NHA CCMA Actual 2022 EXAM(Graded A+ actual test)

NHA CCMA EXAM REVIEW 2022

Chief Complaint - the reason why the patient came to see the physician. History of Present Illness - explanation of the CC to determine the onset of the illness.

Past,family,and social history - summary of personal and family health problems as well

as social to include marital status, occupation, use of drugs, etc.

Body Processes necessary for life: - Body Temperature, Respiration, Heart Function

Vital Signs of body function: - temperature, pulse, respiration, blood pressure

Febrile - presence of fever

afebrile - absence of fever

intermittent fever - fluctuating fever that returns to or below baseline

remittent fever - fluctuating fever that remains elevated and does not return to baseline

continuous fever - fever that remains constant; does not fluctuate

axillary temperature - least accurate; taken under the arm

tympanic temperature - useful for children; placed in the ear

rectal temperature - per rectum; most effective

normal adult pulse range - between 60-100 bpm

apical pulse - taken over the apex of the heart by auscultation

normal respiration rate - 12-20 per minute (Adults)

apnea - temporary complete absence of breathing

tachypnea - respiration rate greater than 40 per minute

bradypnea - decrease in the numbers of respiration

cheyne stokes - regular pattern of irregular breathing rate

orthopnea - decrease in numbers of respiration

hypoventilation - reduced amount of air enters the lungs resulting in decreased oxygen

level

hyperpnea - abnormal increase in the depth and rate of breathing

hyperventilation - increased amount of air entering the lungs

Systole - the highest amount of pressure exerted during the cardiac cycle

Diastole - the lowest amount of pressure exerted during the cardiac cycle

Palpation - the sense of touch to determine the characteristics of an organ system

Percussion - tapping or striking the body to determine the position, size and density of

the underlying organ/tissue

Auscultation - listening to sounds produced by internal organs

Horizontal Recumbent Position - patient lies on back w/legs extended (used for most

physical exams)

Dorsal Recumbent Position - patient lies on back with knees flexed and soles of the feet

flat on the bed

Fowler's Position - semi/sitting position where back of the table is elevated.

Dorsal Lithotomy Position - patient lies on back with knees flexed, legs seperated and

thighs are acutely flexed. feet are usually in stirrups,

Prone position - patients lies on abdomen with head turned to side

Sim's position - patient lies on left side with right knee flexed against the abdomen and

left knee slightly flexed

knee-chest position - patient is on knees with chest resting on the bed and elbows

resting on the bed above head

OSHA - Occupational Safety and Health Administration

external hemorrhage - controlling the bleeding is most effectively accomplished by

elevating the affected part above heart level

Shock - occurs when there is insufficient return of blood flow to the heart

CPR - Cardiopulmonary Resuscitation

AMS - Agent, Modes of Transmission, Susceptible Hosts

agents - infectious microorganisms that can be classified into groups; viruses, bacteria,

fungi, and parasites

Portal of Exit - the method by which an infectious agent leaves the reservoir

5 Modes of Transmission - Droplet, Airborne, Common Vehicle, Vectorborne, Contact

(direct or indirect)

Susceptible Host - Not Resistant or Immune

Medical Asepsis - the destruction of pathogenic microorganisms after they leave the

body

disinfection - use of various chemicals that can be used to destroy many pathogenic

microorganisms

1:10 Solution - most readily available and least expensive disenfectant

surgical asepsis - all microbial life, pathogens and non pathogens are destroyed before

an invasive procedure

Gas Sterilization - often used for wheelchairs and hospital beds

Dry Heat Sterilization - requires higher temperature than steam sterilization but longer

exposure times

Chemical Sterilization - use of the same chemical used for chemical disinfection Steam Sterilization (autoclave) - uses steam under pressure to obtain high temperature

of 250-254F with exposure of 20-40 min

Handwashing - the most important means of preventing the spread of infection

Personal Protective Equipment - Masks, goggles, face shileds, respirators

isolation precautions - method of infection control that assumes all human blood and

body fluids were potentially infectious

standard precautions - designed to prevent direct contact with blood and other body

fluids u using PPE

transmission based precautions - the second tier of precautions are to be used when

the patient is known or suspected of being contagious

po - by mouth/orally

pr - per rectum

sl - sublingual (under the tongue)

iv - intravenous

im - intramuscular

sq - subcutaneous

qd - every day

bid - twice a day

tid - three times a day

qid - four times a day

pc - after meals / not on empty stomach

qhs - each night

prn - as needed

heart location - in the thoracic cavity between the lungs just behind the sternum

Upper chambers of the heart - right & left atria (atrium-singular)

Lower chambers of the hear - Right & left ventricles

Endocardium - innermost layer of the heart

Myocardium - middle layer of the heart

Epicardium - outermost layer of the heart

pericardium - the sac in which the heart is contained

right atrium - receives deoxygenated blood returning to the heart via the superior vena

cava