Final

Which of the following is an example of a closed question?

"Are you an only child?"

you need to collect a venous blood specimen from a patient to run an FBG. Which of the following would be an inappropriate statement to make to the patient during this procedure?

"This procedure will not hurt"

When performing a microscopic examination of urine, the presence of how many white blood cells/HPF is considered normal?

0-8

How many employees must a business have for them to be protected by Equal Opportunity Employment laws?

15 people

Which of the following is an example of a quantitative test result?

500mg/dL

How much urine does a normal adult excrete each day?

750-2000 mL

Before meals, it is recommended that the blood glucose level for a diabetic patient fall between

80-120 mg/dL

Which of the following patients would be able to give informed consent for treatment?

A 35-year-old woman with a hip fracture

What is the legal nature of the doctor-patient relationship?

A contract

A drug has potential for addiction and/or abuse is called

A controlled substance

Which of the following is an example of using a laboratory test to regulate treatment?

A diabetic patient tests his or her blood to determine how much insulin to administer.

Antibiotics taken by the patient before the collection of a throat specimen for culture may result in

A false- negative report

What is included in a complete urinalysis?

A physical, chemical microscopic examination of urine ALL OF THE ABOVE

If a freshly voided specimen is cloudy, it means that

A urinary tract infection may be present

What is the purpose of SMBG testing?

ALL OF THE ABOVE

Which of the following is a characteristic of cholesterol?

ALL OF THE ABOVE

Which of the following is a serious side effect of an oral glucose tolerance test?

ALL OF THE ABOVE

Which of the following may occur if a tourniquet is applied too tightly?

ALL OF THE ABOVE

Which of the following will NOT cause a control to fail to produce expected results?

ALL OF THE ABOVE

The pH of most urine specimens is

Acidic

A pH reading of 8 means that the urine specimen is

Alkaline

If a POL is performing moderate-complexity tests, CLIA requires

All of the Above

How are laboratory reports delivered to the medical office?

All of the above

Microorganisms can be transmitted through

All of the above

What is the purpose of an advance directive?

All of the above

Which of the following assists the physician in making a diagnosis?

All of the above

Which of the following laboratory tests requires fasting

All of the above

Which of the following must be reported to the proper authorities even if the patient does not consent?

All of the above

Which of the following conditions CANNOT be caused by prolonged high blood glucose levels?

Alzheimer's disease

What odor does a urine specimen have if it has been allowed to stand at room temperature for long time?

Ammonia

What is a profile?

An array of laboratory tests for identifying a disease

If a laboratory report is returned to the medical office marked QNS, it means that

An insufficient amount of the specimen was submitted

What is the term for a substance that is being identified or measured in a laboratory test?

Analyte

The buildup of fatty deposits on the wall of arteries is known as

Antherosclerosis

Which of the following is the proper method for identifying a patient before performing a venipuncture?

Ask the patient to state his or her full name and date of birth.

What is the name for a patient's right to make decisions about health care according to individual values and concerns>

Autonomy

The hemoglobin A1c test measures the

Average amount of glucose in the blood over a three- month period

When collecting a clean-catch midstream urine specimen, a front-to-back motion is used to cleanse the urinary meatus to

Avoid drawing microorganisms from the anal region into the area being cleansed

How can the medical assistant be a good communicator?

Be effective in sending and receiving messages.

Most of the cholesterol found in the blood comes from

Being manufactured by the liver

Which of the following urine tests may be positive when a patient has hepatitis?

Bilirubin

What are the uses of arm gestures, facial expressions, and turning one's head all examples of?

Body language

Which of the following is NOT a guideline for storing specimens and testing components in a laboratory refrigerator?

Check the temperature of the refrigerator once each week.

A 24-hour urine specimen may be collected to

Determine the cause of kidney stone formation

Which of the following is a quality control method?

Discarding outdated reagents, proper storage of test systems, calibration, allowing refrigerated controls to come to room temperature before use ALL OF THE ABOVE

What should be done if a control does not perform as expected?

Do not perform patient testing until the problem is resolved

Which of the following does NOT result in oliguria?

Edema

The purpose of quality control is to

Ensure accurate and valid test results

Polyuria can be caused by

Excessive intake of fluids, consumption of caffeine, diabetes mellitus, taking a diuretic ALL OF THE ABOVE

What is another name for the duty to meet reasonable expectations of patients?

Fidelity

The type of specimen that should be used to test for the presence of nitrite in the urine is

First-voided morning specimen

When collecting a clean-catch midstream urine specimen, a small amount of urine is voided into the toilet before obtaining the specimen to

Flush microorganisms out of the distal urethra

Which of the following is an important part of active listening for a medical assistant?

Focusing all attention on the patient

What is the name for the crime of billing an insurance company for tests and procedures that were never performed?

Fraud

In her role as a medical, Stacy has an important ethical decision to make. She has decided to implement the six-step process to make ethical decisions. What is the first thing she must do?

Gather information

Which of the following is NOT included in a lipid profile?

Glucose

Which of the following urine tests may be positive when a patient has undiagnosed diabetes mellitus?

Glucose

What is the name of the hormone present only in the urine and blood of a pregnant women?

Human Chorionic gonadotropin

What term is used to describe an abnormally low level of glucose in the blood?

Hypo glycemia

While attempting to make an ethical decision, Stacy has determined that she does not wish to cause problems and she wants to avoid a hassle. However, she feels that patient treatment may be compromised. What has Stacy done?

Identified conflicting values, rights, duties, and desires

The purpose of the Clinical Laboratory Improvement Amendment (CLIA) is to

Improve the quality of laboratory testing in the United States

How should urine reagent strips be stored?

In a cool area, In a dark container, In a dry area, With the cap tightly sealed ALL OF THE ABOVE

Casts are formed

In the lumen of the nephron tubules

Which of the following does NOT fall into the category of advanced directives?

Informed Consent form

Which of the following is NOT found in a laboratory directory?

Instructions for testing specimens

Which of the following is included in a product insert of a testing kit?

Intended use, principles of the procedure, storage and stability, Interpretation and reading results ALL OF THE ABOVE

What is the name for a control that is built into the test system?

Internal control

which of the following is true with regard to DEA drug regulations for the medical office?

Inventory must be completed on a daily basis.

What occurs if a urine specimen is allowed to stand for more than 1 hour at room temperature?

It becomes cloudy

What effect does concentrated urine have on red blood cells?

It causes them to shrink and become crenated.

Why is a first-voided morning specimen preferred for performing a microscopic examination of urine?

It contains more dissolved substances.

When collecting a blood specimen using the vacuum tube method of venipuncture, venous reflux is prevented by

Keeping the patient's arm in a downward position

Which of the following tests is NOT positive when a patient has a urinary tract infection?

Ketone bodies

What is the term for the presence of ketone bodies in the urine?

Ketonuria

Which of the following is NOT a guideline that should be followed when assembling equipment and supplies for a venipuncture?

Label each blood tube with one unique patient identifier

When collecting a venous blood specimen to be transported to an outside laboratory for testing, which of the following should be consulted for information on collecting and handling equipment?

Laboratory directory

Which of the following is NOT included on a laboratory request form?

Laboratory test results

Which of the following occurs when the body is in homeostasis?

Laboratory test results fall within the references range

Which of the following is NOT a correct technique for applying a tourniquet?

Leaving the tourniquet on for more than 3 minutes before drawing the specimen.

The recommended A1c level for an individual with diabetes is

Less than 7 %

To whom would physicians report cases of specific infectious diseases?

Local board of health

The purpose of applying a tourniquet when performing venipuncture is to make the patient's is to

Make the patient's veins more visible and easier to palpate.

Which of the following antecubital veins is considered the best vein to use for a venipuncture?

Median cubical vein

Blood may normally be present in the urine because of

Menstruation

Which of the following is NOT an example of a CLIA-waived test?

Microscopic analysis of urine sediment

Which of the following is NOT a restriction that must be followed by the patient during an oral followed by the patient during an oral glucose tolerance test?

No water consumption

What term is used to describe a microorganism that does NOT produce disease?

Nonpathogen

Which aspect of our communication is most likely to convey our true feelings and beliefs?

Nonverbal communication

How should a physician terminate a relationship with a patient in order to avoid a possible lawsuit for abandonment?

Notify the patient in writing

Which federal agency is responsible for physical protection of employees in the workplace?

OSHA

Which of the following is a violation of the laboratory safety precautions?

Opening a centrifuge before it comes to a complete stop

In determining whether or not a cardiologist provided his patient with reasonable care, with whom would a physician be compared?

Other cardiologists in his community or similar communities.

What is an internal factor that can interfere with communication?

Pain

What term is used to describe a microorganism that produces disease?

Pathogen

Which 1990 law recognizes the rights of adults to refuse treatment for disease?

Patient Self- Determination Act

Which of the following is an example of using a laboratory test to assist in the differential diagnosis of a patient's condition?

Performing a strep test to determine if a patient has strep throat of pharyngitis

An individual who collects blood specimens is known as a

Phlebotomist

Which of the following is NOT an example of a microorganism?

Pinworms

On standing, a blood specimen to which an anticoagulant has been added separates into

Plasma, buffy coat, blood cells

Malpractice insurance is also known as

Professional liability insurance

The purpose of the patient preparation for a laboratory test is to

Provide a specimen that yields accurate test results

What is the term for a test result that indicates whether a substance is present in the specimen being tested and provides an approximate indication of the amount of the substance present?

Qualitative test result

Which of the following is NOT a handling and storage requirement for blood glucose reagent test strips?

Remove the desiccant after opening a new test strip container

What type of results are produced by a high-level control?

Results that fall above the reference range for the test.

Which of the following is NOT a method for performing venipuncture?

Retractable lancet method

What U.S. Supreme Court decision in 1993 established the right of a woman to obtain an abortion in any state?

Roe vs. Wade

What temperature is usually required for storing testing materials and performing laboratory tests?

Room Temp.

Which of the following is NOT regulated by the Health Insurance Portability and Accountability Act of 1996 (HIPAA)?

Rules for reporting suspicious deaths or injuries

Which of the following test results indicates a concentrated urine specimen?

Specific gravity: 1.025

A small sample taken from the body to represent the nature of the whole is known as a

Specimen

The term that refers to "the level of appropriate care legally required of any other practitioner with the same education and training providing the same care in the same geographic region" is

Standard of care

Which of the following does NOT represent how medical assistants function as patient advocates?

Suggesting possible diagnoses to the physicians

Which of the following is the best description of informed consent?

The patient is told by the physician about any risks, hazards, or possible complications associated with the treatment in terms that the patient fully understands before submitting to treatment

What does the doctrine of respondeat superior mean?

The physician is liable for the negligent actions of his or her employees.

Which of the following represents an error in technique when performing a urine pregnancy test?

The specific gravity of the specimen is 1.003

The optimal growth temperature is

The temperature at which a microorganism grows best

Which of the following is NOT an advantage of the laboratory component of an EMR program?

The type of tests required by the patient can be determined by the program.

What does it mean if a urine specimen is light yellow?

The urine specimen does not contain many dissolved substances

What is the purpose of performing a routine test?

To assist in early detection of disease

Which of the following is NOT a reason for indicating the clinical diagnosis on the laboratory request form?

To inform laboratory personnel of the source of the specimen

Why is it important to handle and store a specimen properly?

To maintain the in vivo qualities of the specimen

Which of the following is NOT a function of an oral glucose tolerance test?

To monitor insulin dosage

What is the purpose of the patient accession number found on the laboratory report?

To provide identification of each specimen in the laboratory?

What is the purpose of the laboratory report?

To relay the results of laboratory tests to the physician

Which of the following represents an error in technique when testing a urine specimen with a reagent strip?

Touching the reagent areas with the fingers

For which of the following reasons may a urinalysis NOT be performed?

Treat the patients condition

Informed consent is consent based on

Understanding of a medical procedure and its possible outcomes

Which of the following substances is normally present in the urine?

Urea

Which of the following normally contains microorganisms?

Urinary meatus

Which of the following tests requires a clean-catch midstream specimen?

Urine culture

A patient who is fasting (in preparation for a laboratory test) is allowed to consume

Water

During which of the following situations need control testing NOT be performed on a glucose meter?

When a new battery is inserted into the meter

Which of the following is usually found in the urine sediment of a patient with candidiasis?

Yeast

The presence of bile pigments in the urine specimen causes the specimen to be

Yellow-brown

Which of the following is an example of a unique identifier?

patient's name and date of birth

Which of the following are characteristics of the brachial artery?

pulsates when palpated, more elasic and thicker than a vein, bright red blood, more painful ALL OF THE ABOVE

Why should the vein s of the hands be used as a venipuncture site only as a last resort?

roll, difficult, uncomfotable, collapse ALL OF THE ABOVE

The primary use of the cholesterol test is to

screen for coronary artery disease

What position should be used for a venipuncture if a patient appears nervous or has fainted in the past?

semi-fowler

What is the given to a person who cannot fight off a pathogen that has entered his or her body?

susceptible host

Which of the following represents an error in technique when selecting a vein for venipuncture?

using thumb to palpate the vein