Certification Flashcards
(139 cards)
1
Q
Pink
A
Spray coated EDTA
Whole blood hematology and blood bank
2
Q
Serum sodium
A
136-144 mEq/L
3
Q
Light blue tests
A
Coagulation- PT tests, Coumadin therapy, APTT, PTT, Heparin Therapy, Fibrinogen Degradation product, thrombin time, factor assays, and bleeding time.
- Fill tube completely
- Invert 3-4 times
4
Q
What size syringe used when can’t use vacutainer?
A
10-20ml
5
Q
Male RBC
A
4.32-5.72 trillion cells/L
6
Q
BUN
A
7-20 mg/dL
7
Q
Blood aldosterone levels are not affected by posture changes immediately before blood collection, but blood glucose levels are greatly affected by posture changes.
A
False
8
Q
The additive and color associated with coagulation tests is?
A
Light blue sodium citrate
9
Q
The bleeding time test assesses
A
Platelet plug formation in capillaries
10
Q
Tan
A
EDTA(plastic). Used for lead.
11
Q
Examples of possible means of “parenteral” transmission would exclude
A
Drinking water from a glass that is contaminated
12
Q
ALT
A
SST hypertension, hyperlipidemia, diabetes
13
Q
A patient who is hospitalized is an
A
Inpatient
14
Q
Lab test that is affected most if the patient is not fasting
A
Triglycerides
15
Q
GHP
A
Hypertension, paper lipids is, hyperthyroidism, hypothyroidism
2 SST 1 Lav(CBC)
16
Q
The hematology department performs tests that?
A
Identify abnormalities of the blood and blood forming tissues
17
Q
Emotional stress can lead to a decrease in
A
Serum iron levels
18
Q
Vitamin B12
A
SST B12 deficiency, altered mental state, memory loss, myocyitis, myalagia
19
Q
TSH
A
SST Hyperthyroidism, hypothyroidism
20
Q
Continuing education units are?
A
Proof of participation in workshops to upgrade knowledge.
21
Q
Alcohol that has not dried prior to a skin puncture can cause hemolysis of blood cells
A
True
22
Q
Orange or gray/yellow
A
Thrombin. STAT serum tests
23
Q
Green tests
A
Plasma chemistry such as ammonia carboxyhemoglobin and STAT electrolytes, chromosome screenings
24
Q
Blood bank is what tube?
A
Pink
25
Which of the following tests uses specimens collected in a light blue-topped collection tube?
PT and PTT
26
Tiger top/speckled tops contain what?
Thrombin for serum separation.
27
Why don’t we use needles smaller than 23 gauge?
Can hemolyze blood
28
Allergic to iodine
Use clorohexadine gluconate
29
Which additive prevents coagulation by binding calcium?
Potassium EDTA
30
Creatinine
.8-1.2 mg/dL
31
Which specimen collection tube is commonly used for hematology tests?
EDTA
32
Proper centrifuge operation
Balance specimens by placing tubes of equal volume and size opposite each other
33
5cc of blood =how many ml?
5ml
34
Pads to clean site
70% isopropyl alcohol
35
Plain red top
No additive. No inversion. Blood clots normally. Serum chem(glucose, cholesterol, triglycerides, HDL, potassium, amylase, alkaline, phosphate, BUN, CK, liver enzymes), serology(RPR, mono spot, rheumatoid factor, ANA), and blood bank
36
Brain Natriuretic Peptide Test
Less than 100= normal
37
Cephalic vein
More difficult to find and has tendency to move, but often is only vein you can find on obese patients
38
Light green or green/gray plasma separation tubes
Lithium heparin and gel for plasma separation
| Used for plasma tests in chemistry, STAT chem tests
39
T3 total
SST Alopecia, weight gain/loss, goiter, thyroiditis
40
Only one phlebotomist is on the night shift, orders are received for all of the following tests within minutes of one another, which tests has the greatest collection priority?
ASAP electrolytes in CCU
Stat CBC in labor and delivery
Timed blood cultures in ICU
STAT electrolytes in ER
STAT electrolytes
41
Granular WBC
Basophils, eosinophils, and neutrophils
42
Arthritis Panel
2 SST 1 Lav(Sed rate)
| Joint pain, swelling
43
BNP
Shortness of breath, congestive heart failure, anything cardio
Spin
Separate
Freeze
44
A prothrombin specimen must be collected from a patient with IV’s in both arms. The best place to collect the specimen is?
Below IV site
45
Antiglycolytic agent
Sodium Fluoride (grey)
46
OGTT
Oral glucose tolerance test-diagnose diabetes mellitus; evaluate patients with frequently low blood sugar
47
Lab tests provided to individual consumers on request are referred to as
Direct aces testing or direct to customer
48
CMP
SST Hypertension, hyperlipidemia, diabetes
49
Female RBC
3.9-5 trillion cells/L
50
Retic count
Anemia
No spin
Refrigerate
51
Order of draw
Certainly- Blood culture( SPS)
Blood-lt blue-sodium citrate
Red-Red-serum tubes with or w/our clot activator or gel top
Turns
Green-heparin
Lavender-EDTA
Gray- oxalate fluoride
52
Which additional ID information is typically required on a non-blood specimen label?
Specimen source
53
It is necessary to control the depth of lancet insertion during capillary puncture to avoid?
Injury to the calcaneus
54
Light sensitive specimen
Wrap tubes in aluminum foil; bilirubin, beta carotene, vitamins A and B6 and porphyrins
55
CO2
20-29 mmol/L
56
AST
SST Hypertension, hyperlipidemia, diabetes
57
The right to know refers to
The patient’s right to information about his procedures and who is performing them
58
Skin puncture techniques are useful in which of the following conditions
When the patient is a neonate
59
Median cubical vein
Favorable large vein
60
Characteristics of a sharps container
Leak-proof, lid that locks, puncture resistant
61
Basilic vein
Least favorable; moves; near brachial artery; if puncture too deep can hit it
62
Most common reason for glucose monitoring through POCT is to?
Monitor glucose levels for diabetic care
63
What is the average skin puncture depth appropriate for an adult?
2-3 mm
64
Yellow top
Sodium polenthule sulfonate (SPS). Cultured for presence of microorganisms. Aids in recovery of microorganisms by slowing down/ stopping the actions of complement, phagocytes, and certain antibiotics. Tubes with ACD are for cellular studies, HLA typing, paternity testing.
65
What is the CLSI recommended blood culture site disinfectant for infants 2 mos and older?
Chlorhexidine gluconate
66
Which body fluid is not considered to be infectious under standard precautions?
Sweat
67
Creatinine
SST hypertension, hyperlipidemia, diabetes
68
Lipid
SST hypertension, hyperlipedemia, diabetes, screening cardiovascular
69
BMP
SST Hypertension, hyperlipidemia, diabetes
70
Which of the following analyses is significantly increased in the blood with changes in position?
Calcium
71
Tow-hour Postprandial test
Evaluate diabetes mellitus; fasting glucose compared to glucose 2 hr after eating
72
Gray top
Sodium fluoride- antiglycolytic, preserves glucose for 3 days.
Lithium iodacetate-preserves 24 hr
Potassium oxalate- prevents clotting by binding to calcium
73
Alcohol that has not dried prior to a skin puncture can cause erroneous results for some lab tests.
True
74
SST post phleb
Spin and refrigerate
13 min clot
13 min spin
75
Yellow top blood collection tube has which additive?
Sodium polyanethol sulfonate
76
which of the following has the highest percentage of needlestick injuries
Butterfly
77
Alcohol that has not dried prior to a skin puncture can prevent a round drop from forming
True
78
Agencies that define guidelines for specimens transported by courier or other air and ground mail systems?
DOT FAA OSHA
79
When blood is to be collected for a glucose tolerance test, the patient should fast for
8-12 hours
80
Agranular WBC
Lymphocytes and monocytes
81
When making a blood smear, if it turns out too short, try again and
Decrease the angle of the spreader slide
82
Finger stick procedures cannot be performed when which tests are ordered?
Blood culture, coagulation,
83
PKU
Phenylketonuria-infants;genetic; can cause mental retardation and brain damage
84
PSA Screen
SST Screening for neoplasm prostate
85
Platelet count
150-450 billion/L
86
Disease that can be transmitted through blood and body fluids?
Syphilis
87
The abbreviation for the federal agency that instituted and enforces regulations requiring the labeling of hazardous material is?
OSHA
88
Excessive massaging or milking of the finger during a skin puncture procedure can cause
Hemolysis and contamination of the specimen with tissue fluid
89
A transient increase in serum iron levels can occur due to emotional stress
False
90
WBC
3.5-10.5 billion cells/L
91
Providone-iodine
Good for infection control
92
HGB value male
13.5-17.5 g/dL
93
H&H
Anemia
No spin
Room temp
94
Which of the following tests uses blood collected in a tan topped tube?
Lead
95
Which of the following analytes requires protection from light?
Vitamin B12, bilirubin
96
Which type of specimen has processing and testing priority over all other specimens?
STAT
97
Which of the following is the best way to tell if a specimen is arterial? As the specimen is collected, the blood:
Pulses into the syringe
98
A patient complains of significant pain when the needle is inserted. The pain does not subside and radiates down the patient’s arm. What should the phlebotomist do?
Discontinue draw immediately
99
Royal Blue
Clot activator(plastic serum), EDTA(plastic). Used for trace elements, toxicology, and nutritional chem testing.
100
Red/gray (speckled), tiger top tubes
Serum separator tube. Clot activator; glass particles, silica, and celites slow clot formation. Thixotropic gel is serum separator-forms barrier between serum and cells. Used on chem tests(glucose, cholesterol, triglycerides, potassium).
*invert 5 times
101
Lavender tests
Whole blood hematology-CBC, RBC, WBC, and platelet counts, hemoglobin, hematocrit, erythrocyte sedimentation rate, sickle cell anemia screening
102
Ethylendiaminetetracetic acid (EDTA)
Inhibits coagulation by binding to calcium
103
An ETOH specimen must be collected on a patient for forensic purposes, which of the following tubes would be the best choice to collect the specimen?
Gray top sodium fluoride
104
3hr OGTT
Test hyperglycemia and diagnose diabetes
105
Ferritin
SST Anemia
106
A1C
Lav diabetes, hyperglycemia, screening diabetes mellitis
No spin
Refrigerate
107
Phlebotomist arrives to draw a fasting specimen, patient is eating breakfast, what should phlebotomist do?
Check with patients nurse to see if specimen should still be collected
108
CBC
Lav hypertension, anemia, tobacco use, abnormal blood chem
No Spin
Room temp
109
Free T4
SST Disorders of menstruation
110
Glucose
64-100 mg/dL
111
Serum Chloride
101-111 mmol/L
112
PT procedure is performed on blood collection in which tube?
Light blue
113
Diurnal rhythm has a major effect on which of the following blood analytes?
ACTH
114
vacuum tubes used for collecting specimens for cytogenetic studies are
Green
115
Which of the following conditions can have an adverse effect on the quality of a finger stick?
Always using the first drop of blood
116
Which specimen collection tube is commonly used for hemostasis tests?
Sodium citrate
117
Uric acid
SSTGout
118
WBC in order of greatest abundance to least
Neutrophils, lymphocytes, monocytes, eosinophils, basophils
119
5hr OGTT
Evaluate hypoglycemia and disorders of carbohydrate metabolism/scheduled to begin 7-9am
120
Osteomyelitis
Inflammation and infection of the bone
121
Gray tests
Fasting blood type, glucose tolerance, blood alcohol, and lactic acid
122
Sed rate
Inflammation, joint pain
No spin
Refrigerate
123
Which of the following pieces of information is typically required to be on a inpatient specimen label?
MR number
124
Major structural difference between arteries and veins?
Arteries are larger in diameter
125
Green top additive
Heparin combined with sodium, lithium, or ammonium ion. Inhibits thrombin and is not used for hematology b/c interferes with Wright’s stained blood smear.
*Invert 8 times
126
HGB value female
12-15.5 g/dL
127
Blood sugar range
72-108 mg/dL
128
With computer generated specimen labels, what info is always added to the labels manually when specimens are collected?
Phleb’s initials and time of draw
129
If the tourniquet is applied to the arm for longer than 2 minutes, which of the following analyses will most likely become falsely elevated?
Potassium
130
CMS is an abbreviation for
Centers for Medicare and Medicaid Services
131
Glucose
SST Diabetes, impaired fasting glucose
132
Cold agglutinins
Antibodies are produced in response to Mycoplasma pneumonia infection(atypical pneumonia). Blood collected in red top tubes and pre-warmed in incubator for 30 min at 37c
133
Blood from a skin puncture sit is
A mix of blood and interstitial fluid
134
Serum Potassium
3.7-5.2 mEq/L
135
Unsuitable veins
Sclerosed veins, thrombotic veins, or tortuous veins(wondering or crooked veins, susceptible to infection, blood flow impaired, specimen may produce erroneous effects
136
Chilled specimen
ABG, ammonia, lactic acid, pyruvate, ACTH, gastrin, and parathyroid hormone
137
PSA
SST Erectile dysfunction
138
Sodium citrate
Prevents coagulation by bonding to calcium. Preserves coagulation factors.
139
A healthy body mass index for adults is
20-25 kg/m
