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CSMLS MLA Certification Exam: Practice Test 3

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About the CSMLS MLA exam

The CSMLS MLA Certification Exam is an examination for laboratory assistants in Canada. The exam is set by the CSMLS (Canadian Society for Medical Laboratory Science).

About these practice questions

These practice questions will help prepare you for the CSMLS MLA exam.

This page contains 175 practice questions divided into the eight sections of the exam: 1. Safe Work Practices, 2. Data and Specimen Collection and Handling, 3. Pre-analytical Procedures, 4. Reagent Preparation, 5. Communication and Interaction, 6. Quality Management, 7. Professional Practice, and 8. Critical Thinking.

All questions have been carefully designed to mimic the questions on the real exam, to help you prepare and get a passing grade.

Check out all the practice tests in this series: Practice Test 1, Practice Test 2, Practice Test 3, Practice Test 4, and Practice Test 5.

Sections

  1. Safe Work Practices
  2. Data and Specimen Collection and Handling
  3. Pre-analytical Procedures
  4. Reagent Preparation
  5. Communication and Interaction
  6. Quality Management
  7. Professional Practice
  8. Critical Thinking

Section 1: Safe Work Practices

1.1) In which of these situations should a lab technician remove their gloves?
  1. Before carrying specimens through a designated clean area
  2. Before loading the autoclave
  3. Before using a restroom
  4. For cleaning a chemical spill
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1.2) Which of these is a good laboratory safety rule?
  1. Leave the instrument on when performing repairs
  2. Use one hand to carry testing samples, not two
  3. Wait until the end of the shift to clean up any spills
  4. Wear safety goggles when working with strong chemicals
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1.3) Insidious hazards are hazards that:
  1. are easily overlooked
  2. happen quickly
  3. involve chemicals
  4. involve fumes
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1.4) Which of these liquids is flammable?
  1. Bleach
  2. Ethanol
  3. Nitric acid
  4. Saline
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1.5) Which rating of fire extinguisher is used in chemical fires?
  1. A
  2. B
  3. C
  4. D
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1.6) A fire extinguisher has the following symbol: This fire extinguisher:
  1. can be used on fires involving flammable liquids or gases
  2. requires annual top-ups of type B fuel
  3. should be stored in a separate room from flammable chemicals
  4. uses kerosene to extinguish fires
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1.7) Refer to the image below: Another name for this type of fire extinguisher is a _________ fire extinguisher.
  1. ABC
  2. AFFF foam
  3. carbon dioxide
  4. class F
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1.8) What are the three components of the fire triangle?
  1. Oxygen, heat, and fuel
  2. Oxygen, ignition, and fuel
  3. Rescue, Alarm, Escape
  4. Rescue, Alarm, Extinguish
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1.9) Dry ice is dangerous because it burns, suffocates and:
  1. can cause a viral Infection
  2. can cause cancer
  3. can explode
  4. catches fire when exposed to air
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1.10) Which of these is an example of personal protective equipment (PPE)?
  1. A fire extinguisher
  2. A first aid kit
  3. A hand-washing station
  4. Gloves
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1.11) Nitrile gloves:
  1. are a good substitute for latex gloves
  2. are cheaper than latex gloves
  3. are less resistant to punctures than latex gloves
  4. are unsuitable for routine laboratory work
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1.12) Universal precautions are guidelines for handling:
  1. carcinogens
  2. chemicals
  3. flammable liquids
  4. patient bodily fluids
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1.13) What is post-exposure prophylaxis?
  1. An auto-immune disease
  2. The inability to breathe after exposure to an allergen
  3. The protocol for cleaning a laboratory after the release of a dangerous pathogen
  4. Treatment after exposure to a pathogen to prevent infection from occurring
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1.14) What does this pictogram mean?
  1. Flammable
  2. Oxidizing
  3. Self-heating
  4. Self-reactive
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1.15) The destruction of all microorganisms, including spores, is called:
  1. disinfection
  2. eradication
  3. sanitation
  4. sterilization
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1.16) A disinfectant may become ineffective if:
  1. it is kept in a dark place
  2. it is left at room temperature
  3. it is not diluted properly
  4. the container is kept tightly sealed during storage
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1.17) Which method of sterilization uses steam under pressure?
  1. Dry heat autoclaving
  2. Filtration
  3. Microwaving
  4. Moist heat autoclaving
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1.18) Ethanol can NOT kill:
  1. Pseudomonas aeruginosa
  2. Salmonella typhosa
  3. fungi
  4. spores
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1.19) You have been tasked with decontaminating the centrifuge. The lab manual says to use a 10% bleach solution to decontaminate the centrifuge. However, no bleach is available. What would be the most suitable alternative?
  1. 70% ethanol
  2. Antibacterial soap and water
  3. Povidone-iodine
  4. Sodium bicarbonate
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1.20) Class 1 hazardous materials are:
  1. explosive
  2. infectious
  3. poisonous
  4. radioactive
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1.21) What worldwide system gives recommendations on how to label hazardous chemicals?
  1. GHS
  2. HCS
  3. HPR
  4. HazCom
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Section 2: Data and Specimen Collection and Handling

2.1) When should a "stat" glucose test be performed?
  1. 2 hours after the last meal
  2. Immediately
  3. Within 1 hour
  4. Within 4 hours
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2.2) When drawing a patient's blood, which of these steps should come first?
  1. Apply the tourniquet
  2. Clean the site
  3. Identify the patient
  4. Insert the needle
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2.3) A patient has an arteriovenous (AV) fistula in his left arm and an IV in his right arm. From where should you draw a blood sample?
  1. Above the AV fistula
  2. Above the IV
  3. Below the AV fistula
  4. Below the IV
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2.4) Why must a phlebotomist clean the patient's skin before performing a venipuncture?
  1. To allow blood flow to the area
  2. To cause the veins to be more prominent
  3. To decrease circulation in the arteries
  4. To remove microorganisms from the puncture site
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2.5) For venipuncture, the tourniquet should be applied ________________ the needle insertion point.
  1. 1-2 inches above
  2. 1-2 inches below
  3. 3-4 inches above
  4. 3-4 inches below
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2.6) What can happen if a phlebotomist uses an angle of 35 degrees when performing venipuncture?
  1. Nothing will happen as this is the correct angle
  2. The needle may go completely through the vein
  3. The needle may miss the vein completely
  4. The needle will enter above the vein
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2.7) Which of these statements about venipuncture is true?
  1. After collecting the blood, remove the needle first, then the tourniquet
  2. Do not leave the tourniquet on for more than 1 minute
  3. Enter the vein at a 50-degree angle
  4. The bevel of the needle should be pointing down when the needle enters the vein
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2.8) Repeated phlebotomy procedures in the same area can cause:
  1. petechiae
  2. scarring
  3. thrombosis
  4. varicose veins
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2.9) A physician requests a vitamin A test and a complete blood count. Which vacutainer tubes should the phlebotomist use to collect the blood samples for these tests?
  1. Gold and lavender
  2. Grey and gold
  3. Grey and lavender
  4. Grey and light blue
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2.10) A phlebotomist has to collect a purple top tube, green top tube, and light blue top tube from the same patient. In which order should the phlebotomist fill the tubes?
  1. Green, light blue, purple
  2. Green, purple, light blue
  3. Light blue, green, purple
  4. Purple, green, light blue
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2.11) What anticoagulant is in a green top vacutainer?
  1. Citrate
  2. EDTA
  3. Fluoride
  4. Heparin
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2.12) A phlebotomist needs to collect blood samples from a patient for a blood glucose test and a hemoglobin test. What colour tubes should the phlebotomist use?
  1. Grey and green
  2. Grey and lavender
  3. Grey and red
  4. Red and green
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2.13) Which anticoagulant tube is needed to collect a sample for an HbA1c test?
  1. EDTA
  2. Heparin
  3. Sodium citrate
  4. Sodium fluoride
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2.14) What colour tube is used for stat chemistry tests?
  1. Green
  2. Light blue
  3. Red
  4. Yellow
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2.15) For which tube is the blood-to-additive ratio most critical?
  1. Green top
  2. Lavender top
  3. Light blue top
  4. Red top
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2.16) Which of these tubes contains an anticoagulant that works by binding calcium?
  1. Green top
  2. Light blue top
  3. PST
  4. Red top
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2.17) Serum specimens are collected in which vacutainer tube?
  1. Green
  2. Light blue
  3. PST
  4. SST
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2.18) A phlebotomist has to draw a patient's blood into a blood culture bottle and four tubes: red, green, light blue, and purple. Which should the phlebotomist fill first?
  1. Blood culture bottle
  2. Light blue top tube
  3. Purple top tube
  4. Red top tube
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2.19) Blood for a white blood cell count would generally be collected in which colour vacutainer?
  1. Black
  2. Blue
  3. Grey
  4. Lavender
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2.20) Which of these tubes contains EDTA?
  1. Gray
  2. Lavender
  3. Light blue
  4. Light green
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2.21) EDTA prevents blood clots by binding:
  1. calcium
  2. chloride
  3. plasma
  4. red blood cells
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2.22) Which of these additives provides a physical barrier to prevent glycolysis?
  1. EDTA
  2. Silica
  3. Sodium fluoride
  4. Thixotropic gel
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2.23) Which vacutainer tube has a light yellow top?
  1. PST
  2. SPS
  3. SST
  4. Sodium heparin
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2.24) Venipuncture needles are colour-coded according to their:
  1. expiration date
  2. gauge
  3. length
  4. manufacturer
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2.25) Which of these is needed to collect blood by syringe?
  1. Multisample needle
  2. Transfer device
  3. Tube holder
  4. Winged infusion set
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2.26) Which of these needles has the largest diameter?
  1. 18-gauge
  2. 19-gauge
  3. 20-gauge
  4. 21-gauge
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2.27) When should you label a blood collection tube?
  1. As soon as you receive the test order
  2. Just before the patient arrives
  3. Before you collect the specimen
  4. After you collect the specimen
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2.28) Which term means a location towards the front of the body?
  1. Anterior
  2. Distal
  3. Lateral
  4. Posterior
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2.29) Which term means away from the origin?
  1. Anterior
  2. Distal
  3. Lateral
  4. Posterior
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2.30) Which plane separates the body into left and right?
  1. Medial
  2. Oblique
  3. Sagittal
  4. Transverse
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2.31) What does the prefix olig/o- mean?
  1. Before
  2. Few
  3. Many
  4. Under
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2.32) What does the F stand for in FBS test?
  1. Fasting
  2. Fatal
  3. Final
  4. First
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2.33) What is edema?
  1. A bruise on the head
  2. A collection of blood outside blood vessels
  3. Swelling caused by fluid retention
  4. The final product of the blood coagulation step in hemostasis
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2.34) Hyperkalemia means high levels of which chemical element?
  1. Calcium
  2. Mercury
  3. Potassium
  4. Sodium
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2.35) What is the major cation found in extracellular fluid?
  1. Magnesium
  2. Potassium
  3. Sodium
  4. Zinc
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2.36) From smallest to largest, the levels of organization of the body are:
  1. chemical, microscopic, cellular, tissue, organ, system, organism
  2. chemical, organelle, cellular, tissue, organ, system, organism
  3. organism, chemical, tissue, cellular, organ, system, organelle
  4. organism, system, organ, tissue, cellular, organelle, chemical
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2.37) Which of these is a primary lymphoid organ?
  1. Bone marrow
  2. Lymph node
  3. Peyer's patch
  4. Spleen
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2.38) Which gland secretes cortisol?
  1. Adrenal cortex
  2. Adrenal medulla
  3. Pituitary gland
  4. Testes
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2.39) Which element is the basis of organic chemistry?
  1. Carbon
  2. Hydrogen
  3. Nitrogen
  4. Oxygen
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2.40) Factor I is also known as:
  1. fibrinogen
  2. proaccelerin
  3. prothrombin
  4. tissue thromboplastin
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2.41) Multiple sclerosis occurs when:
  1. axons do not reach the threshold level
  2. dendrites cannot receive impulses
  3. myelin sheaths are destroyed
  4. the cellular sheaths are destroyed
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2.42) What autoimmune disorder results in hypothyroidism?
  1. Celiac disease
  2. Hashimoto's disease
  3. Multiple sclerosis
  4. Myasthenia gravis
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2.43) Jaundice is caused by a buildup of ___________ in the blood.
  1. bilirubin
  2. hemoglobin
  3. potassium
  4. uric acid
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2.44) How long does it take for blood to circulate the body?
  1. 1 minute
  2. 1 hour
  3. 1 day
  4. 1 week
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2.45) During exercise, blood flow within a muscle is increased by:
  1. homogenization
  2. hyalinization
  3. precipitation
  4. vasodilatation
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2.46) Cortisol levels are generally highest at what time of day?
  1. 8 am
  2. 12 pm
  3. 4 pm
  4. 8 pm
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2.47) The thyroid gland secretes triiodothyronine (T3) and which other hormone?
  1. Corticosteroid
  2. Thymosin
  3. Thyroid-stimulating hormone
  4. Thyroxine
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2.48) What are the end products of protein digestion?
  1. Amino acids
  2. Fatty acids
  3. Monosaccharides
  4. Triglycerides
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2.49) Which monosaccharide is the main end product of carbohydrate digestion?
  1. Glucose
  2. Lactose
  3. Maltose
  4. Sucrose
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2.50) Nerve cells are also called:
  1. axons
  2. glial cells
  3. neuroglial cells
  4. neurons
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2.51) What is the function of the respiratory system?
  1. To make enzymes
  2. To regulate the endocrine system
  3. To regulate the heartbeat
  4. To supply oxygen to tissue
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2.52) What are the smallest blood vessels in the body?
  1. Arteries
  2. Capillaries
  3. Lymph vessels
  4. Veins
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2.53) Which of these is a vein in the arm?
  1. Femoral
  2. Jugular
  3. Median cubital
  4. Radial
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2.54) In DNA, which base pairs with adenine?
  1. Cytosine
  2. Guanine
  3. Thymine
  4. Uracil
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2.55) Which type of anemia is due to excessive red blood cell destruction?
  1. Aplastic anemia
  2. Hemolytic anemia
  3. Iron-deficiency anemia
  4. Pernicious anemia
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2.56) Which of these diseases is a glycogen storage disease?
  1. Gilbert's syndrome
  2. Graves' disease
  3. Legionnaires' disease
  4. Von Gierke disease
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2.57) Which blood cells protect the body from pathogens and foreign cells?
  1. Erythrocytes
  2. Hemoglobin
  3. Leukocytes
  4. Platelets
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2.58) Red blood cells are primarily composed of:
  1. albumin
  2. alpha- and beta- globulins
  3. hemoglobin
  4. mitochondria
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2.59) Neutrophils:
  1. are part of the adaptive immune system
  2. are part of the innate immune system
  3. contain hemoglobin
  4. have no nucleus
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2.60) The liquid that separates out when blood coagulates is:
  1. fibrinogen
  2. lymph
  3. plasma
  4. serum
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2.61) Serum and plasma both contain:
  1. clotting factors
  2. plasma proteins
  3. platelets
  4. red blood cells
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2.62) Plasma is obtained by:
  1. centrifuging a clotted tube
  2. using a red stoppered tube
  3. using a tube containing an anticoagulant
  4. using a tube that does not contain an anticoagulant
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2.63) Which antibody is the most abundant in the body?
  1. IgA
  2. IgD
  3. IgG
  4. IgM
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2.64) In which of these situations is a workplace label NOT required?
  1. A hazardous product is made at the workplace and used in that workplace
  2. A hazardous product is poured into a container and it is used immediately
  3. A hazardous product is transferred into another container
  4. A supplier label becomes lost or illegible
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2.65) Which parasite is passed in the feces as a noninfective rhabditiform larva?
  1. Dipylidium caninum
  2. Hymenolepis nana
  3. Schistosoma mansoni
  4. Strongyloides stercoralis
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2.66) For a test requiring whole blood, the blood sample must be collected in a vacutainer containing a(n):
  1. anticoagulant
  2. antiglycolytic agent
  3. clot activator
  4. serum separating gel
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2.67) Blood specimens for which test are placed in circles on special filter paper?
  1. Bilirubin
  2. Complete blood counts
  3. Malaria
  4. Phenylketonuria
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2.68) What is a deficiency of red blood cells called?
  1. Anemia
  2. Erythremia
  3. Hemophilia
  4. Leukemia
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2.69) Anticoagulant therapy is monitored by performing a:
  1. ESR
  2. FBS
  3. Hgb
  4. PT
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2.70) Physiological saline is prepared by mixing:
  1. distilled water and hypochlorite
  2. distilled water and seawater
  3. distilled water and sodium chloride
  4. tap water and hypochlorite
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2.71) What colour vacutainer tube is used to collect blood for blood banking?
  1. Black
  2. Green
  3. Grey
  4. Pink
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2.72) What is the maximum lancet size for heel punctures on babies?
  1. 1 mm
  2. 2 mm
  3. 3 mm
  4. 4 mm
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2.73) The sweat test measures the amount of _________ in sweat.
  1. chloride
  2. copper
  3. lead
  4. phosphatase
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2.74) What area should you swab to obtain a throat culture?
  1. Larynx
  2. Oral mucosa
  3. Pharynx
  4. Trachea
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2.75) Which of these statements about capillary punctures is true?
  1. It is better to clean the skin with iodine than with alcohol
  2. The first drop of blood is the best to use
  3. The puncture must hit bone for it to be deep enough
  4. The puncture should be made at right angles to the fingerprint striations
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2.76) Which test requires avoiding foods high in serotonin such as avocados, bananas, and pineapple?
  1. 5-H1AA urine test
  2. 72- hour fecal fat test
  3. Lipid profile
  4. Stool culture and sensitivity
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2.77) When used for detecting urinary tract infections, urine dipsticks test for:
  1. nitrates
  2. nitrites
  3. phosphates
  4. sugars
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2.78) Which tablet is used to detect proteins in urine?
  1. Acetest
  2. Clinitest
  3. Ictotest
  4. SSA
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2.79) Urine dipstick tests are a type of ____________ examination.
  1. chemical
  2. microscopic
  3. physical
  4. visual
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2.80) Lactose tolerance testing:
  1. can diagnose a patient’s inability to digest milk sugar
  2. requires a urine sample
  3. requires blood samples to be taken over 24 hours
  4. requires the patient to drink a liquid containing glucose
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2.81) During the glucose tolerance test, the patient should:
  1. sit
  2. walk
  3. run
  4. alternate between walking for 5 minutes and resting for 5 minutes
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2.82) You puncture a patient's finger for a finger stick blood test but no blood comes out. What should you do?
  1. Cool the finger using an ice pack
  2. Puncture the site again
  3. Scrape the puncture site against the test strip
  4. Squeeze the finger
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2.83) Which of these media is used to transport and preserve stool specimens?
  1. Blood agar
  2. Cary-Blair media
  3. Lowenstein-Jensen agar
  4. MacConkey agar
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2.84) Which of these is an appropriate way for a patient to protect a semen sample between collection and testing?
  1. Keep the sample on ice
  2. Refrigerate the sample
  3. Use a hot water bottle to keep the sample warm
  4. Wrap the sample in aluminum foil
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2.85) Which category of hazardous goods does the following label apply to?
  1. Corrosive
  2. Miscellaneous
  3. Oxidizing
  4. Toxic
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2.86) What do the letters TCA on a urine drug test stand for?
  1. Target channel adapter
  2. Trichloroacetic acid
  3. Trichloroethane
  4. Tricyclic antidepressant
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2.87) What does the PKU test detect?
  1. A genetic defect in metabolism
  2. A sex-linked anemia
  3. A viral disease
  4. Severe kidney disease
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2.88) Creatinine clearance tests check the health of which organ?
  1. Heart
  2. Kidney
  3. Liver
  4. Stomach
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Section 3: Pre-analytical Procedures

3.1) Which colour vacutainer tube contains sodium polyanethol sulfonate (SPS)?
  1. Green
  2. Pink
  3. Purple
  4. Yellow
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3.2) Which of these vacutainer tubes does NOT contain additives?
  1. Pink
  2. Red (glass)
  3. Red (plastic)
  4. SST
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3.3) What additive prevents glycolysis in blood samples?
  1. EDTA
  2. Heparin
  3. Potassium oxalate
  4. Sodium fluoride
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3.4) What item of lab equipment is a suction device used to draw up liquids?
  1. Beaker
  2. Erlenmeyer cylinder
  3. Graduated cylinder
  4. Safety bulb
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3.5) Which durable material is used to make heat-resistant glassware?
  1. Borosilicate
  2. Polyethylene
  3. Polystyrene
  4. Soda-lime
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3.6) What does the term 'gross examination of tissue' mean?
  1. Cutting tissue into very thin sections
  2. Examination of dead or decaying tissue
  3. Examination of tissue with a microscope
  4. Examination of tissue with the naked eye
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3.7) Which of these is a fixative?
  1. Cytospray
  2. Giemsa
  3. Hematoxylin
  4. Wright's stain
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3.8) What is the term for formaldehyde dissolved in water?
  1. Acetone
  2. Cytospray
  3. Ethyl acetate
  4. Formalin
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3.9) Which ethanol strength is used last when dehydrating tissues?
  1. 70%
  2. 80%
  3. 90%
  4. 100%
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3.10) Which of these is a Romanowsky stain?
  1. Gram stain
  2. Jefferson stain
  3. Leishman stain
  4. Sudan stain
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3.11) Van Gieson's stain is a mixture of picric acid and:
  1. acid fuchsin
  2. methylene blue
  3. thionine
  4. toluidine blue
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3.12) Which of these is a common ripening agent for hematoxylin?
  1. Hydrochloric acid
  2. Iron
  3. Sodium iodate
  4. Tungsten
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3.13) The Pap stain stains which structure blue, purple or black?
  1. Cytoplasm
  2. Golgi apparatus
  3. Mitochondria
  4. Nuclei
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3.14) Hematoxylin ripens into:
  1. hematein
  2. hematone
  3. hematurg
  4. hemoglobin
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3.15) What colour is eosin?
  1. Blue
  2. Green
  3. Pink
  4. Yellow
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3.16) Which two stains are routinely used in Pap stains?
  1. Hematoxylin and eosin
  2. Methenamine silver and mucicarmine
  3. Periodic acid-Schiff-diastase and azur
  4. Perl's Prussian blue and mucicarmine
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3.17) What is the ratio of eosin to methylene blue in eosin methylene blue?
  1. 1:1
  2. 1:2
  3. 3:1
  4. 6:1
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3.18) In which stage of histology are mordants used?
  1. Decalcification
  2. Fixation
  3. Sectioning
  4. Staining
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3.19) What is the decolourizing agent in the Ziehl Neelsen stain?
  1. Absolute alcohol
  2. Acetone
  3. Acid alcohol
  4. Xylol
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3.20) Which of these would slow the growth of pathogenic bacteria?
  1. A moist environment
  2. An acidic pH
  3. Darkness
  4. Nutrients
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3.21) Why are specimens for anaerobic culture placed in anaerobic jars?
  1. To maximize spore formation
  2. To minimize exposure of the specimen to oxygen
  3. To minimize the exposure of the specimen to UV light
  4. To stop the specimen from escaping
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3.22) MacConkey agar differentiates bacteria based on their:
  1. ability to ferment lactose
  2. ability to hydrolyze starch
  3. ability to utilise the safranin dye
  4. hemolytic activity
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3.23) Löwenstein-Jensen media is used to isolate which type of bacteria?
  1. Escherichia
  2. Haemophilus
  3. Listeria
  4. Mycobacteria
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3.24) What are the three common types of acid-fast staining?
  1. Calcofluor, fast green, and Gram-Twort
  2. Periodic acid-Schiff, alcian, and Bismarck
  3. Trichrome, sulfate, and Wade-Fite
  4. Ziehl-Neelsen, Kinyoun, and auramine-rhodamine
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3.25) When performing a quadrant streak plate, what would happen if you forget to sterilize your loop in between each quadrant streak?
  1. A lack of individual colonies
  2. Growth in only the first quadrant
  3. Growth in quadrants 3 and 4 but no growth in quadrants 1 and 2
  4. No growth in any quadrant
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3.26) For how many minutes should a microhematocrit be centrifuged?
  1. 1
  2. 2
  3. 5
  4. 15
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3.27) When preparing a blood smear, which of these could cause the blood smear to be too thin?
  1. A small drop size
  2. Holding the spreader at a high angle
  3. Spreading the blood too slowly
  4. Using transfused blood
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3.28) Which specimen is used for coagulation testing?
  1. Plasma
  2. Serum
  3. Urine
  4. Whole blood
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3.29) What is the purpose of activated charcoal in transport media?
  1. To absorb toxic substances
  2. To kill non-pathogens
  3. To maintain a neutral pH
  4. To prevent the overgrowth of extraneous organisms
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Section 4: Reagent Preparation

4.1) What is the dilution factor 1/5 expressed as a dilution ratio?
  1. 1:4
  2. 1:5
  3. 1:6
  4. 5:1
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4.2) How many millilitres of 5% hydrochloric acid are needed to make 500 mL of 2% hydrochloric acid?
  1. 100
  2. 200
  3. 300
  4. 400
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4.3) How would you prepare 400 mL of a 1% v/v acetic acid solution?
  1. 1 mL of glacial acetic acid in 399 mL of water
  2. 2 mL of glacial acetic acid in 398 mL of water
  3. 3 mL of glacial acetic acid in 397 mL of water
  4. 4 mL of glacial acetic acid in 396 mL of water
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4.4) Which of these statements about reactive chemicals is false?
  1. Always add water to acid
  2. Oxidizers are stored separately from reducers
  3. Reactive chemicals include picric acid and sodium azide
  4. Some reactive chemicals may react with water
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4.5) What is the best way to clean glassware containing water-insoluble solutions?
  1. Rinse 2-3 times with ethanol then rinse 3-4 times with deionized water
  2. Rinse 3-4 times with deionized water
  3. Rinse with copious amounts of tap water then rinse 3-4 times with deionized water
  4. Wash with hot soapy water, rinse thoroughly with tap water, and then rinse 3-4 times with deionized water
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4.6) Wrapped articles must be allowed to dry before removing them from the autoclave. This is because packs that are wet will:
  1. cause inaccurate results on the sterilization indicator
  2. draw microorganisms into the pack
  3. rust metal instruments
  4. tear the wrapper
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4.7) Which of these can NOT be autoclaved?
  1. Gloves
  2. Microbial growth media
  3. Organic solvents
  4. Stainless steel
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4.8) At what temperature do hot air ovens sterilize glassware in 60 minutes?
  1. 100°C
  2. 121°C
  3. 140°C
  4. 160°C
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4.9) Which of these reagents contains mercuric chloride?
  1. Bouin's fluid
  2. Crystal violet
  3. Picric acid
  4. Zenker's fluid
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4.10) Which of these is a decalcification agent?
  1. Ammonia
  2. EDTA
  3. Toluene
  4. Xylene
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4.11) The two electrodes of a pH meter are called the ___________________ electrodes.
  1. capacitive and potentiated
  2. dry and wet
  3. glass and reference
  4. sealed and ground
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Section 5: Communication and Interaction

5.1) A phlebotomist is drawing blood from a young boy. The boy's mother is in the room and she says she doesn't like the sight of blood. She looks pale and says she feels faint. The phlebotomist should:
  1. ignore the mother as the focus should be on the child
  2. offer the mother a chair to sit in
  3. take the child's blood as quickly as possible to get it over with
  4. tell the mother not to worry
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5.2) What should you do if a patient faints during a venipuncture?
  1. Continue the procedure until all blood is collected
  2. Leave the needle in the vein and call the physician
  3. Remove the needle and attend to the patient
  4. Yell loudly at the patient to keep him conscious
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5.3) The tendency of teams to lose their critical evaluative capabilities during decision-making is a phenomenon called:
  1. decision congruence
  2. group consensus
  3. groupthink
  4. the slippage effect
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5.4) Which of these is a formal way to end an email?
  1. Bye for now
  2. See you soon
  3. Thanks
  4. Yours sincerely
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5.5) When communicating with someone from a different culture, it is important to:
  1. make assumptions about their beliefs and values
  2. speak louder and slower to ensure understanding
  3. be respectful of their cultural differences
  4. avoid using humor, as it may be misinterpreted
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Section 6: Quality Management

6.1) QNS stands for:
  1. quality not satisfied
  2. quality not sufficient
  3. quantity not satisfied
  4. quantity not sufficient
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6.2) Which of these is a quantitative result?
  1. A moderate amount of crystals seen
  2. A moderate number of bacteria present
  3. Specific gravity = 1.010
  4. Urine is brown
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6.3) The middle value in a sorted data set is called the:
  1. average
  2. coefficient of variation
  3. mean
  4. median
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6.4) Precision indicates the:
  1. closeness of a result to the first standard deviation
  2. closeness of a result to the median value
  3. closeness of a result to the true value
  4. repeatability or reproducibility of a procedure
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6.5) The ABC analysis categorizes inventory items by their:
  1. expiry date
  2. importance
  3. location
  4. size
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6.6) PPE, biosafety cabinets, and fire extinguishers are examples of which risk response strategy?
  1. Accept
  2. Avoid
  3. Mitigate
  4. Transfer
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Section 7: Professional Practice

7.1) A priest is with the patient when you arrive to collect a stat specimen. What should you do?
  1. Draw blood from a different patient and then check back
  2. Excuse yourself and ask for permission to draw the specimen
  3. Go back to the lab and draw the specimen on the next sweep
  4. Wait outside the room for a few minutes
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7.2) What is a regulated profession?
  1. A profession that has no legal requirement or restriction on practice
  2. A profession that requires a specific professional qualification
  3. A profession that requires work experience
  4. A profession where workers work regular, 9-5 hours
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7.3) Which of these actions helps ensure patient confidentiality?
  1. Discarding old records by throwing them into the trash
  2. Giving out patient information to journalists
  3. Sending confidential material via e-mail
  4. Verifying a patient's identity before giving confidential data
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7.4) The obligation of a person or organization to not disclose health information unless authorized by law or the patient is known as:
  1. accountability
  2. confidentiality
  3. privacy
  4. security
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7.5) Beneficence is the duty to:
  1. do good
  2. do no harm
  3. follow the law
  4. fully inform the patient
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7.6) What is the autonomy pillar of medical ethics?
  1. The duty to do good
  2. The duty to not harm the patient
  3. The respect for the patient’s right to self-determination
  4. The treatment of all people equally and equitably
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7.7) What is Canada's federal data privacy law for private-sector organizations?
  1. HIPPA
  2. PHIPA
  3. PIPEDA
  4. WHMIS
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7.8) Which principle of the Canada Health Act states that all residents must have access to the same level of health care, regardless of their ability to pay?
  1. Accessibility
  2. Portability
  3. Public administration
  4. Universality
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7.9) What is the national certifying body for medical laboratory assistants in Canada?
  1. CMLTO
  2. CSMLS
  3. MLAT
  4. OSMT
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Section 8: Critical Thinking

8.1) Which of these specimens has the highest priority?
  1. Fasting
  2. Post-op
  3. Stat
  4. Urgent
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8.2) A phlebotomist has made two unsuccessful attempts while trying to collect a blood specimen from a patient. What should the phlebotomist do next?
  1. Ask another phlebotomist to collect it
  2. Ask the patient's nurse to do the draw
  3. Collect it by arterial puncture
  4. Try to draw it one more time
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8.3) Which of these is an example of critical thinking?
  1. Implementing the first solution identified to a problem
  2. Investigating a patient's abnormal blood test results
  3. Listening to what a patient tells you
  4. Reading the instruction manual of an autoclave
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8.4) Which of these is NOT involved in critical thinking?
  1. Evaluating your own biases
  2. Questioning
  3. Snap judgments
  4. Value judgments
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8.5) Critical thinking can be defined as:
  1. accepting what people tell you is the truth
  2. analyzing and evaluating information to make decisions
  3. gathering as much information as possible
  4. making gradual improvements in understanding a topic
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8.6) A lab assistant is wrapping an instrument for autoclaving but discovers the wrapper has a hole. What should the lab assistant do?
  1. Get a new wrapper
  2. Ignore the hole and continue wrapping the instrument
  3. Repair the hole with adhesive tape
  4. Throw the instrument away
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