authorized colleagues can see the screen you're working on. This will minimize the chances of confidential data being accidentally displayed to unauthorized personnel.

When choosing a needle for phlebotomy, you must remember that as gauge numbers go up, so the needles get…?

Correct! Wrong!

As the gauge number increases so the bore of the needle becomes smaller. Always take special care to select the appropriate needle, or you may cause excessive post-draw bleeding or have to make multiple attempts, both of which will cause distress for your patient.

In a medical context, which of these would constitute invasion of privacy if done without consent?

Correct! Wrong!

There are often medical circumstances – for example emergency resuscitation – where a patient’s consent cannot be obtained. However, even if a patient is unable to give or withhold consent (e.g. if unconscious) private information must not be divulged to third parties. (There are certain very specialized circumstances, e.g. gunshot wounds, where information may be divulged to very specific third party agencies, e.g. law enforcement)

If a drug is administered transdermally, it is received how?

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Some drugs can be administered transdermally via a patch on the skin. This can be a good option for patients who are frightened of needles and for those requiring a steady release of a drug over time.

At the beginning of each working day, you should check appointments…?

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However good an office's systems may be, it is good practice to check appointments with each team member every day. This ensures that all staff are well prepared and should eliminate double bookings, cancelled appointments etc.

If a patient is displaying any abnormalities in their vital signs, how should this be reported?

Correct! Wrong!

All abnormalities in vital signs could be crucial indicators that a patient needs immediate treatment. Any abnormalities must be reported to a physician immediately.

When placing electrodes for an ECG test, which of these is the only factor that does not require consideration?

Correct! Wrong!

An ECG test requires a clear flow between electrodes: any thickening of the skin or metal objects may impede this. Do not place electrodes over piercings, scars or stents or in such a way that these elements may interfere with results.

Petty cash may NOT be used for which of these purposes?

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Petty cash is the sum of money held in the office to meet immediate office running needs. It should not be used for staff loans or advances on salary; borrowing from petty cash without authorization, even if there is a genuine intention to return the borrowed sum, could be classified as theft.

If a letter is addressed “Dear Sir/Madam,” what should the signoff be?

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In addressing someone whose name you don’t know, you should always use “Yours sincerely.” “Yours faithfully” should only be used if a letter is addressed to a specific person, and “Kind regards” only for a person you know and have had some positive interaction with previously.

Which of these applies to a person issued with a subpoena in a medical law case?

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People may often have reasons to avoid appearing in court cases. This is why courts have the power to issue a subpoena that compels a person or organization to appear and give evidence. Subpoena means, in Latin, “under threat of punishment”, and failure to obey such an order may incur legal penalties.

A discharge summary report must include what?

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A discharge summary report may include all of these details, but it is essential that it include details of the patient's final condition. If this is not provided, ensure you obtain it from the patient's physician. When this is not properly recorded it could open the way to legal action should the patient develop later complications.

Testing for which of these does not fall under the chain of custody procedures?

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Chain of custody procedures must be followed for legally sensitive tests. If you're involved in such tests make sure that all paperwork is correctly filled and that you have correctly signed off your part of the testing to the next person in the chain.

Who is generally responsible for making sure that medical personnel keep their professional status up-to-date?

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It is vital that all medical personnel are up-to-date with all applicable licenses, certificates etc. A medical office should keep a thorough record of these matters and issue reminders to staff when updates are required; the office itself can be held responsible if it is employing staff whose licenses etc. have lapsed.

What does the Department of Health say that the chance of catching HIV from a single needlestick injury is?

Correct! Wrong!

Although every precaution should be taken to avoid needlestick injury, and treatment should be sought immediately should one occur, the risk of contracting HIV from a needlestick injury is extremely low. The Department of Health calculate the risk, when a medical worker has been stuck with a needle contaminated with HIV+ blood, of contraction as being 0.3%, i.e. it will happen three times in every 1000 incidents.

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