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AMCA Review for CMAC | 100% Correct Answers | Verified | Latest 2024 Version what is the basic unit of measurement for weight in the apothecary system? - ✔✔grain how many mls. are in a teaspoon? - ✔✔5 mls, 5 cc how many teaspoons in a tablespoon? - ✔✔3 how many pounds in a kg? - ✔✔2.2 there are how many tablespoons in a cup? - ✔✔16 What is the most common route of administration of nitroglycerin? - ✔✔sublingual Coumadin is known as what type of medication? - ✔✔anticoagulant true or false-before administering any medication you should first check for any allergies? - ✔✔true buccal - ✔✔inside cheek Gr - ✔✔grain Mg - ✔✔milligram ml - ✔✔milliliter NPO/PO - ✔✔nothing by mouth/by mouth NSAID - ✔✔Nonsteroidal anti-inflammatory drug PRN - ✔✔as needed Post- - ✔✔after Sig - ✔✔write on label hs - ✔✔hour of sleep/bedtime twice daily/three times a day - ✔✔BID/TID Precef - ✔✔antibiotic Xylocaine/Lidocaine, Novocaine are what type of medication? - ✔✔anesthetic Aspirin (ASA) or Tylenol (acetaminophen) are what types of medication - ✔✔analgesic or antipyretic what is a persons co-insurance based on? - ✔✔% of charge What is a living will? - ✔✔A legal document detailing a persons wishes what does the DEA regulate? - ✔✔controlled substances act what does PHI stand for? - ✔✔protected health information true or false: Under HIPAA patients have the right to obtain their original medical records? - ✔✔false- they may obtain a copy negligence is defined as- - ✔✔failure to give reasonable care On the average the heart pumps how many liters of blood in a 24 hour period? - ✔✔between 7000-9000 liters (5-7 liters in a minute x 1440 minutes = 7000-9000 in 24 hours) A normal QRS on an ECG tracing will look ______________. - ✔✔upright and narrow Contractility is the heart muscle ability to ______________. - ✔✔self-contract in response to stimuli which portion of the nervous system can influence the strength and speed of the heart rate? - ✔✔autonomic nervous system what is the first most relaible sign of MI on an ECG tracing ? - ✔✔ST segment elevation What is cardiac output? - ✔✔the amount of blood that is pumped out of the heart in 1 minute What is the first impulse recorded on a normal EKG? - ✔✔P Wave which dysrhythmia that originates in the SA node is under 60 beats per minute? - ✔✔sinus bradycardia which valve is located between the right atrium and right ventricle? - ✔✔tricuspid valve A murmur is an abnormal sound heard that indicates a ______________ or ____________. - ✔✔defect of the heart valves/heart disease what is the primary pacemaker of the heart? - ✔✔SA node which limb is considered ground? - ✔✔right leg If present the Q wave will always be ___________________. - ✔✔negative Myocardial infarction is the medical term for a/an _______________? - ✔✔heart attack a waveform on an EKG tracing is defined as: - ✔✔any movement away from the baseline The patients heart rate is considered to be in normal range, would this be a reason to stop the test? - ✔✔no the mitral valve is also known as - ✔✔the bicuspid valve when attaching leads to a patient for holter monitoring, what is the minimum number of electrodes used? - ✔✔5 True or false-Tachycardia damages the brain. - ✔✔false-heart muscle Th limb lead I measures the electrical current from where to where? - ✔✔right arm to left arm What are palpitations? - ✔✔being able to feel your heart racing/pounding what is the pericardium? - ✔✔protective sac that encloses the heart True or false-Sinus dysrhythmia is considered an irregular rhythm. - ✔✔true what layer of the heart is responsible for contraction and relaxation? - ✔✔myocardium a blood pressure below 90/60 would be considered - ✔✔hypotension what is mitrial stenosis? - ✔✔narrowing of the mitral valve Which vessels supply the heart muscle with oxygenated blood? - ✔✔coronary arteries Deoxygenated blood enters the heart via the ___________ and ____________ ___________. - ✔✔superior and inferior vena cava (pulmonary arteries) What device is worn for 24-48 hours to continuously record cardiac rhythm? - ✔✔a holter monitor insulin syringes are calibrated in - ✔✔units what is pyrexia? - ✔✔having a fever over 99.5 standard precautions are used when there is a possibility of coming in contact with any bodily fluid except? - ✔✔sweat what are the 4 symptoms of inflamation? - ✔✔erythema, edema, pain and heat If a patient has been diagnosed with TB, what PPE is required? - ✔✔an N95 or HEPA mask What is the method of examination that listens to the sound made when the body is being tapped or struck? - ✔✔Percussion Which artery is used to measure blood pressure? - ✔✔brachial The dorsal recumbent position is most commonly used for _________ ________. - ✔✔pelvic exams proper hand antisepsis requires the use of - ✔✔antimicrobial soap What environmental precautions are required to adhere to airborne precautions? - ✔✔special air handling and ventilation contact precautions only apply to direct patient care - ✔✔false where would a tympanic temperature be taken - ✔✔ear w/o an anticoagulant the blood will take________ mins to clot? - ✔✔30-60 which tube has no additive? - ✔✔red top How does thixotropic gel work? - ✔✔It is less dense than RBCs but more dense than serum. Which term refers to "toward the head" - ✔✔superior What is hemolysis? - ✔✔ruptured RBC's A 24 hour urine specimen would be an example of what kind of testing? - ✔✔timed specimen What is the average amount of urine output in 24 hours for adults? - ✔✔2 liters Microbiology is the study of _______________? - ✔✔microorganisms (bacteria, fungi, virus, yeasts, parasites) The patients blood sample is lipemic, this could indicate that the patient is - ✔✔not fasting What is the most critical mistake a phlebotomist could make? - ✔✔failing to properly identify the patient Blood cultures would go to which section of the lab? - ✔✔microbiology How many times do you invert a tube with an anticoagulant - ✔✔8 times When would you use a multi sample needle? - ✔✔when multiple samples are needed What are the approved boundaries for an infant heel puncture? - ✔✔medial line great toe to heel, lateral line between 4-5 digit to heel what is the best sample for blood PH and gases? - ✔✔arterial blood The tourniquet is place_____inches above the draw site - ✔✔3-4 How do you determine the size of a needle? - ✔✔the higher the gauge, the smaller the needle What color tube do you use for glucose testing? - ✔✔gray Used to chill a specimen when transporting, ice slurry is - ✔✔icy water What are the 3 types of blood cells? - ✔✔erythrocytes, leukocytes, thrombocytes What is the most common analytical error that occurs during blood draw? - ✔✔wrong order of draw What is the correct order for ending phlebotomy procedure? - ✔✔TTNP What is the purpose of EDTA in a lavender tube? - ✔✔to prevent platelets from clumping together and maintain the appearance of the cells for microscopic examination Which tubes yield a serum sample? - ✔✔red and sst how many tubes are collected for a 3 hour GTT? - ✔✔4 During venipuncture, when should you release the tourniquet? - ✔✔once good flow has been established What is the pregnancy hormone? - ✔✔HCG True or false-A latent infection will often lead to relapse and remission. - ✔✔true WHat is the most common lab aquired nosocomial infection? - ✔✔HBV serum separator tube/red/grey/sst/tiger top - ✔✔all the same-red category PKU (phenylketonuria) is a test done on, - ✔✔blood, from a heelstick on a newborn A person suffering from seasonal allergies is most likely to have elevated ___________ in their labwork. - ✔✔eosinophils Ttaking aspirin (asa) will most likely interfere with what test? - ✔✔bleeding time (BTT) What vein is used the most in obese patients? - ✔✔cephalic what could happen if you excessively massage or "milk" a finger prior to dermal puncture? - ✔✔hemolysis or hemodilution How does a lab tech determine which STAT test would always come first? - ✔✔ER always first Would insurance info be included on a lab requisition? - ✔✔no what leads in er are continuosly monitored using MCL1 - ✔✔lead II What is the minimum number of electrodes needed in a holter monitor? - ✔✔5 If your patient collapses during a stress test what should you do? - ✔✔check pulse and respirations CBC and PT on patient requires how many tubes? - ✔✔3 Name the color of tubes in the correct order of draw for: Pt, Stat lytes and Blood Cultures - ✔✔yellow, light blue and green (PST)