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Worksheets[LRH] CC Primer Part 1
Total questions: 119
Worksheet time: 1hrs 7mins
10^-12
milli
pico
kilo
tera
10^-9
pico
micro
giga
nano
project team members
purple belters
blue belters
black belters
green belters
mid to senior level sponsors who review projet, remove organizational barriers
green belters
black belters
blue belters
purple belters
leaders of small scale projects
green belters
black belters
blue belters
purple belters
green belters contribute ___ of their time to improvement
20%
25%
50%
100%
conversion factor of glucose
0.026
17.1
0.0555
12.9
conversion factor of thyroxine
0.026
17.1
0.0555
12.9
suitable for most analytic laboratory procedures
analytical reagent
ultrapure
chemically pure
technical grade
not recommended that clinical laboratories used these chemicals for reagent preparation
analytical reagent
ultrapure
chemically pure
technical grade
10^4
deci
centi
milli
mega
10^-1
deci
centi
milli
mega
conversion factor of bilirubin
(a)
conversion factor of cholesterol
(a)
conversion factor of triglyceride
(a)
most commonly used measures of central tendency
mean
median
mode
standard deviation
used usually in skewed data; the middle point of data set
mean
median
mode
standard deviation
used to describe data with 2 centers or bimodal
mean
median
mode
standard deviation
measures of central tendency except;
mean
median
mode
standard deviation
easiest measure of spread
range
standard deviation
coefficient of variation
standard deviation index
index of precision
range
standard deviation
coefficient of variation
standard deviation index
True about the Gaussian distribution
mean = mode = median
symmetric
peak represents the average
1SD = 68%
2SD = 95%
3SD = 99.7%
Sample and reagent mixing
pre analytical
analytical
post analytical
calibration
pre analytical
analytical
post analytical
analyses of control samples together with the patient samples
Intralab Quality Control
Interlab Quality Control
involves proficiency testing programs that periodically provide samples of unknown concentrations; for long term accuracy
Intralab Quality Control
Interlab Quality Control
material that resembles the test specimen and containing preanalyzed concentrations of the substances being measured.
Control
Standard
material of known composition available in a highly purified form
Control
Standard
easy to read visual representation of quality control generated over time
gaussian chart
levey jennings
1 2s rule violation
exceeds either -2s/+2s
warning rule
rejection rule
1 3s rule violation except;
exceeds either -3s/+3s
warning rule
rejection rule
random error
R4S rule violation except;
exceeds either -3s/+3s
warning rule
rejection rule
random error
4 - Health Hazard
(a)
3 - reactivity diamond
(a)
4 - fire hazard
will not burn
above 200F
Above 100F but not exceeding to 200F
Below 75F
Below 73F
3 - Health hazard
normal material
very hazardous
extreme danger
slightly hazardous
Below 73F
formed by control values that distribute themselves on one side of the mean for six consecutive days
shift
trend
gradual change
shift
trend
deterioration of reagent
shift
trend
improper calibration of instrument
shift
trend
improper mixing of sample and reagent
random error
systematic error
recurring error in a test procedure
random error
systematic error
sample instability
random error
systematic error
changes in standard materials
random error
systematic error
exist when there is a continual difference between test method and comparative method values, regardless of concentration
constant systematic error
proportional systematic error
slope = 0.99
y intercept = 110%
constant systematic error
proportional systematic error
determined by slope
constant systematic error
proportional systematic error
checking the difference between a patient's present lab result to the his previous lab results
(a)
ability of a method to detect small quantities of an analyte
analytical sensitivity
diagnostic sensitivity
analytical specificity
diagnostic specificity
ability of a test to detect a given disease or condition
analytical sensitivity
diagnostic sensitivity
analytical specificity
diagnostic specificity
ability of a method to detect only the analyte it is designed to determine
analytical sensitivity
diagnostic sensitivity
analytical specificity
diagnostic specificity
ability of a test to correctly identify the absence of a given disease or condition
analytical sensitivity
diagnostic sensitivity
analytical specificity
diagnostic specificity
probability of an individual having the disease if the result is abnormal
positive predictive value
Negative predictive value
probability that a patient does not have a disease if a result is within the reference range
positive predictive value
Negative predictive value
establishing reference intervals
120 healthy individuals need
200 healthy individuals need
150 healthy individuals need
validating reference intervals from books
40 healthy individuals need
80 healthy individuals need
100 healthy individuals need
all true except
the most common needle size for adult venipuncture is 21 gauge with a length of 1 inch; venipuncture uses 15-30 angle
butterfly collection uses 23 gauge needle
temperature and amount of blood draw is inversely related
higher altitude, draw volume is higher
light sensitive additive includes citrate, theophylline, adenosine, and dipyridamole
most evacuated tubes on the market have atleast how many months of shelf life
8
12
14
4
White stopper tube is for
EDTA; Blood banking
EDTA; Molecular
EDTA; Hematology
EDTA; Trace elements
EDTA; Lead
Tan stopper tube is for
EDTA; Blood banking
EDTA; Molecular
EDTA; Hematology
EDTA; Trace elements
EDTA; Lead
Royal blue stopper tube is for
EDTA; Blood banking
EDTA; Molecular
EDTA; Hematology
EDTA; Trace elements
EDTA; Lead
green stopper tube is for
sodium citrate; coagulation
sodium heparin; coagulation
lithium heparin; chemistry
clot activator; chemistry
orange stopper tube is for
sodium citrate; coagulation
sodium heparin; coagulation
thrombin; chemistry
clot activator; chemistry
correct order of tube
light blue - yellow - red - green - blue - gray
gray - yellow - tan - pink - lavender - blue
yellow - blue - red - green - lavender - gray
blue - red - green - pink - yellow - gray
correct order of tube
SPS - Sodium citrate - non-additive - lithium heparin - EDTA - sodium fluoride
SPS - Sodium fluoride - sodium citrate - clot activator - heparin - EDTA - Trace elements
yellcoagulation tubes - microbiology - chemistry - hematology - chemistry
increase analytes when standing
cholesterol, albumin, calcium, aldosterone
cortisol, ACTH, catecholamines
lactic acid, ammonia, blood gas, ionized calcium
ACTH, Cortisol, aldosterone, iron
parathyroid hormone, thyroid stimulating hormone, acid phosphatase, growth hormone
increase analytes when stress
cholesterol, albumin, calcium, aldosterone
cortisol, ACTH, catecholamines
lactic acid, ammonia, blood gas, ionized calcium
ACTH, Cortisol, aldosterone, iron
parathyroid hormone, thyroid stimulating hormone, acid phosphatase, growth hormone
analytes that require ice slurry/chilled
cholesterol, albumin, calcium, aldosterone
cortisol, ACTH, catecholamines
lactic acid, ammonia, blood gas, ionized calcium
ACTH, Cortisol, aldosterone, iron
parathyroid hormone, thyroid stimulating hormone, acid phosphatase, growth hormone
increased analytes in AM
cholesterol, albumin, calcium, aldosterone
cortisol, ACTH, catecholamines
lactic acid, ammonia, blood gas, ionized calcium
ACTH, Cortisol, aldosterone, iron
parathyroid hormone, thyroid stimulating hormone, acid phosphatase, growth hormone
increased analytes in PM
cholesterol, albumin, calcium, aldosterone
cortisol, ACTH, catecholamines
lactic acid, ammonia, blood gas, ionized calcium
ACTH, Cortisol, aldosterone, iron
parathyroid hormone, thyroid stimulating hormone, acid phosphatase, growth hormone
Pipet that holds a volume but does not dispense the exact volume
to contain
to deliver
with etched ring
blowout
tself-draining
serologic and ostwald-folin
blowout
tself-draining
measuring/graduated
mohr and serologic
ostwald folin and volumetric
self draining graduated pipet
mohr
ostwald folin
serologic
volumetric
transfer and blowout pipet
mohr
ostwald folin
serologic
volumetric
graduated and blowout pipet
mohr
ostwald folin
serologic
volumetric
transfer and self draining pipet, oval bulb is in the center of the pipet
mohr
ostwald folin
serologic
volumetric
piston and sample is not in contact to avoid contamination
air displacement pipette
positive displacement pipette
recommended for problem samples and has a disposable piston
air displacement pipette
positive displacement pipette
the cups holding the tubes occupy in a vertical position but when it revolves, the tubes assume horizontal position
horizontal head centrifuge
fixed angle centrifuge
ultracentrifuge
cytocentrifuge
high speed centrifuge
horizontal head centrifuge
fixed angle centrifuge
ultracentrifuge
cytocentrifuge
purpose is to spread monolayer of cells rapidly across a special slide
horizontal head centrifuge
fixed angle centrifuge
ultracentrifuge
cytocentrifuge
measuring its absorption of light at a particular wavelength and comparing it with the absorption of light by known standard solutions measured at the same time and at the same wavelength
absorbance spectrophotometry
spectrophotometry
densitometry
potentiometry
measurement of the light transmitted by a solution to determine the concentration of light-absorbing substances in the solution
absorbance spectrophotometry
spectrophotometry
densitometry
potentiometry
quantitative profile of the separated protein fractions
absorbance spectrophotometry
spectrophotometry
densitometry
electrochemistry
measurement of current or voltage generated by the activity of specific ion
absorbance spectrophotometry
spectrophotometry
densitometry
electrochemistry
<380 nm
ultraviolet; very short wavelength
violet
blue
green
orange
380-440 nm
ultraviolet; very short wavelength
violet
blue
green
orange
Infrared regions
incandescent tungsten
tungsten iodide
deuterium discharge lamp
mercury arc lamp
All true except;
entrance slit: minimizes unwanted light; prevents the entrance of scattered light
monochromator: isolates individual wavelength of light
spectrophotometer uses glass filters
exit slit: controls the bandpass
photodetector: converts the electromagnetic radiation transmitted by a solution into an electrical energy
measures light absorbed by ground state
atomic absorption spectrophotometer
fluorometry
turbidimetry
nephelometry
atoms absorb light of specific wavelength and emit light of longer wavelength
atomic absorption spectrophotometer
fluorometry
turbidimetry
nephelometry
determines the amount of light blocked by a matter in a turbid solution
atomic absorption spectrophotometer
fluorometry
turbidimetry
nephelometry
determines the amount of scattered light by a particulate matter suspended in a turbid solution
atomic absorption spectrophotometer
fluorometry
turbidimetry
nephelometry
dyes for lipoproteins except
coomassie brilliant blue
amido black
oil red o
sudan black
dyes for proteins except
coomassie brilliant blue
amido black
oil red o
ponceau S
system that measures change in electrical potential between a detecting electrode and a standard referece electrode in which current is kept constant
potentiometry
coulometry
amperometry
voltammetry
measurement of the amount of electricity in cuolombs at fixed potential; can be used to measure chloride
potentiometry
coulometry
amperometry
voltammetry
measurement of current flow; clarke electrode
potentiometry
coulometry
amperometry
voltammetry
measurement of current after a potential is applied
potentiometry
coulometry
amperometry
voltammetry
electrode to measure potassium
(a)
most common electrode used and a reference electrode
(a)
metabolism of glucose molecule to pyruvate or lactate for production of energy
glycolysis
gluconeogenesis
glycogenolysis
glycogenesis
formation of glucose 6 phosphate from noncarbohydrate sources
glycolysis
gluconeogenesis
glycogenolysis
glycogenesis
breakdown of glycogen to glucose
glycolysis
gluconeogenesis
glycogenolysis
glycogenesis
conversion of glucose to glycogen for storage
glycolysis
gluconeogenesis
glycogenolysis
glycogenesis
where does human body store glucose as glycogen
liver
kidney
cardiac muscle
skeletal muscle
conversion of carbohydrates to fatty acid
(a)
decomposition of fat for energy
(a)
true about insulin except
only hypoglycemic hormone
produced by the alpha cells
stimulate glycolysis, glycogenolysis, and lipogenesis
promote the conversion of glucose into pyruvate
true about glucagon except
secondary hyperglycemic hormone
produced in alpha cells
promotes glycogenolysis
promotes conversion of glycogen to glucose
Whipples triad in hypoglycemic
typical symptoms seen
blood glucose levels
symptoms not alleviated after medication
symptoms alleviated after medication
true about diabetes mellitus except
increased glucose in urine if exceeds 160-180 mg/dl renal threshold
ketones in urine
3 P's
increased sodium, decreased potassium
insulin resistant
type I DM
Type II DM
resting plasma glucose: 138 mg/dL
2hr OGTT: 128 MG/dL
Fasting plasma glucose: 78 mg/dL
HBA1C: 3.6%
Normal blood glucose
Impaired blood glucose
diagnostic for DM
Diagnostic value of DM in 2HR OGTT
MORE THAN 200 MG/DL
MORE THAN 126 MG/DL
MORE THAN 6.5%
choose the incorrect math
folin wu method: phosphomolybdic acid: greenish blue
nelson somogy method: arsenomolybdic: blue
neocuproine method: neocuproine: colorless
hagedorn jensen method: colorless
reference method for glucose
(a)
