Free RMA Practice Test
1. Which of the following currently available vaccines are contraindicated in pregnant women, immunocompromised patients, and those with active AIDS?
a. Measles, mumps, rubella (MMR)
b. MMR and influenza
c. MMR, varicella, and zoster
d. Hepatitis A and B
2. Which of the following is NOT a characteristic of Hepatitis A infection?
a. It is spread via the oral-fecal route
b. It can be prevented by an available vaccine
c. Patients usually develop jaundice, dark urine, and flu-like symptoms
d. It becomes a chronic infection
3. Which of the following urinary tract disorders should be suspected if a patient has chills, fever, abrupt back pain, and tenderness in the suprapubic region?
d. Renal calculi
4. The main characteristic that distinguishes asthma from forms of chronic obstructive pulmonary disease (COPD) is that asthma
a. does not cause dyspnea
b. is characterized by a permanent narrowing of the airways
c. can usually be reversed either spontaneously or through use of agents such as bronchodilators
d. is caused by a loss of elasticity of the alveoli
5. In order to comply with the Truth in Lending Act, what must be done by a provider who allows a patient to pay using installment payments?
a. Always have the patient sign a written agreement outlining cost of services rendered and outstanding terms of the agreement, including interest
b. Have the patient sign a written agreement outlining cost of services rendered and outstanding terms of the agreement, including interest, only if there are at least five installments
c. Explain to the patient when payments are due and whether there will be interest charged if they do not comply
d. Explain to the patient at the time of service that they must pay any insurance-required co-pay at that time, and that further payments will be assessed after the insurance company pays their portion of the bill
6. Which of the following is a fidelity bond purchased to guard against embezzlement or other financial loss caused by any employee of a practice?
a. Position-schedule bond
b. Personal bond
c. Blanket-position bond
d. Total practice bond
7. Which of the following types of quality control is recommended by the Centers for Disease Control (CDC) for checking the effectiveness of steam sterilization by an autoclave?
a. Autoclave tape
b. Sterilization strips placed in the wrapped package
c. Biological indicators with strips or ampules containing bacteria, which are later cultured
d. Biological indicators with strips or ampules containing heat-resistant bacterial spores, which are later cultured
8. Which of the following pulmonary function tests is a good indication of the extent of someone's asthma or other respiratory disorder?
a. Forced vital capacity (FVC)
b. Forced expiration volume at one second (FEV1)
c. Mean expiration flow rate (MEF)
d. Peak expiratory flow rate (PEFR)
9. Which of the following is NOT true of an erythrocyte sedimentation rate (ESR)?
a. A value of 25 mm/hour is always considered abnormal
b. An ethylenediaminetetraacetic acid (EDTA) or sodium citrate venous blood sample is used
c. The test must be read at precisely 60 minutes
d. The test should be performed within two hours of the blood draw
10. A provider must administer a drug available in units/mL. How should the number of mL be determined to obtain the dose ordered?
a. Multiply the available dose in units/mL by 16
b. Divide the dose ordered by the dose on hand
c. Divide the dose on hand by the dose ordered
d. Convert to mg for each, and then divide the dose ordered by the dose on hand
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Answers & Explanations
1. C: MMR, varicella, and zoster vaccines are all contraindicated in the described patient categories, because all of these vaccines contain live attenuated viruses and the patients have low immune responses. The other vaccines are safer because they contain either inactivated virus or only viral proteins.
2. D: All of the statements are true except for D. The other two major hepatitis virus infections, hepatitis B and C, usually become chronic, but hepatitis A is generally resolved within two months of contraction and patients do not become carriers of the virus.
3. C: Pyelonephritis (C) presents with these types of symptoms after a pyogenic bacterial infection. It is usually located in the bladder and kidneys. Pyelonephritis can occur due to pregnancy or renal calculi or kidney stones (D), the main symptom of which is excruciating pain when they are lodged in and move within the ureter. Cystitis (A) is inflammation of the bladder due to a urinary tract infection. It is characterized by signs like urinary frequency and burning. People with glomerulonephritis (B) also have chills, fever, and hypertension due to inflammation of the glomeruli or small blood vessels in the kidneys; streptococcal infection is one cause.
4. C: Asthma is usually reversible because it is involves inflammation but not actual airway narrowing, whereas in the two types of COPD, emphysema and chronic bronchitis, there is permanent narrowing of the airways (B). Dyspnea, shortness of breath, is a common symptom of both asthma and COPD. Loss of elasticity of the alveoli (most commonly due to smoking) is the hallmark of emphysema.
5. B: All of these practices are good ways of guaranteeing payment, but response B describes what is required under the Truth in Lending Act for making installment payments.
6. C: There are three categories of fidelity bonds that can be purchased. The type that covers any employee is a blanket-position bond. A position-schedule bond (A) pertains to a specific position but not a named employee. A personal bond (B) covers one named employee.
7. D: Use of biological indicators that are later cultured are recommended for quality control for autoclaves. These indicators contain heat-resistant bacterial spores (D), such as those from the thermophile Bacillus stearothermophilus, not a generic bacteria (C). Sterilization tapes (B), which contain a thermolabile dye that gets darker upon sterilization, do indicate that the proper parameters have been achieved but not whether spores have been killed. Autoclave tape (A) should be placed on packages to be autoclaved; they develop stripes which indicate that a high temperature has been achieved.
8. D: All of the choices are pulmonary function tests (also known as spirometry) used to assess respiration, but the PEFR is particularly useful for determining the extent of asthma or another disorder because it is depressed during an attack.
9. A: The only statement that is not universally applicable to an ESR is response A. This statement is true for all male patients and women under 50, but the normal range for women over 50 is 0-30 mm/hour. The ESR is a relatively simple test in which blood is put in a tube in an upright rack and allowed to settle, separating the plasma on top from the settled blood and red blood cells (RBCs) on the bottom; many disease states cause RBC and fibrinogen alterations that result in greater settling. There are two methods, the Wintrobe and Westergren.
10. B: The correct method is response B, not the other way around, as expressed in response C. Do not convert to mg because this type of drug is a liquid and units will probably not be related to mg, a measurement of mass or weight. Multiplication by 16 (A) is related to dose calculation in that after calculating the number of mL to administer, this can be converted to a measurement called minims; there are approximately 16 minims in a mL.
Medical Assistant Salary
A medical assistant is someone who performs clinical and administrative tasks in a health care environment. These tasks can vary between greeting clients, scheduling appointments, conducting follow-ups, filing, billing, and updating patient records. Although some physician's offices may provide on-the-job training, most people who are interested in working in this field need at least a two-year associate's degree or one-year certificate from a vocational or technical school. There are many advantages to getting a diploma or certificate in the field, including advancement opportunities and a higher medical assistant salary.
The certification for medical assistants, offered by the American Association of Medical Assistants (AAMA), is a credential that shows competence in the field. The AAMA is regarded as holding the highest standards in the profession. The certified medical assistant (CMA) collects data regarding patients' physical, psychological, spiritual, cultural, and social needs. The CMA records and reports information to a physician concerning a patient's condition and his or her reactions to medications or treatments. He or she prepares patients for examination, procedures, and treatment. The CMA obtains patient histories and vital signs and assists the physician during treatment, examination, and testing of patients. Some CMAs provide instructions to patients and their families regarding medications and treatment or prepare and maintain supplies, equipment, and examination rooms. The CMA is a member of the clinical team and should be able to function in any area of the clinic.
To qualify for the exam, the applicant must have completed an accredited medical assisting program. This exam is offered at testing sites throughout the country with a cost of about $125 for AAMA members. It is recommended that candidates recertify every 60 months in order to ensure their continued competency and knowledge.
In 2011, the AAMA conducted a salary survey of more than 3,800 medical assistants. The survey showed the following:
- Nearly 95 percent of full-time medical assistants are paid hourly, and the amount varies by years and experience.
- A medical assistant who holds a CMA earns more on average than other medical assistants ($14.94 versus $13.43 per hour)
- Increasingly, employers are demanding that medical assistants have their CMA certifications due to the pressures of malpractice suits and mandates by managed care organizations.
- Generally, 84 percent of medical assistant educators are paid $49,000 a year, with more than 16 percent earning over $65,000.
- The highest earnings were paid to medical assistants in the Pacific region, who earn an average of $16.85 per hour. The Midwest region had the second-highest average earnings of $15.53 an hour.
- Of those responding to the survey, 62 percent held a certificate or diploma in medical assisting; 43 three percent had an at least an associate's degree and 11 percent received on-the-job training.
- More than 52 percent of respondents worked in single specialty practices with fewer employees than multispecialty offices. Most medical assistants worked in physician offices.
- The highest salaries were paid to people who worked in emergency and outpatient hospital departments and medical and surgical specialties. People with more than 16 years of experience earned more than $37,000 respectively.
- Nearly all full-time medical assistants received benefit packages from their employers, such as major medical, dental, vision, and disability insurance.
- About 20 percent of the medical assistants said that their employers paid their AAMA expenses, while more than 50 percent of full-time educators said their employers paid for membership dues, conferences, and travel expenses.
Last Updated: 08/03/2018