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Lesson 1-2: The Clinical Laboratory Professional
TRUE/FALSE
ANS: T PTS: 1
ANS: T PTS: 1
ANS: F PTS: 1
ANS: T PTS: 1
ANS: T PTS: 1
ANS: F PTS: 1
MULTIPLE CHOICE
a. | American Medical Technologists (AMT) |
b. | American Society for Clinical Laboratory Science (ASCLS) |
c. | American Association of Medical Assistants (AAMA) |
d. | American Society for Clinical Pathology (ASCP) |
ANS: C PTS: 1
a. | North Central Association (NCA) |
b. | American Society for Clinical Laboratory Science (ASCLS) |
c. | National Accrediting Agency for Clinical Laboratory Sciences (NAACLS) |
d. | American Society for Clinical Pathology (ASCP) |
ANS: C PTS: 1
a. | American Society of Phlebotomy Technicians (ASPT) |
b. | American Society for Clinical Laboratory Science (ASCLS) |
c. | American Society for Clinical Pathology (ASCP) |
d. | North Central Association |
ANS: A PTS: 1
a. | emphasis on wellness | c. | geriatric medicine |
b. | longer hospital stays | d. | home health care |
ANS: B PTS: 1
a. | administrative skills | c. | laboratory skills |
b. | nursing skills | d. | all of the above |
ANS: D PTS: 1
COMPLETION
ANS:
HIPAA
Health Insurance Portability and Accountability Act
PTS: 1
ANS:
clinical laboratory science
medical technology
PTS: 1
ANS:
HIPAA
Health Insurance Portability and Accountability Act
PTS: 1
ANS: phlebotomists
PTS: 1
ANS: medical assistants
PTS: 1
ANS:
computers
electronic medical records
EMRs
PTS: 1
ANS:
clinical
practical
PTS: 1
ANS:
CLIA 88
Clinical Laboratory Improvement Amendments of 1988
PTS: 1
ANS:
examination
exam
test
PTS: 1
MATCHING
Choose the best match for each item. Use an example only once.
a. | medical technology |
b. | new trends in the health care fields |
c. | micro- and nano-technology |
d. | laboratory instruments |
e. | AAMA |
f. | clinical laboratory science |
g. | CAAHEP, accrediting agency for educational programs for clinical laboratory personnel |
h. | ethics |
i. | clinical laboratory personnel |
j. | MLT or CLT |
Lesson 2-2: Hemoglobin
MULTIPLE CHOICE
a. | is made up of eight globin chains | c. | contains four heme groups |
b. | contains protein and heme | d. | all of the above |
ANS: B PTS: 1
a. | They cannot be measured on small handheld analyzers. |
b. | They are named according to the type of globin chain. |
c. | Thalassemias are caused by abnormalities in the heme portion. |
d. | Hb A1c is the major hemoglobin in infants. |
ANS: B PTS: 1
a. | It is an indirect measure of oxygen-carrying capacity. |
b. | It measures the red cell volume. |
c. | It is always determined from an anticoagulated venous blood sample. |
d. | No stable standard is available. |
ANS: A PTS: 1
a. | Hemoglobin is usually included in the CBC. |
b. | The reference value for females is higher than for males. |
c. | Hemoglobin transports CO2 from the tissue to the lungs. |
d. | The reference value for newborns is higher than for adult males. |
ANS: B PTS: 1
a. | The specific gravity method estimates Hgb level. |
b. | The reference range for adult females is 1217 g/dL. |
c. | The Hgb level is unaffected by RBC count. |
d. | It does not require use of Standard Precautions. |
ANS: A PTS: 1
COMPLETION
ANS:
globin
globin chains
PTS: 1
ANS:
red blood cells
erythrocytes
RBCs
PTS: 1
ANS:
hemoglobin
Hb
Hgb
PTS: 1
ANS: heme
PTS: 1
ANS:
Drabkins reagent
Drabkins
PTS: 1
ANS:
cyanmethemoglobin
hemiglobincyanide
PTS: 1
ANS:
hemoglobin
Hb
Hgb
PTS: 1
ANS:
Drabkins reagent
Drabkins
PTS: 1
ANS:
ten
10
PTS: 1
ANS:
A1c
A
A1c
A1
A1
PTS: 1
ANS:
carbon dioxide
CO2
CO2
PTS: 1
ANS:
iron
Fe
PTS: 1
MATCHING
Choose the best match for each item. Use an answer only once.
a. | decreased oxygen | f. | variant forms of hemoglobin |
b. | thalassemias | g. | blood hemoglobin level |
c. | homozygous | h. | carrier |
d. | CLIA waived | i. | Hgb E |
e. | Hgb F | j. | Hb A1c |
Lesson 3-2: Disorders of Hemostasis
TRUE/FALSE
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ANS: T PTS: 1
ANS: F PTS: 1
ANS: T PTS: 1
ANS: F PTS: 1
MULTIPLE CHOICE
a. | They can cause either abnormal bleeding or abnormal thrombus formation. |
b. | Drugs or treatments can accelerate clot formation. |
c. | They require laboratory testing. |
d. | all of the above |
ANS: D PTS: 1
a. | They are inherited as sex-linked genes on the X chromosome. |
b. | Females with the recessive hemophilia gene on one chromosome are carriers. |
c. | Since males inherit one X and one Y, if the Y chromosome carries the recessive hemophilia gene, the disease is expressed. |
d. | Hemophilia B is also called Christmas disease. |
ANS: C PTS: 1
a. | It is caused by functional deficiency of coagulation factor VIII, the VIII:C protein. |
b. | It is a functional deficiency of coagulation factor IX. |
c. | The symptoms usually appear in early infancy. |
d. | It is a functional deficiency in factors VIII and IX. |
ANS: A PTS: 1
a. | von Willebrands disease | c. | DIC |
b. | anticoagulant therapy | d. | vitamin K deficiency |
ANS: A PTS: 1
a. | platelet adhesion | d. | only (a) and (b) |
b. | platelet aggregation | e. | all of the above (ac) |
c. | prothrombin time |
ANS: D PTS: 1
a. | It is caused by a functional deficiency of factor VIII. |
b. | It is due to a vitamin K deficiency. |
c. | It is caused by a functional deficiency of factor IX. |
d. | Symptoms are not present until adulthood. |
ANS: C PTS: 1
a. | In Bernard-Soulier syndrome, the platelets are smaller than normal. |
b. | Von Willebrands disease affects the adhesion of platelets. |
c. | Von Willebrands patients are affected by petechiae. |
d. | In Glanzmanns thrombasthenia, the platelets aggregate normally. |
ANS: B PTS: 1
a. | Venipuncture must be performed with minimal trauma. |
b. | Correct anticoagulant must be used. |
c. | Tissue fluid released during a difficult venipuncture usually has no effect on the hemostasis test results. |
d. | Proper anticoagulant-to-blood ratio is critical to test results. |
ANS: C PTS: 1
a. | a test for quantitative and qualitative abnormalities of platelets |
b. | a screening test for factor deficiencies |
c. | prolonged in hemophilia A |
d. | prolonged in anticoagulant therapy |
ANS: A PTS: 1
a. | The bleeding time can be used to screen for factor deficiencies. |
b. | The bleeding time is a screening test for vascular integrity. |
c. | The prothrombin time test is rarely performed. |
d. | If the platelet count is normal, the bleeding time will be normal. |
ANS: B PTS: 1
MATCHING
Choose the best match for each item. Use an answer only once.
a. | acquired platelet disorder | f. | males |
b. | inherited platelet disorder | g. | females |
c. | factor VIII deficiency | h. | factor IX deficiency |
d. | acquired factor disorder | i. | DIC |
e. | petechiae |
Lesson 4-2: Infectious Mononucleosis Tests
TRUE/FALSE
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ANS: F PTS: 1
ANS: T PTS: 1
ANS: F PTS: 1
ANS: F PTS: 1
ANS: T PTS: 1
ANS: T PTS: 1
ANS: F PTS: 1
ANS: F PTS: 1
MULTIPLE CHOICE
a. | changes in circulating RBCs | c. | changes in circulating WBCs |
b. | immunological findings | d. | clinical symptoms |
ANS: A PTS: 1
a. | increased numbers of neutrophils | c. | increased percentage of lymphocytes |
b. | increased percentage of monocytes | d. | none of the above |
ANS: C PTS: 1
a. | They are present in infectious mononucleosis. |
b. | Their detection is the basis of most tests for IM. |
c. | They are IgM. |
d. | They are species and antigen specific. |
ANS: D PTS: 1
a. | fever and headache | d. | fatigue |
b. | sore throat | e. | all of the above |
c. | enlarged spleen |
ANS: E PTS: 1
a. | agglutination or color formation | c. | hemolysis or clot formation |
b. | color formation or hemolysis | d. | color formation or clot formation |
ANS: A PTS: 1
a. | It occurs only in the 15-to-25-year-old age group. |
b. | It has no known effect on pregnancy. |
c. | 95% of the U.S. population has been infected by the age of 40. |
d. | Latent infections can reactivate. |
ANS: A PTS: 1
COMPLETION
ANS:
B cell
B lymphocyte
B cells
B lymphocytes
PTS: 1
ANS: heterophile antibodies
PTS: 1
ANS:
IgM
immunoglobulin M
PTS: 1
ANS:
atypical lymph
atypical lymphocyte
reactive lymph
reactive lymphocyte
PTS: 1
ANS:
incubation period
incubation time
PTS: 1
MATCHING
Choose the best match for each item. Use an answer only once.
a. | color reaction | f. | sore throat |
b. | agglutination | g. | atypical lymphocyte |
c. | IgM | h. | external control |
d. | reactive monocyte | i. | atypical hepatocyte |
e. | IgG | j. | internal control |
Lesson 5-2: Urine Specimen Collection and Processing
TRUE/FALSE
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ANS: T PTS: 1
ANS: T PTS: 1
ANS: T PTS: 1
ANS: F PTS: 1
ANS: F PTS: 1
ANS: T PTS: 1
ANS: F PTS: 1
ANS: F PTS: 1
ANS: T PTS: 1
MULTIPLE CHOICE
a. | random | d. | preserved |
b. | clean-catch | e. | 24-hour |
c. | first morning |
ANS: B PTS: 1
a. | polyuria | d. | nocturia |
b. | oliguria | e. | diuresis |
c. | anuria |
ANS: C PTS: 1
a. | 20350 mL | c. | 7502,000 mL |
b. | 300600 mL | d. | none of the above |
ANS: A PTS: 1
a. | It is used primarily for qualitative testing. |
b. | It is used to assess kidney function. |
c. | It is used for culturing bacteria. |
d. | It must not contain a preservative. |
ANS: B PTS: 1
a. | The lid of the container should be labeled with the patient ID. |
b. | Specimens must be tested within an hour of collection or be refrigerated. |
c. | Specimens can be left on the counter for 24 hours before testing. |
d. | Most patients know how to properly collect a specimen and need no instruction. |
ANS: B PTS: 1
a. | The patient uses one towelette for cleansing. |
b. | The first portion of the urine stream is collected. |
c. | It cannot be used for bacterial culture. |
d. | The urine container must be labeled with the patients name and the date and time of collection. |
ANS: D PTS: 1
a. | the specimen must be the first morning specimen |
b. | the culture must be set up before the routine urinalysis is done |
c. | the container need not be sterile |
d. | the urine can be left on the lab bench 24 hours before culture |
e. | none of the above |
ANS: B PTS: 1
a. | A credit card can be used for identification. |
b. | The urine is collected in the usual urine container. |
c. | The patient must sign a consent form. |
d. | The specimen is placed with other reference laboratory samples for pickup. |
ANS: C PTS: 1
a. | protein | c. | creatinine |
b. | bacteria | d. | calcium |
ANS: B PTS: 1
a. | refrigerated overnight | c. | refrigerated at 4F6F for up to 4 hours |
b. | frozen to preserve it | d. | discarded |
ANS: C PTS: 1
a. | random | c. | clean-catch |
b. | 24-hour | d. | timed |
ANS: B PTS: 1
COMPLETION
ANS:
clean-catch urine
clean-catch
clean catch
clean catch urine
PTS: 1
ANS:
random urine specimen
random urine
random specimen
PTS: 1
ANS:
24
twenty-four
PTS: 1
ANS:
preservative
fixative
PTS: 1
ANS: anuria
PTS: 1
ANS: polyuria
PTS: 1
ANS:
first morning specimen
first morning urine
PTS: 1
ANS: bacteria
PTS: 1
ANS: refrigeration
PTS: 1
ANS:
appropriate laboratory disinfectant
laboratory disinfectant
disinfectant
surface disinfectant
PTS: 1
MATCHING
Choose the best match for each item. Use an answer only once.
a. | urine for drug screen | f. | oliguria |
b. | quality assessment | g. | 24-hr urine specimen |
c. | 20350 mL | h. | 1,500 mL average |
d. | biohazard | i. | MSDS |
e. | surface disinfectant | j. | clean-catch urine |
Lesson 6-2: Chemistry Specimen Collection and Processing
TRUE/FALSE
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ANS: F PTS: 1
ANS: T PTS: 1
ANS: T PTS: 1
ANS: T PTS: 1
ANS: F PTS: 1
ANS: T PTS: 1
MULTIPLE CHOICE
a. | It can be caused by overcentrifugation. |
b. | It releases potassium into the plasma or serum. |
c. | It can be caused by excess shaking of the blood sample. |
d. | all of the above |
ANS: D PTS: 1
a. | Concentrations of iron are constant throughout the day. |
b. | Triglycerides do not change after eating. |
c. | Glucose and cholesterol usually change after eating. |
d. | Corticosteroids are not affected by the time of collection. |
ANS: C PTS: 1
a. | Plasma is formed when a tube of blood is allowed to clot. |
b. | Plasma contains all of the dissolved chemical constituents. |
c. | Serum contains all of the dissolved chemical constituents plus the coagulation proteins. |
d. | none of the above |