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Phlebotomy Technician Certification

Tubes and additives: practice questions

Our Phlebotomy bank has 18 questions on this topic. Here are 4 of them with answers; the full mock exam draws from every topic, like the real one.

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Question 1

Which tests usually use a light blue-top tube?

  1. CBC
  2. PT/INR and aPTT (coagulation tests)
  3. Lipid panel and fasting glucose tests
  4. Glucose
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B. PT/INR and aPTT (coagulation tests) — The tube must be filled correctly for the 9:1 ratio.

Question 2

How many times should a light blue-top tube be gently inverted?

  1. 20 times
  2. 3–4 times
  3. Not at all
  4. 8–10 times
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B. 3–4 times — Inversion counts follow the manufacturer's instructions.

Question 3

Which tube contains a clot activator and gel separator?

  1. Light blue (sodium citrate), used for coagulation studies
  2. Gray
  3. Gold or tiger-top serum separator tube (SST)
  4. Lavender
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C. Gold or tiger-top serum separator tube (SST) — Gel separates serum from cells after centrifugation.

Question 4

What is the blood-to-anticoagulant ratio in a light blue-top tube?

  1. 1:1
  2. 4:1
  3. 9:1
  4. 20:1
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C. 9:1 — Underfilled tubes give falsely prolonged results.

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