question

Forensic toxicology is concerned with

answer

legal consequences of toxin exposure

question

TB test administration involves

answer

injecting the antigen just under the skin

question

Which one of the following is an unlikely NIDA patient collection requirement for urine drug screens?

answer

Documentation is carefully maintained from proctor to courier

question

The correct order in collecting a blood culture is

answer

select equipment, perform friction scrub, cleanse bottle tops, perform venipuncture

question

False=-positive results of lactose tolerance tests have been found in all of the following conditions other than

answer

male multiple myeloma

question

If an assumed parent in a paternity case cannot be excluded by ABO grouping, which of the following additional tests may be required

answer

Buccal sample for DNA

question

Which one of the following should be deleted from the list of those allowed to order paternity testing

answer

Child who is a minor

question

What is the recommended disinfectant for blood culture sites in infants 2 months and older

answer

Chlorhexidine gluconate

question

Which one of the following statements about autologous donations is untrue

answer

Unused autologous units may be used by other patients

question

The CPD additive in a donor unit of blood is least likely to

answer

control bacterial contamination

question

A transfusion of incompatible blood is often fatal because it

answer

causes lysis, or rupturing, of RBCs, within the vascular system

question

In using a cell-salvaging procedure during surgery, what analyte must be evaluated before the patient's blood can be reinfused

answer

Free hemoglobulin

question

Which one of the donor unit collection principles is untrue

answer

Additives EDTA and sodium fluoride are contained in the collection bag

question

Which of the following are coagulation tests that can be monitored using a POC instrument

answer

INR and PTT

question

Some individuals lack the necessary mucosal enzyme to convert which of the following sugars so that it can be digested

answer

Lactose

question

Blood gases can be monitored using hte

answer

AXOVimeter

question

This point of care testing instrument has recently been recognized as an accurate predictor of developing diabetic complications

answer

DCA Vantage

question

Potassium is least likely to play a major role in

answer

transporting Hgb

question

All POC glucose analyzers approved for hospital use have which of the following in common

answer

All of the above

question

ARD or FAN blood culture bottles

answer

remove any antibiotics that are int he blood

question

Septicemia is

answer

microorganisms found in the blood

question

The siemens Patient Identification Check-Blood Administration system is a

answer

portable bar-code scanning system for positive patient ID

question

Eligibility requirements for donating blood include

answer

age 17 to 66 years, 110 pounds or more

question

Identify the condition in which a unit of blood is withdrawn from a patient as a treatment

answer

Hemochromatosis

question

Which specimen required especially strict identification and labeling procedures

answer

Cross-match

question

Which of the following should be removed from a list drugs of abuse

answer

Phenobarbital

question

Donor units of blood are typically collected using needles that are

answer

16 to 18 gauge

question

A typical unit of donated blood contains approximately

answer

450 mL

question

Which of the following tests is collected from patients with FUO to rule out septicemia

answer

Blood cultures times two

question

Of all of the following, which tubes should be eliminated for use in collecting specimens for a blood bank

answer

Large gel-barrier tube

question

Which of the following tests is collected using special skin decontamination procedures

answer

Set of blood cultures

question

Which type of test is performed to determine the probability that a specific individual was the father of a particular child

answer

Paternity

question

Why would blood cultures be collected with an antimicrobial adsorbing resin

answer

The patient is taking a broad-spectrum antibiotic

question

Which specimen tubes must contain a 9-to-1 ratio of blood to anticoagulant to be accepted for testing

answer

Coagulation

question

What type of additive is best for collecting an ethanol specimen

answer

Sodium fluoride

question

Which BC is inoculated first when the specimen has been collected by needle and syringe

answer

Anaerobic vial

question

The most critical aspect of blood culture collection is

answer

skin antisepsis

question

A site for blood culture collection can typically be cleaned with which of the following

answer

Chlorhexidene gluconate

question

Which of the following additives is sometimes used to collect blood culture specimens

answer

SPS

question

Which type of specimen may require collection of a discard tube before the test specimen is collected

answer

Coagulation

question

This is an abbreviation for a test that evaluates platelet plug formation in the capillaries

answer

BT

question

Which test is used as a screening tst for glucose metabolism problems

answer

2-hour PP

question

Which of the following activities has no effect on glucose tolerance test (GTT) results

answer

Lying down during the test

question

When does the timing of specimen collection begin during a GTT

answer

When the patient has finished the glucose beverage

question

A phlebotomist arrives to collect a 2-hour postprandial glucose specimen on a inpatient and discovers that 2 hours have not elapsed since the patient's last meal. What should the phlebotomist do

answer

Ask the patient's nurse to verify the correct collection time

question

A patient undergoing a GTT vomits within 30 minutes of drinking the glucose beverage. What action should the phlebotomist take

answer

Notify the nurse of physician immediately to see if the test should be rescheduled

question

Increased blood glucose is called

answer

hyperglycemia

question

When does a blood glucose level in normal individuals typically peak after glucose ingestion

answer

In / hour to 1 hour

question

Which of the following must remain consistent throughout an oral glucose tolerance test (OGTT)

answer

Blood specimen source

question

Patient preparation before a GTT involves

answer

eating meals with a measured amount of carbohydrate days prior

question

Which of the following can be used to clean a site before a blood alcohol specimen is collected

answer

Zephiran chloride

question

Which of the following specimens may require chain-of-custody documentation when it is collected

answer

Drug screen

question

The purpose of TDM is to

answer

determine and maintian a beneficial drug dosage

question

Which of the following tests would not be subject to therapeutic drug monitoring

answer

Phenylalanine

question

A peak drug level has been ordered for 0900 hours. You draw the specimen minutes late because of unavoidable circumstances. What additional action does this necessitate

answer

Record the actual time of specimen collection

question

A trough drug level is collected

answer

immediately before the next scheduled drug dose is given

question

Which test requires the collection of multiple specimens

answer

GTT

question

Timing of collection is most critical for drugs with short half-lives, such as

answer

gentamicin

question

A bleeding time (BT) test assesses the functioning of which of the following cellular elements

answer

Thrombocytes

question

The most common reason for glucose monitoring through POCT is to

answer

monitor glucose levels for diabetic care

question

Which one of the following tests could be collected using a tube other than a trace element-free tube

answer

Sodium

question

The definition of toxicology is

answer

the scientific study of poisons

question

Which test typically has the shortest TAT if performed by POCT

answer

BUN

question

Which of the following is not a POCT analyzer

answer

BactALERT

question

To prevent intoducing a contaminating substance into a trace-element collection tube, it is suggested that you

answer

draw by itself using a syringe or evacuated tube system

question

Which of the following is one of the most common bedside of POCT tests

answer

Glucose

question

Which of the following tests is used ti monitor heparin therapy

answer

ACT

question

Which of the following pieces of equipment can be eliminated from a list needed for a bleeding-time test

answer

Vinyl tourniquet

question

At what intervals is the blood blotted during a bleeding-time test

answer

30 seconds

question

In performing the bleeding-time test, a sphygmomanometer is inflated to

answer

40 mm Hg

question

Of the following, which one is least likely to prolong a bleeding-time test

answer

Allowing the pressure on a BP cuff to drop

question

This test can determine if an individual has developed antibodies to a particular antigen

answer

Skin test

question

Ionized calcium plays a critical role in all of the following but one

answer

Glycosylation

question

Below-normal blood pH is referred to as

answer

blood acidosis

question

Which of the following is a protein that is specific to heart muscle

answer

Tnt

question

B-type natriuretic peptide is a cardiac

answer

hormone

question

This is used to evaluate long-term effectiveness of diabetes therapy

answer

Hemoglobin A1c

question

This test is also referred to as packed cell volume

answer

HCT

question

This test detects occult blood

answer

Guaiac

question

Which of the following is a skin test for tuberculosis exposure

answer

PPD

question

The hormone detected in urine pregnancy testing is

answer

hCG

question

Which point-of-care blood analyzer uses a microcuvette instead of a test strip

answer

HemoCue HB201+

question

An uncorrected imbalance of this analyte in a patient can quickly lead to death

answer

Potassium

question

The POC instrument Verify Now does platelet testing to

answer

determine response to aspirin therapy

question

How much diluted antigen is injected when a PPD test is performed

answer

0.1 mL

question

Erythema means

answer

redness

question

In reading a patient's tuberculin (TB) test, there is an area of induration and erythema that measures 7 mm in diameter. The result of the test is

answer

doubtful

question

Point-of-care detection of group A strep normally requires a

answer

throat swab

question

Which one of the following analytes is undetectable in urine when a urine dipstick is used

answer

Thrombin

question

Which point-of-care test helps a physician detect low-grade inflammation even in asymptomatic individuals

answer

CRP

question

Which of the following should be removed from a list of drugs of abuse?

answer

Phenobarbital

Phlebotomy – Chapter 11 – Flashcards

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