CC DAY-2 Specimen Collection, Handling and Transport

Question 1

1st most common venipuncture complications

Answer 1

hematoma

Question 2

2nd most common complications of venipuncture

Answer 2

Infections

Question 3

Phelobotomy complications: (6)

Answer 3

Vascular complications
Infection
Anemia
Neurologic complications
Cardiovascular complications
Dermatologic complications

Question 4

PATIENT PREPARATIONS

Diet:
Transient increase in: (3)
Long term increase in : (4)
Short term increase in: (3)
Decreased plasma levels in: (2)

Answer 4

Lactate, fatty acid, ammonia
CK, ASL, LD, ALD
LH, testosterone, PRL
FSH, LH in long distance athletes

Question 5

fasting req. for glucose, fbs

Answer 5

8-12 hrs

Question 6

fasting req. for lipids, TAG

Answer 6

12-14 hrs

Question 7

basal state collection (4)

Answer 7

glucose, TAG, cholesterol, electrolytes

Question 8

tests that are increase in OBESE patients: (4)

Answer 8

cholesterol
TAG
LD
Cortisol

Question 9

Serotonin-rich-food:

Answer 9

Banana
Avocado
Tomato
Pineapple
“BATo Pin”

Question 10

Food rich in VMA or HMMA

Answer 10

Banana
Coffee
Tea
Vanilla

“BC TV”

Question 11

POSTURE/ POSITION

Posture Preferred in phleb:
for how many mins before blood collection

Answer 11

upright position or lying down (supine)

15-20 minutes

Question 12

POSTURE/ POSITION

for cholesterol, patient shoulf remain seated for ?

Answer 12

5 minutes prior collection

Question 13

DIURNAL VARIATION

High in AM: (4)
Higher in PM: (4)

Answer 13

am: ACAI - ACTH, cortisol, aldosterone, iron
pm: PTAG- PTH, TSH, ACP, growth hormone

Question 14

Posture:
increased when standing (3)

Answer 14

CAC= calcium, albumin, cholesterol

“naka stand ang CAC”

Question 15

Increased in STRESS (3)

Answer 15

cathecolamines, ACTH, cortisol

Question 16

In IV fluid contamination

As little ____ contamination with 5% dextrose will INCREASE ___ in a sample by ____mg/dL or more

Answer 16

10%
glucose
500

Question 17

Exposure to light affects what tests?

Answer 17

DECREASED bilirubin, carotene, CTAD

Question 18

Storage temperature:

1. Decreased at Room Temperature:
2. Increased at Room Temperature:
3. Decreased at 4C:
4. Increased at 4C:

Answer 18

1. glucose
2. lactic acid, ammonia
3. LD4, LD5
4. ALP

Question 19

Glucose is metabolized at

Room temp:
Ref:

Answer 19

7 mg/dl/hr
2 mg/dl/hr

Question 20

centrifugation requirement:
how many RCF and how many minutes

Answer 20

1000-2000 RCF for 10 minutes

Question 21

Serum or plasma must be stored at ____ if analysis is to be delayed for longer than 4 hours

Answer 21

4-6C

Question 22

TESTS AFFECTED BY HEMOLYSIS:

Answer 22

Phosphorus
Magnesium
ACP
ALP
AST
ALT
Ammonia
LD2
Iron
Cathecholamines
CK
K-Potassium

PM5LICCK

Question 23

Bilirubin icteric specimen:

Answer 23

25.2 mg/L

Question 24

Clear= TAG
Lactescent= TAG
Milky/Opaque= TAG
Turbid= TAG

Answer 24

200 mg/dL
400
600
300

Question 25

Corrective action in Lipemia:

Answer 25

ultracentrifugation
blanking technique
dual wavelength technique