S1 Flashcards
Which of the ff elements/humor/organ historically used to check imbalance and illness is incorrectly paired?
a. Air: Phlegm: Lungs
b. Water: Black Bile: Gallbladder
c. Earth: Blood: Brain
d. Fire: Black Bile Spleen
Water: Black Bile: Gallbladder
Which of the following is not true about the history of phlebotomy
a. Crude Tools - used during stone age
b. 1400BC - Leeches were applied to skin - painting from an Egyptian tomb
c. Venesection in 1200 - done by Guild of Academic Barber Surgeons of the Short Robe
d. Approximate volume for blood collection - determined during 17th to early 18th centuries
Venesection in 1200 - done by Guild of Academic Barber Surgeons of the Short Robe
Which of the following is not a characteristic a competent phlebotomist must have?
a. A good skill in using the hands
b. able to adapt to communicating with patients of all ages
c. knows where supplies are located and kept
d. understands laboratory policies and strictly and exclusively follow them
understands laboratory policies and strictly and exclusively follow them
What trait is expected from a phlebotomist when he/she offers reassurance to an anxious patient in a caring and humane way?
Compassion
When the listener is receiving the entire message - words and the feelings are being expressed.
Active Listening
Type of distance people keep when communicating on a personal level
1.5 to 4 feet
In doffing, Gloves are removed first. While in donning, they’re the last to be worn.
Both T
Morse Type Category-Specific system of isolation is based on the route of the infection. Furthermore, they incur additional costs to the patients and hospital.
Both T
Which of the ff is not true regarding Emergency Cardiovascular Care
a. Interruptions to chest compressions should be limited to <10 secs
b. Child compression depth = half of his/her chest diameter
c. Trained BLS - maintain ventilation to compression ratio of 2:30
d. Unstrained rescuers - do hands-only CPR
e. None
None
Patients known or suspected to be infected with pathogens transmitted by particles smaller than 5 um
Airborne
Which of the following does not show achieving good personal wellness?
a. Dealing with what causes you stress
b. Avoid eating microwave-ready and canned foods
c. Wearing soft and inoffensive perfumes
d. Bending from waist to lift up objects
Bending from waist to lift up objects
Odd-Man Out : Airborne Infections
a. Measles
b. Pneumonia
c. Tuberculosis
d. Small pox
Pneumonia
Correct order of deoxygenated blood circulation through the heart?
Vena Cava > RA > RV > Pulmonary Artery
Correct order of vein preference for venipuncture
Median Cubital > Cephalic > Basilic
Morse Type. Lubb is the sound produced as the semilunar valves close while dupp is heard when the AV valves close.
Both False
Morse Type. MI is caused by a decrease or full stoppage of blood flow that damages the heart muscle. While CHF is an acute condition that affects the pumping power of the heart.
T, F
Correct order of blood vessels in terms of increasing internal diameter
Capillaries>Arterioles>Venules>Arteries
Which of the following is not paired correctly?
a. Serum : Presence of Fibrinogen
b. Buff Coat : WBC
c. Plasma : Liquid portion of anticoagulated blood
d. Whole Blood : w/ anticoagulant
Serum : Presence of Fibrinogen
Layer of the heart that is simple squamous epithelium supported by a thin layer of dense irregular connective tissue.
Endocardium
A wide double-edged blade at right angles to the handle used to open a vein or artery to remove blood during ancient times.
Fleam
Infection acquired from a healthcare setting
Nosocomial Infection
Type of isolation used for immunocompromised patients to protect them from infections.
Reverse Isolation
Average heart rate
72 bpm
Reasons why phlebotomy is performed
Blood Banking, Extraction of Blood, Therapeutic Purposes, Monitoring of Treatment/Medication
Examples of patients that need reverse isolation
Immunocompromised, AIDS, Burn, Recent Operation/Surgery
Components of an Infection Control Program
Surveillance, Evaluation and Treatment, Screening
Murmuring sound produced when there is an irregularity in the aortic leaflets
Aortic Stenosis
Enzymes used as diagnostic test for heart injuries/disorders
LDH, CK, CKMB, AST, Troponin T, Myoglobin
Covers ventricles, causing them to contract and pump blood to pulmonary artery and aorta
Purkinje Fibers
Preferred site for venipuncture
Antecubital Fossa
Transmission route where exposure is through the skin from needlestick or other sharp objects
Precutaneous
Provides the graphical representation of the cardiac cycle’s activity.
ECG / Electrocardiogram
Which of the following is not an anticoagulant?
a. Sodium Citrate
b. ethylenediaminetetraacetic acid
c. ammonium heparin
d. sodium fluoride
Sodium Fluoride
What test would you use a white separator tube for?
Molecular Diagnostic Test
Which of the following statements regarding Sodium hypochlorite is/are correct?
a. Blood Spills - 1:100 dilution
b. Disinfect skin for venipuncture with NaOCl; contact time = 10 mins
c. Clean table with 1:10 dilution of solution for 10 mins
Clean table with 1:10 dilution of solution for 10 mins
The length of the shaft of winged infusion needles used in venipuncture
0.5-0.75 inches
This may be used to immobilize children ages 6-12 during phlebotomy
Papoose board
Patient is for blood culture exam. Patient is allergic to Povidone Iodine, what disinfectant should be used?
Chlorhexidine Gluconate
L.Blue - Gray - Green - Gold - Red. Which of the following should be second to the last in order of draw?
Green
Which of the following is matched incorrectly?
a. Royal Blue : Na Citrate
b. Black : For ESR
c. Yellow : ACD
d. 2 of the choices
e. None
Royal Blue : Na Citrate
What should be drawn first if blood is only for coagulation test?
Red plastic tube
Why should lavender be drawn before gray top?
Oxalate distorts cell morphology
What needle gauge is used in blood bags used for blood donation?
16-18
Which of the following does not contain EDTA as an anticoagulant?
a. Tan
b. Royal Blue
c. Pink
d. 2 of the choices
e. None
None
Extraction chair used if patient is feeling ill or expected to faint.
Reclining Chair
Which of the following is/are disadvantage/s of using 25 gauge needles for phlebotomy?
a. may cause hemolysis or formation of microclots
b. patient’s vein easily bends
c. more painful
d. 2 of the choices
e. none
A & B
Recommended to be used as a tourniquet if flat latex is not available.
Sphygmomanometer at 40mm Hg
Test request : Coagulation test, Glucose (delayed), CBC. What is the anticoagulant for the last tube drawn?
Potassium Oxalate
Sharps container :
a. should contain all sharps and needles used for phlebotomy
b. should be sealed once filled completely
c. should be disposed once it reaches 75% capacity
d. a&c
e. a&b
A & C
Phlebotomy trays :
a. should be emptied and disinfected every 7 days
b. should be restocked at all times
c. should have a container for sharps and infectious wastes
d. all of the choices
e. none
All
Which of the following is matched correctly?
a. RST: Orange: Thrombin
b. PST: Green : Heparin
c. SST: Gold : SPS
d. All
A
These are submicroscopic obligate intracellular
pathogens that behave simply like complex
molecules in the absence of host cells.
Viruses
Which of the following microorganisms can easily be transmitted by the use of tourniquet that was not properly disinfected?
a. MRSA
b. ESBL-K.pneumoniae
c. Naegleria fowleri
d. Saccharomyces cerevisiae
MRSA
Who among the following Greek Philosophers is considered to be the “Father of Medicine”?
a. Aristotle
b. Plato
c. Democritus
d. Hippocrates
Hippocrates
Which of the following is considered to be the
National Reference Laboratory (NRL) for HIV/AIDS, Hepatitis, Syphillis and other STI’s?
a. Research Institute for Tropical Medicine
b. San Lazaro Hospital (SACCL)
c. East Avenue Medical Center
d. National Kidney and Transplant Institute
San Lazaro Hospital (SACCL)
Which of the following is considered to be the
National Reference Laboratory (NRL) for dengue, influenza, malaria and other parasites?
a. Research Institute for Tropical Medicine
b. San Lazaro Hospital (SACCL)
c. East Avenue Medical Center
d. National Kidney and Transplant Institute
Research Institute for Tropical Medicine
All of the following tests are done in the Hematology section of the Clinical Laboratory, except:
a. MCHC
b. RDW
c. Prothrombin time
d. ABO and Rh Typing
ABO and Rh Typing
All of the following tests are done in the Clinical
Chemistry Department of the Clinical
Laboratory, except:
a. Creatine Kinase
b. ABG
c. Fasting Blood Sugar
d. AFB
AFB
One day in the Phlebotomy area, while performing a routine venipuncture procedure, a patient lifted one eyebrow while watching you prepare your materials. What could this non-verbal communication mean?
a. Skepticism
b. Puzzlement
c. Indifference
d. Isolation and fear
Skepticism
Morse Type. Proxemics is the study of non-verbal communication. On the other hand, Kinesics is the study of individual concept and space.
Both False
Element in Healthcare Communication which is described when one identifies with the feelings or thoughts of another person.
Empathy
This is a general term used to describe disease-causing microorganisms.
Pathogen
Molecule considered to be the major composition of the bacterial cell wall.
Peptidoglycan
In the Chain of Infection, this is described to be the place where a microbe can survive and grow. This include humans, animals, food, water and soil.
Reservoir
These are inanimate objects or materials which are likely to carry infection such as clothes, utensils, and furniture.
Fomites
Among the means of transmission, what is the most likely means by which a patient can acquire MRSA from the laboratory?
a. Airborne
b. Contact
c. Vector
d. None of the choices
Contact
Morse Type. An infection-control program also provides for the evaluation and treatment of employees who are exposed to infections on the job. Furthermore, screening for infections diseases typically takes place prior to or upon employment and on a regular basis throughout employment.
Both T
What is the means of locomotion for protozoan parasites classified under Class Sarcodina?
a. Pseudopods
b. Flagellates
c. Cilia
d. Apical complex
Pseudopods
Correct order for doffing PPE.
Gloves, gown and mask
What is the first thing to do if the patient bled bright, red, pulsating blood while a Phlebotomist was carrying out routine venipuncture?
a. Terminate the procedure
b. Apply direct pressure to the site of bleeding.
c. Allow the patient to lay flat on a reclining phlebotomy chair.
d. Apply elastic bandage to hold the compress in place.
Terminate the procedure
What is the major tissue composition of the epicardium?
Dense, irregular, connective tissue
This chamber of the heart is responsible for pumping deoxygenated blood into the pulmonary artery.
Right Ventricle
Synonymous to the mitral or bicuspid valve
Left AV Valve
Morse Type. The superior vena cava is a large vein that collects blood from the upper portion of the body. On the other hand, the inferior vena cava is a large artery that that transports blood to the lower portion of the body.
T, F
Among the laboratory tests listed below, which
will significantly elevate if the sample is
hemolysed?
a. Potassium
b. Cholesterol
c. Triglycerides
d. ABG
Potassium
Which of the following analytes are increased in the serum of AMI patients?
a. Myoglobin, CK and AST
b. AST, ALT and GGT
c. Amylase, Lipase and HDL
d. None of the choices are correct.
Myoglobin, CK and AST
Which of the following should be a practice of infection control when entering the nursery
a. Bring the phlebotomy tray inside when necessary
b. Immediately put on clean gloves, gowns, and mask
c. Carry only equipment needed inside
Carry only equipment needed inside
Alternative to handwashing before dealing with the next patient
Antisepsis
T/F Major functions of the immune system is to identify self and non-self components and eliminate/destroy non-self components/
True
Reverse isolation should be observed when dealing with the following patients, except :
a. Heart attack patient
b. Organ transient patient
c. AIDS patient
d. Burn patient
Heart attack patient
The phlebotomist arrived in the room and the patient was not around. What should the phlebotomist do next?
Affix a form and submit to the nurses’ station indication that no collection has been made
What precaution should be observed when a patient is suspected to be infected with VRE?
Contact Precaution
Airborne precautions should be practiced when patients are suffering from :
a. Tuberculosis
b. Primary amoebic meningoencephalitis
c. Methicillin-resistant Staphylococcus aureus
Tuberculosis
Major tissue composition of the myocardium
Cardiac Muscle
Major tissue composition of the myocardium
Cardiac Muscle
T/F The Universal Precaution in the laboratory states that blood and body fluids of all people are potentially infectious.
True
T/F A good majority of the coagulation factors are synthesized in the spleen.
False
Hirudotherapy is another term for phlebotomy
False
