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54020_FMxx_FINAL.QXP 10/20/09 6:45 PM Page i
Preparing to Pass
the Medical
Assisting Exam
54020_FMxx_FINAL.QXP 10/20/09 6:45 PM Page ii
54020_FMxx_FINAL.QXP 10/21/09 10:27 PM Page iii
Preparing to Pass
the Medical
Assisting Exam
CARLENE HARRISON, EdD, CMA (AAMA)
Dean, School of Allied Health
Hodges University
VALERIE WEISS, MD, MS
Program Chair, Health Studies
Hodges University
54020_FMxx_FINAL.QXP 10/21/09 12:15 PM Page iv
Disclaimer: This eBook does not include ancillary media that was packaged with the
printed version of the book.
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Pr oduction Cr edits
Publisher: David Cella
Associate Editor: Maro Gartside
Editorial Assistant: Teresa Reilly
Production Manager: Julie Champagne Bolduc
Associate Production Editor: Jessica Steele Newfell
Marketing Manager: Grace Richards
Manufacturing and Inventory Control Supervisor: Amy Bacus
Composition: Glyph International
Cover Design: Kristin E. Parker
Cover Image: © Photodisc
Chapter-Opening Images: © Kimberly Ann Reinick/ShutterStock, Inc.
Printing and Binding: Courier Stoughton
Cover Printing: Courier Stoughton
Library of Congr ess Cataloging-in-Publication Data
Harrison, Carlene.
Preparing to pass the medical assisting exam / Carlene Harrison and Valerie Weiss.
p. ; cm.
Includes index.
ISBN 978-0-7637-5402-0 (alk. paper)
1. Medical assistants—Examinations, questions, etc. 2. Medical assistants—Examinations—United States—Study
guides. I. Weiss, Valerie, 1975– II. Title.
[DNLM: 1. Physician Assistants—Examination Questions. 2. Practice Management, Medical—Examination
Questions. W 18.2 H318p 2011]
R728.8.H383 2011
610.76—dc22
2009039397
6048
Printed in the United States of America
13 12 11 10 09 10 9 8 7 6 5 4 3 2 1
54020_FMxx_FINAL.QXP 10/20/09 6:45 PM Page v
Brief Contents
Acknowledgments xv
SECTION I
Preparing to Take the Certification Exam 1
Chapter 1
The Certification Process and the Exam 3
Chapter 2
Study Techniques and Exam-Taking Strategies 7
SECTION II
General Knowledge 11
Chapter 3
Medical Terminology 13
Chapter 4
Anatomy and Physiology 39
Chapter 5
Common Diseases and Pathology 89
Chapter 6
Psychology 113
Chapter 7
Professionalism 123
Chapter 8
Communications 129
Chapter 9
Legal and Ethical Issues 139
v
54020_FMxx_FINAL.QXP 10/20/09 6:45 PM Page vi
Brief Contents
SECTION III
Administrative Knowledge 151
Chapter 10
Administration and Technology 153
Chapter 11
Administrative Functions and Management 165
Chapter 12
Finance 175
Chapter 13
Third-Party Billing 185
Chapter 14
Coding Systems 197
SECTION IV
Clinical Knowledge 213
Chapter 15
Asepsis and Infection Control 215
Chapter 16
Patient Preparation and Assisting the Physician 227
Chapter 17
Specimen Collection, Diagnostic Testing, and Medical Equipment 237
Chapter 18
Pharmacology and Medication Administration 261
Chapter 19
Medical Emergencies and First Aid 285
Chapter 20
Nutrition 301
Index 311
vi
54020_FMxx_FINAL.QXP 10/20/09 6:45 PM Page vii
Contents
Acknowledgments xv
SECTION I
Preparing to Take the Certification Exam 1
Chapter 1
The Certification Process and the Exam 3
The National Exams 3
American Association of Medical Assistants (AAMA) Certification Exam 3
American Medical Technologists (AMT) Certification Exam 4
Summary 5
Chapter 2
Study Techniques and Exam-Taking Strategies 7
Preparing for the Exam 7
Step 1: Set Up a Study Area 7
Step 2: Define Your Study Style 7
Step 3: Create a Schedule 8
A Possible Schedule 8
Exam-Taking Strategies 9
SECTION II
General Knowledge 11
Chapter 3
Medical Terminology 13
Questions 29
Answers 35
Chapter 4
Anatomy and Physiology 39
Structural Units 39
Anatomic Divisions 39
Body Planes 39
vii
54020_FMxx_FINAL.QXP 10/20/09 6:45 PM Page viii
Contents
Body Cavities 40
Abdominal Quadrants and Regions 40
Positions and Directions 41
Anatomic Position 41
Directional Terms 42
Common Anatomic Descriptors 42
Homeostasis 42
Tissues 42
Epithelial Tissue 42
Connective Tissue 43
Muscle Tissue 44
Nervous Tissue 44
Membranes 44
Epithelial Membranes 44
Connective Tissue Membranes 44
Organ Systems 44
Integumentary (Skin) System 45
Muscular System 45
Skeletal System 47
Nervous System 47
Cardiovascular System 51
Hematopoietic System 54
Lymphatic and Immune System 56
Respiratory System 58
Digestive System 59
Urinary System 62
Reproductive System 63
Endocrine System 68
Special Senses 68
Questions 74
Answers 83
Chapter 5
Common Diseases and Pathology 89
Integumentary System 89
Musculoskeletal System 91
Muscular System 91
Skeletal System 91
Nervous System 93
Cardiovascular System 94
Hematopoietic System 95
Lymphatic and Immune System 96
Respiratory System 96
Digestive System 98
Urinary System 99
Reproductive System 100
Endocrine System 101
Thyroid Gland 101
Pancreas 103
Special Senses: The Eyes and Ears 103
Questions 104
Answers 109
viii
54020_FMxx_FINAL.QXP 10/20/09 6:45 PM Page ix
Contents
Chapter 6
Psychology 113
Basic Principles 113
Sigmund Freud: Id, Ego, and Superego 113
Abraham Maslow: Hierarchy of Human Needs 113
Ivan Pavlov: Conditioned Reflex 114
Elisabeth Kübler-Ross: Five Stages of Grief 114
Developmental Stages of the Life Cycle 115
Erik Erikson: Developmental Stages 115
Psychology of the Life Cycle: Stages of Development 115
Defense Mechanisms 115
Empathy 115
Questions 118
Answers 120
Chapter 7
Professionalism 123
Displaying a Professional Attitude 123
Job Readiness and Seeking Employment 124
Working as a Team Member to Achieve Goals 126
Questions 126
Answers 128
Chapter 8
Communications 129
The Communication Process 129
Communicating with Patients with Special Needs 129
Verbal and Nonverbal Communication 130
Professional Communication and Behavior 131
Patient Interviewing Techniques 131
Receiving, Organizing, Prioritizing, and Transmitting Information 131
Telephone Techniques 132
Fundamental Writing Skills 132
Questions 133
Answers 136
Chapter 9
Legal and Ethical Issues 139
Licenses 139
Legislation 139
Documentation/Reporting 141
Releasing Medical Information 142
The Physician–Patient Relationship 143
Maintaining Confidentiality 144
Performing within Ethical Boundaries 144
Questions 145
Answers 148
ix
54020_FMxx_FINAL.QXP 10/20/09 6:45 PM Page x
Contents
SECTION III
Administrative Knowledge 151
Chapter 10
Administration and Technology 153
Data Entry 153
Keyboard Fundamentals and Functions 153
Formats for Written Communication 153
Proofreading 155
Office Equipment 156
Computer Concepts 156
Records Management 157
Scheduling and Monitoring Appointments 159
Questions 160
Answers 162
Chapter 11
Administrative Functions and Management 165
Screening and Processing Mail 165
Resource Information and Community Services 166
Maintaining the Office Environment 166
Equipment and Supply Inventory 167
Liability Coverage 168
Time Management 168
Office Policies and Procedures 168
Questions 169
Answers 172
Chapter 12
Finance 175
Bookkeeping Principles 175
Charges, Payments, and Adjustments 176
Petty Cash Fund 176
Billing Procedures 177
Aging Procedures 177
Collection Procedures 177
Consumer Protection Acts 177
Accounts Payable 177
Banking 178
Payroll 178
Questions 179
Answers 182
Chapter 13
Third-Party Billing 185
Types of Health Insurance 185
Government-Sponsored Plans 185
Group Plans 187
x
54020_FMxx_FINAL.QXP 10/20/09 6:45 PM Page xi
Contents
Managed Care 187
Processing Claims 188
Manual and Electronic Claims 188
Tracing Claims 188
Sequence of Medicare Filing 188
Reconciling Payments/Rejections 189
Inquiry and Appeal 189
Applying Managed Care Policies and Procedures 189
Referrals 189
Precertifications 189
Fee Schedules 189
Contracted Fees 190
Questions 191
Answers 194
Chapter 14
Coding Systems 197
Procedural Coding: Level I or CPT Codes 197
Procedural Coding: Level II or HCPCS Codes 200
International Classification of Diseases, 9th Edition (ICD-9) Codes 202
Linking CPT and ICD-9 Codes 206
Resource-Based Relative Value Scale (RBRVS) 206
Coding for Services Provided by a Hospital 206
Questions 206
Answers 210
SECTION IV
Clinical Knowledge 213
Chapter 15
Asepsis and Infection Control 215
Principles of Disease 215
Aseptic Technique 215
Medical Asepsis 215
Surgical Asepsis 218
The Occupational Safety and Health Administration (OSHA) 221
Disposal of Biohazardous Material 221
Standard Precautions 221
Questions 222
Answers 225
Chapter 16
Patient Preparation and Assisting the Physician 227
Vital Signs and Anthropometric Measurements 227
Examinations 228
Patient Education 229
Mobility-Assisting Equipment 230
xi
54020_FMxx_FINAL.QXP 10/20/09 6:45 PM Page xii
Contents
Medications 230
Patient History Interview 230
Questions 231
Answers 234
Chapter 17
Specimen Collection, Diagnostic Testing, and Medical Equipment 237
Treatment 237
Principles of Equipment Operation 237
Restocking Supplies 237
Preparing and Maintaining Treatment Areas 237
Safety Precautions 238
Collecting and Processing Specimens 238
Collecting Specimens 239
Blood 239
Urine 241
Stool 241
Sputum 242
Cultures 242
Processing Specimens 242
Performing Selected Tests 243
Urinalysis 243
Hematology 243
Blood Chemistry 244
Immunology 246
Microbiology 247
Guaiac Testing 248
Electrocardiography (EKG/ECG) 248
Vision Testing 249
Hearing Testing 250
Respiratory Testing 250
Medical Imaging 251
Questions 252
Answers 257
Chapter 18
Pharmacology and Medication Administration 261
Pharmacology 261
Factors that Affect Drug Action 265
Side Effects/Adverse Reactions 265
Emergency Use 267
Preparing and Administering Oral and Parenteral Medications 267
Oral Administration 268
Parenteral Administration 268
Calculation of Dosage 268
Types of Injections and Injection Sites 268
Gauge of Needle 269
Length of Needle 269
The Z-Track Method 269
Prescriptions 270
Safekeeping and Recordkeeping 270
Schedule of Controlled Substances 270
xii
54020_FMxx_FINAL.QXP 10/20/09 6:45 PM Page xiii
Contents
Immunizations 270
Storage and Recordkeeping 270
The Six Rights of Medication Administration 271
Questions 275
Answers 280
Chapter 19
Medical Emergencies and First Aid 285
Emergencies 285
Preplanned Action 285
Policies and Procedures 285
Legal Implications and Action Documentation 285
Equipment 286
Assessment and Triage 287
Emergency Preparedness 288
First Aid 288
Bleeding/Pressure Points 288
Burns 288
Cardiac and Respiratory Arrest/CPR 289
Choking/Heimlich Maneuver 289
Diabetic Coma/Insulin Shock 290
Fractures 290
Poisoning 290
Seizures 292
Shock 292
Stroke 293
Syncope 294
Wounds 294
Questions 295
Answers 298
Chapter 20
Nutrition 301
Questions 306
Answers 309
Index 311
xiii
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