Exam 44: Assisting in the Clinical Laboratory

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The bottom diamond (white) of the national fire protection association identification system indicates which of the following?

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C

Summarize methods that can be used to prevent physical hazards in the clinical laboratory.

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• Keep all electrical equipment in proper repair and follow the manufacturers' instructions.
• Store flammable materials properly; be familiar with the location of fire extinguishers and fire safety blankets; fire safety blankets should be used to smother flames on burning clothing.
• Post emergency phone numbers on the wall near the telephone and make sure all personnel know the location of fire alarms, the fire escape routes, and procedures to follow if exits are blocked.
• Be careful when using equipment with moving parts, such as centrifuges, and those that rely on pressure, including autoclaves.
• Follow the CDC's recommendations for infection control, engineering and work practice controls, and personal protective clothing and equipment.

The medical assistant is trained to perform CLIA-waived tests in the ambulatory laboratory setting. Based on your understanding of these tests, summarize at least five of them, along with their functions.

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Dipstick or tablet reagent urinalysis (nonautomated) for: bilirubin, glucose, hemoglobin, ketone, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen
Function
•Urine screening to assess or diagnose diseases such as diabetes mellitus, kidney disease, and urinary tract infections
•Urine pregnancy tests: visual color comparison tests
•Diagnose pregnancy
•Urine chemistry analyzer; automated urine dipstick analysis
•Urine screening to assess or diagnose diseases such as diabetes mellitus, kidney disease, and urinary tract infections
•Urine chemistry analyzer for microalbumin and creatinine
•Detect kidney disease
•Ovulation tests: visual color comparison tests for luteinizing hormone
•Detect ovulation

Test
Fecal occult blood
Function
Screening for colorectal screening to detect hidden blood in the stool

Test
Erythrocyte sedimentation rate: nonautomated
Function
Diagnose inflammation process; increases in presence of arthritis, infections, leukemia, and most cancers

Test
Hemoglobin-copper sulfate: nonautomated
Function
Measures blood hemoglobin levels

Test
HemoCue hemoglobin system
Function
Measures hemoglobin level in whole blood

Test
Blood glucose by glucose monitoring devices cleared by the FDA specifically for home use
Function
Monitor blood glucose levels

Test
HemoCue B
Function
Measures glucose levels in whole blood

Test
Spun microhematocrit
Function
Measure blood count; screen for certain types of anemia

Test
STAT-CRIT hematocrit
Function
Screen for certain types of anemia

Test
Hemoglobin and hemoglobin A1c by single analyte instruments with self-contained or component features to perform specimen-reagent interaction
Function
Measures A1c levels to assess and manage long-term care for patients with diabetes

Test
Cholestech LDX
Function
Measures total blood cholesterol, triglycerides, HDL, and glucose levels

Test
Blood mononucleosis antibodies
Function
Rapid qualitative test to determine presence of antibodies to help diagnose infectious mononucleosis

Test
Helicobacter pylori antibodies
Function
Rapid whole blood test to detect H. pylori antibodies; determine cause of peptic ulcer

Test
Borrelia burgdorferi antibodies
Function
Rapid whole blood test to detect B. burgdorferi antibodies; diagnose Lyme disease

Test
Whole blood OraSure HIV-1 test
Function
Diagnose HIV-1 in blood specimen

Test
Nasal influenza A and B
Function
Quick qualitative diagnosis of presence of influenza antigens in nasal secretions or swab

Test
Streptococcus A throat swab
Function
Rapid strep test

Which of the following is the most effective means of preventing infection and is the single most effective way of preventing the spread of all infections?

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__________ is the study of bacteria, fungi, yeasts, parasites, and viruses.

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A blood culture and sensitivity (C&S) test is most likely to be performed in which division of the clinical laboratory?

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Which of the following is not a waived test?

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__________ are fluids that have escaped from blood vessels and have been deposited in surrounding tissues.

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__________ encompasses a comprehensive set of policies and procedures developed to ensure the reliability of laboratory results.

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Microbiology specimens must be collected in sterile containers.

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Medical assistants are trained to perform high-complexity tests in the physician's office.

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In the identification system of the National Fire Protection Association, the white diamond indicates __________ of the chemical.

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Balancing a centrifuge requires that all tubes in the load

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The longer the objective of the microscope, the greater the magnification of the lens.

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The act passed by Congress to establish quality standards for all laboratory testing is referred to as

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The gram is the unit of mass in the metric system.

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Decreased hemoglobin levels are seen in which of the following illnesses?

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For a quantitative test, the result is expressed numerically.

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A term used to describe a blood sample in which the red blood cells have ruptured is

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The metric system is based on a decimal system in which a combination of basic units and prefixes indicates a system of division in multiples of 100.

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