MedCa Phlebotomy Certification Exam

MedCa Phlebotomy Certification Exam Review

Collection of quiz style questions for study purposes

What department studies disease?

Pathology

What is the general blood volume for the average adult?

5 Liters.

55% plasma, 45% formed elements

What are erythrocytes?

(RBC) Red Blood Cells.

Main Function: Carry oxygen from the lungs to the tissue cells and to transport carbon dioxide away from the cells to the lungs.

An leukocyte is?

(WBC) White Blood Cells.

Main Fuction: Non-Nucleus containing blood cells whose main fuction is to combat infection and remove disintegrated tissue.

Platelets are also called?

Thrombocytes.

Cellular elements that play a role in the coagulation process and are the smallest of the formed elements.

Mature RBC's have an approximate lifespan of

120 Days

What iron-containing pigment enables RBC'S to transport oxygen and carbon dioxide:

Hemoglobin (Main component of RBC)

The role of a phlebotomist in the lab is:

Pre-Analytical

Blood collection on neonatalogy floors involves what type of patients?

Newborn

Hours to a few days old.

Which department is consulated on blood collection timing and drug levels?

Pharmacy

Where are blood cells produced?

RBC's are produced in the bone marrow.

WBC's are formed in bone marrow and lymphatic system.

Flowcharts can be used to :

Quality Improvement

Quality Improvement for Specimen collection frequently involves everything except:

Frequency of hematoma's

Pareto Charts are:

Raw charts that show frequency of problems

An abnormal reduction in the number of RBC'S in the circulating blood is called:

Anemia

To avoid transfusion reaction what should be done prior:

Blood typing and cross matching.

Two blood group systems: ABO blood group system and the Rh factor system

What is the percentage of formed elements in blood?

45%

What percentage of blood is plasma (pale-yellow fluid)?

55%

What is separated from a clotted blood specimen?

Serum

(Clear pale-yellow fluid, doesn't contain fibrinogen, but is similar to plasma )

Machine used to remove serum from clotted blood:

Centrifuge

The supine position is:

Lying in the back with the face up.

RFID means:

Radio Frequency Identification.

Identification tag using silicone chips in a wireless receiver.

Normal range of Blood Ph:

A steady range of 7.35 to 7.45.

Which tubing is used for lead determinations?

Tan topped tube

Maximum time limit for separated specimen between collection and delivery should not exceed:

2 hours for accurate results

Donor Collection bags use what when collecting units of blood for transfusion :

Anticoagulant and perservative CPD (citrate-phosphate-dextrose)

or acid citrate dextrose.

Acid Citrate Dextrose

(Special Use Anticoagulant)

For immunohematology test: DNA or Leukocyte antigen (HLA) Phenotyping, which is used in paternity evaluation and to determine transplant compatibility

To avoid microclotting how many inversions should be done?

8 inversions

Putting gloves on in view of the patient prior to venipuncture, does what?

Reassures safety for patient and worker.

Safest way to transport specimens:

Pneumatic tube system (PST)

When testing for copper (Cu Level), Wilson disease or nephritic disease, which tubing is needed?

Royal Blue topped tube.

What is the most reliable way to avoid transcription errors?

Computerized labs using Barcodes

If arm veins cant be used for venipuncture, what other locations cam be used:

Dorsal side of hand or wrist

Most common requested special:

Glucose

Why is it important to have correct blood values when collecting blood with Anticoagulant ?

Correct blood to additive ratio stops artificially prolonged clotting times.

What specimen does not need to be transported on ice?

Blood Culture Specimen

When performing a fingerstick, it is important to?

Wipe away the 1st contaminated blood drop

Smearing during vlood collection should be done at wgzt angle

30 degrees

Where should you stick during a fingerstick Procedure

Across the fingerprint line.

In most cases, when should one determine the level of meds in the blood?

Just prior to next dose.

Skin puncture is done:

To obtain small amounts of blood. (Neonate patients, anemic)

How manu chromosomes are there:

46