Nature of CL Flashcards

1
Q

Refers to a facility subdivided into different sections where common diagnostic procedures are done by specialized health professionals.

A

CLINICAL LABORATORY

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2
Q

to provide accurate and reliable information to medical doctors for the diagnosis, prognosis, treatment, and management of diseases

A

MAIN TASK OF CL

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3
Q

The regulation of Clinical Laboratories in the Philippines is governed by Republic Act ____

A

Republic Act 4688

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4
Q

An act regulating the operation and maintenance of clinical laboratories and requiring the registration of the same with the department of health, providing penalty for the violation thereof, and for other purposes

A

Republic Act 4688

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5
Q

When was RA 4688 approved

A

June 18 1966

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6
Q

Republic Act 4688 - BUREAU OF _________ OF THE DEPARTMENT OF __

A

RESEARCH AND LABORATORIES
HEALTH

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7
Q

What DOH Admin Order is the redirecting the functions and operations of the department of health

A

DOH EO 59 series of 2001

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8
Q

What bureau was given regulatory functions among clinical laboratories in the philippines.

A

BUREAU OF HEALTH FACILITIES AND SERVICES (BHFS)

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9
Q

What DOH Admin order : revised rules and regulations governing the regulation of clinical LABORATORIES IN THE PHILIPPINES

A

DOH AO 2007-0027:

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10
Q

What DOH Admin order :: new rules and regulations governing the regulation of clinical laboratories in the Philippines

A

DOH AO 2021-0037

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11
Q

Annex 1
Annex 2
Annex 3
Annex 4
Annex 5
Annex 6

A

1 STAFFING
2 PHYSICAL FACILITIES
3EQUIPMENT/INSTRUMENTS
4GLASSWARE
5WASTE MANAGEMENT
6QUALITY CONTROL PRORAM
7REPORTING
8RECORDING
9LABORATY FEES

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12
Q

Section 1 -
Section 2 -
Section 3 -
Section 4 -
Section 5
Section 6
Section 7
Section 8
Section 9

A

title
authority
purpose
scope
classification of laboratories
policies
requirements and procedures
violation
investigation of charges

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13
Q

Deals with the analysis of genes, proteins and other molecules in order to diagnose disease.

A

Molecular Pathology

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14
Q

Laboratory that operates within a hospital

A

Hospital-Based (HB)

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15
Q

FREE-STANDING LABORATORY

A

Non-hospital Based (NHB)

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16
Q

Owned by national or local government units

A

Government-Owned

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17
Q

Owned, stablish and operated by an individual operator, corporation, institution, association or an organization

A

Privately-Owned

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18
Q

According to function, concerned with the diagnosis and treatment of diseases performed through laboratory testing of blood and other fluids

A

Clinical pathology

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19
Q

According to function, concerned with the diagnosis of diseases through microscopic examination of tissues and organs

A

Anatomic Pathology

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20
Q

ACCORDING TO SERVICE CAPABILITY (Examination Performed) – DOH NO ____

A

2021-0037

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21
Q

The highest level of laboratory in the country performing highly complex procedures, including confirmatory testing

A

National Reference Laboratory (NRL)

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22
Q
  • Refers to an extension of the main clinical laboratory located within the facilities compound or premises
A

Satellite Clinical Laboratory

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23
Q

A laboratory testing unit that moves from one testing site to another testing site and it has a DOH licensed CL as its main laboratory

A

Mobile clinical laboratories

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24
Q

This section is intended for the testing of blood and other body fluids to quantify essential soluble chemicals including waste products useful for the diagnosis of certain diseases.

A

Clinical Chemistry

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25
Q

Color for tubes that no anti-coagulant

A

Plain/red tube

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26
Q

Chemicals that prevents coagulation/clotting

A

Anti-coagulant

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27
Q

Bone marrow examination is done in this section

A

Hematology and Coagulation Studies

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28
Q

● Coagulation studies focus on blood testing for the determination of various coagulation factors.

A

Hematology and Coagulation Studies

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29
Q

is used for the majority of test procedures

A

Whole blood

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30
Q

Deals with the uses of immunologic principles to study and identify the different blood groups

A

Blood Bank

31
Q

● Prepares blood and blood components for transfusion

A

Blood Bank

32
Q

– test the compatibility of blood type of patients

A

Cross-matching

33
Q

average volume of blood

A

450 ml

34
Q

A broad term which includes virology, mycology, parasitology, bacteriology.

A

Microbiology

35
Q

is defined as the study of all the aspects of the immune system, including its structure and function

A

Immunology

36
Q

Deals with the response of an organism to antigenic challenge and its recognition of what is self and non self.

A

Immunology/ Serology

37
Q

division of immunology that deals with the specializes in the laboratory detection and measurement of antigens and antibodies

A

Serology

38
Q

may be performed for diagnostic purposes when an infection is suspected and helps to diagnose patients with immunodeficiencies associated with the lack of antibodies

A

Serological tests

39
Q

The common chemical testing of urine utilizes commercial reusable test strips TRUE OR FALSE

A

FALSE, disposable

40
Q

The result of testing for chemical Tests for abnormal chemical constituents is regarded as

A

semi-quantitative

41
Q
  • Important in evaluating fertility cases and status of post vasectomy cases.
A

Semen Analysis

42
Q
  • Fecalysis, stool concentration technique, occult blood determination and stool examination for fats help clinician in early detection of gastro-intestinal bleeding, liver and biliary duct disorders and malabsorption syndrome.
A

Semen Analysis

43
Q

Refers to the microscopic examination of tissue in order to study the manifestations of disease.

A

Histopathology

44
Q
  • Process of recording the tissue specimen in a log book and assigning identification numbers to the specimen received in the laboratory
  • Preserving the tissue specimen
A

Numbering
Fixation

45
Q
  • Process of removing water from the specimen by using increasing grades of ethyl alcohol
  • Also known as de-alcoholization.,process of removing excess alcohol in the tissues and making the tissues transparent
A

Dehydration
Clearing

46
Q
  • the process of filling up the tissue spaces or cavities using a paraffin wax
  • The process of placing the infiltrated tissue inside a mold.
  • The process of removing the excess paraffin wax from the block until it assumes the shape of a truncated pyramid.
A

Infiltration
Embedding/Molding
Trimming

47
Q

___A tissue block is cut into thin slices called ribbons/section using microtome also known as ___

A

Sectioning
microtomy

48
Q
  • The process that employs the use of hematoxylin and eosin dyes to differentiate the cells and the cellular constituents.
  • The process of putting the coverslip on the stained tissue using a mounting medium
    Means of identifying the specimen. The specimen number is indicated on the glass
    slide.
A

Staining
Mounting
Labelling

49
Q

Pre-analytic Phase

A

● Patient registration
● Laboratory test ordering
● Phlebotomy draw lists
● Bar-coded labels (collection tube / aliquot labels)
● Specimen Racking System

50
Q

Analytic Phase

A

● Quality Control
● Instrument worklist
● Manual worklist
● Manual results entry
● Automated results entry via interface
● Validation of results
● Release of results

51
Q

Post-Analytic Phase

A

● Cumulative patient reports
● Corrected report
● Results inquiry
● Electronic reporting (billing)
● Pending List

52
Q
  • Overall activities conducted by the laboratory personnel to ensure reliability of test results.
A

Quality Assurance in the Clinical Laboratory

53
Q
  • It is organized, systematic, well-planned, and regularly done with the results properly documented and consistently reviewed.
A

Quality Assurance in the Clinical Laboratory

54
Q

IQAS
EQAS

A

-Internal Quality Assurance System
-External Quality Assurance System

55
Q

includes day-to-day activities that are undertaken in order to control factors or variables that may affect test results

A

-Internal Quality Assurance System

56
Q

Regular review and audit of results are done in order to identify weaknesses and consequently perform corrective actions

A

-Internal Quality Assurance System

57
Q

a system for checking performance among clinical laboratories and is facilitated by designated external agencies.

A

External Quality Assurance System (EQAS)

58
Q

is the DOH designated EQAS.

A

National Reference Laboratories

59
Q

-Hematology and Coagulation
-Microbiology and parasitology
-Clinical Chemistry
-Drug of Abuse
-Infectious Immunology hepatitis b surface antigen

A
  1. National Kidney and Transplant Institute (NKTI)
  2. Research Institute of Tropical Medicine (RITM)
  3. Lung Center of the Philippines (LCP) - Clinical Chemistry
  4. East Avenue Medical Center (EAMC)
  5. San Lazaro Hospital STD-AIDS Cooperative Center Laboratory (SACCL)
60
Q

Combines anatomical, clinical, biochemical techniques where antibodies bounded to enzymes and fluorescent dyes are use to detect presence of antigen

A

Immunohistochemistry

61
Q

In molecular biology and biotechnology, the most common technique is

A

Polymerase chain reaction

62
Q

Most critical section in the clinical laboratory

A

Blood bank/immunohematology

63
Q

In clinical microscopy, the first area is ___ and the second is ___

A

urinalysis
fecalysis

64
Q

Mycobacteriology looks into the identification of what?

A

mycobacterium

65
Q

This section of clinical laboratory is the most busiest

A

clinical chemistry

66
Q

clinical chemistry is described as

A

state of art
fully automated

67
Q

important activities that medtech perform in clinical chemistry

A

iNTERNAL QUALITY ASSURANCE
CONTINUOUS QUALITY IMPROVEMENT
NATIONAL EXTERNAL QUALITY ASSURANCE PROGRAM

68
Q

All the laboratory record shall be kept on file for at least____ except for ___ which shall be kept permanently

A

1 year
anatomic and forensic pathology

69
Q

If there is no pathologist, there should be a physician with _ months training on ___, ____, ___ and may manage this category of clinical laboratory

A

clinical laboratory medicine, quality control, lab management
primary/secondary category

70
Q

What will happen if a clinical laboratory has no license from DOH

A

imprisonment for not less than 1 month but not more than 1 year or a fine of not less than 1k and not more than 5k

71
Q

Laboratories should be inspected every how many year

A

2

72
Q

section mnemonic

A

TAPSCPRVI

73
Q

Autopsy examine __ while biopsy ___

A

dead
living