DLM(ASCP) EXAM 2024-2025 ACTUAL EXAM 230 REAL EXAM
QUESTIONS AND CORRECTANSWERs |AGRADE (FINANCIAL
MANAGEMENT, OPERATIONS MANAGEMENT, HUMAN RESOURCE
MANAGEMENT, QUALITY MANAGEMENT)
Operational Safety and Health Administration (OSHA) - ANSWER-A federal agency charged with
protecting worker health and well being in the work place. Provides guidance and regulations concerning
chemical and infectious materials
fire extinguisher class a - ANSWER-most common fire started by ignition of material like paper and
wood.
extinguished by water
fire extinguisher class B - ANSWER-fires consist of liquids like alcohol, gases and solvents.
extinguisher contains dry chemicals or carbon dioxide
fire extinguisher class D - ANSWER-fire involves combustible chemicals/metals like Mg, Na, and
Titanium. Need specialized extinguisher or sand.
Labeling of hazardous chemicals and reagents - ANSWER-color coded triangle, rectangle or combo
label with danger rating.
color code: red = fire hazard, blue = health hazard, yellow = instability hazard danger rating: 0 = none, 1
= minor, 2 = moderate, 3 = service, 4 = extreme
Threshold Limit Value (TLV) - ANSWER-designed by ACGHI
3 points to monitor for safe work environment
1. TWA
2. STEL
3. C
,Time Weighted Average (TWA) - ANSWER-level of exposure a worker may experience in an 8 hour day,
40 hour work week
Physical Hazards - ANSWER-compressed gas, explosives, flammables, organic peroxide. oxidizer,
reactive/unstable water reactive
Ceiling (C) - ANSWER-concentration which is the level above which no exposure is permitted at any
time
Safety Management Program - ANSWER-overseen by safety committee and safety officer
1. manual with policies/procedures covering physical, chemical, fire, natural disasters, bloodborne
pathogens. OPIM Dangers, chemical exposure control plans
2. communications - access to info, training equipment resources and support
3. disaster plan - special contingency and back up plans
4. safety audits and inspections
5. accident investigation and prevention
Short Term Exposure Limit (STEL) - ANSWER-max concentration level a person may be exposed to for a
short period of time
Lab Director - ANSWER-CLIA '88 requires that they be board certified in Clinical pathology and
Anatomical pathology. They sign off on personnel records annually and competencies or they can
designate someone else to sign off. This person holds the CAP License for the laboratory.
Technical Supervisor - ANSWER-select test methodology; verify test procedures for precision and
accuracy; oversee PT, QC, and QA programs; oversee resolution of technical issues. Can review high
complexity testing. Must be a MD or DO OR have a bachelors with 4 years experience
General Supervisor - ANSWER-Can review moderate complexity testing. Need a bachelor's with 1 year
experience
,Ergonomics - ANSWER-a disicpline that involves arranging the environment to fit the person in it.
when applied correctly in the work environment, visual and musculoskeletal discomfort and fatigue are
reduced significantly (looking at screens, noise, repetitive motion, lifting heavy objects, slips/trips and
falls.
validation - ANSWER-takes place on new test procedures before testing patient samples. need at least
2 controls (negative and positive) and the results must be within 2 SD.
utilization management program - ANSWER-critical to ensure the patient that we adhere to the
central concept of precision medicine and perform the right test for the right patient at the right time.
the balance of care and cost. look at tests that can be ordered outside scope of clinical context or
ordered overzealously.
Gatekeeper Method - ANSWER-alerted when there's an unusual request for a test. discuss with
provider to make sure test was ordered appropriately. only works for requests that come through the
lab.
Diagnostic Algorithims - ANSWER-stakeholder determines which tests are appropriate for specific
patient presentations
staffing - ANSWER-determining personnel and job needs, recruiting qualified staff, matching them
with the appropriate job and training them to perform the work as assigned. Establishes how many and
what types of personnel are needed. Determined by volume and workload, test mix, methodology, etc.
workload projections - ANSWER-come from historical records (productivity and financial data),
analysis of future trends (based on past and current volumes, analysis of foreseeable changes (new tests,
removing tests, new instruments)
workflow analysis - ANSWER-1. what test should be done (discontinue out of date procedures)
2. where should test be performed
3. when should test be performed (use of reference labs to help in times of staffing shortages,
batch low volume test, shift workload to shifts to shifts that may have slack time)
, Bottleneck Management - ANSWER-work must pass through a narrow point before reaching internal
production machinery OR a task that ties up the system (ex: Diff with abnormal cells, telephone calls,
reporting critical values)
Structural Requirements - ANSWER-having a ventilation backup plan, location/ease of use and
availability of safety equipment (fume hoods, first aid stations), structural safety involve building
materials, storm damage control, fire prevention and firefighting systems
class A flammables - ANSWER-ether/isopentane
class B flammables - ANSWER-acetone, ethanol, methanol
fire fighting strategies - ANSWER-construction (structure and materials used), fire fighting equipment
(automatic sprinklers, self closing doors and fire hydrants. fire extinguishers, fire blankets and sand),
training and Practice
electrical safety - ANSWER-no extension cords, check equipment for compliance with electrical safety
standards, electrical safety checks
chemical safety - ANSWER-training sessions required annually for hazardous chemicals. MSDS made
readily available
1-2s rule - ANSWER-run is accepted when both control results are within 2 SD limits from the mean
value
1-3s rule - ANSWER-the run is considered out of control when one of the control results exceed the +/-
3 SD limits
2-2s rule - ANSWER-The run is rejected when both controls exceed the mean value +2SD or the mean
2SD limits
QUESTIONS AND CORRECTANSWERs |AGRADE (FINANCIAL
MANAGEMENT, OPERATIONS MANAGEMENT, HUMAN RESOURCE
MANAGEMENT, QUALITY MANAGEMENT)
Operational Safety and Health Administration (OSHA) - ANSWER-A federal agency charged with
protecting worker health and well being in the work place. Provides guidance and regulations concerning
chemical and infectious materials
fire extinguisher class a - ANSWER-most common fire started by ignition of material like paper and
wood.
extinguished by water
fire extinguisher class B - ANSWER-fires consist of liquids like alcohol, gases and solvents.
extinguisher contains dry chemicals or carbon dioxide
fire extinguisher class D - ANSWER-fire involves combustible chemicals/metals like Mg, Na, and
Titanium. Need specialized extinguisher or sand.
Labeling of hazardous chemicals and reagents - ANSWER-color coded triangle, rectangle or combo
label with danger rating.
color code: red = fire hazard, blue = health hazard, yellow = instability hazard danger rating: 0 = none, 1
= minor, 2 = moderate, 3 = service, 4 = extreme
Threshold Limit Value (TLV) - ANSWER-designed by ACGHI
3 points to monitor for safe work environment
1. TWA
2. STEL
3. C
,Time Weighted Average (TWA) - ANSWER-level of exposure a worker may experience in an 8 hour day,
40 hour work week
Physical Hazards - ANSWER-compressed gas, explosives, flammables, organic peroxide. oxidizer,
reactive/unstable water reactive
Ceiling (C) - ANSWER-concentration which is the level above which no exposure is permitted at any
time
Safety Management Program - ANSWER-overseen by safety committee and safety officer
1. manual with policies/procedures covering physical, chemical, fire, natural disasters, bloodborne
pathogens. OPIM Dangers, chemical exposure control plans
2. communications - access to info, training equipment resources and support
3. disaster plan - special contingency and back up plans
4. safety audits and inspections
5. accident investigation and prevention
Short Term Exposure Limit (STEL) - ANSWER-max concentration level a person may be exposed to for a
short period of time
Lab Director - ANSWER-CLIA '88 requires that they be board certified in Clinical pathology and
Anatomical pathology. They sign off on personnel records annually and competencies or they can
designate someone else to sign off. This person holds the CAP License for the laboratory.
Technical Supervisor - ANSWER-select test methodology; verify test procedures for precision and
accuracy; oversee PT, QC, and QA programs; oversee resolution of technical issues. Can review high
complexity testing. Must be a MD or DO OR have a bachelors with 4 years experience
General Supervisor - ANSWER-Can review moderate complexity testing. Need a bachelor's with 1 year
experience
,Ergonomics - ANSWER-a disicpline that involves arranging the environment to fit the person in it.
when applied correctly in the work environment, visual and musculoskeletal discomfort and fatigue are
reduced significantly (looking at screens, noise, repetitive motion, lifting heavy objects, slips/trips and
falls.
validation - ANSWER-takes place on new test procedures before testing patient samples. need at least
2 controls (negative and positive) and the results must be within 2 SD.
utilization management program - ANSWER-critical to ensure the patient that we adhere to the
central concept of precision medicine and perform the right test for the right patient at the right time.
the balance of care and cost. look at tests that can be ordered outside scope of clinical context or
ordered overzealously.
Gatekeeper Method - ANSWER-alerted when there's an unusual request for a test. discuss with
provider to make sure test was ordered appropriately. only works for requests that come through the
lab.
Diagnostic Algorithims - ANSWER-stakeholder determines which tests are appropriate for specific
patient presentations
staffing - ANSWER-determining personnel and job needs, recruiting qualified staff, matching them
with the appropriate job and training them to perform the work as assigned. Establishes how many and
what types of personnel are needed. Determined by volume and workload, test mix, methodology, etc.
workload projections - ANSWER-come from historical records (productivity and financial data),
analysis of future trends (based on past and current volumes, analysis of foreseeable changes (new tests,
removing tests, new instruments)
workflow analysis - ANSWER-1. what test should be done (discontinue out of date procedures)
2. where should test be performed
3. when should test be performed (use of reference labs to help in times of staffing shortages,
batch low volume test, shift workload to shifts to shifts that may have slack time)
, Bottleneck Management - ANSWER-work must pass through a narrow point before reaching internal
production machinery OR a task that ties up the system (ex: Diff with abnormal cells, telephone calls,
reporting critical values)
Structural Requirements - ANSWER-having a ventilation backup plan, location/ease of use and
availability of safety equipment (fume hoods, first aid stations), structural safety involve building
materials, storm damage control, fire prevention and firefighting systems
class A flammables - ANSWER-ether/isopentane
class B flammables - ANSWER-acetone, ethanol, methanol
fire fighting strategies - ANSWER-construction (structure and materials used), fire fighting equipment
(automatic sprinklers, self closing doors and fire hydrants. fire extinguishers, fire blankets and sand),
training and Practice
electrical safety - ANSWER-no extension cords, check equipment for compliance with electrical safety
standards, electrical safety checks
chemical safety - ANSWER-training sessions required annually for hazardous chemicals. MSDS made
readily available
1-2s rule - ANSWER-run is accepted when both control results are within 2 SD limits from the mean
value
1-3s rule - ANSWER-the run is considered out of control when one of the control results exceed the +/-
3 SD limits
2-2s rule - ANSWER-The run is rejected when both controls exceed the mean value +2SD or the mean
2SD limits
