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Clinical Chem part 1
  • John Kenneth Gida

  • 問題数 100 • 12/6/2024

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    問題一覧

  • 1

    Percent solution can be expressed as the following, except;

    % v/w

  • 2

    Deteriorating reagent

    Analytical

  • 3

    Interfering substance present

    Analytical

  • 4

    Verifying a reference interval requires how many study? individuals

    atleast 20

  • 5

    Involves testing blind samples sent periodically by regulatory agencies to participating laboratories

    external quality assessment

  • 6

    Used for interlaboratory comparison of monthly means by plotting the mean value for one sample on the y-axis and the mean value for another on the x-axis

    Tonks-Youden plot

  • 7

    Ability of a test to detect the absence of a given disease or condition; proportion of individuals with no disease who have a negative test result

    diagnostic specificity

  • 8

    It is used to compare two methods using the best fit line through the data points

    linear regression

  • 9

    Incorrect sample volume

    Analytical

  • 10

    Highly deviating control values

    outliers

  • 11

    Pre-analytical includes;

    Test requisition, Patient preparation , Patient identification , Specimen collection , Labeling, Specimen transport, Specimen reception, Handling, Preparation

  • 12

    Poorly written procedure

    Analytical

  • 13

    Inappropriate test requested

    Pre-analytical

  • 14

    Internal Quality Control involves the analysis of at least __ levels of control every ___

    2; 24 hours

  • 15

    Number of moles of solute per kilogram solvent

    molality

  • 16

    Most common used quality control chart

    Shewhart Levey-Jennings chart

  • 17

    Team leaders who dedicate as much as 100% of their time to QI projects

    black belt

  • 18

    Number of moles of solute per liter of solution

    molarity

  • 19

    Transcription error

    Post-analytical

  • 20

    Warning!!!

    1 2s

  • 21

    Interfering substances not recognized

    Post-analytical

  • 22

    Provides both a management philosophy or organizational development and a management process for improvement of quality in all aspects of work

    TQM (Total Quality Management)

  • 23

    The distribution of data points around the mean

    standard deviation

  • 24

    A recurring error inherent in test procedure; influences observations in one direction

    Systematic error

  • 25

    It is the most widely used approach to quality improvement in the healthcare

    PDCA cycle

  • 26

    Due to chance or an unpredictable cause; does not recur in regular pattern

    Random error

  • 27

    RI is adopted if ____ of the subjects fall outside the range

    <10%

  • 28

    Post-analytical includes;

    Verification of calculations and reference ranges, Flagging and notification of panic/critical values, Delta checks, Reporting of results, Interpretation

  • 29

    Ability to produce a series of results that agree closely with each other; commonly expressed in terms of coefficient of variation; also called repeatability or reproducibility

    Precision

  • 30

    Instrument not calibrated correctly

    Analytical

  • 31

    Calibration error

    Analytical

  • 32

    Establishing a reference interval requires how many study individuals?

    atleast 120

  • 33

    Contaminated control solutions

    Analytical

  • 34

    Most frequently occurring value in a data set

    mode

  • 35

    Instrument precision problem

    Analytical

  • 36

    Electric current

    Ampere

  • 37

    Number of equivalent weights of solute per liter of solution

    normality

  • 38

    Ability to maintain accuracy and precision over an extended period of time during which equipment, reagents, and personnel may change

    Reliability

  • 39

    Arrange ascending order

    zepto, atto, femto, pico, nano, micro, milli, centi, deci, deka, hecto, kilo, mega, giga, giga, tera, peta, exa

  • 40

    Closeness of the result to the true or actual value

    accuracy

  • 41

    Electrical potential

    Volt

  • 42

    What is the usual confidence interval of a guassian/normal distribution?

    95%

  • 43

    Expression of relative concentration

    dilution

  • 44

    Compares the means of two groups of data or the accuracy of two methods

    t-test

  • 45

    Improper transport conditions

    Pre-analytical

  • 46

    Incorrect tube or container

    Pre-analytical

  • 47

    Convert 0.4 um to m

    0.0000004 m

  • 48

    Random error

    All of the choices

  • 49

    Incorrect patient identification

    Pre-analytical

  • 50

    It is the difference between the highest and lowest values; greatly affected by outlier.

    range

  • 51

    Midpoint of a data set after the values have been ranked-ordered

    median

  • 52

    Precision limitations not recognized

    Post-analytical

  • 53

    Ability of a method to detect only the analyte of interest

    analytical specificity

  • 54

    Amount of something relative to another; expressed as part per part or part per whole

    ratio

  • 55

    Average or arithmetic mean

    mean

  • 56

    Prepared by plotting the algebraic sum of the difference between each quality control result and the mean on the y-axis and the run number on the x-axis

    CUSUM chart

  • 57

    Categories of wastes:

    Defects, Overproduction, Wasting , Non-utilised talent, Transport , Inventory, Motion, Excess processing

  • 58

    Compares the standard deviations of two groups of data or the precision of two procedures

    f test

  • 59

    Team members who contribute approximately 20% of their time to QI projects while delivering their normal job functions

    green belt

  • 60

    Report not posted in chart, not legible, or delayed

    Post-analytical

  • 61

    Invalid specimen

    Pre-analytical

  • 62

    Maybe constant or proportional

    Systematic error

  • 63

    Special requirements not specified

    Pre-analytical

  • 64

    Understands the basics of lean six sigma

    yellow belt

  • 65

    Black belt with at least two years of experience; lean six sigma advisors/coaches

    master

  • 66

    Delayed order

    Pre-analytical

  • 67

    Major cause of trend

    deterioration of reagents

  • 68

    The best indicator of precision

    coefficient of variation

  • 69

    Systematic error

    2 2s, 4 1s, 8 1s, 10 x

  • 70

    Ability of a method to detect the smallest concentration of an analyte

    analytical sensitivity

  • 71

    Handwriting not legible

    Pre-analytical

  • 72

    Inadequate specimen volume

    Pre-analytical

  • 73

    Usually a one time error and represents imprecision

    Random error

  • 74

    Gradual change in the distribution of control values such that they continue to increase or decrease over a period of six consecutive days passing through the mean

    trend

  • 75

    What is the molarity of a 1 liter solution containing 10g of NaOH? Na=23 O=16 H=1

    0.25 M

  • 76

    Analytical includes;

    Reagents, Preventive maintenance of equipment , Calinration, Analysis of samples, Quality control

  • 77

    Used to compare results obtain on a high and low control serum from different laboratories

    Youden Twin plot

  • 78

    It is designed to reduce waste, increase efficiency and improve customer satisfaction; often used in clinical laboratories to improve TAT.

    Lean

  • 79

    Previous values not available for comparison

    Post-analytical

  • 80

    Based on statistics and quantitative measurements applied in the clinical laboratory to reduce the frequency of test errors or the number of DPMOs

    Six Sigma

  • 81

    Major cause of shift

    calibration error or error in standard preparation

  • 82

    Analytical sensitivity not appropriate

    Post-analytical

  • 83

    It is an effective method for comparing both within-laboratory and between-laboratory variability

    Tonks-Youden plot

  • 84

    Ability of a test to detect a given disease or condition; proportion of individuals with the disease who have a positive test result

    diagnostic sensitivity

  • 85

    Thermodynamic temperature

    Kelvin

  • 86

    Done when a weaker reagent concentration is needed than the stock substance available

    Dilution of stock solution

  • 87

    In internal quality control, initial control limits are established by analyzing controls for at least ___ consecutive days or runs

    20

  • 88

    Causes random errors

    instrument instability such as temperature and voltage fluctuations, dirty glasswares, sampling error, improper mixing of sample and reagent, operator variability such as pipeting error, anticoagulant or drug interference

  • 89

    It is an abrupt change in the distribution of controlled values such that they accumulate on one side of the mean for six consecutive days

    Shift

  • 90

    Temperature

    Degree Celcius

  • 91

    Wrong collection time

    Pre-analytical

  • 92

    Luminous intensity

    Candela

  • 93

    What CI is the RI based?

    95%

  • 94

    The x-axis is the dependent variable/new method. The Y-axis is the independent/reference method.

    Both statements are false

  • 95

    Done when the analyte concentration is too high and exceeds the detection limit of the method

    dilution of sample

  • 96

    Specimen mix up

    Analytical

  • 97

    Precision study is usually done by running

    two control materials twice a day over a 10 day period