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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Blood Banking (Immunohematology) | 15-20% | - Antibody detection and identification - Compatibility testing - Blood group systems and antigens - Blood components and storage - Transfusion reactions and adverse events |
| Topic 2: Laboratory Operations | 5-10% | - Laboratory mathematics and instrumentation - Quality control and quality assurance - Pre-analytical, analytical, and post-analytical processes - Laboratory safety and regulatory compliance |
| Topic 3: Clinical Chemistry | 20-25% | - Electrolytes, acid-base balance, and blood gases - Toxicology and liver/kidney function tests - Endocrinology and therapeutic drug monitoring - Carbohydrates, lipids, proteins, and enzymes |
| Topic 4: Urinalysis and Other Body Fluids | 5-10% | - Physical, chemical, and microscopic analysis - Semen and amniotic fluid testing - Urine formation and composition - Cerebrospinal, serous, and synovial fluids |
| Topic 5: Microbiology | 15-20% | - Bacteriology and antimicrobial susceptibility - Mycology, parasitology, and virology - Identification of pathogenic microorganisms - Specimen collection and culture techniques |
| Topic 6: Hematology | 20-25% | - Red blood cell physiology and disorders - Routine and automated hematology procedures - Hemostasis and coagulation testing - White blood cell morphology and diseases |
| Topic 7: Immunology and Serology | 5-10% | - Infectious disease serology - Immunologic testing methodologies - Immune system principles and components - Autoimmune and immunodeficiency disorders |
An international, nonprofit organization that establishes standards of best current practice for clinical laboratories is
Correct Answer: D 🗳️
In this case, the pH may become more alkaline, perhaps above 8.0, if the bacteria in the sample are proliferating during the extended room-temperature wait time.
A urine specimen was collected at 6:00 a.m. and remained at room temperature until it was received in the laboratory at 3:30 p.m. How may the pH of the specimen be affected by the extended time at room temperature if bacteria are present in the specimen?
Correct Answer: C 🗳️
This scenario's answer can be calculated by first deciding what the total quality control labor costs are as well as what the total consumable costs are. In this case, if quality control is run 3 times per day, a total of 1095 quality control runs are performed each year. The direct labor cost of $2.63 multiplied by 1095 quality control runs equals $2879.85 per year in quality control direct labor. The hospital pays $354.00 per month on quality control consumables, which equals $4248.00 per year. The total quality control costs in a year are equal to
$2879.85 + $4248.00 = $7127.85. If 76,000 new chemistry tests panels are peformed each year, the total quality control cost per new chemistry test panel will be $0.09.
General Hospital is considering the addition of a new chemistry panel containing 12 tests. The laboratory is asked to calculate the total cost of quality control per new chemistry test panel. Quality control must be performed 3 times per day (every 8 hours). The labor cost per quality control test for this panel is $2.63. A month's worth of quality control reagent costs $354.00. What is the total quality control cost per new chemistry test panel if 76,000 of these new panels are performed each year?
Correct Answer: C 🗳️
The electrolyte panel consists of potassium, sodium, chloride, carbon dioxide. These analytes are also typically ordered within other panels as well, including the basic metabolic and complete metabolic panels.
An electrolyte panel (lytes, chem-4) consists of:
Correct Answer: B 🗳️
Plasma concentrations of creatinine are used to assess renal function. Creatinine clearance is based on the serum creatinine level and is used to measure glomerular filtration rate, or GFR.
An increased serum level of which of the following analytes is MOST commonly associated with decreased glomerular filtration?
Correct Answer: C 🗳️
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