Deck 43: The Physicians Office Laboratory

Question 1

You should wipe the eyepieces of the microscope with ____ after each use to avoid the transmission of diseases.

A) water
B) a dry paper towel
C) straight bleach
D) a disinfectant

Answer 1

a disinfectant

Question 2

When a microscope is not in use,its cord should be:

A) allowed to dangle
B) kept tightly wrapped
C) kept loosely wrapped
D) left plugged in

Answer 2

kept loosely wrapped

Question 3

Match each term with its definition.
Allows only those tests to be performed in a POL that are on the list of waived tests

A)provisional certificate
B)certificate of waiver
C)quality assurance (QA)
D)quality control (QC)
E)control
F)chemical hygiene plan
G)biohazard safety

Answer 3

certificate of waiver

Question 4

The Centers for Medicare and Medicaid Services (CMS)regulate all laboratory testing performed on humans except for:

A) standard blood tests
B) clinical trials
C) urine tests
D) biopsies

Question 5

A quality control program does not monitor:

A) instruments used in testing
B) personnel technique in performing tests
C) reagents used in testing
D) patient reactions to tests

Question 6

Laboratory tests on a certificate of waiver may be billed to:

A) Medicare but not Medicaid
B) Medicaid but not Medicare
C) Medicare and Medicaid
D) neither Medicare nor Medicaid

Question 7

For moderately complex tests,CLIA mandates that there be a clinical consultant with a minimum of a(n)_____ degree.

A) bachelor's
B) doctoral
C) master's
D) associate's

Question 8

The Clinical Laboratory Improvement Amendments (CLIA)of 1988 are administered by the:

A) Department of Labor (DOL)
B) Occupational Safety and Health Administration (OSHA)
C) Food and Drug Administration (FDA)
D) Centers for Medicare and Medicaid Services (CMS)

Question 9

The ocular lens of a microscope should be cleaned with:

A) lens tissue paper
B) a damp paper towel
C) a dry paper towel
D) compressed air

Question 10

Match each term with its definition.
Process that validates final test results and determines any variations

A)provisional certificate
B)certificate of waiver
C)quality assurance (QA)
D)quality control (QC)
E)control
F)chemical hygiene plan
G)biohazard safety

Question 11

How many eyepieces does a monocular microscope have?

A) 0
B) 1
C) 2
D) 3

Question 12

The high-power field (hpf)objective magnifies an object approximately ___ times.

A) 20
B) 30
C) 40
D) 50

Question 13

Which of the following is not a purpose of a quality assurance program?

A) to ensure positive test results
B) to evaluate the quality and effectiveness of health care
C) to ensure accuracy in testing procedures
D) to ensure validity in testing procedures

Question 14

Operating a well-managed and efficient physician's office laboratory (POL)includes all but which of the following?

A) recapping used syringes before placing them in a biohazard sharps container
B) maintaining all SDS in a notebook that is readily accessible to all employees
C) recording all lab work in a log
D) keeping long hair tied back securely

Question 15

When using the oil-immersion lens objective,how much oil should be used?

A) none at all
B) a very sparingly
C) a moderate amount
D) an ample amount

Question 16

Match each term with its definition.
Sample with a known value range to be tested along with the patient specimen

A)provisional certificate
B)certificate of waiver
C)quality assurance (QA)
D)quality control (QC)
E)control
F)chemical hygiene plan
G)biohazard safety

Question 17

Match each term with its definition.
Section of a biohazard communications manual that includes universal precaution techniques that conform to OSHA and CLIA regulations

A)provisional certificate
B)certificate of waiver
C)quality assurance (QA)
D)quality control (QC)
E)control
F)chemical hygiene plan
G)biohazard safety

Question 18

The waived status for diagnostic testing is granted according to the:

A) difficulty in performing the test
B) importance of the results of the test
C) expense of the test
D) amount of preparation required on the part of the patient for the test

Question 19

Match each term with its definition.
In the health care field,this refers to all evaluative services and results compared with accepted standards.

A)provisional certificate
B)certificate of waiver
C)quality assurance (QA)
D)quality control (QC)
E)control
F)chemical hygiene plan
G)biohazard safety

Question 20

Which agency provides the application for a certificate of waiver?

A) DOL
B) FDA
C) CMS
D) OSHA

Question 21

​As of June 1,2015,the HCS requires all labels to have pictograms on them,alerting all users of the chemical hazards they are being exposed to.Which of the following is not a hazard requiring label and/or pictogram?

A) ​an unexploded bomb
B) ​corrosion
C) ​skull and crossbones
D) ​flame over circle

Question 22

Match each part of a microscope with its description.
Brings a specimen into good definition when using a microscope

A)arm
B)ocular lens
C)objectives
D)fine-focus dial
E)stage
F)substage
G)shutter or diaphragm
H)oil immersion
I)slide

Question 23

The purpose of safety data sheets (SDSs)in a health care setting is:

A) ​to import chemicals properly
B) ​to transport chemicals between practices
C) ​to provide information about working with or handling a particular chemical substance
D) ​all of the above

Question 24

Match each part of a microscope with its description.
Small lenses attached to the revolving nosepiece on a microscope

A)arm
B)ocular lens
C)objectives
D)fine-focus dial
E)stage
F)substage
G)shutter or diaphragm
H)oil immersion
I)slide

Question 25

​Match the terminology of the PASS method when correctly operating a fire extinguisher.Correctly complete the sentence.
​________ at the base of the fire (not at the flames).

A)​Pull
B)​Aim
C)​Squeeze
D)​Sweep

Question 26

Match each part of a microscope with its description.
When using a microscope,you must watch carefully as you raise the substage so that it does not come into direct contact with this

A)arm
B)ocular lens
C)objectives
D)fine-focus dial
E)stage
F)substage
G)shutter or diaphragm
H)oil immersion
I)slide

Question 27

Match each part of a microscope with its description.
Part of a microscope that holds a condenser to regulate the amount of light directed on the magnified specimen

A)arm
B)ocular lens
C)objectives
D)fine-focus dial
E)stage
F)substage
G)shutter or diaphragm
H)oil immersion
I)slide

Question 28

​Your responsibilities will include the ability to evaluate the lab and medical environment to identify safe versus unsafe working conditions.Some examples of evaluating the environment can include:

A) ​Using a checklist,perform a safety inspection at intervals according to institution policy and preparing a report on the findings.
B) ​Verifying that needlestick prevention devices (safety needles)are used and proper disposal is performed.
C) ​Identifying safety techniques that can be used in responding to accidental exposure to blood,other body fluids,and chemicals.
D) ​All of the above

Question 29

​Match the terminology of the PASS method when correctly operating a fire extinguisher.Correctly complete the sentence.
​________ from side to side until the fire is completely out.

A)​Pull
B)​Aim
C)​Squeeze
D)​Sweep

Question 30

Match each part of a microscope with its description.
Oil should be used sparingly when this is used

A)arm
B)ocular lens
C)objectives
D)fine-focus dial
E)stage
F)substage
G)shutter or diaphragm
H)oil immersion
I)slide

Question 31

​Which of the following is not one of the three laboratory classifications under the Clinical Laboratory Improvement Amendments of (CLIA)1988?

A) ​mandatory
B) ​waived
C) ​moderately complex,including the subcategory of provider-performed microscopy procedures (PPMP)
D) ​highly complex

Question 32

​Match the terminology of the PASS method when correctly operating a fire extinguisher.Correctly complete the sentence.
________ ​the pin at the top of the extinguisher.

A)​Pull
B)​Aim
C)​Squeeze
D)​Sweep

Question 33

Match each term with its definition.
Employer's plan to prevent employees from being exposed to dangerous chemicals

A)provisional certificate
B)certificate of waiver
C)quality assurance (QA)
D)quality control (QC)
E)control
F)chemical hygiene plan
G)biohazard safety

Question 34

Match each part of a microscope with its description.
Controls the amount of light desired when using a microscope

A)arm
B)ocular lens
C)objectives
D)fine-focus dial
E)stage
F)substage
G)shutter or diaphragm
H)oil immersion
I)slide

Question 35

Match each part of a microscope with its description.
Upper part of the tube of a microscope

A)arm
B)ocular lens
C)objectives
D)fine-focus dial
E)stage
F)substage
G)shutter or diaphragm
H)oil immersion
I)slide

Question 36

Match each part of a microscope with its description.
Part of a microscope that has two clips to hold the specimen slide

A)arm
B)ocular lens
C)objectives
D)fine-focus dial
E)stage
F)substage
G)shutter or diaphragm
H)oil immersion
I)slide

Question 37

​Which of the following would not be considered a protocol for disposal of biological chemical materials?

A) ​Use the PASS method to properly dispose of chemical materials.
B) ​All universal (standard)precautions are followed and contaminated materials are properly disposed of.
C) ​You must wear gloves,face shield,protective eyewear.
D) ​You must wear aprons,gowns,and hair and shoe coverings.

Question 38

​Match the terminology of the PASS method when correctly operating a fire extinguisher.Correctly complete the sentence.
​________ the handle slowly.

A)​Pull
B)​Aim
C)​Squeeze
D)​Sweep

Question 39

Match each term with its definition.
Allows a laboratory to operate until the Department of Health and Human Services (HHS)inspects the facility

A)provisional certificate
B)certificate of waiver
C)quality assurance (QA)
D)quality control (QC)
E)control
F)chemical hygiene plan
G)biohazard safety

Question 40

Match each part of a microscope with its description.
Part of a microscope that supports the eyepiece

A)arm
B)ocular lens
C)objectives
D)fine-focus dial
E)stage
F)substage
G)shutter or diaphragm
H)oil immersion
I)slide

Question 41

​The agency that established guidelines concerning contact with blood and body fluids,referred to as universal precautions,is:

A) ​the CDC
B) ​OSHA
C) ​HHS
D) ​CLIA

Question 42

​Which standard states employers must develop,implement,and maintain at the workplace a written,comprehensive program that includes provisions for container labeling,collection and availability of safety data sheets,and an employee training program?

A) ​Hazard Communication Standard
B) ​Blood-borne Pathogen Standard
C) ​Clinical Laboratory Improvement Standards
D) ​Personal Protection Standards

Question 43

​Biohazard waste receptacles bear the biohazard symbol and:

A) are lined with red plastic bags
B) are not to be used in the critical care unit
C) ​are only to be used in the critical care unit
D) can be used for any type of waste

Question 44

​Which of the following is an important step in using eyewash equipment?

A) ​Locate the eyewash covers and verify functionality.
B) ​Check that the flow of water is working properly by pushing on or pressing the faucet handle.
C) ​Check that the bowl is free of rust/trash and that water drains from the bowl.
D) ​All of the above.

Question 45

​When collecting specimens from patients,the basic recommended PPE includes:

A) ​gloves
B) ​face shields
C) ​respirators for airborne pathogens
D) ​all of the above

Question 46

​Appropriate attire and safety consideration is a necessity as a medical assistant at all times.Jewelry,hairstyles,and immunizations are discussed safety reasons.Match the type of safety issue with the description.Note: Answers may be used more than once.
​Must keep it worn back and secured

A)​jewelry
B)​hair
C)​immunizations

Question 47

​Appropriate attire and safety consideration is a necessity as a medical assistant at all times.Jewelry,hairstyles,and immunizations are discussed safety reasons.Match the type of safety issue with the description.Note: Answers may be used more than once.
​Babies can be tempted to pull and break

A)​jewelry
B)​hair
C)​immunizations

Question 48

​Appropriate attire and safety consideration is a necessity as a medical assistant at all times.Jewelry,hairstyles,and immunizations are discussed safety reasons.Match the type of safety issue with the description.Note: Answers may be used more than once.
​Pathogens that are on it could be transmitted to you or the child

A)​jewelry
B)​hair
C)​immunizations

Question 49

​Refrigerators used to store reagents,test kits,or biological specimens are labeled with a biohazard symbol and bear the legend:

A) ​Only for Storage of Food and Medications
B) ​Not for Storage of Food or Medications
C) ​Only for Reagents,Test Kits,and Biological Specimens
D) ​Keep at 32 degrees F or below

Question 50

​Appropriate attire and safety consideration is a necessity as a medical assistant at all times.Jewelry,hairstyles,and immunizations are discussed safety reasons.Match the type of safety issue with the description.Note: Answers may be used more than once.
​Could get caught on a piece of equipment or harbor pathogens in the crevices of the metal

A)​jewelry
B)​hair
C)​immunizations

Question 51

​Appropriate attire and safety consideration is a necessity as a medical assistant at all times.Jewelry,hairstyles,and immunizations are discussed safety reasons.Match the type of safety issue with the description.Note: Answers may be used more than once.
​You should receive the series of three HBV (hepatitis B virus)injections

A)​jewelry
B)​hair
C)​immunizations

Question 52

​Appropriate attire and safety consideration is a necessity as a medical assistant at all times.Jewelry,hairstyles,and immunizations are discussed safety reasons.Match the type of safety issue with the description.Note: Answers may be used more than once.
​Cleaned periodically to reduce the possibility of disease transmission

A)​jewelry
B)​hair
C)​immunizations

Question 53

​If you write in the patient's chart with the contaminated gloves still on:

A) you will ​avoid contaminating everything you touch
B) ​you will not be exposing others to biohazardous residue
C) ​you will be contaminating everything you touch and possibly exposing others to biohazardous residue
D) ​adhering to standard precautions

Question 54

​Appropriate attire and safety consideration is a necessity as a medical assistant at all times.Jewelry,hairstyles,and immunizations are discussed safety reasons.Match the type of safety issue with the description.Note: Answers may be used more than once.
​You could transmit the microorganisms from one patient to another

A)​jewelry
B)​hair
C)​immunizations

Question 55

After you clean a spill involves bodily fluids such as blood or urine,the area must be thoroughly cleaned with an effective disinfectant or:

A) ​an industrial biohazard chemical
B) ​pads placed on the affected area and left for at least 20 minutes
C) ​a 10 percent solution of household bleach
D) a ​10-second steam solution

Question 56

​Which of the following statements is true regarding sharps containers?

A) ​Must be easily accessible to employees.
B) ​Must be located as close as feasible to the immediate area where sharps are used.
C) ​Must be closed using the locking mechanism in the container when the sharps reach the full line indicated on the container.
D) ​All of the above.

Question 57

​The ____________ is a new,single unified system for standardizing and harmonizing the classification and labeling of chemicals,making it more effective,consistent,and easier to understand.

A) ​Global Communication Standard
B) ​Hazard Communication System
C) ​Global Harmonized System
D) ​Biohazardous Global Standard

Question 58

​Only three elements need to be present for a fire to start.Which of the following is not one of the noted elements?

A) ​Wood
B) ​Heat
C) ​Fuel
D) ​Oxygen

Question 59

​Appropriate attire and safety consideration is a necessity as a medical assistant at all times.Jewelry,hairstyles,and immunizations are discussed safety reasons.Match the type of safety issue with the description.Note: Answers may be used more than once.
​For those who have respiratory conditions,having protection against pneumonia and influenza is also generally recommended

A)​jewelry
B)​hair
C)​immunizations

Question 60

​Other bodies that provide regulation inspections of a POL are:

A) ​COLA (an independent accreditor)
B) ​OSHA (the Occupational Safety and Health Administration)
C) ​CMS (Centers for Medicare and Medicaid Services)
D) ​All of the above

Question 61

​Match the steps in reporting an unsafe condition or error in patient care to the instruction or rationale.Note: Not all steps are included.
​Check all boxes that apply

A)​Report the incident immediately to a supervisor for documentation.
B)​Assemble form or supplies.
C)​Fill in the demographic information about the patient.
D)​Fill in the location of the event.
E)​Complete the section regarding information about the patient factors prior to the event.
F)​Fill in the categories of event section.
G)​In the space provided,give a written description of the event.
H)​Add any additional persons involved.
I)​Complete the review section.
J)​Complete the corrective action section.
K)​Add any additional information that may be warranted and obtain signatures,titles,and dates.

Question 62

​Match the steps in reporting an unsafe condition or error in patient care to the instruction or rationale.Note: Not all steps are included.
​Include their full name,address,and telephone number

A)​Report the incident immediately to a supervisor for documentation.
B)​Assemble form or supplies.
C)​Fill in the demographic information about the patient.
D)​Fill in the location of the event.
E)​Complete the section regarding information about the patient factors prior to the event.
F)​Fill in the categories of event section.
G)​In the space provided,give a written description of the event.
H)​Add any additional persons involved.
I)​Complete the review section.
J)​Complete the corrective action section.
K)​Add any additional information that may be warranted and obtain signatures,titles,and dates.

Question 63

​Match the steps in reporting an unsafe condition or error in patient care to the instruction or rationale.Note: Not all steps are included.
​This helps determine whether an incident that does not meet safety standards or the standard of care,or routine operations of a provider that deviate from regular operations or established procedures occurred,and the proper protocol according to your facility can be followed

A)​Report the incident immediately to a supervisor for documentation.
B)​Assemble form or supplies.
C)​Fill in the demographic information about the patient.
D)​Fill in the location of the event.
E)​Complete the section regarding information about the patient factors prior to the event.
F)​Fill in the categories of event section.
G)​In the space provided,give a written description of the event.
H)​Add any additional persons involved.
I)​Complete the review section.
J)​Complete the corrective action section.
K)​Add any additional information that may be warranted and obtain signatures,titles,and dates.

Question 64

​Match the steps in reporting an unsafe condition or error in patient care to the instruction or rationale.Note: Not all steps are included.
​Obtain the UOR form and a pen

A)​Report the incident immediately to a supervisor for documentation.
B)​Assemble form or supplies.
C)​Fill in the demographic information about the patient.
D)​Fill in the location of the event.
E)​Complete the section regarding information about the patient factors prior to the event.
F)​Fill in the categories of event section.
G)​In the space provided,give a written description of the event.
H)​Add any additional persons involved.
I)​Complete the review section.
J)​Complete the corrective action section.
K)​Add any additional information that may be warranted and obtain signatures,titles,and dates.

Question 65

​Match the steps in reporting an unsafe condition or error in patient care to the instruction or rationale.Note: Not all steps are included.
​Describe how the incident occurred.Examples: "Incorrect medication was administered to the patient";"Patient given incorrect time to come back for a follow-up."

A)​Report the incident immediately to a supervisor for documentation.
B)​Assemble form or supplies.
C)​Fill in the demographic information about the patient.
D)​Fill in the location of the event.
E)​Complete the section regarding information about the patient factors prior to the event.
F)​Fill in the categories of event section.
G)​In the space provided,give a written description of the event.
H)​Add any additional persons involved.
I)​Complete the review section.
J)​Complete the corrective action section.
K)​Add any additional information that may be warranted and obtain signatures,titles,and dates.

Question 66

​Match the steps in reporting an unsafe condition or error in patient care to the instruction or rationale.Note: Not all steps are included.
​This includes the name of the practice or hospital name,or other if it occurred elsewhere

A)​Report the incident immediately to a supervisor for documentation.
B)​Assemble form or supplies.
C)​Fill in the demographic information about the patient.
D)​Fill in the location of the event.
E)​Complete the section regarding information about the patient factors prior to the event.
F)​Fill in the categories of event section.
G)​In the space provided,give a written description of the event.
H)​Add any additional persons involved.
I)​Complete the review section.
J)​Complete the corrective action section.
K)​Add any additional information that may be warranted and obtain signatures,titles,and dates.

Question 67

​Match the steps in reporting an unsafe condition or error in patient care to the instruction or rationale.Note: Not all steps are included.
This includes the condition and state of the patient (check all boxes that apply)

A)​Report the incident immediately to a supervisor for documentation.
B)​Assemble form or supplies.
C)​Fill in the demographic information about the patient.
D)​Fill in the location of the event.
E)​Complete the section regarding information about the patient factors prior to the event.
F)​Fill in the categories of event section.
G)​In the space provided,give a written description of the event.
H)​Add any additional persons involved.
I)​Complete the review section.
J)​Complete the corrective action section.
K)​Add any additional information that may be warranted and obtain signatures,titles,and dates.

Question 68

​Match the steps in reporting an unsafe condition or error in patient care to the instruction or rationale.Note: Not all steps are included.
​Indicate if the medical record reflects the event accurately including the patient's status both pre and post event and the effect or outcome of the event

A)​Report the incident immediately to a supervisor for documentation.
B)​Assemble form or supplies.
C)​Fill in the demographic information about the patient.
D)​Fill in the location of the event.
E)​Complete the section regarding information about the patient factors prior to the event.
F)​Fill in the categories of event section.
G)​In the space provided,give a written description of the event.
H)​Add any additional persons involved.
I)​Complete the review section.
J)​Complete the corrective action section.
K)​Add any additional information that may be warranted and obtain signatures,titles,and dates.

Question 69

​Match the steps in reporting an unsafe condition or error in patient care to the instruction or rationale.Note: Not all steps are included.
​Attach a copy of the policy and procedure affected

A)​Report the incident immediately to a supervisor for documentation.
B)​Assemble form or supplies.
C)​Fill in the demographic information about the patient.
D)​Fill in the location of the event.
E)​Complete the section regarding information about the patient factors prior to the event.
F)​Fill in the categories of event section.
G)​In the space provided,give a written description of the event.
H)​Add any additional persons involved.
I)​Complete the review section.
J)​Complete the corrective action section.
K)​Add any additional information that may be warranted and obtain signatures,titles,and dates.

Question 70

​Match the steps in reporting an unsafe condition or error in patient care to the instruction or rationale.Note: Not all steps are included.
This includes the full name,gender,address,diagnosis,date of birth,attending physician,primary care provider,and insurance information

A)​Report the incident immediately to a supervisor for documentation.
B)​Assemble form or supplies.
C)​Fill in the demographic information about the patient.
D)​Fill in the location of the event.
E)​Complete the section regarding information about the patient factors prior to the event.
F)​Fill in the categories of event section.
G)​In the space provided,give a written description of the event.
H)​Add any additional persons involved.
I)​Complete the review section.
J)​Complete the corrective action section.
K)​Add any additional information that may be warranted and obtain signatures,titles,and dates.

Question 71

​Match the steps in reporting an unsafe condition or error in patient care to the instruction or rationale.Note: Not all steps are included.
​Name and signature of the person who prepared the document as well as the signature of the supervisor and/or manager and dates must be obtained

A)​Report the incident immediately to a supervisor for documentation.
B)​Assemble form or supplies.
C)​Fill in the demographic information about the patient.
D)​Fill in the location of the event.
E)​Complete the section regarding information about the patient factors prior to the event.
F)​Fill in the categories of event section.
G)​In the space provided,give a written description of the event.
H)​Add any additional persons involved.
I)​Complete the review section.
J)​Complete the corrective action section.
K)​Add any additional information that may be warranted and obtain signatures,titles,and dates.