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(NHA) Medical Assisting Certification Study Guide

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©BRAINBARTER 2024/2025 (NHA) Medical Assisting Certification Study Guide CC - answerChief Complaint Segment - answerLine between two waveforms P Wave - answerArterial Depolarization How many 1mm boxes are in a 6 second rhythm strip? - answer30 one millimeter boxes The SA node represents whi...

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  • October 1, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
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©BRAINBARTER 2024/2025




(NHA) Medical Assisting Certification Study
Guide


CC - answer✔Chief Complaint

Segment - answer✔Line between two waveforms

P Wave - answer✔Arterial Depolarization

How many 1mm boxes are in a 6 second rhythm strip? - answer✔30 one millimeter boxes

The SA node represents which waveform on the EKG? - answer✔Only the P wave

What is the reading you can get from the RR interval? - answer✔Ventricular Pulse

What is the primary stage of Hemolysis? - answer✔Vascular phase and platelet phase together

What is Electrophoresis? - answer✔Analyzation of the chemical components of blood, e.g.
hemoglobin, serum, urine, cerebrospinal fluid based on electrical charge.

Positive testing for occult blood in a stool sample turns which color? - answer✔Turns blue on a
positive test for occult blood in feces

The stages of Hemostasis - answer✔1. Vascular, 2. Platelet Phase, 3. Coagulation Phase,
4. Fibronolysis

Blood vessels - answer✔Aorta, Arteries, Arterioles, Capillaries, Venues, Veins, Superior and
Inferior Vena Cavae

Outer connective tissue layer of a blood vessel - answer✔Tunica Adventitia

Inner endothelial tissue of a blood vessel - answer✔Tunica Intima

The inner smooth layer of a blood vessel - answer✔Tunica tunica media

The standards of right and wrong in a medical setting - answer✔Code of Ethics

What do you find in capillaries? - answer✔A mixture of venous and arterial blood is found

, ©BRAINBARTER 2024/2025


The average adult has how many liters of blood? - answer✔5-6 Liters

What is the percentage of water in the blood? - answer✔92%

Percentage of plasma in the blood? - answer✔55%

Percentage of formed elements in the blood? - answer✔45%

99% of formed elements in the blood - answer✔RBC,s or Erythrocytes

Where do you find hemoglobin? - answer✔RBC,s

Where do all blood cells originate? - answer✔Bone marrow

How many RBC,s per microliter of blood - answer✔4.2-6.2 million

What is the second most numerous WBC - answer✔Lymphocyte with 20-40%

Their numbers increase in intracellular infections and TB - answer✔Monocytes
Their numbers increase in bacterial infections and are often first on the scene -
answer✔Neutrophils
These WBC,s play an important role in viral infection as well as in immunity -
answer✔Lymphocytes

Number of leukocytes for average adult per microliter - answer✔5000-10000

Leukopenia - answer✔Decrease in WBC,s seen with viral infection and leukemia

Comprises 3-8% of WBC or leukocytes - answer✔Monocytes

Largest in size of the leukocytes - answer✔Monocytes

Carries histamine - answer✔Basophil

Injury to a blood vessel that causes it to constrict, slowing the clod of blood. - answer✔Vascular
phase of Hemostasis

Preferred site for a venipuncture - answer✔Antecubital Fossa

Test used to evaluate the intrinsic pathway and monitor heparin therapy - answer✔APTT also
know as PTT
Test used to evaluate the extrinsic pathway and also used to monitor warfarin therapy -
answer✔PT

Fibrinolysis - answer✔Breakdown and removal of a clot

, ©BRAINBARTER 2024/2025


Converts the temporary platelet plug in a stable fibrin clot - answer✔Coagulation Phase
2nd choice vein for venipuncture and most often the only one palatable in an obese Pt. -
answer✔Cephalic vein

Antiseptics used in Phlebotomy - answer✔70% isopropyl alcohol pads most common, provolone
- iodine for BC,s and Chlorhexidine gluconate for patients that are allergic to Betadine/ Iodine

Length of needle commonly used in venipuncture - answer✔1 inch (up to 1.5")

Average gauge of needle used for drawing blood - answer✔21-22

Gauge of needle that can cause hemolysis - answer✔smaller than 23 gauge

3 skills of the phlebotomist - answer✔Social, clerical, technical

Analytical errors during collection of blood - answer✔Extended tourniquet time, hemolysis,
wrong order of draw, failure to invert tubes, faulty technique under filling tubes

Analytical errors before collection of blood - answer✔Patient misidentification, improper time,
wrong tubes, not fasting, exercise (Cortisol levels), Pt. Posture, Poor coordination with other
treatments, improper site prep, medication interference

Analytical errors After collection of blood - answer✔Failure to separate serum from cell
(Glycolisis), improper use of serum separator (Not inverting tubes or not spinning tubes), delays
in processing, exposure to light, improper storage conditions, dimming clots

Fistula - answer✔Permanent surgical connection between an artery and a vein, never used for
venipuncture

Edima - answer✔Accumulation of fluid in tissue

Thrombophlebitis - answer✔Inflammation of a blood clot formation

Explanation of Hemoconcentration - answer✔The increase in proportion of formed elements to
plasma caused by leaving on the tourniquet for more than two minutes

Consequence of insufficient pressure applied after withdrawal of a needle - answer✔Thrombus

Additives in a green top tube - answer✔Heparin, sodium, lithium, ammonium

Why is the green top tube never used for hematology? - answer✔Green tops additive heparin
interferes with the Wright's stained blood test

Common tests for the lavender EDTA tube - answer✔CBC, differential or diff, ESR, sickle cell
screening

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