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| Section | Weight | Objectives |
|---|
| Infection Control and Safety | 16% | - Biohazard handling and disposal - Standard precautions and infection control - Needle safety and injury prevention
|
| Patient Identification, Assessment, and Site Preparation | 17% | - Site selection and preparation - Patient assessment and special considerations - Patient verification and consent
|
| Specimen Processing and Transportation | 10% | - Specimen labeling and documentation - Processing and quality assurance - Handling, storage and transport requirements
|
| Collection of Blood and Non-Blood Specimens | 29% | - Non-blood specimen collection - Venipuncture techniques and procedures - Capillary puncture procedures - Order of draw and tube selection
|
| Equipment Selection and Maintenance | 10% | - Equipment handling, cleaning and maintenance - Selection of collection supplies and devices
|
| Professionalism and Regulatory Compliance | 18% | - Ethical and legal responsibilities - Professional conduct and communication - Regulatory standards (OSHA, CLSI, HIPAA)
|
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Medical Technology AMCA Phlebotomy Technician Certification Exam Sample Questions (Q275-Q280):
NEW QUESTION # 275
Which of the following statements regarding hCG testing is FALSE?
- A. Positive results are available the first week after conception.
- B. Contaminants such as detergent may invalidate results.
- C. Medications may produce false-negative results.
- D. Ovarian tumors may increase levels.
Answer: A
Explanation:
Human chorionic gonadotropin (hCG) levels are increased during pregnancy; however, Hcg may not be present in sufficient levels for the first 2 weeks after conception, and thus may yield false-negative results on a pregnancy test. Contaminants such as detergents, protein, hematuria, and bacteria, as well as certain medications, may invalidate results. Malignant ovarian tumors and other conditions may increase hCG levels.
NEW QUESTION # 276
When obtaining a blood specimen for coagulation tests (PT, aPTT), when is the use of a discard tube indicated?
- A. It is indicated when a winged (butterfly) blood collection set is used and the coagulation tube is filled first.
- B. It is never indicated when obtaining a blood specimen for coagulation tests.
- C. It is indicated whenever the coagulation tube is the first tube needed.
- D. It is always indicated when obtaining a blood specimen for coagulation tests.
Answer: A
Explanation:
When obtaining a blood specimen for coagulation tests (PT, aPTT), the use of a discard tube is indicated when a winged (butterfly) blood collection set is used and the coagulation tube is filled first. At one time, it was standard procedure to obtain a discard tube of 5 mL of blood when the coagulation tube was the first tube to be filled, but studies have indicated that this is not necessary when using a straight needle. However, when using a winged (butterfly) needle, the discard tube is collected in order to prime the tubing so that the correct ratio of blood to anticoagulant is maintained.
NEW QUESTION # 277
Which of the following characteristics of a urine sample is indicative of a pathological condition?
- A. Bacteria
- B. Epithelial cells
- C. White or deeply pigmented yellow foam
- D. Dark amber color
Answer: C
Explanation:
A long-lasting white foam may indicate renal disease; deeply pigmented yellow foam on yellow-brown or yellow-green urine may indicate the presence of bilirubin or biliverdin, which are associated with hepatitis. Normal urine may range in color from pale yellow to dark amber. Bacteria and epithelial cells are indicative of a pathological condition only when present in large quantities.
NEW QUESTION # 278
A sign with a picture of falling leaves may be used to indicate:
- A. Do not resuscitate order
- B. Fall precautions
- C. Miscarriage
- D. No venipuncture in right arm
Answer: B
Explanation:
A sign with a picture of falling leaves indicates that fall precautions are required for the patient The letters DNR indicate a "do not resuscitate" order. A pink wristband or sign labeled "restricted extremity" may be used to indicate that the arm should not be used for venipuncture, blood pressures, or other procedures.
NEW QUESTION # 279
When carrying out a heelstick blood collection on a newborn, what should the maximum depth of the puncture be?
- A. 2 mm
- B. 3 mm
- C. 1 mm
- D. 1.5 mm
Answer: A
Explanation:
When carrying out a heelstick blood collection on a newborn, the depth of the puncture should be equal to or less than 2 mm. In a newborn, the blood supply is typically located 0.35-1.6 mm below the skin. Thus, a 2 mm depth provides an adequate flow of blood but is generally too shallow to cause injury to the calcaneus. The heelstick should be done on the lateral aspects of the heel rather than the middle or posterior aspects to ensure that the calcaneus is avoided.
NEW QUESTION # 280
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