Question

1. Dixon is a 43-year-old man with a family history of colon cancer. The physician has suggested that he perform a fecal occult blood test. However, when you discuss it with him he tells you that he is not interested because “there is nothing that can be done about colon cancer anyway.” He is referring to the fact that his father and his brother died of the disease. What should you say to him?

2. Jeffrey is a 15-year-old boy who has been coming to your office for 5 years. At his yearly physical, you tell him that it is important that he perform a monthly testicular self-examination. When you attempt to explain to him how to perform the examination, he becomes embarrassed and does not appear to be listening to your instructions. What should you do?

3. The physician in your medical office suspects that Chang might have a peptic ulcer, and he orders an upper GI series. You are telling Chang how to prepare for this test when he tells you that he does not want to receive it because he fears the radiation that is used in this test. What should you say to convince him to follow the doctor’s orders?

4. Lee has been suffering from severe headaches, and the physician orders an MRI to help in the diagnosis. She confesses to you that she is slightly claustrophobic and does not think that she can go through with the test. What should you tell her?

5. The physician has asked that Wilma, a 55‑year‑old woman with type 2 diabetes, be checked for microalbuminuria. You instruct her to collect the first urine of the morning and tell her she can bring it to your office or take it to a lab of her choice. Wilma chooses to take it to the lab at her local hospital. Later in the week, she calls you to report her dismay that the hospital will not give her the test results. What should you tell Wilma?

6. Robertson is a 35‑year‑old male with a family history of kidney stones. Because Robertson reports that he has been experiencing pain in his back and intense pain spasms in his groin, the physician wants to test him for stones. The physician informs Robertson that he needs to collect his urine over a 24‑hour period. This instruction puzzles and annoys Robertson, and he wants to know why it is necessary. How do you explain the 24‑hour urine specimen to Robertson?

7. Jennifer thinks she is pregnant and wants to be tested. You inform her that she will need to provide a first‑voided morning specimen. Why is this method used in urine pregnancy testing, and what should the medical assistant explain to her about the test?

8. Edward is at your office for treatment of his allergies; you remind him that you will perform lipid and other tests at his annual physical next month and that he will need to fast after midnight. He wants to know why this is necessary. What should you tell him?

Answer 1

. . Discon, 43 yr old has ci colori 'can we family history. Fecal occult Blood test-isa surcening test for Prowing any abnormal groueth, polyp formation on any leson in the colon.' It is a screening test, the test can't be Tool basitue but the test has to boon- done every 2 years for reducing the chances of dying from coton cancer. So here the health care provider should tell Dixon about all the information about FOBT and encourage him to have ci effecture treatment Jebbevey, f5 year old boy is instrueted for doing a monthly testicular examination. Testicular Self mamination is a examination, that a toy can do it by himself after a bath in al standing parehon för detecting any lumbos, Swelling in the teshiles on scrotum. It should be done by all boys after brebely. So, these above menmalién should be told to jeffrey and it will bosibly encourage him Jen doing the examination. Chang is en donmed for having a ubber gi series test. Pere detecting. Beptie uiteet. vai testa includes Xray maging of Stomach, eso Bhagres and duodeniem with a incestion of contraó't liquid. Here, chang should be to fermed that the radiation period for this test will be very short and it doesn't harm him by anyway 3.

that means thuys hobia which can be any abnormalely Lee should be formed which will help T Iel-.- 4. Lee is having daustruphobia that fear of staying in a closed spol MRI is a maging test which co Jone fin detected any abnorom in the brow Lee should be the Following formats which w her to men om de hue fear :- Both for MRI, Fully ventilated, oben Bo ends cover Shouía de farowded . The room wil hot be darf. & The Batient has to stay in the re Per a very short period of time. for MRI, debending on the body fart- being imaged! 5. colma is instructed for conecling Jurist were in the menning for testing micro albumemuria here: wilma takes the sample to the lab.. So, she should go there fors... checking the results of her test, 6. 24 hours' wine sbecacion Collec Heere na is done for a, evaluation is freaney Stonegz me asires the con Famount of wine productions е a day , Phe'en oh me .am oker Stone: go wine Poe and other

Substances such as Sodium, calcium etc. These information Robertson should know. 7 Jennifer needs to provide a fost colded menning specimen for the confirmation of pregnancy as beacause the wine will be tested for the presence of Human chomenec gonadotre bon CHCR). Lipid and other Blood test should be done in the morning at empty stomach and 12 ho gap is needed after last meal. So, Edward should maintain all the criteria fero obtaining a perfect Blood test results