Which of the following should a medical assistant recognize as an indication to prematurely terminate a patient's exercise stress test?
Sweating
Bradycardia
Palpitations
Thirst
The Correct Answer is B
A. Sweating: Sweating is a normal physiological response to exercise and is not an indication to terminate the test.
B. Bradycardia: Bradycardia (abnormally slow heart rate) during an exercise stress test can indicate a serious problem and may require premature termination of the test.
C. Palpitations: Palpitations can occur during exercise, but they are not necessarily a reason to terminate the test unless accompanied by other symptoms or abnormalities.
D. Thirst: Thirst is not a contraindication for continuing an exercise stress test.
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Correct Answer is A
Explanation
A. Tape measure: A tape measure is necessary to measure the head circumference of infants, which is a routine part of a well-child visit to monitor growth and development.
B. Glucometer: A glucometer is used to measure blood glucose levels and is not routinely required for a well-child visit unless the child has a specific condition like diabetes.
C. Tuning fork: A tuning fork is used to assess hearing, typically in older children or adults, and is not routinely required for a well-child visit for a 1-year-old.
D. Bulb syringe: A bulb syringe may be used for suctioning an infant's nose or mouth, but it is not a standard tool needed for a well-child visit unless there is a specific need.
Correct Answer is C
Explanation
A. Colonoscopy: A colonoscopy is an invasive procedure that requires written informed consent due to the associated risks and the need for detailed patient understanding.
B. Dilation and curettage: Dilation and curettage (D&C) is an invasive procedure requiring written informed consent, including an explanation of risks, benefits, and alternatives.
C. Venipuncture: For venipuncture, verbal consent is generally sufficient, as it is a minor procedure with minimal risk.
D. Cardiac stress test: A cardiac stress test, while less invasive, typically requires written informed consent due to potential risks and the need for patient understanding.