UNIT 2.1 RECEIVING: LOGGING AND NUMBERING and ACCESSIONING/NUMBERING

Question 1

RECEIVING: LOGGING AND NUMBERING:

Answer 1

1. Verify information on the request form
2. Verification of the Specimen Label
3. Enter all data in the logbook/LIS
4. Accession/Number the specimen

Question 2

ACCESSIONING/
NUMBERING purpose

Answer 2

Identify specimen without writing the name of the
patient

Question 3

Initial assessment of the specimen occurs in the

Answer 3

reception area

Question 4

ALL SPECIMENS MUST BE DELIVERED TO THE LABORATORY IMMEDIATELY (WITHIN 1HOUR MAXIMUM) WITH A

Answer 4

COMPLETED REQUISITION FORM

Question 5

ALL REQUISITION FORMS MUST BE LABELED WITH THE CORRECT INFORMATION OF THE PATIENT AS
FOLLOWS:

Answer 5

1. Name of Patient.
2. Age, Date of Birth, Sex.
3. Medical Record Number
4. Date and Time of Collection
5. Type of Specimen (anatomic site)
6. Location of the Patient
7. Clinical history of the patient
8. Pre/post operation diagnosis
9. The requesting physician’s name.
10. Physician or authorized person’s signature on the request form.
11. Name and address of physician (for referral laboratories)

Question 6

. Specimen container must be labeled with the correct
information of the patient as follows:

Answer 6

1.Full patient’s name.
2.Medical record number.
3.Age and sex of the patient.
4.Type of specimen (Anatomic site).
5.Date and time of collection.
6.Location of the patient

Question 7

specimens that accompany the requisition form should be
identified by at least how many patient identifiers

Answer 7

2

Question 8

two identifiers in specimen:

Answer 8

Medical Record Number (MRN) and
pathology number

Question 9

S13-000 what is 000?

Answer 9

pangilan na specimen this year

Question 10

The case specimen number if there are multiple
specimens for the same patient case are labeled

Answer 10

alphabetically as A, B, C etc

Question 11

S13-000 what is 13?

Answer 11

year

Question 11

CASE ACCESSION NUMBER

S13-000 what is S?

Answer 11

What type of specimen?

Question 11

if there are
multiple blocks on the same specimen, use

Answer 11

specimen block number
(labeled
numerically A1, A2, A3 etc.)

Question 12

if there are multiple slides cut from a
single block

Answer 12

block slide number (numerically as 1,2,3 etc.)

Question 13

Stained Slides will be identified by two numbers :

Answer 13

medical record number and Pathology number

Question 14

All slides other than those stained by ________ and _________
will bear the name of the stain

Answer 14

hematoxylin and eosin

Question 15

it has bacterial contamination. The
bacteria destroyed the cells

Answer 15

Putrefaction

Question 16

maintains the records of the number of blocks,
slides, and stains prepared and it is capable of demonstrating
volumes for any given time

Answer 16

QUADRAMED

Question 17

If you are going to send specimens out, it will not be accepted
by the referral pathology laboratory without __________

Answer 17

histopath report

Question 17

the cell is destroyed because of the natural process of decomposition, or because of the enzymes
inside the ce

Answer 17

autolysis

Question 18

ALL SPECIMENS FROM OUTSIDE THE HOSPITAL EXCEPT THOSE FROM GOVERNMENT HOSPITALS Must have the ____________ before they are accepted for processing

Answer 18

approval of the hospital administration and
consultant on duty

Question 19

. All ____________________ must have their laboratory tests entered and collected in the computer by the attending physician

Answer 19

In-patients for histopathological diagnosis

Question 19

REQUESTS FOR FROZEN SECTION REQUIRE _______ AHEAD OF THE OPERATION.

Answer 19

24 HOUR-NOTICE

Question 20

must
be duly completed and submitted with the specimen

Answer 20

Histopathology requisition form (Lab 1-A)

Question 21

Accessioning of collected specimen is carried out in the _____________ by the technologist(s

Answer 21

laboratory reception area

Question 22

Specimen should be immersed in fixative (10% buffered formalin) within _______ of the biopsy or
resection procedure.

Answer 22

1 hour

Question 23

All specimens must be received fixed in 10% neutral buffered formalin EXCEPT for the following:

Answer 23

• FROZEN SECTION
• IMMUNOFLUORESCENCE
• ELECTRON MICROSCOPY

Question 24

IMMUNOFLUORESCENCE fixative

Answer 24

Either in normal saline solution (NSS) or liquid nitrogen

Question 25

ELECTRON MICROSCOPY fixative

Answer 25

2% glutaraldehyde solution in the cold after excision

Question 26

FOR RENAL BIOPSIES, Please call __________ before the procedure

Answer 26

15 minutes

Question 27

FOR RENAL BIOPSIES, sample should be immersed in

Answer 27

saline

Question 28

RENAL BIOPSIES

The specimen will be examined under the dissecting microscope for the presence of _________ to determine if the specimen is adequate, then divided into 3 parts:

Answer 28

• glomeruli
  ○ (1) frozen for immunofluorescence
  ○ (1) immersed in glutaraldehyde for EM study
  ○ (1) fixed in formalin for paraffin processing

Question 29

RENAL BIOPSIES

Alternatively, __ separate samples could be sent to the Histopathology
laboratory.

Answer 29

3

Question 30

RENAL BIOPSIES

These specimens should be sent to the lab within _______ after the renal biopsy procedure.

Answer 30

one hour

Question 31

RENAL BIOPSIES

in renal biopsy, The specimen in saline should be immediately snap frozen in _________ for
further frozen sectioning and immunofluorescence staining.

Answer 31

liquid nitrogen

Question 32

TESTICULAR BIOPSIES fixative

Answer 32

BOUIN’S
FLUID

Question 33

ELECTRON MICROSCOPY SAMPLES:

Answer 33

4%
GLUTARALDEHYDE SOLUTION AND REFRIGERATE.

Question 34

thread used for sewing; used for differentiation of
positions

Answer 34

Sutures

Question 34

FOR BREAST LUMP, THE SURGICAL MARGINS
SHOULD BE ORIENTED BY ________.

Answer 34

SUTURES

Question 35

FOR MASTECTOMY, THE _______ SHOULD
BE INDICATED BY SUTURES.

Answer 35

APICAL NODES

Question 35

IDENTIFIED BY THE
SURGEON AND REMOVED WILL BE SUBMITTED TO THE
LABORATORY IN A SEPARATE CONTAINER, WITH A
REQUISITION.

Answer 35

Sentinel lymph node/nodes

Question 35

Superior margin to be indicated by a _________ in case
of simple mastectomy (without axillary dissection)

Answer 35

separate suture

Question 36

the first lymph node to be affected by
cancer

Answer 36

Sentinel lymph node

Question 37

This will ensure the integrity of the lymph node capsules
and also assess the tumor spread beyond the lymph node
capsule.

Answer 37

including Perinodal fat

Question 38

Known infective specimens should be clearly marked with

Answer 38

red
marker.

Question 39

The proximal or distal excised margins should
be oriented by a suture.

Answer 39

BOWEL RESECTION

Question 39

SKIN BIOPSIES INTENDED FOR
IMMUNOFLUORESCENT ARE STORED IN THE ______ FOR IMMUNOFLUORESCENCE STUDIES.

Answer 39

DEEP FREEZER (-70 c)

Question 40

Surgical specimen to be “Exempt from Pathology Examination” as approved by the Chairperson Department of Pathology in conjunction with the hospital administration and medical staff departments, are

Answer 40

• Foreign bodies (e.g. bullets, medical devices, IUD, valve rings).
• Hair, finger nails, toe nails removed
  for cosmetic reason.
• Teeth, dental appliances.
• Lens (i.e. cataract).
• Calculi.
• Nasal septum cartilage and bone (soft tissue is submitted for microscopic
  examination).
• Foreskin from circumcision (10 years old and younger).
• Mammary implant
• Skin from face-lifts
• Orthopedic materials

Question 40

___________ INTENDED FOR
IMMUNOFLUORESCENT ARE RECEIVED FROZEN FROM
THE DERMATOLOGY DEPARTMENT

Answer 40

SKIN BIOPSIES

Question 41

Tiny and small biopsies from ___________ and ___________ are
normally submitted for processing on the same day, if received before
the cut-off time i.e., before 2.00 P.M. and if they appear to be fixed.

Answer 41

Endoscopy and dermatology

Question 42

Specimens are usually kept at room temperature for at__________ after the official report is released and then disposed according to Hospital and Municipality protocol on proper specimen disposal

Answer 42

least two weeks

Question 42

Referral slides/blocks must be accompanied by the official original pathology report with the following information:

Answer 42

1. Patient’s name
2. Medical Record Number
3. Hospital / clinic pathology number
4. Number of slides/ blocks

Question 43

Specimens accepted for “Gross Description
Only”

Answer 43

• Torn Meniscus.
• Varicose veins.
• Bone fragments from non-pathologic fracture.
• Ear cartilage.
• Fetus.