1.
The pulmonic valve is situated between ____________________.
Correct Answer
C. The right ventricle and pulmonary artery
Explanation
The pulmonic valve, a cardiac structure, is strategically located between the right ventricle and the pulmonary artery. Its vital role involves regulating blood flow, allowing blood to move from the heart to the lungs for oxygenation while preventing backflow into the heart chambers. This contributes to the heart's efficient pumping function.
2.
The endocardium is in which layer of the heart?
Correct Answer
B. Inner
Explanation
The endocardium is the innermost layer of the heart wall, composed of endothelial cells and connective tissue. It lines all the internal structures of the heart, including the four chambers (atria and ventricles) and the valves, creating a smooth surface that allows for efficient blood flow and prevents blood clots from forming. The endocardium also plays a role in regulating heart contractions and protecting the heart from infection.
3.
Which layer of the heart is the epicardium?
Correct Answer
C. Outer
Explanation
The epicardium is the outermost layer of the heart wall, forming a thin, transparent membrane that covers the heart's surface. It is composed of a single layer of mesothelial cells, along with connective tissue and adipose tissue (fat) that provide cushioning and protection for the heart.
4.
What kind of blood do arteries and arterioles carry?
Correct Answer
B. Oxygenated
Explanation
Arteries and arterioles typically carry oxygenated blood from the heart to the rest of the body. The exception is the pulmonary arteries, which carry deoxygenated blood from the heart to the lungs. In systemic circulation, however, arteries and arterioles transport oxygen-rich blood to tissues and organs, which is essential for cellular respiration and overall bodily function.
5.
What percentage of formed elements are erythrocytes?
Correct Answer
C. 99%
Explanation
In a typical blood sample, erythrocytes (red blood cells) make up the majority of the formed elements. On average, erythrocytes account for about 99% of the formed elements in the blood. This means that erythrocytes comprise nearly 99% of the cellular components of blood, with the remaining formed elements, such as leukocytes (white blood cells) and platelets, making up only a small fraction of the total.
6.
Where do blood cells originate?
Correct Answer
C. Bone marrow
Explanation
Blood cells originate in the bone marrow. The bone marrow is a soft tissue found inside the bones, and it is responsible for producing all types of blood cells, including red blood cells, white blood cells, and platelets. These cells are essential for various functions in the body, such as carrying oxygen, fighting infections, and clotting blood. The bone marrow continuously produces and releases new blood cells into the bloodstream to maintain a healthy balance.
7.
What is the normal lifespan of an RBC?
Correct Answer
B. 120 days
Explanation
The normal lifespan of a red blood cell (RBC) is 120 days. This means that on average, an RBC will circulate in the bloodstream for about 120 days before being removed by the body's immune system. This lifespan is important for maintaining healthy oxygen transport and overall blood function.
8.
What is the function of a leukocyte?
Correct Answer
B. Protect from infection
Explanation
Leukocytes, also known as white blood cells, are responsible for protecting the body from infections. They are part of the immune system and are involved in recognizing and destroying pathogens, such as bacteria and viruses, that can cause diseases. Leukocytes play a crucial role in defending the body against infections and maintaining overall health.
9.
20%-40% of WBCs are composed of _______________.
Correct Answer
A. LympHocytes
Explanation
20%-40% of white blood cells (WBC) are lymphocytes. Lymphocytes are a type of white blood cell that play a crucial role in the immune system. They are responsible for recognizing and attacking foreign substances in the body, such as bacteria, viruses, and cancer cells. This high percentage of lymphocytes in the WBC count indicates the importance of these cells in maintaining a healthy immune response.
10.
Which WBC carries histamine?
Correct Answer
B. BasopHils
Explanation
Basophils are a type of white blood cell (WBC) that carries histamine. Histamine is a chemical involved in the immune response and allergic reactions. Basophils release histamine in response to an allergen or an infection, causing blood vessels to dilate and increase blood flow to the affected area. This helps to recruit other immune cells to the site of infection or inflammation. Monocytes, eosinophils, and neutrophils are other types of WBCs, but they do not carry histamine.
11.
Another name for thrombocytes is______________.
Correct Answer
C. Platelets
Explanation
Platelets are another name for thrombocytes. Thrombocytes are small, colorless cell fragments that play a crucial role in blood clotting. They are produced in the bone marrow and help in the formation of blood clots to prevent excessive bleeding. Platelets are involved in the repair of damaged blood vessels and play a vital role in the body's immune response.
12.
Hemostasis is defined as _______________.
Correct Answer
D. Cessation of bleeding
Explanation
Hemostasis is the process of stopping or preventing bleeding. It involves a series of events that occur to maintain the integrity of blood vessels and prevent excessive blood loss. This can be achieved through vasoconstriction, platelet aggregation, and blood clot formation. Therefore, the correct answer, "stoppage of blood," accurately describes the definition of hemostasis.
13.
The first phase of hemostasis is _________________.
Correct Answer
B. Vascular stage
Explanation
The first phase of hemostasis is the vascular stage. During this stage, blood vessels constrict to reduce blood flow and limit bleeding. This constriction is triggered by the release of chemicals from damaged blood vessels and surrounding tissues. The vascular stage helps to prevent excessive blood loss and prepares the area for the next phases of hemostasis, including platelet aggregation and blood clot formation.
14.
The test used to evaluate the intrinsic pathway is called ____________.
Correct Answer
B. APTT
Explanation
The correct answer is APTT. APTT stands for Activated Partial Thromboplastin Time, which is a test used to evaluate the intrinsic pathway of the coagulation cascade. This pathway is responsible for the formation of a blood clot. APTT measures the time it takes for blood to clot after certain activators are added. It is commonly used to monitor the effectiveness of anticoagulant therapy and to diagnose bleeding disorders.
15.
The breakdown and removal of a clot in the hemostasis process is ______________.
Correct Answer
B. Fibrinolysis
Explanation
Fibrinolysis is the breakdown and removal of a clot in the hemostasis process. This process involves the activation of plasminogen, which is converted into plasmin. Plasmin is an enzyme that breaks down fibrin, the protein that forms the mesh-like structure of a blood clot. Fibrinolysis helps to dissolve the clot and restore normal blood flow.
16.
What is the preferred site for venipuncture?
Correct Answer
B. Antecubital fossa
Explanation
The preferred site for venipuncture is the antecubital fossa. This area is located in the bend of the elbow and is commonly used for venipuncture procedures because it is easily accessible and has a large network of veins. The antecubital fossa is also less likely to cause complications such as nerve damage or thrombosis compared to other sites like the ulnar vein or thrombotic vein.
17.
Sclerosed veins feel ______________.
Correct Answer
B. Cordlike
Explanation
Sclerosed veins feel cordlike because when veins become hardened or fibrotic due to conditions such as chronic venous insufficiency or varicose veins, they lose their elasticity and become thickened. This causes the veins to feel like cords or ropes under the skin.
18.
Crooked or winding veins are also called ___________________.
Correct Answer
B. Tortuous
Explanation
Crooked or winding veins are also called "tortuous." This term describes veins that have a twisted or curved shape, often due to underlying conditions such as varicose veins or venous insufficiency. The word "tortuous" is commonly used in medical terminology to describe the abnormal appearance of veins.
19.
What is the preferred antiseptic for venipuncture?
Correct Answer
C. Isopropyl alcohol
Explanation
Isopropyl alcohol is the preferred antiseptic for venipuncture because it effectively kills bacteria and other microorganisms on the skin, reducing the risk of infection. It is also less likely to cause skin irritation compared to iodine or betadine. Jack Daniels is not a suitable antiseptic for venipuncture as it is an alcoholic beverage and not a medical-grade antiseptic.
20.
What is the size (in inches) of the needle routinely used for venipuncture?
Correct Answer
B. 1-1.5
Explanation
The size (in inches) of the needle routinely used for venipuncture is 1-1.5 inches. This range is typical for the length of needles used for drawing blood, with a gauge size commonly between 21 and 23 for adult venipunctures.
21.
What is another name for winged infusion sets?
Correct Answer
C. Butterfly
Explanation
A winged infusion set is a medical device used for venipuncture, which is the process of accessing a vein for blood sampling or intravenous therapy. The set is called "butterfly" because of its design, which includes small plastic wings on either side of the needle. These wings allow for easier handling and stabilization during the procedure.
22.
Which is NOT a reason the tourniquet is used?
Correct Answer
C. To make veins blue
Explanation
The tourniquet is not used to make veins blue. It is primarily used to prevent the venous flow of blood, to make veins bulge, and to aid in vein location. Making veins blue is not the purpose of using a tourniquet.
23.
A pad is used to protect the patient's clothing.
Correct Answer
B. Chux
Explanation
Chux is a type of absorbent pad that is commonly used in healthcare settings to protect and correct a patient's clothing. It is designed to absorb any fluids or spills and prevent them from soiling the patient's clothing or bedding. Chux pads are often used during procedures or examinations to provide a clean and dry surface for the patient. They are also used for incontinence care to protect against leaks and accidents. Overall, Chux pads are an essential tool in maintaining cleanliness and hygiene for patients in healthcare settings.
24.
The most common complication of phlebotomy.
Correct Answer
D. Hematoma
Explanation
Hematoma is the correct answer because it is the most common complication of phlebotomy. During phlebotomy, a hematoma can occur when blood leaks from the puncture site and collects under the skin, causing a localized swelling and bruising. This can happen if the needle punctures a larger blood vessel or if pressure is not applied to the puncture site after the procedure. Hematomas are usually harmless and resolve on their own, but in some cases, they may require medical intervention.
25.
Leaving the tourniquet on too long may cause ________________.
Correct Answer
B. Hemoconcentration
Explanation
Leaving the tourniquet on too long may cause hemoconcentration. This is because when a tourniquet is applied for an extended period of time, it restricts blood flow to the area beyond the tourniquet. As a result, the blood becomes more concentrated with red blood cells and other components, leading to hemoconcentration. This can have negative effects on the body, such as increased viscosity of the blood and impaired circulation.
26.
Tiny red spots on the skin caused by the rupturing of capillaries are called _____________.
Correct Answer
C. Petechiae
Explanation
Petechiae are tiny red spots on the skin that occur when capillaries rupture and cause small amounts of blood to leak into the skin. This can be caused by various factors such as injury, certain medical conditions, or certain medications. Phlebitis refers to inflammation of a vein, trauma refers to physical injury, and pimples are small, raised bumps on the skin caused by blocked hair follicles.
27.
Accumulation of fluid in the tissues.
Correct Answer
B. Edema
Explanation
Edema is the accumulation of fluid in the tissues. This can be caused by various factors such as inflammation, injury, or underlying medical conditions. The excess fluid causes swelling and can be localized or generalized throughout the body. Edema can be a symptom of an underlying health issue, such as heart failure or kidney disease, or it can be a result of trauma or injury. Treatment for edema depends on the underlying cause and may include medications, lifestyle changes, or medical procedures to remove the excess fluid.
28.
Permanent surgical connection between an artery and a vein.
Correct Answer
A. Fistula
Explanation
A fistula is a permanent surgical connection between an artery and a vein. This connection allows for improved blood flow and is commonly used in dialysis patients to create access for hemodialysis treatments. It is a preferred option because it has a lower risk of infection and lasts longer compared to other methods of vascular access.
29.
Which would be considered a pre-analytical error?
Correct Answer
D. D. Both A and B
Explanation
Pre-analytical errors occur before the actual testing of a specimen begins. Improper time of collection (option A) and wrong order of draw (option B) are both examples of pre-analytical errors as they involve issues with the collection process itself. These errors can lead to inaccurate test results and affect patient care. Option C, faulty technique, would be considered an analytical error as it pertains to errors occurring during the actual analysis or testing of the specimen.
30.
Which would be considered a post-analytical error?
Correct Answer
D. Improper use of serum separator
Explanation
A post-analytical error occurs after the laboratory test has been performed, typically during the handling, processing, or reporting of results. Improper use of a serum separator is a post-analytical error because it can occur during the final stage of sample processing, leading to compromised results. The other options, such as improper site preparation (A), medication interference (B), and failure to invert tubes (C), are considered pre-analytical errors since they affect the sample before or during collection.
31.
The most important step in a routine venipuncture.
Correct Answer
C. Identify patient
Explanation
Identifying the patient is the most important step in a routine venipuncture because it ensures that the correct patient is receiving the procedure. This step helps prevent any mix-ups or errors in patient identification, which is crucial for patient safety and accurate medical records. By confirming the patient's identity, healthcare professionals can proceed with the venipuncture confidently, knowing that they are providing the correct treatment to the right individual.
32.
How many inches above the site should the tourniquet be tied?
Correct Answer
B. 3-4
Explanation
The tourniquet should be tied approximately 3-4 inches above the site. This is the correct answer because tying the tourniquet too close to the site may not effectively stop the bleeding, while tying it too far above the site may cause unnecessary discomfort or restrict blood flow to the rest of the limb.
33.
Which is not a reason for failure to collect blood?
Correct Answer
D. Patient drank too much liquid
Explanation
The statement "patient drank too much liquid" is not typically a reason for failure to collect blood during venipuncture because excessive liquid intake does not directly affect the ability to access and draw blood from a vein. Instead, issues like vein visibility, needle placement, or equipment problems are more common causes of collection difficulties.
34.
Tubes may lose their vacuum due to ______________________.
Correct Answer
D. All of the above
Explanation
Tubes may lose their vacuum due to various factors, including manufacturing defects, expiration, and fine cracks in the tube. These issues compromise the integrity of the vacuum seal, affecting the tube's ability to maintain proper pressure for blood collection. Healthcare professionals must carefully assess tubes for potential defects to ensure accurate and reliable sample collection in clinical settings.
35.
If the needle passes completely through the vein, you must pull it out of the arm and try another vein.
Correct Answer
B. False
Explanation
False. If the needle passes completely through the vein during venipuncture, it's important not to pull it out immediately. Doing so could cause injury and bleeding. Instead, the needle should be withdrawn slightly and redirected to try to enter the vein again.
36.
Using a butterfly may be necessary if the vein collapses with the evacuated tube system.
Correct Answer
A. True
Explanation
A butterfly needle is a smaller gauge needle that is used when a patient's vein collapses or is difficult to access. It is commonly used in situations where the evacuated tube system is being used to draw blood. The evacuated tube system involves using a vacuum to draw blood into the collection tubes. If the vein collapses during this process, a butterfly needle may be necessary to successfully draw blood. Therefore, the statement that using a butterfly may be necessary if the vein collapses with the evacuated tube system is true.
37.
A person should refrain from eating for how many hours before a fasting blood test.
Correct Answer
A. 8-12
Explanation
A person should sustain from eating for 8-12 hours prior to a fasting blood test. This is to ensure that the food you eat doesn't affect the results of the test, especially for things like glucose and cholesterol levels. Sources and related content
38.
To measure the diurnal variation of cortisol hormone, what kind of specimen would be required?
Correct Answer
A. Timed
Explanation
To measure the diurnal variation of cortisol hormone, a timed specimen would be required. This means that the specimen would need to be collected at specific intervals throughout the day to accurately capture the fluctuations of cortisol levels. This is because cortisol levels naturally vary throughout the day, with the highest levels typically occurring in the morning and the lowest levels in the evening. Therefore, a timed specimen would provide the most accurate representation of the diurnal variation of cortisol hormone.
39.
Postprandial means ______________.
Correct Answer
A. After eating
Explanation
Postprandial means "after eating". It is a term used to describe the period of time that occurs after a meal. This term is commonly used in medical and scientific contexts to refer to the physiological changes that take place in the body after consuming food.
40.
The OGTT test diagnoses ______________.
Correct Answer
C. Diabetes
Explanation
The OGTT test, or Oral Glucose Tolerance Test, is used to diagnose diabetes. It measures how the body metabolizes glucose over a period of time. This test is particularly useful for detecting gestational diabetes in pregnant women and for diagnosing type 2 diabetes in individuals who may have impaired fasting glucose levels. By measuring blood glucose levels before and after consuming a glucose solution, healthcare providers can determine if a person has diabetes or is at risk for developing it.
41.
In therapeutic blood monitoring, the trough levels are tested ______________.
Correct Answer
A. 30 minutes before the scheduled dose
Explanation
In therapeutic blood monitoring, trough levels are tested 30 minutes before the scheduled dose. This timing allows healthcare professionals to measure the lowest concentration of a drug in a patient's bloodstream just before the next dose is administered. By testing the trough levels before the scheduled dose, healthcare professionals can ensure that the drug is being effectively absorbed and metabolized by the patient's body. This information is crucial for determining the appropriate dosage and frequency of administration for optimal therapeutic effects.
42.
Blood cultures are used to diagnose ________________.
Correct Answer
B. FUO
Explanation
Blood cultures are used to diagnose FUO, which stands for Fever of Unknown Origin. This condition refers to a persistent fever that cannot be explained by common causes such as infections or inflammatory diseases. Blood cultures are performed to identify any bacteria or fungi in the bloodstream that may be causing the fever. By isolating and identifying the causative organism, appropriate treatment can be initiated to resolve the fever and underlying infection.
43.
What part of the infant is a PKU test performed on?
Correct Answer
C. Heel
Explanation
A PKU test, also known as a newborn screening test, is performed on the heel of an infant. This is because the heel is a convenient and accessible spot for collecting a small blood sample. The test is done to check for the presence of phenylketonuria (PKU), a genetic disorder that affects the body's ability to process an amino acid called phenylalanine. By performing the test on the heel, healthcare professionals can quickly and easily obtain the necessary blood sample to screen for PKU in newborns.
44.
What special handling does a cold agglutinin test require?
Correct Answer
C. Pre-warmed tubes
Explanation
A cold agglutinin test requires pre-warmed tubes because cold agglutinins are antibodies that can cause red blood cells to clump together at low temperatures. By pre-warming the tubes, the test can be performed at a temperature that prevents the agglutination of red blood cells, ensuring accurate results.
45.
What special handling does an ABG require?
Correct Answer
B. Chilling
Explanation
An ABG (Arterial Blood Gas) requires special handling in terms of chilling. This means that the sample needs to be kept at a cold temperature to preserve its integrity and prevent any changes in the blood gas levels. Chilling the ABG sample helps to slow down any metabolic processes that could alter the results. It is important to handle and transport the sample carefully to maintain its accuracy.
46.
Which test is NOT a light-sensitive test?
Correct Answer
D. Ammonia
Explanation
Ammonia is not a light-sensitive test because it does not require exposure to light for accurate results. Light-sensitive tests, such as bilirubin, beta-carotene, and porphyrins, rely on light absorption or emission to measure the concentration or presence of these substances. However, ammonia testing does not involve light-sensitive reactions and can be performed without the need for light.
47.
What is the recommended depth of a heel puncture on an infant?
Correct Answer
A. 2.0mm
Explanation
The recommended depth of a heel puncture on an infant is 2.0mm. This depth allows for an adequate amount of blood to be collected for testing purposes without causing excessive pain or injury to the infant.
48.
Blood culture tests can be done with a dermal puncture when venipuncture is not possible.
Correct Answer
B. False
Explanation
Blood culture tests cannot be done with a dermal puncture when venipuncture is not possible. Venipuncture is the preferred method for obtaining blood samples for culture tests as it allows for a larger volume of blood to be collected, reducing the risk of contamination and increasing the chances of detecting any potential pathogens present in the bloodstream. Dermal puncture, on the other hand, is typically used for collecting small amounts of blood for other types of tests, such as glucose monitoring.
49.
In the case of skin punctures, first tube in the order of draw for cap specimens is lavender.
Correct Answer
A. True
Explanation
In capillary blood collection (skin punctures), the first tube in the order of draw for capillary specimens is typically a lavender or purple microcollection tube, which is used for hematology tests like complete blood counts (CBC) and blood cell differentials. The is followed by chemistry and blood bank specimens. The order of draw may vary slightly depending on the specific tests required, but lavender tubes usually come first in capillary collections to ensure accurate hematological results.
50.
In the order of draw for capillary specimens, should you draw tubes with or without additives first?
Correct Answer
A. Without
Explanation
When collecting capillary specimens, the correct order of draw is to fill tubes without additives first, followed by tubes with additives. This helps prevent contamination and ensures accurate test results, as the first blood to flow might contain tissue fluids or other contaminants, which could affect the additives in the tubes if drawn first.