Phlebotomy & Laboratory

Question 1

would be ordered if a woman was having menopausal symptoms such as night sweats and hot flashes

Answer 1

Follicle Stimulating Hormone (FSH)

Question 2

measures the oxygen and carbon dioxide in the blood from an artery (cannot be performed by a CCMA)

Answer 2

Arterial Blood Gas (ABG)

Question 3

must place the requisition in the outside pocket of the transport bag when transporting laboratory specimens to an outside laboratory

Answer 3

Blood Specimen

Question 4

absence of oxygen and do not expose to oxygen

Answer 4

Anaerobic Collection

Question 5

• test of the urine used to detect and manage a wide range of disorders such as urinary tract infections, kidney disease and diabetes
• must always check reagent solution expiration date
• sample must be in a sterile container or specimen will be rejected
• components of test:
  
  • physical: visual assessment of color/turbidity of urine sample
  • chemical: use of reagent strip to assess the specific gravity, pH and presence/quantity of protein, glucose, ketones, hemoglobin, myoglobin, leukocyte esterase, bilirubin and urobilirubin

Answer 5

Urinalysis

Question 6

deals with microorganisms and their effects on other living organisms

Answer 6

Microbiology

Question 7

to help diagnose the cause of unexplained bleeding or inappropriate blood clots

Answer 7

Prothrombin Time/International Normalized Ratio (PT/INR)

Question 8

tests for poisons, pharmaceutical and recreational drugs

Answer 8

Toxicology

Question 9

the study of blood and blood cell counts

Answer 9

Hematology Panel

Question 10

checks for inflammation and the distance the erythrocytes have settled over time

Answer 10

Erythrocyte Sedimentation Rate (ESR)

Question 11

the largest department in the core laboratory; analysis of bodily fluids for diagnostic and therapeutic purposes

Answer 11

Chemistry/Metabolic Testing

Question 12

presence of oxygen

Answer 12

Aerobic Collection

Question 13

the study of the body’s ability to form clots and dissolve them

Answer 13

Coagulation

Question 14

test to screen for hidden blood in the stool -blood cannot be seen with the naked eye -screening for diverticulitis, colon cancer, etc.

Answer 14

Fecal Occult

Question 15

1. Yellow Top (microbiology) 2. Light Blue Top (coagulation) 3. Red Top (chemistry) 4. Gold (Tiger Top) (chemistry) 5. Light Green Top (chemistry) 6. Dark Green Top (chemistry) 7. Lavender (Purple) Top (hematology) 8. Gray Top (chemistry)

Answer 15

Order of Draw

Question 16

used to diagnose diabetes and starts when the patient finishes drinking the glucose solution

Answer 16

Glucose Tolerance Test (GTT)

Question 17

-always wipe off the first drop of blood -apply direct pressure on the puncture site when performing a finger stick

Answer 17

Capillary Collection

Question 18

• Mononucleosis Test
• Rapid Streptococcus A Test
• C-Reactive Protein (CRP)
• HCG Pregnancy Test
• H. Pylori
• Influenza

Answer 18

Immunology

Question 19

determines the average blood sugar concentrations for the preceding two to three months to check for diabetes

Answer 19

A1C (Hemoglobin A1C)

Question 20

-invert for proper mixture of additive and blood -fill lavender first when performing capillary collection

Answer 20

Laboratory Tubes

Question 21

-have patient make a fist but do not pump the fist -tie tourniquet 3-4 inches from venipuncture site -clean skin in a circular motion from inside to outside -always wear gloves and NEVER pop fingertip off glove to feel for the vein -insert needle at a 30 degree angle or less when using a multi-sample needle -insert needle at a 15-20 degree angle when using a winged fusion set (butterfly- used for small veins/hand) -use 70% isopropyl alcohol to clean venipuncture site -apply safety device immediately after withdrawing from patient

Answer 21

Phlebotomy Technique

Question 22

used to detect the presence of bacteria or fungi in the blood (minimum of 8-10 mLs of blood per bottle should be collected)

Answer 22

Blood Cultures

Question 23

urine pregnancy test

Answer 23

Human Chorionic Gonadotropin (HCG)