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MA Chapter 29
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Questions in this quiz (47)
1Jennifer Keyes, an 18-year-old woman, comes to the office with a painful sore throat, extreme fatigue, fever, and swollen glands. After taking a health history and performing an examination, Dr. Invivo suspects that Jennifer may have infectious mononucleosis. He asks Korey McGrew, CMA (AAMA), to run a Monospot test. The purpose of Dr. Invivo ordering this test is to
- AConfirm his clinical diagnosis
- BEnsure Jennifer is not allergic to antibiotics
- CRegulate Jennifer’s treatment
- DComply with state regulations
2Korey performs the Monospot test in the office laboratory. What name is given to this type of laboratory?
- ACLIA
- BReference laboratory
- CPOL
- DHIPAA
3Because Jennifer also is pale and has shortness of breath, Dr. Invivo decides to order a CBC and a comprehensive metabolic profile to rule out iron deficiency anemia. Korey completes the laboratory request form to accompany the blood specimen to Outside Laboratory. Korey includes Jennifer’s age on the request form because Korey realizes
- AThe laboratory needs this information for third-party billing.
- BThe reference range for some tests varies based on the age of the patient
- CThe type of procedure the laboratory uses to analyze the specimen depends on the age of the patient.
- DJennifer may not be old enough to have these tests.
4Korey is getting ready to draw the blood specimen on Jennifer to send to Outside Laboratory for testing. Korey wants to be sure that she uses the correct color stopper blood tube and collects the proper amount of the specimen. The best way to obtain this information is to
- ASend an email to Outside Laboratory requesting this information
- BLook at a laboratory report from Outside Laboratory
- CLook in the Farmer’s Almanac
- DLook in Outside Laboratory’s laboratory directory
5Jennifer’s test results are returned by Outside Laboratory’s courier service the next day. The hemoglobin value on the report is 10 g/dL. To determine whether this value is within the reference range for hemoglobin, Korey should compare this value with
- AJennifer’s social security number
- BThe reference range published in a laboratory reference textbook
- CThe reference range for hemoglobin on the laboratory report from Outside Laboratory
- DJennifer’s last hemoglobin test result listed in her medical record
6After receiving Jennifer’s laboratory report and highlighting values outside the reference range, Korey takes the following action:
- AFiles the laboratory report in Jennifer’s medical record
- BCalls Jennifer to inform her of the abnormal test results
- CMakes a tentative diagnosis of Jennifer’s condition
- DPlaces the report on Dr. Invivo’s desk for his review
7Keith Thompson comes to the medical office for a complete physical examination. Keith has a history of heart disease in his family. Dr. Invivo wants to have a lipid profile performed. Korey McGrew, CMA (AAMA), explains to Keith the patient preparation necessary for this test. Keith returns to the office the next morning to have blood drawn. Which of the following statements indicates that Keith did not prepare properly for this test?
- AMy last meal was at 6 PM, but I had a glass of water when I got up this morning.
- BI had a cup of black coffee this morning with cream and sugar
- CI jogged 5 miles this morning before coming to the office.
- DI read the newspaper this morning
8Dr. Invivo tells Korey to review the patient preparation instructions again with Keith and have him return the next day. Keith tells Korey that he does not understand why his blood cannot be drawn now. What is the most appropriate response by Korey?
- AIf you would have listened the first time, you would not have to come back.
- BThe laboratory will refuse to test your blood specimen if you have not prepared properly.
- CCaffeine causes constriction of blood vessels, making it harder to collect a blood specimen.
- DIf your blood is drawn now, the test results may not be accurate, and you will not receive proper care
9Dr. Invivo purchases a CLIA-waived urine analyzer for the office. Korey McGrew, CMA (AAMA), realizes that the following will need to be performed to comply with CLIA requirements for waived testing:
- AUsing sterile gloves to collect the specimen
- BPerforming proficiency testing 3 times each year
- CContacting CLIA if the urine analyzer is in need of repair
- DFollowing the instructions in the operating manual exactly
10Korey is spinning a blood tube in the centrifuge so that she can obtain serum for laboratory tests. What is an important safety practice to follow with a centrifuge?
- AWaiting until the centrifuge comes to a complete stop before removing the blood tube
- BOpening the centrifuge while it is spinning to see whether the blood is separating properly
- CUsing her hand to help the centrifuge come to a complete stop after the timer goes off
- DPlacing the centrifuge on a Mayo stand so that it is easily accessible
11Which of the following assists the physician in making a diagnosis?
- AHealth history
- BPhysical examination
- CLaboratory tests
- DDiagnostic tests
- EAll of the above
12Which of the following occurs when the body is in homeostasis?
- ALaboratory test results are above the reference range.
- BAn imbalance exists in the body.
- CLaboratory test results fall within the reference range.
- DLaboratory test results are invalid.
13Which of the following is an example of using a laboratory test to regulate treatment?
- AA diabetic patient tests his or her blood to determine how much insulin to administer.
- BA patient undergoes a blood cholesterol screening test.
- CA CBC is performed to determine if a patient has anemia.
- DA gonorrhea test is performed on a pregnant woman as required by state law.
14What is the purpose of performing a routine test?
- ATo detect the presence of an acute infection
- BTo assist in the clinical diagnosis of a patient’s condition
- CTo assist in the early detection of disease
- DTo determine the medication dosage to administer to a patient
15Which of the following is an example of using a laboratory test to assist in the differential diagnosis of a patient’s condition?
- ARunning a profile on a patient who complains of vague symptoms
- BPerforming a strep test to determine if a patient has strep throat or pharyngitis
- CPerforming an OGTT on a patient who exhibits the symptoms of diabetes
- DPerforming a CBC on a patient as part of a general physical examination
16All of the following are guidelines for storing specimens and testing components in a laboratory refrigerator except
- AAttach a biohazard warning label to the refrigerator.
- BMaintain the refrigerator temperature between 36 °F and 46 °F.
- CCheck the temperature of the refrigerator once each week.
- DDo not store food in the refrigerator.
17What temperature is usually required for storing testing materials and performing laboratory tests?
- ABody temperature
- BRoom temperature
- CA very cold temperature
- DA temperature between 100 °F and 104 °F
18All of the following are found in a laboratory directory except
- ANames and CPT codes of the tests performed by the laboratory
- BPatient preparation required for laboratory tests
- CAmount and type of specimen required by the laboratory
- DInstructions for testing specimens
- EHandling and storage of laboratory specimens
19All of the following are included on a laboratory request form except
- APhysician’s name and address
- BPatient’s age and gender
- CDate and time of collection of the specimen
- DSource of the specimen
- ELaboratory test results
20What is a profile?
- AA substance that is being identified or measured in a laboratory test
- BA quantitative laboratory test
- CAn array of laboratory tests for identifying a disease
- DA laboratory test that is required by state law
21All of the following are included in a lipid profile except
- AGlucose
- BTotal cholesterol
- CHDL cholesterol
- DTriglycerides
22All of the following are reasons for indicating the clinical diagnosis on the laboratory request form except
- ATo alert laboratory personnel to the presence of a possible pathogen
- BTo inform laboratory personnel of the source of the specimen
- CTo assist in third-party billing
- DTo correlate laboratory data with the needs of the physician
23What is the purpose of a laboratory report?
- ATo indicate the patient diagnosis
- BTo relay the results of laboratory tests to the physician
- CTo order laboratory tests on a patient
- DTo indicate the patient prognosis
24What is the purpose of the patient accession number found on the laboratory report?
- ATo provide identification of each specimen in the laboratory
- BTo provide information required for third-party billing
- CTo identify the source of the specimen
- DTo assist the physician in making a diagnosis
- EAll of the above
25How are laboratory reports delivered to the medical office?
- AFaxed
- BMailed
- CHand-delivered by a laboratory courier
- DElectronically
- EAll of the above
26All of the following are advantages of the laboratory component of an EMR program except
- ALaboratory requests can be completed on the computer.
- BLaboratory requests can be transmitted electronically to the medical laboratory
- CThe type of tests required by the patient can be determined by the program
- DLaboratory tests performed on a routine based can be plotted on a flow sheet.
27The purpose of patient preparation for a laboratory test is to
- AReduce patient discomfort during specimen collection
- BProvide a specimen that yields accurate test results
- CEnsure that the test results fall within the normal range
- DEnsure that the patient receives the proper treatment
28A patient who is fasting (in preparation for a laboratory test) is allowed to consume
- ABaked chicken
- BWater
- CDiet soda
- DOrange juice
- ENone of the above
29Which of the following laboratory tests requires fasting?
- AOGTT
- BComprehensive metabolic profile
- CTriglycerides
- DFBG
- EAll of the above
30Antibiotics taken by the patient before the collection of a throat specimen for culture may result in
- AA false-negative report
- BOvergrowth of the specimen with extraneous microorganisms
- CA false-positive report
- DAn allergic reaction
31A small sample taken from the body to represent the nature of the whole is known as a
- ALaboratory test
- BCulture
- CSpecimen
- DBiopsy
32Which of the following is an example of a unique identifier?
- ADate and time of the specimen collection
- BPatient’s name and date of birth
- CMedical assistant’s initials
- DSource of the specimen
33If a laboratory report is returned to the medical office marked QNS, it means that
- AAn insufficient amount of the specimen was submitted
- BThe patient did not prepare properly for the test
- CThe test results fall outside of the normal range
- DA contaminated specimen was submitted
34Why is it important to handle and store a specimen properly?
- ATo reduce the time needed to test the specimen
- BTo maintain the in vitro qualities of the specimen
- CTo ensure valid results from quality control methods
- DTo maintain the in vivo qualities of the specimen
35The purpose of the Clinical Laboratory Improvement Amendment (CLIA) is to
- AImprove the quality of laboratory testing in the United States
- BPrevent the exposure of employees to bloodborne pathogens in the workplace
- CEnsure safety in the laboratory
- DPrevent errors in technique during laboratory testing
36If a POL is performing moderate-complexity tests, CLIA requires
- AProficiency testing three times per year
- BCalibration procedures at least every 6 months
- CTwo levels of controls daily
- DA system to identify patient specimens throughout the testing process
- EAll of the above
37What is the term for a substance that is being identified or measured in a laboratory test?
- AStandard
- BAnalyte
- CCalibration
- DControl
38All of the following are examples of CLIA-waived tests except
- AFecal occult blood testing
- BUrine pregnancy testing
- CBlood glucose determination
- DMicroscopic analysis of urine sediment
39Which of the following is included in a product insert of a testing kit?
- AIntended use
- BPrinciples of the procedure
- CStorage and stability
- DInterpretation and reading results
- EAll of the above
40The purpose of quality control is to
- APrevent accidents in the laboratory
- BProtect the medical assistant from bloodborne pathogens
- CEnsure accurate and valid test results
- DEnsure that the test results fall within the normal range
- EAll of the above
41Which of the following is a quality control method?
- ADiscarding outdated reagents
- BProper storage of test systems
- CCalibration
- DAllowing refrigerated controls to come to room temperature before use
- EAll of the above
42What is the name for a control that is built into the test system?
- AExternal control
- BStandard
- CProficiency control
- DInternal control
43What type of results are produced by a high-level control?
- AResults that fall below the reference range for the test
- BInvalid results
- CResults that fall above the reference range for the test
- DPositive results
44Which of the following may cause a control to fail to produce expected results?
- AOutdated testing reagents
- BNot performing the control procedure correctly
- CImproper storage of testing components
- DAll of the above
45What should be done if a control does not perform as expected?
- ADo not perform patient testing until the problem is resolved
- BPerform patient testing as usual
- CPerform calibration procedures
- DRecord results as invalid.
46What is the term for a test result that indicates whether a substance is present in the specimen being tested and provides an approximate indication of the amount of the substance present?
- AQuantitative test result
- BPositive test result
- CNegative test result
- DQualitative test result
47Which of the following is a violation of laboratory safety precautions?
- ADisposing of broken glassware in a puncture-resistant container
- BTalking in the laboratory
- COpening a centrifuge before it comes to a complete stop
- DRecapping reagent bottles immediately after use
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- 12th grade Medical Assistant Quiz on MA Chapter 29, created by sarah wood on 19/04/2018.
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- sarah wood
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