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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Equipment Selection and Maintenance | 10% | - Selection of collection supplies and devices - Equipment handling, cleaning and maintenance |
| Topic 2: Professionalism and Regulatory Compliance | 18% | - Professional conduct and communication - Regulatory standards (OSHA, CLSI, HIPAA) - Ethical and legal responsibilities |
| Topic 3: Infection Control and Safety | 16% | - Needle safety and injury prevention - Standard precautions and infection control - Biohazard handling and disposal |
| Topic 4: Patient Identification, Assessment, and Site Preparation | 17% | - Patient verification and consent - Patient assessment and special considerations - Site selection and preparation |
| Topic 5: Specimen Processing and Transportation | 10% | - Processing and quality assurance - Specimen labeling and documentation - Handling, storage and transport requirements |
| Topic 6: Collection of Blood and Non-Blood Specimens | 29% | - Order of draw and tube selection - Capillary puncture procedures - Non-blood specimen collection - Venipuncture techniques and procedures |
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質問 # 79
If a patient has undergone bilateral mastectomies with surgeries 5 years apart, what venipuncture site should the phlebotomist select?
正解：C
解説：
If a patient has undergone bilateral mastectomies with surgeries 5 years apart, the phlebotomist should ask the physician for instructions regarding the appropriate site. If policy precludes the use of the lower extremities, the venipuncture site is usually the arm on the side with the most distant mastectomy because the healing is more advanced. However, placing a tourniquet on the side of a mastectomy increases the risk of lymphedema, and the impaired lymphatic filtering and drainage also increases the risk of infection.
質問 # 80
Which of the following statements regarding HBV is FALSE?
正解：D
解説：
The HBV vaccine does not contain live virus and thus does not carry the risk of HBV infection. HBV vaccine also protects against hepatitis D virus (HDV) because HDV is only contracted concurrently with HBV. HBV can survive up to 1 week in dried blood on work surfaces or other objects.
質問 # 81
Which of the following tests requires a timed specimen?
正解：C
解説：
The cortisol test requires a timed specimen. Because cortisol levels vary during the day, the blood for the test is usually drawn first thing in the morning. In some cases, patients are administered 1 mg of dexamethasone the night before the test. Patients are typically asked to avoid strenuous exercise for 24 hours before the test and some medications that can affect the test results, including anticonvulsants, estrogens, synthetic steroids, and androgens, may be held.
質問 # 82
When selecting an antecubital vein, priority should be given to veins in the:
正解：D
解説：
When selecting an antecubital vein, priority should be given to veins in the median (middle) aspect. These include the median vein and the lateral aspect of the median cubital vein. If these are not satisfactory, the next to consider are the veins in the lateral (outer) including the cephalic vein and the accessory cephalic vein, although there is increased risk of injury to the lateral nerve. The last to consider are the veins in the medial (inner) aspect. These include the basilic vein and the medial aspect of the median cubital vein. Venipuncture in these veins poses increased risk of injury to the brachial artery and median antebrachial cutaneous nerves.
質問 # 83
If a patient is markedly obese, the first site to check for vein access is the:
正解：D
解説：
If a patient is markedly obese, the first site to check is the antecubital area because patients often exhibit a double crease in that area. and the median cubital vein can often be easily palpated and accessed within that creased space. If the phlebotomist is unable to locate the median cubital vein, the cephalic vein may sometimes be accessed if the arm is rotated medially. The phlebotomist may also ask the patient where blood draws have been successful previously.
質問 # 84
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