Professional Documents
Culture Documents
1. The process of cleaning and scrubbing instruments and equipment, generally by washing
with detergents and scrubbing as needed, is ____.
A. surgical asepsis
B. sanitization
C. disinfection
D. purification
E. sterilization
2. Which of the following is used on instruments and equipment that come in contact with
intact mucous membranes or other surfaces not considered sterile?
A. Surgical asepsis
B. Sanitization
C. Disinfection
D. Purification
E. Sterilization
3. The complete destruction of all pathogenic, beneficial, and harmless microorganisms from
the surface of instruments and equipment is ____.
A. surgical asepsis
B. sanitization
C. disinfection
D. purification
E. sterilization
4. Which of the following is used to clean blood pressure cuffs and reflex hammers?
A. Ultrasonic cleaning
B. Sterilization
C. Sanitization
D. Purification
E. Disinfection
9-1
Chapter 009 Examination and Treatment Areas
5. The cleaning process used on instruments such as nasal specula and endotracheal tubes is
____.
A. ultrasonic cleaning.
B. sterilization.
C. sanitization.
D. fumigation.
E. disinfection.
6. Which of the following is used to sanitize delicate instruments and instruments that have
moving parts?
A. Ultrasonic cleaning
B. Autoclave
C. Scrub brush
D. Dishcloth
E. Sponge and water
9-2
Chapter 009 Examination and Treatment Areas
11. Which of the following can be disinfected and used again without sterilization?
A. Needles and syringes
B. Glassware and enamel
C. Vaginal specula
D. Curettes
E. suture removal instruments
9-3
Chapter 009 Examination and Treatment Areas
13. Which of the following is commonly used to clean instruments and equipment that would
be damaged by immersion in soap and water or other disinfectant solutions?
A. Formaldehyde
B. Alcohol
C. Acid products
D. Glutaraldehyde
E. Chlorine
14. Which of the following is extremely corrosive and toxic to tissue and has strong killing
power?
A. Germicidal soap
B. Acid
C. Boiling water
D. Iodine
E. Alcohol
15. Which of the following is commonly used as a preservative in a 10% solution and as a
germicide and sporicide in a 5% solution?
A. Formaldehyde
B. Alcohol
C. Iodine
D. Hydrogen peroxide
E. Germicidal soap
16. Which of the following is commonly known as Cidex or Glutarex and is used in chemical
sterilization processes?
A. Formaldehyde
B. Glutaraldehyde
C. Chlorine
D. Acid products
E. Hydrogen peroxide
9-4
Chapter 009 Examination and Treatment Areas
17. Which of the following is used to disinfect surfaces and soak rubber equipment before
sanitization?
A. Bleach
B. Alcohol
C. Iodine
D. Boiling water
E. Hydrogen peroxide
18. Which of the following is used both as a disinfectant and as an antiseptic, but has limited
effectiveness in the presence of blood products, mucus, or soap?
A. Boiling water
B. Iodine
C. Acid products
D. Formaldehyde
E. Bleach
9-5
Chapter 009 Examination and Treatment Areas
22. Which of the following does the physician use to confirm a patient's health or diagnose a
medical problem?
A. A report from another physician
B. Documentation from the nurse
C. The general physical examination
D. The patient's medical record
E. The admission sheet the patient fills out
23. Who is responsible for preparing the examination room for patients?
A. Medical assistant
B. Nurse
C. Housekeeper
D. Physician's assistant
E. Physician
24. The area where the physician observes and listens to the patient, performs a general
physical examination, and dispenses treatment is the ____.
A. interim room
B. laboratory
C. examination room
D. surgical room
E. procedure room
9-6
Chapter 009 Examination and Treatment Areas
25. A physician in a medical office should have a minimum of how many examination rooms
for his or her exclusive use?
A. 1
B. 2
C. 3
D. 4
E. 5
26. The number of examination rooms in a medical office depends on the number of
physicians who work there and on ____.
A. how much time each physician spends with a patient
B. how big the office is
C. how many assistants each physician has
D. how many rooms each physician wants
E. each physician's patient load
27. The primary reason for having a minimum of two examination rooms per physician is that
it ____.
A. allows other physicians to use the room
B. enables the medical assistant to prepare one room while the physician examines a patient in
the other
C. can serve as an additional waiting area for patients when the reception area is full
D. can be used as a room for a contagious patient who comes to the office
E. provides a place for the physician to read journals and do paperwork
9-7
Chapter 009 Examination and Treatment Areas
29. When the medical assistant puts a patient in the examination room to wait for the
physician, the usual place to put the patient's medical record is ____.
A. on the countertop in the examination room
B. in a rack that hangs on the wall directly outside the examination room
C. at the reception desk for the physician to pick up before entering the room
D. in a rack attached to the inside of the examination room door
E. in the appropriate place in the filing cabinet that holds patient records
30. Which of the following is the usual way to signal that an examination room is occupied?
A. An "occupied" sign posted on the door
B. A door lock that reads "occupied" when in the locked position
C. A light on the door or wall is illuminated
D. The door to the examination room is open, so people can see that it is occupied
E. The overhead lights in the examination room are turned on
31. The key piece of equipment in the examination room is the ____.
A. examining table
B. scale with a height bar
C. biohazardous waste container
D. visitor's chair
E. physician's rolling stool
32. Which of the following is the correct position for the examining table?
A. Lengthwise directly in front of the door
B. Snug against the inside wall
C. Lengthwise in front of the window
D. Sideways in front of the window
E. In the center of the room or coming out from the wall
9-8
Chapter 009 Examination and Treatment Areas
33. The Americans with Disabilities Act of 1990 accessibility guidelines require that doors be
____ wide to allow a person in a wheelchair to pass through.
A. 24 inches
B. 30 inches
C. 32 inches
D. 60 inches
E. 84 inches
34. According to ADA guidelines, a clearance space in rooms and hallways must allow a
person in a wheelchair to make a 180-degree turn. The minimum required clearance space is
A. 32 inches.
B. 36 inches.
C. 60 inches.
D. 90 inches.
E. 120 inches.
35. The cover for the examining table should be made of ____.
A. paper
B. cotton
C. nylon
D. polyester
E. rayon
36. How often should you change the cover on the examining table?
A. Daily
B. After every third use
C. Weekly
D. Monthly
E. After every use
9-9
Chapter 009 Examination and Treatment Areas
37. Which of the following is the appropriate way to remove a used examining table cover?
A. Crumple up the paper
B. Shake it in the air to assist in easier removal
C. Roll it up tightly and quickly
D. Turn it inside out
E. Fold it neatly with the used side facing out
38. Which of the following is the appropriate way to dispose of paper coverings soiled by
body fluids or blood?
A. Place them in the garbage can in the examination room
B. Collect them in a central location until they can be disposed of
C. Place them in a large garbage can in the hall
D. Dispose of them in a biohazardous waste container
E. Place them in a laundry hamper for housekeeping to wash
39. Which of the following is the appropriate method for disposal of soiled linen cloths and
pillowcases?
A. Wash them in the office washing machine
B. Place them in a biohazard-labeled bag and send to a laundry for cleaning
C. Have office personnel take turns taking them home to wash
D. Place them in a cloth bag to send to a laundry for cleaning
E. Dispose of them in a biohazardous waste container
40. Which of the following methods should be used to clean the work surfaces in the
examination room, including the examining table, sink, and countertop?
A. Disinfection
B. Ultrasonic cleaning
C. Sanitization
D. Fumigation
E. Sterilization
9-10
Chapter 009 Examination and Treatment Areas
41. Which of the following is appropriate for cleaning surfaces in the exam room?
A. Germicidal soap
B. 10% solution of household bleach
C. Iodine
D. Alcohol
E. Hydrogen peroxide
42. The toilets, sinks, and wastebaskets should be disinfected according to facility policy. In
most medical offices, they are disinfected____.
A. once a day
B. every other day
C. once a week
D. once every two weeks
E. once a month
43. Which of the following is a reason for storing biohazardous substances in a separate
refrigerator from food and beverages?
A. Food or beverages may leak on the biohazardous substances.
B. You could accidentally grab a biohazardous substance that is not clearly labeled and ingest
it.
C. There may not be enough room in one refrigerator for both.
D. Biohazardous substances do not have to be refrigerated.
E. Food may cause the deterioration of the biohazardous substances.
44. Which of the following activities does OSHA prohibit medical personnel from doing in a
room where potentially infectious materials are present?
A. Replacing the 10% bleach solution used to disinfect the surfaces
B. Washing your hands
C. Filling the paper towel rack
D. Chewing gum and applying cosmetics
E. Performing office laboratory tests
9-11
Chapter 009 Examination and Treatment Areas
45. The temperature of the laboratory refrigerators should be maintained between ____.
A. 10F and 15F
B. 24F and 28F
C. 36F and 46F
D. 50F and 56F
E. 60F and 65F
46. What is the most appropriate way to monitor the temperature in a laboratory refrigerator?
A. Place an ice cube tray in the refrigerator and see if the water freezes
B. Open the refrigerator frequently to check items for coldness
C. Place a thermometer in the refrigerator
D. Place a bottle of drinking water in the refrigerator and take a drink to determine coldness
E. Open the refrigerator door and wave a thermometer inside, then check the reading
47. The temperature in the food refrigerator should be maintained between ____.
A. 24F and 28F
B. 32F and 40F
C. 36F and 46F
D. 50F and 56F
E. 60F and 65F
9-12
Chapter 009 Examination and Treatment Areas
49. Which of the following is the main reason for dusting shelves and furniture in the
examination room?
A. It gives a clean appearance.
B. It preserves the finish of the furniture.
C. It eliminates dust that harbors bacteria and allergens.
D. It promotes a sterile environment.
E. It is an efficient way to pass the time between patient appointments.
50. The most appropriate temperature setting for the examination room is____.
A. 55F
B. 62F
C. 72F
D. 80F
E. 84F
9-13
Chapter 009 Examination and Treatment Areas
53. Which of the following provides an additional source of light during an examination and
is usually on a flexible arm?
A. Penlight
B. Exam light
C. Ophthalmoscope
D. Otoscope
E. Anoscope
54. Which of the following reflects the inside of the mouth and throat for examination
purposes?
A. Sphygmomanometer
B. Laryngeal mirror
C. Nasal speculum
D. Otoscope
E. Ophthalmoscope
55. An instrument used to enlarge the opening of the nose to permit viewing is a(n) ____.
A. ophthalmoscope
B. otoscope
C. nasal speculum
D. sphygmomanometer
E. anoscope
56. A lighted instrument that is used to examine the inner structures of the eye is a(n) ____.
A. penlight
B. exam light
C. anoscope
D. otoscope
E. ophthalmoscope
9-14
Chapter 009 Examination and Treatment Areas
57. Which of the following is an instrument used to examine the ear canal and the tympanic
membrane?
A. Otoscope
B. Exam light
C. Penlight
D. Anoscope
E. Ophthalmoscope
58. Which of the following has a hard-rubber triangular head and is used to check a patient's
reflexes?
A. Tuning fork
B. Tape measure
C. Reflex hammer
D. Sphygmomanometer
E. Anoscope
9-15
Chapter 009 Examination and Treatment Areas
63. Which of the following instruments is used in the collection of gynecological specimens?
A. Nasal speculum
B. Laryngeal mirror
C. Vaginal speculum
D. Anoscope
E. Otoscope
9-16
Chapter 009 Examination and Treatment Areas
66. Which of the following instruments that a physician uses during an examination is
sometimes mounted on the wall?
A. Penlight and reflex hammer
B. Sphygmomanometer and otoscope
C. Laryngeal mirror and anoscope
D. Nasal speculum and tuning fork
E. Vaginal speculum and tape measure
9-17
Chapter 009 Examination and Treatment Areas
69. The first step in eliminating offensive odors from an exam room is to ____.
A. use an odor-absorbing filter
B. spray the room with an air freshener
C. open a window
D. turn on a fan
E. eliminate the source of the odor
70. The last patient of the day was very ill and vomited twice in the exam room. The first
time, she made it to the wastepaper basket, but the second time, she vomited on the examining
table and floor. What should you do?
A. Allow housekeeping to clean it up, since the office is closing and they will be here shortly
to clean
B. Get a mop from the storage closet and mop the floor.
C. Clean up the vomitus, using Standard Precautions because the vomitus is potentially
infectious.
D. Spray air freshener in the room and leave the mess for the morning shift to clean up.
E. Open a window to help reduce the odor, then turn on a fan with a high-speed blower.
71. After a minor surgical procedure, Karen is scrubbing the instruments to sanitize them
before disinfection and sterilization. She notices that one of the hinged instruments does not
close properly. What should Karen do?
A. Wrap the instrument for sterilization
B. Set it aside and notify the physician or office manager
C. Place the instrument in the biohazardous waste container
D. Leave it in the detergent solution overnight and check it again tomorrow
E. Return the instrument to its tray for storage
9-18
Chapter 009 Examination and Treatment Areas
72. Sandra arrived a little late this morning because her car wouldn't start. Although she
usually checks the exam rooms for cleanliness before bringing a patient back to an exam
room, the rooms are almost always in good shape, so she skips that step this morning. As she
brings the first patient into the exam room, she notices an unidentifiable clear gel-like
substance on the edge of the examining table. The paper cover is clean and fresh. What should
Sandra do?
A. Wipe up the substance with a tissue and assist the patient onto the examining table
B. Call the front desk and ask them to have housekeeping come and clean the table
C. Ask the patient to step back into the waiting area while she cleans up the table
D. Spray the substance with a disinfectant and tell the patient the physician will be in shortly
E. Notify her supervisor immediately that the room is not clean
73. One of Stan's duties is to check the laboratory equipment and machines each morning
when he arrives at the office. This morning, when he checked the temperature in the
laboratory refrigerator, he discovered that the temperature was 62F. What should Stan do?
A. Call the repair company to fix the refrigerator
B. Turn down the setting so the refrigerator will get colder
C. Notify all lab personnel that specimens in the refrigerator may be compromised
D. Record the current temperature and continue with his morning duties
E. Move the specimens to the food refrigerator so they won't be affected
74. Cleaning products that are used on human tissues as anti-infection agents are called
________.
________________________________________
9-19
Chapter 009 Examination and Treatment Areas
76. Biological agents that can spread disease to living things are ________ materials.
________________________________________
77. Leakproof containers that are color-coded red or labeled with a special symbol to show
that they contain biological agents that can spread disease to living things are called
biohazardous ________ containers.
________________________________________
79. The scrubbing of instruments and equipment with special brushes and detergent to remove
blood, mucus, and other contaminants or media where pathogens can grow is called
________.
________________________________________
80. ________ is used to clean items that touch only healthy, intact skin. For other equipment,
this is the first step before disinfection and sterilization.
________________________________________
81. After sanitization, some instruments and equipment require only ________ before being
used again. For other items, this is merely the second step in infection control, performed
before the process of sterilization.
________________________________________
9-20
Chapter 009 Examination and Treatment Areas
83. ________ cleaning involves placing instruments in a special bath in which sound waves
are generated through a cleaning solution to loosen contaminants.
________________________________________
84. Bleach is commonly used in laboratory settings to provide a measure of protection against
transmission of the human immunodeficiency virus (HIV) and is an effective ________ when
used in a 10% solution.
________________________________________
85. The ease with which people can move in and out of a space is called ________.
________________________________________
86. The Americans with Disabilities Act of 1990 (ADA) requires that businesses, services,
and public transportation provide "reasonable accommodations" for the disabled and provides
________ guidelines.
________________________________________
87. Supplies for a general physical exam may be either disposable or ________.
________________________________________
88. A chemical spray used to preserve a specimen obtained from the body for pathologic
examination is a(n) ________.
________________________________________
89. A physician performs a(n) ________ examination to confirm a patient's health or diagnose
a medical problem.
________________________________________
9-21
Chapter 009 Examination and Treatment Areas
90. You should provide tissues or special wipes for patients who need to wipe away ________
(a water-soluble gel) after certain procedures.
________________________________________
91. One type of disposable supply is a prepared paper slide used to test the stool for the
presence of ________.
________________________________________
92. Blood that is not visible to the naked eye is called ________ blood.
________________________________________
93. Exposure that can spread disease may occur through inhalation, ingestion, or ________.
________________________________________
95. The act that requires businesses, services, and public transportation to provide
"reasonable accommodations" for the disabled is ________.
________________________________________
96. For patient comfort, you should set the thermostat to maintain the temperature in an exam
room at _______________F.
________________________________________
9-22
Chapter 009 Examination and Treatment Areas
97. Good _______________ in work and exam areas is required to make accurate diagnoses
and to read orders and instructions.
________________________________________
9-23
Chapter 009 Examination and Treatment Areas Key
1. The process of cleaning and scrubbing instruments and equipment, generally by washing
with detergents and scrubbing as needed, is ____.
A. surgical asepsis
B. sanitization
C. disinfection
D. purification
E. sterilization
Sanitization is the scrubbing of instruments and equipment with special brushes and detergent
to remove blood, mucus, and other contaminants or media where pathogens can grow.
9-24
Chapter 009 Examination and Treatment Areas Key
2. Which of the following is used on instruments and equipment that come in contact with
intact mucous membranes or other surfaces not considered sterile?
A. Surgical asepsis
B. Sanitization
C. Disinfection
D. Purification
E. Sterilization
Disinfection is used for instruments that do not penetrate a patient's skin or that come in
contact only with a patient's mucous membranes or other nonsterile surfaces.
3. The complete destruction of all pathogenic, beneficial, and harmless microorganisms from
the surface of instruments and equipment is ____.
A. surgical asepsis
B. sanitization
C. disinfection
D. purification
E. sterilization
9-25
Chapter 009 Examination and Treatment Areas Key
4. Which of the following is used to clean blood pressure cuffs and reflex hammers?
A. Ultrasonic cleaning
B. Sterilization
C. Sanitization
D. Purification
E. Disinfection
Sanitization is used for items such as blood pressure cuffs, ophthalmoscopes, otoscopes,
penlights, reflex hammers, stethoscopes, tape measures, and tuning forks.
5. The cleaning process used on instruments such as nasal specula and endotracheal tubes is
____.
A. ultrasonic cleaning.
B. sterilization.
C. sanitization.
D. fumigation.
E. disinfection.
Disinfection is usually sufficient for items such as enamelware, endotracheal tubes, glassware,
laryngoscopes, and nasal specula.
9-26
Chapter 009 Examination and Treatment Areas Key
6. Which of the following is used to sanitize delicate instruments and instruments that have
moving parts?
A. Ultrasonic cleaning
B. Autoclave
C. Scrub brush
D. Dishcloth
E. Sponge and water
Delicate instruments and instruments that have moving parts should be sanitized using
ultrasonic cleaners.
9-27
Chapter 009 Examination and Treatment Areas Key
Placing the instruments in a container of water and a neutral-pH detergent will help prevent
blood and tissue from drying on the instruments.
Utility gloves are the barrier between your skin and any infectious material on the instruments
and equipment to be cleaned.
9-28
Chapter 009 Examination and Treatment Areas Key
The cleaning solution in an ultrasonic cleaner can be used several times, but must be replaced
as needed to maintain effectiveness.
11. Which of the following can be disinfected and used again without sterilization?
A. Needles and syringes
B. Glassware and enamel
C. Vaginal specula
D. Curettes
E. suture removal instruments
Glassware, enamel, and other items that do not penetrate a patient's skin can be disinfected
and reused without sterilization.
9-29
Chapter 009 Examination and Treatment Areas Key
13. Which of the following is commonly used to clean instruments and equipment that would
be damaged by immersion in soap and water or other disinfectant solutions?
A. Formaldehyde
B. Alcohol
C. Acid products
D. Glutaraldehyde
E. Chlorine
Alcohol is commonly used to clean instruments and equipment that would be damaged by
immersion in soap and water or other disinfectant solutions, such as oral and rectal
thermometers and scissors.
9-30
Chapter 009 Examination and Treatment Areas Key
14. Which of the following is extremely corrosive and toxic to tissue and has strong killing
power?
A. Germicidal soap
B. Acid
C. Boiling water
D. Iodine
E. Alcohol
Acid products, such as phenol (carbolic acid), are extremely corrosive and toxic to tissue and
should be used with care.
15. Which of the following is commonly used as a preservative in a 10% solution and as a
germicide and sporicide in a 5% solution?
A. Formaldehyde
B. Alcohol
C. Iodine
D. Hydrogen peroxide
E. Germicidal soap
9-31
Chapter 009 Examination and Treatment Areas Key
16. Which of the following is commonly known as Cidex or Glutarex and is used in chemical
sterilization processes?
A. Formaldehyde
B. Glutaraldehyde
C. Chlorine
D. Acid products
E. Hydrogen peroxide
17. Which of the following is used to disinfect surfaces and soak rubber equipment before
sanitization?
A. Bleach
B. Alcohol
C. Iodine
D. Boiling water
E. Hydrogen peroxide
9-32
Chapter 009 Examination and Treatment Areas Key
18. Which of the following is used both as a disinfectant and as an antiseptic, but has limited
effectiveness in the presence of blood products, mucus, or soap?
A. Boiling water
B. Iodine
C. Acid products
D. Formaldehyde
E. Bleach
Iodine solutions of 2% or greater are used as disinfectants; solutions less than 2% are used as
antiseptics.
9-33
Chapter 009 Examination and Treatment Areas Key
Soaking instruments in detergent solution prevents blood and tissue from drying on the
instruments.
9-34
Chapter 009 Examination and Treatment Areas Key
22. Which of the following does the physician use to confirm a patient's health or diagnose a
medical problem?
A. A report from another physician
B. Documentation from the nurse
C. The general physical examination
D. The patient's medical record
E. The admission sheet the patient fills out
ABHES: 1.b Compare and contrast the allied health professions and understand their relation to medical assisting
Blooms: Remember
CAAHEP: IX.C.7 Compare and contrast physician and medical assistant roles in terms of standard of care
Est Time: 0-1 minute
Learning Outcome: 09-01
Level of Difficulty: 1 Easy
Topic: The Exam Room
23. Who is responsible for preparing the examination room for patients?
A. Medical assistant
B. Nurse
C. Housekeeper
D. Physician's assistant
E. Physician
It is the medical assistant's responsibility to prepare the examination room for patients and
physicians.
ABHES: 11.b.9 Demonstrate professionalism by: Conducting work within scope of education, training, and ability
Blooms: Understand
CAAHEP: IX.P.2 Perform within scope of practice
Est Time: 0-1 minute
Learning Outcome: 09-01
Level of Difficulty: 2 Medium
Topic: The Exam Room
9-35
Chapter 009 Examination and Treatment Areas Key
24. The area where the physician observes and listens to the patient, performs a general
physical examination, and dispenses treatment is the ____.
A. interim room
B. laboratory
C. examination room
D. surgical room
E. procedure room
The physician observes, listens to, and examines patients in the examination room.
ABHES: 1.b Compare and contrast the allied health professions and understand their relation to medical assisting
Blooms: Understand
CAAHEP: IX.C.7 Compare and contrast physician and medical assistant roles in terms of standard of care
Est Time: 0-1 minute
Learning Outcome: 09-01
Level of Difficulty: 2 Medium
Topic: The Exam Room
25. A physician in a medical office should have a minimum of how many examination rooms
for his or her exclusive use?
A. 1
B. 2
C. 3
D. 4
E. 5
Each physician in a medical office should have at least two examination rooms for his or her
exclusive use. This allows the medical assistant to prepare one room while the physician
examines a patient in the other.
ABHES: 11.b.9 Demonstrate professionalism by: Conducting work within scope of education, training, and ability
Blooms: Understand
CAAHEP: IX.P.2 Perform within scope of practice
Est Time: 0-1 minute
Learning Outcome: 09-01
Level of Difficulty: 2 Medium
Topic: The Exam Room
9-36
Chapter 009 Examination and Treatment Areas Key
26. The number of examination rooms in a medical office depends on the number of
physicians who work there and on ____.
A. how much time each physician spends with a patient
B. how big the office is
C. how many assistants each physician has
D. how many rooms each physician wants
E. each physician's patient load
The number of exam rooms in a medical office depends on the number of physicians who
work there and on each physician's patient load.
ABHES: 11.b.9 Demonstrate professionalism by: Conducting work within scope of education, training, and ability
Blooms: Understand
CAAHEP: IX.P.2 Perform within scope of practice
Est Time: 0-1 minute
Learning Outcome: 09-01
Level of Difficulty: 2 Medium
Topic: The Exam Room
27. The primary reason for having a minimum of two examination rooms per physician is that
it ____.
A. allows other physicians to use the room
B. enables the medical assistant to prepare one room while the physician examines a patient in
the other
C. can serve as an additional waiting area for patients when the reception area is full
D. can be used as a room for a contagious patient who comes to the office
E. provides a place for the physician to read journals and do paperwork
Having a minimum of two rooms per physician enables the medical assistant to prepare one
room while the physician examines a patient in the other room.
ABHES: 11.b.9 Demonstrate professionalism by: Conducting work within scope of education, training, and ability
Blooms: Understand
CAAHEP: IX.P.2 Perform within scope of practice
Est Time: 0-1 minute
Learning Outcome: 09-01
Level of Difficulty: 2 Medium
Topic: The Exam Room
9-37
Chapter 009 Examination and Treatment Areas Key
An exam room that is 8 by 12 feet is large enough to accommodate the physician, the patient,
and one assistant comfortably, yet small enough that instruments and supplies will be within
easy reach.
ABHES: 11.b.9 Demonstrate professionalism by: Conducting work within scope of education, training, and ability
Blooms: Remember
CAAHEP: IX.P.2 Perform within scope of practice
Est Time: 0-1 minute
Learning Outcome: 09-01
Level of Difficulty: 1 Easy
Topic: The Exam Room
29. When the medical assistant puts a patient in the examination room to wait for the
physician, the usual place to put the patient's medical record is ____.
A. on the countertop in the examination room
B. in a rack that hangs on the wall directly outside the examination room
C. at the reception desk for the physician to pick up before entering the room
D. in a rack attached to the inside of the examination room door
E. in the appropriate place in the filing cabinet that holds patient records
A rack for the patient's medical records usually hangs on the wall directly outside the exam
room or on the outside of the door.
9-38
Chapter 009 Examination and Treatment Areas Key
30. Which of the following is the usual way to signal that an examination room is occupied?
A. An "occupied" sign posted on the door
B. A door lock that reads "occupied" when in the locked position
C. A light on the door or wall is illuminated
D. The door to the examination room is open, so people can see that it is occupied
E. The overhead lights in the examination room are turned on
A light or other device such as colored tabs on the wall or door may be used to signal that the
room is occupied.
31. The key piece of equipment in the examination room is the ____.
A. examining table
B. scale with a height bar
C. biohazardous waste container
D. visitor's chair
E. physician's rolling stool
9-39
Chapter 009 Examination and Treatment Areas Key
32. Which of the following is the correct position for the examining table?
A. Lengthwise directly in front of the door
B. Snug against the inside wall
C. Lengthwise in front of the window
D. Sideways in front of the window
E. In the center of the room or coming out from the wall
The examining table should be positioned in the center of the room or extending out from the
wall so that the physician and an assistant can access the patient from at least three sides.
33. The Americans with Disabilities Act of 1990 accessibility guidelines require that doors be
____ wide to allow a person in a wheelchair to pass through.
A. 24 inches
B. 30 inches
C. 32 inches
D. 60 inches
E. 84 inches
ADA accessibility guidelines require doorways to be at least 32 inches wide to allow a person
in a wheelchair to pass through.
ABHES: 4.f Comply with federal, state, and local health laws and regulations
Blooms: Remember
Blooms: Understand
CAAHEP: IX.C.11h. Identify how the Americans with Disabilities Act (ADA) applies to the medical assisting profession
Est Time: 0-1 minute
Learning Outcome: 09-01
Level of Difficulty: 2 Medium
Topic: The Exam Room
9-40
Chapter 009 Examination and Treatment Areas Key
34. According to ADA guidelines, a clearance space in rooms and hallways must allow a
person in a wheelchair to make a 180-degree turn. The minimum required clearance space is
A. 32 inches.
B. 36 inches.
C. 60 inches.
D. 90 inches.
E. 120 inches.
The clearance space in rooms and hallways must be 60 inches (1525 mm) in diameter to allow
a person in a wheelchair to make a 180-degree turn.
ABHES: 4.f Comply with federal, state, and local health laws and regulations
Blooms: Remember
Blooms: Understand
CAAHEP: IX.C.11h. Identify how the Americans with Disabilities Act (ADA) applies to the medical assisting profession
Est Time: 0-1 minute
Learning Outcome: 09-01
Level of Difficulty: 2 Medium
Topic: The Exam Room
35. The cover for the examining table should be made of ____.
A. paper
B. cotton
C. nylon
D. polyester
E. rayon
The cover for the examining table should be made of disposable paper.
9-41
Chapter 009 Examination and Treatment Areas Key
36. How often should you change the cover on the examining table?
A. Daily
B. After every third use
C. Weekly
D. Monthly
E. After every use
The disposable paper cover on the examining table should be changed after every use.
37. Which of the following is the appropriate way to remove a used examining table cover?
A. Crumple up the paper
B. Shake it in the air to assist in easier removal
C. Roll it up tightly and quickly
D. Turn it inside out
E. Fold it neatly with the used side facing out
When you remove the used covering from the examining table, roll it up quickly and carefully
with the contaminated side on the inside.
9-42
Chapter 009 Examination and Treatment Areas Key
38. Which of the following is the appropriate way to dispose of paper coverings soiled by
body fluids or blood?
A. Place them in the garbage can in the examination room
B. Collect them in a central location until they can be disposed of
C. Place them in a large garbage can in the hall
D. Dispose of them in a biohazardous waste container
E. Place them in a laundry hamper for housekeeping to wash
Dispose of used paper coverings soiled by body fluids, including blood, in a biohazardous
waste container.
39. Which of the following is the appropriate method for disposal of soiled linen cloths and
pillowcases?
A. Wash them in the office washing machine
B. Place them in a biohazard-labeled bag and send to a laundry for cleaning
C. Have office personnel take turns taking them home to wash
D. Place them in a cloth bag to send to a laundry for cleaning
E. Dispose of them in a biohazardous waste container
Place soiled linen cloths and pillowcases in biohazard-labeled bags to be sent to a laundry for
cleaning.
9-43
Chapter 009 Examination and Treatment Areas Key
40. Which of the following methods should be used to clean the work surfaces in the
examination room, including the examining table, sink, and countertop?
A. Disinfection
B. Ultrasonic cleaning
C. Sanitization
D. Fumigation
E. Sterilization
The medical assistant is responsible for disinfecting work surfaces in the exam room,
including the examining table, sink, and countertop.
41. Which of the following is appropriate for cleaning surfaces in the exam room?
A. Germicidal soap
B. 10% solution of household bleach
C. Iodine
D. Alcohol
E. Hydrogen peroxide
Surfaces in the exam room should be disinfected by exposing all parts of the surfaces to a
disinfectant such as a 10% solution of household bleach in water or a product approved by the
EPA.
9-44
Chapter 009 Examination and Treatment Areas Key
42. The toilets, sinks, and wastebaskets should be disinfected according to facility policy. In
most medical offices, they are disinfected____.
A. once a day
B. every other day
C. once a week
D. once every two weeks
E. once a month
In most facilities, toilets, sinks, and wastebaskets are disinfected once a day.
43. Which of the following is a reason for storing biohazardous substances in a separate
refrigerator from food and beverages?
A. Food or beverages may leak on the biohazardous substances.
B. You could accidentally grab a biohazardous substance that is not clearly labeled and ingest
it.
C. There may not be enough room in one refrigerator for both.
D. Biohazardous substances do not have to be refrigerated.
E. Food may cause the deterioration of the biohazardous substances.
If a biohazardous substance is not clearly labeled and you are in a hurry or not paying
attention, you might accidentally ingest it.
9-45
Chapter 009 Examination and Treatment Areas Key
44. Which of the following activities does OSHA prohibit medical personnel from doing in a
room where potentially infectious materials are present?
A. Replacing the 10% bleach solution used to disinfect the surfaces
B. Washing your hands
C. Filling the paper towel rack
D. Chewing gum and applying cosmetics
E. Performing office laboratory tests
OSHA regulations prohibit medical personnel from eating, drinking, smoking, chewing gum,
applying cosmetics, handling contact lenses, chewing pencils or pens, and rubbing their eyes
in a room where potentially infectious materials are present.
ABHES: 4.f Comply with federal, state, and local health laws and regulations
Blooms: Understand
CAAHEP: III.C.4 Identify personal safety precautions as established by the Occupational Safety and Health Administration (OSHA)
Est Time: 0-1 minute
Learning Outcome: 09-03
Level of Difficulty: 2 Medium
Topic: Preparation of the Exam and Treatment Areas
45. The temperature of the laboratory refrigerators should be maintained between ____.
A. 10F and 15F
B. 24F and 28F
C. 36F and 46F
D. 50F and 56F
E. 60F and 65F
The temperature in the laboratory refrigerators should be maintained between 36F and 46F
(2C and 8C).
ABHES: 4.f Comply with federal, state, and local health laws and regulations
Blooms: Understand
CAAHEP: III.C.4 Identify personal safety precautions as established by the Occupational Safety and Health Administration (OSHA)
Est Time: 0-1 minute
Learning Outcome: 09-03
Level of Difficulty: 2 Medium
Topic: Preparation of the Exam and Treatment Areas
9-46
Chapter 009 Examination and Treatment Areas Key
46. What is the most appropriate way to monitor the temperature in a laboratory refrigerator?
A. Place an ice cube tray in the refrigerator and see if the water freezes
B. Open the refrigerator frequently to check items for coldness
C. Place a thermometer in the refrigerator
D. Place a bottle of drinking water in the refrigerator and take a drink to determine coldness
E. Open the refrigerator door and wave a thermometer inside, then check the reading
The most accurate way to monitor the temperature in a laboratory refrigerator is to place a
thermometer in the refrigerator and monitor it daily or according to facility protocol.
ABHES: 4.f Comply with federal, state, and local health laws and regulations
Blooms: Understand
CAAHEP: III.C.4 Identify personal safety precautions as established by the Occupational Safety and Health Administration (OSHA)
Est Time: 0-1 minute
Learning Outcome: 09-03
Level of Difficulty: 2 Medium
Topic: Preparation of the Exam and Treatment Areas
47. The temperature in the food refrigerator should be maintained between ____.
A. 24F and 28F
B. 32F and 40F
C. 36F and 46F
D. 50F and 56F
E. 60F and 65F
The temperature in the food refrigerator should be maintained between 32F and 40F (0C
and 4.4C)
ABHES: 4.f Comply with federal, state, and local health laws and regulations
Blooms: Understand
CAAHEP: III.C.4 Identify personal safety precautions as established by the Occupational Safety and Health Administration (OSHA)
Est Time: 0-1 minute
Learning Outcome: 09-03
Level of Difficulty: 2 Medium
Topic: Preparation of the Exam and Treatment Areas
9-47
Chapter 009 Examination and Treatment Areas Key
You may damp dust an open shelf in an exam room, because dust harbors bacteria and
allergens.
49. Which of the following is the main reason for dusting shelves and furniture in the
examination room?
A. It gives a clean appearance.
B. It preserves the finish of the furniture.
C. It eliminates dust that harbors bacteria and allergens.
D. It promotes a sterile environment.
E. It is an efficient way to pass the time between patient appointments.
The main reason for dusting shelves and furniture in the examination room is to eliminate dust
that harbors bacteria and allergens.
9-48
Chapter 009 Examination and Treatment Areas Key
50. The most appropriate temperature setting for the examination room is____.
A. 55F
B. 62F
C. 72F
D. 80F
E. 84F
Set the thermostat to maintain the temperature at approximately 72F and make sure there are
no drafts from windows or doors.
9-49
Chapter 009 Examination and Treatment Areas Key
53. Which of the following provides an additional source of light during an examination and
is usually on a flexible arm?
A. Penlight
B. Exam light
C. Ophthalmoscope
D. Otoscope
E. Anoscope
An exam light provides an additional source of light during the exam. It is usually on a
flexible arm to permit light to be directed to the area being examined.
9-50
Chapter 009 Examination and Treatment Areas Key
54. Which of the following reflects the inside of the mouth and throat for examination
purposes?
A. Sphygmomanometer
B. Laryngeal mirror
C. Nasal speculum
D. Otoscope
E. Ophthalmoscope
A laryngeal mirror reflects the inside of the mouth and throat for exam purposes.
55. An instrument used to enlarge the opening of the nose to permit viewing is a(n) ____.
A. ophthalmoscope
B. otoscope
C. nasal speculum
D. sphygmomanometer
E. anoscope
A nasal speculum is used to enlarge the opening of the nose to permit viewing.
9-51
Chapter 009 Examination and Treatment Areas Key
56. A lighted instrument that is used to examine the inner structures of the eye is a(n) ____.
A. penlight
B. exam light
C. anoscope
D. otoscope
E. ophthalmoscope
An ophthalmoscope is a lighted instrument used to examine the inner structures of the eye.
57. Which of the following is an instrument used to examine the ear canal and the tympanic
membrane?
A. Otoscope
B. Exam light
C. Penlight
D. Anoscope
E. Ophthalmoscope
An otoscope is used to examine the ear canal and the tympanic membrane.
9-52
Chapter 009 Examination and Treatment Areas Key
58. Which of the following has a hard-rubber triangular head and is used to check a patient's
reflexes?
A. Tuning fork
B. Tape measure
C. Reflex hammer
D. Sphygmomanometer
E. Anoscope
A reflex hammer, which has a hard-rubber triangular head, is used to check a patient's
reflexes.
9-53
Chapter 009 Examination and Treatment Areas Key
9-54
Chapter 009 Examination and Treatment Areas Key
63. Which of the following instruments is used in the collection of gynecological specimens?
A. Nasal speculum
B. Laryngeal mirror
C. Vaginal speculum
D. Anoscope
E. Otoscope
A vaginal speculum is used to enlarge the vagina to make the vagina and the cervix accessible
for visual exam and specimen collection.
9-55
Chapter 009 Examination and Treatment Areas Key
Anoscopes and vaginal specula (except disposable specula) must be sterilized after each use.
9-56
Chapter 009 Examination and Treatment Areas Key
66. Which of the following instruments that a physician uses during an examination is
sometimes mounted on the wall?
A. Penlight and reflex hammer
B. Sphygmomanometer and otoscope
C. Laryngeal mirror and anoscope
D. Nasal speculum and tuning fork
E. Vaginal speculum and tape measure
The sphygmomanometer and some otoscopes and ophthalmoscopes can be mounted on the
wall of the exam room.
9-57
Chapter 009 Examination and Treatment Areas Key
Isopropyl alcohol is an example of a consumable supply. All of the other supplies listed are
disposable supplies.
69. The first step in eliminating offensive odors from an exam room is to ____.
A. use an odor-absorbing filter
B. spray the room with an air freshener
C. open a window
D. turn on a fan
E. eliminate the source of the odor
The first step in dealing with offensive odors from urine, vomitus, body odors, or laboratory
chemicals is to eliminate the source of the odor, especially if it is potentially infectious or
toxic.
9-58
Chapter 009 Examination and Treatment Areas Key
70. The last patient of the day was very ill and vomited twice in the exam room. The first
time, she made it to the wastepaper basket, but the second time, she vomited on the examining
table and floor. What should you do?
A. Allow housekeeping to clean it up, since the office is closing and they will be here shortly
to clean
B. Get a mop from the storage closet and mop the floor.
C. Clean up the vomitus, using Standard Precautions because the vomitus is potentially
infectious.
D. Spray air freshener in the room and leave the mess for the morning shift to clean up.
E. Open a window to help reduce the odor, then turn on a fan with a high-speed blower.
It is your responsibility to clean the room. Clean up the vomitus using Standard Precautions.
71. After a minor surgical procedure, Karen is scrubbing the instruments to sanitize them
before disinfection and sterilization. She notices that one of the hinged instruments does not
close properly. What should Karen do?
A. Wrap the instrument for sterilization
B. Set it aside and notify the physician or office manager
C. Place the instrument in the biohazardous waste container
D. Leave it in the detergent solution overnight and check it again tomorrow
E. Return the instrument to its tray for storage
Set the instrument aside after sanitizing it and notify the physician or office manager. The
instrument may need to be repaired or replaced.
ABHES: 11.b.9 Demonstrate professionalism by: Conducting work within scope of education, training, and ability
Blooms: Apply
Blooms: Understand
CAAHEP: IX.P.2 Perform within scope of practice
Est Time: 0-1 minute
Learning Outcome: 09-02
Level of Difficulty: 2 Medium
Topic: Sanitation and Disinfection
9-59
Chapter 009 Examination and Treatment Areas Key
72. Sandra arrived a little late this morning because her car wouldn't start. Although she
usually checks the exam rooms for cleanliness before bringing a patient back to an exam
room, the rooms are almost always in good shape, so she skips that step this morning. As she
brings the first patient into the exam room, she notices an unidentifiable clear gel-like
substance on the edge of the examining table. The paper cover is clean and fresh. What should
Sandra do?
A. Wipe up the substance with a tissue and assist the patient onto the examining table
B. Call the front desk and ask them to have housekeeping come and clean the table
C. Ask the patient to step back into the waiting area while she cleans up the table
D. Spray the substance with a disinfectant and tell the patient the physician will be in shortly
E. Notify her supervisor immediately that the room is not clean
Sandra has no way of knowing what the substance is or whether it is potentially infectious.
She should ask the patient to step back into the waiting area and then use Standard
Precautions to clean up the substance.
9-60
Chapter 009 Examination and Treatment Areas Key
73. One of Stan's duties is to check the laboratory equipment and machines each morning
when he arrives at the office. This morning, when he checked the temperature in the
laboratory refrigerator, he discovered that the temperature was 62F. What should Stan do?
A. Call the repair company to fix the refrigerator
B. Turn down the setting so the refrigerator will get colder
C. Notify all lab personnel that specimens in the refrigerator may be compromised
D. Record the current temperature and continue with his morning duties
E. Move the specimens to the food refrigerator so they won't be affected
A temperature as high as 62F could compromise some of the specimens in the refrigerator.
Stan should document the temperature and notify all lab personnel of this possibility before
pursuing the reason for the high temperature.
74. Cleaning products that are used on human tissues as anti-infection agents are called
________.
antiseptics
Cleaning products that are used on human tissues as anti-infection agents are called
antiseptics.
9-61
Chapter 009 Examination and Treatment Areas Key
Bacterial spores are thick-walled reproductive bodies that are capable of resisting harsh
conditions, including strong chemicals and boiling water.
76. Biological agents that can spread disease to living things are ________ materials.
biohazardous
Biohazardous materials are biological agents that can spread disease to living things.
9-62
Chapter 009 Examination and Treatment Areas Key
77. Leakproof containers that are color-coded red or labeled with a special symbol to show
that they contain biological agents that can spread disease to living things are called
biohazardous ________ containers.
waste
The special leakproof, clearly labeled containers for disposal of biohazardous materials are
called biohazardous waste containers.
Disinfectants are cleaning products that are applied primarily to inanimate objects such as
instruments and equipment to reduce or eliminate infectious organisms.
9-63
Chapter 009 Examination and Treatment Areas Key
79. The scrubbing of instruments and equipment with special brushes and detergent to remove
blood, mucus, and other contaminants or media where pathogens can grow is called
________.
sanitization
Sanitization is the scrubbing of instruments with special brushes and detergent to remove
blood, mucus, and other contaminants or media where pathogens can grow.
80. ________ is used to clean items that touch only healthy, intact skin. For other equipment,
this is the first step before disinfection and sterilization.
Sanitization
Sanitization is used to clean items that touch only healthy, intact skin, and as the first step
before disinfection and sterilization for other instruments and equipment.
9-64
Chapter 009 Examination and Treatment Areas Key
81. After sanitization, some instruments and equipment require only ________ before being
used again. For other items, this is merely the second step in infection control, performed
before the process of sterilization.
disinfection
Disinfection is a process that destroys most microorganisms; however, it cannot kill bacterial
spores and certain viruses.
9-65
Chapter 009 Examination and Treatment Areas Key
83. ________ cleaning involves placing instruments in a special bath in which sound waves
are generated through a cleaning solution to loosen contaminants.
Ultrasonic
Ultrasonic cleaning is used to sanitize delicate instruments and instruments with moving parts.
84. Bleach is commonly used in laboratory settings to provide a measure of protection against
transmission of the human immunodeficiency virus (HIV) and is an effective ________ when
used in a 10% solution.
disinfectant
Chlorine and chlorine compounds are effective disinfectants when used in a 10% solution.
85. The ease with which people can move in and out of a space is called ________.
accessibility
Accessibility refers to the ease with which people can move in and out of a space.
ABHES: 4.f Comply with federal, state, and local health laws and regulations
Blooms: Remember
CAAHEP: IX.C.11h. Identify how the Americans with Disabilities Act (ADA) applies to the medical assisting profession
Est Time: 1-3 minutes
Learning Outcome: 09-01
Level of Difficulty: 1 Easy
Topic: The Exam Room
9-66
Chapter 009 Examination and Treatment Areas Key
86. The Americans with Disabilities Act of 1990 (ADA) requires that businesses, services,
and public transportation provide "reasonable accommodations" for the disabled and provides
________ guidelines.
accessibility
The ADA provides accessibility guidelines that require businesses, services, and public
transportation to provide "reasonable accommodations" for disabled people.
ABHES: 4.f Comply with federal, state, and local health laws and regulations
Blooms: Remember
CAAHEP: IX.C.11h. Identify how the Americans with Disabilities Act (ADA) applies to the medical assisting profession
Est Time: 1-3 minutes
Learning Outcome: 09-01
Level of Difficulty: 1 Easy
Topic: The Exam Room
87. Supplies for a general physical exam may be either disposable or ________.
consumable
88. A chemical spray used to preserve a specimen obtained from the body for pathologic
examination is a(n) ________.
fixative
A fixative is a chemical spray for preserving a specimen obtained from the body for
pathologic examination.
ABHES: 9.m Assist physician with routine and specialty examinations and treatments
Blooms: Remember
CAAHEP: IV.P.3 Use medical terminology, pronouncing medical terms correctly, to communicate information, patient history, data and
observations
Est Time: 1-3 minutes
Learning Outcome: 09-05
Level of Difficulty: 1 Easy
Topic: Medical Instruments and Supplies
9-67
Chapter 009 Examination and Treatment Areas Key
89. A physician performs a(n) ________ examination to confirm a patient's health or diagnose
a medical problem.
general physical
ABHES: 1.b Compare and contrast the allied health professions and understand their relation to medical assisting
Blooms: Remember
CAAHEP: IX.C.7 Compare and contrast physician and medical assistant roles in terms of standard of care
Est Time: 0-1 minute
Learning Outcome: 09-01
Level of Difficulty: 1 Easy
Topic: The Exam Room
90. You should provide tissues or special wipes for patients who need to wipe away ________
(a water-soluble gel) after certain procedures.
lubricant
Provide tissues or special wipes for patients who need to wipe away excess lubricant, which is
a water-soluble gel used during an exam of the rectum or vaginal cavity.
ABHES: 11.b.9 Demonstrate professionalism by: Conducting work within scope of education, training, and ability
Blooms: Remember
CAAHEP: IX.P.2 Perform within scope of practice
Est Time: 1-3 minutes
Learning Outcome: 09-03
Level of Difficulty: 1 Easy
Topic: Preparation of the Exam and Treatment Areas
91. One type of disposable supply is a prepared paper slide used to test the stool for the
presence of ________.
occult blood.
Prepared paper slides are used to test the stool for the presence of occult blood.
ABHES: 9.m Assist physician with routine and specialty examinations and treatments
Blooms: Understand
CAAHEP: IV.P.3 Use medical terminology, pronouncing medical terms correctly, to communicate information, patient history, data and
observations
Est Time: 1-3 minutes
Learning Outcome: 09-05
Level of Difficulty: 2 Medium
Topic: Medical Instruments and Supplies
9-68
Chapter 009 Examination and Treatment Areas Key
92. Blood that is not visible to the naked eye is called ________ blood.
occult
93. Exposure that can spread disease may occur through inhalation, ingestion, or ________.
transcutaneous absorption
Exposure that can spread disease may occur through the following routes: inhalation,
ingestion, or transcutaneous absorption.
9-69
Test Bank For Medical Assisting: Administrative and Clinical Procedures with Anatomy and Phy
95. The act that requires businesses, services, and public transportation to provide
"reasonable accommodations" for the disabled is ________.
ADA or
Americans with Disabilities Act
The Americans with Disabilities Act, or ADA, requires businesses, services, and public
transportation to provide "reasonable accommodations" for disabled people.
ABHES: 4.f Comply with federal, state, and local health laws and regulations
Blooms: Understand
CAAHEP: IX.C.11h. Identify how the Americans with Disabilities Act (ADA) applies to the medical assisting profession
Est Time: 1-3 minutes
Learning Outcome: 09-01
Level of Difficulty: 2 Medium
Topic: The Exam Room
96. For patient comfort, you should set the thermostat to maintain the temperature in an exam
room at _______________F.
72
Set the thermostat to maintain the temperature of the exam rooms at about 72F.
97. Good _______________ in work and exam areas is required to make accurate diagnoses
and to read orders and instructions.
lighting
Good lighting is required to make accurate diagnoses, to correctly carry out medical
procedures, and to read orders and instructions.
9-70