Deck 2: The Clinical Laboratory

Question 1

Another name for the blood bank is:

A) immunology.
B) serology.
C) compatibility.
D) immunohematology.

Answer 1

D

Question 2

A cardiac risk profile is performed in:

A) hematology.
B) serology.
C) coagulation.
D) chemistry.

Answer 2

D

Question 3

The laboratory employee who prepares surgical specimen samples for microscopic examination is the:

A) microbiologist.
B) histologist.
C) cytologist.
D) clinical laboratory technician.

Answer 3

B

Question 4

In a typical laboratory organizational chart, the person above the supervisor is the:

A) laboratory manager.
B) phlebotomist.
C) medical technologist.
D) medical laboratory technician.

Question 5

Specimens collected in serum separator tubes are most frequently delivered to:

A) blood bank.
B) serology.
C) hematology.
D) chemistry.

Question 6

A medical technologist may serve as all of the following except:

A) educator.
B) laboratory manager.
C) pathologist.
D) section supervisor.

Question 7

The difference between plasma and serum is that:

A) serum contains fibrinogen.
B) serum is obtained from a nonclotted specimen.
C) plasma is obtained from a clotted specimen.
D) plasma contains fibrinogen.

Question 8

The primary liaison between the medical staff and the laboratory staff is the:

A) laboratory manager.
B) pathologist.
C) section supervisor.
D) cytologist.

Question 9

The histology department is included in:

A) clinical chemistry.
B) immunohematology.
C) microbiology.
D) anatomic pathology.

Question 10

The phlebotomist asked a nurse to identify a patient without a wrist ID band. The nurse said she did not have time. The next person in the chain of command the phlebotomist should report to is the:

A) hospital administrator.
B) phlebotomy supervisor.
C) patient's physician.
D) pathologist.

Question 11

The specialist in the study of disease of tissues and organs through biopsies is a(an):

A) internist.
B) cardiologist.
C) pathologist.
D) endocrinologist.

Question 12

Pap smears are analyzed by:

A) histologists.
B) cytologists.
C) medical laboratory technicians.
D) medical technologists.

Question 13

The laboratory employee with a 2-year associate degree who performs clinical testing is the:

A) medical laboratory technician.
B) clinical laboratory scientist.
C) phlebotomist.
D) medical technologist.

Question 14

Mycology is the study of:

A) fungi.
B) bacteria.
C) parasites.
D) microbiology.

Question 15

To prevent blood from clotting the specimen must be:

A) collected in a tube containing an anticoagulant.
B) inverted right after collection.
C) centrifuged right after collection.
D) both A and B

Question 16

The laboratory employee with a 4-year college degree who performs clinical analysis is the:

A) phlebotomist.
B) medical laboratory technician (MLT).
C) medical laboratory scientist (MLS).
D) clinical laboratory assistant (CLA).

Question 17

Parasitology is located in which of the following laboratory sections?

A) Hematology
B) Chemistry
C) Blood bank
D) Microbiology

Question 18

The laboratory department responsible for frozen sections is:

A) microbiology.
B) cytology.
C) cytogenetics.
D) histology.

Question 19

The two major areas of the clinical laboratory are:

A) chemistry and hematology.
B) cytology and histology.
C) anatomical and clinical.
D) urinalysis and microbiology.

Question 20

Which of the following tests should be returned to the laboratory first to ensure accurate results?

A) Prothrombin time
B) Blood group and type
C) Complete blood count
D) Blood culture

Question 21

A venereal research disease laboratory (VDRL) test is performed in:

A) chemistry.
B) serology.
C) hematology.
D) urinalysis.

Question 22

The most common specimen analyzed in the hematology section is:

A) plasma.
B) whole blood.
C) urine.
D) serum.

Question 23

A blood culture to evaluate septicemia is performed in:

A) hematology.
B) microbiology.
C) urinalysis.
D) toxicology.

Question 24

A serum separator tube should not be collected for a:

A) cholesterol.
B) cross-match.
C) bilirubin.
D) glucose.

Question 25

Electrophoresis is performed in:

A) cytology.
B) microbiology.
C) histology.
D) chemistry.

Question 26

A chemistry test to evaluate kidney function would be the:

A) complete blood count (CBC).
B) glucose tolerance test (GTT).
C) blood urea nitrogen (BUN).
D) creatine kinase (CK) or creatine phosphokinase (CPK).

Question 27

People with diabetes mellitus are monitored using blood tests for glucose and:

A) phosphorus.
B) hemoglobin A1C.
C) uric acid.
D) bilirubin.

Question 28

Each of the following is a component of the complete blood count (CBC) except:

A) white blood cell count.
B) hemoglobin.
C) sedimentation rate.
D) differential.

Question 29

ABO and Rh typing are performed in which laboratory section?

A) Hematology
B) Blood bank
C) Chemistry
D) Cytology

Question 30

The activated partial thromboplastin time (APTT) or partial thromboplastin time (PTT) test is performed in:

A) coagulation.
B) chemistry.
C) urinalysis.
D) histology.

Question 31

Tests for ketones, urobilinogen, nitrite, and pH are part of a:

A) general health profile.
B) complete blood count.
C) urinalysis.
D) ova and parasites examination.

Question 32

All of the following are tests that measure cardiac risk except:

A) alkaline phosphatase.
B) cholesterol.
C) triglycerides.
D) high-density lipids.

Question 33

Which test would a physician order on a patient with a suspected infection?

A) Glucose
B) Complete blood count (CBC)
C) Cholesterol
D) Antinuclear antibody (ANA)

Question 34

Tests associated with pancreatitis are:

A) calcium and phosphorus.
B) blood urea nitrogen (BUN) and glucose.
C) bilirubin and ammonia.
D) amylase and lipase.

Question 35

The main anticoagulant for coagulation studies is:

A) ethylenediaminetetraacetic acid (EDTA).
B) sodium citrate.
C) heparin.
D) oxalate.

Question 36

The direct antiglobulin test is performed in:

A) microbiology.
B) hematology.
C) serology.
D) blood bank.

Question 37

Which of the following pairings is wrong?

A) icteric and yellow.
B) lipemic and cloudy.
C) hemolyzed and red.
D) fasting and cloudy.

Question 38

The routine urinalysis consists of all of the following except:

A) physical examination.
B) culture and sensitivity.
C) reagent strip testing.
D) microscopic examination.

Question 39

Types of specimens collected for urinalysis include all of the following except:

A) isolation.
B) random.
C) first morning.
D) clean-catch.

Question 40

An elevated bilirubin might indicate a disorder of the:

A) heart.
B) kidney.
C) brain.
D) liver.

Question 41

The serology section is also called immunology.

Question 42

Choose the coagulation test that is used to monitor patients receiving Coumadin therapy.

A) Activated partial thromboplastin time (APTT)
B) Bleeding time (BT)
C) Prothrombin Time (PT)
D) Platelet aggregation

Question 43

Choose the hematology test that might be ordered to give additional information to the physician caring for a patient with anemia. The patient has already had hemoglobin and hematocrit tests done, separately and as part of a complete blood count.

A) Erythrocyte sedimentation rate (ESR)
B) Reticulocyte (Retic) count
C) Eosinophil count
D) Kleihauer-Betke

Question 44

Match the following laboratory procedures with the section that performs them. Answers may be used more than once.
a.Blood bank
b.Chemistry
c.Coagulation
d.Hematology
e.Microbiology
f.Serology
Activated partial thromboplastin time (APTT)

Question 45

The liquid portion of a specimen collected in a tube containing ethylenediaminetetraacetic acid (EDTA) is serum.

Question 46

Match the following laboratory procedures with the section that performs them. Answers may be used more than once.
a.Blood bank
b.Chemistry
c.Coagulation
d.Hematology
e.Microbiology
f.Serology
Gram stain

Question 47

Choose the serology or immunology test that is used to recognize infectious mononucleosis.

A) Monospot
B) Antistreptolysin O (ASO) titer
C) Cold agglutinins
D) Antinuclear antibody (ANA)

Question 48

Creatine kinase (CK) isoenzymes and troponin I are tests for myocardial infarction.

Question 49

Choose the chemistry test that is used to determine the acidity, alkalinity, oxygen, and carbon dioxide levels of the blood.

A) Arterial blood gases (ABGs)
B) Magnesium
C) Electrolytes
D) Calcium

Question 50

A phlebotomist can be trained to perform tests waved by the Clinical Laboratory Improvement Amendments (CLIA).
Matching

Question 51

An anemia would be detected by a:

A) glucose test.
B) blood culture.
C) urinalysis.
D) complete blood count.

Question 52

Match the following laboratory procedures with the section that performs them. Answers may be used more than once.
a.Blood bank
b.Chemistry
c.Coagulation
d.Hematology
e.Microbiology
f.Serology
Rapid plasma reagin (RPR)

Question 53

Under Clinical Laboratory Improvement Amendments (CLIA) '88 regulations, phlebotomists are qualified to perform:

A) ABO and Rh testing.
B) urine microscopics.
C) cultures and sensitivities.
D) pregnancy tests.

Question 54

The abbreviation for the agency that provides proficiency testing for the laboratory is:

A) Health Maintenance Organization (HMO).
B) Preferred Provider Organization (PPO).
C) College of American Pathologists (CAP).
D) Diagnosis-Related Group (DRG).

Question 55

The National Committee for Clinical Laboratory Standards (NCCLS) regulates clinical laboratory employees.

Question 56

For purposes of accreditation, clinical laboratories may be inspected by all of the following except:

A) College of American Pathologists (CAP)
B) The Joint Commission (JC)
C) Clinical and Laboratory Standards Institute (CLSI)
D) COLA

Question 57

Sodium (Na), potassium (K), chloride (Cl), and carbon dioxide (CO₂) are components of the test called:

A) glucose tolerance.
B) electrolytes.
C) liver profile.
D) cardiac profile.

Question 58

A test that monitors an antidepressant medication is:

A) creatine kinase (CK) or creatine phosphokinase (CPK).
B) blood urea nitrogen (BUN).
C) lithium.
D) alanine transaminase (ALT).

Question 59

A laboratory manager must have specialist certification.

Question 60

An agency that assures quality care by hospitals is the:

A) Joint Commission.
B) Centers for Disease Control and Prevention.
C) Occupational Safety and Health Administration.
D) College of American Pathologists.

Question 61

Match the following laboratory procedures with the section that performs them. Answers may be used more than once.
a.Blood bank
b.Chemistry
c.Coagulation
d.Hematology
e.Microbiology
f.Serology
D-dimer

Question 62

Match the following laboratory procedures with the section that performs them. Answers may be used more than once.
a.Blood bank
b.Chemistry
c.Coagulation
d.Hematology
e.Microbiology
f.Serology
Antibody screen

Question 63

Match the following laboratory procedures with the section that performs them. Answers may be used more than once.
a.Blood bank
b.Chemistry
c.Coagulation
d.Hematology
e.Microbiology
f.Serology
Antibody screen

Question 64

Match the following laboratory procedures with the section that performs them. Answers may be used more than once.
a.Blood bank
b.Chemistry
c.Coagulation
d.Hematology
e.Microbiology
f.Serology
Monospot

Question 65

Match the following laboratory procedures with the section that performs them. Answers may be used more than once.
a.Blood bank
b.Chemistry
c.Coagulation
d.Hematology
e.Microbiology
f.Serology
Lithium

Question 66

Match the following laboratory procedures with the section that performs them. Answers may be used more than once.
a.Blood bank
b.Chemistry
c.Coagulation
d.Hematology
e.Microbiology
f.Serology
Sickledex

Question 67

Match the following laboratory procedures with the section that performs them. Answers may be used more than once.
a.Blood bank
b.Chemistry
c.Coagulation
d.Hematology
e.Microbiology
f.Serology
Lead