NCCT PRACTICE EXAM FULLY UPDATED QUESTION AND ANSWER
Foryhowymanyyyearsyshouldyayproviderystoreymedicalyrecordsy(selectytheyleastynumb
eryofyyearsythatymaintainsycomplianceywithystateyandyfederalyregulations)?
A.y15yyears
B.y10yyears
C.y5yyears
D.y20yyearsy-yCORRECTyANSWER-Correctyresponse:
10yyears
Rationale:yFederalyandystateyregulationsyrequireyayminimumystorageytimeyframeyfory
medicalyrecords.yStateyregulationsymayyrequireyaylongeryoryshorterytimeyframe,ydepe
ndingyonytheystate.yEveryymedicalyprovideryshouldyroutinelyycheckystateyandyfederal
yrequirementsytoyremainycompliant.yAsyofytheydateythisyquestionywasysubmittedy(20
15),yay7ytoy10yyearytimeyframeywouldymeetyallyfederalyandystateymedicalyrecordystor
ageyrequirements.
Flowycharts,yprogressynotes,yandynarrativeynotationyareyallyexamplesyof
A.ymedicalyrecordychartingystyles.
B.ypatientydocumentationyinyaySOAPyformat.
C.yrecordingypatientyinformationyinyaymedicalyrecord.
D.ypatientychartyfilingysystems.y-yCORRECTyANSWER-Correctyresponse:
recordingypatientyinformationyinyaymedicalyrecord.
Rationale:yPatientyinformationycanybeyrecordedyinytheymedicalyrecordyinyayvarietyyof
yways.yProgressynotes,yflowychartsyandynarrativeynotationyareyallyeffectiveywaysytoyd
ocumentyaypatient'symedicalyinformation.yTheySOAPyformatyisytheydocumentationysy
stemychosenybyymanyyphysicians.yS=Subjectiveypatientyinterviewyinformation,yO=Ob
jectiveyinformationysuchyasyvitals,ylabyvalues,yetc.,yA=Assessmentyofythey"S"yandy"O"y
data,yP=Planyforytreatmentyoryfollow-
up.yMedicalyrecordsyofyvariousystylesyareygenerallyykeptyinycharts,ywhichyareyfiledyac
cordingytoyayfilingysystem.
Whenymeasuringyoxygenysaturationyonyaychildybreathingyroomyair,ywithynormalycolo
r,yandynoysignsyofyrespiratoryydistress,ytheymedicalyassistantyobtainsyayreadingyofy79
%.yWhichyofytheyfollowingyactionsyshouldytheymedicalyassistantytakeynext?
A.ysupplementytheychildywithyoxygenyperyprotocol
B.ytakeyayfullysetyofyvitalysigns
C.yrepositionytheyfingeryprobe
D.ynotifyytheyphysiciany-yCORRECTyANSWER-Correctyresponse:
repositionytheyfingeryprobe
Rationale:yOxygenysaturationy(O2ySatyoryPulseyOx)yonyaychildywithyaystructurallyynor
malyheartyshouldybey>92%y.yPatientymovement,ypooryprobeyattachment,yorynailypolis
hycanydistortytheysensoryreadingyduringymonitoring.yAlwaysyobserveytheychild'sycon
ditionyfirst,yandymachineyreadingy2ndywhenytroubleshooting.yO2ysaturationyshouldyb
,eyobtainedyandydocumentedyasypartyofyayfullysetyofyvitalysignsyforypatientsybeingyeval
uatedyforyrespiratoryyconditions.
WhichyofytheyfollowingyisytheybestywayytoycorrectyACyinterferenceyonyanyECG?
A.yAskytheypatientynotytoymoveywhileyperformingytheytest.
B.yMoveytheypatientytoyayquietyroom.
C.yCheckythatytheypatientydoesynotyhaveyaycellyphoneycloseyby.
D.yOfferytheypatientyayblanketyifysheyisycold.y-yCORRECTyANSWER-Correctyresponse:
Checkythatytheypatientydoesynotyhaveyaycellyphoneycloseyby.
Rationale:yACyisyalternatingycurrentyinterferenceyandyitycanybeycausedybyyaynearbyyel
ectricalydevicey(suchyasyaycellyphone).yPatientymovementy(eitheryvoluntaryyoryshiver
ingyfromytheycold)ycanycauseyotheryartifactyonyanyECG,ybutynotytheysameyasyACyinterf
erence.yMovingytheypatientytoyayquietyroomywouldynotyalleviateyACyinterference.
Whichyofytheyfollowingydocumentsyisyalsoycalledyanyadvancedydirective?
A.ysubpoena
B.yinformedyconsent
C.ylivingywill
D.yassignmentyofybenefitsy-yCORRECTyANSWER-Correctyresponse:
livingywill
Rationale:yAylivingywillyisyayformalydocument,ywrittenyinyadvance,ythatygivesyhealthyc
areyprofessionalsyinstructionsyaboutytheypatient'symedicalywishesyregardingyendyofyl
ifeycare,yandyisytheysameyasyanyadvancedydirective.yAssignmentyofybenefitsyrefersytoyt
heypatient'sywishesyonywhoyandywhereytheyywantytheirymoneyysentyto,yaysubpoenayi
syanyorderygivenytoysomeoneywhoyisysupposedytoygoytoycourt,yandyinformedyconsenty
refersytoyaydocumentythatyaypatientyfillsyoutywhichygivesypermissionytoytheyhealthcar
eyprovidersytoyperformycertainytasksyoryprocedures.
Beginningywithytheyinfectiousyagent,yplaceytheyelementsyinytheycorrectyorderyofytheyc
hainyofyinfection.y(Clickyandydragytheyoptionsyinytheyleftycolumnytoytheirycorrectyorde
ryinytheyrightycolumn).
reservoiryhost
portalyofyexit
meansyofytransmission
portalyofyentry
susceptibleyhosty-yCORRECTyANSWER-Correctyresponse:
reservoiryhost,yportalyofyexit,ymeansyofytransmission,yportalyofyentry,ysusceptibleyhos
t
Rationale:yInfectiousydiseasesyareyspreadythroughyayseriesyofystepsyknownyasythey"ch
ainyofyinfection".yForyanyinfectionytoyoccuryandyspread,yeachyofytheysixylinksyofytheych
ainymustytakeyplace.yRemovingyanyylinkyinytheychainywillystopytheycycle.yTherefore,yi
dentifyingyandyinstitutingyappropriateyactionsyatydifferentystepsyinytheycycleywillyhalt
ytheyspreadyofytheyinfection.yTheychainybeginsywithytheyinfectiousyagenty(bacteria,yvir
us,etc.)yandyspreadsytoyayreservoiry(placeytoylive,ylikeyanyanimal,yinsect,ywater,yetc.).y
Theyportalyofyexityisyaywayyforytheymicroorganismytoyleaveytheyreservoiry(inyaycough,y
feces,yetc.)ytoytransmitytheydisease.yTheymodeyofyinfectionyrefersytoyhowyinfectiousydi
,seasesyareyspread:ybyycontact,ybyyvehicle,ybyyvector,yandybyyinhalation.yTheyinfectiou
syagentyentersyaysusceptibleyhostythroughyayportalyofyentry.Correctyresponse:
reservoiryhost,yportalyofyexit,ymeansyofytransmission,yportalyofyentry,ysusceptibleyhos
t
Rationale:yInfectiousydiseasesyareyspreadythroughyayseriesyofystepsyknownyasythey"ch
ainyofyinfection".yForyanyinfectionytoyoccuryandyspread,yeachyofytheysixylinksyofytheych
ainymustytakeyplace.yRemovingyanyylinkyinytheychainywillystopytheycycle.yTherefore,yi
dentifyingyandyinstitutingyappropriateyactionsyatydifferentystepsyinytheycycleywillyhalt
ytheyspreadyofytheyinfection.yTheychainybeginsywithytheyinfectiousyagenty(bacteria,yvir
us,etc.)yandyspreadsytoyayreservoiry(placeytoylive,ylikeyanyanimal,yinsect,ywater,yetc.).y
Theyportalyofyexityisyaywayyforytheymicroorganismytoyleaveytheyreservoiry(inyaycough,y
feces,yetc.)ytoytransmitytheydisease.yTheymodeyofyinfectionyrefersytoyhowyinfectiousydi
seasesyareyspread:ybyycontact,ybyyvehicle,ybyyvector,yandybyyinhalation.yTheyinfectiou
syagentyenters
Theymedicalyassistantyschedulesyayfollow-
upyappointmentyforyaypatientyfollowingysurgicalyremovalyofytheiryuterus.yTheymedica
lytermyforythisyprocedureyis
A.yamniocentesis.
B.yoophorectomy.
C.yuteroscopy.
D.yhysterectomyy-yCORRECTyANSWER-Correctyresponse:
hysterectomy.
Rationale:yTheydefinitionyofyayHysterectomyyisyHyster-
y=yuterus,yectomyy=ysurgicalyremovalyof.yAnyOophorectomyyisytheysurgicalyremovalyo
fyanyovaryyoryovaries,yanyUreteroscopyyisyanyexaminationyofytheyupperyurinaryytract,y
andyAmniocentesisyisyaytestyusedytoydetermineywhetheryanyunbornybabyyhasyanyygen
eticyabnormalities.
Whenyinspectingyaypatient'syarmybeforeyperformingyayvenipuncture,ytheymostydesira
bleysiteyappearsytoybeytheybackyofytheyhand.yWhichyofytheyfollowingyvenipunctureyme
thodsyisymostyappropriateyinythisysituation?
A.ybutterflyyneedle
B.ycapillaryypuncture
C.yneedleyandysyringe
D.yevacuatedytubey-yCORRECTyANSWER-Correctyresponse:
butterflyyneedle
Rationale:yTheybestychoiceyinythisysituationyisytoyuseyaybutterflyyneedle,yaywingedyne
edleywithyflexibleytubingythatyisyshortyinylength.yButterflyyneedlesyareyeasierytoyinser
tyintoytiny,yfragile,yand/oryrollingysurfaceyveinsycloseytoytheyskin.yIfyaybutterflyyisynoty
available,yayneedleyandysyringeywouldybeytheynextychoice.yTheyvacuumypressureyofye
vacuatedytubesycanycollapseysmallyoryfragileyveinsysuchyasythoseyonytheybackyofytheyh
and.yAycapillaryypunctureywouldybeytheylastyoptionyhere,yandywouldybeyusedyinytheyi
nstanceyofyayfailedybutterflyyorysyringeyattempty(providedythereyareynoyotheryveinsya
vailable).
, Aymedicalyassistantyisypositioningyaypatientyforysigmoidoscopy.yWhichyofytheyfollowi
ngypositionsywouldybeyappropriateyforytheyprocedure?
A.ysupine
B.yTrendelenburg
C.ylithotomy
D.ySimsy-yCORRECTyANSWER-Correctyresponse:
Sims
Rationale:yForyaysigmoidoscopy,ytheypatientywillyneedytoylieyonytheyleftysideywithythey
rightykneeybent,ywhichyisyalsoyreferredytoyasytheySimsyposition.yThisyallowsytheyphysi
cianytoyinsertytheysigmoidoscopeythroughytheyanusytoytheycolonytoygetyayclearylookyat
ytheyarea.yTheylithotomyypositionyisywhenytheypatientyliesyonytheirybackywithytheythig
hsyspreadyapartyandytheyhipsyandykneesybent.yThisypositionyisymostlyyusedyforyvagin
alyexaminationsyandychildbirth,yandywouldynotybeytheybestypositionyforyaysigmoidosc
opy.yTheyTrendelenburgypositionyisywhenytheypatientyliesyflatyonytheirybackywithythey
feetyelevatedyhigherythanytheyheadybyy15-
30ydegrees,yandytheysupineypositionyisyachievedywhenytheypatientyisylyingyflatyonythe
irybackywithynoypartyofytheybodyyelevated.yTheyTrendelenburgyandysupineypositionsy
wouldynotytypicallyybeyusedyforyaysigmoidoscopy,ybecauseyifytheypatientyisylyingyonyt
heirybackyitydoesynotyallowytheyphysicianytoyeasilyyinsertytheysigmoidoscopeyintoythe
yanusytoygetyayclearyviewyofytheysigmoidycolon.
AnyestablishedypatientywhoyhasyChronicyObstructiveyPulmonaryyDiseaseyisyevaluate
dyinytheymedicalyofficeyforyhypertension.yWhatyisytheyimportanceyofyidentifyingytheyr
easonyforytoday'syvisityrelatedytoybilling?
A.ytoyassignyaytwo-digitymodifier
B.ytoyassignyayVycode
C.ytoydetermineytheyprimaryydiagnosis
D.ytoyensureyaysecondaryydiagnosisyisynotylistedyonytheyclaimyformy-
yCORRECTyANSWER-Correctyresponse:
toydetermineytheyprimaryydiagnosis
Rationale:yInythisyexample,yhypertensionyshouldybeylistedyasytheyprimaryydiagnosisy(
mainyreasonytheypatientysoughtycareyforyvisit)yandyCOPDyasysecondaryy(thisywillydise
aseywillybeyconsideredywhenymedicationsyareyprescribedyforyHTN.)
Aylargeyopenycontaineryofyisopropylyalcoholyisyspilledyonytheyflooryinytheyclinicywaiti
ngyarea.yTheymedicalyofficeyassistantyshouldyuseywhichyofytheyfollowingyresourcesyfo
ryinformationyaboutytheychemicalyandyanyynecessaryyprocedure?
A.yPoisonyControlyCenter
B.yPhysician'syDeskyReference
C.yMaterialySafetyyDataySheet
D.yClinicalyLaboratoryyImprovementyAmendmentsy-yCORRECTyANSWER-
Correctyresponse:
MaterialySafetyyDataySheet
Rationale:yAccessytoyMaterialySafetyyDataySheetsyisyanyOSHAycomplianceyrequiremen
t.yEachyMSDSycontainsyinformationyonytheypotentialyhazardsy(health,yfire,yreactivityy
andyenvironmental)yandyhowytoyworkysafelyywithychemicalyproducts.yItyisyanyessenti
Foryhowymanyyyearsyshouldyayproviderystoreymedicalyrecordsy(selectytheyleastynumb
eryofyyearsythatymaintainsycomplianceywithystateyandyfederalyregulations)?
A.y15yyears
B.y10yyears
C.y5yyears
D.y20yyearsy-yCORRECTyANSWER-Correctyresponse:
10yyears
Rationale:yFederalyandystateyregulationsyrequireyayminimumystorageytimeyframeyfory
medicalyrecords.yStateyregulationsymayyrequireyaylongeryoryshorterytimeyframe,ydepe
ndingyonytheystate.yEveryymedicalyprovideryshouldyroutinelyycheckystateyandyfederal
yrequirementsytoyremainycompliant.yAsyofytheydateythisyquestionywasysubmittedy(20
15),yay7ytoy10yyearytimeyframeywouldymeetyallyfederalyandystateymedicalyrecordystor
ageyrequirements.
Flowycharts,yprogressynotes,yandynarrativeynotationyareyallyexamplesyof
A.ymedicalyrecordychartingystyles.
B.ypatientydocumentationyinyaySOAPyformat.
C.yrecordingypatientyinformationyinyaymedicalyrecord.
D.ypatientychartyfilingysystems.y-yCORRECTyANSWER-Correctyresponse:
recordingypatientyinformationyinyaymedicalyrecord.
Rationale:yPatientyinformationycanybeyrecordedyinytheymedicalyrecordyinyayvarietyyof
yways.yProgressynotes,yflowychartsyandynarrativeynotationyareyallyeffectiveywaysytoyd
ocumentyaypatient'symedicalyinformation.yTheySOAPyformatyisytheydocumentationysy
stemychosenybyymanyyphysicians.yS=Subjectiveypatientyinterviewyinformation,yO=Ob
jectiveyinformationysuchyasyvitals,ylabyvalues,yetc.,yA=Assessmentyofythey"S"yandy"O"y
data,yP=Planyforytreatmentyoryfollow-
up.yMedicalyrecordsyofyvariousystylesyareygenerallyykeptyinycharts,ywhichyareyfiledyac
cordingytoyayfilingysystem.
Whenymeasuringyoxygenysaturationyonyaychildybreathingyroomyair,ywithynormalycolo
r,yandynoysignsyofyrespiratoryydistress,ytheymedicalyassistantyobtainsyayreadingyofy79
%.yWhichyofytheyfollowingyactionsyshouldytheymedicalyassistantytakeynext?
A.ysupplementytheychildywithyoxygenyperyprotocol
B.ytakeyayfullysetyofyvitalysigns
C.yrepositionytheyfingeryprobe
D.ynotifyytheyphysiciany-yCORRECTyANSWER-Correctyresponse:
repositionytheyfingeryprobe
Rationale:yOxygenysaturationy(O2ySatyoryPulseyOx)yonyaychildywithyaystructurallyynor
malyheartyshouldybey>92%y.yPatientymovement,ypooryprobeyattachment,yorynailypolis
hycanydistortytheysensoryreadingyduringymonitoring.yAlwaysyobserveytheychild'sycon
ditionyfirst,yandymachineyreadingy2ndywhenytroubleshooting.yO2ysaturationyshouldyb
,eyobtainedyandydocumentedyasypartyofyayfullysetyofyvitalysignsyforypatientsybeingyeval
uatedyforyrespiratoryyconditions.
WhichyofytheyfollowingyisytheybestywayytoycorrectyACyinterferenceyonyanyECG?
A.yAskytheypatientynotytoymoveywhileyperformingytheytest.
B.yMoveytheypatientytoyayquietyroom.
C.yCheckythatytheypatientydoesynotyhaveyaycellyphoneycloseyby.
D.yOfferytheypatientyayblanketyifysheyisycold.y-yCORRECTyANSWER-Correctyresponse:
Checkythatytheypatientydoesynotyhaveyaycellyphoneycloseyby.
Rationale:yACyisyalternatingycurrentyinterferenceyandyitycanybeycausedybyyaynearbyyel
ectricalydevicey(suchyasyaycellyphone).yPatientymovementy(eitheryvoluntaryyoryshiver
ingyfromytheycold)ycanycauseyotheryartifactyonyanyECG,ybutynotytheysameyasyACyinterf
erence.yMovingytheypatientytoyayquietyroomywouldynotyalleviateyACyinterference.
Whichyofytheyfollowingydocumentsyisyalsoycalledyanyadvancedydirective?
A.ysubpoena
B.yinformedyconsent
C.ylivingywill
D.yassignmentyofybenefitsy-yCORRECTyANSWER-Correctyresponse:
livingywill
Rationale:yAylivingywillyisyayformalydocument,ywrittenyinyadvance,ythatygivesyhealthyc
areyprofessionalsyinstructionsyaboutytheypatient'symedicalywishesyregardingyendyofyl
ifeycare,yandyisytheysameyasyanyadvancedydirective.yAssignmentyofybenefitsyrefersytoyt
heypatient'sywishesyonywhoyandywhereytheyywantytheirymoneyysentyto,yaysubpoenayi
syanyorderygivenytoysomeoneywhoyisysupposedytoygoytoycourt,yandyinformedyconsenty
refersytoyaydocumentythatyaypatientyfillsyoutywhichygivesypermissionytoytheyhealthcar
eyprovidersytoyperformycertainytasksyoryprocedures.
Beginningywithytheyinfectiousyagent,yplaceytheyelementsyinytheycorrectyorderyofytheyc
hainyofyinfection.y(Clickyandydragytheyoptionsyinytheyleftycolumnytoytheirycorrectyorde
ryinytheyrightycolumn).
reservoiryhost
portalyofyexit
meansyofytransmission
portalyofyentry
susceptibleyhosty-yCORRECTyANSWER-Correctyresponse:
reservoiryhost,yportalyofyexit,ymeansyofytransmission,yportalyofyentry,ysusceptibleyhos
t
Rationale:yInfectiousydiseasesyareyspreadythroughyayseriesyofystepsyknownyasythey"ch
ainyofyinfection".yForyanyinfectionytoyoccuryandyspread,yeachyofytheysixylinksyofytheych
ainymustytakeyplace.yRemovingyanyylinkyinytheychainywillystopytheycycle.yTherefore,yi
dentifyingyandyinstitutingyappropriateyactionsyatydifferentystepsyinytheycycleywillyhalt
ytheyspreadyofytheyinfection.yTheychainybeginsywithytheyinfectiousyagenty(bacteria,yvir
us,etc.)yandyspreadsytoyayreservoiry(placeytoylive,ylikeyanyanimal,yinsect,ywater,yetc.).y
Theyportalyofyexityisyaywayyforytheymicroorganismytoyleaveytheyreservoiry(inyaycough,y
feces,yetc.)ytoytransmitytheydisease.yTheymodeyofyinfectionyrefersytoyhowyinfectiousydi
,seasesyareyspread:ybyycontact,ybyyvehicle,ybyyvector,yandybyyinhalation.yTheyinfectiou
syagentyentersyaysusceptibleyhostythroughyayportalyofyentry.Correctyresponse:
reservoiryhost,yportalyofyexit,ymeansyofytransmission,yportalyofyentry,ysusceptibleyhos
t
Rationale:yInfectiousydiseasesyareyspreadythroughyayseriesyofystepsyknownyasythey"ch
ainyofyinfection".yForyanyinfectionytoyoccuryandyspread,yeachyofytheysixylinksyofytheych
ainymustytakeyplace.yRemovingyanyylinkyinytheychainywillystopytheycycle.yTherefore,yi
dentifyingyandyinstitutingyappropriateyactionsyatydifferentystepsyinytheycycleywillyhalt
ytheyspreadyofytheyinfection.yTheychainybeginsywithytheyinfectiousyagenty(bacteria,yvir
us,etc.)yandyspreadsytoyayreservoiry(placeytoylive,ylikeyanyanimal,yinsect,ywater,yetc.).y
Theyportalyofyexityisyaywayyforytheymicroorganismytoyleaveytheyreservoiry(inyaycough,y
feces,yetc.)ytoytransmitytheydisease.yTheymodeyofyinfectionyrefersytoyhowyinfectiousydi
seasesyareyspread:ybyycontact,ybyyvehicle,ybyyvector,yandybyyinhalation.yTheyinfectiou
syagentyenters
Theymedicalyassistantyschedulesyayfollow-
upyappointmentyforyaypatientyfollowingysurgicalyremovalyofytheiryuterus.yTheymedica
lytermyforythisyprocedureyis
A.yamniocentesis.
B.yoophorectomy.
C.yuteroscopy.
D.yhysterectomyy-yCORRECTyANSWER-Correctyresponse:
hysterectomy.
Rationale:yTheydefinitionyofyayHysterectomyyisyHyster-
y=yuterus,yectomyy=ysurgicalyremovalyof.yAnyOophorectomyyisytheysurgicalyremovalyo
fyanyovaryyoryovaries,yanyUreteroscopyyisyanyexaminationyofytheyupperyurinaryytract,y
andyAmniocentesisyisyaytestyusedytoydetermineywhetheryanyunbornybabyyhasyanyygen
eticyabnormalities.
Whenyinspectingyaypatient'syarmybeforeyperformingyayvenipuncture,ytheymostydesira
bleysiteyappearsytoybeytheybackyofytheyhand.yWhichyofytheyfollowingyvenipunctureyme
thodsyisymostyappropriateyinythisysituation?
A.ybutterflyyneedle
B.ycapillaryypuncture
C.yneedleyandysyringe
D.yevacuatedytubey-yCORRECTyANSWER-Correctyresponse:
butterflyyneedle
Rationale:yTheybestychoiceyinythisysituationyisytoyuseyaybutterflyyneedle,yaywingedyne
edleywithyflexibleytubingythatyisyshortyinylength.yButterflyyneedlesyareyeasierytoyinser
tyintoytiny,yfragile,yand/oryrollingysurfaceyveinsycloseytoytheyskin.yIfyaybutterflyyisynoty
available,yayneedleyandysyringeywouldybeytheynextychoice.yTheyvacuumypressureyofye
vacuatedytubesycanycollapseysmallyoryfragileyveinsysuchyasythoseyonytheybackyofytheyh
and.yAycapillaryypunctureywouldybeytheylastyoptionyhere,yandywouldybeyusedyinytheyi
nstanceyofyayfailedybutterflyyorysyringeyattempty(providedythereyareynoyotheryveinsya
vailable).
, Aymedicalyassistantyisypositioningyaypatientyforysigmoidoscopy.yWhichyofytheyfollowi
ngypositionsywouldybeyappropriateyforytheyprocedure?
A.ysupine
B.yTrendelenburg
C.ylithotomy
D.ySimsy-yCORRECTyANSWER-Correctyresponse:
Sims
Rationale:yForyaysigmoidoscopy,ytheypatientywillyneedytoylieyonytheyleftysideywithythey
rightykneeybent,ywhichyisyalsoyreferredytoyasytheySimsyposition.yThisyallowsytheyphysi
cianytoyinsertytheysigmoidoscopeythroughytheyanusytoytheycolonytoygetyayclearylookyat
ytheyarea.yTheylithotomyypositionyisywhenytheypatientyliesyonytheirybackywithytheythig
hsyspreadyapartyandytheyhipsyandykneesybent.yThisypositionyisymostlyyusedyforyvagin
alyexaminationsyandychildbirth,yandywouldynotybeytheybestypositionyforyaysigmoidosc
opy.yTheyTrendelenburgypositionyisywhenytheypatientyliesyflatyonytheirybackywithythey
feetyelevatedyhigherythanytheyheadybyy15-
30ydegrees,yandytheysupineypositionyisyachievedywhenytheypatientyisylyingyflatyonythe
irybackywithynoypartyofytheybodyyelevated.yTheyTrendelenburgyandysupineypositionsy
wouldynotytypicallyybeyusedyforyaysigmoidoscopy,ybecauseyifytheypatientyisylyingyonyt
heirybackyitydoesynotyallowytheyphysicianytoyeasilyyinsertytheysigmoidoscopeyintoythe
yanusytoygetyayclearyviewyofytheysigmoidycolon.
AnyestablishedypatientywhoyhasyChronicyObstructiveyPulmonaryyDiseaseyisyevaluate
dyinytheymedicalyofficeyforyhypertension.yWhatyisytheyimportanceyofyidentifyingytheyr
easonyforytoday'syvisityrelatedytoybilling?
A.ytoyassignyaytwo-digitymodifier
B.ytoyassignyayVycode
C.ytoydetermineytheyprimaryydiagnosis
D.ytoyensureyaysecondaryydiagnosisyisynotylistedyonytheyclaimyformy-
yCORRECTyANSWER-Correctyresponse:
toydetermineytheyprimaryydiagnosis
Rationale:yInythisyexample,yhypertensionyshouldybeylistedyasytheyprimaryydiagnosisy(
mainyreasonytheypatientysoughtycareyforyvisit)yandyCOPDyasysecondaryy(thisywillydise
aseywillybeyconsideredywhenymedicationsyareyprescribedyforyHTN.)
Aylargeyopenycontaineryofyisopropylyalcoholyisyspilledyonytheyflooryinytheyclinicywaiti
ngyarea.yTheymedicalyofficeyassistantyshouldyuseywhichyofytheyfollowingyresourcesyfo
ryinformationyaboutytheychemicalyandyanyynecessaryyprocedure?
A.yPoisonyControlyCenter
B.yPhysician'syDeskyReference
C.yMaterialySafetyyDataySheet
D.yClinicalyLaboratoryyImprovementyAmendmentsy-yCORRECTyANSWER-
Correctyresponse:
MaterialySafetyyDataySheet
Rationale:yAccessytoyMaterialySafetyyDataySheetsyisyanyOSHAycomplianceyrequiremen
t.yEachyMSDSycontainsyinformationyonytheypotentialyhazardsy(health,yfire,yreactivityy
andyenvironmental)yandyhowytoyworkysafelyywithychemicalyproducts.yItyisyanyessenti
