Lesson 1- Intro to Clinical Lab Science Flashcards

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1
Q

PPM can be placed as waived if a qualified provider performs the test, if a non-qualified provider completes a test it it classified as a moderate complex test, if any modifications are made to a waived test by a qualified provider it then becomes a high complex test…

These statements describe what?

A

Deviations made by CLIA 88’

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2
Q

What type of scorecard is used to score tests with minimal # of steps, direct specimens, easy to understands procedure, and no calculation or calls required for use?

A

FDA waived score card

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3
Q

What type of test is approved by the FDA for home use, poses minimal risk, and simple to use?

A

waived testing

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4
Q

Glucose, COVID-19, rapid strep, and pregnancy test are all have what in common?

A

They are all FDA waived tests

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5
Q

Moderate and high complex tests are also known as…

A

Nonwaived tests

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6
Q

Medical lab assistants may be able to perform nonwaived test if they meet what requirements?

A

CLIA requirements after completing high school diploma and documentation of training by a licensed scientist

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7
Q

What personnel are required for nonwaived testing?

A

Lab director, tech consultant, and testing personnel

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8
Q

Which type of tests are performed by physicians, dentists, physician assistants, midwifes, or nurse practicians only?

A

Moderate complex testing

(Ex: provider-performed microscopy (PPM))

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9
Q

What are examples of moderate complex tests?

A

Wet mouths, pin worm, & urine sediment

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10
Q

How are waived tests checked in an accredited laboratory?

A

By confirmation testing

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11
Q

When in doubt in the lab, what should you do?

A

Check with your supervisor & check with CLIA 88’

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12
Q

The department of pathology is divided into what 2 areas?
A. Immunology & pathology
B Anatomical & clinical
C Clinical & urinalysis

A

B Anatomical & clinical

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13
Q

Which area in the clinical pathology department detects and measures chemical substances and performs general chemistry tests such as metabolic panels, electrolytes, and alcohol tests?
A Hematology
B Clinical chemistry
C Urinalysis

A

B Clinical chemistry

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14
Q

Which area in the clinical pathology department studies blood and blood tissues and performs tests such as whole blood and CBC?
A Hematology
B Clinical chemistry
C Urinalysis

A

A Hematology

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15
Q

Which area in the clinical pathology department studies the ability to form and dissolve clots and requires plasma samples for PT/PTT/INR testing?
A Hematology
B Coagulation
C Urinalysis

A

B Coagulation

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16
Q

Which area in the clinical pathology department analyzes urine samples and most commonly uses UAs for testing?
A Hematology
B Coagulation
C Urinalysis

A

C Urinalysis

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17
Q

Which area in the clinical pathology department studies microorganisms and uses culture and sensitivity (C&S) samples for testing?
A Hematology
B Medical Microbiology
C Urinalysis

A

B Medical Microbiology

18
Q

Which area in the clinical pathology department studies serum and uses hepatitis and autoantibody samples for RPR testing?
A Immunology/serology
B Medical Microbiology
C Urinalysis

A

A Immunology/serology

19
Q

Which area in the clinical pathology department prepares blood products, requires additional patient identification, and requires a type and screen as well as a type and crossmatch for testing?
A Immunology/serology
B Medical Microbiology
C Immunohematology

A

C Immunohematology

20
Q

Which area in the clinical pathology department analyzes and sorts cells and uses human lymphocyte antigen & T-and-B lymphocytes assays for testing?
A Immunology/serology
B Flow Cytometry
C Immunohematology

A

B Flow Cytometry

21
Q

Which area in the anatomical pathology department studies tissues and uses samples from tissue biopsies or frozen section?
A Histology
or
B Cytology

A

A Histology

22
Q

Which area in the anatomical pathology department studies cells through identifying and counting, and most commonly uses the pap smear?
A Histology
or
B Cytology

A

B Cytology

23
Q

Manufacturer’s instructions must be read and followed only during orientation.

A

False, manufacturer’s instructions must be read and followed with each prep and test being conducted.

24
Q

What are manufacturer’s instructions also known as?

A

They are also known as product inserts which can also be found in Test Kits

25
Q

What is the purpose of a product insert?
A. to explain how to use the associated kit
B. to the intended use of the sample required
C. to list the items included in the inside the kit itself
D. All of the above

A

D. All of the above

26
Q

When is the quality control completed?
A. While opening a new test
B. Before opening a new test
C. After opening a new test

A

A. While opening a new test

27
Q

As a medical lab assistant, why should you follow the manufacturer’s instructions?
A. to ensure the chemicals are stored properly
B. to ensure all lab personnel are safe
C both a and b
D none of the above

A

C both a and b

28
Q

Give 2 examples of how harmful chemicals can be stored in the lab.

A

Under fumes hoods, in flammable cabinets, or other special containers.

29
Q

What are SDS used for?
A. reference for sharps
B. reference for equipment
C. reference for chemicals

A

C. Safety data sheets are used as references for chemicals
(ex: how to store, prevent spills, and address a spill, etc.)

30
Q

Inserts in lab kits that tell you all you need to know about the kit are called _______ instructions.
A. manufacturer’s
B. doctor’s
C. laboratory’s

A

A. manufacturer’s

31
Q

When opening a new test kit you must write the date opened and your initials. You must also perform ___ before testing a patient.
A. CQ
B. QT
C. QC

A

C. QC

32
Q

Which United States law set standards for laboratory testing classifications and requirements based on the complexity of the test?

a. OSHA
b. CLIA
c. FDA
d. CDC

A

b. CLIA

33
Q

When working in a laboratory, where would you find information about how to clean up a chemical spill?

a. Exposure Control Plan
b. Chemical Hygiene Plan
c. Bloodborne Pathogen Standard
d. Safety Data Sheet

A

d. Safety Data Sheet

34
Q

According to the 2000 Needlestick Safety and Prevention Act, which of the following must your employer provide to you free of charge?

a. Continuing education
b. Healthcare
c. Hepatitis B vaccine
d. Paternity leave

A

c. Hepatitis B vaccine

35
Q

The term __________ means that something that is free of disease-causing microbes.

a. Clean
b. Sterile
c. Infected
d. Aseptic

A

d. Aseptic

36
Q

What hazard does a pictogram with a flame illustrate?

a. Oxidizing
b. Explosive
c. Flammable
d. Health

A

c. Flammable

37
Q

Which of the following tests is performed in the Hematology department?

a. RPR
b. PT/INR
c. TSH
d. CBC

A

d. CBC

38
Q

A culture and sensitivity test is performed in which laboratory department?

a. Hematology
b. Immunohematology
c. Immunology
d. Microbiology

A

d. Microbiology

39
Q

When opening a new test kit, which of the following must you do?

a. . Write the date on the kit
b. Initial the kit
c. Perform QC
d. All of the above

A

d. All of the above

40
Q

True or false: In order to save money, reagents and supplies from two kits that perform the same test may be combined.

A

False, chemicals from two different kits should never be combined.

41
Q

What is the first thing you should do when opening a new test kit?

a. Perform a patient test
b. Date, initial, and perform QC
c. Read the manufacturer’s instructions
d. Check to make sure you have all the supplies you need

A

c. Read the manufacturer’s instructions