Which of the following procedures should a medical assistant identify as a surgical reconstruction?
A Thoracentesis
Rhinoplasty
Appendectomy
Colotomy
The Correct Answer is B
A. Thoracentesis: Thoracentesis is a procedure to remove fluid from the space between the lungs and the chest wall; it is not a reconstruction.
B. Rhinoplasty: Rhinoplasty is a surgical reconstruction of the nose, often performed for cosmetic or functional reasons.
C. Appendectomy: Appendectomy is the surgical removal of the appendix, not a reconstructive surgery.
D. Colotomy: Colotomy is the surgical incision into the colon, not a reconstructive procedure.
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Correct Answer is B
Explanation
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.
Correct Answer is B
Explanation
A. Perform orthostatic blood pressure. Orthostatic blood pressure measurements are used to assess changes in blood pressure when a patient moves from lying down to standing, not in response to emotional upset.
B. Recheck the blood pressure after a few minutes. This is the correct action, as the initial elevated reading could be due to the patient's emotional state. Waiting a few minutes and rechecking can provide a more accurate reading.
C. Measure blood pressure at the wrist. Wrist blood pressure readings are less accurate than those taken at the upper arm and are not recommended in this scenario.
D. Use the palpatory method for blood pressure. The palpatory method is used when auscultation is difficult, but it does not address the issue of an elevated reading due to emotional upset.