stud
bud
Sign up
Log in
Home
Library
Explore
SAT
More
Clin Lab Block 1 Flashcards | StudBud
Explore
/
Clin Lab Block 1
Clin Lab Block 1
99 terms
·
StudBud Administration
·
35 plays
Imported from external platform
Flashcards
99 cards
F
Practice quiz
P
Host live
L
Questions
99
Answers
1
Which evacuated tube would Therapeutic Drug Monitoring (TDM) use?
Green
Lavender
Grey
Red
2
Peripheral leukocytes. The nucleus forms a “U” or curled rod prior to segmentation.
Neutrophil
Basophils
Band Forms
Lymphocytes
3
All laboratory test results must be ______________.
Interpreted within the context of a patient’s overall health
Interpreted within the context of a patient’s family medical history
Interpreted within the context of a patient’s health insurance status
Interpreted within the context of a patient’s life expectancy calculations
4
Which of the following is a Dopaminergic Pathway Stimulant?
Methedrone
MDMA/Ecstasy
Xanax
LSD
5
Which of the following is **NOT** considered to be credentialed to utilize Provider-Performed Microscopy (PPM)?
Dentist
Physician
Midwife
Registered Nurse
6
Which of the following anticoagulants would be best for the following lab order; PT, APTT, INR, D-dimer, Fibrinogen.
EDTA
Sodium Citrate
Heparin
Ammonium Biurate
Sodium Fluoride and Potassium Oxalate
7
Condition diagnosed commonly via wet mount microscopic findings that cause symptoms of pruritis, dysuria, and malodor.
Urinary Tract Infection (UTI)
Herpes
Chlamydia
Vaginitis
8
Tube used for cardiac testing, renal and liver panels, and toxicology/TDM.
Lavender
Green
Red
Dark (Royal) Blue
9
Calcium Pyrophosphate Dihydrate (CPD) crystals are indicative of ______.
Pseudogout
Gout
10
Lipoprotein produced by the liver that transports triglycerides to various tissues in the body.
LDL
HDL
VLDL
11
Rapid Strep swab is considered what type of lab?
Core Lab - Point of Care (POC)
Rapid Antigen
Chemistry - Point of Care (POC)
Microbiology - Point of Care (POC)
12
Exercise causes which of the following variabilities to lab results?
⬆️Total cholesterol, ⬇️HDL
⬇️ Hgb
⬆️ CK, AST, LD. May activate coagulation, fibrinolysis, & platelets
⬆️ Ketones in urine and serum BUN
13
Which one of the following “elements” is found in the plasma portion of whole blood?
Platelets (Thrombocytes
Leukocytes (WBC)
Erythrocytes (RBC)
Electrolytes (Solutes)
Buffy Coat
14
Lumbar punctures are normally performed between which vertebrae?
L3 - L4
L2 - L3
L1 - L2
L4 - L5
T12 - L1
15
If excessive amounts of ketones are in blood, ketones will be present in urine
True
False
16
An OTC at-home pregnancy test (urine-HCG qualitative) is considered what type of test complexity?
PPM
High complexity
Waived Testing
Moderate complexity
17
What substance can be tested for in an unknown fluid to determine that it is Synovial Fluid?
Glycolic acid
Nitric acid
Hydrofluoric acid
Ascorbic acid
Hyaluronic acid
18
The presence of blood on serous fluid analysis w/out trauma suggests?
Malignancy
Bacteria
Underlying trauma undiscovered
Virus
Fungal
19
Which of the following CMP values reflects suspected liver damage when elevated?
ALT & AST
Alkaline Phosphatase (ALP)
Alanine Transaminase (ALT)
Aspartate Aminotransferase (AST)
20
What is the specificity of the test?
200/220
680/880
200/300
680/780
680/700
21
Total protein is represented as _____. (CMP)
Albumin & Peptides
Albumin & Globulin
Amino Acids & Peptides
Immunoglobulins & transport proteins
22
Result of a systemic disorder, ⬆️hydrostatic pressure, fluid filtration/absorption disruption, ⬇️protein/cells. (e.g-CHF)
All you can eat buffets
Exudate
Transudate
23
Affected by random errors. If repeat the same test multiple times, you’d get similar results each time.
Reliability
Validity
24
Consistency of results in repeated measurements, crucial for tracking changes in patients conditions over time.
Precision
Accuracy
Sensitivity
Specificity
25
Reduces the risk of false negatives
Sensitivity
Precision
Specificity
Accuracy
26
A test used for screening such as the ELISA method for HIV would be highly ______.
Sensitive
Specific
27
How does disease prevalence affect the overall positive and negative predictive values of tests?
A high prevalence rate is characterized by a high negative predictive value
Changes in prevalence rate only affects the positive predictive value
Changes in prevalence rate have no effect on predictive values
As prevalence increases, positive predictive value increases
As prevalence decreases, positive predictive value increases
28
Based on the (chart’s) therapeutic range (TR), which drug would you monitor more often?
Clonazepam
Carbamazepine
Ethosuximide
Gabapentin
Fella ate
29
What microbiological pathogens is indicated w/ positive Fecal Leukocytosis?
Salmonella & Shigella
Escherichia Coli & Shigella
Mycobacterium & Borrelia
Serovar Typhi & Vibrio Cholerae
30
Measures amount of N2 in blood in the form of urea. Reflects kidney function and protein breakdown. Interpreted w/ Cr.
Bilirubin
ALT
BUN
Total Protein
31
Drug testing that uses gas chromatography/mass spectrometry (GS/MS)
Emergency department/point-of-care testing
Employment screening/forensic testing
32
Class II synovial fluid is associated with ______.
Traumatic injury, tumor, or coagulation deficiencies (hemophilia)
Bacterial infection (septic)
Degenerative diseases like osteoarthritis
Immunologic diseases like lupus and RA
Gout and pseudogout
33
Which tube would be used to gather a Complete Blood Count (CBC) from a patient?
Green (Heparin)
Grey (Sodium Fluoride/Potassium Oxalate)
Lavender (EDTA)
Red (SST)
34
How does a lavender tube w/ EDTA prevent clotting?
Binds to potassium ions
Interferes w/ process of making fibrin
Binds to calcium ions
Inhibits glycolysis
35
Virtually all therapeutic drugs are assayed from _______ specimens.
Urine
Serum
Whole Blood
Plasma
36
Why is plasma preferred over serum for many STAT lab tests?
Serum includes clot activators that interfere w/ testing
Reduced turnaround time for results
Fibrinogen in serum interferes w/ lab testing
Lab tests performed on plasma are more accurate
Serum is unsuitable for STAT testing
37
A highly _____ test is good at avoiding false positives.
Sensitive
Specific
38
Which of the following is an example of the impacts of hemolysis on lab samples?
Significant increase in K+, LD, and AST
Slight increase in Haptoglobin and Bilirubin
Slight⬇️ in phosphate, total protein, albumin, magnesium, calcium, and ALP
Noticeable decrease ALT, CK, iron, and coagulation tests
Significant increase in Troponin T
39
Which of the following UA tests have a reference range as opposed to a negative/trace result?
Protein
Urobilinogen
Leukocyte esterase
Glucose
40
32yo F pt c/o severe HA, nausea, photophobia. POS stiff neck/Brudzinski sign. NEG trauma/fever. What condition off CSF?
Bacterial Meningitis
Subarachnoid Hemorrhage
Migraine Headache
Cluster Headache
Viral Meningitis
41
Which ClinLab personnel is typically responsible for managing a clinical laboratory and has a 4-year degree?
Medical Laboratory Technician (MLT)
Clinical Laboratory Scientist (CLS)
Medical Doctor (MD)
Phlebotomist
Pathologist
42
What is the most common cause of encephalitis?
Parasitic (Toxoplasma gondii, Taenia Solium)
Viral (HSV, West Nile, JEV)
Fungal (Histoplasma capsulatum, Cryptococcus neoformans)
Bacterial (Listeria monocytogenes, leptosopira)
43
Most fatal form of Meningitis?
Parasitic (Naegleria fowleri)
Mycobacterial (M. Tuberculosis)
Bacterial (Haemophilus influenza, Neisseria)
Viral (Enteroviruses, herpes)
Fungal (Cryptococcus, Histoplasma)
44
Diet high in protein and low in carbohydrates cause which of the following variabilities to lab results?
⬇️ Lipid panel values
⬆️ Plasma lactate, urate, and TAGs
⬆️ Ketones in urine and serum BUN
⬆️Serum urea, ammonia, and urate
45
What does a uncentrifuged lavender tube yield?
Serum
Whole Blood
Plasma
46
Mild stress can cause which of the following variabilities to lab results?
⬆️Total cholesterol, ⬇️HDL
⬇️ Hgb
Induces the production of ACTH, Cortisol, and Catecholamines
⬆️ Ketones in urine and serum BUN
47
16yo F presents w/ polyuria, dysuria and cloudy urine. State following reasons: 1)+Nitrite 2)+LE 3)7.5 pH 4)+Protein
1) Presence of kidney stone ; 2)Protein ; 3)Nitrite ; 4)Glomerular DMG
1) Gram+ Bacteria ; 2)WBCs ; 3)Bacteria ; 4)Lower UTI (Cystitis)
1) Gram- Bacteria ; 2)Yeast ; 3)Bacteria ; 4)Upper UTI (Cystitis)
1) Gram+ Bacteria ; 2)Protein ; 3)Nitrite ; 4)Glomerular DMG
1) Gram- Bacteria ; 2)WBCs ; 3)Bacteria ; 4)Lower UTI (Cystitis)
48
A child is rushed to the ER after ingesting an entire bottle of Tylenol tablets. What is your specimen to collect labs?
Gastric Contents
Urine
Blood
Stool
Saliva
49
Blood collection container which contains inert thixotropic gel polymer. Gives shorter process time and high serum yield
Grey tube w/ sodium fluoride & potassium oxalate
Red/Red & Grey SST
Green tube w/ Heparin anticoagulant
Light Blue w/ sodium citrate anticoagulant
Lavender tube w/ EDTA anticoagulant
50
Vaginitis cause that presents w/ yellow-green discharge, foamy, w/ odor.
Trichomonas Vaginalis (Trichomoniasis)
Clue Cells
Yeast Infection
Bacterial Vaginitis (BV)
51
Major Intracellular Cation that maintains acid-base balance, affects neuromuscular function and cardiac contraction.
Potassium (K+)
Chloride (Cl-)
Total Calcium (Ca++)
Sodium (Na+)
52
Cloudy, low visc synovial fluid. Glucose: 60mg/dl, NEG RBC, WBC: 40,000 (65% Polys). What’s going on up in this joint? 😏
Hemorrhagic
Septic
Cast-induced
Inflammatory
Non-inflammatory
53
Indicates infection, leukemia, pregnancy, neoplasms, pneumonia, inflammation or tissue necrosis
Leukocytosis
Thrombocytopenia
Thrombocytosis
Leukopenia
54
Specimen choice when dealing with a arsenic or mercury poisoning?
Blood
Gastric Contents
Urine
55
An all inclusive/comprehensive system monitoring the accuracy of test results where all steps are considered.
Standard Operating Procedures (SOP)
General Laboratory Standards (GLS)
Quality Assurance/Assessment (QA)
56
Which of the following is an example of a “less common” elimination pathway?
Biliary
Hair
Hepatic
Feces
Renal
57
Blood must not clot (anticoagulant added). Centrifugation separates RBCs down, leaving _________ on top.
Plasma
Serum
Whole blood
58
Shift of this electrolyte facilitates O2/CO2 exchange as RBCs travel to target tissues.
Sodium (Na+)
Carbon Dioxide (CO2)
Chloride (Cl-)
Potassium (K+)
59
Which 2 pre-collection variables show lower values in the A.M?
Blood Pressure & Iron
Glucose & Melatonin
Testosterone & Insulin
Blood Pressure & Melatonin
60
Given a drug with a half-life of approximately 3 hours, if a patient had 1000mg, how much will be in them after 12hrs?
500mg
125mg
250mg
62.5mg
31.25mg
61
Which of the following statements best explains the concept of sensitivity in relation to diagnostic tests?
The test’s ability to minimize false positive results
The test’s ability to accurately identify patients who have the disease
The test’s ability to detect patients who do not have the disease
The test’s ability to provide results with a high level of precision
The test’s ability to differentiate between true POS and true NEG
62
Which tube would be used to measure glucose or glucose tolerance test?
Light Blue (Sodium Citrate)
Grey (Sodium Fluoride/Potassium Oxalate)
Green (Heparin)
Red (SST)
63
Potassium Hydroxide preparation retains tissue debris but dissolves host cells to better view fungal elements.
True
False
64
Which technique for reducing overutilization of lab testing is particularly relevant?
Diagnosing subclinical diseases based on early-stage symptoms
Using antibiotics to treat ALL pathogens causing flu-like symptoms
Recommending immediate Dx tests for all patients with symptoms
Gaining confidence in clinical skills and knowledge
65
Which UA result is a product of bacterial metabolism?
Nitrite
Leukocyte esterase
Glucose
Protein
66
Which tube can decrease the concentration of anticonvulsant drugs such as phenytoin and valproic acid?
Light Blue
Grey
Green
Red SST
67
Which tube would be used to measure coagulation studies such as PT and D-dimer?
Lavender (EDTA)
Green (Heparin)
Dark (Royal) Blue
Light Blue (Sodium Citrate)
68
What regulatory body is responsible for overseeing clinical laboratory testing and ensuring compliance?
American Society for Clinical Pathology (ASCP)
American Association for Clinical Chemistry (AACC)
Food and Drug Administration (FDA)
American Medical Association (AMA)
Centers for Medicare and Medicaid Services (CMS)
69
Which type of serous effusion is inflammatory in nature and causes hyperproteinemia and leukocytosis, +⬇️ glucose?
Exudates
Transudates
70
Tube used for serology, blood chemistry, and lipid panels.
Green
Light blue
Red
Lavender
71
What are the correct subdivisions of the Anatomic division of clinical laboratory?
Chemistry, Immunohematology, Urinalysis
Histology, Cytology, Autopsy
Autopsy, Hematology, Serology
Histology, Microbiology, Chemistry
72
What type of cast is this?
Waxy
Erythrocyte
Fatty
Cellular
73
What is the only class of synovial fluid that will present with a positive result on Gram Stain?
Normal
Class III
Class I
Crystal
Class II
Hemorrhagic
74
What is the goal of Drugs of Abuse Testing (DAT)?
Detect past exposure or use of drug
Detect current levels of drug & Detect Drug interactions (Polypharmacy)
Detect toxic levels of drug or masking agents
75
Collection tubes containing CSF for microbiology should be kept _____.
Room Temperature
Refrigerated
Frozen (if needed)
76
Urinalysis test which measures urine concentration.
Urobilinogen
Nitrite
Specific Gravity
pH
77
When considering a lab test, which of the following Qs is most crucial for ensuring appropriate test utilization/Pt MGMT
How much will the test cost?
Is the patient experiencing any psychological symptoms?
What is the historical prevalence of the disease?
How long will it take to receive the test results?
How will the test results influence patient management and outcome?
78
Increased volume to the pleural, pericardial, or peritoneal cavities is considered as a general term ______.
Edema
Transudate
Exudate
Effusion
79
What type of crystal is this?
Calcium Oxalate
Cystine
Calcium Phosphate
Tyrosine
80
Evidence Based Medicine is comprised of which of the following?
Solely Clinical Expertise
Clinical Expertise, Medical Evidence, Provider Preferences
Clinical Expertise, Medical Evidence, Patient Preferences
Clinical Expertise & Patient Preference
81
Which of the following subdivision of clinical pathology would test for autoimmune disorders?
Chemistry
Microbiology
Immunohematology
Serology
82
What type of crystal is this?
Calcium Oxalate
Uric Acid
Cystine
Calcium Phosphate
83
The big three “unacceptable” specimen categories are Icteric (jaundice), Lipemic, and Hemolyzed.
False
True
84
High levels on a CMP indicate liver disease, hemolysis, and Gilbert’s syndrome
Bilirubin
Albumin (ALB)
Aspartate Aminotransferase (AST)
Alanine Transaminase (ALT)
85
What is an example of a common chemotherapeutic drug which utilized TDM?
Methotrexate
Topiramate
Quinidine
Cyclosporine (CsA)
86
Assuming first-order kinetics, ______ half-lives are required after initiation of drug therapy to reach steady state.
3
4
6
5
87
This CBC - Erythrocyte Indices assists with classifying anemias based on cell size.
MCH
RDW
MCV
MCHC
88
A fern test is used to detect what?
Fertility of vaginal fluid
Sperm motility
Amniotic fluid
Pinworm egg
89
Abnormalities in this value when using a CBC can indicate anemia, polycythemia, or dehydration.
Total WBC
Mean Corpuscular Hemoglobin (MCH)
Hematocrit (Hct)
Hemoglobin (Hgb)
90
Which of the following suggests alcohol abuse?
AST > 2x ALP
AST < 2x ALT
ALT > 2x ALP
AST > 2x ALT
91
Test used to evaluate kidney function and electrolyte balance w/out liver function analysis
Basic Metabolic Panel (BMP)
Urinalysis (UA)
Comprehensive Metabolic Panel (CMP)
Complete Blood Count (CBC)
92
Mature granulocyte involved in response to parasitic infections and allergic conditions.
Basophils
Monocytes
Eosinophils
Neutrophils
93
Which of the following are the two main divisions of a clinical laboratory?
Clinical and Hematology
Anatomical and Support Services
Histology and Cytology
Anatomical and Chemistry
Anatomic and Clinical
94
Which of the following conditions is most often associated with the formation of a Transudate serous fluid?
Localized malignancy
Rheumatoid Pleuritis
Congestive Heart Failure
Systemic infections
Embolism
95
WBC involved in the production of antibodies.
Basophils
Lymphocytes
Monocytes
Neutrophils
96
Which of the following would be collected when toxin has been ingested a MODERATE amount of time ago?
Urine
Gastric Contents
Blood
97
Which visual/lab finding would indicate purulent, rather than turbid?
>10,000 cells/ul
>200 cells/ul
98
A ratio of __:__ is considered normal for WBC to epithelial cell.
1:3
1:2
1:4
1:1
99
What type of cast is this?
Waxy
Erythrocyte
Hemoglobin
Cellular