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clinical chemistry > SPECIMEN COLLECTION AND HANDLING > Flashcards

SPECIMEN COLLECTION AND HANDLING Flashcards

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1
Q

TEST AFFECTED BY THE CITRATE

A

ALP
CALCIUM
PHOSPHORUS

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2
Q

TEST AFFECTED BY THE SILICA

A

PTT
PT

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3
Q

TEST AFFECTED BY THE HEPARIN

A

ACTIVATED CLOTTING TIME
ACP
CALCIUM
SODIUM
LITHIUM
PTT
PT

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4
Q

TEST AFFECTED BY THE EDTA

A

ALP
CA
K
FE
NA
CK
PT
PTT

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5
Q

TEST AFFECTED BY THE OXALATES

A

ACP
ALP
CA
K
LD
PT
PTT

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6
Q

TEST AFFECTED BY THE SODIUM FLUORIDE

A

NA

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7
Q

TUBES WITH GEL ARE NOT USED FOR

A

IS
BB
TRACE ELEMNTS
THERAPEUTIC DRUGS

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8
Q

TUBE COLORS WITH EDTA

A

LAVENDER
PINK
WHITE
TAN
ROYAL BLUE

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9
Q

CHELATES CALCIUM

A

EDTA AND SODIUM CITRATE
ALL TUBES WITH EDTA +BLUE, LIGHT BLUE

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10
Q

INHIBITS THROMBIN FORMATION

A

LITHIUM HEPARIN
SODIUM HEPARIN
LIGHT GREEN, GREEN, BLACK, ROYAL BLUE

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11
Q

CLOT ACTIVATOR

A

RED PALSTIC
RED/GRAY/GOLD
YELLOW/GRAY AND ORANGE

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12
Q

ACTION: FIBRIN DEGRADATION PRODUCT

A

LIGHT BLUE

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13
Q

YELLOW

A

BLOD BANK PLASMA)
MICROBIOLOGY (SERUM)
HLA PHENOTYPING
PATERNITY TESTING

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14
Q

WHICH TUBE SHOULD NOT BE USED N CHEMISTRY TEST

A

EDTA

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15
Q

MOST COMMON WAY TO COLLECT BLOOD

A

VENIPUNCTURE

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16
Q

MOST COMMON PATTERNS OF VEINS

A

M PATTERN
H PATTERN

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17
Q

THIS VEIN IS ANCHORED, LEAST PAINFUL

A

MEDIAN

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18
Q

THIS VEIN IS CHOICE FOR OBESE PATIENT

A

CEPHALIC

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19
Q

THIS VEIN IS NEAR CUTANEOUS VEIN ADN BRACHIAL ARTERY

A

BASILIC

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20
Q

IF THE PATIENT. HAS A IV HAVE THE NURSE TURN OFF IV FOR ___

A

2 MINS

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21
Q

APPLY THE TOURNIQUET OF PX WITH IV ___

A

BELOW THE IV

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22
Q

10% CONTAMINATION WITH 5% DEXTROSE INCREASE GLUCOSE IN BLOOD BY :

A

500 MG/DL

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23
Q

BLOOD PRESSURE CUFF IS USED AS TOURNIQUET WHAT MMHG SHOUDL USED?

A

60 MMHG

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24
Q

HOW MANY MINS YOU SHOULD WAIT FOOR 2ND ATTEMP ON VENIPUNCTURE?

A

2 MNS

25
Q

ANTISEPTIC OF CHOICE IN VENIPUNCTURE

A

70% ISOPROPYL ALCOHOL

26
Q

SITE IS ALLOWED FOR TO DRY FOR:

A

30 SECONDS

27
Q

CLEANSE THE SITE WITH ________ WHICH IS MORE SUPERIOR THAN CIRCULAR

A

BACK AND FORTH FOR 30 SECONDS

28
Q

FOR ETHANOL TESTING WHAT ANTISEPTIC IS USED?

A

BENZALKONIUM CHLORIDE

29
Q

NEVER PROBE DURNG PHLEBOTOMY SINCE IT INCREASE ______

A

FACTOR VII THAT COULD LEAD TO SHORTEN PT

30
Q

TRAUMATIC TAP MIGHT INCREASE

A

CK
MYOGLOBIN
K

31
Q

CAUSES OF COLLAPSED VEIN

A

TOO MUHC VACCUMM
QUICK PULL OOF PLUNGER
TIGHT TOURNIQUET OR CLOSE TO THE SITE OF PUNCTURE

32
Q

most common cause of. carryover

A

EDTA

33
Q

TRUE OR FALSE
NO BANDAGE FOR 2 YEARAS OLD BELOW

A

TRUE

34
Q

WHAT IS THE ANGLE IN VENIPUNCTURE USING BUTTERFLY AND ETS

A

10-15

35
Q

TRUE OR FALSE IF THERE IS A PETECHIAE THE PHLEBO IS THE PROBLEM NOT THE BLOOD VESSEL

A

FALSE

36
Q

WHAT IS THE ANGLE FOR ARTERIAL PUNCTURE

A

45-60
90 IF FEMORAL

37
Q

LENGTH OF LANCET

A

1.75 MM

38
Q

TRANSPORT OF SPECIMEN : STAT SPECIMEN

A

IMMEDIATE

39
Q

TRANSPORT OF SPECIMEN: DELIVERY TO THE LAB

A

WITHIN 445 MINS OF COLLECTION

40
Q

TRANSPORT OF SPECIMEN
CENTRIFUGE WITHIN ______

A

1HR OF ARRIVAL

41
Q

EXCESSIVE CENTRIFUGATION CAN CAUSE

A

CELL LYSIS
SLIGHT ELEVATION OF LD AND K

42
Q

ANY HANDLING PERSONNEL IS DOCUMMENTED
ANY TEST AS EVIDENCE IN LEGAL PROCEEDING

A

CHAIN OF CUSTODY

43
Q

OFTERN CREATED WJEN MULTIPLE TEST ARE ORDERED ON A SINGLE SPECIMEN

A

ALIQUOT

44
Q

SAMPLE SHOULD BE ANALYZED WITHIN ____

A

4 HRS

45
Q

IF THE SAMPLE IS DELAY, IT SHOULD BE REFRIGERATE

A

AT 4 DEGREES FOR 8 HOURS

46
Q

RIMMING OF SPECIMEN CAN CAUSE

A

HEMOLYSIS
AEROSOL INFECTION

47
Q

A MANAGEMENT PHILOSOPHY AND APPROACH THAT FOCUSES ON PROCESS AND THEIR IMPROVEMENT AS THE EANS TO SATISFY CUSTOMER NEEDS AND REQUIREMENTS

A

TOTAL QUALITY MANAGEMENT

48
Q

INCLUDE ANALYTICAL PROCESSES AND THE GENERAL POLICIES, PRACTIVES ADN PROCEDURES THAT DEFINE HOW ALL ASPECTS OF THE WORK ARE DONE

A

QUALITY LABORATORY PROCESSES

49
Q

EMPHASIZES STATISTICAL CONTROL PROCEDURE BUT ALSO INCLUDES NON STATISTICAL CHECK PROCEDURE CHECK SYCH AS LINEARITY CHECKS, REAGENT AND STANDARD CHECK AND TEMPERATURE MONITORS

A

QUALITY CONTROL

50
Q

CONCERNED PRIMARILY WITH BROADER MEASURES AND MONITORS OF LAB PERFORMANCE

A

QUALITY ASSESSMENTS

51
Q

A STRUCTURED PROBLEM SOLVING PROCESS TO HELP IDENTIFY THE ROOT CAUSE OF A PROBLEM ADN A REMEDY FOR THAT PROBLEM

A

QI

52
Q

DOCUMENT DESCRIBES A QUALITY MANAGEMENT SYSTEM AS ASET OF KEY QUALITY ELEMENTS THAT MUST BE PLACE FOR AN ORGANIZATION WORK OPERATION TO FUNCTION IN A MANNER TO MEET THE ORGANIZATION STATED QUALITY OBJECTIVES

A

CLINICAL LABORATORY STANDARDS INSTITUTE (CLSI)

53
Q

A COMPREHENSIVE PROGRAM IN AN INSTITUTION IN WHICH ALL AREAS OF OPERATION ARE MONITORED TO ENSURE QUALITY WITH THE AIM OF PROVIDING THE HIGHEST QUALITY PATIENT CARE

A

QUALITY ASSURANCE

54
Q

SET OF INSTRUCTION FOR METHODS USED IN LABORATORY

A

STANDARD OPERATING PROCEDURES

55
Q

SOP ALSO KNOWN AS

A

PROCEDURE MANUAL

56
Q

DESIGN TO ELIMINATE NON VALUE ADDING STEP
SEEKS T STREAMLINE THE PROCESS BY ELIMINATING DUPLICATION EXCESS AND BARRIERS FOR A MORE OPTIMIZED FLOW

A

LEAN

57
Q

A PERFORMANCE IMPROVEMENT PROGRAM THE GOAL OF. WHICH CAN BE SUMMARIZED BY THE MANTRA “IMPROVEMENT BY ELIMINATING PROCES VARIATION”

A

SIX SIGMA

58
Q

PROCESS OF IMPROVEMENT IN SIGMA

A

DEFINE
MEASURE
ANALYZE
IMPROVE
CONTROL

59
Q

WHAT IS THE GOAL OF SIX SIGMA
1 IMPROVED PERFORMANCE
2. IMPROVE QUALITY
3. IMPROVED PRECISION
4 IMPROVED ACCURACY

A. 1 AND 2
B 1, 2 AND 3
C. 1,2, 4
D, 1, 2,3, 4

A

A

clinical chemistry (7 decks)

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