NCMA Domain 2: Clinical Medical Procedures Welcome to your NCMA Domain 2: Clinical Medical Procedures 1. NCMA: Clinical Medical Procedures When performing a lumbar puncture, at which vertebral level is the needle typically inserted? A. L2-L3 B. L3-L4 C. L4-L5 D. L5-S1 None 2. NCMA: Clinical Medical Procedures In administering an intradermal injection, what angle should the needle be inserted? A. 15 degrees B. 45 degrees C. 90 degrees D. 30 degrees None 3. NCMA: Clinical Medical Procedures What is the maximum volume that can be safely administered in a single intramuscular injection in the deltoid muscle of an adult? A. 1 mL B. 2 mL C. 3 mL D. 4 mL None 4. NCMA: Clinical Medical Procedures During phlebotomy, what is the recommended order of draw for the following tubes: EDTA, SST, and sodium citrate? A. Sodium citrate, SST, EDTA B. SST, EDTA, sodium citrate C. EDTA, sodium citrate, SST D. SST, sodium citrate, EDTA None 5. NCMA: Clinical Medical Procedures When performing an ECG, which electrode is placed on the right lower abdomen? A. V1 B. V2 C. V4 D. V6 None 6. NCMA: Clinical Medical Procedures Which of the following is NOT a component of the chain of infection? A. Infectious agent B. Mode of transmission C. Portal of exit D. Antibiotic resistance None 7. NCMA: Clinical Medical Procedures What is the primary purpose of using a tourniquet during venipuncture? A. To clean the site of injection B. To reduce the risk of infection C. To make the vein more visible and palpable D. To prevent bleeding post-procedure None 8. NCMA: Clinical Medical Procedures When removing sutures, what is the correct technique for cutting? A. Cut the knot and pull the suture through the skin B. Cut the suture as close to the skin as possible and pull from the opposite side C. Cut halfway between the knot and the skin, then pull the knot side D. Pull the suture taut before cutting anywhere along its length None 9. NCMA: Clinical Medical Procedures In the context of a spirometry test, what does FEV1 measure? A. The total volume of air exhaled in one second B. The maximum amount of air inhaled C. The total volume of air exhaled after a deep breath D. The volume of air remaining in the lungs after a forced exhalation None 10. NCMA: Clinical Medical Procedures Which of the following best describes the Allen test's purpose? A. To assess the arterial blood flow to the hand B. To determine the presence of carpal tunnel syndrome C. To evaluate the flexibility of the hand muscles D. To measure the grip strength of the hand None 11. NCMA: Clinical Medical Procedures What is the most appropriate action to take if a patient experiences syncope during a blood draw? A. Continue the draw while talking to the patient to keep them calm B. Stop the draw, remove the needle, and apply pressure to the site C. Elevate the patient's legs and continue the draw D. Administer oxygen and resume the draw when the patient recovers None 12. NCMA: Clinical Medical Procedures When performing a capillary puncture, which finger is preferred for blood collection in adults? A. Thumb B. Index finger C. Middle finger D. Ring finger None 13. NCMA: Clinical Medical Procedures In administering a subcutaneous injection, what is the maximum volume that is recommended to be injected to minimize discomfort and ensure proper absorption? A. 0.5 mL B. 1 mL C. 1.5 mL D. 2 mL None 14. NCMA: Clinical Medical Procedures Which antiseptic is most commonly recommended for skin preparation before a venipuncture? A. Alcohol B. Chlorhexidine C. Iodine D. Hydrogen peroxide None 15. NCMA: Clinical Medical Procedures What is the primary reason for performing a peak flow meter test? A. To measure the rate of air flow out of the lungs B. To determine the level of oxygen in the blood C. To check for the presence of respiratory infections D. To assess the lung's capacity to hold air None 16. NCMA: Clinical Medical Procedures When is it appropriate to use a butterfly needle for phlebotomy? A. When a large volume of blood is needed B. For patients with difficult or small veins C. For arterial blood gas collection D. When a faster collection time is required None 17. NCMA: Clinical Medical Procedures What is the correct technique for applying a tourniquet for venipuncture? A. 2-3 inches above the puncture site, tight enough to stop arterial blood flow B. Directly over the site of the intended puncture C. 2-3 inches above the puncture site, tight enough to obstruct venous flow but not arterial flow D. 1 inch below the puncture site None 18. NCMA: Clinical Medical Procedures Which of the following is NOT a typical site for an intramuscular injection? A. Deltoid muscle B. Vastus lateralis muscle C. Dorsogluteal muscle D. Antecubital fossa None 19. NCMA: Clinical Medical Procedures What is the most appropriate action following an accidental needlestick injury to a healthcare provider? A. Wash the area with soap and water immediately B. Apply a topical antibiotic and cover with a bandage C. Ignore the incident if the needle was clean D. Immediately inject the site with immunoglobulin None 20. NCMA: Clinical Medical Procedures In a normal adult, what is the expected range for resting oxygen saturation (SpO2) measured with a pulse oximeter? A. 95-100% B. 92-96% C. 90-95% D. 88-92% None 21. NCMA: Clinical Medical Procedures When measuring blood pressure, what does the diastolic pressure represent? A. The pressure when the heart is at rest between beats B. The highest level of blood pressure when the heart beats C. The pressure measured at the moment of the heart's contraction D. The average pressure throughout the cardiac cycle None 22. NCMA: Clinical Medical Procedures For a patient who is experiencing anaphylaxis, which medication is most commonly administered first? A. Antihistamines B. Epinephrine C. Corticosteroids D. Bronchodilators None 23. NCMA: Clinical Medical Procedures In preparing a patient for an electrocardiogram (ECG), which limb lead placement corresponds to the right arm? A. Lead I B. Lead II C. Lead III D. None of the above; limb leads are not specific to arms or legs None 24. NCMA: Clinical Medical Procedures During a tympanic temperature measurement, what is the correct position of the ear to ensure accuracy? A. Pull the earlobe down and back B. Pull the earlobe up and back C. Pull the earlobe down and forward D. Pull the earlobe up and forward None 25. NCMA: Clinical Medical Procedures What is the primary advantage of using a silver sulfadiazine cream on burn wounds? A. Promotes rapid wound healing B. Provides thermal insulation C. Acts as a potent analgesic D. Possesses antimicrobial properties None 26. NCMA: Clinical Medical Procedures In an adult patient, what is the most appropriate depth for chest compressions during CPR? A. At least 2 inches (5 cm) B. At least 1.5 inches (4 cm) C. About 2.5 inches (6.5 cm) D. At least 3 inches (7.5 cm) None 27. NCMA: Clinical Medical Procedures What is the purpose of applying a pressure bandage after venipuncture? A. To prevent air embolism B. To promote rapid coagulation and prevent bleeding C. To reduce the risk of phlebitis D. To alleviate pain from the puncture site None 28. NCMA: Clinical Medical Procedures For which of the following reasons might a medical assistant perform a guaiac fecal occult blood test (gFOBT)? A. To diagnose peptic ulcers B. To screen for colorectal cancer C. To detect the presence of helicobacter pylori D. To evaluate for inflammatory bowel disease None 29. NCMA: Clinical Medical Procedures When administering an intradermal injection for allergy testing, which site is most commonly used? A. The forearm B. The upper arm C. The thigh D. The abdomen None 30. NCMA: Clinical Medical Procedures What is the primary concern when a patient exhibits signs of tachypnea? A. High blood pressure B. Rapid heart rate C. Rapid breathing D. Elevated temperature None 31. NCMA: Clinical Medical Procedures Which technique is recommended for the sterilization of surgical instruments that cannot withstand high temperatures? A. Autoclaving B. Dry heat sterilization C. Ethylene oxide sterilization D. Boiling in water None 32. NCMA: Clinical Medical Procedures What is the most critical action to take immediately after a chemical splash in the eye? A. Close the eye and apply a sterile dressing B. Flush the eye with water or sterile saline for at least 15 minutes C. Apply an antibiotic ointment to the eye D. Administer an antihistamine to prevent allergic reaction None 33. NCMA: Clinical Medical Procedures When performing a therapeutic phlebotomy, what is the typical volume of blood removed in a single session for an adult patient? A. 100-250 mL B. 250-500 mL C. 500-750 mL D. 750-1000 mL None 34. NCMA: Clinical Medical Procedures When performing an ABI (Ankle-Brachial Index) test, which blood pressure measurement is used to calculate the index? A. The higher of the two brachial pressures B. The lower of the two brachial pressures C. The average of the two brachial pressures D. The systolic pressure of the right arm None 35. NCMA: Clinical Medical Procedures What is the primary purpose of the Schirmer test? A. To evaluate tear production for dry eye diagnosis B. To measure intraocular pressure for glaucoma C. To assess peripheral vision loss D. To determine the visual field range None 36. NCMA: Clinical Medical Procedures For which condition is a Mantoux test primarily used? A. HIV B. Tuberculosis C. Hepatitis B D. Lyme disease None 37. NCMA: Clinical Medical Procedures In preparing a patient for a Holter monitor test, how many electrodes are typically placed on the body? A. 5 B. 12 C. 7 D. 3 None 38. NCMA: Clinical Medical Procedures What is the recommended site for an IM injection in infants younger than 12 months? A. Deltoid muscle B. Vastus lateralis muscle C. Dorsogluteal muscle D. Ventrogluteal muscle None 39. NCMA: Clinical Medical Procedures What is a critical step when using an AED (Automated External Defibrillator) on a patient? A. Applying petroleum jelly to the chest area B. Ensuring the chest is dry before attaching pads C. Placing both pads on the left side of the chest D. Performing deep chest compressions before AED analysis None 40. NCMA: Clinical Medical Procedures Which of the following is NOT a recommended step in the care of a patient with a suspected concussion? A. Immediate imaging studies for all patients B. Monitoring for neurological changes C. Advising rest and gradual return to activities D. Assessing symptoms like headache, confusion, or dizziness None 41. NCMA: Clinical Medical Procedures When performing a suture, what is the ideal distance between the wound edge and the suture placement? A. 1-2 mm B. 2-4 mm C. 4-6 mm D. 6-8 mm None 42. NCMA: Clinical Medical Procedures What is the primary purpose of using a spacer with a metered-dose inhaler (MDI)? A. To increase the speed of medication delivery B. To decrease the amount of medication used C. To reduce the risk of oral fungal infections D. To enhance the delivery of medication to the lungs None 43. NCMA: Clinical Medical Procedures In a patient with diabetes, what is the significance of testing for microalbuminuria? A. It indicates effective glucose control. B. It is a test for kidney function. C. It confirms the diagnosis of type 1 diabetes. D. It measures the patient's insulin resistance. None 44. NCMA: Clinical Medical Procedures When is the Z-track method particularly recommended for intramuscular injections? A. When administering medications that are highly viscous B. To minimize tissue irritation by sealing the medication in the muscle C. When the patient has a low pain threshold D. For patients with significant muscle wasting None 45. NCMA: Clinical Medical Procedures What is the correct approach to managing a patient with a nosebleed (epistaxis)? A. Tilt the head backward and pinch the nostrils together B. Have the patient blow their nose vigorously to clear blood clots C. Lean the patient forward and pinch the soft part of the nose D. Apply a cold pack to the forehead and cheeks None 46. NCMA: Clinical Medical Procedures When assessing a patient for potential deep vein thrombosis (DVT), which physical test is commonly used? A. Trendelenburg test B. Homan's sign C. Tinel's sign D. Phalen's test None 47. NCMA: Clinical Medical Procedures What is the recommended angle of insertion for a needle during a venous blood gas (VBG) collection? A. 15 degrees B. 30 degrees C. 45 degrees D. 60 degrees None 48. NCMA: Clinical Medical Procedures What is the primary rationale behind the "two-step" method of blood pressure measurement? A. To confirm the accuracy of the systolic reading B. To provide a more comfortable experience for the patient C. To identify the presence of an auscultatory gap D. To reduce the time required for multiple measurements None 49. NCMA: Clinical Medical Procedures During a slit lamp examination, what ocular structure is primarily assessed? A. Retina B. Cornea C. Optic nerve D. Vitreous humor None 50. NCMA: Clinical Medical Procedures What is the maximum recommended duration for the application of a cryotherapy treatment in one area? A. 5 minutes B. 10 minutes C. 15 minutes D. 20 minutes None 51. NCMA: Clinical Medical Procedures In spirometry testing, what does the FVC parameter measure? A. The force required to exhale B. The volume of air exhaled in the first second C. The total volume of air exhaled forcefully after a deep inhalation D. The volume of air remaining in the lungs after a forced exhalation None 52. NCMA: Clinical Medical Procedures What is the primary concern when administering an intramuscular injection at the dorsogluteal site? A. Increased risk of hitting a major blood vessel B. Potential for nerve damage C. Lower absorption rate of the medication D. Discomfort due to muscle density None 53. NCMA: Clinical Medical Procedures When is the use of a contrast medium indicated in imaging studies? A. To decrease the visibility of internal structures B. To enhance the differentiation between tissues in MRI scans C. For all standard X-ray examinations D. To speed up the imaging process None 54. NCMA: Clinical Medical Procedures For which purpose is the Modified Allen Test performed before arterial blood gas (ABG) sampling? A. To assess the coagulation time B. To ensure adequate collateral circulation C. To determine the pH level of blood D. To identify venous obstructions None 55. NCMA: Clinical Medical Procedures What is the significance of observing a "window period" in infectious disease testing? A. It is the optimal time for administering vaccines. B. It refers to the period when symptoms are most severe. C. It is the interval between exposure to the infection and the appearance of detectable antibodies. D. It indicates the time when treatment is most effective. None 56. NCMA: Clinical Medical Procedures What is the primary reason for performing a knee-chest position during a physical examination? A. To facilitate the examination of the knee joints B. To reduce abdominal pressure for hernia assessment C. To improve access and visualization of the rectal area D. To assess the flexibility of the lumbar spine None 57. NCMA: Clinical Medical Procedures In a stress test, what ECG change is most concerning for ischemia? A. Prolonged QT interval B. ST-segment elevation C. Tall T waves D. Shortened PR interval None 58. NCMA: Clinical Medical Procedures When conducting a visual acuity test, what does a 20/40 result indicate? A. The patient can see at 20 feet what a person with normal vision can see at 40 feet. B. The patient can see at 40 feet what a person with normal vision can see at 20 feet. C. The patient has twice the visual acuity of a person with normal vision. D. The patient's vision is half as good as that of a person with normal vision. None 59. NCMA: Clinical Medical Procedures What is the primary goal of high-frequency chest wall oscillation (HFCWO) therapy? A. To improve cardiac output B. To increase lung capacity C. To facilitate mucus clearance from the airways D. To strengthen respiratory muscles None 60. NCMA: Clinical Medical Procedures In ultrasonography, what does the term "anechoic" refer to? A. Structures that reflect high levels of sound waves B. Structures that appear bright white due to dense tissue C. Areas without internal echoes, appearing black on the image D. The highest point of wave amplitude None 61. NCMA: Clinical Medical Procedures In electrocardiography, what does a prolonged PR interval suggest? A. Atrial fibrillation B. First-degree heart block C. Ventricular tachycardia D. ST-segment elevation None 62. NCMA: Clinical Medical Procedures What is the significance of measuring ankle-brachial index (ABI) in both supine and standing positions? A. To assess the flexibility of lower limb arteries B. To evaluate the severity of peripheral artery disease 'PAD' C. To determine the impact of gravity on blood flow D. To identify exercise-induced arterial endofibrosis None 63. NCMA: Clinical Medical Procedures During a hearing test, what does the presence of air-bone gap indicate? A. Sensorineural hearing loss B. Conductive hearing loss C. Mixed hearing loss D. Central auditory processing disorder None 64. NCMA: Clinical Medical Procedures What is the main risk associated with the improper administration of intravenous immunoglobulin (IVIG)? A. Hyperglycemia B. Anaphylaxis C. Renal failure D. Thrombosis None 65. NCMA: Clinical Medical Procedures In patients with asthma, what is the purpose of measuring peak expiratory flow rate (PEFR)? A. To determine the level of airway obstruction B. To measure the capacity of the lungs to hold air C. To assess the effectiveness of inhaled corticosteroids D. To calculate the oxygen saturation in the blood None 66. NCMA: Clinical Medical Procedures What is the correct procedure for the disinfection of a tonometer tip used in measuring intraocular pressure? A. Wiping with an alcohol swab B. Rinsing with sterile water C. Immersion in a 10% bleach solution D. Cleaning with hydrogen peroxide wipes None 67. NCMA: Clinical Medical Procedures When using a defibrillator, what does the term "synchronized cardioversion" refer to? A. Delivering a shock at any point during the cardiac cycle B. Timing the shock to coincide with the QRS complex C. Adjusting the shock intensity based on patient weight D. Administering continuous low-level electrical impulses None 68. NCMA: Clinical Medical Procedures In electroencephalography (EEG), what does generalized spike-and-wave activity typically indicate? A. Sleep disorders B. Focal seizure activity C. Generalized epilepsy D. Brain tumor None 69. NCMA: Clinical Medical Procedures What is the primary goal of the rapid plasma reagin (RPR) test? A. To screen for diabetes mellitus B. To diagnose viral hepatitis C. To detect syphilis D. To evaluate kidney function None 70. NCMA: Clinical Medical Procedures When assessing a patient with suspected peripheral neuropathy, which test evaluates the sense of vibration? A. Romberg test B. Pinprick test C. Tuning fork test D. Two-point discrimination test None 1 out of 70 Time is Up! Time's up
