GI/GU Systems
A patient with dysuria and hematuria will require testing to see if they have developed what condition?
A UTI
What is the name of the regulations that ensure the accuracy of lab tests in the US?
CLIA
DAILY DOUBLE: EARN DOUBLE POINTS!!!
What does CLIA stand for?
The results of a urinalysis are positive for the presence of nitrites. What condition is the patient likely to have?
UTI
The doctor has ordered otic gtts for a patient. When educating the patient regarding the medicine, the MA should make sure the patient understands that this medicine is dropped in the ______.
Ear
Otic= Ear
Optic/Ophthalmic= Eye
What is hematemesis?
vomiting blood
Which GI organ is responsible for removing toxins from the blood?
Liver
When do urinalysis reagent strips expire?
Within 6 months of opening container
Write date opened on container and store in a cool, dry place
A doctor has ordered a urine culture. When the specimen is processed at the lab they will spin it at high speed to separate it's components. What machine makes this possible?
A centrifuge
When using a Snellen chart, how far should the chart be placed from the patient?
20 feet
This measures distance visual acuity
After administering otic drops. Have the patient remain in position for how long?
10 minutes
What S/S would you expect a patient with GERD to experience?
Epigastric pain (heartburn)
Regurgitation
Worsens after eating/when laying down
A positive UPT test has detected the presence of what in the sample?
Human Chorionic Gonadotropin
What type of specimen is usually collected for a urinalysis?
Clean catch
A doctor needs to assess a patient who has gotten sawdust in their R eye. What equipment should be in the room and what test do you think the doctor will ask you to perform?
Ophthalmoscope
Visual Acuity Screening (Snellen Chart)
What is tinnitus?
Ringing in the ears
A patient is experiencing severe RLQ pain. The MA recognizes this is an emergency because RLQ pain could indicate what condition?
Appendicitis
As the office manager of DPC, you are responsible for maintaining the clinic's CLIA Certificate of Waiver, training staff to perform testing, and checking that quality control testing is performed. What category or categories of tests can be performed with a Certificate of Waiver?
CLIA-waived tests only
These are low complexity tests
What information should be included on a laboratory requisition slip?
Patient Demographics and Insurance
Ordering Doctor and Test Ordered (also ICD-10)
Source of the specimen (wound, throat, urine)
**Never include a final diagnosis...that is why we need the test, to figure out what the diagnosis is!
A doctor has asked you to perform Ishihara testing on a patient. You understand this is a screening for ____.
Color blindness
Inform the doctor of how many plates the patient misses
If otitis media is not treated, what can occur?
rupture of the tympanic membrane
A patient is complaining of fever, dysuria, nausea, and severe bilateral flank pain. What condition may be occuring?
Pyelonephritis (nephritis)
When opening the office, you check the lab refrigerator temperature and obtain a reading of 10C. What should be your next action after recording the reading on the Daily Temperature Log?
Use the temperature dial to lower the refrigerator temperature and document the corrective action
What type of testing procedure establishes a chronologic history of the specimen?
Chain of Custody Procedures
These procedures also establish legal procedures to ensure specimen results are accurate
A patient is experiencing vertigo and nausea, what equipment will you ready for the provider's assessment?
An otoscope
Problems with the tympanic membrane can cause vertigo, nausea, and equilibrium disturbances
Which hearing test includes placing a tuning fork on the mastoid bone?
Rinne Test