Evans - Sample, reference Ranges And Reliability Flashcards

1
Q

Clinical reasons for taking samples

A

Diagnosis
Management
Screening: cholesterol, neonatal; phenylketonuria

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2
Q

Non invasive Types of clinical sample

A
Urine
Saliva 
Hair
Faeces
Breath
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3
Q

Invasive types of clinical samples

A
Blood (serum/plasma)
Serous fluids (peritoneal, pericardial, pleural)
CSF
Amniotic fluid
Sputum
Calculi (stones)
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4
Q

What is the workflow in a typical clinical biochem lab?

A

Patient > Testing > Response

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5
Q

At What stage of the workflow in a clinical biochem lab do most of the issues occur?

A

Pre-analytical stage

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6
Q

What are biological endogenous factors that contribute to sample variability in pre-analytical phase?

A
Age
Pregnacy
BMI
Sex
Menstrual status
Ethnic origin
Menopausal status
Stress
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7
Q

What are technical exogenous factors contributing to sample variability in pre-analytical phase?

A
Fasting, 
Exercise, 
Posture
Patient prep
Blood drawing
Misidentification 
Insufficient volume
Haemolysis
Contamination
Venous stasis
Blood collection devices 
Automation 
Centrifugation 
Automation 
Medication 
Timing of sample collection
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