AMCA Exam Practice Flashcards
Whole blood mostly consist of which?
Blood
Which type of blood cells are responsible for gas exchange in circulating blood?
RBC
Professional negligence is also called?
Malpractice
Most important for phlebotomists to keep in mind during their daily routine in medical setting?
Confidentiality
Department performs chemical screening tests on urine specimens?
Urinalysis
Department monitors warfarin therapy?
Coagulation
Liquid portion of a blood specimen (without anticoagulant) is known as?
Serum
What is scrubbing of instruments with a special brushes and detergents to remove blood, mucous, etc, called?
Sanitization
What involves soaking or wiping process and inhibits the activity of disease-causing organism?
Disinfection
What is the most common blood type?
O
What are small red spots on a patient’s skin due to a blood clotting abnormalities referred to as?
Petechiae
A decrease in the plasma volume with an increase concentration of cells and larger molecules is referred to as?
Hemoconcentration
If the tourniquet is applied for longer than 3 minutes, which analytes will most likely become falsely elevated?
Potassium
(Potassium, cholesterol, iron lipid protein, and plasma)
A hospitalized patient may not be identified by?
Patient’s chart
Most common site for venipuncture are?
antecubital area of the arm
Diagnosis of diseases characterized by joint inflammation is part of which medical specialty?
Rheumatology
Deceitful practice or false portrayal of facts either by words or conduct is the definition of which?
Fraud
The total amount of blood pumped out of the heart in one minute is known as?
cardiac output
Inflammation of a vein in conjunction with formation of a blood clot is?
Thrombophlebitis
Thromb means “clot” and phlebitis is inflammation
Which is abnormal finding in the blood?
Bacteria
Common route for the administration of parenteral medication?
Injection
What is another term for a pre-filled syringe?
Cartridge
Which muscles is commonly used for intramuscular injections into the infants?
Vastus lateralis
Children under 2 typical led receive injections in the vastus lateralis, ventral gluteal or dorso gluteal
What is the function of hemoglobin?
Carry oxygen from the lungs and carry CO2 from the tissue to lungs
Guides used to monitor all aspects of patient care are known as?
QA indicators
Performing one’s duties in the same manner as any other resonance and prudent person with the same experience and training is referred to as?
Standard of care
A single order that is administered immediately and usually written for emergencies is known as?
STAT
A very bust phlebotomist misidentifies the patient when collecting a specimen for transfusion preparation. The possible misdiagnosis of blood type could cause the patient’s death. If the phlebotomist’s action results in injury, this wrongful act is known as?
Negligence
Which of the following is a phlebotomy QA procedure?
Checking needles for blunt tips and small barbs
Tests is most likely used to test for inflammation, infectious disease, and malignant neoplasm?
ESR
Which of the following is the best way to prepare routine blood specimen tubes for transportation to an off-site lab?
Seal the tube in plastic bags
Which scenarios is an example of a phlebotomist’s negligence?
Fails to report significant changes in patient’s condition
Which of the following specimen is least likely to require special handling?
Cholesterol
- Bilirubin specimen must be protected from light
- Gastric and homocystein specimen should be chillier in ice slurry
Critical values (test values that are considered life threatening) are also known as?
Panic values
What would be pre-analytical error related to specimen store?
Exposure to light
Which type of precautions would be used for patient who has pulmonary tuberculosis?
Airborne
Describe a person who has recovered from a particular virus and has developed antibodies against that virus?
Immune
Example of a disease requiring droplet isolation?
Pertussis (whooping cough)
Word to describe breakdown of RBC?
Hemolysis
How does heparin prevent blood from clotting?
inhibiting thrombin
Purpose of anti-glycolic agent
It preserves glucose
What choices would result in lipemia?
High in fat content from blood
- Lipemia is presence of increased fats (lipids) in blood
What is lymphostasis?
Obstruction of the flow of lymph
What is venous stasis?
Stoppage of normal venous blood flow
Hemoconcentration from prolonged tourniquet application increase what?
Non-filterable analytes
Difference between NPO and fasting?
Fasting allows patient to drink water, NPO does not
- NPO means Nothing By Mouth
Best specimens to use establishing inpatient reference ranges for blood tests?
Basal state specimen
True when using a phlebotomy needle that does not have a safety feature?
It must be used with a holder that has a safety feature
Why should a lab report form state that a specimen has been collected by capillary puncture?
Because results can vary by specimen source
Which items is unncecessary when performing a routine venipuncture?
Disinfectant
National organization that sets standards for phlebotomy procedures?
CLSI
Infection transmission involves transfer or infecting microbe to the mucous membrane by cough and sneeze?
Droplet
Test of respiratory system?
ABGs
How is an individual’s blood type determined?
Whether or not an ANTIGEN is present on the RBC
Government Agency regulates the quality of gloves worn when performing phlebotomy procedures?
FDA
What is PKU?
A hereditary inability to metabolize phenylalanine
Test may require special “chain of custody” documentation when collected?
Drug screen
Hormone that is detected in positive urine pregnancy test?
HCG
Fluid obtained by lumbar puncture?
Cerebrospinal
What is urine C&S typically ordered to detect?
Presence of UTI
Type of analysis used when processing blood for transfusion?
immunohematological
Female normal range value for hematocrit reading?
37-47%
Men: 40-52%
Blood would be used for what kind of testing if it was collected in vacuum tube containing no additives?
Blood chemistries
Universal recipient blood type?
AB+
Most appropriate method for disposing of contaminated needles?
Place it in a biohazard sharp container located in the room where used
Most important step in achieving medical asepsis?
Hand washing
How often should quality control tests be done for procedures performed in the office?
Daily
Which organization developed the guidelines for universal precautions?
CDC
What is the principal reason for bracing the hand holding the needle assembly against the patient;s arm during phlebotomy?
to prevent excess needle movement
When would a capillary blood sample be diluted with tissue fluid?
If finger is squeezed excessively
After you have washed your hands, put on PPE, and assembled the equipment and supples, what is your supplies, what is your next step to obtain a capillary blood sample?
Identify the patient
