NHA Certified Clinical Medical Assistant (CCMA)Clinical Patient CareHard

A medical assistant is preparing a patient for a sigmoidoscopy. Which of the following instructions should the MA provide to the patient?

  1. A“You can eat a light breakfast on the day of the procedure.”
  2. B“You will need to follow a clear liquid diet the day before the procedure.”
  3. C“You will need to drink a barium solution before the procedure.”
  4. D“You should take your regular medications as usual on the day of the procedure.”
Show answer & explanation

Correct answer: B. “You will need to follow a clear liquid diet the day before the procedure.”

A clear liquid diet the day before a sigmoidoscopy is essential for adequate bowel preparation, ensuring a clear view of the colon lining. Solid foods or barium would obscure the view.

Why the other options are wrong

  • A. Solid food, even a light breakfast, is contraindicated as it interferes with bowel preparation.
  • C. Barium solution is used for barium enemas, not sigmoidoscopies.
  • D. Some medications, especially blood thinners, may need to be adjusted or held; patients should be instructed to discuss with the provider.

Sigmoidoscopy Prep

Preparation for a sigmoidoscopy typically involves a clear liquid diet the day before and bowel cleansing (e.g., enemas) to ensure the lower colon is clear for visualization.

  • Clear liquid diet day before.
  • Bowel cleansing is necessary.
  • Ensures clear visualization of colon.

Memory trick: Clear Diet, Clean Gut, Clear View.

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