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CMLA Study guide

QuestionAnswer
A 24hr creatinine and clearance test is used to determine what function? Kidney
The ability to achieve both accuracy and precision is: reliability
According to OSHA regulations who must provide PPE? hospital, employer
ALL manufactures of laboratory reagents must supply a document stating the hazardous properties of the material and other data regarding the use and disposal of the reagent. What is this document called? material safety data sheet / MSDS
What does not cause a false negative on a rapid strep test : proper storage and collection
What is NOT a common cause of random errors while testing? imprecise timing
All test procedures in the clinical lab must be monitored for accuracy and precision using: at least two levels of controls
Although many antiseptics and disinfectants may kill HIV the most practical one used on contaminated equipment is: 10% bleach solution
Medical term for low blood sugar: hypoglycemia
Another type of testing that can ensure accuracy in addition to QC is: proficiency testing
Anthrax is: a bacteria
An autoclave sterilizes by: using steam and pressure
Blood cultures are ordered for: FUO/ fever of unknown origin
A cellophane tape preparation specimen goes to which department microbiology
A centrifuge is used to: separate liquid from solids
The change in the shape of erythrocytes as observed on a peripheral smear is described as: poikilocytosis
CLIA does not mandate: waived testing
Clumping together of cells or particles is known as; agglutination
A compound microscope is used to study all organisms except: viruses
A decrease in white blood cells is known as: leukopenia
When the body is at a state of physiological equilibrium it is called: homeostasis
An electronic cell counter is used for counting: red and white blood cells
A false positive nitrate on a urine sample indicates: improper storage
A lab that has a provider performed microscopy certificate, what healthcare person would not be allowed to perform microscopic procedures? medical assistant
The kidney function is to remove _________ and reabsorb _______ waste product, water
Gamma-glutamyl transpeptidose (GGT) is elevated in: alcoholic cirrhosis
Glucose is stored in the liver as: glycogen
A gradual change in the mean that proceeds in one direction over six or more consecutive days is known as a: trend
Gram negative organisms stain: red, pink
A GTT includes what specimen blood, urine
Hemoccult testing detects: blood in stool
Hemoglobin electrophoresis is used to diagnose: anemia
Hemoglobin is found in: red blood cells
The HIPPA privacy rule does not protect patient information that is: accidentally overheard
How is the most sterile urine sample collected? strait catheterization by a nurse
How long must a lab keep requisitions two years
How long can a tourniquet be on an arm no longer than one minute
How is the most sterile urine collected strait catheterization by a nurse
How many stool sample are needed for an ova and parasite (O&P) three fresh samples
How long after the Westergern ESR is set up before the result is recorded one hour
How is a patient prepared to do a 2 hour post prandial glucose test patient eats two hours prior to testing
the human chorionic gonadotropin test kit is used for quick efficient testing for: pregnancy
What specimen is collected when checking for a UTI mid-stream clean catch urine
If a patient has a seizure during a draw you call for help then: lay them down and make sure they do not get hurt
If a urine will not be tested within _______ it must be refrigerated one hour
If 2 patients have the same name how would their records be put in order by date of birth
if serum or plasma is pink it indicates: hemolysis
What is done if a tube is received unlabeled discard ask for redraw
in a normal distribution curve more values are close to the mean
An increased sedimentation rate is seen in what 3 common conditions pregnancy, cancer, connective tissue disorder
The incubator temp should be -------- daily checked
infectious hepatitis is caused by a virus
infectious mononucleosis is caused by EBV Epstein barr virus
Insufficient centrifugation while performing a microhematocrit will result in: a false higher value
In the chemistry department the tests are performed on: auto analyzers
the substance being measured is known as an: analyte
An invisible spray of liquid particles aerosol
Laboratory refrigerators should be kept at the following temperature one to six degree celsius
The average lifespan of a RBC is: a hundred and twenty days
What is the liquid portion that remains after centrifuging of a light blue top tube plasma
Liver disease will cause increase in bilirubin
liver enzymes can easily be assessed through: blood testing
Material Safety Data Sheets (MSDS) are stored: accessible to everyone
A measure of the departure from accuracy is known as: bias
The medical term Leuk- means white
The medical term osteo- means: bone
Microscope slides are placed on the _______ of the microscope stage
The common cause of leukocytosis is: bacterial infection
The most common fungus found in a dr office is: ringworm
The most commonly performed test for anticoagulant therapy is: prothrombin time
The most common metabolic disorder discovered by a urine dipstick is: diabetes
The most common test performed in the hematology department is: CBC, complete blood count
Most hematology tests are performed on: whole blood
Normal human body temp is: 37 c or 98.6 degrees f
Normal urine output in an adult is: 600-2000 ml
What type of infection is most likely to be contracted in a hospital setting nosocomial infection
A packed RBC volume ratio is: hematocrit
The pathogen most commonly isolated from a wound infection is: staphylococcus aureus
Patients with uncontrolled diabetes will have abnormal results in the following urine parameter(s) glucose and ketones
A patient with an allergic reaction will have an increased number of these types of cells: eosinophils
A persistent infection with symptoms that come and go: latent
A positive leukocyte esterase results in a urine sample indicates: white blood cells
A positive nitrate result in a urine sample indicates: bacteria
PPE includes: face shield, goggles, gloves, coat
The prefix hyper- means excessive
Prefix meaning 1/10th deci
Privileged communication is the legal term that refers to confidential information: obtained in a patient/physician relationship
The process by which a cell engulfs a foreign material such as a bacteria or virus is known as: phagocytosis
The protein found in RBC's that carries oxygen is: hemoglobin
Protein in the urine indicates kidney disease
Quality Control is plotted on a: Level Jennings chart
The rapid plasma reagin (RPR) test is most commonly used to detect: an STD
A rapid strep kit tests for Group A streptococci
The ratio of the volume of RBC to the total volume of blood is known as: hematocrit
Removal of tissue from the body for pathological examination is called: biopsy
Results when using the N-Multistix 10SG take: less than 2 minutes
Semen samples must be reviewed microscopically asap because: decreased motility
Serum is separated from the cells as soon as possible to prevent: hemolysis
smallpox is caused by: variola major
Specimens used to test the accuracy of urinalysis procedures, reagents, and equipment are: urine controls
A specimen that is divided into two parts an analyzed in two different laboratories to check for accuracy is: split specimen
A spinal tap is also known as a: lumbar puncture
Sputum is collected from the: lungs
The study of fungi: mycology
A sudden shift in the mean that becomes continuous is know as: a shift
TB is caused by a: bacteria
The term card or card means: heart
The term for increased white blood cell count is: leukocytosis
A _________ test determines how much of a substance is present. quantitative
A test kit that should be stored at 15-25 degrees C is stored where? storeroom shelf
A test used to detect the presence of inflammation CRP, C reactive protein
There is a pathological condition in which system if a patient has the following urinalysis results? Leuk: positive pH: 6.5 Pro: trace WBC: 15-20 Bacterial: Positive Nitrite: Positive genitourinary
Throat swab samples can be used only once
A timed specimen is required for theraputic drug monitoring of peak theophylline level
To protect confidentiality, what question should a healthcare worker ask themselves before looking at a patient's medical information Do I need to know this
Transferring a patient specimen to a culture plate is: inoculation
Trichomonas vaginalis is a: protozoa
Two or more organisms living together is called: symbiosis
An upper GI series requires the patient to: drink barium
Urine pregnancy test detects HCG- human chorionic gonadotropin
A urine sample can be refrigerated for up to ___________ and must be allowed to warm up to room temperature prior to testing. four hours
A urine test that indicates bacteria in the intestinal tract urobilinogen
The value of QC material provided by the manufacturer is known as: target value
The value of the normal control for potassium is 3.2mEq/L. If 1 standard deviation (SD) is +/- 0.2, which of the following value is out of range 4.1mEq/L
The variation from the mean of a sample is the: coefficient of variation
Variation in red cell size observed on a peripheral smear is described as: anisocytosis
What acts as a decolorizer in the gram stain procedure alcohol-acetone
What additive is in a green top tube heparin
What carries oxygen away from the heart arteries
What causes an ammonia smell in urine excessive bacteria
What cells are involved in hemostasis platelets
What cells produce antibodies B- lymphocytes
What color tube is a PT collected in light blue
What color tube is used for a CBC lavender
Which department studies blood cells in the bone marrow hematology
What does an elevated ESR/ erythrocyte sedimentation rate indicate inflammation
What does the term syncope mean fainting
What does universal precaution mean to a healthcare worker treat everything as contaminated
What indicates a UTI in a clean catch mid stream urine 100,000 colonies/ml
What indicates bacteria in the urinary tract nitrites
What critical information has to be clearly noted in a prominent area of a patients file, such as on front cover or immediately inside the cover known drug allergies
What is a carcinogen cancer causing agent
What is a contact transmission hazard needles, contaminated hands
What is added to a urine specimen to prevent breakdown before testing preservative
What is an example of a physical hazard broken glass
What is a patients most common mistake while collecting a 24 hour urine sample not collecting all the urine
What is a urinary tract prefix ren
What is it called to be free from infectious organisims aseptic
What is not a physical property of urine glucose level
What is produced by the breakdown of hemoglobin bilirubin
Which tube is the choice for hematology tests lavender (EDTA)
What is the coefficient of variation used to determine precision
What are the steps for performing a microscopic urine centrifuge, 1 drop on slide, observe under low power, report
What is the highest percentage of WBC in a peripheral smear neutrophils
What is the main function of white blood cells protect against infection
What is the major Hgb found in the RBC's of patients with sickle cell anemia Hgb S
What is the major type of WBC seen in the peripheral smear of a patient with aplastic anemia lymphocyte
What is the minimum number of values that must be obtained before calculating standard deviation 20
What is the most important factor in controlling the spread of disease hand washing
What is the name of the chest muscle pectoralis major
What is the normal pH of urine 4.5 to 8.0
What is the normal range for urine specific gravity 1.010 to 1.025
What is the normal WBC differential lymphocyte percentage in the adult population 20% to 44%
What is the number one STD in the USA Chlamydia
What is the oxygen carrying component of red blood cells? hemoglobin
What is the path of urine through the urinary system? kidney, ureters, bladder, urethra
What is the preferred specimen for a differential EDTA
What is the RBC's primary function? carry oxygen
What is the proper way to carry a microscope? one hand under base one hand holding the arm
This is used to enhance the visibility of formed elements stain
What does ICD-10 CM coding used for describe a diagnosis
What is the total magnification of the microscope using a 10x eye objective and a 40x power objective 400 times
What vein is the most commonly used for venipuncture median cubital
What is used to calibrate instruments standards
What laboratory finding is seen in a patient with appendicitis elevated WBC count
What microscope objective is used when initially focusing coarse adjustment, low power
What mineral is essential for hemoglobin production? Iron
What objective is used to read a gram stain 100x oil immersion
What organism is the smallest virus
What organ is responsible for the production of urine kidney
What parts of the microscope affect the amount of light through the specimen diaphragm, condenser
What patient filing system provides for the greatest degree of patient confidentiality numeric by medical record number
What percentage of blood are RBC's in an average adult 40%-45%
What reagent is part of the gram stain crystal violet
What results from leaving a tourniquet on too long hemoconcentration, false elevated potassium
What should a healthcare worker do if they come across an open shredding bin full of papers revealing patient names, addresses and diagnosis close and lock the bin and report it to supervisor
What should a phlebotomist do with a patient that is a difficult stick try twice then ask for help
What should happen to a specimen that is not labeled ask for a new specimen
What stain is used on a specimen that is not labeled Wright's stain
What substance is released with cell damage electrolytes
What test is done when electrolytes are ordered k+, CL-, Na++
What tests for dehydration and cell starvation in urine keytones
Which tube can stabilize glucose for up to 3 days grey, sodium fluoride
What type of bacteria is spherical cocci
What type of cell will be increased in case of mononucleosis (mono) atypical lymphocytes
What type of laboratory must perform proficiency testing moderate complexity laboratory
What virus causes mononucleosis (mono) epstein barr virus
What will happen to the WBC count in a patient with acute appendicitis it will be elevated
What will not protect against HIV recapping needles
When a practitioner orders an unusual test, the best way of ensuring a good specimen is to review the collection guidelines provided by the reference laboratory
When blood is allowed to coagulate, the liquid portion is known as: serum
What is the appropriate way to choose a CPT code for a laboratory test Choose the specific analyte code, if available
When diluting an acid slowly pour acid into water
When is it acceptable to share your computer login identification and password never
Which organ produces insulin? pancreas
When the control values on a distribution curve are close to the mean value, but deviate a small amount on either side of the mean from day to day it is known as: normal distribution
When using an automated cell counter, the most frequent cause of erroneous test results is: improper mixing during collection
When using test kits you should never: mix lot numbers
Where should a finger stick be performed on the 2nd or 3rd finger
Where should a phlebotomist perform a baby heel stick on either side of the heel on the bottom of the foot
Which blood test is drawn from an artery ABG Arterial blood gas
Which department has a special patient identification system blood bank/transfusion services
Which department performs an ESR Wintrobe method hematology
What analyte would be most affected by a hemolyzed specimen K+ Potassium
Which of the following are part of a routine urinalysis physical, chemical, microscopic
Which Leukocytes are phagocytic neutrophils and monocytes
What is not a protein normally found in urine urobilinogen
What analyte in blood is not a red or white blood cell platelets
What laboratory test is performed in the hematology department reticulocyte count
What test is used to detect gout uric acid
Which test is used to aid in the detection of cancer of the prostate PSA
What is the urine specimen of choice for bacteriological examination clean catch, mid stream
Which part of the name Mr. Charles D. Anderson-Jones would be used to alphabetize the patient chart by Anderson
Which phagocytic cell produces lysozymes neutrophils
Which poses the greatest potential risk of damage to a computer's stored information downloading nonsecure files
Which power is used to perform a microscopic UA 40x low power
Which RBC disorder changes the hemoglobin molecule sickle cell anemia
Which term describes the top portion of a centrifuged specimen supernatant
Which test is performed in the hematology/coagulation department PT
Which tube is not centrifuged lavender
Which tube produces a serum specimen red
Which urine parameters measures the number of solutes in the urine specific gravity
Which urine parameter would be abnormal if a patient has chronic high blood pressure protein
Which urine parameter would be abnormal if there were bacteria present in the urine nitrates
Which urine parameter would be abnormal in a patient with uncontrolled diabetes ketones
Which urine parameter would be abnormal when a patient has been fasting ketones
Which urine test measures the glomerular filtration rate - the amount of blood filtered by the kidneys creatinine and clearance
Which WBC produces antibodies lymphocytes
Who can give consent for treatment if the patient is married minor the patient
Which WBC engulf and digest bacteria? Neutrophils
Which WBC carries histamine? Basophils
Which WBC are active against parasitic infections? Eosinophils
Which WBC is active against viruses? Lymphocytes
Which blood cells transform to macrophages when they cross from blood to tissue? Monocytes
Bacteria that stains deep purple such as staph or strep are known as: gram positive
Bacteria that stain pink or red like e coli or gonorrhoeae are known as: gram negative
Abnormally low blood Ph or more acidic than normal is: acidosis
The arrest of bleeding is called hemostasis
The most common type of WBC and first line of defense that is multi lobed nucleus and cytoplasm filled with fine pink granules when stained that kills bacteria and fungi is: neutrophil
The most common type of WBC in infants and children creating antibodies to bacteria and viruses is: Lymphocytes
The least common type of WBC containing large cytoplasmic granules that stain blue-black with alkaline dyes and secrets histamine is: Basophil
Granular white blood cell with a bilobed nucleus and cytoplasmic granules that stain red-orange with eosin. Increase in number during allergic reaction or parasitic infection is: Eosinophils
A counting device or counting chamber to count cells such as red or white blood cells is called a : hemacytometer
Largest WBC that stains grey-blue with fine granules. They remove dead or damaged cells and fight cancer cells are Monocytes
Neutrophils, eosinophils, and basophils are all: granulocytes
The kidney hormone that triggers red blood cell formation, produced when hemoglobin concentration or oxygen saturation declines is called: Erythropoietin
The formation of red blood cells is know as: Erythropoiesis
A noticeable pattern of error is known as Systemic errors
The ability to repeatedly get the same result is know as: precision
A chart on which control values are plotted daily, divided into areas of acceptable low and high values, enabling lab workers to easily see/address the normalcy of test results is called: Level Jennings chart
The skewing of test results away from the true value is known as Bias
How close a test result comes to the true value being measured is known as: accuracy
What reagent is part of a gram stain crystal violet
What is released with cell damage electrolytes
What tests for dehydration and starvation in urine keynotes
What happens to the WBC count in a patient with appendicitis it is elevated
What type of cell will be increased in case of mononucleosis (mono) epstein barr virus
What type of bacteria is spherical: Cocci
When blood is allowed to coagulate the liquid portion is known as: Serum
Which organ produces insulin Pancreas
When using an automated cell counter the most common cause of erroneous test results are from: improper mixing during collection
When using test kits you never: Mix lot numbers
What department has a specialized patient identification system? blood bank
What analyte is most affected by a hemolized specimen k+ potassium
What are the parts of a UA chemical, physical, microscopic
Which leukocytes are phagocytic? Neutrophils and monocytes
What protein is not normally found in urine? Urobilinogen
What department are reticulocyte counts run in? Hematology
What analyte in blood is not a red or white blood cell Platelets
What test is used for gout uric acid
Which phagocytic cell produces lysozymes Neutrophils
Which poses the greatest potential risk of damage to a computer's stored info? downloading nonsecure files
What power is used to view a microscopic UA? 40x low power
What RBC disorder changes the hemoglobin molecule? sickle cell anemia
What is the top portion of a centrifuged specimen called? (urine/bodily fluids) supernatant
Which test is performed in the hematology/coagulation department Pt, PTT
Which tube is not centrifuged? lavender/whole blood
Which tube produces a serum specimen? Red, gold, tiger top
Which urine parameter measures the number of solutes in the urine? Specific gravity
Which urine parameter would be normal if a patient has chronic high blood pressure? Protein
Which urine parameter would be abnormal if there were bacteria present in the urine? Nitrates
What urine parameter will be abnormal when a patient has been fasting Ketones
Which urine test measures the glomerular filtration rate- the amount of blood filtered by the kidneys? Creatinine and clearance
Which WBC produces antibodies Lymphocytes
Who can give consent for treatment if the patient is a married minor? The patient
Which WBC engulfs and digests bacteria Neutrophils
Which WBC carries histamine Basophils
Which WBC are active against parasitic infections Eosinophils
Which blood cells transform to macrophages when they cross from blood to tissue? Monocytes
Which WBC is active against viruses lymphocytes
Created by: CWillems
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