Is the CCMA Exam Hard?

When an uninsured patient cannot afford standard fees for chronic disease management, the immediate step is to offer internal financial accommodations like a sliding fee scale. Recommending a free clinic disrupts continuity of care. Telling them to monitor at home abandons medical management. Suggesting disability benefits is a long process that does not address the immediate need.

The correct answer is Anorexia nervosa restricting type because the patient presents with a severely low BMI, bradycardia, and the growth of fine, downy hair called lanugo. These are physiological adaptations to extreme caloric restriction and starvation. Binge eating disorder syndrome is incorrect because it is typically associated with an elevated BMI and lacks the severe physiological signs of starvation like lanugo. Bulimia nervosa purging subtype is incorrect because patients usually maintain a normal or slightly above normal BMI, and present with signs like enamel erosion rather than lanugo. Avoidant restrictive food intake is incorrect because while it can cause low BMI, the classic presentation of lanugo and severe bradycardia in an adolescent strongly points toward the physiological starvation seen in anorexia nervosa.

A needlestick injury involving bloodborne pathogens requires immediate internal reporting to initiate post-exposure prophylaxis and baseline testing. Option C is correct because occupational health manages the employee's testing and treatment according to OSHA and CDC guidelines. Option A is incorrect because Hepatitis C exposures in healthcare workers are managed internally first, not immediately reported as community outbreaks. Option B is incorrect because the CDC does not process direct individual exposure reports from clinic staff. Option D is incorrect because anonymous reporting prevents the assistant from receiving necessary medical follow-up.