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 C
Explanation
A. Exposure to a mosquito bite: Hepatitis B is not transmitted through mosquito bites. It is primarily transmitted through contact with infected body fluids, particularly blood.
B. Consumption of raw shellfish: Hepatitis A, not Hepatitis B, can be contracted through the consumption of contaminated food or water, including raw shellfish.
C. Blood splashes to the mucous membranes: Hepatitis B can be transmitted through exposure to infected blood or body fluids, including splashes to mucous membranes (e.g., eyes, mouth).
D. Direct skin contact with a patient who is infected: Hepatitis B is not transmitted through casual skin contact. It requires contact with infected body fluids.
Correct Answer is B
Explanation
A. Implied consent: Implied consent is typically used in emergency situations where verbal or written consent cannot be obtained and is not suitable for elective procedures like a colonoscopy.
B. Informed consent: For a colonoscopy, which is an invasive procedure, informed consent is required. This involves providing the patient with detailed information about the procedure, its risks, benefits, and alternatives.
C. Prior authorization: Prior authorization is related to insurance coverage and is not typically obtained by the medical assistant; it is usually handled by the billing department or insurance coordinator.
D. Immunization records: Immunization records are not required for a colonoscopy; they are more relevant for vaccinations and certain other procedures.