| Question |
Answer |
| What is the study of blood and blood-forming tissues called? |
Hematology |
| Which of the following is NOT a component of a CBC: RBC count, WBG count, ESR, Hct. or Hgb? |
ESR |
| For what is AFB a test? |
Tuberculosis |
| What type of consent is inferred by signs, inaction or silence? |
Implied consent |
| If one is neglectful or fails to perform an obligation they are guilty of which of the following: breach of duty, damages, libel, slander or precedent? |
Breach of duty |
| The latin phrase that means "Let the master answer" is which of the following: guardian ad litem, subpoena duces tecum proximate cause or respondeat superior? |
Respondeat superior |
| What is the legal term for the threat of bodily harm? |
Assault |
| Unauthorized publication of information about a patient is which of the following: tort, slander, libel, invasion of privacy or defamation of character? |
Invasion of privacy |
| I you touched a patient without consent you could be guilty of what? |
Battery |
| What type of consent is given when a patient understands the risks and benefits of the procedure? |
informed consent |
| If a phlebotomist does not use proper measures to prevent a fainting patient from falling of what is s/he guilty? |
Negligence |
| On a chain of custody form which of the following does not need to be included: name of subject, name of perosn collecting sample, signature of person transporting the specimen, name of person receiving the speciment in the lab or name of physician? |
Name of physcian |
| Define Asepsis. |
Germ free |
| A term for killing organisms after they leave the body. |
Medical Asepsis |
| What is a form of isolation in which anyone entering the patient's room and having direct contact with the patient wears gloves and gowns. |
Contact isolation |
| What is the form of isolation used for patients who have diseases tht can be spread by droplet infection? |
Respiratory isolation |
| Which Federal Agency established in 1946, and headquartered in Atlanta, GA functions to prevent and control disease? |
CDC |
| Which non-governmental agency, headquartered in Chicago, IL, establishes guidelines for hospitals and health care agencies to follow regrding quality of care? |
JACHO |
| Which governmental agency requires employers to provide a safe work environment including measures to protect workers exposed to biological and occupational hazards? |
OSHA |
| What are the Federal guidelines that regulate all clinical labs; regulate specfic guidlines for QA, QC, record keeping and personnel qualifications and regulations apply to any site that test human specimens? |
CLIA |
| What year was the Clinical Laboratory Improvements Amendments enacted? |
1988 |
| What is the AMA |
a voluntary association for U.S. physicians |
| Enacted in 1996 by the U.S. Congress that protects health insurance coverage for workers and their families when they change or lose their jobs. |
HIPAA |
| These provisions require the establishment of national standards ofr electronic health care transactions and national identifiers for providers, health insurance plans and employers |
Title II of HIPPA, the Administrative Simplification |
| An institute formerly known as NCCLS - develops guidelines and sets standards of performance for al areas of the clinical laboratory |
CLSI |
| An agency that outlines competencies for phlebotomy programs approved by their organizaitons, also approves phlebotomy programs. |
NAACLS |
| What is one of the most common errors when collecting blood specimen? |
Incorrectly identifying the patient |
| What is a physician's order to obtain a specimen for testing? |
Requisition |
| As blood circulates, which components does it carry to and from the lungs? |
oxygen and carbon dioxide |
| This is often found on a requisition, but is not required. |
Patient's date of birth |
| What is the most important task a phlebotomist has? |
To properly identify the patient |
| If a specimen's identification is in doubt what should be done? |
It should be discarded. |
| In a hospital setting when should a phlebotomist never draw blood. |
When a patient is not wearing an ID band |
| What is the antecubial fossa? |
An area formed at the inside bend of the elbow |
| The destruction of red blood cells |
hemolysis |
| An accumulation of fluid under the skin |
Edema |
| A sterile disposable, sharp instrument used in dermal punctures |
Lancet |
| A condition in which plasma enters the tissues resulting in a higher than normal concentration of the cellular components of blood |
Hemoconcentration |
| A collection of blood underneath the skin |
Hematoma |
| Fainting |
Syncope |
| Which of the following is NOT a part of the venipuncture needle: bevel, shaft, lumen, barrel, hub? |
Barrel |
| What is the main advantage of the evacuated system? |
Many different tests can be collected with ony one venipucture. |
| A needle adapter is also known as what? |
Needle holder |
| What tube is used for CBC draw and contains EDTA? |
Lavender |
| Which tube has nothing in it and collects serum? |
Red |
| Which tube must have a 9:1 ration and is used for the collection of coagulation studies? |
Light Blue |
| Which evacuated tube is used to collect blood alcohol levels? |
Gray |
| What does the gray top tube contain? |
Sodium Fluoride/Potassium Oxalate
Sodium Fluoride/Na2EDTA |
| Which tube contains Acid Citrate Dextrose-A (ACD-A)
Acid Citrate Dextrose-B (ACD-B)
Sodium Polyanetholesulfonate (SPS) |
Yellow |
| When would a syringe draw be necessary? |
Veins are too small or weak and might collapse from other methods |
| What is the difference between a syringe needle and an evacuated tube needle? |
The evacuated tube needle is double-pointed. |
| Tourniquets should be left on how long? |
no more than 1 minute |
| What can happen if a tourniquette is left on too long? |
Hemoconcentration |
| What is the most common venipuncture site? |
Antecubital fossa |
| What condition could happen if you draw blood from a mastectomy patient? |
Lymphostasis |
| What size lancet can permanently damage an infant? |
2.8 mm |
| What is the standard gauge needle used in the evacuated tube method? |
21 gauge |
| What tubes are ALWAYS drawn first? |
Blood culture tubes |
| Which tube containing sodium citrate has a ratio of blood to anticoagulant (sodium citrate) 9:1? |
Light Blue |
| Which additive also inhibits glycolysis? |
Sodium fluoride |
| Which anticoagulant prevents blood from clotting by binding calcium and prevents platelet aggregation? |
EDTA |
| Which anticoagulant preserves the shape of blood cells? |
EDTA |
| Which tube has a ratio of blood to anticoagulant (sodium citrate) 4:1? |
Black |
| Which type of blood makes up the majority of the dermal specimen? |
Arterial |
| Capillary specimens will have a higher amount of what component? |
Glucose |
| Which is the method of choice for obtaining blood from infants and children under the age of 2? |
Dermal puncture |
| Upon changing a glucose meter battery upon what do you check the accuracy? |
quality assurance material |
| If a dermal puncture penetrates the bone, what could the incision cause? |
Osteomyelitis |
| Under what age should a finger puncture not be performed? |
One |
| Why should phlebotomists not use the very tip of the finger for a dermal puncture? |
Bone is too close to the skin |
| Which bone should be carefull avoided when performing a heel puncture? |
Calcaneus |
| What type of test can residual alcohol cause an error? |
Glucose testing |
| Why is the first drop of blood that appears after a dermal puncture not collected for testing? |
It contains interstitial fluid |
| What is the correct procedure to stop bleeding afer a finger puncture? |
Elevate the finger |
| When should you label a specimen after a draw? |
Before leaving the patient's side |
| What could "milking" a puncture site cause a blood sample to do? |
Hemolyze |
| If Chemotherapy is being administered and veins must be preserved what method of blood collection would be done? |
Dermal puncture |
| On an adult, other than fingers or heals, where can a dermal puncture be done? |
Ear lobe |
| Where should a lancet be discarded? |
Sharps container |
| What test is performed to determine if an artery is safe to use for an ABG? |
Allen test |
| What is the name of the condition wherein a person's blood sugar is too low |
hypoglycemia |
| A fasting specimen requires that the patient has had nothing to eat or drink other than water for how long? |
10-12 hours |
| A two hour postprandial glucose test means what? |
The test would take place two hours after eating. |
| A test for diagnosing diabetes mellitus. |
Glucose Tolerance Test |
| A blood and urine specimen is collected at 30 minutes and then at hourly intervals for the remainder is which test? |
Glucose Tolerance Test |
| The bleeding time test is a sceening test that assesses the patient's status for what? |
Hemostasis |
| A unit of blood is approximately 63 mL of anticogulant and how much of blo? |
450mL |
| Most states require that all newborns are tested for this. |
Phenylketonuria |
| This requires that a record be kept of the specimen from the time it was collected until after the lab test is performed. |
Chain of custody |
| What does the bleeding time test assess? |
Ability to stop bleeding |
| What is the most common performed point of care test? |
Glucose test |
| What is a characteristic unique to pediatric phlebotomy that a phlebotomist must do. |
Communicate with both the patient and parent/guardian about the procedure |
| What is the usual guideline for heel punctures performed on children? |
Under one year or 20 pounds |
| In 1993 the FDA approved the sue of which topical anesthetic? |
EMLA |
| A test required to performed on infants. |
PKU |
| If you draw a patient's blood without consent you can be charged with what? |
Assault and Battery |
| What can cause a newborn's WBC to be elevated? |
Crying |
| Most laboratories strive for an in-house delivery period of how long? |
45 minutes |
| Most laboratories strive for a time from collection until centifugation of how long? |
1 hour |
| Needs to remain near body temperature |
cold agglutinins |
| What is body temperature in the Celcius scale? |
37 degrees |
| After fainting, for how long should a patient not be left alone? |
15 minutes |
| How long should pressure be applied to a venipuncture site to stop bleeding? |
5 minutes |
| What is EMLA |
Topical anesthetic |
| Erythrocyte |
Red blood cell |
| Leukocyte |
White blood cell |
| Thrombocyte |
Platelet |
| What is iron containing protein in red blood cells that transport oxygen and carbon dioxide? |
Hemoglobin |
| What is the straw-colored liquid portion of whole blood? |
Plasma |
| What is the liquid portion of blood after it has clotted and fibrinogen is gone? |
Serum |
| A specimen used when the physician requires urine samplestaken at specific intervals during the day |
Timed specimen |
| A specimen ordered if the urine is going to be examined for microorganisms |
Clean catch midstream |
| Anaerobic bacteria cannot live and grow without the presence of what? |
Oxygen |
| What valve is located between the right atrium and right ventricle? |
tricuspid |
| What valve is located between the left atrium and left ventricle? |
mitral |
| Tachycardia is a heart rate above what? |
100 beats per minute |
| What is an average normal blood pressure |
120/80 |
| Which vein is most commonly used for venipuncture? |
Median Cubital |
| What is the hereditary blood disease in which ther is prolonged blood clotting time? |
Hemophilia |
| What is a swelling or a mass of blood in a vessel in an organ, tissue, or beneath the skin called? |
Hematoma |
| What is also known as a heart attack? |
Myocardial infarcation |
| What is the blood test for fatty substances in the blood? |
Triglycerides |
| The issuance by an official body of a certificate to a person indicating certain requirements to practice have been met is called what? |
Certification |
| A credit granted to a participant at the competion of a designated program is called what? |
Certification |
| Always washing hands between patients is an example of which personal characteristic? |
Integrity |
| What do you call the ability to safeguard patient privacy, particularly information in the patient record? |
Confidentiality |
| Define Phlebotomy |
Incision into a blood vessel |
| When are Blood Culture tubes used? |
Tests for aerobic and/or anaerobic bacteria |
| What color top tube would be used for paternity testing or DNA? |
Yellow top |
| What color top would be used for blood screening and chemistries? |
Red Top |
| What color top would be used for testing for HIV? |
Gold Top |
| This tube has EDTA which forms calcium salts to remove calcium |
Lavender Top |
| Tube used for glucose study |
Gray Top |
| What agency developed the Patient's Bill of Rights? |
American Hospital Association |
| What is the Caraway or Natelson tube used for? |
To collect a sample larger than can be supplied by a microhematocrit tube |
| A blue band on a Caraway or Natelson tube indicates what? |
That it contains no anticoagulant |
| What is used to clean a site? |
70% isopropanol |
| Which blood component quickly accumulates around the dermal puncture site? |
Platelets |
| Where is the greater saphenous vein located? |
The leg
|
| The blood test to measure the percentage of erythrocytes in a given volume of blood is called? |
Hct. |
| The blood test used to determine a recent myocardial infarction. |
CK |
| Also known as the pacemaker of the heart |
Sinoatrial node |
| The most common blood type |
Type O |
| Phleb/o means |
Vein |
| Nephr/o means |
Kidney |
| The abbreviation for "as necessary" |
PRN |
| A - means |
Without |
| Dorso means |
Back |
| Tachy means |
Fast |
| Hemi means |
Half |
| Hypo means |
Below |
| Isolation for patients with highly contagious dieseases |
Strict isolation |
| What is the abbreviation for "nothing by mouth"? |
NPO |
| Who were some of the first "surgeons" beginning around 1163 |
Barbers |
| Drugs used to destroy or kill bacteria that cause disease |
Antibiotics |
| OSHA requires training and educational information on blood borne pathogens be given to employees at the cost of which of the following:at a reasonable cost; at no cost; for a pre-agreed fee? |
At no cost |
| Common symptoms of shock include all except which of the following: skin pale; increased shallow breathing rate; temperature or weak pulse? |
Temperature |
| Which color tube contains sodium citrate? |
Blue top tube |
Mary Cacciapaglia
on 2009-02-17
Science Vocab 147928
