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Medical Technology PTC-AMCA Exam Syllabus Topics:

Section	Weight	Objectives
Infection Control and Safety	16%	- Standard precautions and PPE usage - Bloodborne pathogen safety protocols
Specimen Processing and Transportation	10%	- Specimen handling, storage, and transport conditions - Labeling and documentation
Equipment Selection and Maintenance	10%	- Needle, tube, and collection device selection - Equipment handling and maintenance
Professionalism and Regulatory Compliance	18%	- Regulatory compliance (OSHA, HIPAA awareness) - Professional behavior and ethics in healthcare settings
Patient Identification, Assessment, and Site Preparation	17%	- Venipuncture site selection and preparation - Patient verification procedures
Collection of Blood and Non-Blood Specimens	29%	- Capillary puncture techniques - Special collection procedures (blood cultures, glucose tolerance tests) - Non-blood specimen collection (urine, swabs) - Venipuncture procedures and order of draw

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Medical Technology AMCA Phlebotomy Technician Certification Exam PTC-AMCA Prüfungsfragen mit Lösungen (Q251-Q256):

251. Frage
A sample being designated as QNS means that:

A. The quality is not standardized.
B. The quantity is not sufficient.
C. The quality is nonsterile.
D. The quantity is not standardized.

Antwort: B

Begründung:
If a sample is designated as QNS, the quantity is not sufficient for the test that has been ordered. In this case, the sample is rejected and another sample must be obtained. QNS is a common reason for rejecting chemistry specimens. The phlebotomist should review requirements for tests to ensure that the volume of the specimen is adequate. Reasons for QNS may include using expired tubes (resulting in decreased vacuum) and not ensuring complete filling of the tube before changing tubes. QNS may also occur if a patient has difficult-to-access veins.

252. Frage
A blood specimen for a CBC should be collected in a tube that contains:

A. ACD
B. Clot activator
C. No additive
D. EDTA

Antwort: D

Begründung:
A blood specimen for a CBC should be collected in a tube that contains EDTA (an anticoagulant). The CBC is performed on whole blood. The evacuated collection tube is lavender- capped and should be inverted at least 8 times after the specimen is collected to ensure that the sample is adequately anticoagulated because even small clots render the specimen unusable. The CBC includes Hgb (hemoglobin), Hct (hematocrit), RBC, RBC indices, WBC count and differential, and platelet count.

253. Frage
Which of the following is NOT a reason to avoid removing stoppers from blood specimen tubes prior in the precentrifugation period?

A. To prevent concentration of the specimen
B. To prevent contamination
C. To prevent a decrease in pH
D. To prevent a loss of C02

Antwort: C

Begründung:
Removing the stoppers from blood specimen tubes during the precentrifugation period can result in an increase-not a decrease-of pH because of a loss of carbon dioxide (COD. Other problems that may occur if a stopper is removed are due to evaporation of the specimen, which can result in concentration and possibly alter the test results. An opened specimen container also always runs the risk of contamination. Containers should be maintained in an upright position with the stoppers in place.

254. Frage
Which of the following disinfectants may be used to prepare the venipuncture site for EtOH testing?

A. Methanol
B. Isopropyl alcohol
C. Soap and water
D. Tincture of iodine

Antwort: C

Begründung:
During blood alcohol (ethanol, or EtOH) testing, regular soap and water may be used to clean the venipuncture site if a non-alcohol disinfectant such as povidone-iodine or aqueous benzalkonium chloride is not available. Disinfectants that contain alcohol, such as tincture of iodine, isopropyl alcohol, or methanol, should not be used because they may compromise test results.

255. Frage
For therapeutic drug monitoring, critical times include:

A. The time the specimen was collected
B. The time of the last dose and the time the specimen was collected
C. The time of the last dose and the time the specimen was examined
D. The time the specimen was collected and the time the specimen was examined

Antwort: B

Begründung:
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.

256. Frage
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