Clinical Laboratory Overview
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Questions and Answers

What is the main task of the clinical laboratory?

  • To conduct physical therapy
  • To offer dietary recommendations
  • To provide accurate and reliable information for diagnosis and treatment (correct)
  • To provide recreational activities
  • The clinical laboratory is solely focused on providing support to inpatient care.

    False

    What percentage of medical decisions are based on laboratory test results?

    70%

    The clinical laboratory analyzes specimens such as blood, tissues, and _____ for medical diagnosis.

    <p>body fluids</p> Signup and view all the answers

    Match the types of clinical laboratories with their classification:

    <p>Institution-based = Operates within a hospital or medical facility Free-standing = Not part of an established institution Hospital-based = A specific type of institution-based lab Outpatient laboratory = A form of free-standing laboratory</p> Signup and view all the answers

    Which of the following is a focus area of clinical pathology?

    <p>Therapeutic drug monitoring</p> Signup and view all the answers

    Privately-owned laboratories are established by government units.

    <p>False</p> Signup and view all the answers

    Name one example of a government-owned laboratory.

    <p>San Lazaro Hospital</p> Signup and view all the answers

    Clinical pathology is concerned with the diagnosis and treatment of diseases performed through laboratory testing of blood and other body ___.

    <p>fluids</p> Signup and view all the answers

    Match the following laboratory capabilities with their descriptions:

    <p>Primary = Licensed to perform basic, routine laboratory testing Secondary = Has equipment requirements including automated chemistry analyzers Tertiary = Capable of advanced diagnostic procedures and specialized testing Government-owned = Owned, wholly or partially, by national or local government units</p> Signup and view all the answers

    Study Notes

    Nature of the Clinical Laboratory

    • The clinical laboratory provides accurate and reliable information for diagnosis, prognosis, treatment, and management of diseases.
    • 70% of doctors' decisions are based on lab tests.
    • The lab is also involved in research, community outreach, surveillance, infection control (hospital and community), information dissemination, and evaluating new technologies.
    • Specimens (blood, body fluids, tissues, feces, etc.) are processed, analyzed, preserved, and disposed properly.

    Classifications of Clinical Laboratories

    A. According to Function

    • Clinical Pathology: focuses on clinical chemistry, immunohematology, blood banking, medical microbiology, immunology, serology, hematology, parasitology, clinical microscopy, toxicology, and therapeutic drug monitoring, among others. Diagnoses and treats diseases using blood and other body fluids.
    • Anatomic Pathology: focuses on histopathology, immunohistopathology, cytology, autopsy, and forensic pathology. Diagnoses diseases through microscopic examination of tissues and organs.

    B. According to Institutional Characteristics

    • Institution-based: operates within an institution (hospital, clinic, etc.).
    • Free-standing: not part of a larger institution (e.g., outpatient lab).

    C. According to Ownership

    • Government-owned: wholly or partially owned by the national or local government.
    • Privately-owned: owned by an individual, corporation, institution, association, or organization.

    Service Capability

    • Primary: routine lab tests (urinalysis, stool exams, complete blood count, etc.).
    • Secondary: primary tests plus clinical chemistry tests (blood glucose, BUN, BUA, creatinine), additional microscopy (Gram-stain).
    • Tertiary: tests from secondary plus immunology/serology, microbiology/bacteriology/mycology, special clinical chemistry, special hematology, and immunohematology with blood banking.

    National Reference Laboratory:

    • Designated by the DOH for special diagnostic services for certain diseases.
    • Includes referral services, confirmatory testing, and implementing external quality assurance programs.

    Clinical Laboratory Classifications based on Service Capability

    • Primary category laboratories are licensed for basic routine testing, such as routine urinalysis, stool examination, and a complete blood count (which includes hemoglobin, hematocrit, WBC and RBC counts, WBC differential count, and qualitative platelet count), blood typing, and Gram staining.
    • Secondary category laboratories are licensed to perform the tests done by the primary category laboratories, in addition to routine clinical chemistry, like blood glucose, BUN, BUA, blood creatinine, cholesterol determination, qualitative platelet count, and, if hospital-based, gram stain, KOH mount, and crossmatching tests.
    • Tertiary category laboratories are licensed to perform all tests of the secondary category, in addition to immunology and serology, microbiology, etc.

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    Description

    Explore the critical role of clinical laboratories in healthcare, including their functions in diagnosis and treatment. Learn about the classifications of clinical laboratories and the essential tests they perform for accurate patient care. This quiz will enhance your understanding of lab operations and their significance in medical practice.

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