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Phlebotomy > Final FITB > Flashcards

Final FITB Flashcards

1
Q

Which tube must be full to be accepted?

A

Light blue

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2
Q

At what angle should the needle enter the vein?

A

15-30 degrees

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3
Q

The needle should enter the vein _____ up?

A

Bevel

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4
Q

How do you mix the tubes and how many times?

A

Gentle inversion, 8-10 times

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5
Q

What test is the gray top typically used for?

A

Glucose

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6
Q

When there is an IV where do you draw?

A

Distal to the IV

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7
Q

What department should all cultures go to?

A

Microbiology

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8
Q

Venipuncture site should be cleaned in ___ ___?

A

Concentric circles

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9
Q

When performing infant heel stick don’t go deeper than?

A

2 mm

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10
Q

Name 3 types of tests that can’t be done on a skin puncture specimen

A

Coagulation, ESR, Tests requiring large volumes

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11
Q

Serum/Plasma of lipemic specimens appear?

A

Milky or cloudy

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12
Q

What can happen if a vein is not securely anchored?

A

Roll

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13
Q

What is the largest and busiest area of clinical lab?

A

Chemistry

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14
Q

Blood obtained from dermal puncture is a mix of what?

A

Arterial, venous, and capillary blood, Interstitial fluid, Intracellular fluid

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15
Q

How can you tell an artery from a vein?

A

Pulse

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16
Q

If you must collect from an arm with a hematoma where should you draw?

A

Distal

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17
Q

What does a good vein have?

A

Bounce or Resilience

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18
Q

What is the most frequent type of specimen used in the Immunology/Serology department?

A

Serum

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19
Q

What should you never do when drawing a dorsal hand vein on an infant?

A

Apply a tourniquet

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20
Q

How long is considered fasting?

A

8-12 hours

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21
Q

Name 2 types of collection devices for dermal puncture.

A

Microcollection container & Microhematocrit tube

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22
Q

The smaller the number the ______ the gauge of the needle.

A

Larger

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23
Q

What test is the amber-colored tube used for?

A

Bilirubin

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24
Q

What is the most common method of blood collection on a child under 2?

A

Dermal puncture

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25
Q

Name 3 types of point-of-care testing.

A

Glucose, Lipids, Prothrombin time (PT)

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26
Q

What does a barcode represent?

A

ID number, Lab test, Patient’s name

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27
Q

Which test is used to diagnose carbohydrate metabolism disorder?

A

Glucose tolerance test

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28
Q

Define osteomyelitis.

A

Bone inflammation

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29
Q

Which tube has K2 EDTA & silicon gel separator?

A

PPT

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30
Q

Urine is preferred over blood for which test?

A

Drug screen

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31
Q

What is a condition with increased RBCs & decreased plasma in the blood vessel?

A

Hemoconcentration

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32
Q

Which tube has sodium and lithium heparin?

A

Green

33
Q

Name 2 specimens that need to be kept at 37 degrees celcius.

A

Cryofibinogen & Cryoglobulins

34
Q

Which stopper is used for coagulation test?

A

Light blue

35
Q

What level is monitored to insure drug levels stay in theraputic range?

A

Trough

36
Q

What can a breath specimen detect?

A

H.Pylori

37
Q

Define analytes.

A

Substance undergoing analyses

38
Q

Alcohol testing is collected in which tube?

A

Gray

39
Q

Name 3 specimens that must be protected by light.

A

Bilirubin, B vitamins, Vitamin C

40
Q

Name 3 specimens that must be chilled in a crushed ice slurry.

A

Ammonia, Renin, Angiotensin-Converting enzyme

41
Q

What is required to test differential?

A

Blood smear slide

42
Q

Which type of specimen is used to aid in the diagnosis of cystic fibrosis?

A

Sweat

43
Q

What is theraputic phlebotomy?

A

Withdraw large volumes of blood as treatment for certain medical conditions

44
Q

Name 4 reasons a specimen might be rejected.

A

Hemolysis, Outdated tube, Exposure to light, Delay in testing

45
Q

Name 3 methods of urine collection.

A

Clean & catch, Catheter, Suprapubic

46
Q

What is needed for a rapid step test?

A

Throat swab

47
Q

Define QNS.

A

Quantity not sufficient

48
Q

How does heparin prevent clotting?

A

Inhibits thrombin

49
Q

What is the preferred method of collection for PKU?

A

Dermal puncture

50
Q

Where is point-of-care not typically used?

A

Clinical lab

51
Q

What are lipids in the blood?

A

Fat

52
Q

What can be used to detect chronic drug abuse?

A

Hair

53
Q

Name 3 common types of requisitions.

A

Manual, Bar code, Computer

54
Q

Which 2 tubes are most commonly used for serum specimens?

A

SST & Red

55
Q

Which test are included in a hepatic function panel?

A

AST, ALT, Alkaline phosphate, Total protein, Albumin, Total bilirubin, Direct bilirubin

56
Q

Name 4 challenges of geriatric venipuncture.

A

Skin changes, Hearing impairment, Visual impairment, Mental impairment

57
Q

What does a warm compress do?

A

Makes the vein easier to palpate

58
Q

What is the smallest diameter needle?

A

23 gauge

59
Q

_______ is required for perfoming venipuncture using the syringe method.

A

Tourniquet

60
Q

Which piece of equipment in not used for the syringe method?

A

Hub

61
Q

What 2 parts of the body are ideal for dermal puncture?

A

Heel & Finger

62
Q

Transfusion can be fatal because of _____ & _____ of RBCs.

A

Agglutination, Lysis

63
Q

What are the symptoms of anemia?

A

Fatigue, Headache, Pale skin

64
Q

Who should you never draw on?

A

Sleeping patient

65
Q

Within what time frame should blood collected in a purple stopper be prepared?

A

1 hour

66
Q

What is the process by which paper work and specimen are unmistakenly linked?

A

Accession of sample

67
Q

Which physiological effects can change basal state?

A

Age, Diet, Altitude, Exercise, Dehydration

68
Q

Where should the tourniquet be placed when drawing a hand vein?

A

Above the wrist

69
Q

What is care for terminall ill patients?

A

Hospice

70
Q

Which value would be increased when blood is drawn from a crying child?

A

WBCs

71
Q

Which value is most effected by altitude?

A

RBCs

72
Q

What test would a doctor order to diagnose septicemia?

A

Blood culture

73
Q

Where is bone marrow aprirated from?

A

Iliac crest

74
Q

What type of specimen is used for biopsy?

A

Tissue

75
Q

What do peak levels of TDM screen for?

A

Drug toxicity

76
Q

Which tests are performed in microbiology?

A

Culture & sensitivity, Acid-fast bacilli (AFB), Blood culture, Ova & parasite, Gonorrhea (GC)

77
Q

Which factors would cause a longer clot time?

A

Chilled specimen, Patient taking heparin, High WBC count

78
Q

Which tests will be decreased with anemia?

A

RBCs, Hct/HgB

79
Q

What is the order of draw?

A

Blood cultures, Light blue, Red, SST, PST, Green, Purple, Pink, PPT, Gray, Navy blue, Yellow

Phlebotomy (3 decks)

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