Clia And Strep Throat Study Guide Questions And Correct Answers

CLIA-waived {Ans: -The Clinical Laboratory Improvement Amendment of 1988 established that some clinical tests be exempted from certain laboratory requirements -*simple tests* -*No legally required audits* -don't have to be a trained lab tech to do them}GABHS {Ans: -group A beta hemolytic strep (strep pyogenes) -*gram pos cocci* usually in *chains* -smear on blood agar to classify type of hemolysis -beta = *clear zone of hemolysis*}List of CLIA waived procedures {Ans: -CBC -CMP -Lipid panel -Strep antigen -Flu swab -*macroscopic* UA -urine preg. -glucometer/glucose -microalbumin -mono -occult blood -PT/INR -RSV -TSH}CLIA moderate complexity labs {Ans: -more complex tests -requires higher level of operator training/education -audits are *legally required* and are more frequent}PE for strep throat {Ans: -palpate abdomen (r/o splenomegaly) -look in nose -sinus exam -ear exam}Reasons you get false positive strep results {Ans: -pt may be a carrier -misidentification of B-hemolytic strep belonging to other strep groups}