Medca Phlebotomy Technician Study Guide 182 Questions with Verified Answers,100% CORRECT

Medca Phlebotomy Technician Study Guide 182 Questions with Verified Answers Type and cross match - CORRECT ANSWER takes place for transfusions to determine if a patient will react after a transfusion (learning if bloo ...

Medca Phlebotomy Technician Study Guide 182 Questions with Verified Answers Type and cross match - CORRECT ANSWER takes place for transfusions to determine if a patient will react after a transfusion (learning if blood is compatible with donors) preanalytical phase - CORRECT ANSWER the process of collecting a specimen for further laboratory testing anatomic pathology - CORRECT ANSWER process of testing specimen such as biopsy pharmacy department - CORRECT ANSWER primary consultant for blood collected for testing drug levels quality improvement - CORRECT ANSWER the use of data-based methods in order to reach improvement(may use a flowchart or pareto chart) quality control records - CORRECT ANSWER What are these examples of: -expiration dates -precision of testing supplies/reagents -storage information phlebotomist - CORRECT ANSWER Who is a potential threat to the patient yes - CORRECT ANSWER is feces and urine a potential source of infection nosocomial - CORRECT ANSWER patient developing an infection while in the hospital that was not present before they arrived fomites - CORRECT ANSWER materials that carry infections hand washing - CORRECT ANSWER the single most important way to prevent the spread of infection wash hands with soap and water - CORRECT ANSWER what do you do when you are stuck by a needle blood pressure - CORRECT ANSWER pressure exerted by circulating blood upon the walls of blood vessels arterial - CORRECT ANSWER blood pressure usually refers to the ____________ pressure of systemic circulation systolic pressure - CORRECT ANSWER ____________ is maximum while diastolic pressure is minimum decreases - CORRECT ANSWER blood pressure _______________ when blood moves away from the heart inside - CORRECT ANSWER blood pressure is usually measured on the _________ of the elbow, at a person's upper arm 120/80 - CORRECT ANSWER what is the normal blood pressure reading (with systolic being the higher number, and diastolic being the lower number) systolic - CORRECT ANSWER -heart contracting -maximum arterial pressure during the contraction is in the left ventricle -also called ventricular contraction diastolic - CORRECT ANSWER -relaxation and dilation(expansion) period -minimum arterial pressure is when ventricles are filled with blood diastolic sound - CORRECT ANSWER sound heard during diastole pulse - CORRECT ANSWER rhythmical expansion of arteries due to heart contractions increases - CORRECT ANSWER when you breathe in your heart rate __________ ankle - CORRECT ANSWER Your pulse can be felt at the wrist(radial artery), neck(carotid artery), inside elbow(brachial artery), behind knee(popliteal artery), and around the ________________ joint(posterior tibial artery) index and middle - CORRECT ANSWER the _________ _____ _______________ fingers can feel for the pulse thumb - CORRECT ANSWER what has a pulse of it's own 120-60 - CORRECT ANSWER what should someone's pulse rate be between serum - CORRECT ANSWER when blood clots what is the fluid called homeostasis - CORRECT ANSWER what is the steady state of the body called bone marrow - CORRECT ANSWER where is blood made 95 - CORRECT ANSWER the bone marrow produces __% of the blood cells using the liver, spleen, and lymph nodes to help with cell regulation stem cells - CORRECT ANSWER what do blood cells originate as platelets - CORRECT ANSWER blood cells include, red blood cells(erythrocytes), white blood cells(leukocytes), and ______________(thrombocytes) 45 - CORRECT ANSWER erythrocytes, leukocytes, and thrombocytes make up __% of the blood tissue plasma - CORRECT ANSWER what makes up 55% of the blood tissue 8 - CORRECT ANSWER blood makes up _% of the average humans body weight 5 - CORRECT ANSWER How many liters of blood are in the body pH - CORRECT ANSWER measures the hydrogen ion concentration 7.35 to 7.45 - CORRECT ANSWER what should the normal blood pH level be acidic - CORRECT ANSWER less than the 7.35 pH blood level would be considered what alkaline - CORRECT ANSWER more than the 7.45 pH blood level would be considered what carbon dioxide - CORRECT ANSWER what does blood primarily carry out of the body tissues white blood cells - CORRECT ANSWER what cell contains a nucleus and 46 red blood cells - CORRECT ANSWER blood cell that carries oxygen to body tissues hemoglobin - CORRECT ANSWER iron-containing pigment that gives erythrocytes their color anemia - CORRECT ANSWER term known as not having enough red blood cells that contain iron polycythemia - CORRECT ANSWER -term known as having too many red blood cell that contain iron -also known as hematochromatosis 100-120 days - CORRECT ANSWER life span of an erythrocyte 2 million - CORRECT ANSWER how many red blood cells are made par second 7 days - CORRECT ANSWER how long does it take for a red blood cell to mature reticulocytes - CORRECT ANSWER what are immature red blood cells called eryptosis - CORRECT ANSWER process of removing defective red blood cell hematopoietic - CORRECT ANSWER hormone in the bone marrow that produces blood cells leukocytes - CORRECT ANSWER what are these(use medical terminology): --granulocytes: neutrophils, basophils, eosinophils --lymphoid cells: monocytes, lymphocytes lymphocytes - CORRECT ANSWER -kills leukocytes after 13-20 days(lifespan of WBCs) -grouped in B,T,NK cells -common in lymphatic system neutrophils - CORRECT ANSWER defends against fungi, bacterial infection basophils - CORRECT ANSWER responsible for antigens and allergic reaction by releasing histamine monocytes - CORRECT ANSWER -forerunners of macrophages -becomes macrophages 24-36 hours after entering circulatory system eosinophils - CORRECT ANSWER defends against parasites immune system - CORRECT ANSWER white blood cells are cells of the _______________ ____________ and help defend against diseases and foreign material platelet cells - CORRECT ANSWER cells responsible for clotting hemorrhage - CORRECT ANSWER what can a low amount of platelets lead to blood clots - CORRECT ANSWER too many platelets may result in formation of _________ __________ that can hinder blood vessels 30-60 minutes - CORRECT ANSWER how long does it take for a blood specimen to clot megakaryocyte - CORRECT ANSWER what do platelets form off of thrombopoietin - CORRECT ANSWER -the process of platelets forming is called -produced in the live & kidneys 5,000-10,000 - CORRECT ANSWER how many platelets do megakaryocytes produce phagocytosis - CORRECT ANSWER -the destruction of platelets takes place by what -it occurs in the spleen spleen - CORRECT ANSWER where are some platelets stored fibrinogen and vWF - CORRECT ANSWER platelets use ___________ ___ __________ as connecting agents to clump together chemicals and water - CORRECT ANSWER capillaries are responsible for the exchange of ________ ___ _______ between blood and tissue 2 - CORRECT ANSWER how many layer do veins have 3 - CORRECT ANSWER how many layers doe arteries have aortic arches - CORRECT ANSWER what does the arterial system develop from 4 - CORRECT ANSWER after how many weeks of human development does the arterial system develop 30 - CORRECT ANSWER about how many branches branch off the aorta umbilical - CORRECT ANSWER the venous system develops from __________ veins, the cardinal veins, and the vitelline veins pulmonary and umbilical arteries - CORRECT ANSWER arteries carry oxygen-rich blood away from the heart with the exception of the ___________ ___ _________ arteries pulmonary and umbilical - CORRECT ANSWER veins carry oxygen-deprived blood from tissues back towards the heart with the exception of the __________ ___ ___________ veins that carry oxygen-rich blood to the heart arterioles - CORRECT ANSWER -small blood vessels in microcirculations -gives blood to capillaries -carries oxygen-rich blood away from heart capillaries - CORRECT ANSWER -small blood vessels in microcirculations -gives blood to venules -"supply cell" -two main types: continuous, fenestrated venules - CORRECT ANSWER -small blood vessels in microcirculations -carry oxygen-deprived blood from capillaries to vein supine - CORRECT ANSWER the position of lying face-up on back prone - CORRECT ANSWER the position of lying face-down on stomach prone position - CORRECT ANSWER what position should patient be in if drawing from the back of the hand 12 - CORRECT ANSWER when collecting samples for glucose testing, the patient should fast for ___hours glycolytic action - CORRECT ANSWER breakdown of glucose large - CORRECT ANSWER when drawing a venipuncture, you are looking to obtain a ______ amount of blood chemistry determinations - CORRECT ANSWER a large amount of blood is required for before - CORRECT ANSWER if blood is collected to determine medication levels, blood should be take ______ next dosage of medication tourniquet - CORRECT ANSWER causes blood to pool median cubital veins - CORRECT ANSWER what veins are preferred for venipuncture 3-4 - CORRECT ANSWER apply tourniquet ________ inches above site 15-30 - CORRECT ANSWER needle angle for venipuncture capillary puncture - CORRECT ANSWER also known as dermal puncture or finger stick small - CORRECT ANSWER capillary puncture used when _____ amount of blood needed, or patient is an infant or anemis 2.0 - CORRECT ANSWER depth of lancet should be less than __ monoject monoletter - CORRECT ANSWER safety device for capillary blood collection interstitial fluid - CORRECT ANSWER another name for tissue fluid blood smear - CORRECT ANSWER what test do you smear blood at a 30 degree angle 90 - CORRECT ANSWER for arterial blood gas, what angle should the needle be at radial - CORRECT ANSWER ABG(arterial blood gas) can be done at the femoral, brachial, and ________ artery centrifuge - CORRECT ANSWER used to separate fluids of different densities urine - CORRECT ANSWER blood and _____ samples should be transported to lab quickly in order to increase chance of detecting pathogen 2 hours - CORRECT ANSWER serum should be transported to lab withing ___ _________ to avoid erroneous results chilled specimens - CORRECT ANSWER What do the following have in common: -blood gasses, gastrin, ammonia, lactic acid, catecholamine, renin, and parathyroid hormone determinations light-sensitive specimen - CORRECT ANSWER bilirubin, beta-caotene, and erythrocyte protoporphyrin 10 minutes - CORRECT ANSWER contact supervisor if patient does not stop bleeding after 15 minutes - CORRECT ANSWER if patient faint, keep patient in sight for ___ _________ before releasing them hematoma - CORRECT ANSWER -occurs as blood that pools in tissue around veins is collected -may result in bruising hemoconcentration - CORRECT ANSWER -increased amount of large molecules and formed elements -cases may be prolonged tourniquet application or occluded veins 3 times - CORRECT ANSWER when drawing on a patient with indwelling line or catheters, samples should be discarded ___ _____ before specimen is collected for further analysis 2 minutes - CORRECT ANSWER prolonged tourniquet application can lead to tissue or nerve damage so tourniquet should not be left on for more than _____ ________ bleeding time - CORRECT ANSWER -a test that identifies function disorders of platelets -measures ability to stop bleeding after wound/injury -incision 1mm deep, 5 mm long 2.5 and 9.5 - CORRECT ANSWER normal bleeding time is _._ ___ _._ minutes 40mmHg - CORRECT ANSWER where should the sphygmomanometer always be at 30-60 seconds - CORRECT ANSWER how long should alcohol be left to dry on arm blood alcohol testing - CORRECT ANSWER -test measures amount of alcohol in body -highest alcohol in blood is 1 hour after consuming alcoholic beverage -used to determine if person intoxicated liver - CORRECT ANSWER the majority of alcohol will be broken down within the ____. the remaining alcohol is present in the urine. blood donor - CORRECT ANSWER who can provide a blood bank with RBCs, plasma, platelets, blood typing reagents, blood clotting factors, proteins and immunoglobulin autologous - CORRECT ANSWER what type of blood donation requires you level of hemoglobin must be at least ll grams blood - CORRECT ANSWER what donation requires you to be in supine position after donation carbohydrates - CORRECT ANSWER breaks down into glucose blood glucose test - CORRECT ANSWER -may be ordered as a fasting blood glucose test or random glucose test -usually for diabetic or suspected diabetic patient 3 hour blood GTT - CORRECT ANSWER -patients blood glucose is lower than 200mg/dl procedure: -patient swallows glucose solution in 5 mintes -collect blood and urine samples at 30min, 1hr, 2hrs, 3hrs, therapeutic phlebotomy - CORRECT ANSWER use this procedure when patient has hemochromatosis, polycythemia, porphyries porphyries - CORRECT ANSWER metabolic disorder that is associated with enlargement of spleen and liver, pigmentation and red color in urine, and sensitivity to ligh timed specimen - CORRECT ANSWER -measurement of the concentration of a specimen in the blood, usually between 8 and 24 hours -such as cretin, glucose, or sodium -must fast 8 hours before test -hold back on exercising lipemia - CORRECT ANSWER -increased amount of lipids are found in the blood stream -these specimen will show a milky, clouded serum toxicology - CORRECT ANSWER branch of chemistry, biology, and medicine that focuses on the study of the adverse effects of chemicals on living organisms heparin - CORRECT ANSWER what is the preferred anticoagulant in clinical chemistry anticoagulant - CORRECT ANSWER substances that prevent blood clotting lithium heparin - CORRECT ANSWER general anticoagulant to study glucose levels acid-citrate dextrose - CORRECT ANSWER anticoagulant used in blood donations yellow tube - CORRECT ANSWER -Additive: ACD(acid-citrate-dextrose) -Mode of Action: complement inactivation -Uses: paternity test, DNA study, HLA tissue typing -Invert: 8-10 times light blue tube - CORRECT ANSWER -Additive:Sodium citrate -Mode of Action: forms calcium salts to remove calcium -Uses: coagulation tests; full draw required -Invert: 3-4 times dark blue tube - CORRECT ANSWER -Additive: Sodium EDTA -Mode of Action: contain no contaminating metals -Uses: trace element testing and toxicology red tube - CORRECT ANSWER -Additive: none -Mode of Action: blood clots -Uses: serum is separated -Invert: 5 times gold tube - CORRECT ANSWER -Additive: none -Mode of Action: serum separator tube -Uses: immunology, serology, chemistry -Invert: 5 times light green tube - CORRECT ANSWER -Additive: lithium heparin -Mode of Action: plasma separating -Uses: chemistry -Invert: 8-10 times dark green tube - CORRECT ANSWER -Additive: sodium heparin or lithium heparin -Mode of Action: inactivates thrombin, thromboplastin -Uses: ammonia and lithium levels -Invert: 8-10 times purple tube - CORRECT ANSWER -Additive: EDTA liquid -Mode of Action: forms calcium salts to remove calsium -Uses: blood bank(cross match) and hematology (CBC) -Invert: 8-10 times white tube - CORRECT ANSWER -Additive: potassium EDTA -Mode of Action: forms calcium salta -Uses: molecular/PCR and bDNA testing -Invert: 8-10 times gray tube - CORRECT ANSWER -Additive: Potassium oxalate Sodium fluoride -Mode of Action: antiglycolytic agen -Uses: glucose requires full draw -Invert: 8-10 times pink tube - CORRECT ANSWER -Additive: potassium EDTA -Mode of Action: forms calcium salts -Uses: immunohematology light brown tube - CORRECT ANSWER -Additive: sodium heparin -Mode of Action: inactivates thrombin,thromboplastin -Uses: serum lease determination black tube - CORRECT ANSWER -Additive: buffered sodium citrate -Mode of Action: forms calcium salts to remove calcium -Uses: sedimentation rate; full draw yellow/black tube - CORRECT ANSWER -Additive: broth mixture -Mode of Action: preserves viability of microorganisms -Uses: microbiology green tube - CORRECT ANSWER which tube needs to be inverted 5-6 times red - CORRECT ANSWER I need to collect blood from the yellow tube, blood culture, red tube, and purple tube, what color tube would you collect from third? gold - CORRECT ANSWER _________ tube and red tube contain no additive dark green - CORRECT ANSWER what color tube can contain the additive lithium or sodium heparin metals - CORRECT ANSWER what does the dark/royal blue tube remove that can contaminate the blood 5-10 - CORRECT ANSWER how many times would you invert the light green tube plasma separator - CORRECT ANSWER what is light green tube's mode of action acid citrate dextrose - CORRECT ANSWER what does the additive ACD stand for human leukocyte antigen - CORRECT ANSWER what does yellow tube's usage HLA stand for yellow/black - CORRECT ANSWER what color is the tube used in microbiology light brown - CORRECT ANSWER _________ and black tubes are used in sedimentation rate tests purple - CORRECT ANSWER color of tube used in hematology and blood banks immunochemistry - CORRECT ANSWER pink and white tubes are the same mode of action, additive, and inversions, except pink belongs to which department gray - CORRECT ANSWER color of tube used for GTT testing polymerase chain reaction - CORRECT ANSWER what does PCR (the usage for the white tube) stand for buffered sodium citrate - CORRECT ANSWER what is the black tube's additive dorsal - CORRECT ANSWER If veins in the arm cannot be used for venipuncture, the alternative lie in the ___________ sides of the hands and wrist hemoglobin - CORRECT ANSWER a person who has too little ______________ or a decreased number of red blood cells, is known to be anemic serum - CORRECT ANSWER ___________ should be transported to the laboratory for testing and separated from blood cells withing 2 hours lymph nodes - CORRECT ANSWER blood cells begin their formation in the _______ ________ and bone marrow sharps container - CORRECT ANSWER the disposal of needles, scalpels, and syringes happens in the ___________ __________ median cubital - CORRECT ANSWER what is the vein that is most preferred contracted - CORRECT ANSWER the systolic pressure is the pressure when the heart is _____________ interstitial fluid - CORRECT ANSWER what is tissue fluid also known as white blood cell differentials - CORRECT ANSWER skin puncture samples are often used for ______ ________ _______ _______________ across - CORRECT ANSWER during a skin puncture procedure, the cut should be ________ the fingerprint lines occluded - CORRECT ANSWER in relation to veins, the term ___________ means obstructed after - CORRECT ANSWER during the venipuncture procedure, the phlebotomist releases the tourniquet, _______ the needle is inserted and blood begins to flow bevel side up - CORRECT ANSWER during the venipuncture procedure, the needle should always be inserted with the ______ ______ __ clot - CORRECT ANSWER normal blood specimen take 30-60 minutes to _____ bar codes - CORRECT ANSWER _____ ________ in phlebotomy applications are not used to denote patient arm preference purple - CORRECT ANSWER a blood cell count requires whole blood to be collected in a _________ topped tube sodium polyanetholesulfonate - CORRECT ANSWER the yellow topped vacuum collection tube has _________ _______________ (SPS) as the additive gauge - CORRECT ANSWER color coding of needles indicates ________