AMCA practice exam

Which of the following is the hormone that is detected in postiive urine pregnancy tests?

A. ACTH

B. GH

C. HCG

D. TSH

C. HCG

Whole blood mostly consists of?

A. Water

B. Solutes

C. Cells

D. Tissue

A. Water

Which type of blood cells are responsible for gas exchange in circulating blood?

A. RBC

B. WBC

D. Platelets

C. Macrophages

A. RBC

Professional negligence is also called which of the following?

A. malpractice

B. malfunction

C. malice

D. arbitration

A. malpractice

Which of the following is the most important for phlebotomists to keep in mind during their daily routine in medical settings?

A. burglary

B. confidentiality

C. privilege granted to a physician

D. consent

B. confidentiality

Which department performs chemical screening tests on urine specimens?

A) Coagulation

B) Hematology

C) Microbiology

D) Urinalysis

D) Urinalysis

Which department monitors Warfarin therapy?

A) Coagulation

B) Chemistry

C) immunology

D) Microbiology

A) Coagulation

Which type of blood cell is responsible for defense and immunity?

A. RBC

B. WBC

D. Platelets

C. Macrophages

B. WBC

The liquid portion of a blood specimen (without an anticoagulant) is know as which of the following terms?

A. Plasma

B. Serum

C. Cellular components

D. Oxygenated blood

B. Serum

What is the scrubbing of instruments with special brushes and detergents to remove blood, mucous, etc. called?

A. sterilization

B. disinfection

C. sanitization

D. distillation

C. sanitization

Which of the following processes involves a soaking or wiping process and inhibits the activity of disease causing organisms?

A. Sanitizing

B. disinfection

C. sterilization

D. treated with antiseptics

B. disinfection

What is the term for the process that is used for cleaning supplies that come with internal body tissues or an open wounds, that involves the use of heat and an autoclave?

A. sterilization

B. disinfection

C. sanitization

D. surgical asepsis

A. sterilization

Which blood tests includes WBC, RBCS, hemoglobin, and hematocrit?

A. PTT

B. Hgb, Hct

C. Blood typing

D. CBC

D. CBC

What is the most common blood type?

A. A

B. B

C. AB

D. O

D. O

What are the small red spots on a patient's skin due to a blood clotting abnormalities referred to as?

A. hemoconcentration

B. Petechiae

C. Hemolysis

D. Syncope

B. Petechiae

A decrease in the plasma volume with an increased concentration of cells and larger molecules is referred to as which of the following terms?

A. sclerosis

B. hemolysis

C. hemotherapy

D. hemoconcentration

D. hemoconcentration

If the tourniquet is applied for longer than three minutes, which of the following analytes will most likely become elevated?

A. parathyroid hormone

B. potassium

C. bilirubin

D. GGT

B. potassium

A hospitalized patient may not be identified by which of the following means?

A. patients chart

B. nurse

C. patients armband

D. verbal confirmation by the patient

A. patients chart

The most common sites for venipuncture are in which of the following areas?

A. the dorsal side of the wrist

B. the antecubital area of the arm

C. the middle finger

D. the middle forearm

B. the antecubital area of the arm

When would using a butterfly needle be beneficial?

A. performing heel punctures

B. performing routine venipuncture in healthy adults

C. when handlings geriatric patients

D. when handling patients who have prominent muscles

C. when handlings geriatric patients

What effect does warming the site have on venipuncture?

A. prevents veins from rolling

B. makes blood flow more quickly

C. causes hemoconcentration

D. increases localized blood flow

D. increases localized blood flow

Diagnosis and treatment of diseases characterized by joint inflammation is a part of which medical speciality?

A. rheumatology

B. dermatology

C. gastroenterology

D. internal medicine

A. rheumatology

The total amount of blood pumped out of the heart in one minute is known as the following terms?

A. systolic pressure

B. cardiac output

C. diastolic pressure

D. System circulation

B. cardiac output

Deceitful practice or false portrayal of facts either by words or conduct is the definition of which of the following terms?

A. battery

B. fraud

C. discovery

D. negligence

B. fraud

inflammation of a vein in conjuction with formation of a blood clot is known as which of the following terms?

A. atherosclerosis

B. thrombophlebitis

C. vasculitits

D. phlebosclerosis

B. thrombophlebitis

Which of the following is an abnormal finding in the blood?

A. antibodies

B. bacteria

C. blood cells

D. platelets

B. bacteria

Which of the following is a common route for the administration of parenteral medications?

A. topical

B. transdermal

c. injection

D. rectal

c. injection

What is another terms for a pre filled syringe?

A. tuberculine syringe

B. hypodermic syringe

C. insulin syringe

D. cartridge

D. cartridge

Which of the following muscles is commonly used for intramuscular injections into the infant?

A. deltoid

B. internal oblique

C. external oblique

D. vastus lateral

D. vastus lateral

What is the function of hemoglobin?

A. stimulate red bone marrow

B. fight off infection

C. carry oxygen from the lungs and to carry dioxide from the tissues to the lungs

D. help destory bacteria, toxins, and viruses

C. carry oxygen from the lungs and to carry dioxide from the tissues to the lungs

Guides used to monitor all aspects of patient care are known as which of the following terms?

A. IQCP tools

B. QA indicators

C. PI standards

D. QC deficiences

QA indicators

Performing one's duties in the same manner as many other reasonable and prudent person with the same experience and training is referred to as which of the following terms?

A. standard of card

B. required card

C. res ipsa ioquitor

D. vicarious liability

A. standard of card

A single order that is administered immediately and usually written for emergencies is known as which of the following terms?

A. STAT order

B. standing order

C. routine order

D. PRN order

A. STAT order

A very busy phlebotomist misidentifies the patient when collecting a specimen for transfusion preparation. The possible misdiagnosis of blood type could cause the patients death. If the phlebotomists action results in injury, this wrongful act is known as which of the following terms?

A. assault

B. battery

C. fraud

D. negligence

D. negligence

Which of the following is a phlebotomy QA procedure?

A. Checking needles for blunt tips and small barbs

B keeping a record of employe paid sick leave

D. tracking all of the laboratory OSHA violations

A. Checking needles for blunt tips and small barbs

Which of the followings tests is most likely used to test for inflammation, infectious disease, and malignant neoplasms?

A. Amylase

B. RBC counts

C. ESR

D. AST

C. ESR

Which of the following is the best way to prepare a routine blood specimen tubes for transportation to an offsite lab?

A. Place them in an ice slurry

B. wipe each tube with alcohol

C. seal the tube in plastic bags

D. wrap them in requisitions

C. seal the tube in plastic bags

which of the following scenarios is an example of a phlebs negligence?

A. Fails to report significant changes in a patients conditions

B. Forgets to sign out at the nurses stations when draws are complete

C. is unable to obtain a specimen from a very combatitive patient

D. missed the vein and has to redirect twice to complete the draw

A. Fails to report significant changes in a patients conditions

Which of the following specimens is least likely to require special handling?

A. cholesterol

B. bilirubin

C. gastrin

D, homocysteine

A. cholesterol

Critical values (test values that are considered life threatening) are also called

A. panic values

B. at risk values

C. 4 alarm values

D. stable values

A. panic values

Which of the following should be a pre analytical error related to specimen storage?

A. Exposure to light

B. Faulty technique

Inadequate fast

D. under filled tube

A. Exposure to light

Which type of precautions would be used for a patient who has pulmonary tuberculosis?

A. Airborne

B. Droplet

C. Contact

D. Reverse

A. Airborne

What is the abbreviation for the virus that causes acquired immune deficiency syndrome? (AIDS)

A. HAV

B. HBV

C. HCV

D. HIV

D. HIV

Which of the following choices describes a person who has recovered from a particular virus and has developed antibodies against that virus?

A. A carrier

B. immune

C. infectious

D. susceptible

B. immune

Which of the following is an example of a disease requiring droplet isolation?

A. Pertussis

B. rubeola

C. scabies

D. varicella

A. Pertussis

What word is used to describe the breakdown of red blood cells?

A. Erythma

B. erythrocytosis

C. hemostasis

D. hemolysis

D. hemolysis

What does the lab abbreviation PT stand for?

A. partial thromboplastin

B. patient temperature

C. prothrombin time

D. prenatal therapy

C. prothrombin time

Which of the following stopper color identifies a tube used for coagulation testing?

A. Green

B. Lavender

C. Light blue

D. Red

C. Light blue

How does heparin prevent blood from clotting?

A. by activating calcium

B. by binding calcium

C. by chelating thrombin

D. by inhibiting thrombin

D. by inhibiting thrombin

what is the purpose of an antiglycolytic agent

A. it enhances the clotting process

B. it inhibits the electrolyte breakdown

C. it preserves glucose

D. it prevents clotting

C. it preserves glucose

which of the following choices would result in lipemiaincreased?

A. high-fat content from the blood

B. improper specimen handing

C. increaced number of platelets

D. specimen hemoconcentration

A. high-fat content from the blood

A patient with a high degree of jaundice typically has which of the following systems?

A. Bruising and petechiae

B. Edamatous extemities

C. hemolyzed specimens

D. yellow skin and sclera

D. yellow skin and sclera

What is lymphostasis?

A. impaired secretion of lymph fluid

B. obstruction of the flow of lymph

C. reducued lymhpocyte production

D. stoppage of lymphoid functions

B. obstruction of the flow of lymph

What is venous stasis?

A. back flow of tissue into a vein

B. part of the normal coagulation process

C. stoppage of the normal venous blood flow

D. vein collapse from excess pressure

C. stoppage of the normal venous blood flow

Hemoconcentration from prolonged tourniquet application increases which of the following?

A. non filterable analytes

B. blood plasma volume

C. ph and oxygen levels

non filterable analytes

What is the difference between NPO and fasting?

A. fasting is no food and NPO is no water

B. fasting allows the patient to drink water where NPO does not

C. NPO requires that the patient drink water whereas fasting does not

D. NPO and fasting are the same thing

B. fasting allows the patient to drink water where NPO does not

Which of the following are the best specimens to use for establishing inpatient references ranges for blood tests?

A. basal state specimens

B. fasting specimens

C. post prandial specimens

D. steady state speciments

A. basal state specimens

Which of the following is true when using a phlebotomy needle that does not have a safety feature?

A. it cannot be used fro any venipuncture procedue

B. it must be used w a holder that has a safety feature

C. it requires immediate recapping after venipuncture

D. it should removed from the holder before disposal

B. it must be used w a holder that has a safety feature

Why should a laboratory report form state that a specimen has been collected by capillary puncuture?

A. for equipment inventory purposes

B. because results can vary by specimen source

C. to satisfy liability insurance requirements

B. because results can vary by specimen source

Which of the following items is unnecessary when performing a routine venipuncture?

A. disinfectant

B. evacuated tubes

C. safety needles

D. tourniquet

A. disinfectant

Which tube is first in the order of draw?

A. BC tubes

B. coagulation tubes

C. heparin tubes

D. serum separator

A. BC tubes

Which of the following is not a phlebotomists duty?

A. collecting blood specimens

B. performing laboratory computer operations

C. starting IV

D. transporting specimens to the lab

C. starting IV

Which of the following is a national organization that sets standards for phlebotomy procedures?

A. ASCP

B. NAACLS

C. NCA

D. CLSI

D. CLSI

Which type of contact infection transmission involves the transfer of an infecting microbe to the mucous membranes of a susceptible individuals by means of a cough or sneeze?

A. direct

B. droplet

C. fomites

D. indirect

B. droplet

Which of the following is a test of the respiratory system?

A. ABGS

B. CSF

C. TSH

D. US

A. ABGS

Which of the following are the receiving chambers of the heart?

A. atria

B. chordae tendineae

C. vena cavae

D. ventricles

A. atria

How is an individuals blood type determined?

A. whether an antibody is present or absent on the red blood cells

B. whether an antibody is present or absent on the WBC

C. whether or not an antigen is present on the RBC

D. whether or not an antigen present on the WBC

C. whether or not an antigen is present on the RBC

Which of the following is not an antecubical vein?

A. basilic

B. cephalic

C. femoral

D. median cubital

C. femoral

Which needle gauge has the largest lumen?

A. 18

B. 20

C. 21

D. 22

A. 18

Which government agency regulates the quality of glives worn when performing phleb procedures?

A. CDC

B. FDA

C. JCAHO

D. OSHA

B. FDA

The tests performed in which of the following departments are collected in a tube with a light blue stopper?

A. chemistry

B. hematology

C. coagulation

D. microbiology

C. coagulation

A tourniquet should never be left on for more than how long?

A. 30 seconds

B. 45 seconds

c. 1 minute

D. 3 minutes

C. 1 minute

You must draw a protime specimen from a patient with ivs in both arms. which of the following locations is the best place to draw the specimen?

A. above an IV

B. below an IV

C. from an ankle vein

D. from an iv

B. below an IV

Which test requires strict skin antisepsis procedures before specimen collection?

A. blood culture

B. blodd urea nitrogen

C. complete blood count

D. type and crossmath

A. blood culture

Which of the gollowing tests may require special "chain of custody" documentation when collected?

A. blood culture

B. crossmatch

C. drug screen

D. TDM

C. drug screen

What is PKU?

A. a contagious condition caused by lack oh phenylalnine

B. a hereditary inability to metabolize phenylalanine

C. an inherited condtion caused by lack of thyroid hormone

B. a hereditary inability to metabolize phenylalanine

A tube containing heparin is collected between?

A. BC and before a serum tube?

B. citrate additive tube and a serum tube

C. an edta tube and glycolytic tube

D. A serum tube and EDTA tube

D. A serum tube and EDTA tube

Which tube is obtained by lumbar puncuture?

A. cerebrospinal

B. peritoneal

C. Pleural

D. Syringe

A. cerebrospinal

What is a urine C & S typically ordered to detect?

A. abnormal urine Ph

B. glucose spillage into urine

C. kidney damage

D. presence of UTI

D. presence of UTI

Which statement describes proper centrifuge operation?

A. centrifuge serum specimens before they have a chance to clot

B. Never centrifuge both serum and plasma specimens in the same centrifuge

C. place tubes of equal size and volume opposite one another

D. remove stoppers before placing tubes in the centrifuge

C. place tubes of equal size and volume opposite one another

Which kind of blood study includes examining the blood for its total number of formed elements and cell morphology?

A. Serology

B. immunohematology

C. hematology

D. hematocrit

C. hematology

Which of the following best describes the type of analysis when processing blood for transfusions?

A. hematological

B. clinical chemical

C. serological

D. immunohemotological

D. immunohemotological

Which of the following sites is most commonly used in venipuncture to withdraw blood?

A. median cubital vein

B. femoral vein

C. median radial vein

D. basilic vein

A. median cubital vein

What is the female normal range for a hematocrit reading?

A. 32 - 41 %

B. 37 - 47 %

C. 40 - 45 %

D. 42 - 52 %

B. 37 - 47 %

Blood would be used for what kind of testing if it was collected in vacuum tube containing no additive?

A. hematology tests

B. electrolyte studies

C. blood chemistries

D. antiseptic gases

C. blood chemistries

Blood would be used for what kind of testing if it was collected in a vacuum tube containing EDTA?

A. hematology tests

B. blood chemistries

C. coagulation studies

D. lactic analysis

A. hematology tests

Which blood type is considered the universal recipient?

A. O positive

B. O negative

C. AB positive

D. AB negative

C. AB positive

Which of the following commonly used disinfectants is used in the medical field and found to be effective against bloodborne pathogens?

A. radiation

B. bleach

C. dry heat

D. ethylene oxide

B. bleach

Which of the following is the most appropriate method for disposing of contaminated needles?

A. insert in the biohazard container located in the office laboratory

B. place in a biohazard container without recapping

C. place it in biohazard sharps container located in the room where used

C. place it in biohazard sharps container located in the room where used

Which is the most important step in achieving medical asepsis?

A. washing hands

B. using surgical soap to scrub hands

C. cleaning patient examination rooms with disinfectant

D. placing soiled linens in an appropriate bag as soon as possible

A. washing hands

Which of the following solutions will help prevent the transmission of hepatitis?

A. fluconazole

B. household bleach

C. hydrogen peroxide

D. isopropyl alcohol

B. household bleach

How often should quality control tests be done for procedure performed in the office?

A. yearly

B. every 6 months

C. monthly

D. daily

D. daily

Which organization developed the guidelines for universal precautions?

A. EPA

B. FDA

C. CDC

D. OSHA

C. CDC

According to OSHA, medical personnel must wear PPE when they have contact with which of the following patients specimens?

A. sweat

B. skin

C. tears

D. blood

D. blood

What is the principal reason for bracing the hand holding the needle assembly against the patients arm during phlebotomy?

A. To prevent excess needle movement

B. to ease vein palpation

C. decrease the possibility of hemolyis

D. to cause the evacuation tubes to fill more quickly

A. To prevent excess needle movement

Which of the steps listed is NOT appropriate when performing a capillary puncture?

A . gently rubbing the sides of the finger

B. discarding the 1st drop of blood

C. selecting the ring finger of the hand

D. placing a tourniquet around the finger

D. placing a tourniquet around the finger

When would a capillary blood sample be diluted with tissue fluid?

A. if it is immersed in cool water

B. if the first drop is discarded

C. if the finger is squeezed excessively

D. if the s of the finger are gently rubbed

C. if the finger is squeezed excessively

Where is the most common micropuncture site on an adult?

A. outer heel

B. ring finger

C. ear lobe

D. little finger

B. ring finger

After you have washed your hands, put on PPE, and assembled the equipment and supplies, what is your next step in obtaining the capillary blood sample?

A. perform the capillary puncture

B. Cleanse the puncture site with an alcohol wipe

C. identify the patient

D. ask the patient whether they are left handed or right handed

B. Cleanse the puncture site with an alcohol wipe

What can you do to lower the risk of bruising after venipuncture?

A. apply a heating pad to the puncture site and have the patient

B. apply the pressure to the puncture site

C. keep the tourniquet in place for 1 full minute the procedure

D. wipe the puncture site with an alcohol wipe

B. apply the pressure to the puncture site