Lesson 11 - Special Collections Flashcards
True or false, a fasting specimen is a sample from a patient who has had no food only water for 4 hours.
False, no food AND water for 12 HOURS
What items are prohibited for a fasting specimen?
A Food and water
B Caffeine
C Nicotine
D All of the above
D All of the above
A phlebotomist drawing a fasting specimen was told by the patient that they ate before they came. The phlebotomist decided not to continue with the draw. What could she have done?
- she could have still taken the draw, and noted the fast was not completed in their records
- she could have notified the physician requesting the draw to see if they would like to proceed forward or reschedule the draw
Which tests are have 12 hour fasting requirements?
A Triglycerides
B Blood type
C Glucose
D Both a and c
D Both a and c
Which of the following is the basal state definition?
A the body’s state after 1-4 hours of fasting
B the body’s state after 4-8 hours of fasting
C the body’s state after 8-12 hours of fasting
D none of the above
C the body’s state after 8-12 hours of fasting
MCQ: Why are fasting specimens usually taken in the morning?
A because the patient is already in the basal state while asleep throughout the night
B because the patient can pee right after
C because the patient can eat before the draw
D because the phlebotomists are wide awake early in the morning
A because the patient is already in the basal state while asleep throughout the night
Which one is the correct acronym for TDM?
A. Therapeutic Draw Modeling
B. Timed Draw Marathon
C. Therapeutic Drug Monitoring
D. Therapeutic Drug Mishandling
C. Therapeutic Drug Monitoring
Fill-in-the-blank: a trough level is the lowest ____ level immediately ____ next drug dose.
serum, before
Fill-in-the-blank: a peak level is the highest ____ level immediately ____ the drug is administered and has taken affect.
serum, after
What color topped tube is for blood culture draws?
A lavender
B light blue
C green
D yellow
D yellow
What antiseptics can you use before drawing for a blood culture (yellow tube)?
A. Alcohol
B. Chlorohexidine
C. Povidone-Iodine
D. Both a and b
D. Both a and b
What is a precaution during a blood culture blood draw for the phlebotomist?
A. Nail fungus
B. Collection tube dust
C. Skin bacteria
D. All of the above
C. Skin bacteria
True or false: Aerobic sample contains no oxygen from exposure to air.
False, does contain oxygen from exposure to air.
During a blood culture draw, how long should you wait for the cleansed site to dry before drawing?
A. 5 minutes
B. 1 minute
C. 10 seconds
D. draw immediately
B. 1 minute
True or false: Anaerobic sample contains oxygen. it is drawn first and is exposed to air.
False, does not contain oxygen it is still drawn first and not exposed to air.
True or false: during a blood culture draw, you DO NOT have to clean the tops of the collection bottles with iodine or alcohol.
Answer: False.
Explanation: clean the tops of the bottles with either antiseptic to prevent contaminants from coming through during transfer.
During a blood culture draw, how many bottles do you draw?
A. 1
B. 2
C. 3
D. 4
Answer: B. 2
Explanation: always draw 2 bottles. one for the anaerobic and another for the aerobic bottle.
True or false: with a syringe collection for blood cultures, the first sample is anaerobic and the second is aerobic.
True
True or false: with a butterfly collection for blood cultures, the first sample is aerobic and the second is anaerobic.
True
Agglutination is the clumping of particles. It comes from which of the following?
A. French word agglutinare
B. Lebanese word agglutinare
C. Latin word agglutinare
D. None of the above
C. Latin word agglutinare
Fill in the blank: ________ level specimens must be kept ____ until the serum is separated from RBCs.
Answer: “agglutinin” level specimens must be kept “warm” until the serum is separated from RBCs.
Agglutinin must be kept at what degrees Fahrenheit?
A. 75F
B. 85F
C. 95F
D. Body temp. (98F)
D. Body temp. (98F)
What are some ways you can warm an agglutinin blood sample?
By warming it with a heel warmer, pre-warming the empty red tube in an incubator, or placing it in an incubator
Which specimens must be kept cold?
A. Cryofibrinogen
B. Agglutinin
C. Lactic acid
C. Lactic acid
Which specimens must be kept warm?
A. Cryoglobulin
B. Agglutinin
C. Lactic acid
A. Cryoglobulin
Which specimens must be kept warm?
A. Cryofibrinogen
B. Ammonia level
C. Lactic acid
A. Cryofibrinogen
Which specimens must be kept cold?
A. Cryofibrinogen
B. Agglutinin
C. ABGs (arterial blood gases)
C. ABGs (arterial blood gases)
Which specimens must be kept cold?
A. Cryofibrinogen
B. Ammonia level
C. Lactic acid
B. Ammonia level
Which specimens must be protected from light?
A. Bilirubin level
B. Ammonia level
C. Lactic acid
A. Bilirubin level
Which specimens must be protected from light?
A. Cryoglobulin
B. Folate level
C. Lactic acid
B. Folate level
Which specimens must be analyzed within 1 hour?
A. Cryoglobulin
B. Folate level
C. Coagulation tests
C. Coagulation tests
Which specimens must be analyzed within 1 hour?
A. ABGs (arterial blood gases)
B. Agglutinin
C. Ammonia levels
C. Ammonia levels
True or false: PT tests can sit at room temperature for up to 24 hours without alterations.
True
Which of the following is the protocol that ensures the sample is always in the custody of a person legally entrusted to be in control of it?
A. Chain of discovery
B. Chain of control
C. Chain of custody
D. Chain of clustering
C. Chain of custody
True or false: With therapeutic drug monitoring, a trough level is the lowest serum level of the medication that occurs immediately before the next dose.
True.
Which two tests are obtained after the patient has fasted?
A. Ammonia and lactic acid levels
B. Arterial blood gases and gastrin
C. Triglycerides and glucose
C. Triglycerides and glucose
Explanation: Both tests require the patient has fasted for 12 hours.
If a 2-hour postprandial specimen is required, when should the phlebotomist complete the collection?
A. Two hours after the last consumption of glucose or a meal
B. Two hours before the patient goes to bed
C. Two hours before consumption of glucose or a meal
D. Two hours after the patient awakes
A. Two hours after the last consumption of glucose or a meal
Which of the following should be used to clean the site when obtaining a specimen for an alcohol level?
A. alcohol hand rub
B. Soap and water
C. alcohol swab
D. all of the above
b. Soap and water
True or false: A fasting specimen that requires a basal state should be scheduled in the early morning.
True
