Final Exam MEDF 21-7.docx

Final Exam Subject: Laboratory Quality Control Management System (Autumn Semester, 2023-24) Group: MEDF 21-7 Student Name: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Surname: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ **This Examination paper is in three section. Please, attempt all section.**...

Final Exam Subject: Laboratory Quality Control Management System (Autumn Semester, 2023-24) Group: MEDF 21-7 Student Name: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ Surname: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ **This Examination paper is in three section. Please, attempt all section.** **First section consists of 15 MCQs Questions (15 Points)** **Second section consists of 10 SAQs Questions (10 Points)** **Third Section consists of 5 Cases Questions (15 Points)** **First section** 1\. Witch of the following are goals of the quality control in the laboratory? (1 Point) (Select all that apply) a\. Detect and correct errors b\. Avoid reporting erroneous results c\. Determine the root cause of errors/problems d\. Alert the ordering provider of an abnormal test results 2\. The main routes in which chemicals enter the body are: (1Point) a. Inhalation b. Absorption c. Percutaneous inoculation d. Ingestion 3\. The main sources of contamination within diagnostic laboratories are:(1Point) a. Air conditioning vents b. Aerosols c. Animal cages d. Sick employees 4\. What are the most common statistics utilized in internal Quality Control as descriptive measures of a set of values? (1Point) (Select all that apply) a\. Coefficient of variation b\. Mode c\. Mean d\. Standard Deviation 5\. Which of the following describe Internal Quality Control? (1Point) (Select all that apply) a\. Analysis occurs after patient samples have been analyzed b\. Analyzed before and along with patient samples c\. Detects problems occurring during daily operations d\. Evaluates the precision of the measurement procedure 6\. The two types of systematic errors are: (1Point) a\. Random and constant b\. Allowable and proportional c\. Proportional and total d\. Constant and proportional 7\. Witch of the following are the possible sources of systematic error? (1Point) (Select all that apply) a\. Erroneous sample labeling b\. Bubbles in reagent line c\. Slow deterioration of reagents d\. Unstable environmental conditions 8\. Witch of the following are sources of random error? (1Point) (Select all that apply) a\. Unstable reagents b\. improperly prepared calibrators or reagents c\. Inter-Individual (operator) variability d\. Bubbles in reagent line 9\. The most effective investigational technique for occurrence management is: a\. analysis of all QC data b\. survey of all the laboratory's customers c\. evaluation of employee performance d\. root cause analysis 10\. What are approaches to verify a QC failure? (1Point) (Select all that apply) a\. Exclude the point and continue work b\. Repeat QC until acceptable results is obtained c\. Repeat QC with a fresh aliquot d\. Verify integrity of QC materials (evaporation) 11\. Which of the following describe External Quality Control? (1Point) (Select all that apply) a\. External QC is also known as statistical Quality Control b\. Values of External QC samples are known when tested c\. Values of External QC samples are unknown when tested d\. Evaluate the Bias of the measurement procedure 12\. **The path that can be assessed while a sample is moving through the laboratory is:(1Point)** a\. Clinic sample collection area b\. Proper sample labeling c\. Sample processing area d\. Proper reagent or test kit storage 13\. **Important information on laboratory customer satisfaction may be obtained using:(1Point)** a\. Laboratory tests register b\. Quality indicators c\. Reviewing of test results d\. External audits 14\. **An example of a pre-analytic occurrence frequently seen in most laboratories is?\ (1Point)** a\. Improper sample collection and storage b\. Appropriate sample labeling c\. Transporting samples under specified conditions d\. Reagent or test kit storage under specified condition 15\. **Laboratory information management is majorly concerned with: (1Point)** a\. Complaints documentation b\. Sample logs and records c\. Route cause analysis d\. Critical services inventory **Second section** 16\. **How are Levey-Jennings charts used in the laboratory? (1Point)** \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ 17\. **Sampling and preparation of laboratory samples are critical steps in quantitative analysis. What major steps will you need for processing of sampling and preparation of laboratory samples in quantitative analysis for the best results?** \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ 18\. **What are the differences in systematic error and random error? (1Point)** \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ 19\. **List some main benefits of a good equipment management policy in the laboratory (1Point)** -- -- 20\. **List the basic laboratory safety and personal protective equipment (1Point)** -- -- -- -- 21\. **Using the SEc and Sigma-metric values for benchmarking purposes, which analytes** **would you target further for investigation? (1Point)** Analyte SEc Sigma-metric ALT 3.65 5.15 \_\_\_ AST 5.1 6.75 \_\_\_ Bilirubin, Total 3.0 4.65 \_\_\_ Creatinine 3.3 4.95 \_\_\_ Glucose 2.2 3.85 \_\_\_ Total Protein 6.0 7.65 \_\_\_ 22\. Enumerate 8 Quality Indicators (1Point) -- -- 23\. Explain how results can be precise but not accurate. (1Point) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ 24\. To describe a Gaussian distribution, we need only 2 statistics, what are they? (1Point) -- -- 25\. What is the interpretation if the SDI is **± 2.0 or greater?** (1Point) \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ **Third Section** Study and analyze Levey-Jennings Chart. Answer by choose from A to G list: (3Point) **The current population demonstrates \_\_\_** **A. An increase in imprecision** **B. An emergence of a positive bias** **C. A decrease in imprecision** **D. A normal distribution** **E. A change in accuracy** **F. An emergence of a negative bias** **G. None of the above choices**  **Study and analyze Case. Answer the following questions clearly: (3point)** **Karen was working the day shift in the hematology laboratory. The laboratory's protocol called for three levels of blood cell controls to be run at the following times: (1) at the beginning of the shift, (2) within each run of patient samples during the day, and (3) any time reagents were changed. The mean for the low (abnormal) control for the red blood cell count was given as 2.00, the standard deviation was 0.15, and the confidence limit (acceptable control range) was 2.00 /L ± 2 SD (or ± 0.3). The first morning low control result was 2.10 (L). In five subsequent runs, the low control results were 2.16, 2.19, 2.20, 2.22, and 2.25.** 1\. These values represent: a\. a shift b\. a trend c\. neither shift nor trend d\. Random error 2\. Should Karen be concerned about these values? Explain. \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ 3\. Something can be wrong with the (If some abnormalities can identify, list some of them) -- -- 4\. Does Karen need to take any action? If, yes'' What kind of action and strategy Does she Need for improvement? \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ **Study and analyze Case. Answer the following questions clearly: (3point)** **The laboratory department received the report of monthly customer satisfaction survey. The report for this month indicates a customer satisfaction rating of 35%, which is a failing mark. The criterion with lowest mark/grade is the Turn-Around Time (TAT). (3 Point)** **1. What remedial action will you employ?** **\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_** **2. What corrective actions and changes can be done? How will these be communicated and to whom?** **\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_** 3\. **How will you evaluate whether or not the corrective actions done are adequate or sufficient?** **\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_** 4\. **What actions or steps will you do to ensure the timeliness of lab results?** \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ **Study and analyze Case. Answer to the left sheet: (3point)** **You have found all these papers lying on a Lab desk. Which of these are documents and which are records? Write like this format to the left side Doc or Rec (3 Point[)]** +-----------------------------------+-----------------------------------+ | - [testing algorithm | \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ | | ] | | | | \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ | | - [safety manual] | | | | \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ | | - [client test results | | | ] | \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ | | | | | - [standard operation | \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ | | procedures (SOPs) for an | | | approved HIV rapid test | \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ | | ] | | | | \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ | | - [manufacturer test kit | | | inserts] | \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ | | | | | - [summary of findings from | \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ | | on-site evaluation visit | | | ] | \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ | | | | | - [report of corrective | \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ | | actions] | | | | \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ | | - [temperature log (blank | | | form)] | | | | | | - [quality control record | | | (blank form)] | | | | | | - [daily maintenance log | | | (completed) ] | | | | | | - [stock cards and stock book | | | (completed)] | | | | | | - [EQA sample transfer log | | | (completed)] | | +-----------------------------------+-----------------------------------+ Study **Specimen Referral Log**^21-7^ and answer the questions (3Point) ----------------- ------------------ -------------------- ------------------------------- -------------------- ---------------------- ------------------- ------------------------- ---------------------------------------------------------------------------------------------------------------------------------------------------------------------- **Date of Review: 12/1/2022** **Specimen \#** **Patient Name** **Specimen Type** **Referred to** **Transported by** **Date Transported** **Date Returned** **Results** **Notes** 32 Jones, Eileen AFB -sputum Mbabane A.H. 3/1/2022 5/1/2022 negative \#A 32 5/1/2022 negative \#B 18 Smith, David Malaria- 2 smears Manzini A.H. 3/1/2022 8/1/2022 lab accident- recollect 8/1/22 at 1445 called Manzini spoke with Laura, slides broke in lab, need to recollect. Dr Smith updated & patient notified at 1500 LJB *(initials of staff member)* 87 McCarthy, Tom AFB-sputum Mbabane A.H. 4/1/2022 6/1/2022 negative \#A 87 6/1/2022 negative \#B 93 Roam, Shawn CD4 - EDTA WB tube Mbabane L.S. 4/1/2022 5/1/2022 233 cells/mm3 19 Clinton, Steve AFB-sputum Mbabane L.S. 4/1/2022 \#A 19 \#B 25 Jones, Ann CD4 - EDTA WB tube Mbabane A.H. 5/1/2022 6/1/2022 483 cells/mm3 33 McCain, Elaine Malaria- 2 smears Manzini L.S. 6/1/2022 7/1/2022 negative 46 McCaine, Elaine AFB-sputum Mbabane A.H. 6/1/2022 8/1/2022 3+ \#A report called to Dr Smith 8/1/22 1452 LJB *( initials of staff member)* 46 8/1/2022 1+ \#B 57 Pacheco, Miguel AFB-sputum Mbabane A.H. 7/1/2022 9/1/2022 negative \#A 57 9/1/2022 negative \#B 6 Pacheco, Miguel CD4 - EDTA WB tube Mbabane A.H. 7/1/2022 15 Smith, David AFB-sputum Mbabane A.H. 8/1/2022 10/1/2022 negative \#A 15 negative \#B 28 Pacheco, Miguel Malaria- 2 smears Manzini C.C. 9/1/2022 10/1/2022 negative 31 Smith, Susan AFB-sputum Mbabane A.H. 10/1/2022 12/1/2022 8 AFB/field \#A report called to Dr Smith 12/1/22 1500 LJB *( initials of staff member)* 31 negative \#B 47 Jones, Tom AFB-sputum Mbabane A.H. 10/1/2022 \#A 47 \#B 59 Rite, Carol Malaria- 2 smears Manzini A.H. 11/1/2022 ----------------- ------------------ -------------------- ------------------------------- -------------------- ---------------------- ------------------- ------------------------- ---------------------------------------------------------------------------------------------------------------------------------------------------------------------- 1. What is the approximate turn-around time for the following tests? - AFB sputum \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ - Malaria smears \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ - CD4 \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_\_ 3\. Why is this documentation important? \_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_ \_\_\_\_\_\_\_\_\_\_\_\_\_ Dr. Malkhaz Babuashvili Point: \_\_\_ Comment: