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MED253 Final exam review
MED253 Final exam review
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Final exam chapters 45, 46, 47, 48, 49
Flashcards
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Questions
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Answers
1
A urine sample has a fruity odor. Which reagent on the dipstick will be affected?
Ketones
Leukocytes
Urobiliogen
Protein
2
The most common phlebotomy site(s) in adults is (are) the:
dorsal hand veins
veins in the antecubital space
veins in the popliteal area
3
Without a clot activator, whole blood typically clots in about what time frame?
15-60 min.
6-12 min.
1-5 min.
70-90 min.
4
A cellulose tape test for pinworms requires:
thin specimen of stool spread on cellulose tape to immobilize the worms
length of cellulose tape touched against the anal folds to collect worms
microscope to view the eggs that have adhered to a length of cellulose tape
temporarily taping the anus closed to trap the worms
5
A patient must give verbal consent before venipuncture can be performed.
True
False
6
This instrument is used to separate blood cells from plasma.
all are correct
microscope
centrifuge
incubator
7
The proper venipuncture tube for collecting a serum specimen is:
Green
Lavender
Red
Light blue
8
An anaerobic organism is most likely to be isolated from a(n):
sputum
abcess
throat swab
skin scraping
9
Before a lab test can be used for patient samples, quality control must be run to ensure that the test is considered:
reliable
dependable
precise
accurate
10
Reagent strip urine testing must be performed on a preserved specimen within 1 hour of collection.
True
False
11
Which component of the complete blood count is not necessary to calculate the red cell indices?
Differential
Hematocrit
Erythrocyte count
Hemoglobin
12
Which of the following is a normal hemoglobin for a female?
9.5g/dL
14g/dL
17g/dL
11g/dL
13
The liquid portion of whole blood that contains clotting factors is called:
Hemoglobin
Formed elements
Serum
Plasma
14
The FDA assigns categories of tests performed in the clinical lab based on what?
expense to the patient
instrumentation and supplies needed
potential risk to public health
ease of performance
15
What are tubular structures found in the urine & composed mainly of mucoprotein produced in the kidney?
metabolites
casts
bacteria
yeasts
16
The smaller the gauge number, the larger the lumen of the venipuncture needle.
False
True
17
Bacteria are classified as:
prokaryote
eukaryote
protozoa
parasite
18
The sugar most commonly found in urine is:
fructose
maltose
lactose
glucose
19
A CLIA-waived urine pregnancy test result can detect hCG as early as:
72 hrs after conception
1 week after implantation, or 4 to 5 days before a missed menstrual period.
1 week after missed menstrual cycle
24 hrs after conception
20
Increases in the RBC count are found in which of the following?
Liver Disease
Dehydration
Anemia
Infection
21
The clinical chemistry department performs which of the following tests?
Lipid profile
Culture & Sensitivity
Blood cell count
Prothrombin time
22
When drawing blood on a patient with a history of collapsed veins, you should collect the blood sample with a syringe.
True
False
23
Which of the following is not a CLIA-waived test?
Fecal occult blood
Spun microhematocrit
Gram staining
Dipstick urinalysis
24
A winged infusion set is also known as a butterfly needle assembly.
False
True
25
The most effective means of preventing infection is frequent and thorough hand washing or sanitization of the hands.
True
False
26
A needlestick is more likely to occur if a phlebotomist does which of the following?
All are correct
Uses a needle of inappropriate gauge
Attempts to recap a needle
Uses standard Vacutainer equipment to obtain a specimen
27
The color of the tube top for collection of a coagulation test is:
Green
Lavender
Light Blue
Gray
28
The Gram reaction a bacterium exhibits are the result of its:
gelatinous capsule
cell membrane sugar content
chemical makeup of the cell wall
wax like cell wall lipids
29
In the microscopic observation of urine sediment, yeast most resembles:
red blood cells
bacteria
calcium oxalate crystals
mucous threads
30
The device used for dermal puncture is a(n):
lancet
vacutainer
butterfly
unopipette
31
Decreased hemoglobin levels are seen in which of the following illnesses?
Cirrhosis of the liver
Hyperthyroidism
Iron-deficiency anemia
All are correct
32
Which of the following is the most efficient method of preventing the spread of infection in a laboratory?
Properly washing your hands
Cleaning with a chemical disinfectant
Using sterile cups in urine collection
Using a sterile container for sharps
33
A small amount of which of the following is always present in normal urine?
leukocyte esterase
urobilinogen
bilirubin
glucose
34
Per OSHA, needle holders can be reused for multiple patients, because they are not contaminated during the venipuncture.
False
True
35
Using a urine dipstick test on a urine specimen from a female with a UTI, which tests will most likely be positive?
Nitrite and leukocyte esterase
Glucose and urobilinogen
Ketone and nitrite
Blood and glucose
36
A medical assistant instructs a patient to collect a first morning specimen for which of the following tests?
Culture for possible UTI
Pregnancy testing
All are correct
Qualitative protein determination
37
The slant at the open end of a needle used for venipuncture is called the:
bevel
lumen
bore
gauge
38
What is required to "balance the tubes in the centrifuge"?
have a partner directly across in the rotor holder
all are correct
are of equal size and shape
all the tubes have about the same volume of liquid in each tube
39
Which department of the laboratory performs H&H tests?
Coagulation
Hematology
Chemistry
Microbiology
40
What organism that is
unlikely
to be transmitted by airborne droplets?
Neisseria meningitis
Legionella pneumophila
Treponema pallidum
Streptococcus pneumoniae
41
Which of the following tests is used to determine renal function?
Total bilirubin
Ferritin
pH
Creatinine
42
The most accurate method of testing urine in patients with diabetes requires a second-voided specimen.
False
True
43
Casts in a urine specimen develop in what part of the urinary system?
Ureters
Urethra
Kidney
Bladder
44
Platelets:
Assist in the delivery of oxygen to tissues
are elevated in thrombocytopenia
none are correct
are fragments of a larger cell called a megakaryocyte
45
In the ID system of the National Fire Protection Assoc., the white diamond on the label indicates the chemical's:
special hazard information
health hazard
flammability
reactivity or stability
46
What blood test that analyzes the ability of the kidneys to perform their function?
GTT
Albumin
FBS
BUN
47
Most pathogenic organisms remain viable at temperatures of ____°C.
37°
25°
0°
40°
48
What are the types of molecules that are needed for metabolism? Examples include carbohydrates, lipids, and proteins.
Yeast
Mordant
Extract
Macromolecules
49
The liquid portion of the blood that
does not
contain clotting factors is called _________________.
none are correct
plasma
whole blood
serum
50
The term used to describe a blood sample in which the red blood cells have ruptured is:
agglutinated
hemolysed
hematoma
teratogen
51
Which type of blood is considered the “universal donor”?
O-
O+
AB-
AB+
52
Polyuria is common in which of the following clinical situations?
Liver disease
Renal failure
Diabetes mellitus
Urinary tract infections
53
Laboratory department that studies bacteria, fungi, yeasts, parasites, and viruses is:
Hematology
Chemistry
Histology
Microbiology
54
TSH levels are assessed to determine the function of what organ(s)?
Liver
Pancreas
Kidney
Pituitary gland
55
An RBC that is larger than normal is described as:
microcytic
normocytic
macrocytic
hemolytic
56
Specimen labels should include all of the following except:
ordering provider name
patient's full name & DOB
the date and time of collection
the phlebotomist or collector's initials
57
A urine reagent dipstick is highly sensitive to:
Hemoglobin
Mucoproteins
Urinary albumin
Immunoglobulin
58
A screening test is performed to diagnose a specific health problem in the patient.
False
True
59
Diagnosis of a helminth infection requires a:
stool sample for ova and parasite examination
stool sample for culture on differential media
skin biopsy specimen for fluorescent testing
blood samplefor tissue culture
60
Which statement is true about HDL?
It transports cholesterol
All are correct
If elevated, it can result in a greater risk of heart disease
It is referred to as the "bad" cholesterol
61
A cloudy urine specimen may be the result of which of the following?
Ketones
Lipids
Glycosuria
Crystals
62
Rh-positive babies born to mothers with Rh-negative blood are at risk of developing what condition?
HDN
ESR
Anemia
HDL
63
The needle size most commonly used by a blood bank for donations units is:
16g
23g
20g
18g
64
A chemical added to a blood sample after collection to prevent clotting is called a(n):
preservative
anticoagulant
reagent
analyte
65
Which of the following infections is caused by a fungus?
Toxic shock syndrome
Rocky Mountain spotted fever
Pneumocystis pneumonia
Pyloric ulcers
66
What causes an ammonia or putrid smell in the urine?
food such as asparagus or garlic
phenylketonuria
infection
uncontrolled diabetes
67
One of the first detectable signs of renal disease is:
myoglobinuria
hematuria
proteinuria
pyuria
68
A tourniquet should remain tied on a patient's arm no longer than:
1 min.
30 sec.
3 min.
2 min.
69
Which statement is true about leukocytes?
Leukocytes are the largest circulating blood cells.
All are correct
Granulocytes have segmented nuclei.
Bacterial infections stimulate increased production of neutrophils
70
Normally the medical assistant documents the presence of foam on a urine specimen.
False
True
71
What is the first step OSHA recommends for the effective management of an accidental sharps exposure?
Injury reported to the supervisor
Incident report is completed
Referral to a physician for confidential assessment and follow-up.
Wash for 10 min. w/ soap, 10% iodine sol., or chlorine-based antiseptic
72
In a routine venipuncture, the angle at which the needle enters the arm should be _____ degrees.
15°
25°
20°
30°
73
Which of the following antiseptics may be used for a blood culture collection site to eliminate contaminating bacteria?
All are correct
Benzalkonium chloride
Sterile soap pads
Povidone-iodine
74
Before a routine venipuncture or capillary puncture, what substance is used to cleanse the site?
povidone-iodine solution
isopropyl alcohol
ethyl alcohol
soap & water
75
What is the #1 cause of specimen rejection?
Incorrect tube used for the test ordered
Insufficient quantity
Improper specimen handling
Hemolysis
76
A centrifuge is used to separate:
all are correct
blood cells from serum or plasma
solids from liquids
solids from liquids
77
Which department of the laboratory analyzes blood, cerebrospinal fluid (CSF), urine, and joint fluid?
Chemistry
Hematology
Microbiology
Coagulation
78
Phlebotomy certifying agencies include which of the following?
IAPS
All are correct
ASCP
NCA, NPA
79
Lavender-topped tubes are used for routine CBC tests.
True
False
80
Which of the following is
not
a responsibility of the medical assistant in the clinical laboratory?
Developing a knowledge of analyte normal range of results
Providing proper patient preparation
Interpreting abnormal results and providing patients with diagnoses.
Obtaining and labeling specimens