Lesson 1- Intro to Clinical Lab Science

Question 1

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?

Answer 1

Deviations made by CLIA 88’

Question 2

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?

Answer 2

FDA waived score card

Question 3

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

Answer 3

waived testing

Question 4

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

Answer 4

They are all FDA waived tests

Question 5

Moderate and high complex tests are also known as…

Answer 5

Nonwaived tests

Question 6

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

Answer 6

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

Question 7

What personnel are required for nonwaived testing?

Answer 7

Lab director, tech consultant, and testing personnel

Question 8

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

Answer 8

Moderate complex testing

(Ex: provider-performed microscopy (PPM))

Question 9

What are examples of moderate complex tests?

Answer 9

Wet mouths, pin worm, & urine sediment

Question 10

How are waived tests checked in an accredited laboratory?

Answer 10

By confirmation testing

Question 11

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

Answer 11

Check with your supervisor & check with CLIA 88’

Question 12

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

Answer 12

B Anatomical & clinical

Question 13

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

Answer 13

B Clinical chemistry

Question 14

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

Answer 14

A Hematology

Question 15

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

Answer 15

B Coagulation

Question 16

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

Answer 16

C Urinalysis

Question 17

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

Answer 17

B Medical Microbiology

Question 18

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

Answer 18

A Immunology/serology

Question 19

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

Answer 19

C Immunohematology

Question 20

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

Answer 20

B Flow Cytometry

Question 21

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

Answer 21

A Histology

Question 22

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

Answer 22

B Cytology

Question 23

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

Answer 23

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

Question 24

What are manufacturer’s instructions also known as?

Answer 24

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

Question 25

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

Answer 25

D. All of the above

Question 26

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

Answer 26

A. While opening a new test

Question 27

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

Answer 27

C both a and b

Question 28

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

Answer 28

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

Question 29

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

Answer 29

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

Question 30

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

Answer 30

A. manufacturer's

Question 31

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

Answer 31

C. QC

Question 32

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

Answer 32

b. CLIA

Question 33

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

Answer 33

d. Safety Data Sheet

Question 34

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

Answer 34

c. Hepatitis B vaccine

Question 35

The term __________ means that something that is free of disease-causing microbes. a. Clean b. Sterile c. Infected d. Aseptic

Answer 35

d. Aseptic

Question 36

What hazard does a pictogram with a flame illustrate? a. Oxidizing b. Explosive c. Flammable d. Health

Answer 36

c. Flammable

Question 37

Which of the following tests is performed in the Hematology department? a. RPR b. PT/INR c. TSH d. CBC

Answer 37

d. CBC

Question 38

A culture and sensitivity test is performed in which laboratory department? a. Hematology b. Immunohematology c. Immunology d. Microbiology

Answer 38

d. Microbiology

Question 39

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

Answer 39

d. All of the above

Question 40

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

Answer 40

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

Question 41

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

Answer 41

c. Read the manufacturer's instructions