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Medical Technology PTC-AMCA Exam Syllabus Topics:

SectionWeightObjectives
Topic 1: Collection of Blood and Non-Blood Specimens29%- Non-blood specimen collection (urine, swabs)
- Special collection procedures (blood cultures, glucose tolerance tests)
- Capillary puncture techniques
- Venipuncture procedures and order of draw
Topic 2: Specimen Processing and Transportation10%- Labeling and documentation
- Specimen handling, storage, and transport conditions
Topic 3: Equipment Selection and Maintenance10%- Needle, tube, and collection device selection
- Equipment handling and maintenance
Topic 4: Professionalism and Regulatory Compliance18%- Professional behavior and ethics in healthcare settings
- Regulatory compliance (OSHA, HIPAA awareness)
Topic 5: Patient Identification, Assessment, and Site Preparation17%- Venipuncture site selection and preparation
- Patient verification procedures
Topic 6: Infection Control and Safety16%- Standard precautions and PPE usage
- Bloodborne pathogen safety protocols

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Medical Technology AMCA Phlebotomy Technician Certification Exam Sample Questions (Q261-Q266):

NEW QUESTION # 261
A viral infection may result in increased:

Answer: A

Explanation:
A viral infection may result in increased lymphocytes, which are one type of white blood cell (WBC). Lymphocytes usually comprise 24-44% of the total WBCs in adults. A bacterial infection often results in decreased lymphocytes but increased neutrophils. Increased lymphocyte count is also commonly found with some diseases, so it is not specific to viral infections. Conditionsassociated with increased lymphocyte count include Addison's disease, lymphocytic leukemia, ulcerative colitis, lymphomas, and lymphosarcoma.


NEW QUESTION # 262
The chain of custody for a blood specimen begins with the:

Answer: D

Explanation:
The chain of custody for a blood specimen, such as one for drug testing, begins with the initial contact with the patient when the venipuncture is carried out. A chain of custody form or other record should be filled out, and information is entered with each specimen transfer from the initial one until the final disposition. Each person involved must be identified and must sign or initialize the form/record, and each process carried out on the sample must described. The sample must be stored in a secured and restricted storage site.


NEW QUESTION # 263
If the phlebotomist is unable to obtain a specimen when attempting a venipuncture, which of the following actions should generally be avoided?

Answer: D

Explanation:
If the phlebotomist is unable to obtain a specimen when attempting a venipuncture, probing laterally should generally be avoided. It is painful and often unsuccessful and should only be attempted when the location of the vein has been established. If the vein is in the medial aspect of the antecubital fossa, then lateral probing should never be used because of the risk of hitting the brachial artery or a nerve. In some cases, the needle may need to be removed and an attempt made at a different site.


NEW QUESTION # 264
For therapeutic drug monitoring, critical times include:

Answer: A

Explanation:
For therapeutic drug monitoring, critical times include the time of the last dose and the time that the specimen was collected. The times should be carefully recorded to ensure that the peak level or trough level is accurately assessed. Peak levels are drawn at the time that the medication's concentration in the blood should be highest. Trough levels are usually drawn immediately before the next dose, when the concentration is the lowest The last dosage administered and the mode of administration must also be recorded.


NEW QUESTION # 265
The POC test that is most accurate for monitoring heparin therapy is:

Answer: A

Explanation:
Even though aPTT is more commonly used to monitor heparin, the test that is most accurate is activated clotting time (ACT). Automated ACT analyzers measure how long it takes a blood sample to clot when activators are added to activate the clotting factors. This helps to determine how the body will respond to heparin and is more accurate than aPTT, especially if the patient is receiving high doses of heparin. The normal value for ACT may vary according to the equipment used, but it is generally 70-120 seconds. The therapeutic value is generally 150-600 seconds.


NEW QUESTION # 266
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