PMLS 2 Flashcards

1
Q

In the laboratory, which of the following is commonly used as antiseptic?

A

70% isopropyl alcohol

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2
Q

Which of the following vein is proximal to an artery?

A

Basilic

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3
Q

True or False

Prothrombin Time: It is a coagulation test

A

True

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4
Q

The commonly analyzed specimen in Hematology section

A

whole blood

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5
Q

True or False

The following are method/s of preventing transmission of infection in the laboratory: using fabric face mask

A

False

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6
Q

Which of the following is also known as the bad cholesterol?

A

Low density lipoprotein cholesterol (LDL)

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7
Q

In case of fire, the first thing that you have to do is:

A

rescue a person who is in danger

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8
Q

What do you call the process where the fibrin is dissolve?

A

Fibrinolysis

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9
Q

Presence of increased eosinophils in the blood smear correlates with:

A

Parasitic infestation

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10
Q

Reagent bottle with number 2 in the blue quadrant of fire diamond indicates that the chemical is

A

Hazardous

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11
Q

True or False

According to Hippocrates, the four humors in the human body are blood, black bile, green bile, phlegm.

A

False

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12
Q

The blood agglutinates with both anti A & anti B reagents, but does not agglutinate with anti D reagent. What is the blood type of the patient?

A

AB-

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13
Q

Alcohol, acetone, and other volatile materials that can burn easily should never be used near

A

an open flame

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14
Q

True or False

All the following are safe to do when removing the source of electric shock: Pulling the person away from the instrument

A

False

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15
Q

Which of the following safety equipment should always be available in the laboratory?

A

both eyewash and fire extinguisher

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16
Q

Which of the following refers to antisepsis?

A

destruction or inhibition of microorganisms in living tissue

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17
Q

Which of the following additive prevents glycolysis?

A

Sodium Fluoride

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18
Q

Which of the following is recommended in cleaning surfaces in the specimen collection and processing area?

A

sodium hypochlorite

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19
Q

Lavender top tubes are most commonly used to collect blood for

A

Hematology tests

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20
Q

Antecubital fossa is also called as?

A

elbow pit

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21
Q

In laboratory safety, the acronym RACE means:

A

Rescue, alarm, contain, extinguish

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22
Q

What factor is missing in Hemophilia A?

A

Factor 8

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23
Q

What do you call the tubes with thin walls that carry deoxygenated blood from tissues to the heart?

A

Veins

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24
Q

The most frequently occurring laboratory- acquired infection is:

A

Hepatitis B

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25
Q

A class ABC fire extinguisher contains

A

dry chemicals

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26
Q

Which of the following refers to sterilization?

A

elimination of all recognized pathogenic microorganisms

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27
Q

What factor is missing in Hemophilia B?

A

Factor 9

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28
Q

The type of fire that can be extinguished by pressurized water.

A

A

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29
Q

In microsampling, which tube should be filled up first?

A

Lavender top

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30
Q

True or False

Heparin chelates or precipitates Calcium as their action being an anticoagulant.

A

False

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31
Q

Of the following tubes or containers, which should be filled last in the recommended order of draw?

A

Green top

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32
Q

True or False

Sodium Hypochlorite prevents and inhibits growth of microorganism in living tissues

A

False

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33
Q

Which of the following are performed in serology or immunology department in the laboratory?

A

antinuclear antibody testing, hepatitis B surface antigen

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34
Q

Which of the following tests is NOT included in CBC?

A

mean corpuscular hemoglobin

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35
Q

True or False

glycosylated hemoglobin: it is elevated in diabetes mellitus

A

True

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36
Q

True or False

Done in the Histopathology section of the laboratory: Pap’s smear

A

True

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37
Q

What causes evacuated tubes to fill with blood automatically?

A

Premeasured tube vacuum

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38
Q

A good quality of a phlebotomist is dexterity which means:

A

skill and ease in using the hands

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39
Q

True or False

Gram stain: This is a test to detect bacteria

A

True

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40
Q

The patient who stays in the hospital for 8 hours is categorized as:

A

Ambulatory

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41
Q

Which of the following is a possible cause of Class C fire?

A

wirings of a microscope

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42
Q

What dilution of household bleach will be used if a table in the laboratory is contaminated by large amount of blood?

A

1:10

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43
Q

In the fire diamond, the blue quadrant indicates which of the following information about the reagent?

A

Health hazards

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44
Q

True or False

serum: It is the specimen used in glucose measurement

A

True

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45
Q

A factor that contributes to the phlebotomist’s professional image is:

A

attitude

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46
Q

Early equipment used for bloodletting:

A

both lancet and fleams

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47
Q

What do you call the thick-walled blood vessels that carry oxygen-rich blood from the heart to the tissues of the body?

A

Arteries

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48
Q

True or False

Describes Phlebotomy carts used by the phlebotomist: This is used when many patients in the hospital needs laboratory works.

A

True

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49
Q

It is defined as the internal space of the needle.

A

Lumen

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50
Q

The type of infection which appears in a patient under medical care in the hospital or other health care facility which was absent at the time of admission.

A

nosocomial

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51
Q

True or False

diagnostic test for Hemostatic disorders: Trop 1

A

False

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52
Q

A yellow stopper tube that contains Acid Citrate Dextrose is used for?

A

HLA typing

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53
Q

If you think there is something wrong with the electrical equipment you are using, you should immediately

A

stop and turn it off

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54
Q

What antibody/antibodies is/are seen on a patient with a blood type O?

A

Anti-A and Anti-B

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55
Q

Which of the following is the correct sequence in the removal of personal protective equipment?

A

Gloves, gown, goggles, mask

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56
Q

A 75 year old Mrs. Rabor went to the laboratory to have blood collected from her for coagulation studies, hematology test, and some chemistry tests that require 15 ml of blood sample. Which of the following is the best method to use for blood collection?

A

Butterfly infusion method

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57
Q

The phlebotomist waited patiently until the patient is ready for blood extraction. This is an example of:

A

Chronemics

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58
Q

In hand washing, which of the following is the last step during rubbing of hands?

A

Rub tips of fingers in circular motion

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59
Q

Mr. Vargas will be collecting blood from Mr. Adarve that will be used for Coagulation studies. How many times should Mr. Vargas invert the tube that he’ll be going to use?

A

3-4 x

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60
Q

A royal blue stopper tube contains what additive and is used for?

A

Sodium Heparin, Trace Elements

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61
Q

True or False

Evacuated tubes are indicated by color of the rubber stopper

A

True

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61
Q

KOH smear is prepared to examine the presence of:

A

Fungi

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62
Q

True or False

It has expiration date written on the body of the tube.

A

True

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63
Q

True or False

It has vacuum inside that is predetermined to draw exact volume of blood.

A

True

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64
Q

A butterfly infusion method is typically used for:

A

Difficult and hand veins

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65
Q

Which of the following needles has the largest diameter?

A

18 guage

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66
Q

When the blood vessel is damaged, what is the first step of repair that happens?

A

Vascular spasm

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67
Q

True or False

In conventional CPR using chest compressions and mouth-to-mouth breathing, the recommended ratio of compressions-to-breaths is 100:1.

A

False

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68
Q

In most times, what is the most prominent vein seen in the antecubital fossa of obese patients?

A

cephalic

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69
Q

True or False

roles of a phlebotomist today: Analyze specimen in the Clinical Chemistry section

A

False

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70
Q

What factor is missing in Hemophilia C?

A

Factor 11

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71
Q

Blood vessels are made out of what type of muscle?

A

Smooth Muscle

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72
Q

The acronym PASS refers to

A

operation of a fire extinguisher

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73
Q

Distance, time, and shielding are principles of:

A

radiation safety

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74
Q

True or False

correct sequence in the chain of infection?

Infectious agent – reservoir – portal of exit – mode of transmission- portal of entry – host

A

True

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75
Q

True or False

diagnostic test for heart disorders: Platelet Count

A

False

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76
Q

The blood indices like MCV, MCH and MCHC are performed in which section of the laboratory?

A

Hematology

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77
Q

Mr. Santos, a 40 year old male, was diagnosed to have liver disease due to alcohol intake. which of the following laboratory results is expected to elevate in Mr Santos’ blood?

A

gamma glutamyl transferase

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78
Q

True or False

Cardiac Marker: Troponin 1

A

True

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79
Q

A thixotropic polymer gel present on a serum separator tube has a specific gravity of

A

1.04

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80
Q

Which of the following tubes can be used to collect a serum specimen?

A

Orange top

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81
Q

The mode of transmitting infection wherein the microogranism is transmitted through coughing or sneezing when the host inhales material from the reservoir (patient or the specimen). The materials with the microorganisms fall to the ground within a few feet, so this type of transmission requires close proximity

A

Droplets

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82
Q

This equipment of blood collection is used to transfer specimen from the collection area to the laboratory

A

Biohazard Bags

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83
Q

Complete blood count is performed in which of the following sections in the laboratory?

A

Hematology

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84
Q

True or False

used for Syringe method of blood collection: Tube Holder

A

False

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85
Q

Extrinsic and Intrinsic pathways are under what cascade?

A

Clotting cascade

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86
Q

True or False

multi sample needle: The longer portion connects with the tube and the shorter portion connects with the vein.

A

False

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87
Q

Which of the following is an example of proxemics?

A

Zone of comfort

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88
Q

True or False

The following supplies were gathered for a routine venipuncture: Iodine Swab

A

False

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89
Q

Which of the following blood laboratory results correlates with liver disease?

A

Decreased total protein and albumin

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90
Q

The doctor orders tests requiring a lavender stopper tube, a light blue stopper tube for coagulation studies, a white stopper tube, a gold stopper tube and a set of blood cultures. What is the correct order of draw?

A

Blood cultures, light blue, gold, white, lavender

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91
Q

True or False

21 gauge- green

A

True

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92
Q

True or False

Capillary blood is a mixture of both arterial and venous blood.

A

True

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93
Q

True or False

Capillary blood’s

A

True

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94
Q

True or False

If Capillary blood is contaminated with tissue fluid, potassium level in this blood sample is falsely elevated.

A

True

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95
Q

True or False

It is recommended that a 2-hour GTT test be administered at least a week before the lactose tolerance test.

A

False

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96
Q

This is a sharp bladed instrument used for capillary puncture for the purpose of incising the skin to obtain blood.

A

Lancet

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97
Q

True or False

measured in ABG analysis: Packed cell volume

A

False

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98
Q

The biggest advantage of choosing the radial artery for arterial blood collection is:

A

Good collateral circulation is present.

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99
Q

What is the rationale behind wiping the first drop of blood during skin puncture?

A. It minimizes contamination with tissue fluid.
B. This contains alcohol that can hemolyzed the sample.
C. This may result to inability to produce a good drop of blood.
D. None of the above
E. All of the above

A

E. all of the above

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100
Q

Which of the following will elevate after a high protein diet?

A

Urea

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101
Q

What is the standard depth of incision for capillary puncture in infants to prevent bone injury?

A

less than 2.0 mm

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102
Q

Puncturing the arch of heel can result to this condition define as the inflammation of the bone and cartilage.

A

Osteochondritis

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103
Q

The doctor orders tests requiring a lavender stopper tube, a light blue stopper tube for coagulation studies, a white stopper tube, a gold stopper tube and a set of blood cultures. What is the correct order of draw?

A

Blood cultures, light blue, gold, white, lavender

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104
Q

True or False

After finishing a blood draw, the phlebotomist must document all including patient’s blood type

A

False

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105
Q

True or False

capillary puncture indicated in case of adult patient: When veins should be saved for chemotherapy

A

True

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106
Q

True or False

capillary puncture indicated in case of adult patient: When accessible veins sites are scarred or burned

A

True

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107
Q

You are about to perform a routine venipuncture on a patient with no known allergy to antiseptics. Which of the following substances would you use to clean the site?

A

70% isopropyl alcohol

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108
Q

GDM only occurs in what type of individuals?

A

Pregnant women

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109
Q

True or False

Iron increases with stress

A

False

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110
Q

True or False

Capillary tubes that have a blue band color at the end indicates that it contains an additive.

A

False

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111
Q

The central vascular access devices are used primarily for:

A

administering fluids and medications, monitoring pressures, and drawing blood

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112
Q

True or False

During drug testing: During the collection, a proctor must not be present to ensure that the identity of the patient is protected.

A

False

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113
Q

True or False

Puncturing the brachial artery can increase the risk of infection

A

False

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114
Q

Specimens collected from which areas may yield inaccurate test results

A

both edematous and damaged veins

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115
Q

What is the best angle for needle insertion during ETS method of venipuncture?

A

15°-30°

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116
Q

When performing arterial puncture, direct the needle:

A

Perpendicular to the wrist and lower arm

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117
Q

Prior to collection of ABG, a patient should have been in a steady state for at least

A

20-30 minutes

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118
Q

True or False

In site selection for skin puncture the site should be warm and pink in color with no bruises.

A

True

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119
Q

True or False

reasons for specimen rejection: Hemolyzed specimen

A

False

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1
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2
3
4
5
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120
Q

True or False

Late General Complication of Venipuncture: Thrombophlebitis

A

False

121
Q

True or false

Body position before and during blood collection can influence specimen composition. Going from supine (lying down on the back) to an upright sitting or standing position causes hemoconcentration.

A

True

122
Q

True or False

cortisol is elevated from 6:00-8:00 am

A

True

123
Q

Mr. Adarve will be collecting blood for Complete Blood Count. How many times should Mr. Adarve inverse the evacuated tube he needs to use?

A

8-10 x

124
Q

True or False

POCT: These tests are not only convenient, but it also lengthens the turnaround time (TAT).

A

False

125
Q

What will happen if a needle is is partially inserted into a vein?

A

Hematoma

126
Q

Which of the following is affected by excessive drinking of water prior to blood test?

A

Electrolytes

127
Q

After cleaning the venipuncture site with alcohol, the phlebotomist should;

A

Allow the alcohol to dry completely.

128
Q

True or False (Trained Phlebotomist)

Collect capillary blood quickly to minimize microclot formation.

A

True

129
Q

True or False (Trained Phlebotomist)

Know that a venous blood can be collected using microtubes.

A

True

130
Q

True or False (Trained Phlebotomist)

Collect specimen for newborn screening separately

A

True

131
Q

True or False

Hemolysis happen due to Vigorous fist clenching of the patient

A

False

132
Q

Whose blood results are used in determining the reference range or intervals?

A

healthy individuals in their basal state

133
Q

Which of the following can be caused by blood leaking from a blood vessel during or following venipuncture?

A

Hematoma

134
Q

A good blood drawer for arterial blood show good competence when performing modified allen’s test when

A

He uses middle and index finger to apply pressure on the wrist

135
Q

Warming the capillary puncture site is associated with which of the following purposes?

A

Increase blood flow

136
Q

During venipuncture, the phlebotomist observed that the patient appears pale with beads of sweat on the forehead. These are signs of:

A

Syncope

137
Q

This is also called an indwelling line, comprises tubing inserted into a main vein or artery.

A

central vascular access device

138
Q

What is the required glucose load for children?

A

1g per kg body weight

139
Q

You are asked to collect a blood specimen from an inpatient. The patient is not wearing an ID band. What is the best thing to do?

A

Ask the patient’s nurse to put an ID band on the patient before you draw the specimen.

140
Q

The most important step in the performance of a venipuncture is

A

Identifying patients

141
Q

True or False

ETOH specimen: Use green-top sodium chloride glass tubes for specimen collection

A

False

142
Q

When performing skin puncture and you warm the site, the sample is called as

A

Arterialized

143
Q

Rapidly forming hematoma and blood filling the tube very quickly are signs that you have punctured:

A

an artery

144
Q

True or False

drug screening: The specimen used is blood instead of urine

A

False

145
Q

In performing femoral arterial puncture, needle should be inserted at what angle?

A

90 degrees

146
Q

Which of the following arterial puncture site poses the greatest risk of developing infection?

A

Femoral

147
Q

True or False

Apply the tourniquet 7.5-10 cm above the site of puncture

A

True

148
Q

It is an indicator on how well air is exchanged between the blood and lungs.

A

PCO2

149
Q

True or False

DNA Paternity Test: Sealed and tamper-evident package are used to hold the specimen during transportation to the laboratory

A

True

150
Q

Which of the following tests require arterial blood as specimen?

A

Blood gases

151
Q

A sudden position change of the patient before collecting blood sample may result to

A

Both Hemoconcentration and Hemodilution

152
Q

True or False

Smoking stimulates the body’s immune response and increases the production of antibodies.

A

False

153
Q

True or False

Necessary for blood gas collection: Disposable Tourniquet Strap

A

False

154
Q

True or False

Several manufacturers recommended disinfecting the instrument using 70% isopropyl alcohol to reduce the risk of cross contamination

A

False

155
Q

A 2 months old baby was sent to the laboratory for CBC testing. You are to perform capillary puncture. What is the best site to use for the patient?

A

Lateral plantar heel surface

156
Q

True or False

Capillary Puncture: Evacuated Tubes

A

False

157
Q

Ms. Recto wasn’t able to collect blood from Mr. Domingo. She attempt collecting blood twice, but still failed. What should Ms. Recto do?

A

Ask another phlebotomist to draw blood from patient.

158
Q

True or False

If the patient is glucose intolerant, the result will yield a “flat” curve where lactose levels just slightly rise over the fasting level.

A

False

159
Q

True or False

Acceptable for ABG testing in the laboratory: The blood is collected in an anaerobic manner.

A

True

160
Q

Blood gas specimen rejection criteria include all of the following, EXCEPT:

A. Inadequate volume of the specimen
B. Improper labeling or missing label.
C, Visible hemolysis of the specimen (if not use for electrolytes too)
D. All of the Above
E. None of the above

A

E. None of the above

161
Q

In locating the vein to be used for venipuncture, the phlebotomist should;

A. Feel the vein using index and middle finger.
B. Palpate and trace the path of vein.
C. A and B
D. None of the above

A

C. A and B

162
Q

How much volume of blood is withdrawn in therapeutic phlebotomy?

A

500.0 ml

163
Q

Which of the following is a disadvantage of using radial artery for ABG collection?

A

It is small and difficult to feel

164
Q

The tourniquet should be released

A. Within 1 minute of its application.
B. As soon as the blood flow is established.
C. Before needle removal from the arm.
D. All of the above
E. None of the above

A

D. All of the above

165
Q

What is the indication if the phlebotomist already hit the vein using syringe method?

A

You should see a blood that appears in the hub

166
Q

A patient who has a collateral circulation:

A

Has multiple arteries supplying blood to an area

167
Q

In administering local anesthetic before arterial puncture, which of the following statement is TRUE?

A. 0.35 mL 1% lidocaine is adequate to use for some patient
B. There should be appearance of wheal after administration
C. A and b

A

C. A and B

168
Q

What is the required glucose load for adults?

A

75 g

169
Q

These are tiny, non-raised red (or purple) spots that appear on the patient’s skin when a tourniquet is applied. Presence indicates capillary wall defects or platelet abnormalities.

A

petechiae

170
Q

True or False

ETOH specimen collection uses aqueous povidone- iodine and aqueous 70% isopropyl alcohol

A

False

171
Q

True or False

Other sites where arterial specimens may be obtained: Common carotid artery in the neck

A

False

172
Q

True or False

POCT is also known as alternative sight testing (AST).

A

False

173
Q

True or False

The chain of custody protocol is not implemented since legal implications are not usually involved.

A

False

174
Q

Controlling the depth of lancet insertion during heel puncture is necessary to avoid which of the following effects?

A

Bone injury

175
Q

True or False

cannot be used as site for venipuncture: Dorsal part of the hand

A

False

176
Q

True or False

The GTT curve and the glucose curve will be different if the patient has mucosal lactase.

A

False

177
Q

In new born screening, you should not

A

Collect sample within 24 hours after birth.

178
Q

Which of the following is considered as the primary site-selection criteria for arterial puncture?

A

Presence of collateral circulation

179
Q

True or False

A good phlebotomist show competence on performing skin puncture when he punctures the 4th finger on the same side of mastectomy.

A

False

180
Q

A vein which is obstructed, hard and cordlike, and lacks resiliency is

A

sclerosed

181
Q

True or False

neonatal bilirubin collection is used for detection of an increased bilirubin level due to RBC hemolysis

A

False

182
Q

True or False

Forceful aspiration of blood during a syringe draw will result to hemolyzed specimen.

A

True

183
Q

True or False

causes Hematoma: Transfixation of vein

A

False

184
Q

True or False

An arteriovenous shunt is typically created to be used for dialysis.

A

True

185
Q

In using microcollection containers, which of the following should be filled up first with blood sample?

A

Purple top

186
Q

True or False

A good phlebotomist show competence on performing venipuncture using evacuated tube system when the phlebotomist unties the tourniquet after removing the needle.

A

False

187
Q

Which of the following is an acceptable blood smear?

A

Has smooth transition from thick to thin

188
Q

What is the best choice of vein for a normal healthy individual?

A

Median cubital vein

189
Q

True or False

The capillary blood can be used as sample for ABG provided that the site is warmed prior to blood collection.

A

True

190
Q

True or False

The following actions shows competence in phlebotomy, Which of the following actions shows competence in phlebotomy?

A

True

191
Q

Which of the following is not included in testing for ABG using POCT?

A. CO2
B. Ph
C. HCO3
D. PCO2
E. all

A

E.

192
Q

Which of the following is the primary reason of obtaining arterial blood in the hospital setting?

A. For evaluation of respiratory function
B. For arterial blood gas analysis
C. Both
D. None

A

C.

193
Q

True or False

specimen requirements (during drug testing): Waterless urinal is not allowed

A

False

194
Q

Blood collection tubes are labeled:

A

Immediately after specimen collection.

195
Q

A conscious patient does not have an identification bracelet. The name and room number on the door agree with the information on the request. What should the phlebotomist do?

A

Ask the patient for verbal verification of his or her name

196
Q

True or False

Potassium levels in the blood increase after heavy exercise.

A

True

197
Q

True or False

Coagulation studies is a test that cannot be performed by capillary puncture

A

False

198
Q

Which of the following equipment is not needed in performing ETS method of Blood collection?

A

Luer adapter

199
Q

This site is considered as the most commonly used site in performing arterial puncture.

A

Radial

200
Q

True or False

Manufacturers have enhanced their instruments to exclude electronic QCs (EQCs) which can detect specimen related problems.

A

False

201
Q

Which of the following is collected using syringe and needle?

A. pleural fluid
B. amniotic fluid
C. Synovial fluid
D. None
E. All

A

E. all

202
Q

Which of the following is an infectious waste?

A

gauze pad with blood

203
Q

Ana, a 20-year-old student, has met all the criteria for blood donation except low hematocrit level. Ana will be:

A

temporarily deferred

204
Q

True or False

Lawsuits can be avoided if the phlebotomist strictly adheres to accepted procedures and practices.

A

True

205
Q

True or False

If the patient faints during venipuncture, call for an ambulance immediately.

A

False

206
Q

The phlebotomist failed to extract blood from the patient because the needle was inserted beside the vein not inside the vein. What is the primary cause of this?

A

the vein was not properly anchored

207
Q

Who will be temporarily deferred from donating blood?

A. A person with fever during donor screening
B. A person with anemia
C. Both
D. None

A

C. Both

208
Q

Who may be allowed to donate blood based on age requirement?

A. A 15-year-old student with consent from her parents
B. A 16- year-old student without consent from the parents of guardian
C. Both
D. Neither

A

D. Neither

209
Q

Which of the following is the preferred urine specimen in routine urinalysis?

A

first morning

210
Q

True or False

Unbalanced tubes in the centrifuge may cause breakage of the specimen tubes.

A

True

211
Q

Which of the following results during physical examination is acceptable for blood donation?

A

blood pressure of 160/60, hematocrit of 120 g/L

212
Q

True or False

Specimens should be covered during centrifugation.

A

True

213
Q

True or False

During blood donor phlebotomy using a blood unit with 450 mL capacity, the blood flow stopped with only 100 ml of blood collected. The phlebotomist should continue collection in another arm using the same unit.

A

False

214
Q

Which of the following is included in the laboratory requisition form?

A. date and time of collection
B. medications taken by the patient
C. Both
D. None

A

C. both

215
Q

Loss of consciousness because of insufficiency of blood flow to brain is called:

A

Vasovagal syncope

216
Q

If the vein has the tendency to collapse, the method of venipuncture to use should be

A

butterfly, and syringe

217
Q

Double-voided urine is used in :

A

glucose monitoring

218
Q

True or False

proper way of using the telephone: Say “Who are you?”

A

False

219
Q

Urine specimen for routine analysis should be examined within:

A

2 hours

220
Q

True or False

should be done by the donor after blood donation: drink a lot of fluids

A

True

221
Q

Which of the following is the preferred urine specimen in quantitative creatinine determination?

A

24 hour urine

222
Q

True or False

part of routine urinalysis: Odor

A

False

223
Q

In Modified Allen’s Test, it is safe to perform an arterial puncture if the

A

blood returns to the hand in 10 minutes

224
Q

Which of the following should be autoclaved first before washing?

A

petri dishes used in blood culture

225
Q

Oropharyngel swab is useful in the diagnosis of:

A. COVID-19
B. Streptococcal infection
C. Both
D. None

A

C.

226
Q

The buccal swab is used in:

A

DNA analysis

227
Q

True or false

function of a laboratory assistant: performs quality control during testing

A

False

228
Q

True or False

Veins collapse easily if the gauge of the needle used is small.

A

False

229
Q

True or False

procedure during blood donor phlebotomy: Use a blood collection unit attached to a 16- gauge needle.

A

True

230
Q

Modified Allen’s Test is performed before:

A

arterial puncture

231
Q

Urine specimen which cannot be examined immediately should be preserved by:

A

refrigeration

232
Q

Which of the following can cause legal action in phlebotomy?

A. damage to nerves
B. careless probing
C. collecting blood without an informed consent
D. All
E. None

A

D. all

233
Q

Which of the following is hazardous chemical?

A. flammable chemical
B. toxic chemical
C. corrosive
D. All
E. None

A

D. All

234
Q

Which of the following is elevated in sweat of patients with cystic fibrosis?

A

chloride

235
Q

A phlebotomist damaged the vein of a patient during venipuncture, and because of this, the employer was sued for negligence. This is an example of:

A

Respondent superior

236
Q

Which of the following is the proper order in drawing blood using evacuated tube system?

A

citrate tube before tube with clot activator

237
Q

Serum specimens in aliquot tubes which cannot be examined immediately should be stored:

A

in the refrigerator

238
Q

The phlebotomist who failed to practice “due care” during phlebotomy may face a charge of

A

negligence

239
Q

True or False

The steps in washing the glassware used in Chemistry section include the following: rinse with water, wash with soap, rinse with distilled water, rinse with tap water, dry, store in the cabinet

A

False

240
Q

True or false

Safety showers, eyewashes, fire extinguishers, and electrical control boxes should be easily reached and strategically placed in the laboratory.

A

True

241
Q

What is the anticoagulant present in the donor collection unit with CPD additive?

A

citrate

242
Q

Which of the following tests requires chilling of the specimen during transport?

A

Blood gases

243
Q

True or False

A voluntary donor donates blood without monetary compensation but may accept an item or a gift which could be considered a substitute for money.

A

False

244
Q

True or False

Corrosive chemicals should be placed in a metal container

A

False

245
Q

Delay in mixing the tube with additive will result to:

A

microclots

246
Q

Mixing is not done when collecting blood using which tube?

A

red, glass, tube

247
Q

Which of the following is used by the laboratory aides as a daily cleaning agent in the laboratory?

A

1% sodium hypochlorite solution

248
Q

A phlebotomist who collects blood from a sleeping patient can face a charge of:

A

Assault and battery

249
Q

True or False

When a laboratory receptionist answers the phone, he should listen carefully to the caller but refrain from taking notes because it wastes time.

A

False

250
Q

Which of the following tests DOES NOT require chain of custody (COC) form or documentation?

A

coagulation test

251
Q

Which of the following equipment/apparatus is needed during blood donation?

A. weighing scale
B. blood pressure apparatus
C. donor couch or bed
D. All
E. none

A

D

252
Q

Which test requires that the specimen be transported to the laboratory in heat blocks?

A

Cryoglobulin

253
Q

In phlebotomy, the correct blood to additive ratio is important, especially in which blood test?

A

coagulation studies

254
Q

What should a phlebotomist do to avoid lawsuit?

A. Acquire informed consent before collecting specimens.
B. Respect a patient’s right to confidentiality.
C. Follow the accepted procedures and practices in phlebotomy.
D. All
E. None

A

D

255
Q

From the time of collection, the maximum time limit to separate serum or plasma from the cells is:

A

2 hours

256
Q

Smears should be prepared from blood collected in an EDTA tube within:

A

1 hour

257
Q

When you hear a quick hissing sound, then a spurt of blood enters the tube before blood flow stops, this means that:

A

the vacuum is in the ETS tube is lost

258
Q

A phlebotomist should behave in a warm and friendly manner and display a calm, confident, and caring attitude when collecting blood from:

A. Pediatric patient
B. Geriatric patient
C. Both

A

C

259
Q

What is the most common complication of venipuncture?

A

hematoma

260
Q

Which of the following number of fasting hours is acceptable for fasting blood sugar determination?

A

9 hours

261
Q

Which of the following is true about laboratory waste management?

A. Laboratory Wastes should be placed in a secondary container.
B. Incompatible wastes should not be placed in one container.
C. None
D. Both

A

D.

262
Q

Which blood sample will be accepted by a laboratory receptionist?

A

Clotted blood in a red, plastic tube

263
Q

Which of the following pairs of waste and color of the bin is correctly matched?

A

sharps: red

264
Q

What is the method of treating pharmaceutical waste before disposal?

A

Inertization

265
Q

True or False

Urine specimens are disposed immediately after analysis.

A

False

266
Q

The plastic wrapper of syringe should be disposed in what color of trash bin?

A

Black

267
Q

True or False

pneumatic tube system: a method of transporting specimen to the laboratory

A

True

268
Q

What will happen if the blood in the red, glass tube is mixed?

A

hemolysis of red blood cells

269
Q

Which of the following is true about blood specimens collected in an orange tube with thrombin?

A

the specimen clots in 5 minutes

270
Q

The fluid that surrounds the fetus is called:

A

amniotic fluid

271
Q

Which of the following blood components can be stored in the freezer for 1 year?

A

Fresh frozen plasma

272
Q

Prolonged application of tourniquet may result to:

A

hemoconcentration

273
Q

How long do you have to put pressure on the venipuncture site of a patient on anticoagulant therapy?

A

5 minutes

274
Q

What is the correct order in blood donation process?

A

donor screening, medical history, donor interview, blood collection, blood processing

275
Q

Which of the following body fluids is examined if the patient has painful knee?

A

synovial fluid

276
Q

Which of the following is arranged correctly from the first to the last priority during analysis?

A

Stat, ASAP, Routine

277
Q

True or False

One of the duties of a laboratory receptionist is to check the integrity of the specimen before acceptance or rejection

A

True

278
Q

What is the most frequently analyzed non- blood specimen?

A

urine

279
Q

Who will be permanently deferred from donating blood?

A. A person with major surgery
B. A person with tattoo
C. Both
D. None

A

D.

280
Q

Which of the following specimens is normally viscous?

A

synovial fluid

281
Q

True or False

The peak level of cortisol is in the evening.

A

False

282
Q

Which of the following is NOT detected by the reagent strip used in routine urinalysis?

A

drugs

283
Q

True or False

methods of treating infectious waste before disposal: Encapsulation

A

False

284
Q

Which of the following urine specimens is used in bacterial culture?

A

midstream, clean-catch

285
Q

Which of the following wastes is placed in the yellow trash bin?

A

infectious waste

286
Q

Which of the following is a method of disposing pathologic waste?

A. cremation
B. safe burial
C. Both
D. None

A

C

287
Q

Which of the following is used in final rinsing of the laboratory glassware before drying?

A. distilled water
B. deionized water
C. Both
D. None

A

C.

288
Q

Which of the following sections in the laboratory analyzes CSF specimen collected in tube 2?

A

Microbiology

289
Q

Donor deferral means that an individual is not eligible to donate based on the criteria used by the blood transfusion services, this is to protect the health and safety of:

A. the blood donor
B. the transfusion recipient
C. Both
D. None

A

C.

290
Q

Veins of these patients collapse easily.

A

geriatric patients

291
Q

True or False

The process for collecting blood from donors is similar to that used for blood sampling, so 70% isopropyl alcohol is the recommended antiseptic during blood donor phlebotomy.

A

False

292
Q

True or False

Autologous transfusion means an individual donates blood to another person.

A

False

293
Q

Which tube are you going to use when you need serum specimen?

A

gold tube

294
Q

Which of the following is an abdominal fluid?

A

peritoneal

295
Q

A vein which is obstructed, hard and cordlike, and lacks resiliency is

A

sclerosed

296
Q

Laboratory glassware is dried using which method?

A. air dry
B. drying oven
C. None
D. Both

A

D.

297
Q

True or False

procedure in routine urinalysis: the urine should be well mixed before dipping the strip

A

True

298
Q

Specimen collected to confirm cancer of the blood like leukemia.

A

bone marrow aspirate

299
Q

True or False

In order to collect an appropriate specimen from infants and toddlers, the patient must be properly immobilized

A

True

300
Q

Which of the following is used in removing grease from the laboratory glassware?

A. acetone
B. sodium carbonate
C. Both
D. None

A

C

301
Q

True or False

In the preparation of culture media, the autoclave is set at 100 degrees Celsius at 10 psi.

A

False