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CPT EXAM
| Question | Answer |
|---|---|
| the two circulations of the heart are _____ and _____ | pulmonary and systemic |
| Pulmonary circulation carries | deoxygenated blood tot he lungs and oxygened blood from the lungs |
| what kind of valve is the tricuspid valve | semi-lumar |
| the pulmonic valve is situated between | right ventricle and pulmonary artery |
| endocardium is which layer of the heart | inner |
| the myocardium is the layer of the heart that is made of | muscle |
| which layer of the heart is the epicardium | outter |
| WHAT KIND OF BLOOD DO ARTERIES AND ATERIOLES CARRY | oxygenated |
| what percentage of the blood is made up of formed elements | 45% |
| what percentage of formed elements are erythrocytes | 90% |
| what is the oxygen carrying protein in erythorcytes | hemoglobin |
| where do blood cells orginate | bone marrow |
| how many liters of blood does the average adult have | 5-6 |
| what is the liquid portion of the blood called | plasma |
| what is the function of a leukocyte | protect from infection |
| what is a condition that could cause leukopenia | chemotherapy |
| how many types of leukocytes are in blood | 5 |
| which WBC comprises 40%-60% of the white blood cells | neutrophils |
| 20%-40% of WBC are comprised of | lymphocytes |
| which WBC carries histamine | basophils |
| another name for throbocytes | platelets |
| hemostasis is defined as | stoppage of blood |
| the first phase of hemostasis is | vascular stage |
| the test used to evaluate intrinsic pathways is called | PT |
| the break down and removal of a clot in the hemostasis process is | fibrinolysis |
| what is the preferred site for venipuncture | antecubital fossa |
| sclerosed veins feel | cordlike |
| crooked or winding veins are also called | tortuous |
| what is the preferred antiseptic for venipuncture | isopropyl alcohol |
| what is the size (in inches) of the needle routinely used for venipuncture | 1-1.5 |
| what is another name for winged infusion sets | butterfly |
| which is not a reason the tourniquet is used | to make veins blue |
| a pad used to correct the patients clothing | chux |
| the most cmmon complication of phlebotomy | hematoma |
| leaving the tourniquet on to long may cause | hemaconcentration |
| tiny red spots on the skin caused from the rupturing of capillaries are called | petechiae |
| accumulation of fluid in tissues | edema |
| permanent surgical connection between an artery and a vein | fistula |
| which would be considered a pre-analytical error | improper time of collection |
| which would be considered a post-analytical error | improper use of serum seperator |
| the most important step in a routine venipuncture | identify the patient |
| how many inches about the site should the turniquet be tied | 3-4 |
| if the patient continues to bleed after 8 minof pressure you should | call for help |
| which is not a reason for failure to collect blood | needle not fully in the vein |
| tubes may lose their vacuum due to | expired tube |
| if the needle passes completely through the vein you must pull it out of the arm and try another vein...t/f | False |
| using a butterfly may be necessary if the vein collapses with the evacuated tube system....t/f | True |
| a person should sustain from eating for how many hours prior to a fasting blood test | 12 |
| to measure diurnal variation of cotisol hormone what kind of specimen would be required | timed |
| postprandial means | after eating |
| the OGTT test diagnoses | diabetes |
| in therapeutic blood monitoring, the trough levels are tested | 30 minutes before the scheduled dose |
| blood cultures are used to diagnose | FUO |
| what part of the infant is a PKU test performed on | heel |
| what special handling does a cold agglutinins test rrequire | pre-warmed tubes |
| what special handling does an ABG require | chilling |
| which test is not a light sensitive test | ammonia |
| what is the recommended depth of a heel puncture on an infant | 2.0 mm |
| blood culture test can be done with a dermal puncture when venipuncture is not possible....t/f | true |
| the first tube in the order of draw for cap specimens should lavender....t/f | False |
| in the order of draw for capillary specimens should should you draw tubes with or without additives first | with |
| which order of draw is correct | red, green, lavender |
| the order of draw for venipuncture is: BC, blue, serum, green, edta,grat....t/f | true |
| which tube is used for PTT | light blue |
| which tube is used for sickle cell screen | lavender |
| blood cultures are collected in a ____ tube | yellow |
| which tube contains sodium citrate | light blue |
| which tube would you use to measure lactic acid | gray |
| microorganism culture are collected in ____tubes | yellow |
| to check for trace elements a phlebotomist would use a ____tube | royal blue |
| what tube is used for a WBC differential | LAVENDER |
| ammonia chemical test would be done with a ____ tube | green |
| sodium citrate is the additive in which tube | light blue |
| what tube is used for ESR | lavender |
| what organ would a doctor be interested in if he ordered an ALP,AST,ALY,GTT and bilirubin | liver |
| how many times should a red top tube be inverted | 0 |
| invert a gray tube __ times | 8 |
| which tube is sometimes called a serum separator tube | red/gray |
| invert a tiger top tube__ times | 5 |
| lavender, yellow and green tubes should all be inverted 8 times each....t/f | true |
| how many times should a light blue tube be inverted | 2-3 |
| light blue tubes must be full | completely |
| sodium flouride preserves glucose for how many days | 3 |
| a CBC would be sent to what lab section | hematology |
| where is blood collected, stored and prepard for trasfussions | blood bank |
| which lab section would analyze the C&S test | microbiology |
| what are the 3 components of a urinalysis | physical, chemical, microscopic exams |
| what is the first link in the chain of infections | agent |
| contact, droplet, and airborne are | mode of transmission |
| which is not a common symptom of shock | blinking eyes |
| when someone is in shock you should keep them cool.....t/f | false |
| an open wound can be a portal of entry in an infection chain....t/f | true |
| medical asepsis is the destruction of pathogens outside the body...t/f | true |
| what is the most important step in preventing infection | hand washing |
| which is not a PPE | room dividers |
| all patients are presumed to be infected for | blood borne pathogen |
| always recap your needle before putting it into the sharps container....t/f | false? |
| direct contact trandmission is defined as | skin to skin |
| to disinfect a surface you can use boiling water or | bleach |
| latex sensitivity is an allergic reaction....t/f | true |
| when you explain the venipuncture procedure to the patient and they agree to the test it is called | informed consent |
| failing to provide reasonable standards of care causing someone to suffer an injury is known as | negligence |
| touching someone without permission is called | battery |
| the good samaritan law allows health care workersto provide medical care above and beyond their notmal field without being sued,,, t/f | false |
| if a patient refuses treatment you should | tell your supervisor |
| which of the following veins in the arm are most subjective to venipuncture | median cubital |
| repeating venipuncture in the same vein can cause | phlebtis |
| bacteria and parasites belong to a which type of hazard | biologic |
| another name for blood in the urine | hematuria |
| another name for RBC's | erythrocytes |
| which of the following is the best definition of destruction of red blood cells | hemolysis |
| OSHA requires that health care professionals receive a vaccine for | HBV |
| which vein is the anticubital fossa is usually easiest to palpate in an obese patient? | median cubital |
| which needle has the largest guage | 16 |
| how many minutes does normal coagulation take in a red topped tube | 30-60 |
| whent he body had adequate rest and no food for 12 hours it is said to be in the ____ state | basal |
| taking asprin is most likely going to effect a BT test....t/f | true |
| the additive in a pink tube is | edta |
| a group of test collected as one unit | profile |
| the proper way to insert a needle is with the bevel facing | up |
| a patient in the onocology dept. is probably being treated for | cancer |
| which is used for PT and PTT? | light blue top |
| the first drop of blood in a capillary puncture is the best for analysus....t/f | false |
| if someone is cyanotic their skin may appear___ | bluish |
| POC testing is done | at the patients bed |
| which laboratory section performs blood pregnancy tests | chemistry |
| a clean catch test is collected in a | sterile cup |
| lipemic blood serum appears | milky |
| an example of a nosocomial infection is | catheter site of ICU patient becomes infected |
| the proper oder for doing PPE | gloves. gown, mask |
| the following is a test of the respiratory system | ABG's |
| which is a test of the urinary system | creatinine clearance |
| which body plan divides the body in equal portions | midsagittal |
| the ability of the body to Achieve "steady state" | hemostasis |
| which test must be performed on whole blood | CBC |
| serum is depleted of fibrogen....t/f | true |
| oxygen-poor blood enters the heart through the right atrium....t/f | true |
| the relaxing phase of the cardiac cycle is | diastole |
| which blood vessel is not part of systemic circulation | cephalic vein |
| which represents the proper order of blood flow | from the arterioles to the capillaries to venules |
| the left ventricle delivers oxygenated blood to the aorta...t/f | true |
| a green top tube usually contains | heprin |
| which is the best tube for collecting an ethanol specimen | sodium flouride |
| WHICH ADDITIVE IS USUALLY IN A LAVENDER TUBE | EDTA |
| ina routine venipuncture the red tube should be drawn before the green....t/f | true |
| glass particle in serum separator tubes | deter cagulation |
| according to CLSI which tube is filled last when using a syringe | EDTA |
| test for this dept. are usually collected in a light blue tube | coagulation |
| the most common source of carry over problems is EDTA....t/f | true |
| what gauge multi-sample needle is considered to be standard | 21 |
| which should not be done during vein selection | patient pumping fist |
| how many hours before a blood test should a patient discontinue the use of medications known to interfere with blood test | 4-24 |
| when serum is ____ it is a clue that the patient is not fasting | lipemic |
| cortisol peaks late in the afternoon.... t/f | false |
| if an infant is screaming during a CBC test the | specimen may be hemoconcentrated |
| a drug known to interfere with urin tests should be discontinued 48-72 hours prior to the test.....t/f | true |
| capillary puncture reference ranges are higher for this analyte | glucose |
| capilary puncture blood most closely resembles | arterial blood |
| at what intervals should blood be blotted during a bleeding time test | 30 seconds |
| which test may require a chain of custody | drug screen |
| when collecting a blood culture with a butterfly into culture bottles, which is filled first | aerobic |
| the most critical aspect of blood culture collection is | skin antiseptics |
| which tube can be used to collect blood for a type and cross | pink top EDTA |
| the hormone detected in a positive pregnancy test is | HCG |
| this organization develops standards for specimen handling and process | CLIA |
| which of the following specimens are least likely to require special handling | cholesterol and uric acid |
| microorganisms that diseases | pathogenic |
| a urine C & S is ordered to detect | presence of UTI |
| collecting urine by aspiration through the bladder wall | suprapubic |
| an NP culture swab is collected to help diagnose | whopping cough |
| fluid aspirated from the peritoneal cavity | ascites |
| which test requires a 24 hour urine specimen | creatinine clearance |
| whichfluid is obtained by lumbar puncture | cerebrospinal |
| sputum is collected to diagnose | diphtheria |
| which element prevents glycolysis | sodium flouride |
| there is a 9 to 1 ratio of blood to anticoagulant in a light tube....t/f | true |
| the chamber of the heart that receives blood from the systemic circulation | left venticle |
| the internal space of the blood vessel | lumen |
| lympth originates from | tissue fluid |
| the heart disorder characterized by fluid buildup in the lungs | congestive heart failure |
| blood types are determined by the presence of which of the following on RBC's | antibodies |
| the following were collected for routine venipuncture. which item is incorrect | iodine swab |
| which tube is drawn last in a standard venipuncture procedure | lavender |
| glycolysis occurs faster in newborns...t/f | true |
| vigorous mixing can activate platelet and shorten clotting times...t/f | false |
| a red top tube is usually drawn for which lab department | chemistry |
| the first tube collected with a butterfly will under fill due to air in the line....t/f | true |
| which tube does not contain EDTA | pearl top tubes with thixotropic gel separator |
| sodium citrate has what color stoppers | light blue |
| what causes vacuum tubes to fill with blood | tube vacuum |
| which is not true of WBCs | they are all the same size and shape |
| veins are located deeper than arteries...t/f | false |
| veins have thinner walls than arteries | true |
| arteries have valves the prevent the blood from flowing back...t/f | false |
| serum contains the same chemical make up as plasma....t/f | false |
| the hollow part of the needle is called the lumen | true |