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Phleb 11 + 12
| Question | Answer |
|---|---|
| Of the following tests, which is most likely to result in fatal consequences for the patient if the specimen is misidentified? | Type and crossmatch |
| Which test requires strict skin antisepsis procedures before specimen is collected? | Blood culture |
| A bleeding time (BT) test assesses the functioning of | Thrombocytes |
| What type of additive is recommended for collecting an ethanol test specimen (ETOH)? | Sodium fluoride |
| When performing a GTT (glucose tolerance test), the timing should begin | When the patient finishes the glucose drink (glucola) |
| What POCT is used to monitor heparin therapy? | ACT |
| At what intervals is the blood blotted during a bleeding time test? | 30 seconds |
| Which of the following test specimens is collected from patients with fever of unknown origin (FUO) to rule out septicemia? | Blood culture |
| Which of the following should be avoided during a glucose tolerance test (GTT)? | Chewing sugarless gum / Drinking sugar-free tea / Smoking low-tar cigarettes |
| When collecting a blood culture specimen directly from a butterfly needle into the blood culture bottles, which bottle should be collected first? | Aerobic |
| Which of the following tests may require special "chain of custody" documentation when collected? | Drug Screen |
| Identify the condition in which a unit of blood is withdrawn form a patient as treatment? | Hemochromatosis |
| Which of the following tubes can be used to collect blood for a type and crossmatch? | Non-additive red top |
| An autologous blood transfusion is a transfusion of blood | Donated by a patient for his or her own use |
| The most critical aspect of the blood culture collection procedure is | Skin antisepsis |
| This test requires a specimen with a 9:1 ratio of blood to anticoagulant. | Prothrombin time (PTT) |
| The hormone detected in a positive urine pregnancy tests is | HCG |
| Tests performed using special POCT instruments or test kits include | Arterial blood gases /Glucose / Occult blood |
| A 2-hour postprandial specimen should be drawn | 2 hours after the patient has a meal |
| The process of entering a password and gaining access to a computer is called | Logging on |
| After entering input onto a computer, what must a user do to make the computer process the information? | Press the Enter Key |
| Which of the following is used by the laboratory to identify a specimen throughout the testing process? | Accession number |
| Which of the following is an example of a computer peripheral? | Keyboard |
| Which of the following actions can lead to inaccurate test results? | Inadequate mixing of an EDTA tube |
| You have a requisition for a test with which you are unfamiliar. How do you determine what tube to use and how to collect and handle the specimen? | Refer to the lab user manual |
| Why is it recommended to transport tubes with the stopper up? | Aids in clot formation /Minimizes aerosol formation upon stopper removal / Reduces agitation of tube contents |
| Which of the following would be considered a preanalytical error? | Failing to mix an additive tube / Mislabeling an aliquot tube / Using the wrong order of draw |
| What does a person need to be able to do to be considered computer literate? | Know basic computer terminology / Understand the computer and the functions it performs / Perform basic operations using computers |
| Which of the following specimens needs to be chilled after drawn? | Ammonia |
| Which of the following conditions would cause a specimen to be rejected for testing in the laboratory? | Potassium specimen submitted on ice |
| A glucose specimen drawn in a sodium fluoride tube (Gray top) is stable at room temperature for | 24 hours |
| How would you transport a cryoglobulin specimen after being drawn? | In a 37 C degree heat block |
| Which type of specimens may take longer to clot? | Chilled specimens / Specimens from patients on heparin therapy / Specimens from patients with high WBC counts |
| Which of the following does not represent proper aliquot preparation? | Carefully pouring the contents into the aliquot tube |
| The physician has ordered two sets of blood cultures, how do you collect these specimens and what is important? | Follow strict septic procedure and collect each set from a different location / If at all possible, draw each set at least 30 minutes apart. |
| Presence of the antimicrobial agent (antibiotics) in the patient's blood can inhibit the growth of the microorganisms in the blood culture bottle. In such cases, the physician may order blood cultures to be collected in which bottles? | Fastidious antimicrobial neutralization (FAN) bottles / Antimicrobial removal device (ARD) bottles |
| Timing of specimen collection in regard to dosage administration in therapeutic drug monitoring (TDM) is critical for safe and beneficial treatment and must be consistent. What are the difference between the peak and trough levels in a patient? | Above Peak can be toxic and below trough will not be therapeutic |
| What type of specimens need to be collected in a special trace element-free tubes? | Aluminum / Arsenic / Lead |
| What is the common lab test used to detect blood in the feces? | Occult blood |
| What is crucial in the operation of a centrifuge? | Tubes be balanced |