{"id":"ccma-free","timeLimitSec":300,"questions":[{"id":"ccmaf-001","section":"found","q":"A snack bar has 10 g of fat, 20 g of carbohydrate and 5 g of protein. About how many calories does it provide?","options":["315 calories","140 calories","190 calories","175 calories"],"answer":2,"explain":"Fat gives 9 calories per gram and carbohydrate and protein give 4 each. So 10 x 9 + 20 x 4 + 5 x 4 = 90 + 80 + 20 = 190 calories."},{"id":"ccmaf-002","section":"clinical","q":"A regular radial pulse gives 41 beats in a 30-second count. Which rate goes in the chart?","options":["71 beats per minute","123 beats per minute","41 beats per minute","82 beats per minute"],"answer":3,"explain":"A 30-second count of a regular pulse is doubled: 41 x 2 = 82. Count an irregular pulse for a full minute instead."},{"id":"ccmaf-003","section":"admin","q":"A child is covered by both parents' health plans. Under the birthday rule, which plan is primary?","options":["The plan of the older parent","The plan of the parent whose birthday is earlier in the year","The plan of the parent the child lives with most of the time","The plan with the lower deductible"],"answer":1,"explain":"The birthday rule looks only at month and day, not the year of birth. Divorce or custody orders can change the order."},{"id":"ccmaf-004","section":"clinical","q":"Which flu vaccine contains live, weakened virus?","options":["The nasal spray (LAIV)","The standard flu shot","The adjuvanted flu shot for seniors","The high-dose flu shot"],"answer":0,"explain":"The nasal spray flu vaccine is a live attenuated vaccine, so it is not used in pregnancy or in people with weak immune systems. All flu shots are inactivated or recombinant."},{"id":"ccmaf-005","section":"law","q":"Which task is generally outside a medical assistant's scope of practice?","options":["Interpreting a test result and giving the diagnosis","Giving an ordered injection under supervision","Taking vital signs and recording them in the patient's chart","Scheduling a follow-up appointment"],"answer":0,"explain":"Medical assistants work under a provider's supervision and do not diagnose or interpret results. Scope of practice also varies by state."}]}