Medca Phlebotomy Technician Study Guide 182 Questions with Verified Answers
Type and cross match - CORRECT ANSWER takes place for transfusions to
... [Show More] 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 ________ [Show Less]