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Phlebotomy > 8 - Part 3 > Flashcards

8 - Part 3 Flashcards

1
Q

Which of the following is the specimen of choice for testing acid-base balance and respiratory status of a patient?

A

arterial blood

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2
Q

By far, the most Americans die each year from:

A

septecemia

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3
Q

Which of the following is used to help in the diagnosis of diabetes mellitus?

A

HbA1c

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4
Q

Postprandial refers to:

A

after eating

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5
Q

Which of the following evacuated tubes is appropriate for the collection of a blood culture specimen?

A

yellow topped tube

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6
Q

To obtain the blood trough level for a medication, the patient’s blood should be collected:

A

Immediately before administering the medication

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7
Q

Which of the following is the minimum hematocrit value a blood donor must have to give a blood donation?

A

38%

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8
Q

The health care worker’s thumb should not be used for palpating arteries in the arterial puncture procedure because the thumb:

A

has a pulse that can be confused with the patient’s pulse

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9
Q

Which of the following medications has a shorter half-life and therefore requires exact timing in blood collection for its therapeutic level?

A

gentamicin

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10
Q

Normally, after an adult ingests the 75 grams of glucose for the glucose tolerance test, the glucose level should return to normal within how many minutes?

A

120 minutes

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11
Q

Milk Sugar

A

Lactose

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12
Q

Therapeutic phlebotomy is used in the treatment of:

A

polycythemia

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13
Q

For a donor to donate blood, his or her oral temperature must not exceed:

A

37.5 celcius

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14
Q

When is postprandial glucose test, a blood specimen is collected?

A

2 hours after a meal

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15
Q

The preferred, noninvasive method for testing lactose tolerance is measuring ___hydrogen content.

A

breath

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16
Q

What is Therapeutic phlebotomy?

A

It is the intentional removal of blood for therapeutic reasons.

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17
Q

Most TDM assays should be performed on ___ or ____

A

serum, plasma

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18
Q

Blood cultures are often collected from patients who have fevers of ________ _____.

A

unknown origin

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19
Q

Presence of bacteria in the blood is referred to as ________.

A

bacteremia

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20
Q

The ________ blood culture bottle must be inoculated first in all procedures except the butterfly assembly method.

A

anaerobic. Then the butterfly method is aerobic first due to the air in the line.

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21
Q

For the GTT, it is not recommended to exercise for ________ hours before the test procedure.

A

12 hours

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22
Q

ABGs stands for ________.

A

Arterial Blood Gases

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23
Q

A, B, AB, and O are blood ________.

A

types

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24
Q

How can veins be located in the difficult-access patient without the need to repalpate?

A

You can use a near infrared light device or ultra-sound for precise location of the vein.

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25
Q

The reason for performing the modified Allen Test is to

A

determine that the ulnar and radial arteries provide collateral circulation

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26
Q

What is a cannula?

A

A cannula is a tubular instrument used to gain access to venous blood

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27
Q

Which of the following is a milk sugar that sometimes cannot be digested by individuals?

A

Lactose

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28
Q

What supply is not used in an ABG determination?

A

A tourniquet. We don’t want to shut of the arterial circulation.

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29
Q

Which evacuated tube is used for the collection of a blood culture specimen? (color)

A

Yellow topped evacuated tube

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30
Q

During a glucose tolerance test, what do we want to encourage the patient to do?

A

Drink plenty of water throughout the procedure

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31
Q

Blood collection for lead should occur in which evacuated tube container (color)?

A

Tan

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32
Q

When blood is drawn from the radial artery for an ABG determination, the needle should be inserted at ___ degrees

A

30

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33
Q

The primary difference between plasma & serum is that only plasma contains

A

Fibrogen

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34
Q

One of the reasons that serum is more common for testing than plasma is that serum contains more

A

antigens

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35
Q

Wearing of artificial nails especially increases the risk of haboring—-

A

gram-negative bacteria

36
Q

What is the nerve most often injured with venipuncture?

A

median nerve

37
Q

In a blood count, a “shift to the left” usually refers to an increased number of immature

A

neutrophils

38
Q

Agglutination of RBCs results in a reaction between

A

antigens & antibodies.

Agglutination is the clumping of RBCs.

39
Q

At which life stage do most drug addictions first develop?

A

adolescence

40
Q

Crime laboratories are involved in:

A

analyzing trace evidence at a crime scene

41
Q

Another term for a medical examiner’s office is the:

A

coroner’s office

42
Q

The chain of custody means:

A

the specimen is tracked at every step

43
Q

Random drug testing programs are commonly used for safety- or security-sensitive jobs. In these programs, drug tests are performed:

A

at unpredictable times

44
Q

Which of the following has an effect on the ability to detect drugs in an individual?

A

metabolic rate, dosage, and testing cutoffs

45
Q

Which of the following is an acceptable form of identification for an individual being tested for drugs?

A

an employer-issued photo identification badge

46
Q

A sensory examination of a urine specimen for drug testing should include:

A

checking the color and odor of the specimen

47
Q

If testing a urine specimen for drugs, when should the temperature of the specimen be taken?

A

within 4 minutes after the donor provides the specimen

48
Q

EPO enhances athletic performance by:

A

increasing oxygen-carrying capacity and endurance

49
Q

When driving your personal vehicle, the legal limit in all 50 states for blood alcohol content (BAC) is:

A

0.08%

50
Q

BAC is most commonly measured using which of the listed specimens:

A

breath, blood, and urine

51
Q

A commin way to assess sobriety is:

A

asking the driver to walk a straight line, heel to toe

52
Q

A device for screening BAC whereby the subject breathes into a mouthpiece is called a:

A

breathalyzer

53
Q

A laboratory report that is either “positive or negative” would be considered a ______ result.

A

qualitative.

Quantitative is specific amounts ml, mg….

54
Q

Reasonable suspicion or for-cause drug tests (can or cannot) be performed in the workplace.

A

can

55
Q

Alcohol is an illicit drug. T or F

A

F

56
Q

Sometimes soap is used as an adulterant for urine specimens that are to be tested for drugs. T or F

A

T

57
Q

Anabolic steroids are banned for student-athletes by the NCAA. T or F

A

T

58
Q

The term used for intoxicated driving is ________.

A

DUI or DWI

59
Q

Another term for tampering with a specimen is ________.

A

adulteration

60
Q

A term used to mean after death is ________.

A

postmortem

61
Q

________ is the same in all cells of the body.

A

DNA

62
Q

In the past decade, rates of drug abuse, addiction, and deaths from lethal overdoses have: increased or decreased

A

increased

63
Q

What is obtained through a lumbar puncture?

A

cerebrospinal fluid

64
Q

Nasopharyngeal culture collection may be used to diagnose:

A

whooping cough

65
Q

Creatinine clearance is determined through the use of:

A

Urine specimen

66
Q

A fluid examined to determine the effectiveness of a vasectomy, investigate the possibility of sexual criminal charges, and assess fertility is:

A

Semen

67
Q

Which of the following types of urine specimens is the “cleanest,” or least contaminated?

A

midstream specimen

68
Q

Amniotic fluid can be found:

A

around the fetus in the uterus

69
Q

A 24-hour urine specimen can be collected to test for:

A

creatinine clearance

70
Q

Pericardial fluid is collected from the:

A

heart cavity

71
Q

Throat cultures are most commonly obtained to determine the presence of a:

A

Streptococcus infection

72
Q

The fluid collected from a joint cavity is:

A

synovial fluid

73
Q

The sweat chloride test is performed on infants with a positive:

A

newborn screen

74
Q

The FOBT is an abbreviation for the test to detect:

A

Occult blood

75
Q

Skin tests are used to determine whether a patient has ever had contact with:

A

a particular antigen and has produced antibodies to that antigen

76
Q

A urine C&S should be performed on a:

A

clean catch midstream

77
Q

The most convenient type of urine specimen to collect is the:

A

random specimen

78
Q

The O&P analysis is requested on:

A

fecal specimens

79
Q

What type of urine specimen is needed to detect an infection?

A

clean-catch

80
Q

Occult blood analysis is frequently requested on:

A

fecal specimens

81
Q

CSF stands for ____

A

cerebrospinal fluid

82
Q

What is included in the routine UA?

A

The routine UA can be either a first morning specimen or a random urine specimen.
A sterile plastic UA container for urine collection. For an infant it is a bag. Label the container on the side. The container should be transported for analysis 1 hour after voiding.

83
Q

What are sputum specimens collected for?

A

The sputum samples are microbiology tests for pathogenic organisms, including TB.

84
Q

Helicobacter pylori is a type of bacteria that causes:

A

peptic ulcers

85
Q

Peritoneal fluid is located:

A

in the abdominal cavity

86
Q

The sweat chloride test is used to diagnose:

A

cystic fibrosis

87
Q

Fecal specimens are commonly collected in order to detect parasites T or F

A

T

Phlebotomy (9 decks)

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