Vitals
Phlebotomy & Lab Values
Cardiology & EKG Procedures
Specialized Testing & Medication Administration
Insurance & Billing
1
Differentiate the values of Stage I and Stage II Hypertension.
Hypertension Stage I: Systolic 130-139 and Diastolic 80-89
Hypertension Stage II: Systolic > 140 and Diastolic > 90
1
The correct angle measurements for Dermal, Subcutaneous, Intramuscular. Also include the Sub Q exception for insulin.
Dermal: 15 degrees
Sub Q: 45 degrees
Insulin (Sub Q exception): 90 degrees
IM: 90 degrees
1
Which wave represents ventricular depolarization?
Which wave represents atrial depolarization?
Which wave represents ventricular repolarization?
QRS Complex, P Wave, T wave
1
How should a MA apply eye ointment on the patient (include which direction should MA move)?
Apply a thin ribbon along the conjunctival sac, moving from inner canthus to outer canthus
1
What is the CMS-1500 form used for? And what must it include?
this is a claim form used to submit to insurance companies so providers can get paid.
It must include:
Patient and Insured Details
Provider Information
Diagnosis Codes
Procedure Codes
Charges and Dates
2
What route is the most accurate method for checking a patient's temperature?
What is the best position for taking this type of temperature?
Rectal Route and Sims' position 
2
What is the typical order of blood draw?
Which tube color is used for hematology tests?
Yellow, Light Blue, Red, Green, Lavender, Gray
Lavender (EDTA): used for hematology tests
2
For EKG procedures, where should leg electrodes be placed?
Just above the ankles
2
What instruction should the MA give to a patient regarding transdermal patches?
Patients should rotate patch placement to avoid skin irritation and apply at the same time each day.
2
What are usual, customary, and reasonable (UCR) fees? When reviewing a Medicare claim denial and realize the charges exceed the UCR fees, what should the MA should do?
UCR fees are fees that providers with similar training and experience charge within the same geographical area.
If charges exceed UCR fees and the provider (who had agreed to Medicare's guidelines), then the MA must write off the balance
3
What is the normal pulse rate and blood pressure range and respiration rate for adults ?
Pulse Rate: 60-100 bpm
Normal BP: 120/80
Respiration Rate: 12 to 20 breaths /min
3
What is the female and male range for Hemoglobin (Hgb) and Hematocrit (Hct) ?
Hemoglobin (Hgb):
Female: 12-16 g/dL
Male: 13-18 g/dL
Hematocrit (Hct):
Female: 36% - 48%
Male: 42% - 52%
3
Which electrodes are which:
Located on the fifth intercostal space, mid-axillary line (left)
Located on the fifth intercostal space, anterior axillary line (left)
Located on the fifth intercostal space, mid-clavicular line (left)
V6, V5, V4
3
The _____ test uses a turning fork to see when a patient no longer hears a sound. The ______ test checks if a sound is louder in one ear than the other.
Renee Test. Weber Test
3
Differentiate between Remittance Advice (RA) and Explanation of Benefits (EOB)?
Remittance advice (RA) → is sent to the healthcare provider to detail payments and billing adjustments.
Explanation of Benefits (EOB) → sent to the patient to explain their coverage and out-of-pocket costs
4
What is the normal pulse rate, respiration rate, and temperature for a 6-year-old
Pulse Rate: 70-130 bpm
Respiration Rate: 18-30 breaths /min
Temp (6 years old to adults) : 98.6 F (37 C)
4
What is the normal range of blood glucose and potassium?
Blood Glucose: 70-100 mg/dL
3.5-5.1 mEq/L
4
What is the first action a MA should take if an EKG shows ventricular fibrillation on an unconscious patient?
The MA should call for help and begin CPR
4
What are CLIA-Waived Test. Name two and describe them.
CLIA-Waived Tests are low-complexity tests than can be performed in-office.
Some examples include:
- Blood glucose monitors
- Urine pregnancy tests
- Fecal occult blood tests
4
What is the Super Bill / Encounter Form?
This document contain pre-printed diagnosis and CPT codes used to fill out insurance claims. And it is used to indicate if a patient needs a referral or follow-up.
5
What is orthostatic hypotension?
What is the process for checking for orthostatic vital signs?
A drop in blood pressure upon standing that causes dizziness.
Measure vitals while the patient is lying down (first), then sitting, and finally standing. Make sure you wait one minute after each position before obtaining the next set of vitals.
5
Describe the process of administering insulin and heparin (blood thinner) subcutaneously.
Insulin: Roll the bottle (do not mix). 90 degree angle. Rotate injection sites to prevent the formation of scar tissue.
Heparin: inject the medication slowly and do NOT message the site, as this can cause bleeding. 45 degree angle.
5
Describe each EKG artifact and what it is caused by:
a. Wandering Baseline
b. Interrupted Baseline
c. AC Interference
d. Somatic Tremors
a. Wandering Baseline: a gradual shift away from center of paper. Caused by poorly attached electrodes or patient movements.
b. Interrupted Baseline: the tracing may move into the margins. Caused by a detached electrode.
c. AC Interference: small, regular spikes. Caused by electrical interferences.
d. Somatic Tremors: jagged, irregular spikes. Caused by muscle movement (e.g. shivering)
5
Which quadrant is the gallbladder & liver located?
Which quadrant is the spleen & stomach located?
Which quadrant is the appendix located?
Right Upper Quadrant, Left Upper Quadrant, Right Lower Quadrant
5
A Medical Assistant works at a practice that is part of an Accountable Care Organization (ACO). The purpose of an Accountable Care Organization is to increase the quality of care for patient who have which type of medical coverage.
Medicare