Chapter 18: Specimen Management Flashcards
Which of the following statements are TRUE?
- An anaerobic tissue culture goes in the red top culture tube
- An error is an unintended act of omission
- Photographs of dermatologic lesions to be excised or biopsied can assist in site identification
A. 1 and 3
B. 2 and 3
C. 1 and 2
D. 1, 2 and 3
B. 2 and 3
Which of the following is TRUE regarding handling of amputated digits?
- Recently amputated digits should be kept cool to preserve the tissue
- The amputated digit should be placed directly in ice water to preserve the tissue
- The amputated digit should be wrapped in sterile gauze moistened with saline, then wrapped again in plastic and placed in an insulated chest containing ice
A. 1 and 3
B. 2 and 3
C. 1 and 2
D. 1, 2 and 3
A. 1 and 3
Which of the following is part of the process for collecting and handling forensic specimens?
- Always wear protective equipment such as gloves and eye protection
- Place each item in a separate paper bag or envelope
- collect potential evidence such as bullets or blood-stained clothing
A. 2 and 3
B. 1 and 2
C. 1, 2 and 3
C. 1, 2 and 3
“Chain of custody” of evidence is associated with which one of the following?
A. Documentation is essential only at the beginning and end of the chain
B. Details such as the patient’s behavior, appearance, bodily marks, should be documented by the perioperative nurse
C. Photographs are prohibited as part of the chain
D. Chain of custody policies are made at the state level only
B. Details such as the patient’s behavior, appearance, bodily marks, should be documented by the perioperative nurse
What is the maximum occupation radiation exposure limit for radiation workers? A. 10,000 millirem per year B. 2,000 millirem per year C. 1,000 millirem per year D. 5,000 millirem per year
D. 5,000 millirem per year
When a radioactive seed is first retrieved, what should happen next?
A. It should be placed in a sealed specimen container and labeled
B. The seed should be left alone and state officials should be called
C. The administrator of the facility should be consulted
A. It should be placed in a sealed specimen container and labeled
Which of the following is TRUE regarding labeling requirements for radioactive materials?
A. The presence of a radioactive seed should be documented on the pathology requisition slip, and verbal communication upon delivery of the specimen is recommended
B. Labeling need not include the name of the isotope
C. Warning labels that identify radioactive materials are always required
D. Labeling requirements are not dependent on the amount of radioactive material in the specimen
A. The presence of a radioactive seed should be documented on the pathology requisition slip, and verbal communication upon delivery of the specimen is recommended
Which of the following is TRUE regarding transferring specimens from the sterile field?
A. Specimen transfer refers to the process of moving a specimen from the sterile field to a containment device
B. Specimens should be placed on dry, absorbent surfaces
C. both A and B are true
D. Neither A or B is true
A. Specimen transfer refers to the process of moving a specimen from the sterile field to a containment device
Which of the following is an example of an error that may occur during the analytical phase? A. Patient misidentification B. Specimen misidentification C. Specimen mix up D. Transport methods or designation
C. Specimen mix up
Which of the following is an example of an error that may occur during the preanalytical phase?
A. Lack of specimen in the container
B. Equipment malfunction
C. Specimen mix up
D. Undetected failure in quality control
A. Lack of specimen in the container
Which of the following is NOT a type of implantable device that requires tracking by the FDA? A. Implantable infusion pump B. Silicone gel-filled breast implants C. Temporomandibular joint prosthesis D. Urinary catheter
D. Urinary catheter
Which of the following is true about excised breast tissue?
- They should be kept on ice and isolated on the sterile field until transfer
- They should be kept moist until transfer from the sterile field
- The time of excision of breast cancer specimens and the time of fixation should be recorded
- The time of excision of breast cancer specimens to the time of fixation should not exceed one hour
A. 1 and 2
B. 2 and 3
C. 2, 3 and 4
D. All of the above
C. 2, 3 and 4
What is the significance of HER2 status in terms of breast tissue specimen handling?
A. HER2 status is designated by the oncologist prior to sample excision in order to give specific instructions related to breast tissue excision for particular patients
B. HER2 is a biomarker that is important to evaluate for all breast cancer tissue samples
C. HER2 is a biomarker that is important to evaluate for a subset of breast cancer tissue samples
D. HER2 is not relevant to breast cancer specimens
B. HER2 is a biomarker that is important to evaluate for all breast cancer tissue samples
Containment of the excised specimen involves which of the following?
- Prevention of damage to or loss of the specimen
- Securing the specimen by placing it in an item used for storage and transport
- Keeping the specimen moist
- Protect from exposure to air
A. 1 and 2
B. 3 and 4
C. 1, 2, and 3
D. all of the above
D. all of the above
Which of the following is TRUE regarding preservation of specimens?
A. Preserving specimens is the act of protecting a specimen so that it does not get misplaced or mislabeled
B. The use of preservatives or chemical additives with specimen preservation is uncommon
C. Formaldehyde can lead to health problems with human exposure
D. Formalin is a noncombustible liquid
C. Formaldehyde can lead to health problems with human exposure
