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CMAA PRETEST REVIEW 2015

1. A patient requests a follow-up visit for an unavailable time slot. Which of the following actions is most appropriate for the medical administrative assistant to take?

A. Allow the patient to come to the office and wait for a possible cancellation

B. Schedule an appointment closest to the requested time slot

C. Delay scheduling the patient and have her call back daily to see if the time slot became available

D. Ask the patient to look at the schedule and choose the appointment time from what is available

2. A provider leaves town without leaving a contact number and coverage for patients he is treating. He is at risk for being accused of which of the following?

A. Neglect

B. Abandonment C. Misdemeanor D. Felony

3. Provider should use which of the following when a procedure is excluded from the Medicare fee schedule?

A. CMS-1500 claim form

B. Procedure consent form

C. Advanced Beneficiary Notice D. Medicare Summary Notice

4. Which of the following is the most effective way for a CMAA to reduce the number of no-show appointment?

A. Send a text message 1to 2 days before a scheduled appointment

B. Send a text message 1week before a scheduled appointment

C. Call patients 1to 2 days before a scheduled appointment

D. Call patients 1week before a scheduled appointment

5. A patient presents to the physician's office with flu-like symptoms. Which of the following actions should the medical administrative assistant take first?

A. Ask for the patient's demographic information

B. Move the patient to an isolated location

C. Ask the patient to have a seat in the lobby after signing in

D. Ask the patient for her current signs and symptoms

6. Several patients cancel their appointments for the day. Which of the following is the first action for the medical administrative assistant to take?

A. Call the last patient of the day and see if he can come in earlier

B. Contact patients who are on the waiting list

C. Bill the patients for the missed appointments

D. Document patients as no-shows

7. In which of the following locations should a medical administrative assistant store valued office items, such as checkbooks, prescriptions pads, and access keys?

A. In the receptionist area

B. In an off-site facility

C. In the manager's office

D. In a locked box

8. Which of the following is a financial report that is generated by a practice management system?

A. Audit report

B. Practice analysis

C. Health trend report

D. Procedure day sheet

9. Which of the following is the purpose of a matrix?

A. To create a flexible waiting time for patients

B. To determine appointment cancellations

C. To differentiate between new and established patients

D. To indicate when the provider is unavailable to treat patients

10. When a medical administrative assistant transmits a medical record, which of the following documents is required?

A. Patient referral form

B. Health care proxy form

C. Provider release of records form

D. Release of information Authorization form

11. When a CMAA makes arrangements for a staff member to attend a conference, which of the following is the most important step for keeping the office informed?

A. Evaluate the continuing education units value B. Determine the conference enrollment deadline C. Calculate the expense of the conference

D. Distribute the travel itinerary

12. Which of the following should a referring provider verify when giving referrals?

A. Payor approval

B. Referred provider approval

C. Provider availability

D. Patient availability

13. Which of the following is a medical administrative assistant's function in the audit process?

A. Initiating the audit

B. Maintaining day sheets

C. Making documentation corrections

D. Charging codes on claims

14. Which of the following oversees workplace safety?

A. OSHA B. JCAHO C. CLIA

D. DOL

15. Which of the following actions is a medical administrative assistant required to take when providing PHI to authorized recipients?

A. Maintain a disclosure log

B. File a disclosure in the patient's medical record

C. Obtain a consent form from patients

D. Acknowledge receipt of privacy practices

16. Of the following what is the second step of the accounting process

A. Record Daily transactions

B. Post information from journal

C. Prepare trial balance

D. Review source document

17. Which of the following schedules more than one patient at the same time with the same provider while still allowing tiem within the hour to see all scheduled patients.

A. Double Booking

B. Clustering

C. Open Hours

D. Wave

18. Which of the following should a CMAA give to a patient when scheduling a routine return visit?

A. An encounter form for the next patient visit

B. A copy of the patient's prescriptions

C. A financial responsibility form

D. An appointment reminder

19. The individual record of the amounts owed and paid by each patient is found in which of the following?

A. Combined journal

B. Worksheet

C. Transaction entry window

D. Patient ledger

20.A physician is called out of the office for an emergency while patients are in the waiting room. After informing the patients, which of the following is the most appropriate way for the medical administrative assistant to manage the patients?

A. Try to reschedule the appointments before the patients leave

B. Have the patients wait until the physician returns

C. Tell the patients they cannot be seen today

D. Have the patients call back to reschedule

21. A medical administrative assistant created an invoice for the remaining percentage of an encounter fee after receiving a copayment This portion is considered to be which of the following?

A. Capitation payment

B. Coinsurance

C. Deductible

D. Coordination of benefits (COB)

22. Which of the following actions should a CMAA take if a patient has an existing worker's compensation case?

A. Obtain a carrier case number

B. Provide a statement for any payments collected

C. Contact the patient's health insurance

D. Verify validity of the claim prior to treatment

23. A CMAA should take which of the following actions when auditing payments made through petty cash?

A. Create a petty cash disbursement journal

B. Maintain a pad of vouchers for petty cash disbursement

C. Have two checks available for petty cash expenses for reimbursement

D. Execute general ledger entries of petty cash expenditures

24. Which of the following is an inappropriate use of an office memo?

A. To organize staff for an inservice

B. To notify staff of a workshop

C. To communicate directly with an individual

D. To change a date on the office calendar

25. Which of the following is the priority action for a medical administrative assistant to take when making a financial policy change?

A. Determine payment arrangements

B. Obtain a patient statement for services delivered

C. Notify all patients of the fee schedule policy change

D. Revise the fees

26. Which of the following describes the birthday rule?

A. The parent whose day of birth occurs earlier in the calendar year holds the primary policy for dependent children

B. The parent whose birth month and year occurs earlier holds the primary policy for dependent children

C. The parent whose day of birth occurs later in the calendar year holds the primary policy for dependent children

D. The parent whose birth month and year occurs later holds the primary policy for dependent children

27. When is it appropriate for a medical administrative assistant to use a speaker phone when listening to office voicemail?

A. When the assistant confirms patients have left the office for the day

B. When the assistant is busy interacting with patients entering the office

C. When the assistant receives a call from another office regarding a referred patient

D. When the assistant is asked to take a call while escorting a patient to the examination room

28. In order for a medical office to develop and maintain a current list of community resources related to patient health care needs, the medical administrative assistant must determine which of the following?

A. Record of referral

B. Anticipated patient demographics

C. Current availability of services

D. Current procedural outcomes

29. A patient calls the physician's office and asks for her test results. Which of the following is the appropriate action for the medical administrative assistant to take?

A. After verifying her identity, provide the results over the phone

B. Using the information in her medical record, fax or email the results

C. Take a message and have the provider return the call

D. Set up an appointment with the physician for a medical record consult

30. Which of the following actions is required by a patient when requesting a copy of his medical record?

A. Call the physician's office to verifY his identity

B. Provide a signed HIPAA privacy notice

C. Complete a Record Release Authorization

D. Submit a provider request form

31. Which of the following is required to establish medical necessity on the patient encounter form?

A. Diagnosis code

B. Insurance carrier's identification number

C. NPI number

D. POScode

32. Which of the following is a function of a business associate under HITECH?

A. Supplying medical office equipment B. Providing electricity to the practice C. Cleaning the office after hours

D. Collecting delinquent accounts

33. Which of the following procedures is best for a medical administrative assistant to track unpaid vendor invoices?

A. Place the unpaid invoice in an alphabetized vendor folder

B. Mark the invoice paid and forward to billing

C. Create one file folder and mark as unpaid invoices

D. Scan copies of the invoice into a folder on the computer

34. When a medical administrative assistant communicates information that contains PHI, which of the following means is appropriate?

A. Letter

B. Text message

C. Email

D. Voicemail message

35. Before scheduling a patient for surgery, a medical administrative assistant must verify which of the following?

A. Signed informed consent

B. Patient has read the preoperative education C. Completion of pre surgery laboratory values D. Assignment of benefits

36. Which of the following types of files should a medical administrative assistant maintain in order to remind patients of future appointments or procedures?

A. Chronological

B. Tickler

C. Direct

D. Reserved

37. Which of the following is the correct amount the medical administrative assistant should submit to the secondary insurance company if the encounter balance is $360 and the patient has two plans with an 80/20 split?

|A. |$20 |

|B. |$72 |

|c. |$80 |

|D. |$288 |

38. Who is responsible for obtaining preauthorization for inpatient hospitalizations?

A. The patient

B. The admitting facility

C. The plan administrator

D. The provider performing the procedure

39. During the patient check-out procedure, a medical administrative assistant should take which of the following actions?

A. Verify insurance coverage

B. Clarify and collect the patient's copayment

C. Schedule a follow -up appointment

D. Record and post payment adjustment

40. For medical billing purposes, which of the following is a good practice for

the medical administrative assistant to update information from established patients?

B. Provide the patient with a new information form at each visit

C. Ask the patient to update information every 2 years

C. Monitor patient records eligible for archiving

D. Request verification of current patient information at each visit

41. A $15 unapplied balance remains after applying payments from a remittance advice (RAJ. Which of the following is the medical administrative assistant's first step in reconciling the balance?

A. Check daily transaction

B. Review the detail of the line item application

C. Verify line items in the patient ledger

D. Compare claims to the RA

42. Which of the following should a medical administrative assistant explain to new patients prior to an initial visit?

A. The procedure to cancel an appointment

B. The immunization requirements for the staff

C. The staffs continuing education requirements

D. The legal procedure for a no-show patient

43. Which of the following should a medical administrative assistant complete if a Medicare provider believes a procedure may not be covered by Medicare?

A. Medicare Summary Notice (MSNJ B. Remittance advice (RAJ

C. Advance Beneficiary Notice (ABNJ

D. Explanation of benefits (EOBJ

44. A patient calls and has a question about her prescription dosage as it relates to her condition. Which of the following actions is most appropriate for the medical administrative assistant to take?

A. Direct the call to the triage assistant

B. Route the call to the physician

C. Ask the patient to call her pharmacy

D. Try to answer the patient's question

45. Which of the following is the main purpose of a day sheet?

A. To provide daily practice analysis

B. To track daily cash transactions C. To ensure accurate accounting D. To improve a patient flow

46. An older adult patient presents to the physician's office with his adult daughter to clarify when to take his new medication. Which of the following actions should the medical administrative assistant take?

A. Advise the daughter to administer the medication as written on the prescription label until the physician can be reached

B. Advise the daughter and patient that the physician will speak to them about the prescription

C. Advise the daughter that the prescription can only be discussed with the patient

D. Advise the daughter to contact the patient's pharmacy to clarify the

prescription

47. A provider's office receives a remittance advice showing a denial code.

The medical administrative assistant creates a formal written request for

review of the rejected claim. The assistant should use which of the following formats?

A. Tracer

B. Explanation of benefits (EOB) C. Claim appeal

D. Advance Beneficiary Notice (ABN)

48. In addition to a witness and the adult patient, which of the following individuals must be present for an informed consent signature?

A. Family member

B. Lawyer

C. Office manager

D. Provider

49. Which of the following office procedures is outside the scope of practice for a medical administrative assistant?

A. Signing for a shipment of personal protective equipment (PPE) B. Distributing petty cash for out-of-pocket expenses

C. Signing for a court-ordered subpoena issued for the office

D. Distributing intra-office mail to team members

50. Once a physician signs as advance directive, the medical administrative assistant should have which of the following witness the signature?

A. Attorney

B. Health care employee

C. Non-affiliated individual

D. Family member

51. Which of the following is the best way for a medical administrative assistant to greet an established patient when entering the physician's office for an appointment?

A. "Hello"

B. "Your name, please?"

C. "Good afternoon, Mrs. Johnson"

D. "You must be the 9:30 appointment. Please have a seat and someone will call for you shortly"

52. Which of the following actions should a medical administrative assistant take to reconcile a bank deposit at the end of the day?

A. Make sure the total of checks and cash equal the deposit slip amounts

B. Copy insurance claim amounts onto the front of the deposit slip

C. Cross-reference payment amounts to the accounts payable ledger

D. Ensure credit card slips are attached to the deposit

53. Which of the following allows employees to access information regarding workplace safety?

A. Exposure control

B. Universal precautions

C. Right-to-know law

D. Hazardous Communication Standard

56. Which of the following is a step in the annotation process?

A. Rewriting text

B. Paraphrasing text C. Highlighting text D. Deleting text

57. In order to maintain an accurate record of medical practice payments, medical administrative assistants should enter all payments made by the facility into

A. An accounts payable ledger

B. A disbursement journal

C. A software management program

D. An accounts receivable ledger

58. Which of the following reports is produced using practice management software?

A. Patient by procedure B. Patient health trend C. Patient registry

D. Patient laboratory

59. A provider is running 30 minutes behind schedule because of an early morning emergency. Which of the following actions should the medical administrative assistant take to maintain effective scheduling in the office?

A. Inform waiting patients that an emergency has caused a delay in the schedule and that they can wait or reschedule

B. Call afternoon patients and tell them there was an unexpected delay in the schedule and their appointments will be postponed

C. Cancel afternoon appointments and reschedule for first available openings

D. Tell waiting patients an emergency has caused a delay in the schedule and that their appointments have been rescheduled

60. Which of the following is a data security measure that limits viewing of a patient's records?

A. HIPAA code set standards

B. Transmission Control Protocol/Internet Protocol (TCP/IP C. Secure Session Layer (SSL)

D. Role-based access

61. Which of the following should a medical administrative assistant consult to find the proper method of scheduling an appointment for a particular office?

A. Practice policy manual

B. The Official Guide for Coding and Reporting (OGCR) C. A medical administrative assistant textbook

D. The AMA's Current Procedural Terminology (CPT) manual

62. Which of the following is an OSHA regulation that must be reviewed yearly to ensure compliance?

A. Workplace violence prevention plan

B. Emergency action plan

C. Needlestick and sharp injuries report

D. Bloodborne pathogen standard

63. When a patient requires a diagnostic procedure, which of the following is required?

A. Written order from the provider

B. Referral form

C. Insurance request form

D. Written letter of release from the patient

64. A patient wants to update his medical record to include medication sensitivity information he failed to provide. Which of the following actions should the medical administrative assistant take?

A. Submit the information to the provider to review

B. Make a new entry to update the previous information

C. Give information to clinical personnel to update

D. Ask the patient to sign a new consent form

65. Which of the following must be provided to a patient on a first visit, as required by HIPAA?

A. An authorization form

B. Notice of Privacy Practices

C. A consent form

D. Patient Bill of Rights

66. Which of the following letter styles is most efficient?

A. Block

B. Standard

C. Modified block indented

D. Simplified

67. Which of the following is an example of incidental disclosure?

A. Having a sign-in sheet detailing the reason for each patient's visit at check-in

B. Disclosing a patient's medical diagnosis to a family member who is not involved in the patient's care

C. Providing a grandparent with test results regarding a minor's prior condition

without written authorization

D. Supplying a patient's medical documentation to an insurance company

68. A collected specimen needs to be sent to an outside laboratory. Which of the following is the first action the medical administrative assistant should take?

A. Document the transaction for billing

B. Process the requisition for shipment

C. Prepare the specimen for secure transport

D. Notify the laboratory for pick up

69. When is it appropriate for a CMAA to release test results to a family member?

A. When the family member can give personally identifiable information about the patient

B. When the patient gives verbal consent

C. When the family member is able to provide a release form

D. When the patient provides a signed release of information that identifies the family member

70. When a provider requests a patient to have a diagnostic test at a hospital, which of the following actions should the CMAA take?

A. Collect the coinsurance for the procedure

B. Have the provider call the hospital and give orders for the test

C. Advise the patient to obtain preauthorization

D. Schedule the test with the hospital

71. Fee schedules are based on which of the following?

A. ASA B. CMS

C. RBRVS D. AMA

72. A CMAA should take which of the following actions when documenting a prescription refill?

A. Retrieve the patient's medical record and verify the dosage

B. Date and initial the prescription refill in the patient's medical record

C. Call the patient to ensure the prescription refill was picked up from the pharmacy

D. Determine what other medications the patient is taking for possible

Interactions

73. Before adding medical records to a patient's chart, the CMAA should take which of the following actions?

A. File the records by chronological date

B. Photocopy the records for the provider to review and sign

C. Ensure the provider has initialed reports

D. Note in the report the patient was notified of the results

74. Where should a medical administrative assistant verify third-party benefits?

A. Patient ledger

B. General journal

C. Accounts receivable

D. Daysheet

75. When creating a retention schedule for patient medical records, a medical administrative assistant should consult which of the following?

A. State guideline

B. HIPAA Privacy Rule

C. CEJA

D. Physician's Desk Reference

76. Which of the following is the best financial approach for a CMAA to take to minimize collection accounts?

A. Establish a good patient relationship

B. Continually update the fee schedule

C. Maintain current patient information

D. Manually post journal entries

77. If a provider fails to report patient information regarding child abuse, the provider may be charge with which of the following?

A. Misdemeanor B. Nonfeasance C. Malfeasance D. Negligence

78. Which of the following is the most efficient way for a medical administrative assistant to collect payment for services?

A. Collect patient due amounts at the time of visit

B. Send a monthly statement to the patient

C. Call the patient to establish a payment plan

D. Use an outside collection agency

79. Which of the following types of referrals is used in an emergent situation?

A. Regular B. Urgent C. Stat

D. Self

80. When submitting claims to third-party payers, the medical administrative assistant should retrieve information from which of the following?

A. Daysheet

B. Appointment list C. Encounter form D. Patient ledger

81. A patient calls into the physician's office complaining of chest pain. Which of the following is the most appropriate action for the CMAA to take?

A. Tell the patient to come to the office right away

B. Have the physician talk to the patient immediately

C. Reference the triage book for recommended procedures

D. Advise the patient to call emergency services

82. Which of the following is the most appropriate statement by the medical administrative assistant if a patient is unable to pay her balance?

A. "I apologize, but our office policy requires payment in full. We will have to reschedule your appointment"

B. "We require a payment arrangement before continuing with your care" C. "You'll have to request permission from the provider before continuing

treatment''

D. "We may be able to modify your amount owed, but you'll need to provide verification of your finances"

83. A medical administrative assistant should include which of the following in the compliance plan when training new medical administrative assistants?

A. JCAHO compliance B. HIPAA compliance C. NAHIT compliance D. CLIA compliance

84. Which of the following is the appropriate procedure for a medical administrative assistant when handling a rejected health insurance claim?

A. Downcode the claim to ensure payment

B. Resubmit the claim with new diagnostic and procedure codes

C. Verify coding compliance and resubmit the claim for adjudication

D. Update the claim with an alternate date of service

85. Which of the following documents must a medical administrative assistant provide for a patient to submit for reimbursement?

A. Patient registration form

B. Claims register

C. Remittance advice

D. Encounter form

86. When reviewing laboratory results, a CMAA should take which of the following actions after pulling the patient's chart and flagging abnormal results?

A. Place the results on the clinical medical assistant's desk for review

B. Contact the patient to schedule an appointment

C. Place the results on the provider's desk for review

D. File the patient's chart to review at the next appointment

87. A physician abruptly terminates a physician-patient contract. This can lead to which of the following?

A. Nonpayment of the patient's medical bills

B. Emancipation of the patient

C. Abandonment of the patient

D. Revocation of the physician's medical license

88. Informed consent is required in which of the following situations?

A. When drawing blood

B. When suturing a wound

C. When transferring a patient's medical records

D. When a provider is terminating patient care

89. After opening a report from a patient's previous provider, which of the following is the medical administrative assistant's next step?

A. File the report in the patient's chart

B. Return the report to the provider who supplied it

C. Make a copy of the report to give to the patient

D. Give the report to the patient's current provider for review

90. A new patient leaves the office because the practice does not accept his insurance. Which of the following actions should the medical administrative assistant take to prevent this scenario?

A. Call the patient's insurance carrier to verify his eligibility after he has arrived for the appointment

B. Advise patients to verify coverage with their insurance carrier before coming in for an appointment

C. Verify insurance eligibility prior to scheduling new patients

D. Confirm insurance coverage when submitting a claim

91. Which of the following is an appropriate use of a tickler file?

A. To inform the provider about current updates

B. To remind staff to date-specific tasks

C. To document staff disciplinary actions

D. To train new employees

92. Which of the following terms indicates the improper release of PHI?

A. Libel

B. Felony

C. Breach of contract

D. Breach of confidentiality

93. Which of the following is the primary reason for a CMAA to document no­

shows and cancellations with less than 24 hr. notice?

A. To ensure accurate billing for missed appointments

B. To expedite insurance claims

C. To maintain scheduling integrity

D. To update patient records

94. When scheduling an inpatient admission, which of the following steps must a

CMAA take first?

A. Schedule the admission with the facility

B. Determine the availability of the provider and the patient

C. Obtain the physician's order

D. Precertify the admission with the insurance company

95. Which of the following is the purpose of an encounter form?

A. To save time and improve accuracy in data entry

B. To establish financial responsibility

C. To update the status of a worker's compensation case

D. To verify patient demographics

96. A dentist office increases the cost of a routine teeth cleaning. The CMAA

should take which of the following actions?

A. Update the fee schedule

B. Notify insurance companies to update the allowed amount on their payment schedule

C. Update patient's accounts with new fee schedule

D. Notify referral sources of the change

97. Which of the following actions should a CMAA take when collecting monies owed by a patient?

A. Offer the patient a discount without prejudice

B. Reduce payment for services rendered

C. Bill the patient's cosigner

D. Clarify the patient's financial responsibility policy

98. Which of the following is the best way for a medical administrative assistant to address collection of copayment?

A. "Where should we mail your bill?"

B. "How much would you like to pay today?" C. "How would you like to pay today?"

D. "When can we expect your payment?"

99. Which of the following is correct about continuing education units (CEUs)

A. CEUs keep health professional current with certification renewal requirements

B. CEUs are optional for certified health professionals

C. Medical administrative assistants are required to obtain 20 CEUs annually

D. Medical administrative assistants are required to obtain 50% of their CEUs

through classroom training

100.Which of the following is an OSHA regulation the must be reviewed annually to ensure compliance?

A. Bloodborne Pathogen

B. Emergency Action Plan

C. Workplace Violence Prevention Plan

D. Tuberculosis Screening

101. Which of the following actions should the medical assistant take when closing the office?

A. Follow up on refill requests

B. Turn off the answering machine

C. Activity the security system

D. File charts that were used that day

102. Which of the following documentation organizes the chart in chronological order according to the department that provided the care?

A. CHEDDAR

B. SOAP

C. POMR

D. SOMR

105. Which of the following should a CMAA explain to new patients prior to an initial visit.

A. The procedure to cancel an appointment

B. The staff’s continuing education requirements

C. The legal procedure for a no-show patient

D. The immunization requirements for all staff

106. The person in the workplace who is responsible for the providers’s adherence to all HIPAA regulations?

A. Everyone who works in the office

B. The compliance officer

C. The office manager

D. The provider

107. Which plane divides the body into top and bottom?

A. Coronal

B. Frontal

C. Sagittal

D. Transverse

108. You are asked to schedule a patient for surgery to remove the gallbladder. You should schedule the patient for a:

A. Cholecystography

B. Cholecystotomy

C. Cholecystectomy

D. Cholecystogram

109. Which action should the CMAA take after pulling the patient’s chart and flagging the abnormal lab results?

A. Place the results on the clinical medical assistant desk to review

B. Contact the patient to schedule an appointment

C. File the patients chart for review at the next appointment

D. Place the results on the provider’s desk for review

110. Which of the following items can be purchased with petty cash funds?

A. Postage owed for office supplies delivered

B. Five reams of paper

C. Provider’s cell phone payment

D. A gift card for the employee of the quarter

110. A patient with Chron’s disease needs to be scheduled to see a specialist, who should you make an appointment with?

A. Endocrinologist

B. Neurologist

C. Pulmonologist

D. Gastroenterologist

111. Which of the following methods should the CMAA use when mailing a letter to a patient who has been dismissed from the practice?

A. Certified mail

B. First-class Mail

C. Priority Mail

D. Expressed Mail

112. Which of the following documents must a CMAA provide for a patient to submit for reimbursement?

A. Patient Registration Form

B. Notice of Privacy Practices

C. Assignment of Benefits

D. Encounter form

113. Which of the following calls should be directly routed to the provider?

A. a health insurance carrier requesting a progress notes

B. A provider form another office who needs to discuss a case

C. An attorney calls to discuss a patient’s case

D. An employer needs to know details about a workmen’s case

114. Who is the party who is financially responsible for the payment?

A. Beneficiary

B. Compliance Officer

C. Fiscal agent

D. Guarantor

115. When a CMAA is scheduling a patient to a procedure; which of the following

Terminology Review

My/o = muscle

ectomy – surgical removal

andr/o = male

mast/o = breast

anti = against/opposite

myel/o = spinal cord/bone marrow

Anatomy:

Planes – sagittal, coronal or frontal, transverse

Abbreviations:

PT = Physical therapy

PTT – Prothrombin time

OSHA – Occupational Safety and Health Administration – oversee workplace

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