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chemistry practical exam review MA fall 2014

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Question
Answer
what is the purpose of the thixotropic tropic gel in this gold top tube?   separate serum from clot  
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how long must a serum tube sit at room temperature in an upright position after it is drawn?   30 minutes  
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how long is the serum tube centrifuged?   10 minutes, 15 minutes if red/gray  
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is this tube centrifuged?   If there's gel in the middle, yes!  
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is this centrifuge balanced?   Equal on all sides Tubin tubes even across same to same weight  
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how is the cap removed from this blood tube?   Gauze over top, pointed away, push cap with non dominant thumb until loose, remove with dominant hand  
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which fingers are used for finger puncture?   Ring and middle finger of non dominant hand if possible  
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where is the fingertip punctured?   On tip, slightly off center  
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when should alcohol be used to cleanse the site in a finger puncture?   before puncture, after encouraging blood flow  
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what is the name of this device used for finger puncture?   Lancet  
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when should the finger be massaged in a finger puncture?   Never. It is called encourage blood flow  
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list 3 things not to do during finger puncture   don't puncture middle of finger, don't squeeze, don't encourage after cleaning  
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what should be done immediately after puncturing the finger?   Throw Lance it in sharps container.  
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How was the control sample applied to the test strip with the blood glucose meter   one drop of control on wax paper. Store controls at room temp.  
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When does this control solution for the blood glucose meter expire?   Manufacturer expiration or 6 months after opening, whichever comes first.  
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When where do you find the acceptable blood glucose meter control ranges for the blood glucose meter?   On the bottom of the strip box.  
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are these test strips acceptable to use for patient testing?   Check manufactorer expiration date. (last day of month)  
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regarding the blood glucose meter how is a blood sample applied to the test strip?   Like a straw. Place strip into drop.  
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regarding the blood glucose meter how long is the test strip held in to the drop of blood?   Until meter beeps.  
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How is the used strip removed from the blood glucose meter?   With gauze  
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What is a normal non-fasting blood glucose level?   65-139  
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What is a normal fasting blood glucose range?   65-99  
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What are the steps to performing the blood glucose test?   1- clean meter; 2- Do controls; 3-test patient  
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Where should a lancet be discarded?   Sharps container  
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Where should blood tubes be discarded?   Sharps  
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How should a blood spill be cleaned up?   Wipe spill with dry paper towel. Pour disinfectant on. Wipe again.  
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Where do you dispose of materials used to clean up a blood spill?   Biohazard bag  
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How should the eye and eyelids be held open if body fluids come in contact with the eyes?   With thumb and index finger  
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How long must the eye be flushed with water?   15 minutes  
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Which samples can be used on the Monospot test device?   Whole blood (finger puncture) or lavender tube or serum/plasma (red = puncture / black=tube)  
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When should buffer be added to sample wellof the mono spot test device?   after blood sample is in  
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How do you hold the transfer pipette and buffer solution while performing the Monospot test?   Vertical  
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How is the Monospot test device positioned?   Flat surface. Do not move after adding sample.  
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What does a positive Monospot result look like?   Line at C and T  
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what does a negative Monospot result look like?   line at C only  
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What does an invalid Monospot result look like?   No line or only at T. repeat procedure.  
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How would you describe the finger stick blood sample that should be applied to the Accu-chek Instant Plus test pad?   Hanging drop.  
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Has enough blood been added to the Accu-chek Instant Plus test strip?   Cover whole yellow pad.  
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Name 3 things you should not do when applying the drop of blood while performing the Accu Chek instant plus test:   1. Do not add second drop 2. Don't touch skin to pad 3. Don't smear finger on pad  
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What should you do if the drop of blood is not large enough for the Accu Chek test?   Repeat test  
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Is this meter coded for use with this jar of test strips?   Turn on to display code. Code whenever using new strips.  
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Using this control and this vial of test strips, what is the acceptable range?   Inside box of controls on information sheet (match lot numbers)  
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How often should controls be run?   At least every new box  
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How often should the Accu-Chek meter be coded and windows cleaned?   At least every new box  
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When is the Accu Chekprotective cover closed?   When inserting strip and after blood is applied  
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When is the Accu Chekprotective cover opened?   Before finger puncture and when removing strip  
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What should you do if the Accu Chekmeter display reads LO?   Check size of drop. Repeat if not covered. If pad is covered fully, then less than 150.  
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How long should the patient fast for a Cholestech lipid panel?   9-12 hours  
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How is the test cartridge inserted into the Cholestech machine drawer?   Black band to right. Sample end in first  
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What color must the Cholestech test cartridge turn to indicate the test has been run correctly?   Purple  
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What does the A1CNow+ test monitor?   Glucose  
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The A1CNow+ result reflects blood level over what time period?   3 months  
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What units are used to report the A1CNow+ result?   Percent  
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How much blood should be in the A1CNow+ collector?   Fill to end of collection tube  
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What numbers match on all A1CNow+ test parts?   Lot number  
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At what temperature should test strips be stored?   Room temp  
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What does this temperature range mean? 35-46F / 2 - 8C   Refrigeration  
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What does this temperature range mean? 32F / 0C   Freezer  
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What does this temperature range mean? 59 - 86F / 15 - 30C   Room temp  
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What does this temperature range mean? 98.6F /37C   Body temp  
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