Name: 
 

AMA Midterm Study Guide



Multiple Choice
Identify the letter of the choice that best completes the statement or answers the question.
 

 1. 

How did the studies of the ancient Greek physicians influence the progress of medicine during the period of history known as the “Dark Ages”?
a.
encouraged the founding of research centers and scientific experiments
b.
discouraged further study because they were considered to be the final authority
c.
encouraged the founding of hospitals and humane treatment of patients
d.
had no real effect because the early Christians ignored their writings
 

 2. 

Which of the following organizations provided the world’s best medical training at the end of the 1800s?
a.
Royal Society of London
c.
Carnegie Foundation
b.
General Medical Council of Britain
d.
Johns Hopkins University
 

 3. 

What was Abraham Flexner’s contribution to medical education in North America?
a.
the founding of a statutory body that set standards for physicians
b.
the establishment of admission standards for medical students
c.
the transformation of the curriculum and methods for teaching medicine
d.
the preparation and publication of a review that rated the quality of medical schools
 

 4. 

Which scientist first described the manner in which the heart functions as a pump that continually circulates the blood?
a.
Edward Jenner
c.
John Hunter
b.
William Harvey
d.
Andreas Vesalius
 

 5. 

Smallpox, among other diseases, used to be “pandemic.” This means that it:
a.
was caught by most of the people who lived in a given geographic area
b.
was nearly always fatal for anyone who caught it
c.
was common on farms where people worked closely with animals
d.
was caused by unsanitary conditions and contaminated water
 

 6. 

What contribution was made by Ignaz Philipp Semmelweis that was drastically reduced deaths that commonly took place in hospitals?
a.
promoted the use of vaccinations in Hungary
b.
insisted on the disinfection of physician’s hands before assisting with childbirth
c.
encouraged better educational methods for hospital personnel
d.
discovered that heat killed disease-causing microorganisms in contaminated water
 

 7. 

The term “chemotherapy” refers to which of the following medical procedures?
a.
treatment of diseases through the use of x-rays
b.
diagnosis of diseases that are caused by chemical agents entering the body
c.
treatment of diseases by chemical means
d.
alleviation of pain through the use of anesthetic agents
 

 8. 

Which two scientists developed a vaccine that brought polio under control?
a.
Helen Tausig and Alfred Blalock
b.
Albert Sabin and Jonas Salk
c.
Alexander Fleming and Howard Florey
d.
Walter Reed and Sir Frederick Grant Banting
 

 9. 

Which procedure was first performed by Dr. Christiaan Barnard?
a.
operation to save babies born with malformed hearts
b.
heart transplant from one human to another
c.
catheterization for diagnosing heart disease
d.
injection of penicillin to cure infectious diseases
 

 10. 

Which healthcare professional is trained to practice medicine under the supervision of a physician?
a.
medical technologist
c.
medical assistant
b.
paramedic
d.
physician assistant
 

 11. 

Which allied health professional works with a physician who specializes in the care of the eye?
a.
surgical technologists
c.
cytotechnologist
b.
ophthalmic medical technician
d.
audiologist
 

 12. 

The principal purpose of managed care is to provide patients with:
a.
access to needed specialists
b.
proper care at the least possible cost
c.
a supervising physician who understands their health needs
d.
adequate preventive healthcare
 

 13. 

Who sets the cost of medical services in “fee-for-service arrangements”?
a.
local medical societies
c.
insurance companies
b.
federal government
d.
physicians
 

 14. 

The medical specialty that deals with the causes and effects of diseases is called:
a.
internal medicine
c.
immunology
b.
preventive medicine
d.
pathology
 

 15. 

The allied health specialist who performs ultrasound diagnostic procedures under the supervision of a physician is called a:
a.
cytotechnologist
c.
electrodiagnostic technologist
b.
diagnostic medical sonographer
d.
perfusionist
 

 16. 

What type of registered nurse has advanced training to diagnose and treat common illnesses?
a.
anesthetist
c.
dietician
b.
practitioner
d.
practical
 

 17. 

The agency that inspects for safe workplaces is the:
a.
CDC
c.
DHHS
b.
OSHA
 

 18. 

A method of prioritizing patients so that the most urgent receive care first is called:
a.
case management
c.
triage
b.
accreditation
 

 19. 

Which of the following statements is true regarding the revisions made to the AMA Code of Ethics in 1980?
a.
The number of sections was increased to include the growing number of ethical concerns.
b.
The preamble was eliminated to allow more space for expansion of the sections.
c.
The standards were modified to reflect a legal rather than a moral approach to medicine.
d.
Changes to the language were made to achieve a balance between modern laws and our society’s professional standards.
 

 20. 

Which statement best describes the practice known as “fee splitting”?
a.
It is the unethical practice of basing the physician’s fee on the success of the treatment.
b.
It is the unethical practice in which physicians are paid for referring patients.
c.
It refers to the lowering of the physician’s fee as a way to help poor patients.
d.
It is an appropriate method of allowing two physicians to work together in treating a patient.
 

 21. 

What is the greatest ethical problem created by the use of computers and patient databases in the modern medical office?
a.
Important patient information can be lost because of lack of knowledge in the use of the computer.
b.
Unauthorized persons may gain access to confidential medical records.
c.
Many patients believe that computers represent an impersonal way of conducting business.
d.
It has increased the cost of providing medical care.
 

 22. 

What is the most serious action that can be taken against a physician who is found to be practicing under the influence of narcotic drugs?
a.
expulsion from the local medical society
b.
suspension of his medical license
c.
accusation of unethical conduct
d.
revoking of his medical license
 

 23. 

Which statement best describes the difference between criminal and civil law?
a.
Criminal governs crimes against society as a whole; civil governs crimes against individuals.
b.
Criminal governs very serious and violent crimes; civil governs less serious crimes.
c.
Criminal regulates professional behavior that might harm clients; civil regulates behavior in nonprofessional situations.
d.
Criminal regulates individual actions; civil regulates group actions.
 

 24. 

An emancipated minor is a person under legal age who:
a.
has had a child
c.
works full time
b.
is in college
d.
lives independently of her parents
 

 25. 

Which of the following is NOT one of the “four Ds” of negligence included in a report by the AMA Committee on Medicolegal Problems?
a.
damages
c.
derelict
b.
deceit
d.
duty
 

 26. 

Experience has shown which of the following to be the major influence on whether a patient sues his physician for malpractice?
a.
the personal relationship developed between the physician and patient
b.
the reputation of the physician in the community
c.
the professional expertise of the physician
d.
the patient’s medical insurance company
 

 27. 

The formal product of a legislative body; a decision or determination of a sovereign, a legislative council, or a court of justice is called:
a.
ordinance
c.
law
b.
act
d.
code
 

 28. 

A minor crime, as opposed to a felony, punishable by fine or imprisonment in a city or county jail rather than in a penitentiary is called a:
a.
felony
c.
larceny
b.
misdemeanor
d.
statute
 

 29. 

A officer of the U.S. courts who serves as a messenger to the judge is called a:
a.
marshal
c.
bailiff
b.
deputy
d.
reporter
 

 30. 

Which of the following is an output device?
a.
printer
c.
monitor
b.
scanner
d.
keyboard
 

 31. 

Formatting a disk:
a.
makes it usable
b.
organizes disks into tracks and sectors
c.
both a and b
d.
none of the above
 

 32. 

Storage devices include all of the following EXCEPT:
a.
hard disk drive
c.
CD-ROM drive
b.
modem
d.
Zip drive
 

 33. 

All of the following are advantages to using laser printers EXCEPT:
a.
cost
c.
quality of printing
b.
speed
d.
efficiency
 

 34. 

Which of the following is internal memory that cannot be overwritten and is not erased when the computer is turned off?
a.
RAM
c.
CPU
b.
ROM
d.
hard disk
 

 35. 

An application program is software that is designed to:
a.
perform a variety of tasks such as word processing, database functions, and patient billing
b.
provide the computer with a set of basic instructions for executing other programs
c.
interpret the program instructions
d.
all of the above
 

 36. 

Which of the following are advantages of a computerized office database?
a.
All information about providers, patients, insurance carriers, diagnosis and procedure codes, charges, and payments is together and easily accessible.
b.
It can be used by more than one person at the same time if networked.
c.
It has the ability to link related pieces of information to process insurance claims.
d.
All of the above.
 

 37. 

A dialog box in Windows is:
a.
a box used to turn options on and off
b.
a window that appears requesting more information from the user
c.
a standard value used by the software
d.
a location on screen in which files are stored
 

 38. 

A series of computers that are linked together allowing them to share information is a(n):
a.
database
c.
network
b.
clearinghouse
d.
Internet
 

 39. 

A computer’s communication tool that is used to send and receive text messages and documents is called:
a.
cellular phone
c.
pager
b.
voice mail
d.
electronic mail
 

 40. 

Which of the following is used to make sure that all office computer programs and data are secure in case of a mishap, fire, or natural disaster?
a.
RAM
c.
write-protection
b.
microprocessor
d.
backup policy
 

 41. 

Which of the following is not a part of the hardware of a computer system?
a.
disk drive
c.
hard copy
b.
monitor
d.
printer
 

 42. 

Clockspeed is expressed as:
a.
baud
c.
megabytes
b.
bytes
d.
megahertz
 

 43. 

Which of the following is not a type of printer?
a.
monochrome
c.
laser
b.
dot matrix
d.
ink jet
 

 44. 

Which of the following is a photographic file?
a.
doc
c.
rtf
b.
txt
d.
jpeg
 

 45. 

Which of the following is the largest?
a.
wan
c.
can
b.
lan
d.
han
 

 46. 

Which of the following domains is used by universities?
a.
.com
c.
.org
b.
.gov
d.
.edu
 

 47. 

Which printer would be the best selection if you plan to prepare multicolored newsletters with computer-generated graphics and illustrations?
a.
dot matrix
c.
color laser
b.
ink jet
d.
letter quality
 

 48. 

Which printer uses replaceable cartridges which must be factored in when planning the long-range cost of the machine?
a.
dot matrix
c.
laser
b.
ink jet
d.
letter quality
 

 49. 

The most common use for diskettes today is for:
a.
storing information
b.
giving instructions to your computer while you are using it
c.
substituting for the Zip drive
d.
formatting your computer
 

 50. 

Which of the following is an example of computer software?
a.
e-mail
c.
floppy diskette
b.
internal memory
d.
Word 2000
 

 51. 

For which task might a database management software program be used in the medical office?
a.
preparing letters and reports
b.
tracking accounts payable
c.
preparing invoices for insurance billing
d.
organizing and storing patient information
 

 52. 

What special type of hardware would you need in order to file your insurance claims electronically?
a.
network system
c.
scanner
b.
modem
d.
magnetic tape drive
 

 53. 

A telephone call that is operator assisted and includes several doctors at separate offices is a:
a.
conference call
c.
international call
b.
message-unit call
d.
referenced call
 

 54. 

If you are in the habit of preplanning phone calls, this means that you always:
a.
practice ahead of time what you are going to say in the call
b.
prepare a detailed list of what you are going to discuss
c.
have any needed files or reference materials in front of you
d.
make a master list in the morning of calls that needed to be made during the day
 

 55. 

Which of the following types of communication tools can be used to record verbal messages?
a.
voice mail
c.
e-mail
b.
fax
d.
call waiting
 

 56. 

Which of the following types of communication tools can be used for two-way communication?
a.
voice mail
c.
beeper
b.
fax
d.
cell phone
 

 57. 

Which of the following types of calls should be limited in the professional setting?
a.
local
c.
toll-free
b.
long distance
d.
personal
 

 58. 

Inflection is:
a.
the choice of words
c.
the quality of being clear
b.
the highness or lowness of sound
d.
a change in pitch
 

 59. 

Pitch is:
a.
the choice of words
c.
the quality of being clear
b.
the highness or lowness of sound
d.
a change in pitch
 

 60. 

Enunciation is:
a.
the choice of words
c.
to articulate clear sounds
b.
the highness or lowness of sound
d.
a change in pitch
 

 61. 

The mouthpiece of the telephone handset should be held:
a.
below the chin
c.
one inch from the chin
b.
three fingers from the lips
d.
one inch from the lips
 

 62. 

The medical assistant is extremely careful when using a speakerphone because:
a.
the service is expensive
c.
it can be traced
b.
it is distracting
d.
confidentiality can be violated
 

 63. 

Why is it unsatisfactory to answer the office phone by only saying “Hello?”
a.
The caller may think they have the wrong number.
b.
It saves time.
c.
It makes the caller feel rushed.
d.
It is OK if you’re in a hurry.
 

 64. 

If your office is in California and it is noon, what time is it on the East Coast?
a.
8:00 AM
c.
3:00 PM
b.
9:00 AM
d.
4:00 PM
 

 65. 

If your office is on the West Coast, what time is the latest time to call the East Coast?
a.
11:00 AM
c.
2:00 PM
b.
1:00 PM
d.
4:00 PM
 

 66. 

A tickler file is an effective organizational tool to help the medical assistant:
a.
mail appointment reminders
c.
learn to schedule efficiently
b.
remember patient’s names
d.
manage office hours effectively
 

 67. 

Which of the following features is not a basic requirement of the office appointment book?
a.
appropriate size
c.
easy to write in
b.
color coding of days
d.
space for notations
 

 68. 

What information would you need in order to properly matrix the appointment book?
a.
days and hours the physician performs hospital rounds
b.
hours the physician wishes to reserve for walk-in patients
c.
patient preferences regarding appointment times
d.
customary times for scheduling routine physical exams
 

 69. 

The way to organize appointment scheduling so that it best supports the success of the practice is to:
a.
schedule as many patients as possible throughout the entire day
b.
allow frequent rest breaks
c.
include a lot of time for the physician’s administrative activities
d.
consider the preferences of the physician
 

 70. 

The principal advantage of using the wave method when designing the scheduling process is that it:
a.
allows flexibility to accommodate the unpredictable
b.
gives priority to established patients
c.
provides more breaks for staff
d.
enables the physician to see more patients each day
 

 71. 

Which is the best approach to efficiently handle the scheduling of patients who are due for an appointment?
a.
send out a reminder that asks the patient to call
b.
call the patient personally
c.
schedule a date and time and notify the patient
d.
it is the patient’s responsibility to remember
 

 72. 

An effective way to deal with patients who are always late for appointments is to:
a.
refuse to schedule them after this happens several times
b.
have them wait until it is convenient for the physician
c.
advise them that they disrupt the office schedule
d.
give them the last appointment of the day
 

 73. 

What is the most important action to take when changing a patient’s appointment time?
a.
finding out and noting why the time must be changed
b.
reminding them of any past due balances
c.
emphasizing the importance of keeping the new appointment
d.
erasing the patient’s name from the original slot
 

 74. 

When informing patients that you must postpone their appointments for at least two weeks, it is good practice to:
a.
give them the name of one or more alternative physicians
b.
explain exactly why the physician cannot see them
c.
offer them priority over patients already scheduled in the future
d.
be extremely apologetic about the inconvenience
 

 75. 

Which is NOT a good way of scheduling?
a.
wave
c.
modified wave
b.
double-booking
d.
categorization or grouping
 

 76. 

A matrix in the schedule:
a.
avoids overcrowding
b.
keeps from booking during meetings and hospital rounds
c.
is only used in large offices
d.
is done at the end of the day
 

 77. 

What is the most important reason for ensuring that there are sufficient quantities of all supplies each day in the medical office?
a.
maintain office reputation for efficiency
b.
prevent inconvenience of staff
c.
avoid interruption of patient flow
d.
operate cost effectively by purchasing in bulk
 

 78. 

Which statement is true regarding the handling of charts for patients who have appointments on a given day?
a.
Pull all files before the first patient arrives and arrange in the order that patients are scheduled.
b.
Pull all files the night before and organize them alphabetically.
c.
Pull the file for each patient as he or she arrives and give to the physician.
d.
Check files for accuracy and completeness while the patient is with the physician.
 

 79. 

Which information item is not included on a Patient Information Sheet that new patients are required to fill out?
a.
Social Security number
c.
name of spouse
b.
name and address of relative
d.
summary of medical history
 

 80. 

Which of the following practices should be followed by all medical offices when assisting new patients with their registration forms?
a.
physically collecting the completed form, rather than having them leave it at the reception desk
b.
interviewing them and having a staff member fill out the form in order to ensure accuracy
c.
leaving it on the counter
d.
only allowing an experienced medical assistant to work with patients in filling out the forms
 

 81. 

What is the best way to decide if patients need special assistance in disrobing or otherwise preparing for an exam or treatment?
a.
ask all patients if you can be of assistance
b.
wait for patients to request help
c.
use special consideration with patients who display a disability
d.
offer help to patients who appear ill or upset
 

 82. 

The use of phonetic writing in the medical office can help you to:
a.
better understand medical abbreviations
b.
pronounce patients’ names correctly
c.
learn the meaning of medical terms
d.
take notes quickly and accurately
 

 83. 

Patients usually base their perceptions of an entire medical facility on:
a.
all their experiences at the facility
b.
their previous healthcare experiences
c.
fears about their health
d.
what they see when entering for the first time
 

 84. 

Which area of the office has the highest potential for accidents and should be checked throughout the day?
a.
examination rooms
c.
floors
b.
storage cabinets
d.
waiting room
 

 85. 

Annotating incoming letters for physicians can help them by:
a.
preventing them from wasting time with “junk” mail sorting
b.
drawing their attention to the most important parts of the letters
c.
researching the information needed to answer the letter
d.
offering suggested responses
 

 86. 

Which of the following would not be an appropriate responsibility of the medical assistant regarding office copiers and printers?
a.
repair machinery that is broken
b.
study the manuals that accompany the machines
c.
learn how to use all equipment properly
d.
be familiar with the service contracts
 

 87. 

Which size letterhead is appropriate for most business correspondence?
a.
5 1/2 ´ 8 1/2 inches
c.
8 1/2 ´ 11 inches
b.
7 1/4 ´ 10 1/2 inches
d.
17 ´ 22 inches
 

 88. 

General and medical dictionaries and spelling guides are:
a.
not necessary if you have a word-processing spell checker
b.
necessary only if you have trouble with spelling
c.
essential tools for every medical office
d.
books to learn from while you are in school
 

 89. 

What is the most serious negative result of misspelling medical terms on patient records and in correspondence?
a.
appearance of professional incompetence
b.
embarrassment for the medical assistant
c.
errors in patient treatment
d.
failure to meet requirements of insurance auditors
 

 90. 

The best style to use when composing business letters in the medical office is:
a.
the one with which you are most comfortable
b.
the one that is preferred by your physician
c.
the one that is most formal
d.
the one that is highly technical and organized
 

 91. 

The principal function of a well-organized portfolio of business letters is to help the medical assistant:
a.
write correctly
c.
use one consistent style
b.
save time
d.
spell accurately
 

 92. 

Which letter style combines efficiency with an attractive page layout?
a.
modified-block
b.
block
c.
simplified
d.
modified-block with indented paragraphs
 

 93. 

Which letter style would be most appropriate to use when writing a business letter to someone you know very well?
a.
modified-block
b.
block
c.
simplified
d.
modified-block with indented paragraphs
 

 94. 

Which of the following is the correct way to write the first line of an inside address in a letter to John Kidwell, a pediatrician?
a.
John Kidwell, Pediatrician
c.
Doctor John Kidwell
b.
Dr. John Kidwell, MD
d.
John Kidwell, MD
 

 95. 

What is the purpose of noting “c: Alice Adams, MD” at the bottom of a letter?
a.
request that the receiver make a copy of the letter for Dr. Adams
b.
instruct the medical assistant to send the same letter to Dr. Adams
c.
advise the receiver that a duplicate letter has been sent to Dr. Adams
d.
tell the receiver that Dr. Adams has more information about the subject of the letter
 

 96. 

Indexing unit #1 is the patient’s:
a.
given name
c.
middle name
b.
last name
d.
maiden name
 

 97. 

Arrange these names in alphabetical order. Select the sequence of the numbers when the names are in alphabetical order.
(1) Morton, Dianne
(2) Marsh, Danielle
(3) McDouglass, Dillard
(4) MacDouglas, David
a.
(1), (2), (3), (4)
c.
(2), (3), (1), (4)
b.
(3), (2), (4), (1)
d.
(4), (2), (3), (1)
 

 98. 

Arrange these names in alphabetical order. Select the sequence of the numbers when the names are in alphabetical order.
(1) Woods-Jones, Stefanie
(2) Ross, Kim
(3) Mitchell, Pat
(4) Jones, Sandra
a.
(1), (2), (3), (4)
c.
(2), (3), (1), (4)
b.
(3), (2), (4), (1)
d.
(4), (3), (2), (1)
 

 99. 

Which type of special postal service would you use for a heavy, expensive piece of medical equipment being returned to the manufacturer for a refund?
a.
registered
c.
certified
b.
first class
d.
special delivery
 

 100. 

Which statement is true regarding the procedures that the medical assistant should perform when handling incoming mail?
a.
Open and sort all mail addressed to the office or the physician.
b.
Check carefully for any enclosures mentioned in letters.
c.
Initial each item.
d.
Organize all correspondence by postmark.
 



 
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