NAHP NRCMA Exam (page: 3)
NAHP Nationally Registered Certified Medical Assistant
Updated on: 12-Feb-2026

Viewing Page 3 of 27

Incision into the chest wall is referred to as:

  1. thoracotomy
  2. thoracic
  3. thorax
  4. thoracostomy

Answer(s): A

Explanation:

A thoracotomy is a surgical procedure involving an incision into the chest wall to gain access to the thoracic organs, particularly the lungs and heart. This procedure is performed for various diagnostic and therapeutic reasons, including lung biopsy, tumor removal, or treatment of thoracic injuries. The other terms refer to related but different concepts:
Thoracic: Pertaining to the chest.
Thorax: The part of the body between the neck and the abdomen, encasing the chest. Thoracostomy: The creation of an opening into the chest cavity, often for the insertion of a chest tube.


Reference:

"Thoracotomy." Mayo Clinic, https://www.mayoclinic.org/tests-procedures/thoracotomy/about/pac- 20385034



When applying a cast, the plaster

  1. is applied directly over the skin
  2. is applied over a stockinette
  3. may be applied over an open wound
  4. may be applied before the swelling has gone down

Answer(s): B

Explanation:

When applying a cast, plaster is applied over a stockinette and padding to protect the skin and provide comfort. The stockinette is a soft, stretchable fabric sleeve that prevents direct contact between the plaster and the skin. The padding, often made of cotton or synthetic materials, cushions the area and absorbs any moisture. The other options are incorrect and can lead to complications such as skin irritation or pressure sores.


Reference:

"Cast Care Instructions." American Academy of Orthopaedic Surgeons, https://orthoinfo.aaos.org/en/recovery/caring-for-casts-and-splints



The suffix which means plastic repair is:

  1. orrhaphy
  2. ocentesis
  3. Coplasty
  4. opexy

Answer(s): C

Explanation:

The suffix -oplasty refers to the surgical repair or reconstruction of a part of the body. This term is commonly used in procedures such as rhinoplasty (surgical repair of the nose) and angioplasty (surgical repair of blood vessels). The other suffixes have different meanings:

-orrhaphy: Refers to surgical suturing.
-ocentesis: Refers to surgical puncture to remove fluid.
-opexy: Refers to surgical fixation or attachment.


Reference:

"Medical Terminology." Merck Manual, https://www.merckmanuals.com/home



Gram staining is done to determine

  1. whether a bacteria is gram
  2. cervical cancer positive or gram negative
  3. the species of the organism
  4. all of the above present

Answer(s): A

Explanation:

Gram staining is a laboratory technique used to classify bacteria based on the characteristics of their cell walls. This method differentiates bacteria into gram-positive (which retain the crystal violet stain and appear purple) and gram-negative (which do not retain the violet stain and appear red after counterstaining). This classification helps in guiding the appropriate antibiotic treatment and understanding the bacterial structure. It does not determine the species of the organism directly, nor is it used to diagnose cervical cancer.



A congenital anemia occurring primarily among Black or African Americans which an average of one in ten carry the abnormal gene, is called:

  1. ischemia
  2. angina
  3. sickle cell
  4. trisomy 21

Answer(s): C

Explanation:

Sickle cell anemia is a congenital form of anemia that predominantly affects Black or African American individuals. It is an inherited condition caused by a mutation in the HBB gene, which encodes the beta-globin subunit of hemoglobin. This mutation results in the production of abnormal hemoglobin known as hemoglobin S (HbS). Under low oxygen conditions, HbS causes red blood cells to become rigid and sickle-shaped, leading to various complications including pain, infections, and anemia. Approximately one in ten African Americans carry the gene for sickle cell trait, making it one of the most common genetic disorders in this population.



If poor records are kept and a physician fails to report all of his incc or deductions correctly to the IRS.
he is open to a charge of:

  1. negligence
  2. fraud
  3. dishonesty
  4. suspicion

Answer(s): B

Explanation:

If a physician fails to report all of his income or deductions correctly to the IRS and keeps poor records, he can be charged with fraud. Fraud involves deliberately providing false information to deceive or mislead for financial gain. In the context of tax reporting, this means intentionally failing to report income or claiming deductions that are not legitimate, which can lead to significant legal consequences including fines and imprisonment.


Reference:

Internal Revenue Service (IRS). (n.d.). Tax Fraud Alerts. U.S. Department of Justice. (n.d.). Criminal Tax Fraud.



The suffix which means discharge or flow Is:

  1. ostomy
  2. orrhexis
  3. orrhea
  4. olysis

Answer(s): C

Explanation:

The suffix -orrhea means discharge or flow. It is used in medical terminology to describe an abnormal flow or discharge from a body part or organ. Examples include diarrhea (flow of loose or watery stools) and rhinorrhea (nasal discharge).


Reference:

Mosby's Medical Dictionary (10th ed.). (2017). Elsevier. Stedman's Medical Dictionary (28th ed.). (2006). Lippincott Williams & Wilkins.



A patient's financial account Is referred to as:

  1. charge slip
  2. Bimonthly statement
  3. income slip
  4. ledger or ledger card

Answer(s): D

Explanation:

A patient's financial account is referred to as a ledger or ledger card. This document records all financial transactions related to a patient's care, including charges, payments, and adjustments. It serves as an essential tool for managing and tracking patient billing and ensuring accurate financial records.


Reference:

Kinn's The Administrative Medical Assistant (13th ed.). (2016). Elsevier. Medical Assisting: Administrative and Clinical Procedures (8th ed.). (2016). McGraw-Hill Education.



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