Deck 51: Assisting in the Clinical Laboratory

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Question
A decrease in hemoglobin levels in red blood cells (RBCs) is seen in iron-deficiency anemia.
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Question
For qualitative tests, a numeric value is attached to the result that specifically states the amount of analyte in a given volume of specimen.
Question
A centrifuge load always contains an even number of tubes.
Question
Culture and sensitivity (C&S) testing is performed in the microbiology department of the clinical laboratory to determine proper antibiotic therapy.
Question
Physical hazards in the laboratory can be classified as electrical, fire, or mechanical.
Question
Medical assistants are trained to perform high-complexity tests in the physician's office.
Question
Patient samples are tested in the medical laboratory to determine whether test results are within a certain reference range.
Question
A fecal occult blood test is an example of a quantitative screening test.
Question
Chain of custody procedures are extremely important when specimens are collected and handles for drug and alcohol testing.
Question
The most effective means of preventing infection is the use of disposable gloves.
Question
For a quantitative test, the result is expressed numerically.
Question
When using a fire safety blanket, you should be sure to wrap the person securely in the blanket to smother the flames.
Question
The military clock time of 1735 hours corresponds to 5:35 AM on the Greenwich clock.
Question
The gram is the unit of mass in the metric system.
Question
A screening test is performed to help diagnose a specific health problem in the patient.
Question
The longer the objective of the microscope, the greater the magnification of the lens.
Question
Laboratories that perform moderate- to high-complexity tests must undergo an unannounced inspection every 2 years.
Question
Microbiology specimens must be collected in sterile containers.
Question
If chemicals are splashed into the eyes, the eyes should be flushed with water from an eyewash station for at least 5 minutes.
Question
MSDS must be kept on file only for laboratory chemicals considered teratogenic.
Question
Which of the following is not a waived test?

A)Dipstick urinalysis
B)Fecal occult blood
C)Gram staining
D)Spun microhematocrit
Question
Which of the following is not a responsibility of the medical assistant in the clinical laboratory?

A)Providing proper patient preparation
B)Interpret ting abnormal results and providing patients with diagnoses
C)Developing a knowledge of the normal ranges of results
D)Obtaining and labeling specimens
Question
In the identification system of the National Fire Protection Association, the white diamond indicates ______ of the chemical.

A)the flammability
B)special hazards
C)the reactivity or stability
D)the health hazard
Question
Pipets used to deliver or transfer specified volumes of liquid to prepare reagents include which type(s)?

A)Serologic
B)Graduated
C)Volumetric
D)B and C
E)All of the above
Question
The act passed by Congress to establish quality standards for all laboratory testing is referred to as:

A)FDA
B)CDC
C)CLIA
D)MSDS
Question
Decreased hemoglobin levels are seen in which of the following illnesses?

A)Iron-deficiency anemia
B)Hyperthyroidism
C)Cirrhosis of the liver
D)A and C
E)All of the above
Question
The shortest objective lens on the microscope has the lowest power (4´) and is called the scanning lens.
Question
The pledge of healthcare professionals to work to achieve the highest degree of excellence in the care given to every patient is otherwise known as:

A)chain of custody
B)quality assurance
C)quality control
D)incident reporting
Question
A term used to describe a blood sample in which the red blood cells have ruptured is:

A)hematoma
B)preservatives
C)hemolyzed
D)teratogen
Question
You are preparing a chemical hygiene plan for your employer and need copies of the material safety data sheets (MSDS) for several products in use in your laboratory.The first step is to contact:

A)the manufacturer of the product
B)the CDC
C)an OSHA representative
D)a sales representative
Question
A blood culture and sensitivity (C&S) test is most likely to be performed in which division of the clinical laboratory?

A)Urinalysis
B)Chemistry
C)Hematology
D)Microbiology
Question
Categories of tests performed in the clinical laboratory are assigned by the FDA on the basis of the:

A)potential risk to public health
B)expense to the patient
C)ease of performance
D)instrumentation and supplies needed
Question
You are required to transfer 10 mL of urine from a 24-hour specimen into a special tube to be sent to a referral laboratory.You:

A)pour the urine into the tube, estimating the amount
B)use a graduated cylinder to measure the urine and then pour it into the tube
C)use a serologic pipet to transfer the urine into the tube
D)use a beaker to measure 10 mL and pour it into the tube
Question
Immersion oil prevents refraction of the light and improves the resolution of the magnified image.
Question
A portion of a well-mixed sample that is removed for testing is called a(n):

A)aliquot
B)analyte
C)diluent
D)exudate
Question
Which of the following is the most efficient method of preventing the spread of infection in a laboratory?

A)Using a sterile container for sharps
B)Washing your hands
C)Using sterile cups in urine collection
D)Cleaning with a chemical disinfectant
Question
Laboratory tests performed in a physician's office are most likely to be categorized as:

A)waived
B)moderate complexity
C)high complexity
D)A and B
Question
The microscopic image is focused by manipulating the objective and condenser.
Question
The metric system is based on a decimal system in which a combination of basic units and prefixes indicates a system of division in multiples of 100.
Question
__________ is the study of bacteria, fungi, yeasts, parasites, and viruses.

A)Chemistry
B)Histology
C)Microbiology
D)Hematology
Question
You mix 2 mL of a patient's serum with 18 mL of diluent to prepare a _____ dilution.

A)2:18
B)1:9
C)1:20
D)1:10
Question
The microscope component that directs the light up through the stage is the:

A)condenser
B)iris diaphragm
C)ocular
D)magnification system
Question
__________ on swabs, tubes, transport media, and other collection containers should be checked before these items are used.
Question
Immersion oil can be used with which of the following objective lenses of the microscope?

A)40´
B)100´
C)10´
D)A and B
Question
A centrifuge is used to separate:

A)solids from liquids
B)blood cells from serum or plasma
C)crystals from urine
D)all of the above
Question
__________ is the single most important means of preventing the spread of infection.
Question
An order found on a laboratory requisition that indicates the test must be done immediately is __________.
Question
The stepwise method used to collect, process, and test a specimen that will be used as evidence in a legal case is called the __________.
Question
Which of the following is most accurate for measuring 500 mL?

A)500-mL volumetric flask
B)500-mL beaker
C)500-mL graduated cylinder
D)500-mL Erlenmeyer flask
Question
A(n) __________ is used in the microbiology laboratory to enhance the growth of pathogenic microorganisms in culture media.
Question
The clinical __________ department analyzes blood, cerebrospinal fluid (CSF), urine, and joint fluid.
Question
An MSDS contains which of the following?

A)Trade and chemical names
B)Hazardous ingredients
C)Manufacturer's name and address
D)All of the above
Question
An autoclave can best be compared with a(n):

A)oven
B)deep fryer
C)pressure cooker
D)washing machine
Question
Which of the following is a qualitative laboratory test result?

A)RBCs: 6,000,000/mm3
B)Fecal occult blood test: positive
C)Hematocrit: 45%
D)A and C
Question
Balancing a centrifuge requires that all tumbles in the load:

A)have an equal amount of liquid of the same viscosity
B)are of equal size and shape
C)have a partner directly across in the rotor holder
D)all of the above
Question
__________ is the physical, chemical, and microscopic examination of urine.
Question
Aerosolization in a centrifuge can be prevented by ensuring that:

A)the tubes have an equal amount of fluid
B)the atmosphere has 5% carbon dioxide
C)the tubes are tightly capped
D)rubber cups are in the bottom of the carriers
Question
The clinical chemistry department performs which of the following tests?

A)Presence of ketones in urine
B)Cell morphology
C)Blood cell count
D)Lipid profile
Question
The ocular of the microscope generally magnifies the image:

A)2 times
B)5 times
C)10 times
D)minimally
Question
When the 40´ objective is in place on the microscope, the total magnification of the specimen is:

A)40´
B)4´
C)400´
D)80´
Question
An important responsibility of the medical assistant is to make sure collected specimens are labeled properly before they are sent to a reference laboratory.Summarize at least five items that must be included on a specimen label.
Question
A(n) __________ is a liquid used to reduce the concentration of a specimen in a sample.
Question
Summarize methods that can be used to prevent physical hazards in the clinical laboratory.
Question
The objective of __________ in the medical laboratory is to ensure the accuracy and reliability of test results.
Question
__________ are fluids that have escaped from blood vessels and been deposited in surrounding tissues.
Question
The microscopic analysis of cells is the science of __________.
Question
__________ encompasses a comprehensive set of policies and procedures developed to ensure the reliability of laboratory results.
Question
A(n) __________ uses steam under pressure to destroy all microorganisms.
Question
Describe the information included in the Material Safety Data Sheet (MSDS).
Question
The medical assistant is trained to perform CLIA-waived tests in the ambulatory laboratory setting.Based on your understanding of these tests, summarize at least five of them, along with their functions.
Question
Specimens collected in the ambulatory care setting frequently are sent to a(n) __________ for analysis.
Question
List the recommendations from the CDC regarding infection control.
Question
Describe the purpose of the Clinical Laboratory Improvement Amendments (CLIA).
Question
A chemical added to a blood sample after collection to prevent clotting is called a(n) __________.
Question
The __________ is the substance tested for or analyzed in a specimen.
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Deck 51: Assisting in the Clinical Laboratory
1
A decrease in hemoglobin levels in red blood cells (RBCs) is seen in iron-deficiency anemia.
True
2
For qualitative tests, a numeric value is attached to the result that specifically states the amount of analyte in a given volume of specimen.
False
3
A centrifuge load always contains an even number of tubes.
True
4
Culture and sensitivity (C&S) testing is performed in the microbiology department of the clinical laboratory to determine proper antibiotic therapy.
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
5
Physical hazards in the laboratory can be classified as electrical, fire, or mechanical.
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
6
Medical assistants are trained to perform high-complexity tests in the physician's office.
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
7
Patient samples are tested in the medical laboratory to determine whether test results are within a certain reference range.
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
8
A fecal occult blood test is an example of a quantitative screening test.
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
9
Chain of custody procedures are extremely important when specimens are collected and handles for drug and alcohol testing.
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
10
The most effective means of preventing infection is the use of disposable gloves.
Unlock Deck
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Unlock Deck
k this deck
11
For a quantitative test, the result is expressed numerically.
Unlock Deck
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Unlock Deck
k this deck
12
When using a fire safety blanket, you should be sure to wrap the person securely in the blanket to smother the flames.
Unlock Deck
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Unlock Deck
k this deck
13
The military clock time of 1735 hours corresponds to 5:35 AM on the Greenwich clock.
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k this deck
14
The gram is the unit of mass in the metric system.
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k this deck
15
A screening test is performed to help diagnose a specific health problem in the patient.
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k this deck
16
The longer the objective of the microscope, the greater the magnification of the lens.
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k this deck
17
Laboratories that perform moderate- to high-complexity tests must undergo an unannounced inspection every 2 years.
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k this deck
18
Microbiology specimens must be collected in sterile containers.
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k this deck
19
If chemicals are splashed into the eyes, the eyes should be flushed with water from an eyewash station for at least 5 minutes.
Unlock Deck
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Unlock Deck
k this deck
20
MSDS must be kept on file only for laboratory chemicals considered teratogenic.
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
21
Which of the following is not a waived test?

A)Dipstick urinalysis
B)Fecal occult blood
C)Gram staining
D)Spun microhematocrit
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
22
Which of the following is not a responsibility of the medical assistant in the clinical laboratory?

A)Providing proper patient preparation
B)Interpret ting abnormal results and providing patients with diagnoses
C)Developing a knowledge of the normal ranges of results
D)Obtaining and labeling specimens
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
23
In the identification system of the National Fire Protection Association, the white diamond indicates ______ of the chemical.

A)the flammability
B)special hazards
C)the reactivity or stability
D)the health hazard
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
24
Pipets used to deliver or transfer specified volumes of liquid to prepare reagents include which type(s)?

A)Serologic
B)Graduated
C)Volumetric
D)B and C
E)All of the above
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
25
The act passed by Congress to establish quality standards for all laboratory testing is referred to as:

A)FDA
B)CDC
C)CLIA
D)MSDS
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
26
Decreased hemoglobin levels are seen in which of the following illnesses?

A)Iron-deficiency anemia
B)Hyperthyroidism
C)Cirrhosis of the liver
D)A and C
E)All of the above
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
27
The shortest objective lens on the microscope has the lowest power (4´) and is called the scanning lens.
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
28
The pledge of healthcare professionals to work to achieve the highest degree of excellence in the care given to every patient is otherwise known as:

A)chain of custody
B)quality assurance
C)quality control
D)incident reporting
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
29
A term used to describe a blood sample in which the red blood cells have ruptured is:

A)hematoma
B)preservatives
C)hemolyzed
D)teratogen
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
30
You are preparing a chemical hygiene plan for your employer and need copies of the material safety data sheets (MSDS) for several products in use in your laboratory.The first step is to contact:

A)the manufacturer of the product
B)the CDC
C)an OSHA representative
D)a sales representative
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
31
A blood culture and sensitivity (C&S) test is most likely to be performed in which division of the clinical laboratory?

A)Urinalysis
B)Chemistry
C)Hematology
D)Microbiology
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
32
Categories of tests performed in the clinical laboratory are assigned by the FDA on the basis of the:

A)potential risk to public health
B)expense to the patient
C)ease of performance
D)instrumentation and supplies needed
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
33
You are required to transfer 10 mL of urine from a 24-hour specimen into a special tube to be sent to a referral laboratory.You:

A)pour the urine into the tube, estimating the amount
B)use a graduated cylinder to measure the urine and then pour it into the tube
C)use a serologic pipet to transfer the urine into the tube
D)use a beaker to measure 10 mL and pour it into the tube
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
34
Immersion oil prevents refraction of the light and improves the resolution of the magnified image.
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
35
A portion of a well-mixed sample that is removed for testing is called a(n):

A)aliquot
B)analyte
C)diluent
D)exudate
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
36
Which of the following is the most efficient method of preventing the spread of infection in a laboratory?

A)Using a sterile container for sharps
B)Washing your hands
C)Using sterile cups in urine collection
D)Cleaning with a chemical disinfectant
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
37
Laboratory tests performed in a physician's office are most likely to be categorized as:

A)waived
B)moderate complexity
C)high complexity
D)A and B
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
38
The microscopic image is focused by manipulating the objective and condenser.
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
39
The metric system is based on a decimal system in which a combination of basic units and prefixes indicates a system of division in multiples of 100.
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
40
__________ is the study of bacteria, fungi, yeasts, parasites, and viruses.

A)Chemistry
B)Histology
C)Microbiology
D)Hematology
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
41
You mix 2 mL of a patient's serum with 18 mL of diluent to prepare a _____ dilution.

A)2:18
B)1:9
C)1:20
D)1:10
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
42
The microscope component that directs the light up through the stage is the:

A)condenser
B)iris diaphragm
C)ocular
D)magnification system
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
43
__________ on swabs, tubes, transport media, and other collection containers should be checked before these items are used.
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
44
Immersion oil can be used with which of the following objective lenses of the microscope?

A)40´
B)100´
C)10´
D)A and B
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
45
A centrifuge is used to separate:

A)solids from liquids
B)blood cells from serum or plasma
C)crystals from urine
D)all of the above
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
46
__________ is the single most important means of preventing the spread of infection.
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
47
An order found on a laboratory requisition that indicates the test must be done immediately is __________.
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
48
The stepwise method used to collect, process, and test a specimen that will be used as evidence in a legal case is called the __________.
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
49
Which of the following is most accurate for measuring 500 mL?

A)500-mL volumetric flask
B)500-mL beaker
C)500-mL graduated cylinder
D)500-mL Erlenmeyer flask
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
50
A(n) __________ is used in the microbiology laboratory to enhance the growth of pathogenic microorganisms in culture media.
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
51
The clinical __________ department analyzes blood, cerebrospinal fluid (CSF), urine, and joint fluid.
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
52
An MSDS contains which of the following?

A)Trade and chemical names
B)Hazardous ingredients
C)Manufacturer's name and address
D)All of the above
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
53
An autoclave can best be compared with a(n):

A)oven
B)deep fryer
C)pressure cooker
D)washing machine
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
54
Which of the following is a qualitative laboratory test result?

A)RBCs: 6,000,000/mm3
B)Fecal occult blood test: positive
C)Hematocrit: 45%
D)A and C
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
55
Balancing a centrifuge requires that all tumbles in the load:

A)have an equal amount of liquid of the same viscosity
B)are of equal size and shape
C)have a partner directly across in the rotor holder
D)all of the above
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
56
__________ is the physical, chemical, and microscopic examination of urine.
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
57
Aerosolization in a centrifuge can be prevented by ensuring that:

A)the tubes have an equal amount of fluid
B)the atmosphere has 5% carbon dioxide
C)the tubes are tightly capped
D)rubber cups are in the bottom of the carriers
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
58
The clinical chemistry department performs which of the following tests?

A)Presence of ketones in urine
B)Cell morphology
C)Blood cell count
D)Lipid profile
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
59
The ocular of the microscope generally magnifies the image:

A)2 times
B)5 times
C)10 times
D)minimally
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
60
When the 40´ objective is in place on the microscope, the total magnification of the specimen is:

A)40´
B)4´
C)400´
D)80´
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
61
An important responsibility of the medical assistant is to make sure collected specimens are labeled properly before they are sent to a reference laboratory.Summarize at least five items that must be included on a specimen label.
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
62
A(n) __________ is a liquid used to reduce the concentration of a specimen in a sample.
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
63
Summarize methods that can be used to prevent physical hazards in the clinical laboratory.
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
64
The objective of __________ in the medical laboratory is to ensure the accuracy and reliability of test results.
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
65
__________ are fluids that have escaped from blood vessels and been deposited in surrounding tissues.
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
66
The microscopic analysis of cells is the science of __________.
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
67
__________ encompasses a comprehensive set of policies and procedures developed to ensure the reliability of laboratory results.
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
68
A(n) __________ uses steam under pressure to destroy all microorganisms.
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
69
Describe the information included in the Material Safety Data Sheet (MSDS).
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
70
The medical assistant is trained to perform CLIA-waived tests in the ambulatory laboratory setting.Based on your understanding of these tests, summarize at least five of them, along with their functions.
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
71
Specimens collected in the ambulatory care setting frequently are sent to a(n) __________ for analysis.
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
72
List the recommendations from the CDC regarding infection control.
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
73
Describe the purpose of the Clinical Laboratory Improvement Amendments (CLIA).
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
74
A chemical added to a blood sample after collection to prevent clotting is called a(n) __________.
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
75
The __________ is the substance tested for or analyzed in a specimen.
Unlock Deck
Unlock for access to all 75 flashcards in this deck.
Unlock Deck
k this deck
locked card icon
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Unlock for access to all 75 flashcards in this deck.