Lab Management 10%

Question 1

TRUE about the preanalytical phase?
A. Refers to all the complex steps that must take place before a sample
can be analyzed
B. Phase where 32 to 75 % of all testing errors occur
C. Most frequent errors include improperly filling the tube, placing
specimen in wrong containers and selecting incorrect test
D. A and C
E. All of the above

Question 2

Clinical laboratories are regulated through the

Answer 2

Clinical Laboratory Improvement Act of 1988

Question 3

Leader Vs. Manager. Implementer.

Answer 3

Manager

Question 4

Leader Vs. Manager. Organizer and developer

Answer 4

Leader

Question 5

Risk taker

Answer 5

Leader

Question 6

Ask how and when

Answer 6

manager

Question 6

watches bottom line

Answer 6

manager

Question 7

accepts status quo

Answer 7

manager

Question 8

good soldier

Answer 8

manager

Question 9

does the right thing

Answer 9

leader

Question 10

does things right

Answer 10

manager

Question 11

SWOT analysis. Increased test volume will decrease cost per test

Answer 11

strength

Question 12

swot analysis. Competition from other local hospital laboratories

Answer 12

threats

Question 12

morale issues

Answer 12

weaknesses

Question 13

having access to hospital marketing department

Answer 13

opportunities

Question 14

Traditional Thinking VS. TQM Thinking. Error-free quality

Answer 14

TQM

Question 15

Traditional Thinking VS. TQM Thinking. Department focused.

Answer 15

Traditional Thinking

Question 15

Traditional Thinking VS. TQM Thinking. Quality as means to lower cost.

Answer 15

TQM Thinking

Question 16

Traditional Thinking VS. TQM Thinking. Defects by workers.

Answer 16

Traditional thinking

Question 17

Traditional Thinking VS. TQM Thinking. Empowered worker

Answer 17

TQM Thinking

Question 18

Traditional Thinking VS. TQM Thinking. Status Quo

Answer 18

Traditional Thinking

Question 19

Traditional Thinking VS. TQM Thinking. Manage by fact.

Answer 19

TQM Thinking

Question 20

Traditional Thinking VS. TQM Thinking. Intangible Quality.

Answer 20

Traditional Thinking

Question 21

Traditional Thinking VS. TQM Thinking. US relationship.

Answer 21

TQM Thinking

Question 22

Traditional Thinking VS. TQM Thinking. End process focus.

Answer 22

Traditional Thinking

Question 23

Traditional Thinking VS. TQM Thinking. Proactive Systems.

Answer 23

TQM Thinking

Question 23

Within the Six Sigma process, defects are generally measured by defects per million opportunities (DPMO), The goal of six sigma is to reach how many DPMOs?

Answer 23

3.4 DPMO

Question 24

This is a system for reducing waste (non valued activities) in production of manufacturing process

Answer 24

Lean Six Sigma

Question 25

Give the suggested guideline for retention of the following. Requisitions

Answer 25

2 years

Question 26

Give the suggested guideline for retention of the following. Quality Control Records

Answer 26

2 years

Question 27

Give the suggested guideline for retention of the following. Blood bank QC records

Answer 27

5 years

Question 28

Give the suggested guideline for retention of the following. Blood bank deferred donor records.

Answer 28

Indefinite

Question 29

Give the suggested guideline for retention of the following. Urine

Answer 29

24 hours

Question 30

Give the suggested guideline for retention of the following. Serum/CSF/Body fluids

Answer 30

48 hours

Question 31

Give the suggested guideline for retention of the following. Cytology slides

Answer 31

5 years

Question 32

Give the suggested guideline for retention of the following. FNA slides

Answer 32

10 years

Question 33

Give the suggested guideline for retention of the following. Paraffin blocks.

Answer 33

10 years

Question 34

Give the suggested guideline for retention of the following. Flo cytometry plots/histograms

Answer 34

10 years

Question 35

Give the suggested guideline for retention of the following. cytogenetic reports/images

Answer 35

20 years

Question 36

Order of draw For MULTIPLE BLOOD EXTRACTIONS

Answer 36

1 Yellow Top 2 Blue Top 3 Red Top 4 Green Top 5 Lavander Top (hematology cell counts and cell morphology) 6 Gray Top (best used for measurements of GLUCOSE)

Question 37

At what time should the specimen be drawn for plasma cortisol determination?

Answer 37

8AM, 8PM

Question 38

The presence of visible hemolysis will significantly increase serum level of which electrolyte?

Answer 38

Potassium

Question 39

What is the anticoagulant of choice for hematology cell counts and cell morphology?

Answer 39

EDTA

Question 40

Gray to tubes are best used for measurements of

Answer 40

GLUCOSE.

Question 41

What is the content of GRAY TOP?

Answer 41

potassium citrate

Question 43

Types of Water Based on American Society of Testing and Materials

Answer 43

Type I Reagent Water: The Purest Form Type II Reagent Water: General Laboratory Use Type III Reagent Water: Less Critical Applications Type IV Reagent Water: Non-Critical Applications

Question 44

Typically used for sensitive analytical procedures like atomic absorption, gas chromatography, and trace analysis.

Answer 44

Type I Reagent Water: The Purest Form

Question 45

Type I Reagent Water Purity Requirements

Answer 45

Purity Requirements: Requires a resistivity of at least 18 MΩ-cm at 25°C and a total organic carbon (TOC) level of less than 50 ppb.

Question 46

Type II Reagent Water: General Laboratory Use Purity Requirements

Answer 46

Purity Requirements: Should have a resistivity of at least 1 MΩ-cm at 25°C, with total organic carbon (TOC) levels typically less than 50 ppb.

Question 47

Type III Reagent Water: Less Critical Applications Purity Requirements

Answer 47

Purity Requirements: Requires a resistivity of at least 4 MΩ-cm at 25°C, with TOC levels expected to be less than 200 ppb.

Question 48

Type IV Reagent Water: Non-Critical Applications Purity Requirements

Answer 48

Purity Requirements: Requires a minimum resistivity of 0.2 MΩ-cm at 25°C, with no specific TOC limit.

Question 49

Answer 49

Question 50

Microbiological Quality Sub-Classifications: A, B, and C The ASTM D1193-06 standard also includes sub-classifications (A, B, and C) that define acceptable microbiological quality levels, particularly regarding Heterotrophic Bacteria Count (CFU/ml) and Endotoxin (EU/ml) standards.

Answer 50

Option A: Specifies the highest level of purity, with stringent limits on contaminants. Suitable for high-precision analytical methodologies like mass spectrometry. Option B: Slightly less stringent but still suitable for most analytical applications requiring high sensitivity. Option C: The least stringent, used for general laboratory applications that require high purity but not ultra-low levels of contaminants.