Question 1

Protocol for testing susceptibility test systems include testing _____ consecutive days.&#10;A)daily for 7&#10;B)bi-weekly for 30&#10;C)every other day for 14&#10;D)with use for 20

Accepted Answer

Each susceptibility test system must also be tested with use (usually daily)for 20 consecutive days.

Question 2

MATCHING&#10;Match each Lean principle with its description.&#10;a.Value&#10;b.Value stream&#10;c.Flow&#10;d.Pull&#10;e.Continuous improvement&#10;Working toward perfection on an ongoing basis to ensure that the number of steps and time are constantly under scrutiny

Accepted Answer

Continuous improvement is the principle of working toward perfection on an ongoing basis to ensure that the number of steps and time are constantly under scrutiny.

Answer: A
 Value is the principle of understanding the customer's needs and providing the highest value product or service that meets those needs.

Answer: C
 Flow is the principle of creating a continuous flow of work and eliminating waste by reducing batch sizes and balancing workloads.

Answer: D
 Pull is the principle of producing only what is necessary based on customer demand, rather than producing excess inventory.

Answer: B
 Value stream is the principle of mapping out the entire process from start to finish and identifying areas of waste and improvement opportunities.

Question 3

MATCHING&#10;Match each Lean principle with its description.&#10;a.Value&#10;b.Value stream&#10;c.Flow&#10;d.Pull&#10;e.Continuous improvement&#10;Introducing a continuous flow of events between steps of the process where continuous flow is possible

Accepted Answer

D

Question 4

Clinicians should always be notified of &#34;panic values,&#34; that is,potentially life-threatening results.An example of a panic value is a(n):&#10;A)elevated thyroid level.&#10;B)positive urine culture.&#10;C)positive blood culture.&#10;D)elevated sodium level.

Accepted Answer

Clinicians should be immediately notified of panic values.Panic values are potential life-threatening results;for example,a positive Gram stain for cerebrospinal fluid (CSF)and a positive blood culture are both panic values.Reference ranges must be included on the report when appropriate.

Question 5

If a clinical laboratory receives a &#34;blind unknown&#34; for proficiency testing (PT),it is most likely sent by which private accrediting agency?&#10;A)CLSI&#10;B)National Accrediting Agency for Clinical Laboratory Sciences (NAACLS)&#10;C)College of American Pathologists (CAP)&#10;D)American Society of Consultant Pharmacists (ASCP)

Accepted Answer

Laboratories are required to participate in a PT program for each analyte (test)for which a program is available,and the laboratory must maintain an average score of 80% to maintain licensure in any subspecialty area.The federal government no longer maintains a PT program,but some states,such as New York,as well as several private accrediting agencies,such as CAP,send out "blind unknowns." These unknowns are to be treated exactly as patient specimens,from accessioning into the laboratory computer or manual logbook through work-up and reporting of the results.The testing personnel and laboratory director are required to sign a statement when the PT is completed,attesting to the fact that the specimen was handled exactly like a patient specimen.In this way,PT specimens serve to establish the accuracy and reproducibility of a laboratory's day-to-day performance.

Question 6

In addition to recording the lot number,date received,condition received,and expiration date,antisera should be:&#10;A)discarded after each use.&#10;B)frozen upon arrival.&#10;C)dated when opened.&#10;D)tested by the supervisor first before anyone uses it.

Accepted Answer

The lot number,date received,condition received,and expiration date must be recorded for all shipments of antisera.In addition,the antisera should be dated when opened.New lots must be concurrently tested with previous lots,and testing must include positive and negative controls.

Question 7

Test performance,tolerance limits,reagent preparation,required quality control,result reporting,and references are areas included in the:&#10;A)Total Quality Management Manual.&#10;B)Standard Operating Procedure Manual (SOPM).&#10;C)Continuous Quality Improvement Manual.&#10;D)Clinical Laboratory Improvement Amendments (CLIA)Manual.

Accepted Answer

The requirement for an SOPM is considered part of the quality control program.The SOPM should define test performance,tolerance limits,reagent preparation,required quality control,result reporting,and references.The SOPM should be written in the format established by the Clinical and Laboratory Standards Institute (CLSI),formerly the National Committee for Clinical Laboratory Standards (NCCLS),and must be reviewed and signed annually by the microbiology laboratory supervisor or director.In addition,all changes must be approved and dated by the laboratory director.

Question 8

MATCHING&#10;Match each Lean principle with its description.&#10;a.Value&#10;b.Value stream&#10;c.Flow&#10;d.Pull&#10;e.Continuous improvement&#10;Challenging the wasted steps and eliminating all of the waste

Accepted Answer

The principle of "Value stream" involves identifying and eliminating waste in the process to ensure that every step adds value to the final product.

Question 9

Examination and work-up of a culture and interpretation of results by the microbiologist would pertain to which step in the quality assurance process?&#10;A)Preanalytic&#10;B)Analytic&#10;C)Postanalytic&#10;D)Analytic review

Accepted Answer

Examination and work-up of culture by the microbiologist and interpretation of specimen results by the microbiologist is part of the analytic process.

Question 10

MATCHING&#10;Match each Lean principle with its description.&#10;a.Value&#10;b.Value stream&#10;c.Flow&#10;d.Pull&#10;e.Continuous improvement&#10;Defining the process from the patient's perspective,which is what the patient knowingly pays for,or the attributes of service

Accepted Answer

Defining the process from the patient's perspective, which is what the patient knowingly pays for, or the attributes of service is known as the Value principle in Lean.

Answer: B
 Value stream refers to identifying all the activities, both value-adding and non-value-adding, required to deliver a product or service to a customer.

Answer: C
 Flow refers to the smooth and uninterrupted movement of the product or service through the value stream, eliminating any waste or delays.

Answer: D
 Pull refers to starting the production or service delivery process only when requested by the customer, thereby reducing the wastage of excess inventory or overproduction.

Answer: E
 Continuous improvement is the ongoing effort to identify and eliminate waste, optimize processes, and improve the value delivered to the customer.

Question 11

Eliminating redundant motion,recognizing waste,and identifying what creates value from the patient's perspective is considered which type of process?&#10;A)Lean methodology&#10;B)Total Quality Management&#10;C)Continuous Quality Improvement&#10;D)Performance Improvement

Accepted Answer

The answer of Eliminating redundant motion,recognizing waste,and identifying what creates...

Question 12

MATCHING&#10;Match each Lean principle with its description.&#10;a.Value&#10;b.Value stream&#10;c.Flow&#10;d.Pull&#10;e.Continuous improvement&#10;Occurring continuously through the remaining value-added steps

Accepted Answer

The answer of MATCHING&#10;Match each Lean principle with its description.&#10;a.Value&#10;b.Value...

Question 13

Define,measure,analyze,improve,and control (DMAIC)are the basis for which new concept?&#10;A)Total Quality Management&#10;B)Continuous Quality Improvement&#10;C)Performance Improvement&#10;D)Six Sigma

Accepted Answer

The answer of Define,measure,analyze,improve,and control (DMAIC)are the basis for which...

Question 14

Nonfastidious (rapidly growing),aerobic bacterial organisms can be saved up to 1 year on __________ slants.&#10;A)Mycosel agar&#10;B)MacConkey agar&#10;C)L&#246;wenstein-Jensen medium&#10;D)trypticase soy agar (TSA)

Accepted Answer

The answer of Nonfastidious (rapidly growing),aerobic bacterial organisms can be...

Deck 76: Quality in the Clinical Microbiology Laboratory