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AMCA CMAC EXAM 4 Questions with Answers latest 2025
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Which organization developed the guidelines for universal precautions? Select one: a. CLIA b. OSHA c. CDC d. EPA e. FDA ✔️ c. CDC
According to OSHA, medical personnel must wear PPE (personal protective equipment) when they have contact with: Select one: a. sweat b. blood c. hair follicles d. tears e. skin ✔️ b. blood
To detect pregnancy, either urine or blood serum is tested for the presence of: Select one: a. luteinizing hormone b. HCG hormone c. potassium oxalate d. oxytocin e. febrile agglutinations ✔️ b. HCG hormone
A bacteriological culture needs to be performed on a collected urine specimen. Which of the following instructions best describe what your patient should do? Select one: a. Collect a 24-hour specimen. b. Void the entire specimen in a sterile cup. c. Void a specimen midstream in a sterile cup. d. Void a specimen midstream in a clean cup. e. Collect a midday specimen in a sterile cup. ✔️ c. Void a specimen midstream in a sterile cup
If a urine specimen is collected and then left standing for more than 1 hour, bacteria will grow, and the pH of the urine will soon become: Select one:
a. slightly acidic b. both acidic and alkaline c. alkaline d. neutral e. highly acidic ✔️ c. alkaline
The pH range for normal urine is Select one: a. 2.5 to 4. b. 4.5 to 8. c. 0 to 9. d. 7.5 to 9. e. 2.5 to 7. ✔️ b. 4.5 to 8.
If a patient normally drinks 10 or more 8-oz glasses of water each day; urine would most likely be which color? Select one: a. yellow b. dark yellow c. brown d. straw e. red ✔️ d. straw
Urine needs to be collected in which type of container if it is collected for bacterial culture? Select one: a. freshly disinfected b. sterile c. washed and dried d. rinsed e. glass ✔️ b. sterile
A routine analysis of urine is made up of which of the following sets of examinations? Select one: a. microscopic, chemical, physical b. reagent, chemical, physical c. visual, culture, reagent d. microscopic, reagent, chemical e. microscopic, analytic, chemical ✔️ a. microscopic, chemical, physical
d. pH e. routine urinalysis ✔️ d. pH
All the steps listed are appropriate when performing a capillary puncture EXCEPT: Select one: a. gently rubbing the sides of the finger b. placing a tourniquet around the finger c. discarding the 1st drop of blood d. selecting the ring finger of the hand e. selecting the nondominant hand ✔️ b. placing a tourniquet around the finger
A capillary blood sample will be diluted with tissue fluid if: Select one: a. the thumb is used b. it is immersed in cool water c. the sides of the finger are gently rubbed d. the 1st drop is discarded e. the finger is squeezed excessively ✔️ e. the finger is squeezed excessively
The most common micropuncture site on an adult is the: Select one: a. little finger b. thumb c. ring finger d. ear lobe e. outer heel ✔️ c. ring finger
To transport oxygen and carbon dioxide to and from the body's cells, what do erythrocytes need? Select one: a. hemoglobin b. nitrates c. sodium chloride d. bilirubin e. hematocrit ✔️ a. hemoglobin
All the following are reasons to perform a hemoglobin EXCEPT: Select one: a. to detect inflammation b. to monitor dehydration c. to monitor the effectiveness of blood transfusions
d. to aid in determining blood loss e. to detect anemia ✔️ a. to detect inflammation
All the following demonstrate quality control EXCEPT: Select one: a. proper documentation b. treating every customer properly c. testing with control samples d. monitored test methodology e. calibrating equipment ✔️ b. treating every customer properly
After you have washed your hands, put on PPE, and assembled the equipment and supplies, what is your next step in obtaining a capillary blood sample? Select one: a. Wipe the patient's ring finger with an alcohol wipe. b. Ask the patient whether they are left handed or right handed. c. Perform the capillary puncture. d. Cleanse the puncture site with an alcohol wipe. e. Identify the patient. ✔️ e. Identify the patient.
What can you do to lower the risk of bruising after venipuncture? Select one: a. Place a bandage on the puncture site. b. Keep the tourniquet in place for 1 full minute the procedure. c. Wipe the puncture site with an alcohol wipe. d. Apply pressure to the puncture site. e. Apply a heating pad to the puncture site and have the patient bend his or her arm to keep it in place. ✔️ d. Apply pressure to the puncture site.
While performing a venipuncture, you notice that a hematoma is forming. You should do all the following EXCEPT: Select one: a. apply pressure to the site b. remove the vacuum tube and needle c. complete the collection of the specimen d. look for a different site on either arm e. remove the tourniquet ✔️ c. complete the collection of the specimen
Which needle gauge will result in less blood cell damage during venipuncture collection? Select one:
a. to prevent it from collapsing b. to prevent any blood specimen leakage into surrounding tissue c. to keep the patient from moving d. to keep the patient comfortable e. to prevent it from rolling ✔️ e. to prevent it from rolling
What angle should your needle position be in to perform venipuncture? Select one: a. 30° angle with the bevel down b. 15° angle with the bevel up c. 20° angle with the bevel down d. 35° angle with the bevel up e. 15° angle with the bevel down ✔️ b. 15° angle with the bevel up
All of the following are examples of properly disposed venipuncture equipment and supplies EXCEPT: Select one: a. placing used alcohol wipe in wastebasket b. placing the used needle and holder together into a puncture-proof container c. placing used gloves in medical waste container d. placing used gauze and cotton balls in a biohazard container e. placing the plastic venipuncture needle cover in a biohazard container ✔️ e. placing the plastic venipuncture needle cover in a biohazard container
EDTA (ethylenediaminetetraacetic acid) is present in which color-topped vacuum tube? Select one: a. lavender b. pink c. gray d. yellow e. light blue ✔️ a. lavender
Which color-topped vacuum tube is used to collect specimens for tests requiring serum? Select one: a. gray b. red c. green d. blue e. light blue ✔️ b. red
The usual size of the needle to use when performing a venipuncture is Select one:
a. ½ inch 27 gauge b. 1 inch 18 gauge c. 1 inch 24 gauge d. 1½ inch 21 gauge e. ½ inch 23 gauge ✔️ d. 1½ inch 21 gauge
The purpose of the plastic collection tube holder is to: Select one: a. prevent blood leakage when changing vacuum tubes b. aid insertion and withdrawal of blood vacuum tubes c. prevent blood specimen contamination d. prevent blood leakage before needle withdrawal e. protect against accidental needle punctures ✔️ b. aid insertion and withdrawal of blood vacuum tubes
Which color on a vacuum tube top indicates that the blood specimen will be used for cultures? Select one: a. green b. yellow c. blue d. light blue e. red ✔️ b. yellow
Which electrode is not part of the ECG recording? Select one: a. RL b. aVR c. LL d. RA e. I ✔️ a. RL
What is the term for the relaxing phase of the cardiac cycle? Select one: a. systole b. bradycardia c. defibrillation d. polarization e. repolarization ✔️ e. repolarization
Which of the following is an example of an ECG precordial lead? Select one:
Which ECG lead is placed on the 5th intercostal space, at the midclavicular line? Select one: a. V b. V c. V d. V e. V ✔️ e. V
For a standard ECG, the V1 electrode lead placement is at the: Select one: a. 4th intercostal space at left margin of the sternum midway between V2 and V b. horizontal level as V4 and V5, on the midaxillary line c. left sternal 5th intercostal space d. 5th intercostal space at the midclavicular line e. 4th intercostal space at right margin of the sternum ✔️ a. 4th intercostal space at left margin of the sternum midway between V2 and V
Because of the high cost of cosmetic surgery, a patient agrees to and signs a written payment plan. The payments are to be for 7 months and 7 installments of $95. The legislative act that gives the requirements for the written payment plan is the: Select one: a. Equal Credit Opportunity Act b. Fair Debt Collection Practices Act c. Patient Self-Determination Act d. Truth in Lending Act e. Medical Practice Act ✔️ d. Truth in Lending Act
Which of the following concepts typically define ethics? Select one: a. Legal actions to civil wrongs b. Practical actions to taken c. Guidelines for occupational professionalism d. Principles of right and wrong ✔️ d. Principles of right and wrong
Bioethics is concerned with: Select one: a. moral controversy over biomedical technology b. genetic engineering c. criminal actions that deal with life and health care d. in vitro fertilization e. cloning ✔️ a. moral controversy over biomedical technology
A medical assistant suspects a young patient is the victim of child abuse; Signs of abuse are also the finding of the examining physician. The medical assistant and the physician should: Select one: a. document findings in the medical record and report it to the proper authorities b. not document these suspicions in the chart because the abuse should 1st be ruled out c. speak to parent/guardian about their suspicions and document the encounter d. ask the parent/guardian to give explanations and document the encounter e. document findings in the medical record and set up a follow-up appointment ✔️ a. document findings in the medical record and report it to the proper authorities
Medical record copies may be released to any 1 of the following, EXCEPT whom? Select one: a. The physician the patient is being referred to b. The husband or wife of the patient c. The hospital emergency room, by the physician d. The attorney representing the patient, if subpoenaed and released by patient e. The patient, with physician permission ✔️ b. The husband or wife of the patient
The physician-patient relationship is considered which type of legal relationship? Select one: a. a contract b. a partnership c. an affiliation d. an alliance e. a professional association ✔️ a. a contract
Which of the following statements is FALSE? Select one: a. Quid pro quo translates as something for something (service for payment). b. The physician-patient relationship is legally recognized when the patient arrives at the office for treatment. c. Expressed contracts are between 2 parties and may be verbal or written. d. Consent is a mutual agreement between legally capable parties when an offer is made and accepted. e. Implied contracts are the result of a provider treating a patient. ✔️ b. The physician-patient relationship is legally recognized when the patient arrives at the office for treatment.
According to the law, which statement is FALSE regarding financial responsibilities for patients? Select one: a. A wife is not always responsible for her husband's treatment charges.
The courts mandate that the physician uphold the "standard of care" in practice. This means the physician is required to provide care that is: Select one: a. the highest degree possible under the circumstances b. comparable to all given circumstances c. comparable to reasonable, attentive, diligent physicians of the same education, same specialty, and practicing in the same or similar geographic area d. equal to national norms e. comparable to all other physicians of the same specialty anywhere ✔️ c. comparable to reasonable, attentive, diligent physicians of the same education, same specialty, and practicing in the same or similar geographic area
To prove negligence against a physician, all of the following must be proved EXCEPT the following: Select one: a. Delinquency of duty directly resulted in patient injury. b. Dereliction of duty indirectly caused more than 1 injury to the patient. c. Duty was owed to the patient. d. Under involved circumstances, there was no compliance with the duty required. e. Dereliction of duty directly resulted in patient injury. ✔️ b. Dereliction of duty indirectly caused more than 1 injury to the patient.
A factor that may influence when the onset period of time for the statute of limitations on a negligent action resulting in an injury begins may be: Select one: a. the date of the patient's last treatment b. when the injury is discovered c. when the plaintiff files a suit for the injury d. when the final payment for services is made e. the date of the plaintiff's 1st postoperative visit ✔️ b. when the injury is discovered
Slander is defamation through which type of act? Select one: a. improper performance of an act b. res judicata c. res ipsa loquitur d. spoken statements that damage someone's reputation e. written statements that damage someone's reputation ✔️ d. spoken statements that damage someone's reputation
Any breached federal or state narcotics laws are considered which type of offense? Select one: a. Civil wrongs b. Criminal acts c. Breaches of the peace
d. Misdemeanors e. Torts ✔️ b. Criminal acts
Which of the following situations would present a civil rather than a criminal liability for a physician? Select one: a. A physician falsifies medical records for a workers' compensation case. b. A physician is accused of substance abuse while on the job. c. A physician is accused of child abuse. d. A physician in medical practice treats patients without a valid license. e. A surgeon performs knee replacement on the wrong knee. ✔️ e. A surgeon performs knee replacement on the wrong knee.
Which of the following responses is NOT a true statement about ethics? Select one: a. Ethics comprises are principles of right and wrong conduct. b. Ethics comprises philosophical thoughts and judgments. c. Ethics relates to morals and moral judgments. d. Ethics comprises self-imposed standards of conduct. e. Ethics comprises formal actions of a legislative body. ✔️ e. Ethics comprises formal actions of a legislative body
A medical office's policy regarding the length of time for retaining patient files should be based on which of the following laws? Select one: a. Fair Credit Billing Act b. Medical Practice Act c. Patient Self-Determination Act d. Freedom of Information Act e. statute of limitations ✔️ e. statute of limitations
The principal purpose of a living will is to: Select one: a. give a physician authority to make life-sustaining measures for a patient b. give family members permission to make medical care decisions for the patient c. keep a patient alive by whatever measures are necessary d. make preparation of any part of a person's body for transplantation e. let caregivers know the patient's wants with regard to lifesaving measures ✔️ e. let caregivers know the patient's wants with regard to lifesaving measures
To comply with HIPAA, a medical office must always furnish what information to a new patient to be seen for treatment? Select one: a. the provision of privacy practices document
When a patient formally gives a loved one durable power of attorney for health-care matters, at what point does this legal document become active? Select one: a. when the patient's physician is notified of the document's existence b. when the patient has been admitted to the hospital c. when the patient has been placed in a nursing home d. when the patient can no longer make competent medical decisions e. when the patient signed the document ✔️ d. when the patient can no longer make competent medical decisions
A patient's unreasonable conduct resulted in injury to himself, and he has filed a claim of medical malpractice against his physician. If the court determines the patient to be fully or partially at fault, the term used for this finding is: Select one: a. quid pro quo b. malfeasance c. nonfeasance d. contributory negligence e. informed consent ✔️ d. contributory negligence
The term for an employee who is considered to be acting on the doctor's behalf while performing professional tasks is: Select one: a. res ipsa loquitur b. malfeasance c. respondeat superior d. nonfeasance e. subpoena duces tecum ✔️ c. respondeat superior
If a physician simply decided to stop providing care for his or her noncompliant patient without following the appropriate legal steps, the patient could file a lawsuit against the physician on the grounds of: Select one: a. res ipsa loquitur b. malfeasance c. respondeat superior d. quid pro quo e. abandonment ✔️ e. abandonment
The Americans with Disabilities Act guarantees which of the following rights for the physically impaired? Select one: a. Ease in physical access to the workplace
b. Overtime pay c. Vacation pay d. Health insurance for full-time employees e. Equal pay for like positions ✔️ a. Ease in physical access to the workplace
This form of medical practice may have personal property attached in case of business failure and earns all of the profit when the business succeeds. Select one: a. specialty group b. profit sharing corporation c. professional corporation d. partnership with limits e. sole proprietorship ✔️ e. sole proprietorship
Libel is defined as: Select one: a. ruining someone's good reputation by spreading verbal rumors b. printed statements or pictures about another person that are false c. statements written or pictures about another person that are intended to be cruel and damaging to a person's reputation d. verbal statements made about another person that are malicious and/or false e. action intended to deceive another person ✔️ c. statements written or pictures about another person that are intended to be cruel and damaging to a person's reputation
Civil law includes: Select one: a. expressed contracts b. all of these answers c. medical malpractice d. implied contracts e. torts ✔️ b. all of these answers
The privacy rule is in place to protect: Select one: a. all medical billing b. the considerations of cultural beliefs c. specialists in the field of medical law d. electronic transfer of information e. medical professional organizations ✔️ d. electronic transfer of information
A medical provider can avoid patient abandonment by:
A breach of confidentiality is considered unethical and illegal and is prohibited by: Select one: a. standard of care b. Civil Rights Act c. Medical Practices Act d. OSHA e. HIPAA ✔️ e. HIPAA
Which envelope address is typed according to the U.S. Postal Service preferred format? Select one: a. TOLLAND CONN 06084 b. TOLLAND CT 06084 c. TOLL. Ct 06084 d. Tolland, Connecticut 06084 e. TOLLAND, CONNECTICUT 06084 ✔️ b. TOLLAND CT 06084
When questioned about a patient's appointment at your office by that patient's aunt, the medical assistant's most appropriate response would be which of the following? Select one: a. Tell her it is your duty to protect the privacy of your office's patients and you hope she understands. b. State that you would never discuss anything personal about a patient outside the office. c. Ignore her inquiry. d. Ask her if her niece has confided anything about her health to her. e. Tell her to mind her own business. ✔️ a. Tell her it is your duty to protect the privacy of your office's patients and you hope she understands.
In order to have the best therapeutic communication, the medical assistant should: Select one: a. accept each patient's particular attributes b. use medical terminology whenever possible c. overlook educational differences d. ignore language barriers e. use local area street slang to address the patient ✔️ a. accept each patient's particular attributes
Which of the following actions is a roadblock to therapeutic communication? Select one: a. asking closed-ended questions b. giving advice c. taking notes d. gesturing
e. paraphrasing ✔️ b. giving advice
Initiating and responding in a calm professional manner when communicating with others is known as: Select one: a. diversity b. flexibility c. empathy d. diplomacy e. rationalization ✔️ d. diplomacy
If you are mailing information that is meant to be "CONFIDENTIAL," where should the notation be typed on the envelope? Select one: a. to the right of the addressee's name b. 3 lines below the return address c. below the stamp d. below the mailing address e. bottom right ✔️ b. 3 lines below the return address
When typing a physician's name as part of the inside address in a letter, which of the following would be the correct format? Select one: a. DR. Daigle b. Doctor Jeffrey L. Daigle c. Jeffrey L. Daigle, MD d. Doctor Daigle e. Dr. Jeffrey L. Daigle, MD ✔️ c. Jeffrey L. Daigle, MD
If you have an appointment scheduled for a patient who speaks English as a 2nd language, which communication technique would be the most effective at the time of their visit to your office? Select one: a. communicating everything in writing b. having an interpreter present c. using nonverbal communication d. making eye contact e. speaking slowly and clearly ✔️ b. having an interpreter present
Which of the following demonstrates positive communication skill? Select one: