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Medical Technology PTC-AMCA Exam Syllabus Topics:

Section	Weight	Objectives
Topic 1: Collection of Blood and Non-Blood Specimens	29%	- Capillary collection techniques - Non-blood specimen collection - Patient recovery and adverse reactions - Venipuncture techniques
Topic 2: Patient Identification, Assessment and Site Preparation	17%	- Patient assessment - Patient identification verification - Venipuncture site preparation
Topic 3: Professionalism and Regulatory Compliance	18%	- Regulatory compliance and standards - Professional conduct and ethics
Topic 4: Infection Control and Safety	16%	- Infection control procedures - Safety protocols and equipment
Topic 5: Equipment Selection and Maintenance	10%	- Equipment maintenance and care - Phlebotomy equipment selection
Topic 6: Specimen Processing and Transportation	10%	- Specimen processing procedures - Specimen transportation requirements - Specimen labeling and documentation

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Medical Technology AMCA Phlebotomy Technician Certification Exam Sample Questions (Q18-Q23):

NEW QUESTION # 18
Which tube type is the most frequent source of carryover contamination?

A. EDTA tubes
B. Heparin tubes
C. Coagulation tubes
D. PTTtests

Answer: A

Explanation:
EDTA tubes are more frequently associated with carryover contamination than any other types of additives, while heparin is associated with the least amount of interference. Coagulation tubes, which contain sodium citrate, are the first to be filled because all other additives interfere with coagulation tests. Partial thromboplastin time (PTT) tests are affected by tissue thromboplastin contamination.

NEW QUESTION # 19
If petechiae are noted on the patient's skin distal to the tourniquet, this suggests that:

A. The tourniquet has been improperly applied.
B. The patient may have a coagulation defect.
C. The patient is having an allergic reaction.
D. The tourniquet has been on for too long.

Answer: B

Explanation:
If petechiae are noted on the patient's skin distal to the tourniquet, this suggests that the patient may have a coagulation defect, such as thrombocytopenia, and may have excessive bleeding after venipuncture. Other causes of petechiae can include medications (e.g„ aspirin, anticoagulants) and some types of infectious/inflammatory disorders. Petechiae are nonraised lesions that are small (<3 mm) in diameter.

NEW QUESTION # 20
Proper technique for needle insertion includes:

A. Using a C hold
B. Pushing down on the needle
C. Using an L hold
D. Advancing the needle slowly

Answer: C

Explanation:
The proper technique for anchoring the vein before venipuncture is known as the L hold technique. It involves using the fingers to support the back of the patient's arm below the elbow and placing the thumb 1 to 2 inches below and slightly to the side of the venipuncture site to pull the patients skin toward the wrist. The C hold technique, or the two-finger technique, should not be used because it may result in the needle springing back into the phlebotomist's index finger if the patient pulls his or her arm back Pushing down on the needle during insertion is painful and may increase the risk of blood leakage. Advancing the needle too slowly may prolong the patients discomfort.

NEW QUESTION # 21
An electrolyte panel includes:

A. Option B
B. Option D
C. Option A
D. Option C

Answer: C

Explanation:
An electrolyte panel includes HCO2 (bicarbonate), C1 (chloride), K (potassium), and Na (sodium), amongst others. Tests can be done using either plasma or serum. Evacuated collection tubes that can be used for the electrolyte panel include red top, red/black-top SST (serum separator tube), and green top. If the collection tube contains a clot activator, it should be inverted a minimum of 5 times. If the collection tube contains lithium heparin, an anticoagulant, it should be inverted at least 8 times.

NEW QUESTION # 22
For blood collection with the butterfly infusion set in a child, the phlebotomist should use a:

A. 22-gauge needle with a 2-mL tube
B. 23-gauge needle with a 5-mL tube
C. 23-gauge needle with a 2-mL tube
D. 21-gauge needle with a 5-mL tube

Answer: C

Explanation:
For a pediatric patient a 23-gauge needle with a 2-mL tube should be used for blood collection using a butterfly infusion set. Use of a 5-mL tube with a 23-gauge needle may cause vein collapse or hemolysis of the specimen.

NEW QUESTION # 23
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