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WorksheetsMEDL 279 Fundamentals Review
Total questions: 90
Worksheet time: 45mins
CLIA '88 governs how work is done in the _________
clinical laboratory
operating room
pharmacy
radiology department
What was the goal of the CLIA '88 amendments?
To reduce laboratory staff
To ensure laboratory results are of high quality regardless of where testing is performed
To increase laboratory costs
To eliminate laboratory testing
Waived testing is defined as:
Testing that is cleared by the FDA as 'home use', using simple methodologies
Testing that requires proficiency standards
Testing that is only performed in hospitals
Testing that is not regulated
Moderately Complex & High Complex testing requires ________ standards, as well as personnel standards required to meet each year for certification.
proficiency
equipment
facility
safety
Which accrediting body is responsible for the Commission on Office Laboratory Accreditation?
CAP
COLA
TJC
HIPPA
The College of American Pathologists (CAP) also supplies ________ testing.
proficiency
diagnostic
forensic
genetic
The Joint Commission (TJC) accredits various laboratories including ________ laboratories.
free standing
mobile
virtual
temporary
When a clinical laboratory does not perform a certain complex test, it may be sent to a ________ laboratory for testing.
reference
primary
research
teaching
Points of interest when sending tests to reference laboratories include:
Cost and TAT
Location and staff
Equipment and supplies
None of the above
HIPPA stands for ________.
Health Insurance Portability and Accountability Act
Health Information Privacy and Protection Act
Hospital Insurance and Patient Protection Act
Health Information Portability and Privacy Act
The Health Insurance Portability and Accountability Act (HIPPA) was enacted in ________.
1996
2001
1989
2010
Certain specimens require legal chains of custody, such as ________.
drug screens
blood glucose tests
cholesterol panels
electrolyte measurements
What must be confirmed and documented for evidence to be admissible in a laboratory setting?
Chain of custody
Patient identification
Testing process
Communication of test results
Which of the following is a preanalytical step in mitigating risk?
Testing process
Patient identification
Verifying results
Communication of test results
Fill in the blank: The analytical phase in mitigating risk includes the ________ and verifying results.
Testing process
Budgeting process
Hiring process
Marketing process
Which organization is responsible for governing working conditions in laboratory safety?
CDC
OSHA
WHO
FDA
The Centers for Disease Control (CDC) provides guidelines to protect personnel from what in the clinical laboratory?
Potential hazards
Patient confidentiality
Data entry errors
Equipment malfunctions
Which category of bioterrorism agents can be easily transmitted from person to person?
Cat A
Cat B
Cat C
Cat D
Which of the following is NOT a Cat A bioterrorism agent?
A) Anthrax
B) Plague
C) Smallpox
D) Brucellosis
Brucellosis and 0157H7 E. coli are examples of which category of bioterrorism agents?
Cat B
Cat A
Cat C
Cat D
Which bloodborne pathogens are listed in the document?
HIV, HBV, HCV
Influenza, Measles, Mumps
Tuberculosis, Malaria, Dengue
Ebola, Zika, Rabies
According to CDC guidelines, all human blood and other body fluids are treated as potentially infectious for which of the following?
A) HIV, HBV, and other bloodborne microorganisms
B) Only HIV
C) Only HBV
D) None of the above
Which of the following is NOT considered Personal Protective Equipment (PPE)?
Gloves
Stethoscope
Uniforms (scrubs)
Face shield
Lab coat
List any two items that are considered Personal Protective Equipment (PPE).
Gloves, Face shield
Stethoscope, Pen
Notebook, ID card
Shoes, Watch
Handwashing should be performed before and after patient contact.
True
False
Handwashing should be performed after removing gloves.
True
False
Disinfection is a process that eliminates many or all pathogenic microorganisms, except _______ on inanimate objects.
bacterial spores
viruses
fungi
protozoa
Which of the following is most commonly used for disinfection?
Alcohol
Hypochlorite solutions
Soap
Water
Which of the following is NOT a rule for Sharps Safety?
Use a red plastic puncture resistant container
Overfill the container
Never re-cap a needle
Dispose of by an approved disposal company
Red Biohazard Trash should contain which of the following?
Sharps
Blood Tubes
Visibly bloody cloth or gloves
Both B and C
Which of the following vaccinations are hospital requirements?
Hep B, Flu, MMR
Hep A, Typhoid
Only Hep B
Only MMR
What is Postexposure Prophylaxis (PEP)?
Disease treatment before disease has been confirmed
A vaccine given after full recovery
A diagnostic test for infections
A type of surgical intervention
What is the most common BSL level used in the clinical laboratory?
BSL level 2
BSL level 1
BSL level 3
BSL level 4
Which of the following is used for processing biological hazardous specimens for culture or other tests?
Biosafety Cabinets
Fume Hood
Incubator
Refrigerator
Which chemical causes chemical burns?
Acids
Ethers
Phenol
Sodium chloride
Sodium hydroxide causes ______ burns.
Caustic
Thermal
Radiation
Friction
Phenol causes caustic burns and ______.
contact dermatitis
eczema
urticaria
psoriasis
Ethers cause depression of the ______.
CNS
liver
kidneys
heart
Which of the following is a laboratory electrical hazard?
Broken cords
Acids
Flammable liquids
Powdered metal
Class B fire includes which of the following?
Ordinary combustibles
Flammable liquids & gases
Electrical
Powdered metal
Which class of fire cannot be extinguished?
Class A
Class B
Class D
Class E
What does PASS stand for in fire safety?
Pull, Aim, Squeeze, and Sweep
Push, Alert, Stop, and Secure
Press, Act, Shout, and Save
Pull, Alert, Squeeze, and Spray
What is the most common type of fire extinguisher in the laboratory?
Red ABC extinguisher
Blue CO2 extinguisher
Yellow Wet Chemical extinguisher
Black Water extinguisher
Proficiency testing is performed routinely in the laboratory to maintain ______ and integrity of patient results.
quality
quantity
velocity
temperature
Delta checks are a means of monitoring patient data by comparing to ______ result of the same test.
recent previous
average
random
first
Levey Jennings QC plots allow for visualization of QC data over a period of ______.
time
distance
volume
temperature
Dispersion is an increase in the frequency of both high & low minimally ______ values.
acceptable
random
erroneous
negative
Trends are values for at least ______ days on one side of the average.
3
5
7
10
What is the definition of 'Shift' in laboratory quality control?
Abrupt shift or change from the established average for 3 days in a row
Gradual increase or decrease in values over a period of time
Random error occurring sporadically in test results
Consistent results within the acceptable range
What does Standard Deviation measure in a test?
The precision of a test, measurement of spread
The average score of a test
The number of questions in a test
The time taken to complete a test
Which of the following are measures of central tendency?
Mean, Median, Mode
Accuracy, Precision
Sensitivity, Specificity
Shift, Range
Accuracy is defined as:
Agreement between repeated measurements
Closeness of a result to the true actual value
Proportion of cases with a positive test result
Measurement of spread
Precision is the agreement between repeated measurements.
True
False
Sensitivity is the proportion of cases having a specific disease or condition that gives a positive test result.
True
False
Specificity is the proportion of cases with absence of a specific disease or condition that gives a negative result.
True
False
List the three sources of error in laboratory testing.
Preanalytical, Analytical, Postanalytical
Qualitative, Quantitative, Subjective
Instrumental, Environmental, Human
Primary, Secondary, Tertiary
According to Westgard Rules, what does (1_2s) indicate?
1 point outside 2 SD
2 points outside 3 SD
1 point outside 1 SD
2 points outside 1 SD
According to Westgard Rules, if 1 point is outside 2 SD, then reject when:
1 point is outside 3 SD
2 consecutive points are outside 2 SD on same side of the center line
Range of 2 points is greater than 4 SD
All of the above
What is a potential error in phlebotomy related to patient identification?
Misidentified patient
Incorrect tube labeling
Improper needle disposal
Failure to wear gloves
Which of the following is NOT a potential error in phlebotomy?
Misidentified patient
Collection of wrong blood tubes
Properly coordinated with medication
Inadequate filling of blood tubes
Whole blood is used in hematology and certain specialized chemistry tests such as:
A) A, C
B) B, D
C) E, F
D) G, H
Which color top tubes are used for whole blood collection?
Purple, Lavender, Pink top tubes (EDTA)
Red top tubes (No additive)
Blue top tubes (Citrate)
Green top tubes (Heparin)
Serum is the liquid portion minus clotting factors.
True
False
Serum is used in:
Chemistry
Immunology
Both A and B
None of the above
What is the liquid portion including clotting factors called?
Plasma
Serum
Lymph
Interstitial fluid
Which color tube is used for plasma collection?
Gold
Red
Green or mint
Blue
What is the correct order of draw for blood collection?
Blood Cultures, Light Blue, Gold/Red, Green, Lavender, Gray
Light Blue, Blood Cultures, Gold/Red, Green, Lavender, Gray
Gold/Red, Blood Cultures, Light Blue, Green, Lavender, Gray
Blood Cultures, Gold/Red, Light Blue, Green, Lavender, Gray
To avoid hemolyzed specimens, what is important during specimen collection?
Proper use of the tourniquet
Shaking the tube vigorously
Using a dirty needle
Delaying transport of the specimen
What color is the serum in an icteric specimen due to the presence of bilirubin?
Yellow
Red
Green
Blue
What does a lipemic specimen look like?
Milky white plasma or serum due to increased lipid or fat content
Clear and colorless plasma or serum
Bright yellow plasma or serum due to high bilirubin
Reddish plasma or serum due to hemolysis
What should you do to familiarize yourself with the microscope?
Familiarize yourself with the different parts of the microscope
Only look through the eyepiece without touching anything else
Turn all the knobs randomly to see what happens
Use the microscope without reading the manual first
Ignore the instructions and start using it immediately
Which glassware is used for general mixing and reagent preparation?
Beaker
Erlenmeyer Flask
Volumetric Flask
Graduated Cylinder
What is an Erlenmeyer Flask used for?
General reagent preparation
Measuring exact volumes
Grinding solids
Heating substances directly over a flame
Which laboratory glassware is calibrated 'to contain' and used in prepping specific volumes?
Beaker
Erlenmeyer Flask
Volumetric Flask
Graduated Cylinder
Graduated Cylinders are used when a high degree of accuracy is not essential.
True
False
What is the function of an analytical balance in the laboratory?
Used for precise weight measurements for reagent preparation
Used for heating substances
Used for measuring liquid volumes
Used for separating mixtures
What is the solid material at the bottom of the tube after centrifugation called?
Precipitate
Filtrate
Supernatant
Solvent
What is the liquid or top portion after centrifugation called?
Supernatant
Pellet
Residue
Sediment
Ultra-centrifuges are capable of ______ RPM.
90-100k
1-2k
10-15k
30-40k
Which type of reagent water is the most pure and should be used for procedures requiring the greatest purity (standards)?
Type I
Type II
Type III
Type II reagent water is most used in which lab?
Physics lab
Clinical lab
Computer lab
Type III reagent water is used in ______ and rinsing of lab glassware.
washing
drinking
heating
measuring
Which of the following is NOT a QC check for water purity?
Purity
Resistivity
Temperature
pH
Osmolality is defined as the number of osmoles of solute per ______ of solvent.
kilogram
liter
milliliter
gram
Osmolarity is defined as the number of osmoles of solute per ______ of solution.
liter
gram
mole
milliliter
The formula V1 x C1 = V2 x C2 is used to calculate the ______ of a solution.
concentration
temperature
pressure
volume
Dilution factor is used to correct for having used a ______ sample in determination rather than an undiluted sample.
diluted
concentrated
solid
pure
Single dilutions are calculated as ______ volume/total volume.
sample
water
solute
buffer
In serial dilutions, the titer would be the ______ visible reaction.
last
first
strongest
weakest
Which of the following is a CLIA waived laboratory test ?
Papanicolaou (pap) test
blood typing and crossmatching
Bacterial PCR testing
human chorionic gonadotropin (HCG) test
