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Phlebotomy ASCP
| Question | Answer |
|---|---|
| What does the term "Proximal" refer to? | The area nearest to the center of the body |
| What does the term "Distal" refer to? | The area farthest from the center of the body |
| What does the term "Palmer" refer to? | The palm of the hand |
| What does the term "Plantar" refer to? | The sole of the foot |
| A patient has been diagnosed with an upper gastrointestinal bleed. What would be a characteristic of this condition? | Stool much darker, brown or black in color |
| What does dorsal (posterior) refer to? | The back of the body |
| What does superior refer to? | Higher/Above/Toward the head |
| What does inferior refer to? | Lower/Beneath/Away from the head |
| What does ventral (anterior) refer to? | The front of the body |
| What additives are in the light blue tube? | sodium citrate |
| Which tubes contain serum? | red & gold |
| What additives are in the green tubes? | sodium or lithium heparin |
| What additives are in the Lavender/Pink tubes? | Potassium EDTA |
| What additives are in the grey tubes? | sodium, sodium fluoride or potassium oxalate |
| What tests are affected by the pneumatic tube system? | Glucose, sodium, total bilirubin, and total protein |
| When collecting a urine specimen for workplace drug testing, what is the required volume amount to be collected for the sample to be accepted? | 45 mL |
| What is Hemostasis? | The process by which the body stops the bleeding after an injury |
| What is Hemoglobin? | The iron containing pigment found in red blood cells |
| What is Hematocrit? | The percentage of red blood cells in whole blood |
| What is Hemopoiesis? | The production of and development of blood cells. |
| What is the outer layer of veins and arteries referred to? | Tunica Adventitia |
| What is the middle layer of veins and arteries referred to? | Tunica Media |
| What is the inner layer of veins and arteries referred to? | Tunica Intima |
| What is the lumen? | The space within the blood vessel where blood flows |
| What is Thrombosis? | The obstruction of a blood vessel caused by a blood clot |
| What is Phlebitis? | The inflammation of the vein, usually in legs |
| What is an Embolism? | The blockage of a blood vessel |
| What is an Aneurysm? | A bulge filled with blood with high risk of blood vessel rupture |
| What can tubes shaken vigorously cause? | Hemolysis |
| What can delayed mixing of tubes cause? | Microclots |
| What can a tourniquet placed for a extended amount of time cause? | Hemoconcentration |
| What phlebotomy tube additive has been shown to inhibit molecular testing? | Sodium Heparin |
| What will not interfere with blood test results? | Tube Gel Barrier |
| What is the correct order when collecting blood gas? | Blood Gas, EDTA, Other Additives and Serum |
| What hematology test is used to indicate anemic condtions? | Hemoglobin |
| What is an anticoagulant used for blood culture collections? | Sodium Polyanethol Sulfonate (SPS) |
| What is the anticoagulant used in hematology? | EDTA |
| What is the anticoagulant used in the coagulation department? | Sodium Citrate |
| What is the anticoagulant used in chemistry? | Heparin |
| What is petechiae? | tiny red spots that appear under patients skin |
| What is hemolysis? | The destruction of red blood cells |
| What is a edema? | The accumulation of interstitial fluid under the skin |
| What is a hematoma? | The discoloration (bruising) of the skin caused by blood leakage from the vein surrounding tissue during venipuncture |
| A hepatic function panel A consists of what? | AST,ALT,Alkaline Phosphatase.Total Protein,Albumin,Total Bilirubin, Direct Bilirubin |
| A Basic Metabolic Panel consists of what? | Glucose, BUN,Creatinine,Sodium, Potassium,Chloride,Co2, Calcium |
| The Lipid Panel consists of what? | Cholesterol, Lipoportein, HDL, Triglycerdes |
| The Electrolyte Panel consists of what? | Potassium, Sodium, Chloride, Carbon Dioxide |
| Do Red tubes contain anticoagulant? | No |
| What does EDTA do? | It prevents clotting by binding calcium |
| What does Heparin do? | It prevents clotting by inactivating thrombin |
| What are arterioles and venules connected by? | Capillaries |
| What are arteries connected to? | Arterioles and flows away from heart |
| What are Venules connected to? | Veins and flows back to heart |
| What lipid test is least affected by the fasting status of the patient? | Fatty Acids |
| What is informed consent? | Requires explanation of procedure |
| What is expressed consent? | To give permission by obtaining verbal or written consent |
| How often should work surfaces be cleaned? | Upon completion of procedures or end of work shift |
| What kind of tube is BUN collected in? | Serum Gel Tube |
| What kind of tube is Zinc collected in? | Royal Blue Tube |
| What kind of tube is WBC collected in? | Lavender Tube |
| When collecting a specimen for Vitamin A, what precautions need to be taken? | Protect the specimen from light |
| Quality control lockout is a desirable feature in a POCT analyzer because | It prevents testing when QC has not been performed |
| What to remember when collecting a light blue tube for coagulation testing | the tube must be filled all the way |
| The length of a syringe collection needle is | 1-1.5 in long |
| The length of a butterfly needle is | 1/2-3/4 in long |
| What would be decreased due to delay in centrifugation | ionized calcium |
| What anticoagulant is suitable for TDM analysis | Heparin |
| Face masks should be worn in the lab when | if mucous membrane contact is anticipated |
| What error could occur in the preanalytical phase | incorrectly collected sample |
| What blood test is used to evaluate kidney function | Creatinine |
| What blood tube storage practice is considered acceptable and will not impact the quality of the specimen | Overnight room temp storage of EDTA for CBC testing |
| Heparin interacts with what | Antithrombin III |
| What should be transported on ice | ammonia |
| What is the platelet precursor cell found in bone marrow | Megakaryocyte |
| When an unpreserved urine specimen cant be cultured right away what storage method is appropriate | Stored in refrigerator at 4 degrees C up tp 24 hours |
| What is the maximum of time you can store whole blood at 2-8 degrees C for use in DNA assays | 72 hours |
| What anticoagulant is found in the gray tube | Potassium oxalate |