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phlebeotomy final

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
which test evaluates a patient's insulin response to a measured dose   glucose tolerance test  
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the most common antiseptic for routine blood collection   70% isopropyl alcohol  
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peak and trough levels are drawn for   therapeutic drug monitoring  
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not true regarding blood cultures   they need to be cooled after being drawn to slow down the metabolism of the bacteria  
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list 3 criteria for specimen rejection   mislabeled mixing tubes not full enough  
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what test is light sensitive   bilirubin  
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what blood samples must be kept at 37 degree centigrade   cold agglutinin  
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sample that must be delivered to the laboratory on ice is   ammonia  
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peak drug levels   are collected when the highest levels of the drug is anticipated  
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test used to assess platelet function is   bleeding time  
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test for respiratory system   ABG  
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test results are affected most if the patient is not fasting   triglycerides and blucose  
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blood specimen should be chilled during a 45 minute transport   blood gases  
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after blood collection, when should plasma be centrifuged   30 minutes  
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what is good cholesterol   HDL  
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diabetes mellitus is caused by the inability of the pancreas to make or use what substance   insulin  
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what can be used in children and infants to diagnose whooping cough   nasopharyngeal swab  
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what type of urine specimen is needed to detect and infection   clean-catch  
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what is the specimen of choice for drug abuse testing   urine  
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type of specimens is most frequently collected for analysis   urine  
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O&P analysis is requested on which type of specimen   fecal matter  
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ketosis is frequently detected in what condition   liver disease  
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what is used to detect cystic fibrosis   sweat chloride stest  
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throat cultures are most commonly obtained to determine the presence of   streptococcus pyogenes  
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pregnancy can be determined by the detection of what hormone   HCG  
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what test is used to monitor heparin therapy   PTT  
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the most critical aspect of blood culture collection is   skin antisepsis  
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what test may require special chain of custody documentation when collected   drug screen  
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which of the following is a patient right   to refused treatment  
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list the 4 areas that must be proven for lawsuit to be successful   duty owned, duty breached, direct cause, resulting damages  
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an outpatient faints while a blood specimen is being collected. what do u do?   remove needle from the PT arm and lower the PAT head and arms  
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the most important step in specimen collection   identifying the patient  
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if and adult patient refuses to have blood drawn you should first   gently try and talk them in to it  
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the singular form of alveoli is   alveolus  
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the medical term for white blood cell   leukocyte  
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term for kidney inflammation is   nephritis  
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ESR means   erythrocyte sedimentation rate  
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term for muscle pain   myalgia  
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hardening of the artery is   arteriosclerosis  
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polycythemia means   many-cell blood condition  
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the JCAHO do not use list applies to all of the following except   electronic laboratory reports  
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uti   urinary track infection  
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nervous system disorder   multiple sclerosis  
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function of th3e urinary system   maintain electrolyte balance  
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test of the urinary system   creatinine clearance  
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tissue types covers and lines organs vessels and cavities   epithelial  
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a dangerous condition in which a patients Ph decreases   acidosis  
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the brain is encased in the ________ body cavity   dorsal  
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a hormone specific to the hear which is released when there is too much pressure or fluid is known as   BNP  
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structure in the skin give rise to fingerprints   papillae  
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type of muscle is under voluntary control   skeletal  
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the liquid part of a clotted blood specimen is called   serum  
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the liquid part of an unclotted blood specimen is called   plasma  
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if the tube in which blood is drawn contains an anticoagulant, the liquid part of the resulting blood specimen will be   plasma  
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if th4e tube in which blood is drawn contains no anticoagulant, the liquid part of the resulting blood specimen will be   serum  
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the difference between plasma and serum is   serum uses up the fibrinagen plasma hasn't used any fibrinagen  
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considering all patients to be potentially infectious for hepatitis or HIV is the concept of   universal precaution  
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class c fire   involves electrical equipment  
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3 components of fire referred to as the fire triangle are   fuel oxygen heat  
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if you accidentally plash hydrochloric acid in your eye what should you do first   flush you eye with water for minimum of 15minute  
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what is the best means of preventing nosocomial infections   proper hand washing  
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the degree to which an organism is capable of causing disease is called   virulence  
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what instance might a patient be placed in protective isolation   th4e patients has severe burns  
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blue quadrant of NFPA diamond shaped symbol of hazardous material indicates   health hazard  
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when the chain of infection is broken   infection is prevented  
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reverse or protective isolation is used   to keep health care workers and others from transmitting infection to patients  
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example of a nosocomial infection   when a catheter site of a patients in ICU becomes infected  
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the federal agency that publishes regulations or laws that protect employees and supersedes other regulatory agencies   OSHA  
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the first action to be taken when a fire is discovered is to   rescue possible victum  
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3 types of fire extinguisher and identify the types of fire they are used to extinguish   A consumable ordinary material k kitchen fire C electrical  
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3 main parenteral routes of transmission of blood borne pathogens in the health care setting   needle stick, broken skin, Mucous membrane  
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hand washing as decried in class results in the sterilization of your hands   true  
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transmission of disease by a mosquito is known as   vector transmission  
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what substance is used to clean of the desk in the lab   9:1 water/ bleach  
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systole refers to   heart contraction  
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diastole   heart relaxation  
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how many times does the average heart beat each minute   60-80  
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th3e middle layer of heart muscle is called   myocardium  
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what location of the body does oxygen and carbon dioxides gas exchanges take place   alveoli of the lungs  
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leukocytes   white blood cells  
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erythrocytes what is it and what does it do   RBC defense against infection  
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thrombocytes what is it and what it do   platelets blood clotting  
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upper chamber of the heart are known as   right left atrium  
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large atery or arteries carry blood to the body from th4e left side of the heart   aorta  
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veins transport blood returning the right side of the heart from the body   vena cavea  
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what is the most common blood type   o  
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which arteries supply blood to the head and neck   carotid  
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major artery in the antecubital area   brachial  
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what vein is the most commonly used for venipuncture   median cubital  
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sensitive tissue in the right atrium wall that begins the heart beat   sinoatrial node  
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the medical term for a heart attack   myocardium infraction  
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an extra heart sound heard between normal beats is known as   murmur  
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aneurysm is   ballooning our of a blood vessel  
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passage of a long flexible tube in to the heart chamber through a vein   cardiac catherization  
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the proper direction of blood flow in the circulatory system   arterioles capillaries venules  
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what happens if the phlebotomist ties the tourniquet too tight   arterial flow may stopped hemoconcentration it hurts the patient  
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the serum or plasma of a hemolyzed specimen would appear   pink or red  
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the most common antiseptic for routine blood collection   70% isopropyl alcohol  
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the best angle to use for needle insertion   15-30 degree  
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what is the purpose of an antiglycolytic agent   preserve glucose  
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what may happen if they bent here arm up at the elbow to apply pressure after the venipuncture   bleeding may occur when the are is lowered bruising platelets may pull a way  
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your are in the process of collection a specimen. the needle is inser4ed but the blood is fulling the tube very sloly. you see a hematoma forming very rapidly. what has happened   needle is only partly in the vein  
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A ABC in run on   whole blood  
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the veins in the arm   median cubital cephalic basillic  
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another name for blood bank is   innumohematology  
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what hospital department would the laboratory coordinate therapeutic drug monitoring   pharmacy  
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electrolyte testing includes   SODIUM POTASSIUM  
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which department is responsible for administering oxygen therapy   respiratory therapy  
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phlebotomy means   incise a vein  
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if a patient has IVs in both arms where do you draw   below the IV  
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it is not a good idea to collect a CBC specimen from screaming infant because   WBC may be falsely elevated  
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prolonged tourniquet application may caused a change in blood composition primarily because   hemoconcentration  
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why do pregnant patients have lower reference ranges for RBC count   blood fluid increase in pregnancy, having a diluting effect on RBC  
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what test is more often a times test   therapeutic drug monitoring  
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what instance may leas you to suspect that you have accidentally punctured an artery   the blood pulses into th4e tube  
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if blood is drawn too quickly from a small vein the vein will have a tendency to   collapse  
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FISTULA IS   permanent fusion of an artery and vein  
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when a test requires a fasting specimen but the serum is___ it is a clue that the patient was not fasting   lipemic  
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tests influenced by diurnal variation are often ordered as___tests, and it is important to collect them as close as possible to the time ordered   timed  
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BLOOD SMEAR MADE FROM EDTA SPECIMEN SHOULD BE MAD   WITH IN THE HR  
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what is the recommended maximum depth of heel puncture   2.0mm  
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why are EDTA specimens obtained before other specimens when collected by skin puncture   to minimize effects of platelets clumping  
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why should a laboratory report from indicate the fact that a specimen has been collected by skin puncture   because test results may bary depending on the method of collection  
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what is the safest area for infant heel puncture   lateral planter surface  
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the purpose of wiping away the first drop of blood during skin puncture is   to eliminate tissue fluid contamination  
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skin puncture blood most closely resembles   arterial blood  
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Calcaneus means   heel bone  
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skin puncture blood reference values (normals) are higher for   glucose  
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what is PKU   a hereditary inability to metabolize phenylalanine  
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it is necessary to control depth of lancet insertion during skin puncture to avoid   bone injury  
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what is the purpose of warming the site before skin puncture   it increases blood flow up to seven times  
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blood test that cannot be performed by skin puncture is   erythrocyte sedimentation rate  
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when the are of the swollen with excess fluid, this condition is called   edema  
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chain of infection   infectious agent, reservoir, exit pathway, means of transmission, entry pathway, susceptible host  
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