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MED 273 FINAL
study guide for med 273 final exam
Question | Answer |
---|---|
Pregnancy testing is based upon the detection of which hormone? | HcG |
What is the preferred urine sample for pregnancy testing? | firs-voided morning sample |
How is the Epstein-Barr virus causing infectious mononucleosis primarily transmitted? | saliva |
What is the age group in which symptoms of IM are most often observed? | 15-25 |
A small sample of which of the following blood is required for a CLIA Waived IM test? | all of the above plasma serum, capillary |
Which of the following does not refer to Prothrombin time? | PTT |
Which of the following is the blood type of the universal donor? | O |
When is semen analysis not performed? | complete PE(physical exam) |
Which of the following does not affect sperm function as measured by sperm analysis? | alcohol |
Which of the following is important while injecting the PPD to administer the mantoux test? | Make sure a wheal forms at the injection site |
After excess glucose is converted into glycogen, where is it stored long term? | adipose tissue |
Which of the following is true regarding a 7-mm reaction to the montoux test? | doubtful |
which of the following drugs will not affect fasting blood sugar? | antibiotics |
what is the reference range for normal serum values for a fasting blood sugar? | 70-110mg/dl |
which of the following is an indication for notifying the physician and stopping the glucose tolerance test? | extreme hyperglycermia of the fasting specimen |
which of the following indicates borderline blood cholesterol levels? | 200-239 |
Which of the following raises high-density lipoprotein level? | exercise |
What is the danger of a high low-density lipoprotein level? | it increases risk for coronary artery disease |
Which of the following is an accurate statement about triglycerides? | They serve as a soource of energy |
Which test measures the concentration of urea in the blood? | BUN |
What percentage of North Americans are Rh positive, and what percent are Rh negative? | 85% positive; 15% negative |
Which of the following can be administered to an Rh negative mother to prevent most cases of hemolytic disease of the newborn? | RhoGAM |
PKU is an inherited condition in which the baby cannot metabolize which of the following properly? | protein |
antibody | specific chemical produced by B cells of the immune system |
antigen | substances such as bacteria that the body recognizes as foreign |
antiserum | serum containing antibodies |
enzyme immunoassay | measurement of reaction of antigen with specific antibody |
blood typing | based on the presence or absence of certain antigens on the surface of RBCs |
Which of the following best describes hematology | study of blood cells |
Which of the following is NOT generally included in the complete blood count(CBC)? | erythrocyte sedimentation rate |
Which of the following is required for the synthesis of the heme portion of the hemoglobin molecule? | iron |
which of the following is a major component of the RBC that transports oxygen? | hemeoglobin |
which of the following is the hormone required for the production of red blood cells | erythropoietin |
which of the following is a true statement regarding immunity? | NONE |
which of the following best describes a hematocrit test? | ratio of the volume of packed red blood cells |
Platelets or thrombocytes are involved in doing what in the blood? | coagulation |
which of the following is the most common type of hemoglobin disease seen in the ambulatory care setting? | iron deficiency anemia |
Which of the following is the normal range of values for hemoglobin of the adult women? | 12-16g/dl |
How can the WBC count be estimated when performing the microhematocrit test? | measure the buffy coat |
which of the following is the normal range of values for the hematocrit of the adult male? | 40-55% |
WBCs are divided into two basic groups known as what? | granulocytes an agranulocytes |
Granulocytes: | eosinophil neutrophil basophil |
Agranulocytes | lymphocyte monocyte |
Which of the following is is the normal value for a platelet count? | 140,000-400,000 |
Which of the following best describes erythrocyte indices? | calculations that provide size and hemoglobin content of RBCs |
which of the following statements is true about performing an accurate "sed rate"? | counter free of vibrations |
which of the following is the most numerous of WBCs? | neutrophils |
anisocytosis | cells sho marked variation in size |
hypochromic | cells have large, pale central area |
poilkilocytosis | cells show marked variation is Shape |
normochromatic | cells have proper amount of hemoglobin |
Which of the following is NOT a medical assistant's role in phlebotomy? | perform blood testing using automated equipment only |
Which of the following is the primary factor for the production of blood cells ? | bone marrow |
which of the following is not a function of the blood? | assist in food metabolism |
How many liters of blood does the body contain? | 6 |
what happens during the clotting process of blood? | converts fibrinogen to fibrin |
which of the following is responsible for the transport of oxygen and carbon dioxide? | erythrocytes |
The plasma and red blood cells are separated by what when using anti-coagulant testing tubes? | buffy coat |
which of the following best describes why OSHA requires safety needles be made available to employees? | prevent on the job needle sticks |
when a blood sample cannot be obtained, which of the following should be done? | all |
which of the following is the appropriate action when palpating for a vein in the upper arm? | Palpate the vein with the tip of your index finger |
which of the following best describes what additives are used for? | ALL |
which of the following best describes how a tube with anticoagulants is identified? | tube stopper color |
which of the following best describes an advantage of a soft rubber tourniquet? | inexpensive enough to replace often |
when a blood pressure cuff is used as a tourniquet, the cuff should be maintained at what pressure? | slightly below the diastolic pressure |
Which of the following is the most appropriate action when using a phlebotomy tray? | Label with an approved biohazard symbol |
which of the following is the fist step in performing a successful venipucture? | put the patient at ease |
which of the following is not included in the necessary information written on the specimen tube label? | address of patient |
which of the following best describes the correct application of a tourniquet? | apply three to four inches above the puncture site |
what is the gauge of needles most commonly used in venipucture? | 20, 21,22 |
which of the following best describes when a syringe is most often used for venipuncture? | when collecting small amounts of blood from fragile veins |
which of the following is a combination system and can be used with the syringe or the vacuum tube? | butterfly collection system |
when using safer plastic vacuum tubes, which of the following is the correct order of draw? | cultures, blue top,(citrate), red top and or SST |
which of the following is not a quality assurance control? | specimens are in syringes with a needle still attached |
which of the following is not a factor that can affect laboratory values? | tourniquet on 1 minute or less |
which of the following is a mixture of blood obtained from capillary puncture | all of the above |
which of the following is the usual site for capillary puncture in adults? | finger tip |
usual site for cp puncture in infants | heel |
which of the following best describes the cause of hemolysis? | puncturing the skin before allowing the alcohol to dry completely |
which of the following is not an appropriate action when collecting a cap blood sample? | use the first drop of blood |
Which of the following is the most appropriate next step when when a medical assistant attempts a venipuncture on an adult patient and cannot obtain a sample, and a 2nd MA is also unsuccessful?: | inform the doctor of unsuccessful attempts. |
pressure to the site must be held longer than 2-3 min when paitint is taking which meds? | all |
when performing a venipuncture which vein is used the majority of the time? | median cubital |
which of the following is not one of the arteries of the arm | femoral |
which of the following method is used to perform a venipuncture | sll |
BBP | blood borne pathogen |
OSHA | occupational safety & health administration |
which of the following is considered a legal and ethical principle in medication administration | all |
which of the following is not a responsibility of the medical assistant in medication administration? | advising on OTC drugs |
which of the following best describe a prescription | a written legal document that gives directions of a medication |
which of the following is not a factor that determines dosage of medications? | height and gender |
which of the following is the leading cause of drug administration errors? | wrong dosage |
when a provider writes a prescription for controlled substances, what must be on the prescription? | all |
which of the following is a measure of volume? | milliliter |
which of the following best describes grams? | weight |
which of the following is equal to 5mL | 1 tsp |
how many grams is equal to 3.000 milligrams | 3 |
which of the following is the standard measurement of insulin | unit |
which of the following best describes the most accurate methods of calculating dosage for infants and children | Body surface area |
what is the weight in kilograms for a child who weighs 55 lbs | 25 |
which of the following would be a safe area to inject a medication | side of thigh |
which of the following best describes how syringes and needles should be disposed? | discard in a rigid puncture proof container |
why is choosing the proper site for an injection important | ensures medication is delivered to the correct tissue type |
which of the following is the most appropriate action when located the ventrogluteal site | palm of hand against trochanter with tip of finger on anterior iliac spine |
which of the following is the preferred site for infant and children IM injections | vastus lateralis |
which of the following medications do not require massage | all |
which of the following is the recommended maximum volume of fluid introduced into the dorsogluteal site? | 2 ml |
which of the following does not require aspiration with giving an injection | intradermal |
which of the following injections does not require massage after administration | intradermal and Ztrack |
in children, 2 years and older, what is the correct angle of injection into the vastus lateralis | 90 degrees |
which 9is the most appropriate action when you aspirate some blood while admin and iM injection | withdraw needle, dispose of needle, start again |
which of the following is the advantage of a ztrack | it prevents med irritation of tissue |
Which of the following is not an area where subq injections may be given? | lower leg |
which of the following injections does not require stretching the skin taut? | subq |
which of the following types of injections requires a wheal to appear? | ID |
which of the following type of types of injections requires you to pull the skin to the side before needle insertion? | Z-track |
used for allergic extracts? | subQ |
which of the following syringe used for allergy testing and injections | tubeculin |
which of the following is not considered to be parenteral | injection |
angle for ID injection | 10-15 |
which of the following terms means lack of oxygen to the blood | hypoxemia |
which of the following is a delivery method for oxygen | all |
non-insulin diabetes is type? | II |
what type of insulin delivery device uses high pressure air to send a fie mist of insulin through the skin? | jet injector |
inflammation to the vein is known as what | phlebitis |
which of the following laboratory specialties performs testing for blood typing cross matching... | immunohematology |
which of the following la specialties performs testing for id of bacteria and fungi | microbiology |
which of the following describes a panel of tests for carbon dioxide, potassium, chloride and sodium | electrolyte |
which of the following describes a test to evaluate the body's immune response? | serology |
which of the following best describes how the quality of test results can be ensured? | check the calibration of instruments and machines consistently |
which of the following lab types is used by hospitals and doc for expensive complex or specialized tests | reference laboratories |
which of the follwoing specialties performs testing and micro examinations of cells to deter early signs of cancer | cytology |
To further ensure that test results are accurate what test must be done along with the patient sample | control test |
when a patient comes to the clinics with a combination of symptoms that can be related to one or more conditions the doc will perform a lab test to rule out one of the possible conditions know as a.. | differential diagnosis |
when filling out a requisition form, what does not need to be included? | marital status |
which of the following departments study tissue sample biopsies | histology |
which of the following departments monitor drug usage | toxicology |