Chapter 50: Clinical Laboratory Overview

Which are requirements for a medical assistant who works in the laboratory setting?

Select all that apply

Passing a national examination

Earning a baccalaureate degree

Having at least 1,000 hours of clinical experience

Completing a 1- to 2-year specialized training program

Obtaining certification as a medical laboratory technician

Passing a national examination

Completing a 1- to 2-year specialized training program

Which test procedures are performed in the small laboratory area in the physician's office?

Select all that apply

PTT

VDRL

Urinalysis

Hemoglobin A1c

Spun microhematocrit

Urinalysis

Hemoglobin A1c

Spun microhematocrit

In what year did congress pass the Clinical Laboratory Improvement Amendments (CLIA) which established standards for clinical laboratory testing?

1970

1988

1991

2000

1988

Which government agency is responsible for CLIA categorization of commercially marketed tests performed in a laboratory?

World Health Organization (WHO)

Food and Drug Administration (FDA)

Department of Health and Human Services (HHS)

Centers for Disease Control and Prevention (CDC)

Centers for Medicare and Medicaid Services (CMS)

Food and Drug Administration (FDA)

What can be reviewed via the Internet regarding CLIA-waived tests?

List of clinical laboratories certified to perform CLIA-waived tests.

List of credentialed personnel who are qualified to perform CLIA-waived tests.

List of commercially marketed in vitro test systems categorized by the FDA since January 21, 2000.

List of examinations and procedures that have been approved by the FDA for home use or simple laboratory examinations and procedures

List of examinations and procedures that have been approved by the FDA for home use or simple laboratory examinations and procedures

Which members of the healthcare team may be the director of the clinical laboratory?

Select all that apply

Pathologist

Specially trained physician

Clinical laboratory scientist with a doctorate

Certified medical laboratory assistants with a baccalaureate degree

Employees with a specialized training program and national certification

Pathologist

Specially trained physician

Clinical laboratory scientist with a doctorate

Which credential should a medical assistant obtain to work in a clinical laboratory?

Select all that apply

MLA

CMA

RMA

CCMA

CMA

RMA

CCMA

What kind of specialized training is required to work in a laboratory setting as a CMA?

On-the-job training

1-2 years of specialized training

4 years of training and a degree

Less than a year of specialized training and passing an examination

1-2 years of specialized training

The medical assistant (MA) is preparing to collect a urine sample for testing. Which types of examinations should the MA expect to occur with the sample?

Select all that apply

Ketones

Nitrites

Bilirubin

Hemoglobin

Ketones

Nitrites

Bilirubin

The medical assistant (MA) is drawing blood from a patient for hematology testing. Which blood cell counts are monitored with this testing?

Select all that apply

Platelets

Leukocytes

Erythrocytes

Hemoglobin A1C

Microorganisms

Platelets

Leukocytes

Erythrocytes

The medical assistant (MA) is teaching a patient what will be analyzed in a urine chemistry test. Which statements should the MA include in the session?

Select all that apply

The test results will be both qualitative and quantitative.

One test can include measures for a number of related analytics.

Sensitivity tests will be performed to determine proper antibiotic therapy.

The tests will identify microorganisms in the blood, CSF, urine,or joint fluid.

The test results will be both qualitative and quantitative.

One test can include measures for a number of related analytics.

Which technique and type of container should the medical assistant (MA) use when collecting a microbiology sample?

Aseptic technique and clean containers

Aseptic technique and sterile containers

Clean technique and clean containers

Clean technique and sterile containers

Aseptic technique and sterile containers

What is ensured as a result of the CLIA legislation?

Privacy

Quality

Remittance

Professionalism

Quality

Which quality standards are ensured in the clinical laboratory setting as a result of the CLIA legislation?

Select all that apply

Privacy

Specificity

Sensitivity

Reliability

Timeliness

Reliability

Timeliness

The medical assistant (MA) is helping to set up a laboratory at a physician's office. The MA plans to register the laboratory with which government entity to meet CLIA requirements?

National Institutes of Health

Food and Drug Administration

Centers for Disease Control and Prevention

Centers for Medicare and Medicaid Services

Centers for Medicare and Medicaid Services

The medical assistant (MA) is helping to draft the policy and procedure manual for a physician operated laboratory (POL). How often should the POL anticipate unannounced inspections?

Annually

Every two years

Three times a year

Before the laboratory opens

Every two years

The medical assistant (MA) is helping with the physical examination of a patient who is suspected of having diabetes mellitus (DM). Which CLIA-waived test should the MA anticipate performing for this patient?

Dipstick urine testing

Spun microhematocrit

Nasal influenza A and B

Erythrocyte sedimentation rate

Dipstick urine testing

The medical assistant (MA) is preparing a patient with suspected anemia for laboratory testing. Which CLIA-waived tests should the MA prepare to implement?

Select all that apply

Hemoglobin A1c

Spun microhematocrit

STAT-CRIT hematocrit

Erythrocyte sedimentation rate

Dipstick, or tablet reagent urinalysis

Spun microhematocrit

STAT-CRIT hematocrit

The medical assistant (MA) is preparing a patient with suspected peptic ulcer disease for laboratory testing. Which CLIA-waived test should the MA prepare to implement?

Streptococcus A throat swab

Heliobacter pylori antibodies

Borreliaburgdorferi antibodies

Erythrocyte sedimentation rate

Heliobacter pylori antibodies

The medical assistant (MA) is preparing to implement a CLIA-waived test for influenza. Which action by the MA is accurate?

Obtain a throat swab

Obtain blood cultures

Obtain nasal secretions

Obtain Borreliaburgdorferi antibodies

Obtain nasal secretions