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Certified Clinical Medical Assistant Exam Practice 2011

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
CC   Chief complaint  
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Segment   Line between two waveforms  
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P Wave   Arterial Depolarization  
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How many 1mm boxes are in a 6 second Rhythm strip?   30 one millimeter boxes  
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The SA node represents which waveform on the EKG ?   Only the P wave  
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What is the reading you can get from the RR interval?   Ventricular Pulse  
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What is the primary stage of Hemolisis?   Vascular phase and Platelet Phase together .  
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What is Electophoresis?   Analyzation of the chemical components of blood, e.g. hemoglobin, serum,urin,cerebrospinal Fluid based on electrical charge.  
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Positive testing for occult blood in a stool sample turn which color?   Turns Blue on a positive test for occult blood in feces.  
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The stages of Hemostasis   1. vascular,2.Platelet Phase,3.Coagulation Phase,4. Fibronolysis  
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blood vessels   Aorta,arteries,arterioles,capillaries,venues,veins,superior and inferior vena cavae.  
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Outer connective tissue layer of a blood vessel   Tunica adventitia  
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Inner endothelial tissue of a blood vessel   Tunica intima  
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The inner smooth layer of a blood vessel   Tunica tunica media  
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The standards of right and wrong in a medical setting   Code of ethics  
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What do you find in capillaries?   A mixture of venous and arterial blood is found  
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The average adult has how many liters of blood?   5-6 Liters  
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What is the percentage of water in Blood?   92%  
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Percentage of Plasma in blood   55%  
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Percentage of Formed Elements in Blood   45%  
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99% of formed elements in blood   RBC,s or Erythrocytes  
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Where you find hemoglobin   RBC,s  
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Where do all blood cells originate?   Bone marrow  
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How many RBC,s per microliter of blood   4.2-6.2 million  
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What is the second most numerous WBC?   Lymphocyte with 20-40%  
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Their numbers increases in intracellular infections and TB   Monocytes  
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Their numbers increase in bacterial infections and often are first on scene.   Neutrophils  
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These WBC,s play an important role in viral infection as well as in Immunity.   Lymphocytes  
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Number of leukocytes for average adult per microliter   5000-10000  
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Leukopenia   Decrease in WBC,s seen with viral infection and leukemia  
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Comprises 3-8% of WBC or leukocytes   Monocytes  
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Largest In size of the leukocytes   Monocytes  
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Carries histamine   Basophil  
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Injury to a blood vessel that causes it to constrict ,slowing the clod of blood   Vascular Phase of Hemostasis  
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Preferred site for venipuncture   Antecubital fossa  
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Test used to evaluate the intrinsic pathway and monitor heparin therapy   APTT also know as PTT  
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Test used to evaluate the extrinsic pathway and also used to monitor Warfarin therapy   PT  
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Fibrinolysis   Breakdown and removal of a clot  
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Converts the temporary platelet plug into a stable fibrin clot   Coagulation phase  
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2nd choice vein for venipuncture and most often the only one palpatable in an obese Pt.   Cephalic vein  
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Antiseptics used in Phlebotomy   70% isopropyl alcohol pads most common, provolone - iodine for BC,s and chlorhexidine gluconate for patients that are allergic to Betadine/ Iodine.  
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Length of needle commonly used in venipuncture   1 inch ( up to 1.5")  
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Gauge of needle that can cause hemolysis   Smaller than 23 gauge  
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Average gauge of needle used for drawing blood   21-22  
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3 skills of the Phlebotomist   Social,clerical,technical  
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Analytical errors during collection of blood   Extended tourniquet time,hemolysis,wrong order of draw,failure to invert tubes,faulty technique under filling tubes  
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Analytical errors before collection of blood   Patient misidentification,improper time,wrong tube, not fasting,exercise( cortisol levels),Pt.posture,poor coordination with other treatments,improper site prep,medication interference  
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Analytical errors after blood collection   Failure to separate serum from cell(glycolisis),improper use of serum separator( not inverting tubes or not spinning tubes) delays in processing, exposure to light,improper storage conditions,dimming clots  
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Fistula   Permanent surgical connection between an artery and a vein, never used for venipuncture  
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Edima   Accumulation of fluid in tissue  
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Thrombophlebitis   Inflammation of a vein with clot formation  
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Explanation of Hemoconcentration   The increase in proportion of formed elements to plasma caused by leaving on the tourniquet for more than 2 minutes  
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Consequence of insufficient pressure applied after withdrawal of needle   Thrombus  
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additives in green top tube   heparin, sodium,lithium,ammonium  
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why is the green top tube never used for hematology?   Green tops additive heparin interferes with the Wright's stained blood test  
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common tests for the light blue sodium citrate tube   Coagulation studies,PT(extrinsic,warfarin)APTT,PTT(intrinsic,heparin)TT,BT,FDP  
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Common tests for the lavender EDTA tube   CBC,differential or diff.,ESR,sickle cell screening  
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common tests for this color tube are Chemistry tests performed on plasma such as Ammonia,carboxyhemoglobin and STAT electrolytes   Green top tube(heparin) tests  
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How long does it take for blood to clot by normal coagulation process in the red top tube   30-60 mins  
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The primary purpose is to provide reliable data about a patients health status by ensuring the accuracy of a test while detecting and eliminating error.   What is Quality Control  
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Common test for the red topped tube   Serum chemistry tests, serology tests,Blood bank(glass only)  
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order of the draw for capillary specimens   lavender first, than tubes with other additives, than tubes without additibes  
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Antiseptic not used on a dermal puncture site   betadine ( because it interferes with several tests like bilirubin, uric acid,phosphorus and potassium  
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for which procedure would you warm the site for a minimum of of 3-4 minutes to increase blood flow?   dermal punctures (heel sticks)  
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which are the preferred sites for dermal punctures   the distal segment of the third or forth finger of the non-dominant hand  
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heel sticks are performed on which patients?   infants less than 1 year old  
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where on the foot is the dermal puncture made on patients less than a year old   the medial and lateral areas of the plantar surface of the foot  
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dermal puncture is made in   the fleshy portion of the the finger slightly to the side of the center perpendicular to the lines of the fingerprints  
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what will occur if you puncture the heel too deep? more than 2 mm   osteomyalitis  
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What are the identification requirements for Blood Bank   Patients full name and DOB, hospital ID # or SSN for outpatient,date and time of collection as well as the phlebotomist's initials  
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What does the Toxicology section of the lab analyze?   Plasma levels of drugs and poisons  
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what is the percentage of the population with the D antigen present?   85 % of the population  
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the 4 blood types   A B AB 0  
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Which Blood Type has neither the Anti-A nor the Anti-B Plasma Antibodies?   AB  
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This section of the lab uses serum to analyze the presence of of antibodies to bacteria, fungi,viruses parasites and antibodies against the body's own substances?   Serology (immunology) Section  
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Mycology   study of fungi  
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The physical examination of urine consists of   color, clarity specific gravity  
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A low power microscope has a magnifying power of   100X  
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oil immersion objectives on the microscope reach maximal magnification of   1000X  
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This objective of the microscope is used for observing bacteria,WBC differential count and RBC morphology   Oil immersion  
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Eyepiece of the microscope   Occular lens  
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focal length is   the distance of the object to be examined to the center of the lens  
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meter to inches   39.37  
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high power objective on a microscope magnification   400X  
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1000 meter are equal to   1km  
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1mm to inches   0.04 inches  
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0.3 meter of tubing is how many inches   12 inches  
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1kg is how many pounds?   2.2 pounds  
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Abbreviation for micro liter   ul  
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abbrevation for Decimeter   dm  
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gram stein positive stains   deep violet ( violet to black)  
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Gram stain negative stains which color   light to dark red  
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Bacteria that take up and retain the crystal violet and resist alcohol decoloration   Gram positive bacteria, appear blue to black  
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bacteria that are decolorized completely by ethanol and take up safrin counterstain   gram negative bacteria, appear red  
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Gram Stain Sequence   crystal violet,Gram's iodine,95%ethyl alcohol/acetone mix/safranin stain  
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The degree of angle of the pusher slide   30 degrees  
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The urinary system   two kidneys,two ureters,bladder,one urethra  
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when checking for hormones in urine when do you collect the urine sample   first voiding in the morning  
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which urine specimen provides the clearest,most accurate results?   Clean catch midstream specimen  
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which urine sample requires aseptic technique?   Clean catch specimen  
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Examination of urine consists of   physical,chemical ,microscopic  
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physical examination of urine consists of   volume(adequate for testing, observing color and appearance,odor,specific gravity  
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what amount of urine must you have to be sufficient for analysis?   25ml  
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what is the normal range of specific gravity of random collection   1.005-1.030  
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normal range of specific gravity of urine in adults with normal diet and fluid intake   1.015-1.025  
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microscopic examination of urine requires this amount   10-15ml  
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Urine Specific gravity   the ratio of weight of a given volume of urine to the weight of the same volume of distilled water at a constant temperature  
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Glycosuria   presence of glucose in the urine  
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normal PH of freshly voided urine   4.5-8.0 within this range the ph of most healthy patients is around 6.0  
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symptoms of patients with diabetes mellitus   glycosuria,polyuria and thirst  
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pH of 0 to 7.0   acidic  
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pH of 7-14 in urine   alkaline or basic pH in urine  
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distilled water has a pH of   7.0 pH or neutral  
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A urine pH of what is considered neutral?   7.0 pH  
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a positive urine nitrate test is an indication for   a significant number of bacteria are present  
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what color is a test positive for nitrate in urine   pink  
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the copper reaction test is used for what?   screening for glucose in urine  
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The presence of leukocytes in urine is an indicator for what?   bacteriuria or UTI  
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Urine Screening for UCG or hCG   Pregnancy test  
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HIPAA is for?   Patient Confidentiality  
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the four elements of Negligence are   Duty,duty of care,derelict=breach of duty of care,direct cause,damage  
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Tort   wrongful act that results in injury to one person to another  
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Exampled of Tort   Battery, Invasion of Privacy,Defamation of character  
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Defamation of character by written statement is considered   libel  
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Consists of injury to another person's reputation, name,or character through spoken (slander) or written (libel)   Defamation of character  
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unprivileged touching   Battery  
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The release of medical records without the patients knowledge or permission   Invasion of privacy  
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Good Samaritan Law   Rendering first aid within the scope of knowledge by a health care worker without the fear of being sued for negligence  
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Hypothalamus   regulates and maintains body temperature  
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Functions necessary for life   heart function, Blood pressure,respiration,temperature  
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Rectal temperature range in Celsius   37.0-38.1C  
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Oral temperature range in Fahrenheit   97.6-99.6 F  
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Axillary temperature range in Celsius   35.9-37.0C  
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Tympanic temperature range in F and C   98.6F and 37C  
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Intermittent fever   fluctuating fever that return to or below the baseline than rises again  
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remittent fever   fluctuating, remains elevated does not return to baseline  
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continuous fever   remains constant above baseline ,does not fluctuate  
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rectal temperature is not taken from the following patients   patients with heart disease  
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when taking axillary temperature how long should it be taken   5-10 mins or as required by office policy  
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pulse is taken where and how long   radial for 30sec x2,if tachy or brady take it 1 minute  
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explain blood pressure   measurement of amount of force blood excertes on peripheral artery walls  
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BP cuffs too short and narrow can give false reading of what?   hypertension  
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if the brachial artewry is far below the heart level the BP reading can be   falsely high readings  
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while taking BP the deflation rate is   2-3 mm Hg  
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taking BP hearing two consecutive beats gives which reading   Systolic  
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the disappearance point whilst taking BP is usually what?   a few mm Hg below the muffling point which marks the diastolic pressure  
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Deflation the BP cuff faster than 2-3 mmHg can lead to   underestimation of systolic and overestimating diastolic pressure  
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how long should the arm rest between re-inflating the cuff during BP taking   1- 2 minutes  
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repetitive inflation of the BP cuff can result in   venous congestion  
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venous congestion cause by repetitive inflation of BP cuff can lead to   artificially low systolic and high diastolic reading  
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Anthropometric measurements   BMI and growth development in infants , children and adults  
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the four principles of a physical examination   inspection,palpation,percussion,auscultation  
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The position used for most physical examinations,Pt. lays on back legs extended   Horizontal recumbent position  
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patient laying on back with knees flexed, soles of feet on bed   Dorsal recumbant  
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this position is used to promote drainage or ease breathing   Fowler's..  
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this position is used for examination of the pelvic organs   Dorsal Lithotomy  
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Prone position is used for   used to examine back and spine  
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patient lays on his/her stomach with head turned to one side for comfort   prone position  
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patient is on left side with the right knee flexed against abdomen   Sim's Position  
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Patients with leg injuries or arthritis can not assume this position   Sim's  
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This position is usually used for taking rectal temperature   Sim's  
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this position is used for rectal and vaginal examination   Knee Chest position is used for?  
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Never leave the patient alone in the room when he/she is in this position   Knee Chest  
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this position is used for surgical procedures of pelvic and abdomen and also for shock treatment   Trendelenburg  
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if skin or eyes come in contact with chemicals wash area with water for?   5 minutes  
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MSDS   Material Safety Data Sheet  
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Hyperkalemia   higher than normal levels of potassium in the blood  
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what are the symptoms of shock   pale cold clammy skin,blank stare, rapid weak pulse,fast shallow breathing  
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syncope   sudden loss of conciseness  
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first aid for shock   open airway,call assistance,position head lower,control bleed if any,keep warm  
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cycle of infection   agent>portal exit>mode o. t.>portal entry>susceptible host  
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2 methods of medical asepsis   Standard and transmission -based precautions  
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Modes of transmission are   contact(direct, indirect)droplet,airborne,common vehicle,vector  
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What is the difference between droplet and airborne   droplet is less than 3 feet, airborne more than 3 feet  
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define medical Asepsis   destruction of pathogenic microorganisms after they leave body  
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what is the least expensive and most available disinfectant for surfaces   1:10 bleach solution  
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boiling water in today's medical environments is limited to items that   will not be used in invasive procedures,will not be inserted inside the body nor in sterile proce.  
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define surgical asepsis   all microbial life , pathogen and non pathogens are destroyed  
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what is used at250-254F ,15 pounds of pressure for 20-40 minutes   Autoclave  
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used for instruments that easily corrode   dry heat sterilization  
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what is the most important means of preventing the spread of infections?   Handwashing  
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PPE includes :   Mask,goggles,face shields,respirator  
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what defines Standard Precautions?   All patients are presumed to be infective for blood borne pathogens  
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This is an infection control method designed to prevent direct contact with blood or other body fluids   Standard Precautions  
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This replaces Universal Precautions and body substance isolation   Standard Precautions  
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Don Gloves, face shields if danger of splashing ,dispose all needles without recapping into sharps cont   Standard Precaution  
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This is the second tier of precautions used when patient is contagious   Transmission Based Precautions  
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Define Contact Precautions   reducing the risk of transmission of microorganisms direct or indirect  
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special air handling and ventilation are required to prevent   Airborne diseases under Airborne Precautions  
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this is an emerging and important problem in the health care field   Latex sensitivity  
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Every Health care worker with latex allergy should wear this   medical alert bracelet  
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po   by mouth  
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pr   by way of rectum/suppository  
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sl   sublingual  
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IM   intramuscular  
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SQ   subcutaneous  
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qd   every day  
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bid   twice a day  
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tid   three times a day  
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qid   four times a day  
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pc   after a meal  
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qhs   each night or at bedtime  
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prn   as necessary or when needed  
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sig   from the latin,let it be labeled  
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the innermost layer of the heart   endocardium  
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the sac containing the heart   Pericardium  
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a muscular hollow organ located in thoracic cavity between lungs   the heart  
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actually the inner visceral layer of the pericardium   Epicardium  
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serous fluid   prevents friction as the heart beats  
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receives deoxygenated blood returning to the heart from the body   Right Atrium  
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receives deoxygenated blood from the right atrium which it pumps to the lungs through the pulmonary artery   Right Ventricle  
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receives oxygenated blood from left atrium and pumps it to the body thru the aorta   Left vetricle  
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The AV valves   Tricuspid and Mitral(bicuspid)  
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The semilunar valves   Aortic and Pulmonic  
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Valve located between the right ventricle and the pulmonary trunk   Pulmonic valve  
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Valve located between the left atrium and the left ventricle   Mitral or Bicuspid  
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heart sounds produced by closure of the valves   Murmors  
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caused by diseases of the valves or other structural abnormalities   Murmors  
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first heart sound due to the closure of the mitral and trucuspic valves   S1 in the upper chambers or atria  
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S2 in the ventricles   second heart sound due to the closure of the aortic and pulmonic valves  
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arteries supplying the heart   right and left coronary from the aorta  
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the ANS or autonomic nervous system is subdivided into   sympathetic and parasympathetic nervous system  
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The SP or sympathetic nervous system affects   both, the atria and the ventricles by increasing heart rate, conduction and irritability  
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The PNS or parasympathetic nervous system affects   atria only by decreasing heart rate, conduction and irritability  
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Automaticity   ability of the cardiac cells to initiate own electrical impulses without outside stimulation  
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Excitability or irritability   ability of cardic cells to respond to external stimulus  
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Contractility   ability of cardic cells to shorten (muscle contraction) in response to electrical stimulus  
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Digitalis,dopamine,epinephrine   drugs that increase the contractility of the heart  
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Depolarization flows from   endocardium to the myocardium to the epicardium  
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Results in Myocardial relaxation   Repolarization  
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Found in the upper posterior portion of the right atrial wall below vena cava opening   SA Node  
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Consists of anterior, middle and posterior divisions that distribute electrical impulses by SA to AV node   Internodal pathway  
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Located at the posterior septal wall of the right atrium just above the tricuspid valve   AV Node  
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Found at the superior portion of the inter ventricular septum, pathway that leads out of the SA node   Bundle of HIS  
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Located within the ventricular endocardium, consists of small conduction fibers   Purkinje Fibers  
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this fires at 20-40 beats per minute   purkinje fibers  
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this has a 1/10th of a delay to allow blood to flow from atria to ventricles   AV node  
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has an intrinsic firing rate of 40-60 bpm   Bundle of HIS  
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normal firing rate of 60-100bpm and is the primary pacemaker of the heart   SA node  
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acts as a pacemaker when higher level pacemakers fail   Purkinje fibers  
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Limb leads consists of   3 bipolar and 3 augmented leads  
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These record electrical potentials in the frontal plae   The limb leads  
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Bipolar Standard leads are   Lead I , lead II, lead III and the chest leads  
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On Lead III which is the positive lead   the left leg is positive  
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What color is the lead V2   yellow  
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placed at the fifth intercostal space, anterior axillary line   V5  
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this is placed which lead is placed on the fifth intercostal space left midclavicular line   V4  
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V1   fouth intercostal space , right sternal border  
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V2   fourth intercostal space left sternal border  
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which limb is always the ground   right leg  
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number of electrodes on a 12 lead EKG   10  
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1mV will produce a deflection of   10mm  
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Waveform   movement away from the isoelectric line either positive or negative  
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Interval   waveform plus a segment  
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Complex   several Waveforms  
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The normal P wave in standard and precordial leads does not exceed   0.11s in duration or 2.5 mm in height  
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On the EKG paper the horizontal axis represents what?   time 1mm=.004 sec  
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The vertical,.a xis on the EKG paper measures   amplitude or voltage  
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Q wave represents   intial negative deflection produced by ventricular depolarization  
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R wave   the first positive deflection produced by ventricular depolarization  
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S wave   the first negative deflection produced by ventricular depolarization that follows the first positive deflection, R wave  
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The QRS complex   ventricular activation . the ventricle is polarized from the endo to the myo to the epicardium  
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T wave   deflection produced by ventricular repolarization  
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U wave   deflection seen following the T wave but preceding the next P wave  
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what is the PR interval and how long?   P wave plus a segment,0.12-0-2 sec.  
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QRS interval, how long?   no more than.1sec. in limb leads and 0.11 in precordial leads  
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PR segment   line from the end of the p wave to the onset of the QRS complex  
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J (RST) junction   point at which QRS complex ends and the ST segment begins  
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ST segment   from J joint to the onset of the T wave  
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the target heart rate for a stress test   220- age  
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the percentage of the target heart rate during a stress test that makes it valid   85 %  
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Normal indication for a stress test   Evaluation of a patient with chest pain and a normal EKG, Arrhythmia,monitoring a PT. with a recent MI  
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hematocrite is made up of   hemoglobin x 3  
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define hematocrit   The percentage by volume of packed red blood cells in a given sample of blood after centrifugation.  
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opposite of anemia   polycythemia  
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drugs used for a pharmacologic stress test   adeosine,dipyridamole,dobutamine  
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When taking a pharmacologic stress test , it is concluded when   85% of the target rate is achieved  
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Ectopic Rhythms   electrical impulses originating from somewhere else but the SA node  
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Pre-Excitation Syndrome   electrical impulses of the heart bypass the normal pathway and instead go down an accessory shortcut  
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Conduction Block   electrical impulses go down but encounter blocks and delays  
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Indication for termination of a stress test   SOB,chest pain,dizziness, blood pressure abnormalities  
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Ischemia   decrease in amount of bloodflow  
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What is the hallmark of Infarction   The presence of abnormal Q waves  
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when is a Q wave ( hallmark of Infarction) considered abnormal?   >1mm(0.04 sec.)wide and the hight is geater than 25% of the height of R wave in that lead  
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The WHO criteria for the diagnosis of MI ( at least two of them)   Clinical history of ischemic-type chest comfort,changes on serial EKG tracings,rise and fall of serum cardiac markers.  
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List some cardiac markers   triponin,CK,LDH,SGOT,AST  
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What is a negative holter?   a negative holter will have no significant arrhythmias or ST changes  
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How long is a holter monitor worn   24 hours or longer  
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Why is a holter monitor done?   to rule out arrhythmia's or ischemia  
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how many electrodes are on a holter monitor?   5  
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a positive holter is one that recorded at least one or more of these abnormalities   Tachy or bradycardia,ST segment elevation or depression,Pauses  
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when is the event monitor used?   only when symptoms occur  
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List drugs given for acute MI   Oxigen,Epinephrine,Isoproterenol,Dopamine(Intropin),Beta Blocker (olol)Lidocaine,Verapamil,Digitalis,Morphine,Nitroglycerin  
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what is a powerful smooth muscle relaxant with the side effect of headache   Nitroglycerin patch or sl  
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Digitalis does   increases the force of cardiac contractions as well as cardiac output, toxicity in 20% of patients  
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Butterfly   winged infusion set  
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What is the most important task of a Phlebotomist   Patient ID  
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With the bevel upward insert the needle at which angle?   15-30 degrees  
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Prandial   Fasting  
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What is important to do first after dermal puncture?   wipe away the first drop  
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Timed specimens   Hormone levels,blood levels of medications,monitor Pt.condition e.g.hemoglobin level(internal bleeding0  
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the BP cuff inflation for a Bleeding time test   40mmHg  
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Trough levels are collected   30 minutes before the scheduled dose  
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Indication for Blood Cultures   FUO indication the presence of pathogenic microorganisms in the blood(septicemia)  
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while administering a OGTT it is important to take what with each sample?   Urin sample  
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when ore OGTT scheduled to begin?   0700 -0900 7-9 am  
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the two hour postprandial test is used for?   evaluation of diabitis mellitus  
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the OGTT test is used for?   diagnosing diabetis mellitus and evaluating patients with frequent low blood sugar  
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The 3 hour OGTT is used to test for   to test for hyperglycemia  
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The 5 hour OGTT is used for   to test for hypoglycemia , for disorders of carbohydrate metabolism  
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PKU   test for babies and to detect phenylketouria, a genetic disease that cause mental retardation and brain damage.  
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Cold Agglutinins   antibodies produced in response to atypical pneumonia, must be kept at 37 C  
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ABG,ammonia,lactic acid,pyruvate,parathyroid test handling   Chilled in crushed ice and water mixture  
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Bili   Bile  
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Light sensitive specimens   bilirubin,beta-carotine,vitamin A and B6 and porphyrins(in urine it's the fingerprint for toxicity)  
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which blood tests can NOT be done using dermal puncture   ESR, BC  
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you have the right to caring staff who believe your reports of pain   example of the patient bill of rights for pain management  
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Method of pulse taking used on children and Pt. with irregular heartbeat   Apical pulse  
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Normal reparation range and how long is it taken   12-20 for 30 sec.x2  
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Orthopnea   Difficulty breathing when laying flat  
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Define Cheyne- Stokes   Regular pattern of irregular breathing breathing rate  
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Hypoventilation   State in with a reduced amount of air enters the lungs resulting in decreased oxygen and increased carbon dioxide levels in blood  
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Medical Assistant role in physical examination   Room prep,patient prep,assisting the doctor  
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Hazards   Physical,chemical,biological,  
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This technique is not permitted in the lab   Never draw a pipette by mouth  
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Expressionless face and staring eyes are indications of   Shock  
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Agents are   Any infective microorganisms ,viruses,fungi,bacteria,and parasites  
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Define a common vehicle   Water, food, drinking from the same glass, kissing  
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Define Susebtible host   Infectious agent enter a person who is not resistant or immune  
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In the pulmonary trunk the arteries carry this kind of blood   Deoxigenated blood  
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During depolarization the electrical impulses flow   From the endo to the myo to the epicardium  
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During repolarization the electrical impulses flow from...   The epicardium towards the endocardium  
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What fires at 40-60 bpm   AV junction, bundle of HIS  
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Which are unipolar leads?   aVR, aVL,aVF  
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0.1mV on EKG paper measures   1mm  
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On the vertical axis 1 large square equals what?   5mm(0.5mV)  
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On the horizontal axis 5 large Squares equal   1second  
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Which test is used to evaluate primary Hemostasis?   Bleeding time test  
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How long does is the lifespan of a platelet ?   9-12 days  
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When the vaccutainer method can not be used you would use   10-20ml syringes  
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Which tube must be filled completely ?   Light blue sodium citrate tube, to maintain ration of 9:1  
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