MLT 81
Chapter 1
Student: Carolyn Gonell
1- The correct designation for a generalist laboratory professional with a bachelor's
degree certified by the American society of clinical pathology is:
B-
medical laboratory scientists
Medical laboratory science professionals, often called medical laboratorians, are vital
healthcare detectives, uncovering and providing laboratory information from laboratory
analyses that assist physicians in patient diagnosis and treatment, as well as in disease
monitoring or prevention (maintenance of health).
2- The role of the laboratory supervisor or manager is:
A-
Supervise technical aspects of testing
Observe and direct the execution of (a task, project, or activity)
3- Which of the following acts agencies or agencies or organizations was created to
make a certain the quality of work done in the laboratory is reliable?
C – Clinical laboratory improvement of amendments of 1988 (CLIA’88)
The Clinical Laboratory Improvement Amendments of 1988 (CLIA) were established to
strengthen federal oversight of clinical laboratories to ensure the accuracy and reliability of
patient test results. CLIA applies to all laboratories that examine “materials derived from the
human body for the purpose of providing information for the diagnosis, prevention, or treatment
of any disease or impairment of, or the assessment of the health of, human beings.”
4- Laboratories performing which of the following types of tests need to be enrolled in
ACL IA approved proficiency testing program?
D_-
Both B &c
Moderately complex and highly complex
5- The role of provider performed microscopic is microscopic (PPM) is the:
B_Is specific microscopic test (wet mounds) performed by a physician for his or her own
patients.
A CLIA Certificate for Provider-Performed Microscopy (PPM) procedures permits physicians
and midlevel practitioners to perform a limited list of moderate complexity microscopic tests, as
well as waived tests, as part of a patient’s visit.
6- The newest direction for laboratory testing procedure is:
C_-
Molecular diagnostic techniques and various laboratory departments
Molecular diagnostic tests are increasingly being used, and have supplanted numerous
conventional tests, in many areas of laboratory medicine including oncology, infectious diseases,
clinical chemistry, and clinical genetics.
7- A hospital chief operating officer is responsible for:
A_-
Implementing policies and oversight of daily activities
A Chief Operating Officer manages profit and loss statements for the business, integrates
organizational strategic plans and serves in the absence of the CEO.
8- What is the best description of the purpose of the college American pathologist
CAP pertaining to the clinical laboratory?
C_CMS has given CAP deemed status to act on the government's behalf to certify clinical
laboratories
The College of American Pathologists (CAP) is a member-based physician organization founded
in 1946 comprising approximately 18,000 board-certified pathologists. It serves patients,
pathologists, and the public by fostering and advocating the best practices in pathology and
laboratory medicine.
9- What is the best description of the purpose of the commission on office laboratory
accreditation COLA pertaining to the clinical laboratory?
A_-
Sets accreditation requirement for physician office laboratories POLS
The Commission on Office Laboratory Accreditation (COLA) also has a requirement to comply
with CLIA regulations regarding corrective actions.
10- What is the best description of the purpose of the center of Medicare and Medicaid
services CMS pertaining to the clinical laboratory?
B_-
Administers both CLIA 88 and Medicare programs
One of the objectives of the CLIA program is to ensure quality laboratory testing. Medicare is an
insurance program. Medical bills are paid from trust funds which those covered have paid into.
It serves people over 65 primarily, whatever their income; and serves younger disabled people
and dialysis patients.
11- The role of point of care testing POCT compared with in laboratory testing is the:
D_- Process of performing laboratory testing at the bedside of the patient and a means of
decentralizing some of the laboratory testing.
12- Sally is seeing her new primary care provider for the first time. When she signs in,
she is asked to sign papers for the release of medical records, including her
laboratory results. According to the health insurance portability and accountability
act (HIPPA), she must authorize release of records before _______ would be
permitted to receive the review records.
a. Her insurance company
b. Her attorney
c. Her Husband
d. Any of the above
D-
Any of the above
13- In which of the following laboratory situations is a verbal report permissible?
− a. when the patient is going directly to the physician's office and wants to have the report
available.
− b. When the report cannot be found at the nurse's station
− c. when preoperative test results are needed by the anesthesiologist
− d. none of the above
D_-
None of the above
14- All the following characteristics are accurate for the influence of health insurance
portability and accountability act (HIPAA) except:
A_Replaces federal state or other laws that grant individuals even greater privacy
protections than HIPPA
15- To perform a vino puncture on a newly admitted hospital patient, a phlebotomist needs
to:
C_- Realize that an admitted hospital patient has given implied consent to routine procedures
such as phlebotomy
16- Chain of custody procedures must be followed for:
A_-
blood specimens for alcohol level determination
17- Medical ethics:
a.
b.
c.
d.
D_-
Has strict guidelines
Applies to laboratory professionals
Includes situational ethics
Both B and C
Both B & C
Applies to laboratory professionals and includes situational ethics
18- Lisa works in the laboratory at a small community hospital in a small Midwestern
town. She received orders to draw blood from a newly admitted patient for a isn't for a
complete blood count CBC and a metabolic chemistry panel. When Lisa arrived in the
patient's room, she discovered that the patient was Carla, her best friend's mother. She
chatted with Carla for a bit and then headed back to the lab to complete testing on the
samples. 30 minutes later Betsy who is one of Carla’s Friends called the lab to talk with
Lisa. Apparently, Carla posted on a social media site that Lisa had drawn her blood and
petty was calling to get all the details. Speaking "I called Carla 2 I love to find out what's
going on but she's being evasive I'm watching her dog, so I need to know the real scoop…”
What should Lisa do?
D_- politely tell Betsy she cannot talk about work with people who are not employed at the
hospital.