Which of the following instructions should a medical assistant give to a patient who is scheduled for a GTT?
"Avoid alcohol for 48 hours prior to the test."
"Do not eat for 8 hours prior to the test."
"Limit physical exertion for 24 hours prior to the test."
"Eat a high carbohydrate meal 3 hours prior to the test."
The Correct Answer is B
A. "Avoid alcohol for 48 hours prior to the test.": While avoiding alcohol may be generally recommended for some tests, fasting is the primary requirement for a glucose tolerance test (GTT).
B. "Do not eat for 8 hours prior to the test.": A GTT typically requires fasting for 8-12 hours to accurately measure glucose levels.
C. "Limit physical exertion for 24 hours prior to the test.": Physical exertion is not typically a specific concern for a GTT, but fasting is essential.
D. "Eat a high carbohydrate meal 3 hours prior to the test.": A high carbohydrate meal is not required; fasting is necessary before the test.
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Correct Answer is D
Explanation
A. Pinky: The pinky is not typically used for capillary punctures due to its small size and lower blood flow.
B. Thumb: The thumb is not preferred due to its thick skin and reduced blood flow compared to other fingers.
C. Ring: While the ring finger can be used, the index finger is generally preferred due to its larger surface area and better blood flow.
D. Index: The index finger is preferred for capillary punctures in patients older than 1 year due to its size and ease of access.
Correct Answer is C
Explanation
A. 24 hr: Urgent referrals often require quick processing, but it may take longer than 24 hours depending on the insurance company's policies.
B. 3 working days: This time frame is more typical for standard, non-urgent referrals.
C. Immediate approval via phone: Urgent referrals can sometimes be approved immediately via phone, particularly when immediate care is needed. This is the most appropriate choice for an urgent situation.
D. 10 days: Ten days is too long for an urgent referral and is more typical for non-urgent or routine requests.