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Tietz Fundamentals Of
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CLINICAL CHEMISTRY
ANDMOLECULAR
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DIAGNOSTICS
7th Edition By Carl A. Burtis
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Chapter gh01: ghClinical ghChemistry, ghMolecular ghDiagnostics, ghand ghLaboratory
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MULTIPLE ghCHOICE
1. An ghindividual ghworking ghin gha ghclinical ghchemistry ghlaboratory ghis ghmarried ghto gha
ghsales ghrepresentative ghwho ghworks ghfor gha ghcompany ghthat ghsells ghchemistry
ghlaboratory ghsupplies. ghWhen ghthe ghlaboratory ghmanager ghrequests gha ghlist ghof ghneeded
ghsupplies, ghcost ghof ghsupplies, ghand ghvendors, ghthis ghindividual ghonlyghrecommends ghthe
ghspouse’s ghcompany ghas ghthe ghvendor. ghThis ghis ghconsidered ghto ghbe gha(n):
a. accounting ghissue.
b. possible ghconflict ghof ghinterest.
c. maintenance ghof ghconfidentiality ghissue.
d. problem ghwith ghresource ghallocation.
ANS: g h B
Concern ghhas ghbeen ghraised ghover ghthe ghinterrelationships ghbetween ghpractitioners ghin
ghthe ghmedical ghfieldghand ghcommercial ghsuppliers ghof ghdrugs, ghdevices, ghequipment, ghetc.,
ghto ghthe ghmedical gh profession.
Similarly, ghrelationships ghhave ghbeen ghscrutinized ghbetween ghclinical ghlaboratorians ghand
ghmanufacturers ghand ghproviders ghof ghdiagnostic ghequipment ghand ghsupplies. ghThese
ghconcerns ghled ghthe ghNational ghInstitutes ghof ghHealth gh(NIH) ghin gh1995 ghto ghrequire
ghofficial ghinstitutional ghreview ghof ghfinancial ghdisclosure ghby ghresearchers ghand
ghmanagement ghof ghsituations ghin ghwhich ghdisclosure ghindicates ghpotentialghconflicts ghof
ghinterest.
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2. A ghpatient ghvisits ghher ghphysician ghstating ghthat ghher ghprescribed ghpainkiller ghis ghnot
ghworking ghto ghreduce ghthe ghpain ghfollowing ghher ghrecent ghsurgery. ghA ghfriend ghof ghthe
ghpatient ghclaims ghthat ghthe ghsame ghpainkillergh―worked ghwonders‖ ghto ghreduce ghher
ghpain ghafter ghthe ghsame ghsurgery. ghThe ghphysician ghstates ghthat ghthe ghdifference ghin
ghthe gheffect ghof ghthe ghdrug ghmight ghbe ghcaused ghby , ghwhich ghis ghstudied ghin
ghpharmacogenetics.
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b. an ghinherited ghdisease
c. a ghconflict ghof ghinterest
d. a ghgenetic ghvariation ghin ghdrug-metabolizing ghenzymes
ANS: g h D
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ghsample ghthat ghhas ghthe ghname ghof gha ghclose ghfriend ghprinted ghon ghthe ghbar-coded
ghlabel. ghThe ghgenetic ghtest ghthat ghis ghordered ghon ghtheghfriend’s ghsample ghwould
ghprovide ghdiagnostic ghinformation ghabout gha ghdisorder ghthat ghhas gha ghpoor ghprognosis,
ghand ghthe ghtest ghis ghusually ghperformed ghby ghJohn. ghHe ghasks gha ghfellow ghemployee
ghto ghanalyzeghthe ghsample ghfor ghhim ghand ghnot ghdivulge ghthe ghresults. ghThis ghethical
ghissue ghconcerns:
a. confidentiality ghof ghpatient ghgenetic ghand ghmedical ghinformation.
b. a ghconflict ghof ghinterest.