CCMA(NHABoard Certification Practice Exam 2022/2023

Multiple Choice Identify the choice that best completes the statement or answers the question. B 1. The term phlebotomy comes from Greek words that mean . a. draw blood c. drain blood b. cut a vein d. dermal cut D 2. Most sterilization indicators operate on what principle? a. color change will revert back when an item contaminated b. original color reappears after 6 weeks c. color change indicates the package has been properly sealed d. color change indicates sterilization is complete 3. Hemolysis occurs due to . a. allowing alcohol to air dry prior to puncture b. forcing syringe-drawn specimens into evacuated tubes c. gently massaging a dermal puncture site d. mixing the collection tube too slowly 4. In a normal microscopic urine result there can be a. nothing to report b. so many cells they cannot be counted c. only many RBCs d. a few epithelial cells, occasional WBCs, rare RBC 5. The main duty of a phlebotomist is to . a. interpret laboratory values c. process blood specimens b. evaluate blood specimens d. collect blood specimens 6. Which of the following procedures are covered by standard precautions? a. change gloves between patients b. dispose of needles in sharps container c. never recap needles d. perform hand hygiene every third time you change gloves 7. Symptoms of dehydration in infants a. are unimportant c. include being energetic and alert b. include dry skin d. include increased urine output 8. What chart is used to measure near vision acuity? a. snellen c. jaeger b. pelli-robson d. ishihara 9. Which of the following is NOT part of informed consent? a. explanation of advantages and risks to the treatment b. what might occur if there is no treatment c. results are guaranteed d. alternatives available to the patient 10. The federal regulations for clinical laboratories specifying guidelines for quality control, qualified personnel and quality assurance is a. OSHA c. CDA b. DEA d. CLIA 1988 11. The slowly degenerative brain disease that leads to tremor, muscle rigidity, difficulty moving and instability is a. parkinson’s disease c. stroke b. alzheimer’s disease d. glaucoma 12. Which of the following procedures would help diagnose an infection with a blood parasite? a. blood cultures c. bleeding time b. blood smear d. cold agglutinins 13. Bacteria require which of the following to grow? a. disinfectants c. light b. cool temperature d. moisture 14. An illuminated instrument used to examine the ear is an . a. ophthalmoscope c. otoscope b. anoscope d. cystoscope 15. A physician’s license may be revoked or suspended for the following reasons . a. conviction of a crime c. unprofessional conduct b. fraud d. all of the above 16. The documentation of all clinical laboratory tests and results is important so a. the physician can use the results b. any interested party in the facility can see the results c. results are available for billing purposes d. lab director can monitor the amount of work load 17. The presence of which of the following in urine may signal the onset of diabetes mellitus? a. leukocytes c. ketones b. glucose d. nitrates 18. The rule to calculate a woman’s due date for delivery is . a. the rule of nine c. naegle’s rule b. snellen chart d. clark’s rule 19. The causative agent for syphilis is . a. treponema pallidum c. staphylococcus aureus b. streptococcus pyogenes d. trichomonas vaginalis 20. During normal heart activity, is the primary pacemaker. a. bundle of his c. AV node b. SA node d. AV junction 21. A plastic red-topped tube contains . a. an anticoagulant c. a clot activator b. an antiglycolytic agent d. no additives 22. Which of the following is the usual site for capillary puncture in infants? a. fingertip c. heel b. earlobe d. toe 23. Which of the following is a reason to have an ECG? a. detects myocardial ischemia c. evaluates arrhythmia b. estimates damage from MI d. all of the above 24. To determine the kidney ability to dilute and concentrate urine, one should measure a. glucose c. specific gravity b. ketones d. glucose 25. Civil law is concerned with . a. contract law c. administrative law b. tort law d. all of the above 26. The angle used to take a blood smear is . a. 10 degrees c. 30 degrees b. 20 degrees d. 45 degrees 27. How long is it necessary to wash hands prior to assisting a new patient? a. 1 minute c. 45 minutes b. 6 minutes d. 2-3 minutes 28. Impaired color vision a. is a factor of age c. is common in females b. is hereditary d. is correctable 29. Which of these is NOT an intentional tort? a. fraud c. assault b. battery d. shoplifting 30. The system of scientific measurement used in medical facilities is a. the english system c. the metric system b. the apothecary system d. the household system 31. The most important step in performing a venipuncture is . a. removing the tourniquet before taking the needle out b. drawing the correct amount of blood c. inserting the needle in the vein properly d. identifying the patient 32. Personal protective equipment (PPE) includes all of the following EXCEPT . a. eyewash c. gloves b. face shields d. gown 33. The type of wound has edges that are torn in an irregular shape and can cause profuse bleeding and scarring is a. puncture c. incision b. laceration d. contusion 34. The most common symptom of cardiac dysrhythmias is/are . a. low blood pressure c. shortness of breath b. lightheadedness d. palpitations 35. Gloves are required while . a. transporting specimen to the lab c. performing a capillary puncture b. performing a venipuncture d. all of the above 36. Testing for occult blood is performed on what type of specimen? a. feces c. serum b. blood d. CSF 37. A postprandial specimen collection should occur . a. after a blood transfusion c. early in the morning b. before the next dose of medication d. at a specific time after eating 38. What is the effect of warming the site prior to dermal puncture? a. it may cause hemolysis on the specimen b. it increases blood flow to the area c. it makes the puncture less painful d. it causes hemoconcentration 39. Who decides the equipment and supplies to have stocked on a crash cart? a. medical office manager c. clinical supervisor b. certified medical assistant d. Physician 40. The term asepsis means a. contaminated c. free of pathogens b. needs oxygen d. needs sanitizing 41. Which of the following is NOT a plasma protein? a. albumin c. urea b. prothrombin d. fibrinogen 42. Distinguishing between two similar diseases by comparing their symptoms is called . a. physical diagnosis c. laboratory diagnosis b. differential diagnosis d. clinical diagnosis 43. Levels of laboratory testing complexity were established by . a. CAP c. CLSI b. CLIA d. COLA 44. If a physician does not follow the proper steps to end the physician-patient contract, he/she may be charged with . a. professional liability c. termination of contract b. patient abandonment d. assumption of risk 45. After a gram stain, what color do gram-negative organisms stain? a. blue c. violet b. black d. pink 46. Which of the following is an important part of the patient education when preparing a patient to wear a Holter monitor? a. wear it even in the shower for an accurate reading b. remove the recorder from its case c. keep a diary of the times of all symptomatic activities and emotions d. depress the event marker every hour on the half hour 47. The term parturition refers to . a. the duration of pregnancy c. discharge after delivery b. stages of the menstrual cycle d. birth 48. PR segments are commonly described as . a. flat