1. A physician orders a patient’s blood be tested for levels of urea nitrogen, sodium, potassium, transferase alanine and aspartate amnio, total protein, ionized calcium, carbon dioxide, chloride, creatinine, glucose, and TSH.

 

a. 80053-52, 84443

b. 80048, 84443, 84155, 84460, 84450

c. 80047, 84460, 84450, 84155, 84443

d. 80051, 84520, 84460, 84450, 84155, 82330, 82565, 82947, 84443

 

2. A specimen labeled "right ovarian cyst" is received for examination. It consists of a smooth-walled, clear fluid filled cyst measuring 13x12x7 cm and weighing 1351 grams with fluid. Both surfaces of the wall are pink-tan, smooth and grossly unremarkable. No firm or thick areas or papillary structures are noted on the cyst wall externally or internally. After removal the fluid, the cyst weight 68 grams. The fluid is transparent and slightly mucoid.

 

a. 88300

b. 88304

c. 88305

d. 88307

 

3. A patient presents to the ED with chest pain, shortness of breath, and a history of congestive heart failure. The physician performs a 12 lead EKG which indicates a myocardial infarction without ST elevations. The physician immediately orders myoglobin, quantitative troponin, and CK enzyme levels to be run once every hour for three consecutive hours.

 

a. 83874-99, 83874-76, 83874-91, 84484-99, 84484-76, 84484-91, 82250-99, 82250-76, 82250-91

b. 83874, 83874-91 x2, 84484, 84484-91 x2, 82550, 82550-91 x2

c. 83874-91 x3, 84484-91 x3, 82250-91 x3

d. 83874 x3, 84484 x3, 82550 x3

 

4. A 17 year old female presents in her family physician’s office complaining of nausea, vomiting, and weight gain. She has been experiencing these symptoms on and off for two weeks. An analysis of the urine reveals a positive pregnancy test and hCG levels of 12500 mIU/ml confirm she is in her sixth week of pregnancy.

 

a. 81005, 84702

b. 81025, 84702

c. 81025, 84703

d. 81005, 84703

 

5. An employee was randomly selected for a drug screen. According to the employer it is standard procedure to use a multiplex screening kit and test for barbiturates, cocaine, opiates, and methadone. Any drug with a positive result should be confirmed with a second, quantitative test. The employee showed positive for barbiturates and opiates. Secondary tests were run on the two and levels came back with 350 ng/ml for barbiturates and 375 ng/ml for opiates.

 

a. 80306, 80345, 80361

b. 80307, 80353, 80358

c. 80306, 80345-91, 80361-91

d. 80307, 80345, 80361

 

6. A CBC does not include which of the following:

 

a. RBC

b. Hb

c. hCG

d. WBC

 

7. A couple that was unsuccessful at conceiving a child chooses to have in vitro fertilization done. The eggs and semen have been harvested and nine eggs were implanted with a sperm. The zygotes went through mitosis and produced embryos. Three embryos were then implanted in the woman and the other six were kept for later use. What codes(s) would the lab technician charge for her services in preserving the remaining six embryos?

 

a. 89255 x6

b. 89258

c. 89268

d. 89342

 

8. A patient in her 30th week of pregnancy has a high oral glucose reading and her physician orders a glucose tolerance test. Upon arrival the laboratory technician draws the patient’s blood and the patient then ingests a glucose drink. Her blood is then drawn one, two, and three hours after the ingestion. As the patient was leaving the laboratory the technician informs her that the samples were incorrectly labeled and that the test needed to be repeated. The patient has her blood drawn again, ingested the glucose drink again, and has her blood re-drawn at one, two, and three hour intervals.

 

a. 82951, 82951-91

b. 82946, 82946-91

c. 82947, 82950, 82950-91 x2

d. 82951 .

 

9. Carbon dioxide, total calcium, and sodium and all in what three panels?

 

a. 82374, 82310, 84295

b. 80069, 80047, 80048

c. 80048, 80053, 80069

d. 80047, 80069, 80051

 

10. A qualitative hCG test will provide a positive or negative result while a quantitative hCH test will provide a specific amount of hCG in the specimen.

 

a. True

b. False

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***END OF TEST***