Exam #01 (Diagnostic Home Kits) Flashcards
After opening glucose monitoring control solution, how many days before it should be discarded?
90 days
Control solution is used to know if meter and test strips are working properly
Which of the following statements is true regarding when to run a control test with control solution?
A. New box of test strips are opened B. Test strips may be damaged C. Glucose meter is dropped D. A & B only E. All of the above
(E) All of the above
All of the following are used to monitor blood glucose except?
A. Test strips B. Logbook C. Glucose tablets D. A & B only E. All of the above
(E) All of the above
All of the following are also used to monitor glucose:
Control solution, lancing device, lancets, glucometer
Where is the reference range for control solution located?
On the test strip container, NOT the control solution bottle
Alcohol swabs are not preferred to washing hands with soap and water when preparing to draw a blood sample for glucose monitoring because…
A. Alcohol can interact with the results B. Alcohol doesn't eliminate enough bacteria C. Alcohol can dry out your hands D. A & C only E. All of the above
(D) A & C only
All of the following are suggestions when drawing a blood sample for glucose monitoring, except?
A. Gently squeeze at fingertip to increase blood flow
B. Use the side of the finger b/c less nerve endings
C. Always bring the meter and strip to the drop of blood
D. B & C only
E. All of the above
(E) All of the above
C - bringing the meter and strip to the drop of blood b/c it’s just easier to do so
Name 4 alternate testing sites other than your finger when drawing blood for glucose monitoring?
- upper arm
- thigh
- calf
- fleshy part of hand
Why should you always use a clear cap for alternate site testing (AST)?
B/c it gives you deeper penetration
Which of the following statements regarding AST is true?
A. Should be used if suspected hypoglycemia
B. Avoid AST if patient is sick
C. AST may be used 2 hours after DM medications
D. Avoid AST 2 hours after a meal
E. B & C
(E) B & C
AST may be used 2 hours after a meal, DM medications, and exercise
AST should NOT be used if the result from AST does not match how patient feels, suspected hypoglycemia, or the patient is sick
Which of the following statements regarding patients with DM is correct?
A. FPG should be between 70-130 mg/dL
B. Glucose level should be
(E) All of the above
If body has been used to 400 mg/dL for several months and you start patient on insulin and get them down to 200 mg/dL, they will feel hypoglycemic but not die. Blood glucose
Name some symptoms of hypoglycemia? Give some examples of food items you instruct patients to eat to raise their blood sugar?
Hypoglycemic Symptoms: shakiness, sweating, tachycardia, blurred vision, confusion
Food Items: 4oz OJ, 8oz milk, 1tbsp honey, 5-6 lifesavers
Describe the rule of 15 for treating hypoglycemia?
If patient is hypoglycemic, instruct them to consume 15g of carbs from either food or glucose tabs, gels, etc. Wait 15 min and recheck blood glucose.
All of the following are symptoms of hyperglycemia, except?
A. Tachycardia B. Increased fatigue C. Blurred vision D. B & C only E. All of the above
(D) B & C only
A - tachycardia is a symptom of HYPOglycemia.
Other signs include: 3 P’s and irritability
Which breakdown product of fatty acids is tested for in the urine to check for ketones? Which is tested for in the blood?
Urine - Acetoacetate
Blood - 3 betahydroxybutyrate
Which of the following cholesterol testing kits would you recommend to patients?
A. CholesTrak B. CardioChek C. Check Up America Cholesterol Panel D. All of the above E. None of the above
(C) Check Up America Cholesterol Panel - you do have to fast to take this test, but it gives you a complete lipid panel (TC, TG, HDL, & LDL)
A - CholesTrak - no fasting, measures TC only
B - CardioChek - fasting, measures TC, HDL, TG, glucose, and ketones (NO LDL)
Which of the following kits is used to test for colorectal cancer?
A. AZO Test Strips B. OraQuick C. PDT-90 D. EZ Detect E. None of the above
(D) - EZ Detect is a colorectal cancer testing kit
A - AZO Test Strip tests for UTI
B - OraQuick is a saliva based HIV testing kit
C - PDT-90 is a hair based drug testing kit
Which of the following should be avoided for 2 days prior to and during colorectal cancer testing using EZ Detect?
A. NSAIDs B. ASA C. Rectal Ointments D. Atypical antipsychotics E. A, B, & C only
(E) A, B, & C only - avoid these items b/c of bleeding. Major sign of colorectal cancer is blood in the stool
Which of the following statements regarding EZ Detect is correct?
A. A positive result may indicate any condition that causes blood loss through the GI system
B. A positive result is diagnostic for colorectal cancer
C. A positive result indicates a thorough GI workup is needed
D. A & C only
E. All of the above
(D) A & C only
B - A positive result is NOT diagnostic for colorectal cancer, it indicates any condition that causes blood loss through the GI system and more tests should be done
Which of the following statements is false?
A. At Home Drug Test is a urine based drug test kit
B. Hair test can detect level of drug use whereas urine test can only be + or -
C. Drug abuse hair test can detect use as long as 90 days ago whereas urine can only detect drug use in the past 2-3 days
D. Loperamide can give a false positive urine test
E. None of the above
(E) None of the above
D - Loperamide is an antidiarrheal opiate that works by acting peripherally and not crossing the BBB
You can test for all of the following drugs using the At Home Drug Test, except?
A. PCP B. Cocaine C. Marijuana D. Methamphetamine E. All of the above
(E) All of the above
Can also test for Amphetamines, and opiates (morphine, heroine, codeine)
Which of the following statements is false?
A. HIV tests are available as both blood and saliva-based kits
B. You must wait 6 weeks to 3 months after an exposure for virus to be detected by Home Access blood test
C. You must wait 6 weeks after an exposure for virus to be detected by OraQuick
D. Results of an OraQuick test are available in 20 minutes
E. None of the above
(C) You must wait 3 MONTHS after a risk event to use OraQuick
A
Blood-based kits: Home Access and Home Access Express
Saliva-based kits: OraQuick
Why is it important to examine the back of the blood specimen card of an HIV blood-based test kit?
MUST examine the back of the card to ensure that the blood has soaked through to obtain correct results
How long before you receive results from a Home Access blood test? How long does it take with Home Access Express?
Home Access: 7 business days
Home Access Express: Available the day the lab receives the results
What do AZO Test Strips test for?
UTI
