プロフェッショナルPTC-AMCA日本語版トレーリング &資格試験におけるリーダーオファー &無料ダウンロードMedical Technology AMCA Phlebotomy Technician Certification Exam

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Medical Technology PTC-AMCA Exam Syllabus Topics:

Section	Weight	Objectives
Professionalism and Regulatory Compliance	18%	- Regulatory standards (OSHA, CLSI, HIPAA) - Ethical and legal responsibilities - Professional conduct and communication
Specimen Processing and Transportation	10%	- Specimen labeling and documentation - Processing and quality assurance - Handling, storage and transport requirements
Equipment Selection and Maintenance	10%	- Selection of collection supplies and devices - Equipment handling, cleaning and maintenance
Collection of Blood and Non-Blood Specimens	29%	- Non-blood specimen collection - Venipuncture techniques and procedures - Order of draw and tube selection - Capillary puncture procedures
Patient Identification, Assessment, and Site Preparation	17%	- Patient assessment and special considerations - Site selection and preparation - Patient verification and consent
Infection Control and Safety	16%	- Standard precautions and infection control - Needle safety and injury prevention - Biohazard handling and disposal

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Medical Technology AMCA Phlebotomy Technician Certification Exam 認定 PTC-AMCA 試験問題 (Q48-Q53):

質問 # 48
Therapeutic phlebotomy is used for all of the following EXCEPT:

A. Hemochromatosis
B. Toxicology studies
C. Polycythemia
D. Sickle cell anemia

正解：B

解説：
Therapeutic phlebotomy is the withdrawal of large volumes of blood as a treatment for certain conditions, including polycythemia, hemochromatosis, and sickle cell disease. It is not used for toxicology', which is the study of toxins or poisons.

質問 # 49
When a specimen requires immediate chilling, the appropriate procedure is to:

A. Place the specimen in the refrigerator.
B. Place the specimen in a mixture of ice and water.
C. Place the specimen on dry ice.
D. Place the specimen on cubes of ice.

正解：B

解説：
Some specimens, such as those intended for a lactate test, require immediate chilling to maintain the integrity of the sample. CLSI guidelines recommend placing the specimen immediately in a mixture of ice and water, which allows maximum contact between the cooling source and the sample tube. Large cubes of ice will not allow the maximum contact required to maintain appropriate chilling. Dry ice is not recommended due to its excessively low temperature. Refrigerating the sample is not sufficient nor does it allow chilling to continue during transport.

質問 # 50
When using a bariatric blood pressure cuff instead of a tourniquet for an obese patient, the blood pressure cuff should be inflated to:

A. Just below the patients systolic pressure
B. Just above the patient's systolic pressure
C. Just below the patients diastolic pressure
D. Just above the patient's diastolic pressure

正解：C

解説：
When using a bariatric blood pressure cuff instead of a tourniquet for an obese patient, the blood pressure cuff should be inflated to just below the patient's diastolic pressure. The phlebotomist should begin by measuring the patients' blood pressure and then adjusting the pressure. The cuff should not be so tight that it is painful for the patient Whereas most tourniquets are approximately 18 inches in length, bariatric tourniquets are available in longer lengths.

質問 # 51
Which of the following governmental agencies or policies governs the accommodations that must be made in the laboratory for patients and workers who use wheelchairs?

A. ADA
B. EMTALA
C. ADHQ
D. FDA

正解：A

解説：
The Americans with Disabilities Act (ADA) governs the accommodations that must be made in the laboratory for patients and workers who use wheelchairs. The 1992 ADA is civil rights legislation that provides people with disabilities, including those with mental impairment, access to employment and to the community. The ADA covers not only obvious disabilities but also disorders such as arthritis, seizure disorders, and cardiovascular and respiratory disorders.

質問 # 52
When obtaining a blood specimen for coagulation tests (PT, aPTT), when is the use of a discard tube indicated?

A. It is always indicated when obtaining a blood specimen for coagulation tests.
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 indicated when a winged (butterfly) blood collection set is used and the coagulation tube is filled first.

正解：D

解説：
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.

質問 # 53
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