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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Equipment Selection and Maintenance | 10% | - Equipment handling, cleaning and maintenance - Selection of collection supplies and devices |
| Topic 2: Infection Control and Safety | 16% | - Needle safety and injury prevention - Standard precautions and infection control - Biohazard handling and disposal |
| Topic 3: Professionalism and Regulatory Compliance | 18% | - Ethical and legal responsibilities - Professional conduct and communication - Regulatory standards (OSHA, CLSI, HIPAA) |
| Topic 4: Collection of Blood and Non-Blood Specimens | 29% | - Venipuncture techniques and procedures - Capillary puncture procedures - Non-blood specimen collection - Order of draw and tube selection |
| Topic 5: Patient Identification, Assessment, and Site Preparation | 17% | - Patient verification and consent - Patient assessment and special considerations - Site selection and preparation |
| Topic 6: Specimen Processing and Transportation | 10% | - Processing and quality assurance - Specimen labeling and documentation - Handling, storage and transport requirements |
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NEW QUESTION # 202
Serum differs from plasma in that serum:
Answer: C
Explanation:
Serum differs from plasma in that serum does not contain fibrinogen and other clotting factors. Serum is the extracellular liquid portion of plasma, minus fibrinogen, clotting factors, and blood cells. However, serum does contain solutes (proteins, minerals, hormones, and gases) and is important as a source of electrolytes. Serum is the product of centrifugation of coagulated blood and consists of 90% water. Serum is commonly used for chemistry testing, except for potassium because potassium is released into the serum during the clotting process, resulting in a higher level than in plasma.
NEW QUESTION # 203
If a patient must do a 72-hour stool collection for fecal fat analysis, the stool should be kept under what conditions during the collection period?
Answer: D
Explanation:
If a patient must do a 72-hour stool collection for fecal fat analysis, the stool should be kept under refrigeration during the collection period. The patient is provided a large gallon container with a lid and written and verbal instructions. The patient should be cautioned to avoid contaminating the stool specimen with urine, which may alter the test results. One method of collecting the stool is to place plastic wrap securely over the back half of the toilet bowl. Special collection devices are also available.
NEW QUESTION # 204
Which of the following statements regarding lumbar puncture is FALSE?
Answer: A
Explanation:
Because the spinal cord ends at the first lumbar vertebra, lumbar puncture does not present a risk of spinal cord injury. The physician inserts the needle into the spinal cavity at the space between the 3rd and 4th lumbar vertebrae. The patient may experience a headache as a result of the drop in pressure around the brain caused by the removal of cerebrospinal fluid.
NEW QUESTION # 205
Which of the following evacuated collection tubes should NOT be used to collect a specimen for a BMP?
Answer: D
Explanation:
The evacuated collection tube that cannot be used to collect a specimen for a BMP is the lavender-capped collection tube, which contains an anticoagulant (EDTA) and is used to collect a whole blood sample for the CBC or its components. Red-capped collection tubes with a clot activator, red/black SST, and green-capped tubes can all be used. The BMP includes the tests on the electrolyte panel as well as the BUN, Ca (calcium), creatinine, and glucose.
NEW QUESTION # 206
If a coagulation test requires platelet-poor plasma, it is necessary to:
Answer: A
Explanation:
If a coagulation test requires platelet-poor plasma, it is necessary to centrifuge the specimen, use a pipette to carefully remove three-quarters of the plasma at the surface (avoid pouring), place it into an aliquot tube, and then centrifuge the aliquot tube to separate any remaining cells. Then, the plasma from the second centrifugation is transferred via a new pipette into another new tube for testing. Because platelets contain clotting factors, it is essential to remove platelets before carrying out the tests. Platelet-poor plasma should have fewer than 10,000 platelets/ PL.
NEW QUESTION # 207
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