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CHEM > CC QUIZ 2 > Flashcards

CC QUIZ 2 Flashcards

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1
Q

The ff. will increase in smoking?

a. Glucose and TAG
b. Cortisol
c. Growth hormone
d. AOTA

A

AOTA

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2
Q

The right transport requirement for the ff. analytes: carotene, erythrocyte protoporphyrin, CK, and Vitamins

a. Warm transport
b. Cold transport
c. Collected in the morning
d. NOTA

A

d. NOTA

NOTE
Should be protected from light

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3
Q

Test results that indicate a potentially life-threatening situation

a. All electrolytes
b. Total bilirubin
c. Ethanol
d. Lactic acid

A

Total bilirubin

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4
Q

Tubes with gel are not used for the ff. test/s because the gel tend to absorbed the analyte of interest?

a. Immunology and serology
b. Blood banking
c. Trace metals and Therapeutic drugs
d. AOTA

A

AOTA

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5
Q

Which among the tube is a not a clot activator?

a. White
b. Royal blue
c. Tan (plastic)
d. NOTA

A

NOTA

NOTE:
*All tubes written have EDTA

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6
Q

This tube color is used both in microbiology and paternity test?

a. Yellow
b. Light blue
c. Tan
d. Royal blue

A

Yellow

NOTE:
Yellow – for Blood bank (plasma), Microbiology (serum), and HLA phenotyping
Yellow - Sodium Polyanethol sulfonate (SPS) – inhibits the Neisseria
Yellow - Acid Citrate Dextrose (ACD) - WBC preservative

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7
Q

A reliable source for patient identification?

a. Relative
b. Nurse
c. Doctor
d. ID bracelet

A

ID bracelet

NOTE:
*All are reliable but the best is ID bracelet

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8
Q

Arm numbness, electric shock, and burning sensation are all

a. Postphlebotomy complication
b. Symptoms of nerve puncture
c. Signs of arterial puncture
d. AOTA

A

Symptoms of nerve puncture

NOTE:
A – Diaphoresis,Seizure,Pain, and Nerve damage
C – Jet-like pulsating bright red blood

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9
Q

All but one is improper technique in venipuncture?

a. Puncturing below 3-4 inches below the tourniquet
b. Palpation of the vein using two fingers
c. Back and forth cleansing of the skin for 30 seconds
d. Probing for the patient’s vein, which is difficult to hit

A

Probing for the patient’s vein, which is difficult to hit

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10
Q

What is proper action to do when a patient is nauseous during venipuncture?

a. Have the patient raise his feet
b. Apply cold compress on his forehead
c. Do nothing, proceed with the puncture
d. Give water

A

Apply cold compress on his forehead

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11
Q

In pediatric venipuncture, what percent of blood loss is fatal?

a. 5%
b. 8%
c. 10%
d. 3%

A

10%

NOTE:
* Pediatric venipuncture – 10% loss of blood can lead to shock and cardiac arrest

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12
Q

The following is/are part of TQM

a. QP
b. QI
c. QA
d. AOTA

A

AOTA

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13
Q

Standard operating procedure (SOP) is a set of _________ for methods used in the laboratory

a. Qualities
b. Standard
c. Operations
d. Instructions

A

Instructions

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14
Q

Repeat Request

a. Costs of Nonconformance: Internal Failure Costs
b. Costs of Conformance: Appraisal Cost
c. Costs of Nonconformance: External Failure Costs
d. Costs of Conformance : Prevention Costs

A

Costs of Nonconformance: External Failure Costs

NOTE:
Prevention Costs
1. Training
2. Calibration
3. Maintenance

Appraisal Cost
1. Inspection
2. Quality Control

Internal Failure Costs
1.Scrap
2. Rework
3. Repeat runs

External Failure Costs
1. Complaints
2. Service
3. Repeat Request

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15
Q

Which is not true about Lean

a. designed to eliminate non–value-adding steps
b. elimination of duplication, excess, and barriers for a more optimized flow
c. improvement by eliminating process variation
d. The major measurement for Lean is generally time

A

improvement by eliminating process variation

NOTE:
C- six sigma

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16
Q

A patient urine sample was positive for drug using Thin layer chromatography method, to confirm it, the follow up test should be

a. Sensitive
b. Accurate
c. Precise
d. Specific

A

Specific

17
Q

It is a comprehensive program involving statistical analysis of control materials, which are analyzed with a batch of patient samples to determine acceptability of the run

a. Intralab
b. Interlab
c. Proficiency testing
d. Linearity check

A

Intralab

NOTE:
B - A quality program in which specimens are submitted to laboratories for analysis and the results of an individual laboratory are compared with the results for the group of participating laboratories
C- Specimens that have known concentrations of an analyte for the test of interest. The testing laboratory does not know the targeted concentration when tested
D - determines the lowest and highest values that can be accurately measured by a particular method.

18
Q

All but one is systematic error

a. Calibrator reconstitution
b. Arises from unpredictable variations
c. Outlier
d. R4s

A

Outlier

NOTE:
A - random error
B - random error.
C - Outlier can also be systematic error
D - random error

19
Q

Prolonged tourniquet

a. Preanalytical error: Before collection
b. Preanalytical error: During collection
c. Preanalytical error: After collection
d. Analytical error

A

Preanalytical error: During collection

20
Q

Which among the ff. will cause a high SD and CV?

a. Expiring reagent
b. Improper calibration
c. Aging calibrators
d. voltage fluctuation

A

voltage fluctuation

21
Q

The plot identifies within-laboratory and between laboratory variability?

a. Twin plot
b. CUSUM
c. Levey-jennings
d. Gaussian curve

A

Twin plot

22
Q

Control values are: 50, 54, 55, 56, 59, and 64

a. Sample evaporation
b. Reagent is expiring
c. Machine is improperly calibrated
d. AOTA

A

Reagent is expiring

23
Q

2 consecutive controls differ by >4s creating a 4 standard deviation spread?

a. R4s
b. 41s
c. 22s
d. 12s

A

R4s

NOTE:
100 mg/dL (diluted specimen value) x 5 (reciprocal of dilution) = 500 mg/dL

24
Q

One control exceeds 1s, what is the primary response to this result?
a. Do nothing
b. Check the other control values for violation
c. Report
d. Reject

A

Check the other control values for violation

25
Q

A run is only acceptable when control values fall

a. Between 2s and 3s
b. Within 1s
c. Within 2s
d. Outside of 3s

A

Within 2s

NOTE:
A – sign of potential problem
D- corrective action

26
Q

Which has more probability of a westgard rule violation?

a. 10 controls tested
b. 5 controls tested
c. 20 controls analyzed
d. 15 control analyzed

A

20 controls analyzed

NOTE:
The more levels of QC material analyzed, the higher the probability of a rule violation even in the absence of true error

27
Q

The difference between two consecutive measurements of the same individual?

a. Bias
b. Delta check
c. Benchmarking
d. SD

A

Delta check

28
Q

A dispersed control values means

a. Assayed value is far from the target value
b. Value of results are close to each other
c. Measured controls are almost identical with the true value
d. Results don’t agree with one another

A

Results don’t agree with one another

29
Q

Why is hypoglycemia observed among renal failure patient?

a. Loss of glucose filtration
b. Loss of tubular reabsorption of glucose
c. Loss of glycogen storage
d. AOTA

A

Loss of tubular reabsorption of glucose

30
Q

Embden Meyerhof pathway is also

a. Glycogenesis
b. Glycolysis
c. Gluconeogensis
d. Lipogenesis

A

Glycolysis

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