Chapter 11 Testing and Laboratory Procedures

Question 1

What is Random Urine.

Answer 1

When urine specimen is used for screening. Pt. uses a clean, non-sterile container.

Question 2

What is a First Morning Specimen?

Answer 2

When Pt. collects in clean container first thing in AM. Pregnancy or (protien, nitrates) other analytes.

Question 3

What is a clean catch specimen?

Answer 3

Urine caught midstream in a sterile container. used for cultures or when a non-contaminated specimen is needed.

Question 4

What is a 24 hr. specimen?

Answer 4

A container with preservatives. Discard forst morning spec. and collect all urine for the next 24 hrs. including the first void of next day. Used for quantitative analysis and KD function.

Question 5

Catheterized-collection is:

Answer 5

w/ catheter when sterile spec. is needed or pt. cant do it alone. Nurse must insert cath. MA preps. pt.

Question 6

What is a Fecal Occult Blood test?

Answer 6

Pt. collects 3 seperate samples on filter paper. Correct Pt. instructions by MA are imp. Avoid some meds/foods for 3 days b/4.

Question 7

What is a tape test?

Answer 7

Usually for children to detect pinworms. Tape over anus b/4 getting up in AM. Put on slide for analysis.

Question 8

O&P testing is:

Answer 8

Ova and parasites testing. For parasites and their eggs.

Question 9

Sputum testing is best done when? Why?

Answer 9

Early AM b/4 eating/drinking. No mouthwash. Deep w/in LU. Deep productive cough.

Question 10

Hgb normal test values:

Answer 10

Hemoglobin: 13 -18 g/dL males, 12-16 g/dL females

Question 11

Hct normal test values:

Answer 11

Hematocrit: 42 - 52% males, 36 - 48% females

Question 12

FBS normal test values:

Answer 12

Fasting Blood Glucose: 60-110 mg/dL

Question 13

Total Cholesterol normal test values:

Answer 13

Less than 200 mg/dL

Question 14

LDL normal test values:

Answer 14

Low Density Lipoprotein: Less than 130 mg/dL

Question 15

HDL normal test values:

Answer 15

High Density Lipoprotein: Greater than 40 mg/dL

Question 16

Triglycerides normal test values:

Answer 16

Less than 150 mg/dL

Question 17

ESR normal test values:

Answer 17

Erythrocyte Sedimentation Rate: 0-20 mm/hr males, 0-30 mm/hr females

Question 18

INR normal test values:

Answer 18

International Normalized Ratio: 0.8 - 1.2

Question 19

PT normal test values:

Answer 19

Prothrombin time: 10.4 -15.7 seconds

Question 20

Urine PH normal test values:

Answer 20

4 - 6.8

Question 21

Urine Specific Gravity normal test values:

Answer 21

1.001 -1.035

Question 22

Urine Urobilinogen normal test values:

Answer 22

0.1 -1

Question 23

Urine (all other) normal test values:

Answer 23

Negative

Question 24

What is Chain of Custody kit and what is it for?

Answer 24

Drug Testing or court Subpoenaed tests. To insure no tampering. Signatures of all handling test required.

Question 25

Urine test for bilirubin requires what ?

Answer 25

Dark container to protect specimen from light.

Question 26

Hyperopia is;

Answer 26

Farsightedness or difficulty seeing things up close.

Question 27

Myopia is:

Answer 27

Nearsightedness or difficulty seeing things far away.

Question 28

Presbyopia is:

Answer 28

A gradual, age related loss of eye’s ability to focus actively on nearby objects.

Question 29

What are the 3 hearing tests?

Answer 29

1. Tympanometry (mvmt. of tympanic membrane), 2. Audiometry ( decibels/frequency testing), 3. Tuning Fork (tones through air/bone)

Question 30

Adults/ Children should be able to hear at what decibles?

Answer 30

Adult - 25 decibels Child- 15 decibels

Question 31

Who requires reporting of Critical lab Values?

Answer 31

CLIA (Clinical Laboratory Improvements Amendments)

Question 32

What are the 4 vision tests done in Ambulatory care settings?

Answer 32

1. near Vision, 2. Didtance Vision, 3. Color Vision, 4. Visual Field Test (aka: Perimetry Testing)

Question 33

Allergy test include what 4 tests and how are they done in office?

Answer 33

1. Scratch Skin: (forearm or back), 2. Intradermal Skin (injection forearm/back), 3. RAST (blood draw). 4. Challenge Test ( allergin foods given in office.

Question 34

Pulmonary Function tests done in Ambulatory setting: (2)

Answer 34

1. Peak Flow (forced expiratory volume) 2. Spirometry ( produces graphic)

Question 35

Pre-test requirements for Pulmonary testing: (3)

Answer 35

1. No large meals 2 hr. b/4, 2. No smoking 2 hr. b/4 3. No broncodialators 6 hr. b/4